Assisting with data reporting overhaul for Family Planning Annual Report (FPAR) 2.0

Dates: 2013-2015

Geographic Scope: Nationwide

Client(s): DHHS

Service: Applied Research & Evaluation

Technical Expertise: Family Planning & Reproductive Health, Safety Net

The Title X Family Planning Program is the federally-funded national family planning program enacted under Title X of the Public Health Service Act. The program is administered by the Office of Population Affairs (OPA), Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. The Family Planning Annual Report (FPAR) is the only required uniform reporting for the family planning service delivery projects that receive Federal grant support under Section 1001 of Title X. Currently, there are 93 Title X family planning service grant projects being implemented in approximately 4,200 service sites. The FPAR report provides consistent data on program users, service providers, the range of family planning and related preventive health services offered and sources of revenue that complement Title X funds.

Currently, data are collected on an annual basis (calendar year) and reported in the subsequent year. Data on family planning clients are collected at service sites, aggregated at the level of the Title X grantee, and reported through a web-based FPAR instrument hosted on an electronic system (the FPAR Data System). A data file of all grantee data is established and this data file becomes the basis for creating the regional and overall national FPAR annual reports.

OPA has a continuing obligation to support high quality and comprehensive family planning services. Monitoring, evaluation, and quality improvement initiatives significantly depend on OPA’s ability to analyze data and measure performance based on the program’s changing needs and expectations. OPA recognizes the need to transition from the existing model of aggregate data collection to a model of encounter-level data collection.

To accomplish this goal, JSI will execute the following tasks to inform the scope, timing, and resources needed to design, develop, and implement such a system:

- develop and disseminate a Data Dictionary for the FPAR 2.0 data elements;
- pilot test the FPAR 2.0 data elements with a sample of nine grantees, sub-recipients, and/or service sites and use the findings to determine feasibility, burden, as well as to revise data elements and related materials per OPA feedback/recommendations;
- analyze common electronic health record, practice management systems, and other FPAR data collection systems used and produce a report describing findings in five areas, and develop a Customization Guide; and
- prepare the key elements of a new Office of Management and Budget (OMB) “Supporting Statement A” describing and justifying the FPAR 2.0 revisions and additions, and submit explanations and modifications as requested by OMB.