2011

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Session Title: South Carolina Access Health, Access Health in the Low Country, and Trident United Way: A Multi-level Health Access Systems Evaluation
Panel Session 110 to be held in Avila B on Wednesday, Nov 2, 4:30 PM to 6:00 PM
Sponsored by the Systems in Evaluation TIG , the Health Evaluation TIG, and the Human Services Evaluation TIG
Chair(s):
Aimee Sickels, Trident United Way, 
Abstract: Panel features the principal evaluator for South Carolina Access Health Network, Executive Director and Data Specialist of a local Access Health project, and Director of Measurement and Policy for Trident United Way discussing the processes needed to establish connections that create a thorough, dynamic, and meaningful multi-system evaluation. It will address the challenges and strengths associated with using systems theory to design the evaluations in conjunction with the practical challenges facing the integration of evaluation with these varying levels of systems. The audience will learn how this group used systems theory while designing program level effectiveness evaluation so that the statewide evaluation becomes a more effective mechanism for informing and improving the system as a whole. The interconnections at the local and state level create fidelity and process challenges experienced across all types of systems level service delivery models, this will offer practical information for evaluators facing these challenges.
Designing a Tri-County Access Health Evaluation From a Systems Perspective
Rosalia Valesquez, Tri-County Access Health, rosalia@ahtricounty.org
Renee Linyard, Tri-County Access Health, renee@ahtricounty.org
The presentation is a brief review of the systems theory underlying the local project design and evaluation and then lengthier discussion of how that theory informed various aspects of the project. It describes how the Tri-County Access Health project is using systems theory at each design phase and how systems thinking has informed the selection of particular program level software systems and data collection processes. It will also address the "higher" level systems challenges associated with networked service delivery systems; challenges ranging from relationship development to formalizing processes and network flow. Practical learning will be shared on how to establish network structures that create seamless system functioning and in turn allow for continuous and dynamic evaluation processes to emerge and inform both program and system functioning.
Designing the State-wide Access Health System Evaluation for South Carolina Access Health
Amy Brock-Martin, South Carolina Rural Health Research Center, brocka@mailbox.sc.edu
Using systems theory to design both formative and summative evaluation strategies for the South Carolina Access Health Network will be presented. The structures for how each of the local Access Health projects have been, and continue to be, informed by a highly functioning systems evaluation will be shared so that others in the field may design these around their own work. The use of data to inform the local project design processes will be shown so that the audience may see how using systems theory at each phase of design, implementation, and evaluation can create holistic strategies that establish foundational structures for sub-systems within the larger system structure. The interplay between the local project implementation and evaluation will be presented from the statewide system's perspective so that the audience can see how the sub-systems work together with the larger system for maximum impact and effectiveness.
The South Carolina Access Health Project From a United Way Perspective: How do we fit in the System?
Aimee White, Trident United Way, awhite@tuw.org
Trident United Way partnered with several local area hospitals applying for a Duke grant in order to establish the Tri-County Access Health project. By not only contributing to the grant writing process the United Way also contributed the infrastructure and support for the project staff the UW became a significant contributor to the Access Health system. The presentation will discuss how this type of systems level support for projects such as these are unique for United Ways and can contribute significant impetus for systems project with very little out of pocket investment. The discussion will be around how knowledge of systems theory and functioning can assist funders, such as United Way, in identifying leverage points and targeting investments to maximize system design and function. The Trident United Way is also contributing evaluation consulting and is assisting the local team in designing their system evaluation in conjunction with the state-wide model.

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