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

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

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

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

5. What is a Logic Model? Google says… Google says… Top-level depictionTop-level depiction Graphical representationGraphical representation BlueprintBlueprint Succinct descriptionSuccinct description RoadmapRoadmap

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

7. Basic Components One popular format includes: One popular format includes: InputsInputs Strategies/ActivitiesStrategies/Activities OutputsOutputs OutcomesOutcomes Initial Initial Intermediate Intermediate Long-term Long-term

8. Example Template

9. Building a Model InputsStrategiesOutputsOutcomes 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) 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 Linked to objectives Short term: Short term: Knowledge, attitudes, beliefs, skillsKnowledge, attitudes, beliefs, skills Coordination, communicationCoordination, communication Intermediate: Intermediate: Behavior, policy, systems changesBehavior, policy, systems changes Long-term: Long-term: Goal (usually beyond what one program can achieve)Goal (usually beyond what one program can achieve)

11. Getting Started Key Questions: Key Questions: What do we hope to accomplish as a result of our program?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 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 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?What is going on in the community that may affect the quality of our program and the impact?

12. Inputs All of the resources necessary for supporting a program Examples: - Financial - Program staff Contextual Factors (beyond your control) Your Inputs Strategies The activities, services or interventions for a particular audience Examples: - Training - Outreach Your Strategies Outputs Process measures linked to strategies and program implementation Examples: - # trained - # materials Your Outputs Outcomes The anticipated effects of your program Examples: - Increased…  Skills - Improved  Performance Your Outcomes Logic Model Worksheet 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 Long-Term Outcomes Health improvements achieved in priority areas Improved population health status in priority area Intermediate Outcomes Increased community ownership and support of health improvement Increased community collaboration in health improvement planning 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 Long-Term Outcomes Health improvements achieved in priority areas Improved population health status in priority area Intermediate Outcomes Increased community ownership and support of health improvement Increased community collaboration in health improvement planning Increased participation and $$$ support by local government Robust health improvement planning occurs regularly Short-Term Outcomes Increased community awareness about health improvement planning and priorities Initial health improvement priorities implemented with available resources Strengthened advocacy by BOH for health improvement planning

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

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

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

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

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

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

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

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