Technical Assistance Projects
Medicaid Emergency Psychiatric Demonstration
IMPAQ International is currently providing technical support to the Centers for Medicare & Medicaid Services (CMS) in a Medicaid Emergency Psychiatric Demonstration. This demonstration provides up to $75 million in funding to states over three years, as authorized by the Affordable Care Act, to help care for Medicaid patients (aged 21 through 64) with psychiatric emergencies, in private inpatient psychiatric facilities with 17 or more beds, also known as institutions for mental diseases (IMDs). The demonstration defines psychiatric emergencies as expressions of suicidal or homicidal thoughts or gestures resulting in a determination that the patient is dangerous to himself or to others.
IMPAQ’s main activities include: conducting background research on States’ mental health services delivery and inpatient psychiatric services in particular; validating current or develop new estimates on patient census and expenditures in prior-implementation stage; helping CMS to review the state applications and providing summary information for CMS to select Demonstration states; collecting and analyzing claims and other qualitative information from states to monitor states’ program implementation; tracking States’ projected versus actual patient admissions and spending in assisting CMS with funding re-apportion decisions; identifying adverse events due to the program operation; and providing technical assistance to states.
Thoroughly understand the design and implementation of the REA Initiative operating in each state, including the state’s goals and objectives for REA, the current structure of each state’s workforce system and related programs currently in operation;
Identify the state-specific constraints associated with developing a rigorous research design;
Assess the efficacy of the state design with regard to producing data intended to assess program workload and impacts; and
Provide recommendations for improving each state’s design.
This work has been accomplished through significant contact with REA administrators and One-Stop personnel through numerous site visits and telephone conference calls, review of program documentation, and assessment of ETA 9128 and ETA 9128 data reports.
In response to employers, consumer advocates, and private insurers petitioning Congress to include a provision in the Patient Protection and Affordable Care Act (ACA) to make Medicare claims data available to Qualified Entities (QEs) (Section 10332: “Public or private entities that are determined by the Secretary as qualified to use Medicare claims data to make such evaluations of provider/supplier performance”), the ACA recognizes that such QE functions and how the Medicare claims data are used is very important from the perspectives of (1) protecting Medicare beneficiary privacy and data security; (2) fairness to those whose performance is being measured and reported; and (3) the public, which needs credible and valid information.
CMS contracted with IMPAQ International, LLC (IMPAQ) and its partners—the National Committee for Quality Assurance (NCQA), National Opinion Research Center (NORC), and Buccaneer Computer Systems & Services, Inc. (Buccaneer)—as the implementation support contractors to develop processes for applicants and evaluate/monitor their capability to meet CMS’ requirements.
Millennium Development Authority (MiDA) - Ghana Mid-Term Review Consultancy ProjectClient: Millennium Challenge Georgia Fund
In 2006, the Millennium Challenge Corporation and the Government of Ghana entered into a five-year, approximately $547 million Millennium Challenge Compact to facilitate poverty reduction through economic growth in Ghana. The Millennium Development Authority (MiDA) selected IMPAQ International to perform a Mid-Term Review (MTR) of the Ghana Compact. The goal of this Mid-Term Review is to assess the implementation of MiDA-sponsored projects and their progress toward the final targets established by the Compact. The objectives of the MTR were to:
- Provide project-specific assessments of implementation approaches, methodologies and strategies to identify the challenges and accompanying risks for redress.
- Facilitate a MiDA-wide self-assessment workshop and use the outcome as one of the working documents for the Mid-Term Review process.
- Document major successes and/or failures for each activity and advice MiDA on the best way forward.
- Conduct field visits to selected projects in the Intervention Zones to assess progress of work and compare with reported results of the projects selected for the study.
- Conduct semi-structured interviews/key informant interviews with various stakeholders to determine issues relating to expectation management and advise MiDA on the outcome.
For this project, IMPAQ-led activities included fact finding missions, document reviews, and a MiDA-Wide Self Assessment Workshop. IMPAQ staff also met key stakeholders in Accra and completed field visits and interviews in sampled beneficiary districts in the three intervention zones of the project (Northern Intervention (Northern Savanna) Zone; The Afram Basin; and the Southern Horticultural Zone). Additionally, following an analysis of high risk projects (post harvest infrastructure, irrigation, feeder roads, access to credit financial services activity and community services activity), IMPAQ selected two districts per intervention zone, where three teams were concurrently dispatched to conduct the fieldwork using interview protocols, focus group guides and self-administered questionnaires designed for this data collection effort.
Office of Foreign Labor Certification Prevailing Wage Determination Processing Services Support and Help Desk Support (DC)Client: Office of Foreign Labor Certification, U.S. Department of Labor
The purpose of this project was to provide analytical, management, and administrative support to the U.S. Department of Labor’s Office of Foreign Labor Certification (OFLC). Specifically, IMPAQ and its partner, EXCEED Corporation processed requests from employers or their representatives for prevailing wage determinations (PWD) under the permanent and certain temporary foreign labor certification programs administered by OFLC. The team also responded to requests for FLC-related information from program users and members of the public received through a variety of media (phone, electronic, and U.S. mail).
For this project, IMPAQ and EXCEED provided approximately 50 full time staff to operate and manage all aspects of the newly established OFLC Prevailing Wage and Help Desk Center in Washington, DC.
The purpose of this project was to support the U.S. Department of Labor’s Office of Foreign Labor Certification (OFLC) through provision of administrative support in conducting selective supervised recruitment in the application process under the Permanent Labor Certification program of the OFLC National Processing Center located in Atlanta, GA.
For this project, IMPAQ and its partner, EXCEED Corporation provided approximately 30 full time staff to operate and manage the Supervised Recruitment program at the Atlanta National Processing Center (ANPC).
For Component 2 (Social Dialogue), IMPAQ staff arranged seminars, conferences, study tours, and other activities that helped enhance the capacity of the Economic and Social Councils of both Entities to understand their role and function, and transform them into meaningful consultative bodies on which the respective Governments can rely for analysis of, and advice on current economic and social issues. IMPAQ staff were also active in the revision of the labor laws and carried out detailed analyses of the labor laws and the respective General Collective Agreements of both Entities. The objective has been to bring the legislation into closer conformity with international (ILO) and European Union standards and good labor relations practice. Among others, these activities helped promote improved labor relations and a regulatory framework that is better suited to a market economy system.
For Component 3 (Labor Inspection), IMPAQ staff provided a detailed analysis of existing institutions, their role, scope, functions, organization, and resources; a comprehensive new Labor Inspection policy/strategy; as well as advice and assistance regarding reform of labor inspection relevant legislation. In addition, a Training Needs Analysis and study tours were conducted.
Research and evaluation efforts that examined levels of collaboration among different agencies engaged in workforce development at the Federal, state, and local level
The development of materials including webinars and reports that identified ways in which the workforce system is transforming to meet the needs of the global economy.
Scheduling and managing conferences and roundtable meetings with a variety of state and local stakeholders on employment and training programs and initiatives.
- Conducting research to identify best practices in the area of reemployment;
- Facilitating focus groups and issues conferences with state and local workforce professionals throughout the country;
- Designing and delivering program and policy assessments; and
- Developing and delivering webinars.