This PowerPoint Presentation describes the Falls Reduction Program published in Mcknights Online. The web site for the article can be found on my profile page.
How Do We Evaluate That? Evaluation in the Uncontrolled WorldMEASURE Evaluation
This document summarizes the main challenges to conducting rigorous impact evaluations of global health programs operating in real-world settings. It discusses several proposed approaches to address these challenges, including adequacy, plausibility and probability assessments, national evaluation platforms, step-wise approaches, and mixed methods. Common themes across different approaches include starting with a program's causal model, measuring progress along the causal pathway including implementation, using multiple existing and new data sources, and focusing on producing actionable results for decision making.
Lessons Learned from OVC Evaluations for Future Public Health EvaluationsMEASURE Evaluation
Three key lessons learned from OVC (Orphans and Vulnerable Children) evaluations for future public health evaluations:
1) Evaluations need to be designed and incorporated from the beginning of projects rather than as an afterthought, but it is difficult to attract attention to evaluations early on.
2) There are methodological challenges to conducting rigorous impact evaluations of public health programs including non-random placement of programs, lack of suitable control groups, and inability to control for external factors.
3) Evaluations require strong leadership and buy-in from stakeholders to facilitate data collection and use of findings to improve programs. Early and continued engagement of stakeholders is important.
Coordination of care involves organizing patient care activities between multiple parties, including the patient, to appropriately deliver healthcare services. Studies found that care coordination programs sometimes resulted in cost savings or neutral costs, and quality of care improved in many programs through continued analysis, though savings are not strongly incentivized at the clinic level.
This document provides an introduction to quantitative impact evaluation methods. It discusses why impact evaluations are important, how to design an evaluation, and common evaluation tools and methodologies. Key points include: impact evaluations measure a program's causal effects, require a comparison group to estimate counterfactual outcomes, and use methods like randomization, matching, regression discontinuity, and difference-in-differences to construct valid comparisons. The goals of evaluations are to measure impacts, assess cost-effectiveness, and explain which program components are most effective.
I gave this talk at a Nigeria Health Summit in March 2016. It was an introduction to impact evaluation: what it is, when it's a good idea, and some possible approaches.
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...MEASURE Evaluation
This document outlines a 6-step approach for monitoring and evaluating integrated health services at the national level. The steps include: 1) defining public health problems, 2) identifying primary points of care, 3) defining interventions and service packages, 4) creating a logic model, 5) conducting research and evaluation, and 6) using data for decision making. Strong M&E systems are needed to manage complexity, assess progress, generate information, refine programs, and produce evidence. National strategies should drive integration based on mortality and morbidity data. Standardized care, quality indicators, and interoperable health information systems are important for monitoring integrated services. Lessons learned should be shared globally.
How Do We Evaluate That? Evaluation in the Uncontrolled WorldMEASURE Evaluation
This document summarizes the main challenges to conducting rigorous impact evaluations of global health programs operating in real-world settings. It discusses several proposed approaches to address these challenges, including adequacy, plausibility and probability assessments, national evaluation platforms, step-wise approaches, and mixed methods. Common themes across different approaches include starting with a program's causal model, measuring progress along the causal pathway including implementation, using multiple existing and new data sources, and focusing on producing actionable results for decision making.
Lessons Learned from OVC Evaluations for Future Public Health EvaluationsMEASURE Evaluation
Three key lessons learned from OVC (Orphans and Vulnerable Children) evaluations for future public health evaluations:
1) Evaluations need to be designed and incorporated from the beginning of projects rather than as an afterthought, but it is difficult to attract attention to evaluations early on.
2) There are methodological challenges to conducting rigorous impact evaluations of public health programs including non-random placement of programs, lack of suitable control groups, and inability to control for external factors.
3) Evaluations require strong leadership and buy-in from stakeholders to facilitate data collection and use of findings to improve programs. Early and continued engagement of stakeholders is important.
Coordination of care involves organizing patient care activities between multiple parties, including the patient, to appropriately deliver healthcare services. Studies found that care coordination programs sometimes resulted in cost savings or neutral costs, and quality of care improved in many programs through continued analysis, though savings are not strongly incentivized at the clinic level.
This document provides an introduction to quantitative impact evaluation methods. It discusses why impact evaluations are important, how to design an evaluation, and common evaluation tools and methodologies. Key points include: impact evaluations measure a program's causal effects, require a comparison group to estimate counterfactual outcomes, and use methods like randomization, matching, regression discontinuity, and difference-in-differences to construct valid comparisons. The goals of evaluations are to measure impacts, assess cost-effectiveness, and explain which program components are most effective.
