248492 Using formative evaluation and QI processes in five unique community programs as they move toward meeting local and cross-site outcomes: Year two findings and lessons learned

Monday, October 31, 2011

Lynn D. Woodhouse, M Ed, EdD, MPH , Associate Dean and Professor of Community Health Behavior and Education, JPHCOPH Georgia Southern University, Statesboro, GA
Russ Toal, MPH , Clinical Associate Professor, JPHCOPH Georgia Southern University, Statesboro, GA
DeAnna Keene, MPH , Research Associate, JPHCOPH GSU, Statesboro, GA
William Livingood, PhD , Center for Health Equity & Quality Research & JPHsu COPH, Duval County Health Department & Univ of Florida & Georgia Southern Univ, Jacksonville, FL
Laura H. Gunn, PhD , Jiann -Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Cassandra Arroyo, PhD , Faculty, Walden University, Minneapolis, MN
Simone M. Charles, PhD , Environmental Health Sciences, Georgia Southern University, Statesboro, GA
Stuart Tedders, PhD , Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Trang Nguyen, MD, DrPH, MPH , Private Consultant, Albany, NY
Natalie Williams , Georgia Southern University, MPH Student Jiann Ping Hsu College of Public Health, Statesboro, GA
Andrea Kellum, MPH , Project Officer, Healthcare Georgia Foundation, Inc., Atlanta, GA
The prevalence of Asthma continues to increase despite growing evidence of effective approaches to manage the disease. We describe an evaluation approach for privately funded community childhood asthma interventions to reduce acute episodes, facilitate effective healthcare, foster community and systems level changes and reduce emergency department use for asthma treatment. Our university-based evaluation team was funded to document effectiveness, determine and measure outcomes and facilitate cross-site understanding for programs in five different communities implementing best practice interventions in healthcare and/or agencies. The focus of the evaluation shifted from primarily summative evaluation to formative evaluation and measuring multi-stage outcomes linked through logic models. The logic models helped to clarify immediate, intermediate and long term outcome performance measures while enabling each community to maintain and refine their unique programs designed for each unique community context. This presentation will illustrate how the use of logic models can inform and enhance the quality improvement process by: clarifying the role of evidence based medicine and public health, identifying relevant performance measures for process and outcomes, and using performance data to engage in a Plan, Do, Study, Act (PDSA) model of QI. Presentation will emphasize the lessons learned while employing quality improvement processes to enhance program effectiveness. In addition to lessons learned while using logic models and performance data to improve each program, two years of data on the effectiveness of these asthma projects will be described.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Demonstrate the process of integrating QI and formative evaluation efforts to improve effectiveness and inform best practice interventions. 2. Describe the challenges and benefits of using logic models to guide community-based program improvement toward reaching long term outcomes.

Keywords: Evaluation, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Lead evaluator on multiple cross-site evaluations. Published several evaluation based articles.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.