Br> Measuring the Performance of the Hollow State by Frederickson, David G.; Frederickson, H. George Terms of use Measuring the Performance of the Hollow State is the first in-depth look at the influence of performance measurement on the effectiveness of the federal government. To do this, the authors examine the influence of the Government Performance and Results Act of 1993 (with consideration of the later Program Assessment Rating Tool of 2002) on federal performance measurement, agency performance, and program outcomes. They focus a systematic examination on five agencies in the U.S. Department of Health and Human Services -- the Food and Drug Administration, the Centers for Medicare and Medicaid Services, the Health Resources and Services Administration, the National Institutes of Health, and the Indian Health Service. Besides representing a wide range of federal government organizational structures and program formats, these agencies offer a diverse array of third-party arrangements including states, native American tribes, scientists, medical schools, and commercial and nonprofit health care intermediaries and carriers. Exploring the development of performance measures in light of widely varying program mandates, the authors look at issues that affect the quality of this measurement and particularly the influence of program performance by third parties. They consider factors such as goal conflict and ambiguity, politics, and the critical role of intergovernmental relations in federal program performance and performance measurement. Through their findings, they offer illumination to two major questions in public management today -- what are the uses and limitations of performance measurement as a policy and management tool and how does performance measurement work when applied to the management of third-party government? While scholars and students in public administration and governmental reform will find this book of particular interest, it will also be of use to anyone working in the public sector who would like to have a better understanding of performance measurement. Descriptive content provided by Syndetics"! a Bowker service. Table of Contents Acknowledgement Tables Figures Chapters 1. Introduction: Federal Performance Measurement 2. Setting the Stage: Third Parties, Fiscal Federalism, and Accountability 3. Performance Measurement as Political and Administrative Reform 4. Performance as Grants to Third Party Service Providers: The Health Resources and Services Administration 5. Performance as the Provision of Health Financial Security: The Centers for Medicare and Medicaid 6. Performance as Grants to Third Party Research Providers: The National Institutes of Health 7. Measuring the Health Performance of Sovereign Tribes as Third Parties: The Indian Health Services 8. Performance as Regulation: The Food and Drug Administration 9. Measuring Performance and Results in Theory and Practice 10. After GPRA: Performance Measurement and Performance Budgeting and Performance Management Appendix A Discussion Guides Appendix B Science Advance from National Institute of Mental Health FY2000 Appendix C Science Capsule from National Institute of Mental Health FY2000 Appendix D Stories of Discovery from National Institute of Mental Health FY2001 Appendix E The Conduct of Research References List of Tables Table 1.1 Five Federal Healthcare Agencies, Their Responsibilities, Policy Implementation Tools, and the Third Parties Carrying Out Their Work Table 2.1 Idealized and Less Idealized Perspectives on Performance Measurement Table 4.1 Health Resources and Services Administration: 2005 Representative Performance Measures Table 4.2 Maternal and Child Health Care Partnership Performance Measures Table 5.1 Key Factors in the Synthesis of the Influence of Performance Measurement In the Health Resources and Service Administration Table 5.2 Improve Beneficiary Telephone Customer Service Table 6.1 National Institutes of Health Pre and Post PART Performance Measures Table 6.2 NIH GPRA Research Goals and Targets Table 7.1 Representative Performance Measures for the IHS Table 8.1 The Food and Drug Administration: Representative Performance Measures Table 8.2 FDA Links to Outcomes Table 9.1 Agency Network Articulations and Performance Measures Table 10.1 Comparison of Direct and Third Party PART Scores List of Figures Figure 2.1 Key Variables in the Synthesis of the Influence of Performance Measurement In Five Federal Healthcare Agencies Figure 4.1 Key Factors in the Synthesis of the Influence of Performance Measurement In the Health Resources and Service Administration Figure 5.1 Key Variables in the Synthesis of the Influence of Performance Measurement In the Centers for Medicare and Medicaid Services Figure 6.1 Key Variables in the Synthesis of the Influence of Performance Measurement In the National Institutes of Health Figure 7.1 Key Variables in the Synthesis of the Influence of Performance Measurement In the Indian Health Service Figure 8.1 Key Variables in the Synthesis of the Influence of Performance Measurement In the Food and Drug Administration Figure 9.1 Third-Party Policy Implementation and Network Articulation Figure 9.2 Third-Party Policy Implementation and Network Articulation Figure 9.3 Third-Party Policy Implementation and Agency Goals Figure 9.4 Third-Party Policy Implementation and the Characteristics of Agency Goals Figure 9.5 Third-Party Policy Implementation and Centralization Figure 9.6 Third-Party Policy Implementation and Centralization Figure 9.7 Third-Party Policy Government and Stakeholder Support Figure 9.8 Third Party Government and Client and Stakeholder Support Figure 9.9 Accountability to Federal Program Purposes Library of Congress Subject Headings for this publication.