Preparing for the Main Event Using Logic Models as a Tool for Collaboratives Brenda M. Joly Leslie...

Preparing for the Preparing for the Main EventMain Event

Using Logic Models as a Using Logic Models as a Tool for CollaborativesTool for Collaboratives

Brenda M. JolyBrenda M. JolyLeslie M. BeitschLeslie M. BeitschAugust 6, 2008August 6, 2008

Logic ModelsLogic Models One of many useful toolsOne of many useful tools Suggested, NOT a requirementSuggested, NOT a requirement Our goal:Our goal:

• Assist your collaboratives’ attainment of Assist your collaboratives’ attainment of measurable resultsmeasurable results

• Synchronize/align efforts of stakeholders and Synchronize/align efforts of stakeholders and participantsparticipants

• Facilitate communication regarding your workFacilitate communication regarding your work• Serve as a roadmapServe as a roadmap

Macro to MicroMacro to Micro

How might we transition our thinking about How might we transition our thinking about targets from MLC wide perspective totargets from MLC wide perspective to

• Statewide collaborative(s) and/orStatewide collaborative(s) and/or

• Individual health department project Individual health department project

Suggested Use of Logic ModelsSuggested Use of Logic Models

MLC wide logic models providedMLC wide logic models provided• Thank you Brenda and teamThank you Brenda and team

Consider logic models for Consider logic models for • Statewide collaborativesStatewide collaboratives• Local and state health department projectsLocal and state health department projects

Primer (Logic Model 101)Primer (Logic Model 101) Examples for your contemplationExamples for your contemplation

What is a Logic Model?What is a Logic Model? Google says…Google says…

• Top-level depictionTop-level depiction• Graphical representationGraphical representation• BlueprintBlueprint• Succinct descriptionSuccinct description• RoadmapRoadmap

Benefits of a Logic ModelBenefits of a Logic Model Tells a story visually and quicklyTells a story visually and quickly Serves as your program theoryServes as your program theory Helps you…Helps you…

• Plan your effortsPlan your efforts• Identify outcomesIdentify outcomes• Specify linkagesSpecify linkages• Prevent overpromisingPrevent overpromising

Basic ComponentsBasic Components One popular format includes:One popular format includes:

• InputsInputs• Strategies/ActivitiesStrategies/Activities• OutputsOutputs• OutcomesOutcomes

InitialInitial IntermediateIntermediate Long-termLong-term

Example TemplateExample Template

Building a ModelBuilding a ModelInputs Strategies Outputs Outcomes

Resources needed to implement program

or initiative

The methods for providing your program

or initiative

The products,

accomplishmentsor service units

Changes that occur in people, policies, systems

or something else as a result of the program

Levels of Outcomes:

Initial: Changes a program immediately produces in participants (e.g., skills)

Intermediate: Changes as a result of the initial outcomes (e.g., behavior change)

Long-Term: Changes a program strives to accomplish (e.g., morbidity, mortality)

Levels of Outcomes:

Initial: Changes a program immediately produces in participants (e.g., skills)

Intermediate: Changes as a result of the initial outcomes (e.g., behavior change)

Long-Term: Changes a program strives to accomplish (e.g., morbidity, mortality)

Source: Hyman, V. Fieldstone Alliance, Available at: http://www.fieldstonealliance.org

More on OutcomesMore on Outcomes Linked to objectivesLinked to objectives Short term:Short term:

• Knowledge, attitudes, beliefs, skillsKnowledge, attitudes, beliefs, skills• Coordination, communicationCoordination, communication

Intermediate:Intermediate:• Behavior, policy, systems changesBehavior, policy, systems changes

Long-term:Long-term:• Goal (usually beyond what one program can Goal (usually beyond what one program can

achieve)achieve)

Getting StartedGetting Started Key Questions:Key Questions:

• What do we hope to accomplish as a result of our What do we hope to accomplish as a result of our program?program?

• What do we need to do in order to achieve these What do we need to do in order to achieve these outcomes?outcomes?

• What resources do we need to support implementation What resources do we need to support implementation of our program and achieve the desired results?of our program and achieve the desired results?

• What is going on in the community that may affect the What is going on in the community that may affect the quality of our program and the impact? quality of our program and the impact?

Inputs

All of the resources necessary for supporting a program

Examples: - Financial - Program staff

Contextual Factors (beyond your control)

Your Inputs

Strategies

The activities, services or interventions for a particular audience

Examples: - Training - Outreach

Your Strategies

Outputs

Process measures linked to strategies and program implementation

Examples: - # trained - # materials

Your Outputs

Outcomes

The anticipated effects of your program

Examples: - Increased… Skills - Improved Performance

Your Outcomes

Logic Model Worksheet

Source: Hyman, V. Fieldstone Alliance, Available at: http://www.fieldstonealliance.org

Some Relevant ExamplesSome Relevant Examples

Target Area 3: Health Improvement Planning for Target Area 3: Health Improvement Planning for Grapefruit County Health DepartmentGrapefruit County Health Department