I gave this talk at a Nigeria Health Summit in March 2016. It was an introduction to impact evaluation: what it is, when it's a good idea, and some possible approaches.
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...MEASURE Evaluation
This document outlines a 6-step approach for monitoring and evaluating integrated health services at the national level. The steps include: 1) defining public health problems, 2) identifying primary points of care, 3) defining interventions and service packages, 4) creating a logic model, 5) conducting research and evaluation, and 6) using data for decision making. Strong M&E systems are needed to manage complexity, assess progress, generate information, refine programs, and produce evidence. National strategies should drive integration based on mortality and morbidity data. Standardized care, quality indicators, and interoperable health information systems are important for monitoring integrated services. Lessons learned should be shared globally.
Evolution of Family Planning Impact Evaluation: New contexts and methodologic...MEASURE Evaluation
This document discusses the evolution of impact evaluations for family planning programs. It provides historical context on impact evaluations dating back to the 1990s, which primarily used randomized controlled trials and quasi-experimental designs. More recent considerations include theory-based approaches, systems-based approaches, and implementation science to evaluate family planning programs. The document recommends accepting a wide range of evaluation designs that meet but not exceed stakeholder needs.
An overview of impact evaluation for organizations based on a program's Theory of Change, highlighting the need for a counterfactual and randomization (when possible) in order to convincingly demonstrate the effect of the program.
Spill Prevention Through Environmental Risk ManagementMedgate Inc.
Environmental spills damage organizations' reputations, lower productivity, increase operating costs, and can result in financial penalties.
As an EHS professional, you can minimize the possibility of a spill by following a thorough risk management process.
In this webinar, Alison McKenzie will show that by using an Environmental Risk Management Framework, you can take action to reduce risk, keep employees healthy and ensure that your resources are allocated for maximum impact. After this session you will be able to:
Identify hazards, estimate the likelihood of a spill & potential spill severity, conduct risk analysis and priority ranking, and move towards prevention planning.
Evaluation: Lessons Learned for the Global Health InitiativeMEASURE Evaluation
This document summarizes lessons learned from evaluations of global health programs. It discusses challenges with evaluation designs and provides examples of evaluations in Kenya, Tanzania, Nigeria, and Bangladesh. Key lessons are the importance of clear program descriptions, considering impact pathways, assessing implementation, combining quantitative and qualitative data, and focusing on using findings to inform programs.
A Role for Mathematical Models in Program Scienceamusten
Mathematical models can help answer key questions in program science by examining disease transmission dynamics at a population level. Program science can also inform mathematical modeling by generating data to validate and refine models, and asking novel questions that require new modeling approaches. Both fields stand to benefit from stronger collaboration, with program science generating diverse data to feed into models, and models providing insights into optimal intervention strategies under uncertainty.
This document discusses the challenges of conducting impact evaluations of agricultural extension programs in Sub-Saharan Africa. It notes that while most impact evaluations have found positive effects, some studies have produced contradictory results. There are several challenges to impact evaluation, including difficulties establishing a counterfactual, attribution of outcomes to the program given multiple influences, and methodological limitations like lack of baseline data and small sample sizes. The document argues for moving beyond a focus on proving impact to instead emphasize learning from evaluations and using flexible, low-cost methods to improve programs over time.
This document discusses developing a risk management plan for Head Start programs. It defines risk management as measuring and assessing risk to then develop strategies to manage those risks. It identifies sources of operational and financial risk for Head Start programs. The risk management plan process includes establishing context, identifying risks, assessing risks, determining treatments, creating the plan, implementing it, monitoring results, and reviewing/evaluating. An effective risk management plan prioritizes risks and proposes controls to mitigate risks in order to help Head Start programs satisfy performance standards.
This document discusses monitoring and evaluation concepts for family planning programs. It begins by outlining session objectives related to applying M&E frameworks, indicators, and issues to family planning programs from a post-Cairo perspective. It then provides an overview of topics to be covered including family planning frameworks, implications of the Cairo agenda, indicators like contraceptive prevalence and unmet need, monitoring quality of care, and linkages between family planning and HIV. The document reviews conceptual frameworks for understanding factors influencing fertility and family planning supply. It discusses applying these frameworks for M&E by examining inputs, outputs, outcomes, and impacts. Specific indicators, data sources, and issues related to monitoring quality of care, contraceptive prevalence, unmet need,
Planning, monitoring & evaluation of health care programarijitkundu88
this presentation is for the basic idea of planning monitoring and evaluation of health care programs. the details steps of planning is covered. i hope it will help all the persons interested in public health and different health programs.
