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Strengthening the evidence for maternal and child health programs

Hiscock Historical Collection

Preserving the Early Development of Medicaid's EPSDT Benefit


Displaying records 1 through 20 (45 total).

Applied Management Sciences. 1976. A pretest-posttest analysis of Medicaid utilization and cost data for evaluation of EPSDT impact on Medicaid: Methodological report. Silver Spring, MD: Applied Management Sciences, 20 pp, (Hiscock Collection; no. 38).

This report examines methods for a study of the effects of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program screening on medical care utilization and costs, using data between 1974 and February 1977 in two unnamed states.

Irwin PH, Pellegrini SG, Conroy-Hughes R. 1979. A study of the process, effectiveness, and costs of the EPSDT program in southeastern Pennsylvania: Second interim report--Conceptual modeling. Philadelphia, PA: Philadelphia Health Management Corporation, 60 pp, (Hiscock Collection; no. 143).

This report provides a theoretical conceptual model of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program in southeastern Pennsylvania, looking at the components of the administration of EPSDT and the interrelationships of these components. It focuses on outreach and performance measures.

Reis JS et al., with the assistance of Kingman P et al. 1979. An assessment of the validity of the results of HCFA's demonstration and evaluation program for the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT): A metaevaluation (Working draft). Evanston, IL: Northwestern University Center for Health Services and Policy Research, 1 v, (Hiscock Collection; no. 100 (summary), 101 (full report)).

This document reviews the validity of the information in 21 reports of the 15 demonstration/evaluation projects on EPSDT funded by the Health Care Financing Administration (formerly SRS) from 1972-1978. It discusses the populations of the demonstrations; case finding and outreach; screening; case monitoring; diagnosis and treatment; data management; costs; lessons for the Child Health Assurance Act of 1979; and strategic options for future demonstration/evaluation policy.

Foltz AM. 1982. An ounce of prevention: Child health policies under Medicaid. Cambridge, MA: MIT Press, 254 pp, (MIT Press series in health and public policy; 4; Hiscock collection; related).

This book analyzes the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT) of Medicaid (Title XIX).

    [U.S. Department of Health and Human Services, Health Care Financing Administration]. 1994?-. Annual EPSDT participation report: All states—Fiscal year 19__. [Baltimore, MD: U.S. Department of Health and Human Services, Health Care Financing Administration], annual, (Hiscock Collection; related).

    Teresa Gardner
    U.S. Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

    Telephone: (877) 267-2323
    Secondary Telephone: (410) 786-3000
    Contact Phone: (410) 786-3289
    Fax:
    Contact E-mail: tgardner@hcfa.gov
    Website: https://www.cms.gov
    Available from the website.

    This annual statistical summary provides state by state information on the utilization of the services provided by the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program. It provides statistics in these categories, among others: age groups, eligible populations, participant ratios, reported screenings, health screening supervision, referrals for corrective services, and data on those receiving vision, dental, and hearing services.

    National Institute for Advanced Studies. 1981. Assessment of California's EPSDT case management system: Technical assistance to California in the development of Medicaid MMIS for EPSDT module. Washington, DC: National Institute for Advanced Studies, 1 v, (Hiscock Collection; no. 136).

    Applied Management Sciencesurl verified 7/8/16 OKP. 1976. Assessment of EPSDT practices and costs: Best practices report. Silver Spring, MD: Applied Management Sciences, ca 150 pp, (Hiscock Collection; no. 39).

    This report describes and analyses the best practices components identified from a review of the EPSDT program in six sample states and 18 localities and presents recommendations.

    Miller HM with Levine D, Scovill R, Charpentier P. 1976. Assessment of EPSDT practices and costs: Final report. Silver Spring, MD: Applied Management Sciences, 21 pp, (Hiscock Collection; no. 40).

    This report describes the results of assessments of three concerns in EPSDT: barriers to full implementation of the EPSDT program; best practice methodologies for screening and case management activities; and the impact of EPSDT on state Medicaid budgets.

    Miller H, Levine D, Scovill R, Charpentier PR. 1976 (report), 1978 (summary). Assessment of EPSDT practices and costs: Final report. Silver Spring, MD: Applied Management Sciences, 2 v, (Hiscock Collection; no. 125, 126).