Long-TermOutcomes

Health improvements achieved in priority areas

Improved population health status in priority area


Long-Term Outcomes



Intermediate Outcomes

Increased community ownership and support of

health improvement

Increased community collaboration in health improvement planning

Increased participation and $$$ support by local

government

Robust health improvement planning occurs regularly


Long-Term Outcomes




Increased community ownership and support of

health improvement

Increased community collaboration in health improvement planning

Increased participation and $$$ support by local

government

Robust health improvement planning occurs regularly

Short-Term Outcomes

Increased community awareness about

health improvement planning and priorities

Initial health improvement priorities

implemented with available resources

Strengthened advocacy by BOH for health

improvement planning


Strategies Outputs Short-Term Outcomes

Increased community awareness about

health improvement planning and priorities

Initial health improvement priorities

implemented with available resources

Strengthened advocacy by BOH for health


Community health plan completed

Grapefruit CHD facilitated health improvement planning process

MC selects a health improvement planning model for Grapefruit

County

Focus groups gather community input, assess knowledge

MC selects health improvement priorities

Health improvement priorities vetted:•Community• Partner•BOH

College of PH trains MC team in health planning models

Relevant health data is collected and reviewed

Community focus groups arranged

Develop community ownership•Town halls

•Meetings with key stakeholders

•Dissemination plan•Marketing plan


Strategies Inputs


Relevant health data is collected and reviewed





State of Lincoln mini-collaborative

Local, state, and national content expertise

Current local health improvement plan

Other Plans•State Health Plans•Healthy People

MAPP, NPHPS, health assessments and data

Community partners



Increased community awareness

about health improvement planning and

priorities

Initial health improvement

priorities implemented with available

resources

Strengthened advocacy by

BOH for health improvement

planning

Community health plan completed

Grapefruit CHD facilitated health

improvement planning process

MC selects a health improvement

planning model for Grapefruit County

Focus groups gather community input, assess knowledge

MC selects health improvement

priorities

Health improvement priorities vetted:•Community• Partner•BOH


Relevant health data is collected and

reviewed





Inputs Long-Term Outcomes


State of Lincoln mini-collaborative

Local, state, and national content

expertise

Current local health

improvement plan

MAPP, NPHPS, health assessments

and data

Other Plans•State Health Plans•Healthy People

Community Partners

Increased community

ownership and support of health

improvement

Increased community

collaboration in health


Increased participation and $$$ support by

local government

Improved population

health status in

priority area

Robust health improvement

planning occurs regularly

Health improvements achieved in priority

areas

External Factors Impacting OutcomesEvaluation

Target Area #7: Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic Reducing Preventable Risk Factors that Predispose to Chronic

DiseaseDiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Creating/enhancing access to places for physical activity and informational outreach efforts in Apply County

Health DepartmentHealth Department

Mini-Collaborative

Inputs

Chronic disease program staff

Chronic disease data and capacity

Chronic disease experts

Resources for implementation

Existing scientific evidence



Health DepartmentHealth Department

Mini-Collaborative

Inputs




Community partners and planners


Strategies

Engage community partners

Conduct an inventory of existing “access” points

Identify and create new “access” points and opportunities for physical activity

Provide outreach and training activities:•Training

•Fitness programs•Buddy systems•Counseling•Risk screening•Health forums

•Referrals to physicians and services

Communicate physical activity opportunities



Health DepartmentHealth Department Short-Term OutcomesStrategies








Increased community support and resource for

physical activity

Increased awareness of opportunities for physical

activity

Increased knowledge and skills regarding physical

activity



Health DepartmentHealth DepartmentShort-Term OutcomesStrategies








Increased community support and resource for

physical activity

Increased awareness of opportunities for physical

activity

Increased knowledge and skills regarding physical

activity


Increase in moderate physical activity among program participants

Increase in aerobic capacity among program

participants

Increase in energy expenditure among

program participants



Health DepartmentHealth DepartmentShort-Term OutcomesStrategies








Increased community support

and resource for physical activity

Increased awareness of

opportunities for physical activity

Increased knowledge and skills

regarding physical activity


Increase in moderate physical activity among program

participants

Increase in aerobic capacity among


Increase in energy expenditure among


Long-Term Outcomes

Decrease in deaths

associated with chronic

disease

Decrease in chronic diseases


Increased community support and resources for

physical activity

Increased community

access to fitness facilities and

physical activity opportunities

Increased knowledge and skills regarding physical activity

Increased awareness of

opportunities for physical activity

Inventory conducted;

opportunities identified; and new points of

access are provided to the

community

Community partners engaged; Coalition formed

Community members

informed of opportunities

Community outreach and

training is provided


Communicate physical activity

opportunities

Conduct an inventory of existing “access”

points

Identify and create new “access” points

and opportunities for physical activity

Provide outreach and training activities•Trainings

•Fitness programs•Buddy systems•Counseling•Risk screening•Health forums•Referrals to

physicians and services

Inputs Long-Term Outcomes


Mini-collaborative




Community partners and

planners


Resources for implementation

Increase in moderate

physical activity among program

participants

Reduce or maintain body

fat among program

participants

Increase in aerobic capacity among program

participants

Improved population

health status in priority area

Increase in energy

expenditure among program

participants

Health improvements

achieved in priority areas


DiseaDiseaseseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply Creating/enhancing access to places for physical activity and informational outreach efforts in Apply

County Health DepartmentCounty Health Department

Evaluation

External Factors

Impacting Outcomes

Note: Shaded areas reflect priority outcome measures

Preparing for the Main Event Using Logic Models as a Tool for Collaboratives Brenda M. Joly Leslie...

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