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+ Using Logic Models as a
Framework to Link
Performance Measures
and Long-Term
Community Health
Outcomes in a
Performance
Management System
Tamara Maciel Bannan, MPH
March 19, 2015
QI On-TAP
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Main Points
1.
Introduce staff to using logic models and their key
components
2.
Guide staff in creating logic models for their programs
3.
Use the logic models to identify performance measures
4.
Illustrate the linkage between program performance
measures and community health indicators
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“If you don’t know where
you are going, how are
you gonna’ know when
you get there?”
Yogi Berra
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Juggling… and…
Designing for Excellence
Logic Model Introduction
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What is a logic model?
 A simplified picture of a program, initiative,
or intervention that displays the connections
between resources, activities and outcomes
 It serves as a framework and a process for
planning to bridge the gap between where
you are and where you want to be
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Why use a logic model?
 They could be required by funders and other
organizations
 Illustrate how programs are linked to
organizational strategic goals and objectives
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Guide Staff in Completing Program
Logic Models
 Draft logic models completed during the training
 Follow-up coaching sessions guide their completion
 Logic models will aid staff in identifying what they would
like to measure
 Staff will then determine whether or not the data are
available for the selected measures
 If data are not available, staff will determine the
feasibility of collecting it
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What are the basic components of a
logic model?
In its simplest form, a logic model looks like this:
Inputs
What is invested
Outputs
Outcomes
- Impact
What is done
Results
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An Expanded Logic Model
What is invested
Inputs
Program
Investments
What is done
Results
Outputs
Outcomes - Impact
Activities
Participation
Short
Term
Medium
Term
Long
Term
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+ Identifying Performance Measures
Using Logic Models
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Performance Based Measurement

Integrated department-wide system

Emphasis on measurement at program,
organization, and community levels

Data integration

IT solutions (e.g., dashboards)

Routine review of results to drive
decision-making
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Program Performance Measures Answer
these Questions

Who are our clients?

Which services do we provide to our clients?

What evidence-based strategies will lead to positive
change in our clients?

How can we measure if our clients are better off?

How can we measure if we are delivering services well?
Based on the Results Accountability Framework
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Measure Progress – Telling Your
Story of Excellence
Good measures tell you:

Are we on track

If desired milestones (outcomes) are being achieved

How close are we to our goal
The best measures are relatively easy to collect

Gathered from existing data sources when possible

Clearly defined to assure accuracy of information
over time and location
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Linking Program Performance
Measure to Community Health
Indicators

Logic models provide a picture for that aids
in identifying linkages
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Two types of measures
POPULATION HEALTH INDICATORS
(measures of population-level
health outcomes, behaviors,
And environments)
and
PERFORMANCE MEASURES
(measures of program
effort and output)
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Linking Measures and Indicators
Impact
Program Performance
Activities or Effort Measure 1
Measure 2
How much did we do?
How well did we do it?
Program
Output
Short‐term
Medium‐term
Long‐term
Measure 1
Outcome 1
Outcome 1
Outcome1
Measure 2
Outcome 2
Outcome 2
Outcome 2
How much change? What is the quality of the change? Internal
• Staff
(4.1FTE)
• Indirect
support
(Fiscal,
Leadership,
other
depts.)
Direct
Education
• # of classes
Direct
Education
• # of participants
• # of classes
each ppt.
completes
Increase
knowledge
and positive
attitude about
fruit and vegetable
consumption
by 20%
Performance
Measure:
% change
pre- and post
after 5 class
series
Increase the
number of
participants
purchasing
and
consuming
fresh F/V
Performance
Measure:
% of
participants
who report
purchasing &
eating more
fruits and
veggies
Increase the
number of
population
purchasing
and
consuming
fresh F/V
Performance
Measure:
% of
population
who report
purchasing &
eating more
fruits and
veggies
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Selection of Measures for PDSA QI
Projects
POPULATION INDICATORS
(measures of population-level
long-term health outcomes)
AND
PERFORMANCE MEASURES
(existing measures of program
effort and outputs)
QI Project Measures
-pull from existing PMs
- write new PMs
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Recap
Logic models are helpful in identifying program
measures that lead to organizational excellence.
They are used to tell the story of programs while linking
them to results.
We can use logic models to identify program
performance measures and their linkage to quality
improvement.
QI On-TAP
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Questions or Comments?
Tamara Maciel Bannan, MPH
Director, QI On-TAP
Tamara.Bannan @phi.org
Dawn Jacobson, MD, MPH
Director, QI On-TAP
[email protected]
QI On-TAP