Signs of Safety - What can change and what’s harder to change? Presentation f...Jo Moriarty
Presentation for Making Research Count Bedfordshire from the independent evaluation of the MTM Transforming Children’s Services with Signs of Safety Practice at the Centre Pilot
How can community-based participatory research contribute to Program Scienceamusten
This document summarizes the development and evaluation of a community-based participatory research program called Pouvoir Partager/Pouvoirs Partagés (PP/PP) aimed at empowering women living with HIV to make thoughtful decisions about disclosing or not disclosing their HIV status. Over three cycles from 2002-2011, the program was developed with input from women living with HIV, implemented as a pilot, improved based on evaluation, scaled up provincially, and adapted for other cultural contexts. Evaluation found the program improved participants' ability to disclose their status proactively and their sense of control and self-efficacy around disclosure decisions.
Impact evaluation aims to systematically and objectively assess the causal effects of development programs and policies. It helps determine if interventions are cost-effective and achieving their intended impacts. Impact evaluations use quantitative and qualitative methods to estimate what would have occurred in the absence of the program by identifying valid counterfactual comparisons. Key challenges include self-selection bias which can be addressed through experimental designs that introduce randomness, natural experiments, or statistical techniques to reduce observable differences between treatment and control groups.
An 8-step guide to help not-for-profit organizations develop a Project Impact Pathway or Logic Model for their programs - The first presentation in our Project Evaluation Series. By DevMetrica
This document discusses various methodologies used in environmental impact assessments (EIAs). It outlines key characteristics an EIA methodology should have, such as being appropriate to the task and free from bias. Common impact identification methods are described, including checklists, matrices, networks and overlays. The stages of impact prediction, evaluation and identification are explained. The document also discusses techniques for impact prediction, evaluation of significance, and designing environmental protection measures. Overall it provides an overview of conceptual approaches and analytical tools used in EIAs.
The document discusses a new collection of Playaway digital audiobooks that have been acquired by the Anytown High School Library. It notes that research shows that audiobooks can help introduce students to books above their reading level, model good interpretive reading, teach critical listening, introduce new genres, and introduce new vocabulary. A student reacted positively that the Playaways were easy to listen to and requested that more titles in genres like fantasy, adventure, and short stories be acquired.
This document provides an overview of key aspects of Italian grammar, including:
- The Italian alphabet contains 21 letters, with 5 additional letters found in foreign words.
- Italian has rules for double consonants and diphthongs/triphthongs that affect pronunciation.
- Many Italian words end in vowels, and diphthongs are formed when unstressed i or u combine with other vowels.
- The document includes lists of vocabulary words with their Italian and English translations to demonstrate grammatical concepts.
The document discusses the work of Arrow Outreach, an organization that serves the people of Juarez, Mexico. Juarez is located just across the border from El Paso, Texas and has a high murder rate due to gang violence. Arrow Outreach partners with local churches in Juarez to share God's love and enhance spiritual growth, education, and community development. It details several projects Arrow Outreach has undertaken over 20 years, such as building the Toribeo Family Center, renovating Socorro Rivera Elementary School, and constructing the Tocando Puertas Community Center and Redencion Y Verdad Church, creating resources from empty or run-down sites.
While student teaching, I created a 5-week poetry unit for a third grade class. For three weeks during this unit, I divided students into three groups, visiting a different poetry center each week, from exploring the Shel Silverstein website to reading poetry aloud to one another to creating concrete poems.
The document discusses an organization called Arrow Outreach and its mission to serve the people of Juarez, Mexico. Juarez is located on the border with El Paso, Texas and experiences high rates of poverty, violence, and other issues. Arrow Outreach partners with local churches to share God's love and support the spiritual growth, education, community development, and hope of Juarez residents. The organization is involved to care for neighbors as God commands by meeting physical and spiritual needs.
Students will read 10 picture books by March and then vote for their favorite to send to a statewide committee, as students choose the books on the award list and vote for the winners each year. Last year over 78,000 students voted, with Gaston receiving the most votes in the picture book category.
The document lists different activities for each day of the week during lunch recess, with Make-It Monday, Storytime Tuesday, Workout Wednesday, and Thinking Thursday mentioned.
Evolution of Family Planning Impact Evaluation: New contexts and methodologic...MEASURE Evaluation
This document discusses the evolution of impact evaluations for family planning programs. It provides historical context on impact evaluations dating back to the 1990s, which primarily used randomized controlled trials and quasi-experimental designs. More recent considerations include theory-based approaches, systems-based approaches, and implementation science to evaluate family planning programs. The document recommends accepting a wide range of evaluation designs that meet but not exceed stakeholder needs.
