Lessons Learned From a Multisite Evaluation of Geriatric and Extended Care Programs

2018 ◽  
Vol 20 (5) ◽  
pp. 778-784
Author(s):  
Omonyêlé L. Adjognon ◽  
Jennifer L. Sullivan ◽  
Ann Hendricks ◽  
Carol VanDeusen Lukas
Keyword(s):  
Program Implementation ◽  
Large Scale ◽  
Care Program ◽  
Lessons Learned ◽  
Health Programs ◽  
Key Factors ◽  
Public Health Programs ◽  
Extended Care ◽  
Complex Evaluation ◽  
Implementation Studies

With the increased use of multisite evaluation and implementation studies in health care, our team of evaluators reflects on our evaluation of a large-scale multiyear geriatric and extended care program implementation. We share lessons from conducting multiple rounds of data collection, analyses, and reporting. We also identify some key factors that can facilitate or hinder multisite evaluation efforts involving programs with different models of implementation. This article strives to improve the quality of large-scale evaluations of health programs implementation. Knowledge gained from this complex evaluation will inform public health programs funders, implementers, and key program staff to better plan for, engage in, and benefit from effective complex evaluations to promote health in diverse settings.

scholarly journals Lessons Learned in Creating Interoperable Fast Healthcare Interoperability Resources Profiles for Large-Scale Public Health Programs

2019 ◽  
Vol 10 (01) ◽  
pp. 087-095
Author(s):  
Susan Matney ◽  
Bret Heale ◽  
Steve Hasley ◽  
Emily Decker ◽  
Brittni Frederiksen ◽  
...  
Keyword(s):  
Family Planning ◽  
Large Scale ◽  
Health Service Delivery ◽  
Lessons Learned ◽  
Health Programs ◽  
Work Processes ◽  
Public Health Programs ◽  
Logical Models ◽  
The Family ◽  
Program Data

Objective This article describes lessons learned from the collaborative creation of logical models and standard Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) profiles for family planning and reproductive health. The National Health Service delivery program will use the FHIR profiles to improve federal reporting, program monitoring, and quality improvement efforts. Materials and Methods Organizational frameworks, work processes, and artifact testing to create FHIR profiles are described. Results Logical models and FHIR profiles for the Family Planning Annual Report 2.0 dataset have been created and validated. Discussion Using clinical element models and FHIR to meet the needs of a real-world use case has been accomplished but has also demonstrated the need for additional tooling, terminology services, and application sandbox development. Conclusion FHIR profiles may reduce the administrative burden for the reporting of federally mandated program data.

Teaching Graduate Students to Evaluate Public Health Programs Through Community-Based Learning

2019 ◽  
Vol 6 (2) ◽  
pp. 119-127
Author(s):  
Brenda M. Joly
Keyword(s):  
Public Health ◽  
Program Evaluation ◽  
Core Competency ◽  
Learning Opportunities ◽  
Lessons Learned ◽  
Health Programs ◽  
Community Based ◽  
Public Health Programs ◽  
Public Health Professionals ◽  
Community Based Learning

Public health professionals are increasingly called on to demonstrate program evaluation skills, a core competency for the field. Learning opportunities that are connected to community organizations with identified evaluation needs give students meaningful opportunities to build and test new skills. When thoughtfully implemented, community-based learning benefits both the student and the community, yet there are several important considerations for designing a course that incorporates this feature. This article describes one approach for teaching graduate public health students how to conceptualize and write a comprehensive program evaluation plan for a community agency, based on the needs, priorities, and capacity of that agency. Lessons learned and recommendations for adopting this model are discussed.

Promotion and Advocacy for Improved Complementary Feeding: Can We Apply the Lessons Learned from Breastfeeding?

