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Ruth Dufresne, MS Pamela Bruno MacDonald, MPH Michelle Mitchell, MSocSc

Ruth Dufresne, MS Pamela Bruno MacDonald, MPH Michelle Mitchell, MSocSc. The Application of a Systems-Based Evaluation to a Statewide Community-Based Public Health Initiative. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~. STATE LEADERSHIP State Health Plan.

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Ruth Dufresne, MS Pamela Bruno MacDonald, MPH Michelle Mitchell, MSocSc

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  1. Ruth Dufresne, MS Pamela Bruno MacDonald, MPH Michelle Mitchell, MSocSc The Application of a Systems-Based Evaluation to a Statewide Community-Based Public Health Initiative ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

  2. STATE LEADERSHIP State Health Plan STATE LEVEL OPERATIONAL INFRASTRUCTURE • MAINE CDC • OSA • DOE FEDERAL FUNDING REPORTING REQUIREMENTS & PROGRAMMING COMMUNITY & SCHOOLS LOCAL HMPS COMMUNITY & SCHOOLS INDIVIDUAL STATE LEVEL PROGRAMS • Asthma • Cancer • CSH • CVH • Diabetes • OSA • PAN • PTM • Diabetes HMP INITIATIVE A set of values, concepts and goals. Consists of: • Goals • Policy & Environmental Objectives • Strategies Achieves: • Initial, intermediate and long term outcomes COMMUNITY & SCHOOLS FUND FOR HEALTHY MAINE LEGISLATION ADVOCATES AND VOLUNTARIES

  3. Framework for program evaluation Source: Centers for Disease Control and Prevention.  Framework for Program Evaluation in Public Health. MMWR 1999;48(No. RR-11).

  4. HMP Logic Model

  5. Defining the client in a complex system

  6. 1. How is the HMP initiative contributing to the enhancement of the PHI in Maine?

  7. 2. What approaches and strategies are being carried out by the local HMPs?

  8. 3a. To what degree did the HMP Initiative enhance the PHI in Maine?

  9. 3b. To what degree have opportunities improved for: engagement, collaboration, sharing and coordination?

  10. 4. How many evidence-based interventions are in place and in what settings?

  11. 5. Have theoretical constructs related to health behaviors changed in the desired direction?

  12. 6a. To what degree have environments been made healthier?

  13. 6b. To what degree have health systems been enhanced?

  14. 7. Have behaviors changed in the desired direction?

  15. HMP Initiative Health Goals

  16. Challenges • Staggered implementation of tools in a changing environment requiring analysis over time • Evolving client needs • Internal (evaluation team) change of staff and leads • External (client) change of staff and leads

  17. Strategies for Success • Long-term evaluation plan • Logic model and evaluation questions • Team approach • Evaluator continuity • Established communication structures (e.g., monthly client meetings with core evaluation team, annual workplans, monthly reports) • Year-end evaluation report binders • Dissemination plan (presentations, website, etc.)

  18. Roundtable DiscussionsThe challenges and successes of specific evaluation tools and products • Challenges of implementing multiple methodologies to inform client action while… • Meeting diverse and evolving client needs; • Responding to a changing environment; and • Adjusting to changing staff • Ways to reduce challenges…. • Brainstorm on strategies for success related to… • Dissemination of findings • Developing recommendations to inform client action • Closing the loop of the CDC Framework for program evaluation to ensure CQI

  19. Report Out • Ways to reduce challenges… • Share any pearls of wisdom • Continuous Quality Improvement… • Share any strategies for success… closing the loop of the CDC Framework for program evaluation

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