An overview of impact evaluation for organizations based on a program's Theory of Change, highlighting the need for a counterfactual and randomization (when possible) in order to convincingly demonstrate the effect of the program.
Spill Prevention Through Environmental Risk ManagementMedgate Inc.
Environmental spills damage organizations' reputations, lower productivity, increase operating costs, and can result in financial penalties.
As an EHS professional, you can minimize the possibility of a spill by following a thorough risk management process.
In this webinar, Alison McKenzie will show that by using an Environmental Risk Management Framework, you can take action to reduce risk, keep employees healthy and ensure that your resources are allocated for maximum impact. After this session you will be able to:
Identify hazards, estimate the likelihood of a spill & potential spill severity, conduct risk analysis and priority ranking, and move towards prevention planning.
Evaluation: Lessons Learned for the Global Health InitiativeMEASURE Evaluation
This document summarizes lessons learned from evaluations of global health programs. It discusses challenges with evaluation designs and provides examples of evaluations in Kenya, Tanzania, Nigeria, and Bangladesh. Key lessons are the importance of clear program descriptions, considering impact pathways, assessing implementation, combining quantitative and qualitative data, and focusing on using findings to inform programs.
A Role for Mathematical Models in Program Scienceamusten
Mathematical models can help answer key questions in program science by examining disease transmission dynamics at a population level. Program science can also inform mathematical modeling by generating data to validate and refine models, and asking novel questions that require new modeling approaches. Both fields stand to benefit from stronger collaboration, with program science generating diverse data to feed into models, and models providing insights into optimal intervention strategies under uncertainty.
This document discusses the challenges of conducting impact evaluations of agricultural extension programs in Sub-Saharan Africa. It notes that while most impact evaluations have found positive effects, some studies have produced contradictory results. There are several challenges to impact evaluation, including difficulties establishing a counterfactual, attribution of outcomes to the program given multiple influences, and methodological limitations like lack of baseline data and small sample sizes. The document argues for moving beyond a focus on proving impact to instead emphasize learning from evaluations and using flexible, low-cost methods to improve programs over time.
This document discusses developing a risk management plan for Head Start programs. It defines risk management as measuring and assessing risk to then develop strategies to manage those risks. It identifies sources of operational and financial risk for Head Start programs. The risk management plan process includes establishing context, identifying risks, assessing risks, determining treatments, creating the plan, implementing it, monitoring results, and reviewing/evaluating. An effective risk management plan prioritizes risks and proposes controls to mitigate risks in order to help Head Start programs satisfy performance standards.
This document discusses monitoring and evaluation concepts for family planning programs. It begins by outlining session objectives related to applying M&E frameworks, indicators, and issues to family planning programs from a post-Cairo perspective. It then provides an overview of topics to be covered including family planning frameworks, implications of the Cairo agenda, indicators like contraceptive prevalence and unmet need, monitoring quality of care, and linkages between family planning and HIV. The document reviews conceptual frameworks for understanding factors influencing fertility and family planning supply. It discusses applying these frameworks for M&E by examining inputs, outputs, outcomes, and impacts. Specific indicators, data sources, and issues related to monitoring quality of care, contraceptive prevalence, unmet need,
Planning, monitoring & evaluation of health care programarijitkundu88
this presentation is for the basic idea of planning monitoring and evaluation of health care programs. the details steps of planning is covered. i hope it will help all the persons interested in public health and different health programs.
Signs of Safety - What can change and what’s harder to change? Presentation f...Jo Moriarty
Presentation for Making Research Count Bedfordshire from the independent evaluation of the MTM Transforming Children’s Services with Signs of Safety Practice at the Centre Pilot
How can community-based participatory research contribute to Program Scienceamusten
This document summarizes the development and evaluation of a community-based participatory research program called Pouvoir Partager/Pouvoirs Partagés (PP/PP) aimed at empowering women living with HIV to make thoughtful decisions about disclosing or not disclosing their HIV status. Over three cycles from 2002-2011, the program was developed with input from women living with HIV, implemented as a pilot, improved based on evaluation, scaled up provincially, and adapted for other cultural contexts. Evaluation found the program improved participants' ability to disclose their status proactively and their sense of control and self-efficacy around disclosure decisions.
