Preparing for the Main Event Using Logic Models as a Tool for Collaboratives

1. Preparing for the Main EventUsing Logic Models as a Tool for Collaboratives Brenda M. Joly Leslie M. Beitsch August 6, 2008

2. Logic Models • One of many useful tools • Suggested, NOT a requirement • Our goal: • Assist your collaboratives’ attainment of measurable results • Synchronize/align efforts of stakeholders and participants • Facilitate communication regarding your work • Serve as a roadmap

3. Macro to Micro • How might we transition our thinking about targets from MLC wide perspective to • Statewide collaborative(s) and/or • Individual health department project

4. Suggested Use of Logic Models • MLC wide logic models provided • Thank you Brenda and team • Consider logic models for • Statewide collaboratives • Local and state health department projects • Primer (Logic Model 101) • Examples for your contemplation

5. What is a Logic Model? • Google says… • Top-level depiction • Graphical representation • Blueprint • Succinct description • Roadmap

6. Benefits of a Logic Model • Tells a story visually and quickly • Serves as your program theory • Helps you… • Plan your efforts • Identify outcomes • Specify linkages • Prevent overpromising

7. Basic Components • One popular format includes: • Inputs • Strategies/Activities • Outputs • Outcomes • Initial • Intermediate • Long-term

8. Example Template

9. Building a Model Inputs Strategies Outputs Outcomes Resources needed to implement program or initiative The methods for providing your program or initiative The products, accomplishments or service units Changes that occur in people, policies, systems or something else as a result of the program Levels of Outcomes: Initial: Changes a program immediately produces in participants (e.g., skills) Intermediate: Changes as a result of the initial outcomes (e.g., behavior change) Long-Term: Changes a program strives to accomplish (e.g., morbidity, mortality) Source: Hyman, V. Fieldstone Alliance, Available at: http://www.fieldstonealliance.org

10. More on Outcomes • Linked to objectives • Short term: • Knowledge, attitudes, beliefs, skills • Coordination, communication • Intermediate: • Behavior, policy, systems changes • Long-term: • Goal (usually beyond what one program can achieve)

11. Getting Started • Key Questions: • What do we hope to accomplish as a result of our program? • What do we need to do in order to achieve these outcomes? • What resources do we need to support implementation of our program and achieve the desired results? • What is going on in the community that may affect the quality of our program and the impact?

12. Logic Model Worksheet Inputs All of the resources necessary for supporting a program Examples: - Financial - Program staff Strategies The activities, services or interventions for a particular audience Examples: - Training - Outreach Outputs Process measures linked to strategies and program implementation Examples: - # trained - # materials Outcomes The anticipated effects of your program Examples: - Increased…  Skills - Improved  Performance Your Inputs Your Strategies Your Outputs Your Outcomes Contextual Factors (beyond your control) Source: Hyman, V. Fieldstone Alliance, Available at: http://www.fieldstonealliance.org

13. Some Relevant Examples

14. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Long-Term Outcomes Health improvements achieved in priority areas Improved population health status in priority area

15. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Intermediate Outcomes Long-Term Outcomes Increased community ownership and support of health improvement Health improvements achieved in priority areas Increased community collaboration in health improvement planning Improved population health status in priority area Increased participation and $$$ support by local government Robust health improvement planning occurs regularly

16. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Short-Term Outcomes Intermediate Outcomes Long-Term Outcomes Increased community awareness about health improvement planning and priorities Increased community ownership and support of health improvement Health improvements achieved in priority areas Increased community collaboration in health improvement planning Initial health improvement priorities implemented with available resources Improved population health status in priority area Increased participation and $$$ support by local government Strengthened advocacy by BOH for health improvement planning Robust health improvement planning occurs regularly

17. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Strategies Outputs Short-Term Outcomes MC selects a health improvement planning model for Grapefruit County College of PH trains MC team in health planning models Increased community awareness about health improvement planning and priorities Grapefruit CHD facilitated health improvement planning process Relevant health data is collected and reviewed Initial health improvement priorities implemented with available resources Focus groups gather community input, assess knowledge Community focus groups arranged MC selects health improvement priorities • Develop community ownership • Town halls • Meetings with key stakeholders • Dissemination plan • Marketing plan Strengthened advocacy by BOH for health improvement planning • Health improvement priorities vetted: • Community • Partner • BOH Community health plan completed

18. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Inputs Strategies State of Lincoln mini-collaborative College of PH trains MC team in health planning models Local, state, and national content expertise Relevant health data is collected and reviewed Current local health improvement plan Community focus groups arranged MAPP, NPHPS, health assessments and data • Develop community ownership • Town halls • Meetings with key stakeholders • Dissemination plan • Marketing plan • Other Plans • State Health Plans • Healthy People Community partners

