A program planning model

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A program planning model

• Prof Hal Swerissen
• Director, Australian Institute for Primary Care

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Program logic

• Inputs
• Process
• Outcome
• Needs

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Implementation cycle
Needs
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Planning cycle
Needs
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Needs

• Needs are the problems, issues, concerns and
  conditions that a program is intended to address.
  
• Needs can be expressed, latent and unmet
• In these workshops we will explore the definition
  and measurement of health and community care needs

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Goals outcomes

• Programs meet needs through the outcomes they
  produce
• In program planning outcomes are specified as
  program goals
• In these workshops we will explore how goals and
  outcomes are defined, planned and measured

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Objectives impact

• Program goals and outcomes are achieved through
  the immediate and intermediate program impact
• In program planning impact is defined by program
  objectives
• In these workshops we will examine how impact and
  objectives are defined, planned and measured

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Strategy objectives output

• Program outputs are the level of service or
  product generated by a program to achieve impacts
• In program planning outputs become part of
  strategy specification
• In these workshops we will examine how outputs
  are defined, specified and measured

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Strategies activities

• Activities are the events, actions and processes
  that produce outputs and impacts
• In program planning activities (and outputs) are
  defined as strategies
• In these workshops we will examine how activities
  and strategies are defined, specified and measured

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Resources inputs

• Inputs are the staff (including skills and
  competencies), buildings, equipment and
  consumables required to provide activities
• In program planning these are usually specified
  as resource requirements
• In these workshops we will examine how inputs are
  defined, specified and measured

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Programs and services
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Needs Service Delivery
Population Needs
Factors mediating service seeking
Expressed Need
Latent Need
Service utilisation
Outcome
Waiting
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Prevention programs
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Substitution programs
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Direct demand management programs
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Population program planning
Causative factors
Population Needs
Factors mediating service seeking
Expressed Need
Latent Need
Service output/utilisation
Waiting
Outcome
Substitution
Outcome
Direct demand management
Outcome
Prevention program
Outcome
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Resource allocation

• Historical input
• Output
• Outcome
• Population needs
• Mixed

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Resources priorities

• Universal services (uncapped services)
• Rationing (capped budgets waiting)
• Targeting (capped populations eligibility)
• Copayments
• Marginal cost analysis

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Population program planning
Causative factors
Population Needs
Factors mediating service seeking
Resource Allocation
Expressed Need
Latent Need
Service output/utilisation
Waiting
Outcome
Substitution
Outcome
Direct demand management
Outcome
Prevention program
Outcome
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Basic Program Evaluation
Needs
Inputs
Activities
Outputs
Impact
Outcome
Cost
Impact
Process -implementation
Process - output
Outcome
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Basic program evaluation
Needs
Inputs
Activities
Outputs
Impact
Outcome
Cost
Impact
Outcome
Process-implementation
Process-output
Technical efficiency
Allocative efficiency
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Types of evaluation

• Process evaluation strategy implementation
  quality
• Impact evaluation achievement of objectives
• Outcome evaluation achievement of goals/meeting
  needs
• Cost effectiveness/benefit comparative value of
  program

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Evaluation issues

• In these workshops we will examine
• Types of evaluation
• Evaluation methodologies
• Problems in conducting evaluations

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Choices
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Fractured Neck of Femur
Falls
Population gt 65 rate of FNOF 1000/100,000
Resource Allocation Direct Output P-V
Factors mediating service seeking
Expressed Need 100
Latent Need 0
Waiting 0
Acute Service output 100
20 mortality 20 full recover
Direct demand management N/A
Falls prevention program
Outcome 50 less KNOF