Impact evaluation aims to systematically and objectively assess the causal effects of development programs and policies. It helps determine if interventions are cost-effective and achieving their intended impacts. Impact evaluations use quantitative and qualitative methods to estimate what would have occurred in the absence of the program by identifying valid counterfactual comparisons. Key challenges include self-selection bias which can be addressed through experimental designs that introduce randomness, natural experiments, or statistical techniques to reduce observable differences between treatment and control groups.
An 8-step guide to help not-for-profit organizations develop a Project Impact Pathway or Logic Model for their programs - The first presentation in our Project Evaluation Series. By DevMetrica
This document discusses various methodologies used in environmental impact assessments (EIAs). It outlines key characteristics an EIA methodology should have, such as being appropriate to the task and free from bias. Common impact identification methods are described, including checklists, matrices, networks and overlays. The stages of impact prediction, evaluation and identification are explained. The document also discusses techniques for impact prediction, evaluation of significance, and designing environmental protection measures. Overall it provides an overview of conceptual approaches and analytical tools used in EIAs.
The document discusses a new collection of Playaway digital audiobooks that have been acquired by the Anytown High School Library. It notes that research shows that audiobooks can help introduce students to books above their reading level, model good interpretive reading, teach critical listening, introduce new genres, and introduce new vocabulary. A student reacted positively that the Playaways were easy to listen to and requested that more titles in genres like fantasy, adventure, and short stories be acquired.
This document provides an overview of key aspects of Italian grammar, including:
- The Italian alphabet contains 21 letters, with 5 additional letters found in foreign words.
- Italian has rules for double consonants and diphthongs/triphthongs that affect pronunciation.
- Many Italian words end in vowels, and diphthongs are formed when unstressed i or u combine with other vowels.
- The document includes lists of vocabulary words with their Italian and English translations to demonstrate grammatical concepts.
The document discusses the work of Arrow Outreach, an organization that serves the people of Juarez, Mexico. Juarez is located just across the border from El Paso, Texas and has a high murder rate due to gang violence. Arrow Outreach partners with local churches in Juarez to share God's love and enhance spiritual growth, education, and community development. It details several projects Arrow Outreach has undertaken over 20 years, such as building the Toribeo Family Center, renovating Socorro Rivera Elementary School, and constructing the Tocando Puertas Community Center and Redencion Y Verdad Church, creating resources from empty or run-down sites.
While student teaching, I created a 5-week poetry unit for a third grade class. For three weeks during this unit, I divided students into three groups, visiting a different poetry center each week, from exploring the Shel Silverstein website to reading poetry aloud to one another to creating concrete poems.
The document discusses an organization called Arrow Outreach and its mission to serve the people of Juarez, Mexico. Juarez is located on the border with El Paso, Texas and experiences high rates of poverty, violence, and other issues. Arrow Outreach partners with local churches to share God's love and support the spiritual growth, education, community development, and hope of Juarez residents. The organization is involved to care for neighbors as God commands by meeting physical and spiritual needs.
Students will read 10 picture books by March and then vote for their favorite to send to a statewide committee, as students choose the books on the award list and vote for the winners each year. Last year over 78,000 students voted, with Gaston receiving the most votes in the picture book category.
The document lists different activities for each day of the week during lunch recess, with Make-It Monday, Storytime Tuesday, Workout Wednesday, and Thinking Thursday mentioned.
School of ManagementProgram EvaluationMPA 513Week 3.docxanhlodge
School of Management
Program Evaluation
MPA 513
Week 3
School of Management
Policy in the NewsReview Needs Assessment / StakeholdersProcess EvaluationsExercise:Performance MonitoringExercise: City Stat exampleQuestions and Conclusions
Class Overview and Objectives
*
School of Management
In the News
Public Administration
Evaluation in the News
*
School of Management
Logic Models
Stakeholders
Review
*
School of Management
Involving StakeholdersGain broader perspective, avoid blind spots, try to ensure utilization of resultsKey stakeholders:Those served or affected by activityThose involved in program operationsThose in a position to make decisions about the activityFor a manageable process, the list of stakeholders must be narrowed to primary intended users
School of Management
Evaluating Internal Processes
“Now that this is the law of the land, let’s hope we can get our government to carry it out.” John F. Kennedy
School of Management
What is a Process Evaluation?
Process (formative) evaluations are aimed at enhancing your program by understanding it more fully, and whether it is functioning as intended.
Process evaluations study what is being done, and for whom these services are provided
*
Evaluators often distinguish between process/implementation/formative vs. outcome/impact/summative evaluations.
