OKLAHOMA QUALITY IMPROVEMENT COLLABORATIVE INTERIM TRAINING Marlene Mason MCPP Healthcare...

OKLAHOMA QUALITY IMPROVEMENT COLLABORATIVE INTERIM TRAINING

Marlene Mason

MCPP Healthcare Consulting, Inc.

October 28, 2010

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Training Agenda – October 28, 2010

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Review team progress and data collection on short term measures

Using Logic Models to Link Outcome Measures

Tools and Strategies for Effective Community Engagement

Develop Implementation Plan Tying it all Together

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Teams Report AIM and Progress Review current AIM statement and any

baseline data or results of data collection (15 minutes each) Cleveland County Comanche County Logan County Okfuskee County Washington County

Using Logic Models to Link to Outcome Measures

The Logic of Public Health

There are fewer incidents of

foodborne illness

Conditions in the restaurant don’t

create unsafe food

Public is sold food that is safe to eat

We inspect restaurants

# of inspections

% of critical violations corrected

within 24 hours

Rate of food borne illness

# of critical violations

So that

So that

So that

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Why Logic Models?


Show how a program’s activities relate to the intended outcomes

Link our process outputs to our outcomes Connect what we do every day to why we

do it Help you plan, evaluate, describe and

market your program Show your funder how you do what they

fund you to do

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Logic Models Come in all Shapes and Sizes


As long as the format is legible, logical, and it works for you, it’s probably fine

Boxes and arrows are not required New computer software is not required

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Logic Model: Any Public Health Program


Inputs Outputs Short Term Outcomes

Intermediate Outcomes

Long Term Outcomes

Resources Activities

Staff

Money Improved knowledge, beliefs, attitudes

Improved Behaviors

Program Development

Program Planning

Materials Development, Distribution

Informed, Targeted Program

Appropriate, Targeted Materials

Reduced Mortality

Reduced Morbidity

Improved Quality of Life

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Components of a Logic Model




Long Term Outcomes


Inputs:

Resources or the things you start with such as funding, staff, materials, etc.

Activities or the things you do every day such as conduct educational meetings, investigate complaints or reports of illness, see clients, distribute materials, etc.

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Long Term Outcomes


Outputs:

What you get as a result of the resources and activities you put “in”; Not an end in itself

Examples: Number of clients seen, attendees in classes or restaurants inspected

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Long Term Outcomes


Outcomes:The results we expect from our resources and activities as stated quantifiable, time-framed performance measures

Examples: results from the process such as the percent of planned activities that were achieved or results related to clients or the public such as improved knowledge, behavior change, reduced risk or exposure to illness or improved health status


Improve health of adolescents in county

Strengthen Adolescent Health and Youth Development

When you make a logic model for a brand new program, it’s easiest to begin with what you are trying to achieve and work backwards.



Long Term Outcomes


When you work backwards through your logic model, ask HOW?



How do we do this?



Long Term Outcomes





Individual Behavior Change

Systems Change

How do we do this?



Long Term Outcomes





Long Term Outcomes

Improve Health of Adolescents in WA state


Individual Behavior Change

Systems Change

How do we do this?

Influence policy decisions

Community partners maintain or increase support for youth development

Encourage use of best practices in local programs


When you make a logic model for an existing program, it’s easiest to begin with what you are already doing and work forwards.



Long Term Outcomes

Increase Number and Strength of Partnerships

Vision for Long term Planning

Long term commitments from key stakeholders for development and implementation of plan

Utilize Data & Research




Long Term Outcomes

When you work forwards through your logic model, ask WHY?

Why do we do this?








Long Term Outcomes

When you work forwards through your logic model, ask WHY?





Adolescent Health Plan

Ongoing Partnerships

Why do we do this?

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Logic Model: Any Public Health Program




Long Term Outcomes


Staff

Money Improved knowledge, beliefs, attitudes

Improved Behaviors

Program Development

Program Planning

Materials Development, Distribution

Appropriate, Targeted Materials

Reduced Mortality

Reduced Morbidity

Improved Quality of Life

Informed, Targeted Program

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Establishing Process Outcomes Measures From Logic Model Develop Logic Model with activities and

outputs (productivity data) Describe short term, intermediate and

long term outcomes If outcome is stated as “desired”

outcome, then establish quantifiable measure based on available output data

Develop data collection tools (if needed) and set targets for each measure

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Different Types of Objectives


Process Outputs Results of the work we do every day

Short-term to Long-term Outcomes What has to happen for our long term

outcomes to be achieved Impact or Goal

The end goal—what we’re really after—improved health outcomes

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Logic Model with Outcome Measures

Activities Outputs Short-term Outcomes Long-term Outcomes

Education: Care coordinationChild development Childbirth BreastfeedingCar seat usage Nutrition educationSTD prevention Seat belt usage Oral healthParenting Pregnancy preventionPhysical activityPostpartum depression Tobacco prevention / cessationAssessment and share data / informationReferrals and linkage to servicesTransportationHispanic clients access to servicesAdopt system for 1 conditionGoal-setting with clients

# of 1st trimester, 2nd trimester, 3rd trimester, Post Partum packets distributed# of clients and of visits that smoking and tobacco cessation was discussed # of referrals by type, including: Quit Line/tobaccoEducationSubstance AbuseBreastfeedingDomestic Violence# of clients receiving initial family planning teaching# of community meetings where MCH data is presented# of First Steps clients who have a chosen family planning method at postpartum# of Evidence-Based Practices researched# of Spanish speakers referred for care# of BOH visits where MCH data is presented

100% of MSS clients receive trimester packets at appropriate times% of MSS clients receiving packets100% of visits, clients have tobacco cessation discussion% of MSS clients with tobacco cessation discussion 100% of selected referrals are documented% of referrals documentedIncreased knowledge of benefits of breastfeeding% of women breastfeeding at dischargeImprove client knowledge of unplanned pregnancy risk% of clients demonstrating knowledge through client survey

Increase % of women breastfeeding for at least 2 months Increase # of women with successful breastfeeding experiencesIncrease % of women accessing prenatal care in the 1st trimesterDecrease smoking rate among women to the State levelDecrease the rate of second pregnancy within 2 years

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Resources


CDC Evaluation Working Group http://www.cdc.gov/eval

United Way Outcome Measurement Resource Network: http://national.unitedway.org/outcomes/

W.K. Kellogg Foundation Logic Model Development Guide: http://www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf

How Logic Models Can Help NIDRR Grantees Plan and Demonstrate Progress: http://www.ncddr.org/du/researchexchange/

v09n02/1_logic.html University of Wisconsin- Extension: Planning and evaluating

education and outreach programs with a logic model: http://www.uwex.edu/ces/lmcourse/#

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What questions do you have?


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