    This executive summary and final report examine the impact of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program on state Medicaid utilization rates and program costs, using data from the pre-screening year (1974), the year of screening (1975), and the year following screening (1976). The report categorizes the states by type but does not name them.

    Miller H, Levine D. 1976. Assessment of EPSDT practices and costs: Report on the Cost Impact of EPSDT Program. Silver Spring, MD: Applied Management Services, 186 pp, (Hiscock Collection; no. 42).

    This report describes the impact of EPSDT on utilization and expenditures of medical services under Medicaid; impact of EPSDT on local site costs, state administrative costs, and total Medicaid costs; and the reliability and validity of the study findings.

    Applied Management Sciences. 1975. Barrier assessment report: Assessment of EPSDT practices and costs. Silver Spring, MD: Applied Management Sciences, 63 pp, (Hiscock Collection; no. 41).

    This report examines major barriers to the EPSDT program, including identification, classification by type and by origin, assessment according to impact, and recommendations for resolving them.

    U.S. Select Panel for the Promotion of Child Health. 1981. Better health for our children: A national strategy—The report of the Select Panel for the Promotion of Child Health to the United States Congress and the Secretary of Health and Human Services. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health and Surgeon General, 4 v, summ (21 pp), (Hiscock collection; related).

    This 4-volume report presents major findings and specific recommendations in five federal programs with significant impact on child health: Title V of the Social Security Act; the Special Supplemental Food Program for Women, Infants, and Children (WIC); P.L. 94-142: Education for All Handicapped Children Act; Medicaid and EPSDT; and community mental health centers and services.

    Lee MA, Horan SA. 1999. Children's access to dental care in a Medicaid managed care program: A qualitative and quantitative analysis. Hartford, CT: Children's Health Council, 29 pp, (Hiscock Collection; related).

    National Maternal and Child Oral Health Resource Center
    Georgetown University Box 571272
    Washington, DC 20057-1272

    Telephone: (202) 784-9771
    E-mail: OHRCinfo@georgetown.edu
    Website: https://www.mchoralhealth.org
    Available from the website.

    This report explains the methodology and results of a study of the impact of Medicaid managed care on access to oral health care for children under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program in Connecticut. The study sample included 87, 181 children. Results were evaluated both qualitatively and quantitatively. Statistical tables and references are included at the end of the report.

    University of Texas Health Science Center at San Antonio, Health Services Research Institute. 1978. Demonstration in follow-up: EPSDT, Pierce County, Washington--First evaluation report (June 1977-April 1978). San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, (Hiscock Collection; no. 2).

    This interim report describes initial steps in a project in Pierce County, Washington, to demonstrate the effectiveness of a follow-up system in assuring that children found to have problems during screening in the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program receive diagnosis and treatment. It describes the project background; project data sheets; provider and client characteristics; problems found at screening; the treatment and referral of problems; the case monitoring subsystem; and major findings.

    Lurie LM, Wood J. 1978. Early and Periodic Screening, Diagnosis and Treatment demonstration project: Interim evaluation report through June 30, 1978, volume II. Miami, FL: International Planning Associates, 122 pp, (Hiscock Collection; no. 120).

    This report covers year 2 of a project to describe and evaluate the Dade County Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Demonstration Project. It covers case monitoring; school intervention; developmental screening; older child; and interagency collaboration.

    Martin HW, Britt AE. 1975. EPSDT demonstration model evaluation handbook: Evaluation plan, goals, common data base, cost data collection performance measurement, subsystem definitions, statistical data collection procedures, standard and special studies, standard reports, testable hypotheses, sample forms and program of instruction for screeners . San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 558 pp, (Hiscock Collection; no. 32).

    Martin HW, Dickson HD. 1976. EPSDT demonstration projects: An interim evaluation, April 1974-March 1975--third cumulative evaluation report of EPSDT demonstrations at: Barrio Clinic (San Antonio, Texas), Contra Costa County Health Department (California), Cuba Checkerboard Health System (Cuba, New Mexico), National Child Day Care Association (Washington, D.C.) . San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 142 pp plus 8 appendices, (Hiscock Collection; no. 6).