School of Management
Process vs. Outcome Evaluation
Process (Formative) – program managers, front-line staff, program designers, evaluation professionals and other internal and external entities focused on wanting to know why the program (or class of programs) is or is not working and what sort of program adaptations are appropriate.
Outcome (Summative) measures – legislators, accounting entities, interest groups, other levels of government, and other external entities focused on accountability or accreditation.
Evaluators often distinguish between: process or implementation (formative) vs. outcome or impact (summative):
*
School of Management
Illustration of Process Evaluation
Formative
Evaluation
Research
Examines
Inside The
Program
At “The
Process”
(1)Jablonski, J.R. Total Quality Management. Technical Management Consortium Albuquerque, NM.
*
School of Management
Organization Change and Process EvaluationProcess evaluation supports a program administrator’s desire to correct program deficiencies.Problem-solving orientation is different from evaluations that are more outcome-focused.Process intervention model provides a framework for planned organizational change.
“We are interested not so much in whether X causes Y as in the question , if Y is not happening, what is wrong with X.” –Sylvia et al, p.70
* Sylvia, Sylvia, and Gunn. 1997. Program Planning and Evaluation for the Public Manager. Waveland Press.
*
School of Management
Activities
Inputs
Outputs
Intermediate Effects/ Outcomes
Short-term Effects/ Outcomes
Long-term Effects/
Outcomes
Context
Assumptions
Stage of Develo.
Falls Prevention & Management In Residential Care Setting anne spencer
This document outlines a proposed research study to evaluate the effectiveness of a falls prevention program called "Forever Autumn" implemented in residential care settings. The program was associated with a 35-31% reduction in falls over 4 years in one setting. The study will use a mixed-methods case study design, collecting both qualitative data through staff focus groups and quantitative data from existing intervention records, to better understand how the program reduces falls and inform future falls prevention strategies. Ethics approval has been obtained and data collection is planned to begin in early 2018 at an urban and rural research site after presenting the study.
SAFE 1 - Introducing Quality Improvement - a presentation.pptxJABEED P
This document provides an introduction to quality improvement methods. It discusses key quality domains, defines quality improvement, and outlines some common QI tools like the Model for Improvement, PDSA cycles, driver diagrams, and stakeholder maps. Deming's profound knowledge theory emphasizes systems thinking, variation, psychology, and knowledge theory in quality improvement work. The document advocates applying these methods to assess and enhance microsystems of care delivery.
1) The organization made progress in 2008/09 by starting local reporting on quality and governance issues but faced challenges around consistency of information.
2) In 2009/10, they aimed to continue improving risk management, evidence-based practices, and outcome measurement across services, while addressing challenges around clinical governance models and staff time allocation.
3) A new integrated risk register system was being introduced that was hoped to provide more dynamic reporting to better inform quality improvement efforts.
This document discusses evaluation principles, processes, components, and strategies for evaluating community health programs. It begins by defining evaluation and explaining that the community nurse evaluates community responses to health programs to measure progress towards goals and objectives. The evaluation process involves assessing implementation, short-term impacts, and long-term outcomes. Key components of evaluation include relevance, progress, cost-efficiency, effectiveness, and outcomes. The document then describes various evaluation strategies like case studies, surveys, experimental design, monitoring, and cost-benefit/cost-effectiveness analyses and how they can be useful for evaluation.
This document discusses the Transforming Care at the Bedside (TCAB) initiative launched by the Institute for Healthcare Improvement to redesign care on medical/surgical units. TCAB aims to improve safety, patient-centeredness, team vitality, and value through engaging frontline staff in testing changes. The framework focuses on high leverage changes like leadership, teamwork, patient-centered care, value-added processes, and safety. Metrics include adverse events, falls, pressure ulcers, satisfaction, and time spent on direct care.
The document discusses seven leadership leverage points for increasing quality and safety in healthcare organizations proposed by the Institute for Healthcare Improvement (IHI). The leverage points are: 1) establish system-level aims and oversight at the governance level, 2) develop an executable strategy to achieve aims, 3) channel leadership attention to system improvement, 4) include patients and families on improvement teams, 5) engage chief financial officers to champion quality, 6) engage physicians in improvement efforts, and 7) build improvement capability. Implementing these leverage points can help organizations successfully achieve sustained quality and safety gains through strategic planning and leadership commitment.
This document outlines the presentation on evaluating a national health programme. It discusses key topics like monitoring versus evaluation, the history and purpose of evaluation, different types of evaluation including formative, summative and participatory evaluation. The document details the evaluation process including planning evaluations, gathering baseline data, implementing evaluations and using evaluation results. It also covers standards for effective evaluation including ensuring the utility, feasibility, propriety and accuracy of evaluations. The overall summary is that the document provides an overview of best practices for conducting program evaluations of national health initiatives.
