Adapted from the CDC Evaluation Plan Template Revised March 2022 7 Regional Violence Prevention Coalition Lead Agency: Prepared By: LA County Service Planning Area: Submission Date: II. The need for baseline measures is one key reason for designing the evaluation plan before implementation begins because they establish a starting place and frame of reference for the workplace health program. They include data sharing agreements, evaluation templates, survey questionnaires, slide sets, software, forms, and toolkits. I. NSTRUCTIONS . The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Using the electronic surveillance system, review 50% of patients receiving treatment for LTBI November 1, 2020May 1, 2021, and record treatment adherence and selected variables, The TB coordinator will conduct a review by using the electronic surveillance system for a random sample of 50% of eligible patients (patients receiving LTBI treatment during November 1, 2020May 1, 2021), 75% of eligible patients will have variables extracted and recorded. Outcomes must align with the theory of change and scope in #1 and must be feasible to measure based on the source(s) of data needed and level of effort required. CDC twenty four seven. CERC Templates and Tools. The title of this document is [complete and formal title of document]. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. 4.1.4 Implementation Verification and Validation [This subsection of the Project Implementation Plan describes the process for ensuring that the implementation was not poorly executed. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Fundamental concepts for surveillance in public health. Host of mortality and morbidity surveillance forms (e.g., Disaster-Related Mortality Surveillance Form, Disaster-Related Mortality Surveillance Instruction Form; Natural Disaster Morbidity Surveillance Individual Form Natural Disaster Morbidity Surveillance Line List Natural Disaster Morbidity Surveillance Tally Sheet Natural Disaster Morbidity Surveillance Summary Report Form). Following this template are detailed instructions to guide you in developing your plan. Thank you for taking the time to confirm your preferences. The template includes instructions to the author, boilerplate text, and fields that should be replaced with the values specific to the project. These cookies may also be used for advertising purposes by these third parties. Clearly, these questions encompass both program implementation and program effectiveness. Implementation Plan Template Cdc risk management plan template klariti com, evaluation plan template georgia health policy center, infectious disease plan disease prevention and control, test plan template centers for disease control and, pandemic influenza continuity of operations annex template, state program Background, Rationale, & Expected Outcome, Corresponding National TB Indicators Project Indicator, Centers for Disease Control and Prevention. Contact Investigations: LTBI Completion of Treatment, Examination of Immigrants and Refugees: Completion of LTBI treatment among contacts of persons with LTBI, 1.2 Having multiple deliverables per question is permissible, Data collection: November 1, 2020May 1, 2021, Data collection: November 1, 2020May 31, 2021, Develop database to input abstracted data: November 1December 1, 2020, Part B: Evaluation Findings and Conclusions References. We take your privacy seriously. Can be easily modified to meet local needs. Provide a bus pass for all eligible and interested patients (i.e., those expressing difficulty getting to the clinic), Extend clinic hours from 5:00 to 6:00 pm each day, Develop and maintain a contact list of patients and a protocol or follow-up if they are 30 minutes late for an appointment, Decrease shifting of TB staff to other clinic areas during hours when the majority of DOT patients come to the clinic, Adopt use of culturally and linguistically appropriate materials and use of an alternative language telephone line or other interpreter service, Establish an association with nearby homeless shelter staff, Include funding for bus passes in the next annual budget (September 2021), Revise staffing structure so that the clinic can remain open an additional hour each day (Begins October 2021). Baseline measures can also be used to describe the current level of program activities and allow measurement of the programs progress (e.g., process measures) over time such as the number of new physical activity classes offered to employees or the establishment of a new health benefit. ), Having a timeline and an example to follow, Attending monthly calls with the CDC program evaluation consultant, Organized and up-to-date electronic surveillance records, What major challenges did you face during this evaluation? Ideally, evaluation plans should be developed as part of the planning process and before beginning the intervention activities. School-level coordinators may also use the template to create process evaluation reports for their individual schools. You can review and change the way we collect information below. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. It lays out each step of program evaluation and things to consider as you plan and conduct your evaluation. Using this information, the TB program will design and implement a plan that addresses these factors. Centers for Disease Control and Prevention. Helps project teams and task managers critically assess the public health surveillance system (or systems) currently operating in a given country, and have some idea of ways to improve these systems. What public health system factors do clinic administrative and management staff express as affecting whether patients succeed or fail to complete LTBI treatment, and what possible solutions to barriers are proposed? along with the. Blue italicized text enclosed in square brackets ([text]) provides instructions to the document author, or describes the intent, assumptions and context for content included in this document. Evaluation Purpose CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Identify the goals and targets of your evaluation, and include them in your evaluation plan. Examples of CDC toolkits, which are a collection of information, resources, tools, and advice for a specific subject area or activity. Each template includes content commonly used in such a document, boilerplate text, and instructions to the author to assist them in completing and adapting the template for use on their project. (Please update as necessary when submitting annual report.). MMWR 1999;48 (No. These skills can facilitate adopting healthy behaviors in the short-term and lead to changes in physical, mental, and/or emotional health in the long-term. Identify facilitators, barriers, and potential solutions to barriers expressed by patients in complying with LTBI treatment during October 1, 2020May 1, 2021. Suite of publicly available free software programs for collecting and processing cancer registry data. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. You will be subject to the destination website's privacy policy when you follow the link. Print. Program evaluation should ideally reflect the National Tuberculosis Indicator Project (NTIP). The framework guides professionals through a series of steps that are intended to ensure their program evaluations meet these standards and are most likely to yield results that will be used for program improvement. Homeland Security Exercise and Evaluation Program (HSEEP) After Action Report/Improvement Plan [Full Exercise Name] (AAR/IP) [Exercise Name Continued] H. ANDLING . Figure 1. A program may have merit but be judged as not worth the cost, perhaps because it is driving an outcome that is not very important to key decision makers. You will be subject to the destination website's privacy policy when you follow the link. 2. CDC twenty four seven. Thank you for your interest in the National Diabetes Prevention Program's Diabetes Prevention Recognition Program (DPRP). Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. You can review and change the way we collect information below. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Throughout, there are references to additional resources or tools that are These cookies may also be used for advertising purposes by these third parties. CHANGE can be used to gain a picture of the policy, systems, and environmental change strategies currently in place throughout the community; develop a community action plan for improving policies, systems, and the environment to support healthy lifestyles; and assist with prioritizing community needs and allocating available resources. CDPH, Office of Oral Health 2 . This page has been moved, please go to https://dprpdataportal.cdc.gov for the new upload page. While almost all patients with LTBI begin treatment, a third do not complete treatment. The definition and approach to program evaluation described here are based on the Centers for Disease Control and Prevention (CDC) Framework for Program Evaluation in Public Health.1. ), What is the larger environment of the program? [A text description of this chart is also available.]. address misconceptions regarding the purposes and methods of program evaluation. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. So here's what you need to remember when you create your evaluation plan: Have a positive attitude, before anything else. Some outcomes may be measured only early or late in the program, while others may be measured several times, as long as the program is active. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Some subset of the process or outcomes measures may need to be collected from the very start of the intervention as baseline measures. Download Evaluation Plan Template OR download a Blank Evaluation Plan Template Get Started with EvaluACTION It is a practical, nonprescriptive tool, designed to summarize and organize essential elements of program evaluation. Sub-Activity: There are sub-activities included throughout OD2A NOFO. Cookies used to make website functionality more relevant to you. General guideline for collecting information by using a standardized assessment of housing units in the area and the population affected by a disaster. Fill out one evaluation plan per health condition. All information these cookies collect is aggregated and therefore anonymous. Understanding and applying the elements of this framework can be a driving force for planning effective public health strategies, improving existing programs, and demonstrating the results of resource investments. Besides producing practical, useful evaluation designs, the framework encourages an approach aimed to integrate evaluation with program planning and routine program operations. Individual Evaluation Plan Outline {State Program Name} Individual Evaluation Plan {Name of evaluation candidate} Prepared by: {Names} {Affiliation} {Date} 1.Introduction This section provides information about the purpose of the evaluation, and what stakeholders are--or need to be--involved in the evaluation. worksheet and . In the frameworks early steps, it is important to define the program in sufficient detail so that those conducting the evaluation can engage key stakeholders, identify their preferences and needs, and use that information to decide which parts of the program must be evaluated to determine if the activity is worth continuing or improving. The cost savings of providing a workplace health program can be measured against: Absenteeism among employees due to illness or injury, Reduced overtime to cover absent employees, An investment in employee health may lower health care costs, insurance claims, or workers compensation costs, A workplace health program has the potential to both keep healthy employees in a low-risk category by promoting health maintenance, and to target unhealthy employees in higher-risk categories, therefore lowering overall health insurance costs, Potential evaluation measures for health care costs following an, Changes in the number and type of health insurance claims over time (e.g., hospitalizations, outpatient visits, or pharmacy claims), Changes in health care utilization (e.g., use of preventive health services such as cancer screening), Quality of care indicators (e.g., percent of employees with high blood pressure that is being controlled through medication), Changes in direct medical costs due to illness or injury, Participation in health promotion activities through a workplace health program allows individuals to develop knowledge, self-management and coping skills as well as build a social support network among coworkers, supervisors, and family. Data Collection Methods for Program Evaluation: Focus Groups [PDF - 180 KB] Effective program evaluation is a systematic way to improve and account for public health actions by involving procedures that are useful, feasible, ethical, and accurate. Click on the drop-down arrow ( > ) to expand the list of documents for the topic areas under the following tools and templates: Examples of program templates for data sharing agreements. Cookies used to make website functionality more relevant to you. ), Not enough time was allotted for the records review and abstraction, Many variables were missing from the records. Short- and intermediate term measures, by contrast, relate to the intermediate steps and drivers necessary to achieve the long-term outcomes, such as individual employee reductions in healthy lifestyle risks such as tobacco use, or process changes such as implementing a new health-related policy or benefit at the organizational level that supports lifestyle changes. Customize the template with unique fillable fields. Value consists of three dimensions: merit (was the program a quality program), worth (cost-effectiveness, did the benefits exceed the costs), and significance (did it accomplish something important). CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Identifying Evaluation Purpose and Questions. CDC Approach to Evaluation A Framework for Program Evaluation Effective program evaluation is a systematic way to improve and account for public health actions by involving procedures that are useful, feasible, ethical, and accurate. Centers for Disease Control . They help us to know which pages are the most and least popular and see how visitors move around the site. Staff involved in clinic administration or management will participate in a structured meeting to discuss analyses and brainstorm about related health system factors affecting LTBI treatment completion and strategies for addressing those factors, Clinic administrative and management staff will discuss perceived facilitators, barriers, and potential solutions to barriers to LTBI treatment completion, At least four staff involved in clinic administration or management will participate in the structured meeting, Met 90% of patients asked about barriers and facilitators, Not met 70% of eligible staff interviewed instead of 90% because of staff turnover. They generally are displayed as short-, intermediate, or long-term. 3. These forms are not meant to replace normal patient triage and record keeping or routine surveillance reporting mechanisms. Each objective must have at least 1 Evaluation Question. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Process measures also can assess issues such as the costs of operating a program, the numbers of employees reached, the most successful program locations, or comparisons of the programs design and activities to others. Thats why the framework includes stakeholder engagement as the first stepto identify early on the different preferences and needs stakeholders will bring to assessing value and success of a program. information needed to develop the Evaluation Plan (the plan). All information these cookies collect is aggregated and therefore anonymous. All information these cookies collect is aggregated and therefore anonymous. . Framework for program evaluation in public health. Data Collection a. The template includes instructions to the author, boilerplate text, and fields that should be replaced with the values specific to the project. ), Is this a final report of a completed evaluation or an interim report of an ongoing evaluation? These cookies may also be used for advertising purposes by these third parties. a sub-set of program activities Evaluation Outcome(s) of Interest List the outcome(s) your evaluation will measure. A program may score well on all these dimensions or just some. CDC UP templates are provided as guidance to be used in the absence of something more sophisticated already available to the project team. Rules are created in an executable form using the EditWriter program, and are expressed in the EDITS language and embedded in a binary file object known as an NPCREDITS metafile. An evaluation plan template is a mandatory part of a project management system, which sufficiently provides details regarding how a process of evaluation is developed and executed. At CDC, program is defined broadly to include policies; interventions . It covers 14 general areas of environmental health, ranging from basic food safety and water quality to pet wellness, and allows for the documentation of immediate needs in shelters. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Centers for Disease Control and Prevention. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Refer to the Project's Contingency Plan, Risk Management Plan and the Risk Management Process for additional guidance. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Centers for Disease Control and Prevention Framework for Program Evaluation in Public Health, 6 1999. 1.0 <Author name> <mm/dd/yy> <name> <mm/dd/yy> Test Plan draft UP Template Version: 12/31/07 Note to the Author [This document is a template of a Test Plan document for a project. Medicaid and public health officials implementing CDC's 6|18 Initiative prevention activities can use this evaluation plan template to track and monitor progress and outcomes of intervention implementation activities. These cookies may also be used for advertising purposes by these third parties. Evaluation Plan Template {State Program Name} Evaluation Plan for {Years covered} Prepared by: {Names} {Affiliation} {Date} Use this template for writing your evaluation plan. (e.g., Quality implementation of activities?, Achieving outcomes?, Which outcomes?). Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Blue italicized text enclosed in square brackets ([text]) provides instructions to the document author, or describes the intent, assumptions and context for content included in this document. To make a decision on program continuation? Evaluation Plan Template: Introduction . 90% of health care staff identify and record facilitators, barriers, and potential solutions to barriers to patient adherence with LTBI treatment, Health care staff conducting examinations, administering medication, or overseeing directly observed treatment (DOT) or electronic DOT (eDOT) to LTBI patients November 1, 2020May 1, 2021, Each health care staff member will complete a questionnaire regarding facilitators, barriers, and possible solutions to barriers during November 1, 2020May 1, 2021, 90% of health care staff will identify and record facilitators and barriers to providing treatment. Centers for Disease Control and Prevention. Data Collection Methods. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. At next staff meeting, instruct nursing staff to maintain contact sheet for DOT patients and to call them if they are 30 minutes late. %PDF-1.5 % Below are links to tools and templates developed by specific surveillance programs that may be adapted for use by other programs. The text includes end-of-chapter review questions and a summary checklist, and is complemented by the downloadable monitoring and evaluation framework template. A series of questions are part of these tasks: Evaluate both outputs and outcomes over time. Framework for program evaluation in public health. Step-by-step instructions to follow for successfully completing the CHANGE tool. Submit questions, feedback, or resources for consideration to SurveillancePractice@cdc.gov. plan 17 july 2018 out or in, evaluation plan template the evaluation plan template identifies the key components of an evaluation plan and provides guidance about the information typically included in each section of a plan for evaluating both the effectiveness and implementation of an intervention evaluators can use this tool to help What kinds of evidence on performance are most credible to key decision makers in making judgements about how the program has performed? 