Improving Outcome Accountability of Block Grants
Lessons Learned From the Preventive Health and Health Services Block Grant Evaluation
Bibliographic Data
The flexibility federal block grants provide recipients poses challenges for evaluation. These challenges include aggregating data on wide-ranging activities grant recipients implement and the outcomes they achieve. In 2014, we began designing an evaluation to address the challenges of assessing outcomes and to improve outcome accountability for the Preventive Health and Health Services Block Grant. Through the use of evaluability assessment methodology, review of existing data and the literature, and key informant interviews, we developed a measurement framework to assess outcomes resulting from recipients' ability to use grant funds to meet their locally prioritized needs. We argue our evaluation approach demonstrates that block grants, and other similarly flexible programs, can be evaluated through appropriately designed measures. Our efforts challenge the idea that flexibility presents an insurmountable barrier to evaluation and outcome accountability for federal block grants
Accountability · Baseline (sea · Block (permutation group theory · Block grant · Business · Economics · Flexibility (engineering · Management · Outcome (game theory · Political science · Program evaluation · Public relations · Evaluation and Performance Assessment · Health Policy Implementation Science · Medicine · Primary Care and Health Outcomes · Public Administration
| Citations per year | 2 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |