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

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Preparing for the Main EventUsing Logic Models
as a Tool for Collaboratives

• Brenda M. Joly
• Leslie M. Beitsch
• August 6, 2008

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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

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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

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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

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What is a Logic Model?

• Google says
• Top-level depiction
• Graphical representation
• Blueprint
• Succinct description
• Roadmap

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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

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Basic Components

• One popular format includes
• Inputs
• Strategies/Activities
• Outputs
• Outcomes
• Initial
• Intermediate
• Long-term

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Example Template
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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
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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)

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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?

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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
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Some Relevant Examples
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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
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Target Area 3 Health Improvement Planning for
Grapefruit County Health Department
Long-Term Outcomes
Intermediate 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
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Target Area 3 Health Improvement Planning for
Grapefruit County Health Department
Long-Term Outcomes
Intermediate Outcomes
Short-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
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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
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Target Area 3 Health Improvement Planning for
Grapefruit County Health Department
Strategies
Inputs
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
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Target Area 3 Health Improvement Planning for
Grapefruit County Health Department
Strategies
Outputs
Short-Term Outcomes
Inputs
Long-Term Outcomes
Intermediate Outcomes
Increased community awareness about health
improvement planning and priorities
MC selects a health improvement planning model
for Grapefruit County
College of PH trains MC team in health planning
models
State of Lincoln mini-collaborative
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
Focus groups gather community input, assess
knowledge
Community focus groups arranged
MAPP, NPHPS, health assessments and data
Improved population health status in priority area
Increased participation and support by local
government
MC selects health improvement priorities

• Develop community ownership
• Town halls
• Meetings with key stakeholders
• Dissemination plan
• Marketing plan

• 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
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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
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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
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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
Short-Term Outcomes
Strategies
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
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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
Short-Term Outcomes
Strategies
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
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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
Short-Term Outcomes
Strategies
Intermediate Outcomes
Long-Term 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
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
Strategies
Outputs
Short-Term Outcomes
Inputs
Long-Term Outcomes
Intermediate Outcomes
Increased community support and resources for
physical activity
Community partners engaged Coalition formed
Engage community partners
Mini-collaborative
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
Increased community access to fitness facilities
and physical activity opportunities
Chronic disease data and capacity
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

Community outreach and training is provided
Resources for implementation
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