142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Incorporating quality assurance measures in program planning and implementation to increase the impact of community-based programs in underserved communities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Angela Johnson, MPPA , Center for Research, Evaluation and Environmental & Policy Change, My Brother's Keeper, Incorporated, Ridgeland, MS
DeMarc A. Hickson, PhD, MPH , Center for Research, Evaluation, Environmental and Policy Change, My Brother's Keeper, Inc., Jackson, MS
June Gipson, PhD, EdS , Center for Community-Based Programs, My Brother's Keeper, Inc., Ridgeland, MS
Issue:  CBOs implement a wealth of multilevel, community-based, outcome-oriented programs that are designed to improve health outcomes throughout the United States. Thus, the success of CBOs is intrinsically tied to their ability to effectively measure program implementation and impact.  Healthcare, academics, government, and industry have all recognized the importance of QA in overall success. CBOs, however, often overlook or do not have the capacity to implement effective QA methods.

Strategy:  My Brother's Keeper, Inc., private, nonprofit, nonpartisan, 501(c)(3) organization incorporated in 1999 with a history of addressing health disparities among underserved, uninsured or underinsured populations via health education, health promotion, policy change, evaluation, and research, has addressed this organizational gap by incorporating comprehensive QA measures in all of its programmatic activities. In particular, these methods include :  (1) identifying benchmarks and activities that lie on each project's critical path; (2) assigning a measure of quality to activities based on funder-specifications; (3) linking quality measures to projects with common activities; (4) conducting quarterly process monitoring and documentation audits; and (5) reporting findings and recommendations for improved quality and effectiveness to program staff.

Results:  QA methods were implemented in nine community-based research and behavioral programs over a 3-year period. Of the 115 total program activities , 93% continuously achieved quality based on integrity in implementation and required supporting documentation. Moreover, all programs documented a measurable impact on the targeted population(s) including:  (1) an increase in CBO's and healthcare organizations' capacity  to implement effective health initiatives; and (2) an increase in individuals' knowledge about risk factors associated with chronic diseases.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Define quality assurance (QA) and describe QA measures, including process monitoring; Demonstrate how community-based organizations (CBOs) can strategically incorporate QA measures into the planning and implementation phases of community-based programs; and Discuss how effective implementation of QA methods can increase the impact of community-based programs that target underserved and vulnerable communities.

Keyword(s): Performance Measurement, Community-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 10 years experience, as Program Manager, in program development, implementation and monitoring of community-based programs aimed at eliminating health disparities, nationwide. I also have over 4 years of experience, as Quality Assurance Manager, in implementing quality assurance measures to ensure the effective implementation and increased impact of community-based programs on underserved populations.
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.