    This report describes the evaluation approach of a study of four Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs, and presents findings in the areas of a common database, screening, the problem of duplication of effort, developmental screening, motivating clients to use screening services, case monitoring, and costs.

    Bokonon Systems. 1975. EPSDT evaluation model site selection criteria. Washington, DC: Bokonon Systems, 20 pp, (Hiscock Collection; no. 9b).

    This document examines information about 12 states for which sufficient data exist to identify 2-3 states that could be suitable demonstration sites for an EPSDT evaluation model.

    Dickson HD. n.d.. EPSDT impact and evaluation studies. San Antonio, TX: University of Texas Health Science Center, Regional Health Services Research Institute, 16 pp, (Hiscock Collection; no. 151).

    This document provides data related to several EPSDT studies in Iowa, Mississippi, New Jersey, Montana, Utah, Virginia, Louisiana, and California.

    National Association of Urban-Based HMOsElectronic Document-Server; Bookshelves. 2002. EPSDT issues in Medicaid managed care: Policy recommendations for an enhanced public/private partnership. Washington, DC: National Association of Urban-Based HMOs, 20 pp, (Hiscock Collection; related).

    Medicaid Health Plans of America
    1140 Connecticut Avenue, N.W., Suite 505
    Washington, DC 20036

    Telephone: (202) 857-5720
    Fax: (202) 857-5731
    E-mail: mhpa@rcn.com
    Website: http://www.mhpa.org/index.cfm?fuseAction=section&pSectionID=174
    Available from the website.

    This paper outlines access and quality issues in EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) Program requirements for children enrolled in Medicaid managed care programs. It provides an overview of the current situation, a statement of the problem of children receiving appropriate care and how best to monitor care, and how to ensure data are comparable across states. Also discussed are EPSDT periodicity inconsistencies between visits and between states, how best to capture data in a central repository, incentives for providers, and how t best to measure plan performance. Recommendations are provided for each of the topics as well as recommended policies.

    Bokonon Systems. 1975. EPSDT policy options. Washington, DC: Bokonon Systems, 43 pp, (Hiscock Collection; no. 127).

    This paper identifies and discusses potential policy options in terms of their implications for program evaluation. It is based on reviews of legislative history and past efforts in delivery of pediatric health care.

    Bokonon Systems. 1975. EPSDT state and local issues. Washintgon, DC: Bokonon Systems, 34 pp, (Hiscock Collection; no. 45 related).

    This paper categorizes state and local Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program concerns regarding compliance and planning, addressing the extent to which EPSDT has been implemented and basic evaluation issues of project administrators. The paper discusses a data classification system to evaluate a wide range of EPSDT activities.

    Bokonon Systems. 1975. EPSDT state and local planning issues: A conference report. Washintgon, DC: Bokonon Systems, 41 pp, (Hiscock Collection; no. 45).

    This document presents the results of a conference to examine state and local planning issues in their Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs and to refine these issues so they reflect the concerns of state and local project administrators.

    Bokonon Systems. 1974. EPSDT: A review of eight states. Washington, DC: Bokonon Systems, 105 pp, (Hiscock Collection; no. 10).

    This report describes inplace efforts of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) porgrams in eight states, what data are being recorded and stored, and what uses are being made of this data for monitoring, evaluation, and planning. The eight states reviewed were Florida, Illinois, Louisiana (New Orleans), New York State, Oklahoma, South Carolina, Texas, and Washington State. The report is designed to serve as the focus for the development of an evaluation model based on a concept of data classification which will permit state data files to be accessed for evaluative purposes.

    Children's Defense Fund of the Washington Research Project. 1977. EPSDT: Does it spell health care for poor children?. Washington, DC: Children's Defense Fund of the Washington Research Project, 304 pp, (Hiscock Collection; no. 95).

    Children's Defense Fund
    25 E Street, N.W.
    Washington, DC 20001

    Telephone: (202) 628-8787
    Secondary Telephone: (800) 233-1200
    E-mail: cdfinfo@childrensdefense.org
    Website: http://www.childrensdefense.org
    $4.00. Document Number: ERIC ED 165915.