19. Target Area 3: Health Improvement Planning for Grapefruit County Health Department Inputs Strategies Outputs Short-TermOutcomes Intermediate Outcomes Long-Term Outcomes State of Lincoln mini-collaborative College of PH trains MC team in health planning models MC selects a health improvement planning model for Grapefruit County Increased community awareness about health improvement planning and priorities Increased community ownership and support of health improvement Local, state, and national content expertise Health improvements achieved in priority areas Relevant health data is collected and reviewed Grapefruit CHD facilitated health improvement planning process Increased community collaboration in health improvement planning Current local health improvement plan Initial health improvement priorities implemented with available resources Community focus groups arranged Focus groups gather community input, assess knowledge MAPP, NPHPS, health assessments and data Improved population health status in priority area Increased participation and $$$ support by local government • Develop community ownership • Town halls • Meetings with key stakeholders • Dissemination plan • Marketing plan MC selects health improvement priorities • Other Plans • State Health Plans • Healthy People Strengthened advocacy by BOH for health improvement planning • Health improvement priorities vetted: • Community • Partner • BOH Robust health improvement planning occurs regularly Community Partners Community health plan completed External Factors Impacting Outcomes Evaluation

20. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Inputs Mini-Collaborative Chronic disease program staff Chronic disease data and capacity Chronic disease experts Resources for implementation Existing scientific evidence

21. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Inputs Strategies Mini-Collaborative Engage community partners Chronic disease program staff Conduct an inventory of existing “access” points Chronic disease data and capacity Identify and create new “access” points and opportunities for physical activity Chronic disease experts Communicate physical activity opportunities Community partners and planners • Provide outreach and training activities: • Training • Fitness programs • Buddy systems • Counseling • Risk screening • Health forums • Referrals to physicians and services Existing scientific evidence

22. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Strategies Short-TermOutcomes Engage community partners Increased community support and resource for physical activity Conduct an inventory of existing “access” points Identify and create new “access” points and opportunities for physical activity Communicate physical activity opportunities Increased awareness of opportunities for physical activity • Provide outreach and training activities: • Training • Fitness programs • Buddy systems • Counseling • Risk screening • Health forums • Referrals to physicians and services Increased knowledge and skills regarding physical activity

23. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Strategies Short-TermOutcomes Intermediate Outcomes Engage community partners Increased community support and resource for physical activity Increase in moderate physical activity among program participants Conduct an inventory of existing “access” points Identify and create new “access” points and opportunities for physical activity Communicate physical activity opportunities Increased awareness of opportunities for physical activity Increase in aerobic capacity among program participants • Provide outreach and training activities: • Training • Fitness programs • Buddy systems • Counseling • Risk screening • Health forums • Referrals to physicians and services Increased knowledge and skills regarding physical activity Increase in energy expenditure among program participants

24. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Strategies Short-TermOutcomes IntermediateOutcomes Long-TermOutcomes Engage community partners Increased community support and resource for physical activity Increase in moderate physical activity among program participants Conduct an inventory of existing “access” points Decrease in chronic diseases Identify and create new “access” points and opportunities for physical activity Communicate physical activity opportunities Decrease in deaths associated with chronic disease Increased awareness of opportunities for physical activity Increase in aerobic capacity among program participants • Provide outreach and training activities: • Training • Fitness programs • Buddy systems • Counseling • Risk screening • Health forums • Referrals to physicians and services Increased knowledge and skills regarding physical activity Increase in energy expenditure among program participants

25. Target Area #7: Reducing Preventable Risk Factors that Predispose to Chronic DiseaseCreating/enhancing access to places for physical activity and informational outreach efforts in Apply County Health Department Inputs Strategies Outputs Short-Term Outcomes Intermediate Outcomes Long-Term Outcomes Mini-collaborative Engage community partners Community partners engaged; Coalition formed Increased community support and resources for physical activity Increase in moderate physical activity among program participants Chronic disease program staff Conduct an inventory of existing “access” points Inventory conducted; opportunities identified; and new points of access are provided to the community Health improvements achieved in priority areas Chronic disease data and capacity Increased community access to fitness facilities and physical activity opportunities Reduce or maintain body fat among program participants Identify and create new “access” points and opportunities for physical activity Chronic disease experts Improved population health status in priority area Communicate physical activity opportunities Community members informed of opportunities Increased awareness of opportunities for physical activity Increase in aerobic capacity among program participants Community partners and planners • Provide outreach and training activities • Trainings • Fitness programs • Buddy systems • Counseling • Risk screening • Health forums • Referrals to physicians and services Resources for implementation Community outreach and training is provided Increased knowledge and skills regarding physical activity Increase in energy expenditure among program participants Existing scientific evidence External Factors Impacting Outcomes Evaluation Note: Shaded areas reflect priority outcome measures