1. CONNECTICUT HEALTH FOUNDATION: Update on Evaluation Planning for the Strategic Plan

2. 2 CT HEALTH: LEVELS OF HEALTH EQUITY CHANGES 1 2 3 Individuals impacted by CT Health Individual-level changes Example: Uninsured people of color enrolled in CT Health Access; Fellows develop leadership skills Organizations, systems, and policies influenced by CT Health Changes in policies, procedures, and practices Example: standards adopted and practiced by an organization or state agency Health equity in the State of Connecticut Population-level changes Example: Reduction in disparities in emergency room visits due to improvement in preventive care 2

3. 3 CT HEALTH: EVALUATION APPROACH The Evaluation Approach The Balanced Scorecard – Reports to the Board  To provide more information/data to staff and board that is learning- focused and actionable  To monitor outputs and outcomes  To provide data to populate the Balanced Scorecard  CT Health Effort & Results: the Foundation’s efforts and results  State of the State: changes related to health equity in CT

4. 4 The work of CT Health The work of CT Health grantees, Fellows, allies, etc. Long-term changes brought about by many players State-level Changes: Reduction in health disparities Changes in state-level policies PROGRAMPROGRAM EVALUATIONEVALUATION Outcome Evaluation Changes in systems and policies Changes in organizations’ capacities People and partners are better off Fellows are strengthened Implementation Evaluation Work implemented Strategies to achieve outcomes Lessons learned Mid-course adjustments Informs numerical Balanced Scorecard PROGRAM & EVALUATION BY TIME 

5. 5 CT Health CT Health grantees, Fellows, partners, allies, etc. Implementers, decisionmakers, and systems that must change to bring about greater health equity Influence INFLUENCE

6. Goal 1 Leverage opportunities to advance health equity in reforming health care Objective 1: Promote health insurance enrollment and navigation support systems that will increase and maintain coverage. Objective 2: Foster the inclusion of mental, oral, and physical health in an integrated health care system. 6

7. Objective 2 7 GOAL 1: EVALUATION QUESTIONS Objective 1 ❶ How did CT Health help with the preparation for enrolling uninsured individuals of color in Access Health CT and Medicaid? ❷ How many people were enrolled? ❸ How did CT Health help with the preparation for developing an integrated health system? ❹ What has been the progress towards an integrated system?

8. 8 OutputsOutcomesData Collection Examples Proportion of CT Health funds for navigation support systems # of navigation support systems funded through regrants An assessment protocol to evaluate systems’ effectiveness Standards for uniform data collection Increased total enrollment New Enrollment Disenrollment Continuity of Coverage Adoption of assessment protocol by Access Health CT and Medicaid Establishment of a data collection system Tracking of number and amount of regrants re Tracking of enrollees, disenrollees, new enrollees, and changes in coverage plans Survey of the navigation support system regrantees EVALUATION PLAN: GOAL 1 ❶ How did CT Health help with the preparation for enrolling uninsured individuals of color in Access Health CT and Medicaid? ❷ How many people were enrolled?

9. 9 EVALUATION PLAN: GOAL 1 ❸ How did CT Health help with the preparation for developing an integrated health system? ❹ What has been the progress towards an integrated system? OutputsOutcomesData Collection Examples Research papers and other products A research dissemination plan CT Health Training Module for selecting dental health benefits Amount of funding for integration efforts Improved knowledge about promising models Informed policymakers and other decision makers Decisions to use promising models Integrated systems occur, step-by-step Review of papers and other products Review of dissemination plan Survey of grantees and CT Health staff Interviews with policymakers and other decisionmakers Surveys of systems’ representatives

10. Goal 2 Strengthen leadership and network capacity to promote health equity in health care access and delivery. Objective 1: Cultivate diverse, skilled health equity leaders that advocate for and effect change in private, public and non-profit sectors. Objective 2: Advance public policies that promote health equity by establishing a health advocacy entity. 10

11. Objective 2 11 GOAL 2: EVALUATION QUESTIONS Objective 1 ❷ What is the capacity of the Health Leadership Fellows Program? ❸ What is the progress of the Health Leadership Fellows Program? ❹ What is the capacity of the health advocacy entity? ❺ What is the progress of the health advocacy entity? ❶ What is the influence of CT Health, its staff, its Board, its grantees, the fellows, and other CT Health stakeholders to promote health equity?

12. 12 EVALUATION PLAN: GOAL 2 ❶ What is the influence of CT Health, its staff, its Board, its grantees, the Fellows, and other CT Health stakeholders to promote health equity? OutputsOutcomesData Collection Activities and efforts undertaken to influence decisionmakers Interactions with decisionmakers Creation of new supporters and champions Creation and implementation of solutions for health care access and delivery Tracking of influence activities, outputs, and outcomes “Bright spots” case studies to examine successful influence outcomes to understand the role of CT Health and its partners

13. 13 EVALUATION PLAN: GOAL 2 ❷ What is the capacity of the Health Leadership Fellows Program? ❸ What is the progress of the Health Leadership Fellows Program? OutputsOutcomesData Collection # of new Fellows Total # of Fellows HFLP activities More health equity leaders Skill set Network for health equity Increased capacity Tracking of HLFP fellows Activity of CT Health, partners, and HLFP fellows in health care access and delivery efforts Supporters and champions Solutions for health care access and delivery Annual study of HLFP fellows’ continued engagement in supporting health equity

14. 14 EVALUATION PLAN: GOAL 2 ❹ What is the capacity of the health advocacy entity? ❺ What is the progress of the health advocacy entity? OutputsOutcomesData Collection Legal status Staffing for operations and program Strategies/activities to advance policies Network building and coordination Capacity assessment in seven dimensions: basic functioning & structure, champions, leadership, learning, partnerships, reputation & visibility, and sustainability Strategies/ activities to advance public policies that promote health equity Network to advance public policies Relationships with decision makers Progression among target audiences Systems, practice, and policy change Network analysis of the health advocacy entity’s position and contribution Decision maker mapping to analyze evidence of influence

15. Evaluation Plan Questions & Feedback 15