    This report discusses what has been learned from the Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT); shortcomings in the program's administration; whether it reaches needy children; the status and issues in screening, diagnosis, and treatment; attending to children's developmental needs; and EPSDT potential and performance in linking children to an ongoing source of primary care.

    Strasz M, Allen DJ, Sandie AKP. 2002. EPSDT: Early Periodic Screening Detection and Treatment—A snapshot of service utilization by health plan for 1999. Lansing, MI: Michigan Council for Maternal and Child Health, ca 75 pp, (Hiscock Collection; related).

    Michigan Council for Maternal and Child Health
    221 N. Walnut Street
    Lansing, MI 48933

    Telephone: (517) 482-5807
    Fax: (517) 372-3002
    E-mail: info@mcmch.org
    Website: http://www.mcmch.org/
    Available from the website.

    This report summarizes data about utilization of preventive health care services for children under Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) in qualified health plans (QHP) in Michigan in 1999. Topics include Michigan's experience with EPSDT, the state's external quality review process and results, and recommendations for program improvement. Extensive charts and graphs provide statistical data on EPSDT services by QHP for children on Medicaid, by component and age, and services through a particular QHP for a particular component. Additional charts provide an EPSDT age periodicity table and a list of QHP services available in Michigan by county.

    n.d. Evaluation of the Michigan EPSDT program. Michigan Department of Social Services, (Hiscock Collection; no. 94).

      Macro Systems, Inc.; U.S. Department of Health, Education, and Welfare, Region II, Office of the Assistant Regfional Director for Planning and Evaluation. 1976. Evaluation of the New York State Child Health Assurance Program. Silver Spring, MD: Macro Systems, 2 v, (Hiscock Collection; no. 15a and 15b).

      This evaluation of the Child Health Assurance Program (CHAP) in New York State focuses on four counties (Chemung, Herkimer, Nassau, and Onondaga). It provides a descriptive analysis and discusses issues that affect EPSDT/CHAP implemention. The second volume contains a bibliography and case studies of the four counties. [Library copy lacks chapters IV-IX.]

      Wood JT. 1979. Final report Dade County E.P.S.D.T. demonstration project July 1976-September 1979. Miami, FL: Florida Department of Health and Rehabilitation Services, Dade County Department of Public Health, Community Health Inc., and Family Health Center, 404 pp, (Hiscock Collection; no. 92).

      This report describes activities of the Dade County, Florida, demonstration project in the five priority areas of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program: case monitoring; developmental assessment; collaboration with schools; improved services to the older child; and collaboration among community agencies.

      Wilkins DA. 1979. Final report of an evaluation of the administration of the EPSDT program in Pennsylvania. New York, NY: Forward Management Associates, 267 pp, (Hiscock Collection; no. 102).

      This report describes an evaluation of the Pennsylvania EPSDT Program effectiveness and efficiency, with a discussion of the program replication feasibility, including an inventory of best practices, alternate program implementation options and relevant constraints.

      Texas Department of Human Resources,Office of Medical Programs, Research and Demonstration Division. 1978. Final report: EPSDT in an urban setting--Dallas Research and Demonstration Project. [Austin, TX?]: Texas Department of Human Resources, Office of Medical Programs, Research and Demonstration Division, 472 pp, (Hiscock Collection; no. 116).

      This report describes an Early and Periodic Screening, Diagnosis and Treatment (EPSDT) project in Dallas, Texas, designed to address problems of low participation by recipients of Aid to Families with Dependent Children (AFDC) and high costs of EPSDT services. It discusses variations in outreach and follow-up services, along with a mix of service delivery staff over the three-year period July 1975 through June 1978. Topics include the project design; increased accessibility through fixed site clinics, extra-neighborhood clinics, and in-home screening; young adult clinics; comprehensive patient assistance; non-participation survey; maximized interagency cooperation; administrations; and conclusions and recommendations.

      U.S. Medicaid Bureau, Region IX. 1979. Medicaid state management report: California state assessment, August, 1978-March 1979 Summary of major findings and recommendations. [San Francisco, CA] : U.S. Dept. of Health, Education, and Welfare, Health Care Financing Administration, Medicaid Bureau, Region IX, ca 550 pp, (Hiscock Collection; no. 119).