Monitoring and Evaluation of Health ServicesNayyar Kazmi
This document provides an overview of monitoring and evaluation (M&E) of health services. It discusses the key differences between monitoring and evaluation, and explains that M&E is important to assess whether health programs and services are achieving their goals and objectives. The document also outlines the main components and steps involved in conducting evaluations, including developing indicators, collecting and analyzing data, reporting findings, and implementing recommendations.
(2014) Standards Implementation and Systems Change: Results of a Survey of On...Dr. Chiachen Cheng
This survey of Ontario's Early Psychosis Intervention programs found that while most programs are actively implementing supportive practices outlined in the Early Psychosis Intervention Program Standards, some areas need more support. Training and use of data to monitor quality and improve care were seen as most challenging. Networks were perceived as helpful, especially for smaller programs. Administrative supports for implementation varied between programs and may affect sustainability. Next steps include stakeholder consultation to plan further support projects.
Mobile health (mHealth) technologies can help community health workers (CHWs) improve their performance through data-driven management. mHealth systems collect data on CHW activities and client outcomes that supervisors can use for supportive supervision, feedback, and incentives to motivate high performance. Successful mHealth requires organizational changes, technical support, training, and scaling capabilities to fully utilize data and sustain results over time. A maturity model outlines five stages programs progress through to maximize mHealth's impact from initial demonstrations to integrated, long-term solutions.
Description of the Call:
Objectives:
•To describe the need from a national perspective for improved quality of falls prevention processes.
•To introduce the use of an audit tool and complementary data base which allows teams to collect patient level data on specific falls prevention and management quality processes.
•To demonstrate how this data can be easily submitted and analyzed through the Patient Safety Metrics system and used to accelerate your quality improvement initiatives
This document discusses quality improvement in healthcare. It begins by explaining the relationship between research and quality improvement and the need to understand both. It then defines key terms like quality, quality management, and quality improvement. The document outlines national initiatives and goals for improving healthcare quality. It describes processes for implementing quality improvement programs, including root cause analysis, benchmarking, and continuous quality improvement. The goal of these programs is to systematically measure outcomes and identify errors to improve patient care.
Lessons from the US Perfromance Management System by Donald MoynihanOECD Governance
Presentation by Donald Moynihan at the 10th annual meeting of the Senior Budget Officials Performance and Results Network held on 24-25 November 2014. Find more information at http://www.oecd.org/gov/budgeting
Running Head DESIGN THE EVALUATION 1DESIGN THE EVALUATION .docxhealdkathaleen
Running Head: DESIGN THE EVALUATION 1
DESIGN THE EVALUATION 11
Design the Evaluation
Lauren Klevis
Strayer University
Professor: Anthony Jacob
November 15th, 2019
Evaluation
Primary goals of the evaluation
1. In projects, the evaluation has importance because of analysis of the process of implementation which determines the effectiveness of processes, in bulling perspective the results of the percentage of the decline in such events would determine the effectiveness of the program.
2. The evaluation also helps in the determination of the quality of the work done, in bulling, what was the methods which was used to stop bulling, whether they were permanent or temporary?
3. The evaluation provides with the insight of the activities which are going in the program, this helps in enhancing the program and changing the decision made which don’t suit the scenario.
Issues in implementing the programs
1. One major issue in the implementation of the program is that the parents of the children responsible for bullying, don’t accept the fault of their children and blaming the authorities in exchange for torturing their child.
2. The reporting of the events of the bullying is itself the problem, as in most of the cases, the bullying is not reported in the schools, which may result in the ineffectiveness of the anti-bulling programs.
3. There is lack of cooperation from the rest of the student body who may know the realities of the events inside that had happened. The student shows no cooperation to the concerning authorities.
Overcoming the issues effectively
In response to the non-supportive behavior of the parents, the school authorities need to act in the positive manner to get the parents under confidence regarding their child’s behavior. This can be done through the use of the evidences which can prove the wrong behavior of their child in the school. The evidences may be the CCV footage or the eye witness, like other students in the school. This will be helpful in stopping the bulling through the cooperation of the parents.
As another issue is the non-reporting of the bullying events by the victim himself/herself is very problematic as the events of the bulling will not be reported but its effects will prevail on the minds of the victim will be reflecting. Specially in schools the studies of the victim students may decline. The school students should be taught about the benefits what they can provide to other through reporting, as reporting is not just for the only one person but it will be helpful in making the environment friendlier and favorable for education.
