This eight-year evaluation documented and tested promising pregnancy prevention approaches in seven sites across the United States, each of which implemented a different program.
- Primary care redesign
- Practice transformation
- Health information technology
- Adolescent pregnancy prevention
- Care Delivery Systems
- Family Support
- Youth Development
Rachel Shapiro is an expert in qualitative methods with experience in a range of policy areas, including primary care redesign, practice transformation, health information technology, and adolescent pregnancy prevention.
Shapiro conducts implementation studies for large federal evaluations for the Centers for Medicare & Medicaid Services. She is the deputy leader of the formative analysis of the Transforming Clinical Practice Initiative, which provides support to about 140,000 clinicians in achieving practice transformation through peer-based learning networks and a workforce development system. She was a site leader for two implementation evaluations of the Health Care Innovation Awards, which focus on a range of health care delivery and payment reforms that aim to achieve better quality of care; improve population health; and lower costs for Medicare, Medicaid, and Children’s Health Insurance Program beneficiaries.
Shapiro has also studied the implementation of adolescent pregnancy prevention programs. She oversaw the implementation evaluation in Kentucky and New York of the Personal Responsibility Education Program, a large-scale initiative to replicate evidence-based pregnancy prevention programs nationwide. She also oversaw the implementation evaluation of three sites for the Evaluation of Adolescent Pregnancy Prevention Approaches, a large multisite random assignment evaluation of promising approaches to prevent teen pregnancy.
Shapiro joined Mathematica in 2004. She holds an M.P.P. from Georgetown University.
Evaluation of Adolescent Pregnancy Prevention Approaches
Personal Responsibility Education Program (PREP)
To help reduce the risks of pregnancy, sexually transmitted infections, and associated risk behaviors among teenagers, Congress authorized PREP as part of the 2010 ACA. Mathematica's evaluation is documenting how PREP-funded programs are operationalized and assessing selected programs’ effectiveness....
HCIA Evaluations: Primary Care Redesign
Mathematica is evaluating the 14 primary care redesign programs, which operate at different levels (that is, physician practices, hospitals, or health systems). The evaluation team is assessing improvements in the coordination, efficiency, and quality of patient care.