2003 ◽  
Vol 24 (1) ◽  
pp. 29-44 ◽  
Author(s):  
Ellen G. Piwoz ◽  
Sandra L. Huffman ◽  
Victoria J. Quinn
Keyword(s):  
Large Scale ◽  
Complementary Feeding ◽  
Global Strategy ◽  
Lessons Learned ◽  
Policy Support ◽  
Successful Implementation ◽  
Key Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Although many successes have been achieved in promoting breastfeeding, this has not been the case for complementary feeding. Some successes in promoting complementary feeding at the community level have been documented, but few of these efforts have expanded to a larger scale and become sustained. To discover the reasons for this difference, the key factors for the successful promotion of breastfeeding on a large scale were examined and compared with the efforts made in complementary feeding. These factors include definition and rationale, policy support, funding, advocacy, private-sector involvement, availability and use of monitoring data, integration of research into action, and the existence of a well-articulated series of steps for successful implementation. The lessons learned from the promotion of breastfeeding should be applied to complementary feeding, and the new Global Strategy for Infant and Young Child Feeding provides an excellent first step in this process.

scholarly journals The influence of gender dynamics on polio eradication efforts at the community, workplace, and organizational level

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Anna Kalbarczyk ◽  
Aditi Rao ◽  
Adedamola Adebayo ◽  
Ellie Decker ◽  
Sue Gerber ◽  
...  
Keyword(s):  
Power Relations ◽  
Large Scale ◽  
Program Planning ◽  
Polio Eradication ◽  
Lessons Learned ◽  
Health Programs ◽  
Organizational Level ◽  
Front Line ◽  
Gender Power

Abstract Background Globally, gender as a barrier or facilitator in achieving health outcomes is increasingly being documented. However, the role of gender in health programming and organization is frequently ignored. The Global Polio Eradication Initiative, one of the largest globally coordinated public health programs in history, has faced and worked to address gender-based challenges as they emerge. This paper seeks to describe the role of gender power relations in the polio program across global, national, subnational, and front-line levels to offer lessons learned for global programs. Methods We conducted qualitative key-informant interviews with individuals purposively selected from the polio universe globally and within seven country partners: Afghanistan, Bangladesh, the Democratic Republic of the Congo, Ethiopia, India, Indonesia, and Nigeria. The interview tool was designed to explore nuances of implementation challenges, strategies, and consequences within polio eradication. All interviews were conducted in the local or official language, audio-recorded, and transcribed. We employed a deductive coding approach and used four gender analysis domains to explore data at the household, community, workplace, and organizational levels. Results We completed 196 interviews globally and within each partner country; 74.5% of respondents were male and 25.5% were female. Male polio workers were not allowed to enter many households in conservative communities which created demand for female vaccinators. This changed the dynamics of front-line program teams and workplaces and empowered many women to enter the workplace for the first time. However, some faced challenges with safety and balancing obligations at home. Women were less likely to receive promotions to managerial or supervisory roles; this was also reflected at the global level. Some described how this lack of diverse management and leadership negatively affected the quality of program planning, delivery and limited accountability. Conclusions Gender power relations play an important role in determining the success of global health programs from global to local levels. Without consideration of gender, large-scale programs may fail to meet targets and/or reinforce gender inequities. Global disease programs should incorporate a gender lens in planning and implementation by engaging men and boys, supporting women in the workplace, and increasing diversity and representation among leadership.

Screening for psychosocial problems

PEDIATRICS ◽  
1976 ◽  
Vol 58 (4) ◽  
pp. 471-472
Author(s):  
Barbara Korsch
Keyword(s):  
Health Care ◽  
Clinical Study ◽  
Large Scale ◽  
Care Delivery ◽  
Care Program ◽  
Psychosocial Problems ◽  
Health Programs ◽  
Complex Field ◽  
National Health Programs ◽  
Group Practices

The work on screening for psychosocial problems reported in this issue of Pediatrics1 is a careful, clinical study allowing valid inferences to be drawn. This is particularly welcome in a complex field in which most solo or group practices are in no position to organize this kind of venture and keep the appropriate records for analysis. Obviously, one of the fringe benefits of a prepaid medical care program is the possibility of large-scale clinical studies of health care delivery. Through the years, the work emanating from Kaiser, and specifically from this group, has born ample witness to this. Similarly, some of the prepaid national health programs in other countries have yielded data which would be difficult to obtain under any other system of health care.