      This report describes the findings of an assessment of California's Medi-Cal program, including an overview, problem areas, and recommendations for solutions and/or improvement. Topics include administration and management; eligibility; provider relations; reimbursements; Early and Periodic Screening, Diagnosis and Treatment (EPSDT); utilization control; claims processing; third party liability; long term care; family planning; and prepaid health plans and health maintenance organizations.

      U.S. General Accounting Office. 2001. Medicaid: Stronger efforts needed to ensure children's access to health screening services. Washington, DC: U.S. General Accounting Office, 35 pp, (Hiscock Collection; related).

      U.S. Government Accountability Office
      441 G Street, N.W.
      Washington, DC 20548

      Telephone: (202) 512-3000
      Secondary Telephone:
      E-mail: contact@gao.gov
      Website: http://www.gao.gov
      Available from the website. Document Number: GAO-01-749.

      This report for Congressional requesters examines the extent to which children enrolled in Medicaid are receiving Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services; efforts states have taken to improve delivery of EPSDT services, particularly within managed care; and federal efforts to ensure that state Medicaid programs provide covered EPSDT services. Topics also include cooperation between the federal Medicaid agencies and state agencies to develop criteria and a timetable for assessing and improving the reporting and provision of EPSDT services as well as developing mechanisms for identifying and highlighting practices that could be used as models for other states. The report includes many charts and tables.

      n.d. Quarterly evaluation report of the EPSDT demonstration projects. Health Research Institute, (Hiscock Collection; no. 44).

        Martin HW, Dickson HD, Khanna J, Jacobs B. 1983. Reaching the adolescent: A comprehensive health clinic demonstration. Contra Costa, CA: Contra Costa Health Services Department, 177 pp, (Hiscock Collection; no. 128).

        This report documents a demonstration project carried out by the Contra Costa County, California, Health Services Department to improve the number of adolescents receiving services in the EPSDT program through a model Teen Age Program in selected schools in Contra Costa County.

        Georgetown University Child Development Center. 2000. Site visit report: Child Health and Disability Prevention (CHDP) Foster Care Program—San Diego County, CA. Washington, DC: Georgetown University Child Development Center, 29 pp, (Hiscock Collection; related; Meeting the health care needs of children in the foster care system).

        Georgetown University Center for Child and Human Development
        Box 571485 Washington, DC 20057-1485

        Telephone: (202) 687-5503
        Secondary Telephone: (202) 687-5000
        Fax: (202) 687-8899
        E-mail: gucdc@georgetown.edu
        Website: http://gucchd.georgetown.edu
        Available from the website.

        This September 2000 site visit report describes a foster care child health and disability prevention program in San Diego, California to increase access to and utilization of health care services and resources. Chapters include an overview; background and context of the California Child Health and Disability Prevention (CHDP) foster care program; the program's implementation process and components including coordination of care, management of data and information, funding, family involvement, and cultural competence; and program strengths, challenges and barriers, essential elements, features unique to San Diego County, and future directions. Special topics include the role of public health nurses in foster care and the health and education passport, a set of records on children's medical, psychological, and dental information. The appendices provide information on the site visit interviews and source documents from the program that are available. [Funded in part by the Maternal and Child Health Bureau]

        South Carolina Department of Social Services. 1977. State and local EPSDT planning and evaluation model: Final report. [Columbia, SC]: South Carolina Department of Social Services, 15 pp plus 6 appendices, (Hiscock Collection; no. 11).

        This report describes the project accomplishments and program benefits of a project to demonstrate that upgrading state and local systems could result in improvement in information required for evaluation and planning of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs.

        Fiedler F, Dickson HD. 1975. The Barrio Comprehensive Child Health Center: Final Evaluation Report. San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 67 pp, (Hiscock Collection; no. 29).

        This document provides a summary of the major accomplishments, significant findings, and conclusions from the final report of the Barrio Comprehensive Child Health Care Center in a largely Hispanic neighborhood in San Antonio, Texas, covering the period from November 1972 through June 1975. Topics include EPSDT subsystems (case finding, screening, diagnosis and treatment, and case monitoring), screening findings, costs, attainment of project objectives,, conclusions, and recommendations.

