SHADAC Expertise

Quantitative and Qualitative Analysis

Quantitative and Qualitative Evaluation

SHADAC staff have experience designing and conducting both program and initiative-level evaluations. In addition, we provide technical assistance related to assessing, monitoring, continuous improvement, performance measurement, and evaluation of health policies and programs, delivery system and payment reforms, and innovation in the Medicaid program. Our most recent program evaluation expertise is formative or descriptive in nature and relies on both qualitative and quantitative data collection and analysis methods, including document reviews, key informant interviews, focus groups, case studies, and secondary data analyses.

Related SHADAC work
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Evaluation Design of CentraCare’s Vitality Wellness in Rural Minnesota
The CentraCare Foundation, in cooperation with CentraCare system and CentraCare-Long Prairie leadership, contracted with SHADAC to develop a plan to evaluate the outcomes of a community fitness center, Vitality Wellness, located adjacent to its Long Prairie hospital location. SHADAC completed document review, key informant interviews, and an evaluation design in less than six months. The design included proposed evaluation domains and questions, target groups, measures, qualitative and quantitative data sources, product ideas, and budget considerations.

Study of the Impact of the Affordable Care Act Implementation in Kentucky
SHADAC served as the lead evaluator studying the impact of the Patient Protection and Affordable Care Act (ACA) in Kentucky, a project supported by the Foundation for a Healthy Kentucky. This mixed methods study examined implementation and outcomes of health reform in Kentucky and tracked a range of indicators related to coverage, access, cost, and quality. SHADAC also conducted an assessment of Section 1115 waiver options for advancing Medicaid reforms in the state and wrote an issue brief on the potential of ACA provisions to affect access to SUD treatment, including some basic data on prevalence, access, and more.

Monitoring the Impact of the Patient Protection and Affordable Care Act in California
In support of the California Health Care Foundation’s (CHCF) efforts to track the impact of the Patient Protection and Affordable Care Act (ACA) in the state, SHADAC worked with CHCF to provide policymakers, journalists, and advocates with focused, credible analysis regarding Californians’ coverage, access, and affordability—particularly among low-income populations and other subpopulations most affected by the ACA. SHADAC provided data and data analysis on a number of measures as well as guidance on developments that warrant further study or response by CHCF or others in the state. The project leveraged a variety of state-specific and federal data sources.

Impact of Fluoride Varnish at Minnesota Medicaid Youth Check-ups on Dental Caries
SHADAC partnered with the University of Minnesota Dental School to examine the impact of fluoride varnish application at Child and Teen Check-up (C&TC) visits on dental caries.  SHADAC tracked five years of claims data for a cohort of Minnesota Medicaid children born in 2010 and 2011, and examined caries outcomes by age group and race/ethnicity.  The purpose was to create a baseline understanding of outcomes before mandatory implementation of the C&TC fluoride varnish application policy in 2017, as well as to examine differences in outcomes by race/ethnicity and for Somali children in particular. 

State Health & Value Strategies Technical Assistance
SHADAC provides technical assistance as part of the Robert Wood Johnson Foundation’s (RWJF) State Health & Value Strategies (SHVS), a program that connects state officials with experts in the field to support them in transforming their health care systems to be affordable, equitable, and innovative.  SHADAC provides analytic and evaluation support with the goal of helping states use sound data to inform policy decisions on topics such as Medicaid, health equity, multi-payer delivery system and payment reform, quality measurement, coverage and access expansions, health insurance exchanges, and population health.

Medicaid Section 1115 Waiver Demonstration Evaluation Technical Assistance
SHADAC staff provided technical assistance (TA) and expertise to Alaska, Colorado, Illinois, and New Hampshire as these states participated in the Building State Capacity to Evaluate Innovative Medicaid Policies project through a contract with the National Governors Association (NGA). SHADAC monitored federal evaluation guidance and helped states develop data-driven approaches to evaluating approved and proposed Medicaid policies under Section 1115 waiver authority. Activities included: reviewing draft requests for proposals and planning documents; participating in convenings with state and federal officials, and drafting resources to respond to state-specific evaluation needs.