scholarly journals Setting up the Scene: Lessons Learned from PISA 2018 Statistics and Other International Student Assessments

2020 ◽  
pp. 1-24
Author(s):  
Nuno Crato
Keyword(s):  
Large Scale ◽  
International Student ◽  
Outcomes Assessment ◽  
Student Assessment ◽  
Lessons Learned ◽  
Key Factors ◽  
International Assessments ◽  
Student Assessments ◽  
International Assessment

AbstractPISA 2018 was the largest large-scale international assessment to date. Its results confirm the improvements of some countries, the challenges other countries face, and the decline observed in a few others. This chapter reflects on the detailed analyses of ten countries policies, constraints, and evolutions. It highlights key factors, such as investment, curriculum, teaching, and student assessment. And it concludes by arguing that curriculum coherence, an emphasis on knowledge, student observable outcomes, assessment, and public transparency are key elements. These elements are crucial both for education success in general and for its reflection on PISA and other international assessments.

Barriers and Facilitators to Coordinating Care With High-Risk, High-Cost Disabled Medicaid Beneficiaries: Perspectives of Frontline Staff and Participating Clients

2016 ◽  
Vol 17 (1) ◽  
pp. 24-36
Author(s):  
Meg Cristofalo ◽  
Antoinette Krupski ◽  
Imara I. West ◽  
David C. Atkins ◽  
Jutta M. Joesch ◽  
...  
Keyword(s):  
High Risk ◽  
Program Implementation ◽  
Care Program ◽  
Lessons Learned ◽  
Transitions Of Care ◽  
Frontline Staff ◽  
Implementation Challenges ◽  
Health Clinics ◽  
Community Health Clinics ◽  
Medicaid Beneficiaries

This evaluation was designed to examine the perspectives of 15 frontline staff who implemented a managed care program and 154 high-risk, high-cost disabled Medicaid clients who were participants in the program. Results indicated that positive relationships between staff and clients played a key role in facilitating program implementation. Challenges included finding ways to provide a wide breadth of services including food, shelter, and transportation; handling difficulties following from staff turnover; and creating transitions of care for clients to community health clinics. Staff identified training in motivational interviewing and having both nurse care managers and social workers collaboratively deliver the intervention as among the most powerful components of the program. Staff and clients expressed high levels of satisfaction with the program, and clients believed they were experiencing positive impacts of the program. Lessons learned from this study may inform the design of services as the Affordable Care Act continues to unfold.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Risk Attitudes and Behavior Among Norwegian Adolescents

2005 ◽  
Vol 10 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Hilde Iversen ◽  
Torbjørn Rundmo ◽  
Hroar Klempe
Keyword(s):  
Public Health ◽  
Traffic Safety ◽  
Behavior Modification ◽  
Health Programs ◽  
Risk Attitudes ◽  
Community Based ◽  
Public Health Programs ◽  
The Core ◽  
And Behavior ◽  
Attitudes And Behavior

Abstract. The core aim of the present study is to compare the effects of a safety campaign and a behavior modification program on traffic safety. As is the case in community-based health promotion, the present study's approach of the attitude campaign was based on active participation of the group of recipients. One of the reasons why many attitude campaigns conducted previously have failed may be that they have been society-based public health programs. Both the interventions were carried out simultaneously among students aged 18-19 years in two Norwegian high schools (n = 342). At the first high school the intervention was behavior modification, at the second school a community-based attitude campaign was carried out. Baseline and posttest data on attitudes toward traffic safety and self-reported risk behavior were collected. The results showed that there was a significant total effect of the interventions although the effect depended on the type of intervention. There were significant differences in attitude and behavior only in the sample where the attitude campaign was carried out and no significant changes were found in the group of recipients of behavior modification.

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