        Manela R, Overberger C. 1977. The clients of EPSDT and their experience with medical services. Washington, DC: U.S. Health Care Financing Administration, (Hiscock Collection; no. 70).

        This document is one of six information booklets with accompanying training materials for the Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. It covers low income families and health services; health practices of families from various cultural backgrounds; and EPSDT outreach and follow-up with low-income families.

        Weber JM. 1974. The Medicaid EPSDT dental program in Texas: Evaluation of the public health impact. San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 106 pp, (Hiscock Collection; no. 30).

        This report presents a review of the literature on the evaluation of dental programs.

        Dickson HD. 1978. The National Child Day Care Association EPSDT Demonstration Project October 1, 1973 through June 30, 1977: Implementation of comprehensive EPSDT in a day care association--Final evaluation report. San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 250 pp, (Hiscock Collection; no. 4).

        This report describes the strengths, weaknesses, findings, and policy relevance of one of six demonstration projects funded for determining the techniques, costs, and effects of conducting the Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program in a comprehensive fashion including medical, dental, developmental, and emotional screening, diagnosis, and treatment when carried out in a day care setting.

        Reuss JC, Meyer R. 1976. Tracer evaluation manual: A method for assessing adequacy of ambulatory medical care. [Ann Arbor, MI?]: University of Michigan, 183 pp, (Hiscock Collection; no. 14).

        This manual presents instructions for using the tracer method for evaluating ambulatory medical care. The content is based on procedures and materials developed for the project "Tracer Evaluation of Diagnosis and Treatment of EPSDT Referrals." It contains instructions for evaluating medical care provided to children. The method is called the tracer method because it concentrates on a limited number of medical conditions (known as tracers) and permits generalization of those results to larger classes of conditions. The tracer method consists of several component processes, all of which the evaluator must complete to implement this method. The manual is designed for use by persons familiar with medical care processes, but not necessarily medical care practitioners. The manual is organized around the tasks necessary to implement the tracer method. Each of the components of the method is presented as a separate activity. Information pertinent to evaluating eight tracer conditions is presented and discussed. For each other eight conditions, reference materials, forms and standards of care are included.

        Meyer R, Lingle BJ. 1976. Tracer evaluation of diagnosis and treatment of EPSDT referrals: Final report. Ann Arbor, MI: University of Michigan School of Public Health, Program in Maternal and Child Health, 321 pp, (Hiscock Collection; no. 13).

        This document reports on a project to evaluate the adequacy and impact of care in diagnosis and treatment of patients referred under the EPSDT program and to examine relationships between various medical care procedures and their outcomes. The report describes activities throughout the project; findings, interpretations and recommendations; and evaluation materials developed for eight tracer conditions (vaginitis, tonsillitis, strabismus, lead poisoning, eczema, phimosis, asthma, and sickle cell anemia). It is directed toward federal and state agency sponsors.

        Meyer R, Lingle BJ. 1975. Tracer evaluation of diagnosis and treatment of EPSDT referrals: Phase I report. [Ann Arbor, MI]: University of Michigan School of Pubic Health, Program in Maternal and Child Health, 94 pp, (Hiscock Collection; no. 52).

        This document describes a project to evaluate the adequacy, appropriateness, and impact of care in diagnosis and treatment of patients referred under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program in Michigan, using the tracer method. IT describes the hypotheses, development of methodology, study population, and support activities.

        Welfare Research, Inc.; U.S. Social and Rehabilitation Service; Roosevelt Hospital. 1977. Utilizing existing health data systems to demonstrate a model for EPSDT planning and evaluation: Final report. New York, NY: Roosevelt Hospital, 134 pp, (Hiscock Collection; no. 28).

        This report describes an effort undertaken to demonstrate the viability of a federal evaluation strategy predicated on the improvement of data systems presently in operation at state and local levels, involving reporting CHAP data (New York State EPSDT program) to the city and state as well as meeting Title V (Bureau of Community Health Services) demands without adding new forms or data to be collected. The report describes background information on Roosevelt Hospital pediatric services and existing pediatric information, and the hospital's development of an automatic reporting capability and evaluation reports.

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        This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.