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PROGRAM MANAGEMENT

PROGRAM MANAGEMENT. A GUIDE FOR IMPROVING PROGRAM DECISIONS. David Newberry & Stephen Fitzgerald Global Consultants, Inc CDC Bill Dyal 10/12/11 10/12/11. The better the problem can be stated – The easier it is to SOLVE! Planning –

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PROGRAM MANAGEMENT

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  1. PROGRAMMANAGEMENT A GUIDE FOR IMPROVING PROGRAM DECISIONS David Newberry & Stephen Fitzgerald Global Consultants, Inc CDC Bill Dyal 10/12/11 10/12/11

  2. The better the problem can be stated – The easier it is to SOLVE! Planning – The application of rational decision making to the commitment of future resources - Based on data or facts.

  3. 1. Planning - Deciding What to Do 2. Implementation - Doing it 3. Evaluation – Comparing or measuring results PIE

  4. 1. Where am I? 2. Where do I want to be? 3. Decision to do something 4. Development of a plan 5. How do I know I’m getting there?

  5. 1. Planning - Deciding What to Do 2. Implementation - Doing it 3. Evaluation – Comparing or measuring results PIE

  6. Goal - A generalized statement expressing a program’s intended effect on one or more health problems.

  7. Goal: Example: Improved quality of life through the reduction of disability and premature mortality associated with motor vehicle crashes.

  8. 1. Where Am I? Three basic areas to answer “Where am I?” 1. State of the art 2. The problem 3. The resources

  9. Health Problem - A situation or condition of people which is considered undesirable and is likely to exist in the future. Death Disease Disability

  10. Problem specification requires accurate accounts of incidence, prevalence and distribution of the condition.

  11. Desired Outcome Objective 2.0 4.0 3.0 2. Where Do I Want to Be? 5.0 Establishes meaningful and measurable outcome objectives which indicate a desired future level of the health problem

  12. Desired Outcome Objective - The level to which a health problem should be reduced and/or maintained within a specified time period. Long Term Realistic Measurable

  13. OUTCOME OBJECTIVE THE LEVEL TO WHICH A HEALTH PROBLEM SHOULD BE REDUCED AND /OR MAINTAIED WITHIN A SPECIFIED TIME PERIOD. • LONG TERM • REALISTIC • MEASUREBLE

  14. OUTCOME OBJECTIVE EXAMPLE: The years of potential life lost per 100,000 population in DeKalb County due to motor vehicle crashes will be reduced from 724 per 100,000 in 2000 to 500 per 100,000 in 2005.

  15. 3. Decision to Do Something Three Possible Outcomes 1. Stop 2. Maintenance 3. Intervention

  16. Impact Objectives 8.0 Develop Intervention Strategy Expected Outcome Objective Activities (Work Plan) 11.0 10.0 7.0 Process Objectives 9.0 4. Development of a Plan Deciding how a program’s resources can be best utilized to achieve the desired outcome objective is referred to as the development and/or selection of and intervention strategy.

  17. Intervention Strategy - Technical basis for predicting that the expenditure of resources on specified activities and objectives will have a positive effect on a health problem……….

  18. Health Contributing Problem Determinants Factors 1 2a A 2 2b Problem B 2c C

  19. Health Contributing Problem Determinants Factors Natural Immunity Avail- ability Susceptible Host Artificial Immunity Accept- ability Incidence of Rubella Presence of Agent Efficacy Means of Transmission

  20. Health Contributing Problem Determinants Factors Use of Seat Belts Knowledge Motor Vehicle Mortality 15-24 age group Alcohol Abuse Peer Pressure Availability of Alcohol Driver Education

  21. IMPACT OBJECTIVE THE LEVEL TO WHICH A DIRECT cause IS EXPECTED TO BE REDUCED WITHIN A SPECIFIED TIME PERIOD. • INTERMEDIATE (1 -5 Years) • REALISTIC • MEASUREBLE

  22. IMPACT OBJECTIVE The percentage of DeKalb County high school students that drink and drive will be reduced from 26% to 10% by May 30, 2005.

  23. PROCESS OBJECTIVE ACTION STATEMENTS AIMED AT AFFECTING ONE OF MORE OF THE CONTRIBUTING FACTORS THAT INFLUENCE THE LEVEL OF DETERMINANTS • SHORT TERM (Usually one year) • REALISTIC • MEASUREBLE

  24. PROCESS OBJECTIVE 90% of all year 2005 graduating Seniors in DeKalb County will have participated in a one day alcohol –free social and training “Ghost Day” prior to graduation.

  25. ACTIVITY STATEMENT Conduct a one day “Ghost-Out” for Juniors and Seniors in 50% of DeKalb County High Schools by May 31, 2004 and the remaining 50% by May 31, 2005 .

  26. CLASSIC “If Then” LOGIC MODEL If This, Then This

  27. LOGIC MODEL Indirect Contributing Factors Direct Contributing Factors ProblemDeterminants Lack of Knowledge Poor Nutrition Availability Obesity Lack of Knowledge Lack of Physical Activity Lack of Motivation Cardiovascular Disease Availability Lack of Knowledge Accessibility Lack of Physical Activity Lack of Time Lack of Opportunity Lack of Facilities

  28. LOGIC MODEL Indirect Contributing Factors Direct Contributing Factors Determinants Problem Lack of Knowledge Poor Nutrition Availability Obesity Lack of Knowledge Lack of Physical Activity Lack of Motivation Cardiovascular Disease Availability Lack of Knowledge Accessibility Lack of Physical Activity Lack of Time Lack of Opportunity Lack of Facilities

  29. Reduced Rate of Cardiovascular Disease LOGIC MODEL Know about proper nutrition If, we provide: Effective educational and motivational materials and programs; Assure the availability of healthy foods; and Assure the provision of a time and place for physical activity; Then the population at risk will Proper Diet Have Nutritious Foods Available Appropriate Weight for Height Be Motivated Know Value of Physical Activity Physically Active Opportunity to be Physically Active

  30. HEALTH PROBLEM ANALYSIS Indirect Direct Contributing Factors Contributing Factors Problem Determinants Lack of Knowledge Obesity Lack of Exercise Hypertension Lack of knowledge Physical Activity Lack of Programs Stroke Lack of Funding Lack of Education Lack of Interest Smoking Advertising Peer Pressure Social Norms

  31. Evaluation – A process of measurement of the actual results for comparison to the intended results (objectives)

  32. Effectiveness - The ability to produce an intended result

  33. How do I know I’m getting there? - Answering this question insures the effectiveness of the decision making processes

  34. Determine Future Direction 4.0 Is Outcome Objective Achieved Yes 19.0 No Is Impact Objective Achieved Revise Strategy per resource Yes 17.0 7.0 No 18.0 15.0 Revise Strategy 7.0 16.0 Am I Doing the Right Things Refers to the achievement of impact and outcome objectives and measures the program’s effectiveness

  35. Goal Outcome Objective Impact Objective Process Objective Activities Defines operational and Philosophical parameters Projected future level of the health problem Projected future level of a direct determinant Projected future level of a contributing factor Actual task performed by program personnel

  36. WETHERN’S LAW ASSUMPTION IS THE MOTHER OF ALL SCREW-UPS

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