©Sauaia2008

Building a Logic Model

Angela Sauaia, MD, PhD

©Sauaia2008

What are the

health issues in

your community?

Build the case

for health issues

by using data

Inputs

Community Engagement

Sustainability Logic Model

©Sauaia2008

What are the

health issues in

your community?

Build the case

for health issues

by using data

What is the goal of

my program?

Develop an

evaluation plan to

assess whether

you accomplished

your goal and

reached the

intended group

Outcomes Inputs

Community Engagement

Sustainability Logic Model

©Sauaia2008

Logic Model

What are the

health issues in

your community?

Build the case

for health issues

by using data

What are

evidence-based

programs known

to work for your

goal?

Find an

evidence-based

program for your

program goal

What is the goal of

my program?

Develop an

evaluation plan to

assess whether

you accomplished

your goal and

reached the

intended group

Outcomes Inputs Activities

Community Engagement

©Sauaia2008

What are the

health issues in

your community?

Build the case

for health issues

by using data

What are

evidence-based

programs known

to work for your

goal?

Find an

evidence-based

program for

your program

goal

What is the goal of

my program?

Develop an

evaluation plan to

assess whether

you accomplished

your goal and

reached the

intended group

Outcomes Inputs Activities

Community Engagement

Sustainability

©Sauaia2008

Writing a SMART objective

• SMART stands for

Specific

Measurable

Attainable/Achievable

Relevant

Time bound

Source: http://www.cdc.gov/dhdsp/state_program/evaluatio

n_guides/smart_objectives.htm

©Sauaia2008

To develop SMART objectives, use the

template below and fill in the blanks:

• Our objective is :

• by ____/_____/__________ ,

[WHEN]

• to ______________________

[change, increase, decrease WHO/WHAT]

• from ______________ to ____________.

[MEASURE (number, rate, % change)]

©Sauaia2008

Example

• By December 31, 2009

• to increase awareness of the signs

and symptoms of stroke

• among African American men in

Montezuma County

• from 11% to 15% as measured by

the BRFSS and published in CoHID

WHEN

WHAT

WHO

HOW MUCH

©Sauaia2008

Example

• By December 1, 2009,

• Increase the % of Ute Mountain Ute Tribe

women who eat at least 5 servings of fruits

and vegetables/day

• by 20% or

• from 21% to 25% (2003-2007 BRFSS rate

available at CDPHE Health Disparities Data

Website)

©Sauaia2008

Used a validated tool to measure it

Health Maintenance Consortium (2003-present) 2009.Available at: URL: http://hmcrc.srph.tamhsc.edu/Measures/MeasuresMain.aspx

©Sauaia2008

•68% of Latino children vs. 96% of Whites in Denver with health insurance coverage 2003-2007 (CDPHE Health Disparities Profiles) •52% of adult Latinos in Denver had coverage vs. 91% of Whites •5 focus groups showed that Latino were not aware of benefits •Surveyed 50 Latinos: 80% did not know where to look for benefits •Many eligible Latinos have great difficulty applying for public benefits such as Medicaid, food stamps and CHIP. Thus we propose to increase the no. of eligible Latinos applying for these benefits.

•Community-based workers (CBW) programs are evidence-based interventions to reduce disparities (references 1-3)

•We will train and deploy bilingual, bicultural CBWs to provide assistance in enrolling eligible Latinos for eligible programs: CHIP; Medicaid; and Food Stamps

•Reach: we intend to offer assistance to 200 uninsured Latinos in the period of October 2010-June 2011, among those attending masses at three Latino churches in NW Denver. •Implementation: we will evaluate the training of our CBW with pre/post tests. Each promotora will fill a checklist for each client to document the information delivered and will do a followup to evaluate enrollment in the insurance program. •Impact: we intend to enroll at least 150 Latinos in one of the insurance programs, which represents approximately 75% of the Latinos for whom we intend to offer our assistance.

Outcomes Inputs Activities

Community Engagement: next slide

Sustainability: Become Certified Application Site A Logic Model

©Sauaia2008

Community Engagement

Will be sought during all phases:

• we will engage the community in determining their barriers

as well as in the development of the intervention by seeking

out the target population during events promoted by Latino

churches, and

• by hiring members of the community who will act as

community advocates and culture brokers, in addition to

bringing the community perspective with them to the table

• evaluation results will be disseminated to the community

through: church bulletins, fliers distributed during church

events, and through Latino media.

©Sauaia2008

Build the case using data

•Out of 48 Colorado CBOs addressing healthy living/ access to healthcare, over half reported “some or no” experience/skills in health data, evidence-based interventions, community engagement and program evaluation (Table 1, next section).

•With Health Reform, CBOs face a major challenge enrolling and addressing access to care for newly eligible individuals.

What are evidence-based

programs known to work

for your goal?

Project TEACH is a tailored, high quality training on health data, evidence-based interventions community engagement, program evaluation and healthcare access, with a demonstrated impact on improving CBOs’ skills to produce successful grant applications targeting healthy living/access to healthcare.

What is the goal(s) of my

program?

•Reach: 50 – 60 CO CBOs •Implementation: assessment, attendance sheets, workshop descriptions, resources and tools developed •Impact:

•To increase the number of Colorado CBOs reporting “much” experience with the topics, from 50% to 80% •To significantly increase knowledge scores to > 85% of max score •To increase the success rate of CBOs grant applications by 50%

Outcomes Inputs Activities

Community Engagement: trainees and trainers collaborate in all phases of the training

Pro

ject T

EA

CH

L

og

ic M

od

el

Sustainability: Incoporated to CPHP

©Sauaia2008

Lab

• Develop your own logic model

©Sauaia2008

Logic Model

What are the

health issues in

your community?

Build the case

for health issues

by using data

What are

evidence-based

programs known

to work for your

goal?

Find an

evidence-based

program for your

program goal

What is the goal of

my program?

Develop an

evaluation plan to

assess whether

you accomplished

your goal and

reached the

intended group

Outcomes Inputs Activities

Community Engagement

©Sauaia2008

To develop SMART objectives, use the

template below and fill in the blanks:

• Our objective is to:

• by ____/_____/__________ ,

[WHEN—Time bound]

• ______________________

[change, increase, decrease WHO/WHAT]

• from ______________ to ____________.

[MEASURE (number, rate, % change)]

©Sauaia2008

But I don’t know where to get this info

• That’s what we can help you with….

• Write down your needs so we can help

you with them in the next sections