1 0 obj<> endobj 2 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 3 0 obj<>stream It should enable an evaluation team to examine the various tasks required to support telling the story revealed by the evaluation. You can review and change the way we collect information below. R:mEQ2:qdMb$UoQdPK>e.[* 2 p4pE^eZ)f{.u. The framework is summarized in the figure below. Process measures examine all the steps and activities taken in implementing a program and the outputs they generate, such as the number and type of educational materials for a stress management class that are developed and given to employees. Identify public health system factors that might be related to patients succeeding or failing to comply with LTBI treatment and possible solutions to barriers during October 1, 2020May 1, 2021. Ideally, evaluation planning has been integrated with implementation planning, and it is a simple task to identify the main processes (e.g., activities or outputs) employed by the program as well as the intended short-term and long-term outcomes (which may be stated in the implementation plan as program objectives or goals) for the planned programs. (e.g., To help improve program effectiveness in the next round? 1. By involving diverse program stakeholders such as business leaders, managers, and employees, not just evaluation experts, the evaluation design can be a driving force for planning health strategies, improving existing programs, and demonstrating the results of resource investments. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The purpose of an evaluation action plan is to assist you in identifying specific evaluation strategies for assessing how well your messages, materials, and activities were implemented and received by the target audiences. Currently, data are collected monthly in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. Long Term Goal: Meet the 2025 National Performance Target (93%) of patients with newly diagnosed TB disease who complete treatment within 12 months among those who are eligible to complete treatment within 12 months. What are patient characteristics among those succeeding or failing to comply with LTBI treatment? Find the Clinical Evaluation Plan Template you require. Both . Objectives should be Specific, Measurable, Achievable, Realistic, and Time-bound (SMART). Saving Lives, Protecting People, Pregnancy Risk Assessment Monitoring System (PRAMS) Researcher Data Sharing Agreement, Evaluation Checklist for State Birth Defects Surveillance, State Birth Defects Program Cooperative Agreements Conceptual Logic Model, State Birth Defects Program Evaluation Plan Template, State Program Evaluation Guides: Fundamentals of Evaluating Partnerships, National Health and Nutrition Examination Survey (NHANES), The Behavioral Risk Factor Surveillance System (BRFSS) (Scroll to Questionnaires), The Youth Risk Behavior Surveillance System (YRBSS) Questionnaires, National Program of Cancer Registries (NPCR): EDITSTools for Writing Portable Edits, NIOSH Industry and Occupation Computerized Coding System (NIOCCS), Public Health Assessment and Surveillance after a Disaster Mortality and morbidity surveillance forms, Pesticide-related Illness and Injury Surveillance, Community Health Assessment aNd Group Evaluation (CHANGE): Action Guide and Tool Downloads, Public Health Surveillance Toolkit: A guide for busy task managers, Community Assessment for Public Health Emergency Response (CASPER) Toolkit, Injury Surveillance Training Manual (Instructor Guide and Participant Guide), Division of Health Informatics and Surveillance, CDC Public Health Information Network (PHIN), U.S. Department of Health & Human Services. Just as assessment data are critical for evidenced-based program planning and implementation, so too is evaluation to prove that workplace health interventions have been effective and build the business case for continuing them. Step 3: Focus the Evaluation Design. The approach it presents is both theory and practice-led, and is designed to provide clear and practical advice in a participatory, logical, systematic, and integrated way. HWKs8W" [x'3|H@Kf>E[S.n4O7+Xpax#"v,vG[,_%( S,*+hbV5en0yd\Ttb~N,>87IFR 87`n>+rrS[x}6ga m8?&U!+dt!{W2;J/Hd(/?;w eXP1!JGGA3tP4|x`@x5^nk=PaWLw=~EI#hF-%I70Hb 6^YU,/'-^{9,apt9! CERC Rubric [PDF - 300K] CERC Message Template [PDF - 168K] First 48 Hours Checklist [PDF - 193K] CERC Assessment Tool [PDF - 376K] Please specify the NTIP indicator addressed by this evaluation. How will findings from the evaluation be used? Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. (If you did not meet your benchmark, explain why here. 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 Email CDC-INFO; New Hours of Operation 8am-8pm ET/Monday-Friday Closed . It includes six steps and four standards for effective program evaluation.
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