|
Use of the Case Study to Understand Program Processes
|
| Presenter(s):
|
| Louise Miller,
University of Missouri, Columbia,
lmiller@missouri.edu
|
| Constance W Brooks,
University of Missouri, Columbia,
brookscw@missouri.edu
|
| Abstract:
The Missouri Department of Health & Senior Services (MODHSS) oversees federal and state funded contracts to provide public health services across the 114 counties in the state. While substantial amounts of data are reported from local health departments, physician offices, hospitals, and other health sites, these numerical data often do not adequately answer questions about program effectiveness. The MODHHS is currently using the case study method of evaluation to better understand key processes that determine whether or not contract deliverables and outcomes are met. In this session, we will describe two case studies used to evaluate the implementation of clinical guidelines for the care of adult patients with diabetes and a pilot school health program for at risk students and families. Insights gained and programmatic decisions made at the state level based on these data will be discussed.
|
|
Learning From a Community-based Evaluation: The HealthConnect in our Community Evaluation Experience
|
| Presenter(s):
|
| Louise Palmer,
The Urban Institute,
lpalmer@ui.urban.org
|
| Embry Howell,
The Urban Institute,
ehowell@ui.urban.org
|
| Gloria Deckard,
Florida International University,
deckardg@fiu.edu
|
| Carladenise Edwards,
The Bae Company,
edwardshc@earthlink.net
|
| Anna Sommers,
The Urban Institute,
asommers@ui.urban.org
|
| Lee Saunders,
University of Miami,
leesanders@miami.edu
|
| Abstract:
HealthConnect in Our Community (HCioC) aims to connect children and their families in Miami-Dade County, Florida with medical homes and health insurance coverage. Funded by The Children's Trust, the program is in its first of at least three years and is implemented through six diverse community-based organizations (CBOs).
The Urban Institute and its local consultants were contracted to conduct a formative evaluation of HCioC to assess implementation in the first year and to identify potential improvements. A secondary goal was to examine the data capabilities of CBOs and recommend a feasible outcome data system for HCioC.
The evaluation included comprehensive site visits to all CBOs; observation of health workers in diverse settings; in-depth interviews with key community stakeholders; and focus groups with HCioC clients and staff. Findings emphasize the importance of HCioC in improving health access, as well as several key ways in which the program and data collection can be improved.
|
|
The Minnesota Healthcare Disparities Task Force: A Case Study of the Use of Complexity Science Based Developmental Planning and Evaluation Methods
|
| Presenter(s):
|
| Meg Hargreaves,
Abt Associates Inc,
meg_hargreaves@abtassoc.com
|
| Abstract:
In 2004 the Governor of Minnesota created the Healthcare Disparities Task Force calling the industry wide group to take action to ensure that culturally competent healthcare is provided to all Minnesotans. Hired as a consultant to the project, the author created and piloted new complex-adaptive planning and evaluation methods to support the development and implementation of the task force. This presentation will describe the rationale and purpose of the new methods, how they were used, and the early impacts of their use on the task force's adoption of CLAS (Culturally and Linguistically Appropriate healthcare Services) standards across the state and the task force's involvement in the state's health care insurance policy debate. Use of developmental planning and evaluation methods during the start-up of the task force helped the task force have an immediate impact on state policy and led to the rapid adoption of culturally competent healthcare practices statewide.
|
|
Lessons Learned on Use and Integration of System-Level Data From the Evaluation of a Public Health Demonstration Project
|
| Presenter(s):
|
| Bernette Sherman,
Georgia State University,
bernette@gsu.edu
|
| Amanda Phillips Martinez,
Georgia State University,
aphillipsmartinez@gsu.edu
|
| Angela Snyder,
Georgia State University,
angiesnyder@gsu.edu
|
| Dawud Ujaama,
Georgia State University,
alhdau@gsu.edu
|
| Mei Zhou,
Georgia State University,
alhmzzx@langate.gsu.edu
|
| Abstract:
The Public Health Division of Georgia's Department of Human Resources (DHR) partnered with county public health offices to deliver the Integrated Family Support home visiting demonstration project. System-level evaluation challenges arose related to identifying and tracking controls. At the state level there was a need to gain permission for and access to data from multiple agencies within DHR. There was a need at the local level for use and integration of data systems to identify control families and that would be used to track participant and control data and outcomes across multiple years.
This paper describes how an external evaluator worked with state and local public health agencies to design and implement a rigorous evaluation within system level challenges related to (1) identifying controls, (2) ensuring access to state and local multi-agency datasets, and (3) varying local capacity for increased data collection and service delivery.
|
|
Using Evaluation Techniques to Conduct a Community-specific Needs Assessment
|
| Presenter(s):
|
| Kristi Lewis,
James Madison University,
lewiskristi@gmail.com
|
| Abstract:
A community assessment was conducted using community-specific indicators to evaluate quality of life. Quality of life was evaluated based eight categories that included 1) education, 2) health, 3) mental health, 4) environment, 5) youth, 6) economy, 7) social well-being and 8) community infrastructure. Evaluation methods used to conduct the assessment included an English speaking assessment instrument, a Hispanic speaking assessment instrument, and existing data sources from both state and national agencies (i.e. state health department data). Of the 1645 English speaking assessment instruments mailed, 684 were returned (42% response rate; sampling error of 3.8%). Assessment results revealed that 83% of Hispanic women stated that they had obtained prenatal care during the first trimester below the Healthy People 2010 goal of 90%. Alcohol consumption among adults increased from 30.2% in 2001 to 57% in 2006 and in seniors (65 and older) from 11.3% in 2001 to 31.7% in 2006.
|
| | | | |