The other students who are not reporting the events of bulling may also become the cause of the decrease in the efficiency of the program. The students must be educated on the mass level in the school regarding the responsibility which they have over the sightedness of the event of bulling. They should be taught that it’s the contribution towards the betterment of the ...
This document discusses quality and safety issues in primary care. It notes that 30-50% of complaints relate to safety, and 3-11% of GP prescriptions contain errors. Risk areas for patient safety include prescription errors, drug monitoring, communication, delayed or missed diagnoses, and results management. Ensuring quality and safety is a responsibility for all NHS staff. Tools like the Plan-Do-Study-Act cycle, safety walkarounds, and trigger tools can help proactively identify risks to improve safety. A systems approach is needed to address errors by examining multiple contributing factors rather than blaming individuals.
This document discusses measurement for quality improvement in healthcare. It defines measurement as the systematic collection of quantifiable data about processes and outcomes over time or at a single point in time. The purpose of measurement is to identify ways to improve, track performance improvements, and focus efforts on the right areas. Measurement should involve employees and measure effectiveness, efficiency, and support for strategic initiatives. Examples of potential measures for male and female wards are provided, including outcomes, processes, balancing measures. Cause and effect diagrams and building a cascading system of measures from the hospital board level down to individual caregivers and patients is also discussed.
This document discusses measurement for quality improvement in healthcare. It defines measurement as the systematic collection of quantifiable data over time or at a single point in time about processes and outcomes. The purpose of measurement is to identify areas for improvement, track performance changes, and focus efforts on strategic priorities. The document recommends measuring effectiveness, efficiency, and factors that support strategic goals using simple metrics developed with employee input. Examples provided include measures for length of stay, patient satisfaction, and infection rates. Cause-and-effect diagrams and a framework for cascading measures across different system levels are also presented.
This document discusses strategies for building a culture of continuous quality improvement (CQI) in institutions. It defines CQI as a philosophical approach that focuses on continuously improving services to better meet customer needs. The key aspects of CQI include defining quality as meeting customer expectations, focusing on improving processes rather than individuals, and using objective data to analyze and improve processes. The document outlines the CQI cycle and assumptions, provides examples of institutions using CQI, and discusses establishing measurable outcomes and ensuring communication and evaluation are part of the CQI process.
The document discusses current trends in human resource management, including rising health care costs, employer responses to control costs, and strategies to improve employee productivity and performance management. Specifically, it outlines how employers are implementing more consumer-driven health plans, wellness programs, on-site clinics, and pay-for-performance programs to link compensation to goals. It also discusses challenges in implementing performance-based pay and the importance of clear communication and employee involvement in the process.
1. Evercare Quality Improvement Awards Falls Reduction Program Susan E. Harris, CRA, ADC, LNHA Assistant Executive Director Daughters of Israel West Orange, New Jersey
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Editor's Notes
We had 1119 falls in May 1999. According to the fall rate that we used we should have had no more than 450 falls annually. Compounding problems: 2 nd oldest population in our state Dementia population of 63% Statistically this meant that we could expect to have a higher than average number of falls Standardized Fall rate formula: total number of monthly falls divided by the total number of patient days times 1000
This early tool helped us to understand where, how and why our residents were falling Other relationships with falls Psychosocial Environmental – cluttered room, overly shiny floors Patterning – when did the fall happen? Had it happened this way before? Medication usage – when was a psychotropic medication dispensed in relation to the time of the fall or same for diuretic
Tracking system is reported monthly to CQI – covers by resident, by unit and fall rate by unit and the overall house fall rate
Fall Rate of 4.16 is at the benchmark and meeting our goal Use a very basic rule: we should do everything reasonable to prevent a fall, do everything reasonable to prevent future falls and have the documentation do support this
Prior to program the resident may have fallen multiple times before any interventions were applied
Multiple interventions instead of just trying one approach at a time chair alarm, non-skid floor strips, a specific activity intervention and a toileting plan might all be applied at the same time More Insights - As we have come through this project we have learned that the best way to serve our population is to minimize “staff fall failures”. To accomplish this staff must: be properly educated on falls Have the proper tools to do their jobs Understand the importance of educating and communicating with families in regard to falls Have the skills to report a fall to the family Trained to devise and implement appropriate follow up and care plan change Complete a thorough fall investigation Document accurately and timely Make reduction of falls a priority for all staff We created an interdisciplinary approach in which all levels of staff were invested. No one intervention, one idea, or one discipline made the difference by itself.