Transcript Document

Founded in 1995 by the National Association of
Community Health Centers, Community HealthCorps
is the largest health-focused, national AmeriCorps
program that promotes healthcare for America’s
underserved, while developing tomorrow’s healthcare
workforce.
The mission of Community HealthCorps is to improve
healthcare access and enhance workforce
development for community health centers through
national service programs.
The vision of Community HealthCorps is to become a
national service pipeline for careers in community
health centers that is improving access to necessary
primary and preventative care services for the
medically underserved.
An Introduction to
Performance Measurement for
Community HealthCorps Members
Program Year 2011-12
Agenda
•
•
•
•
•
•
Performance Measurement Defined
The Logic Model & Components
Our Philosophy & Assumptions
Our Performance Measures
Documenting Data
What Happens to Data
I Came to Serve Not Collect Data!
If it wasn’t
measured,
it didn’t
happen.
What is Performance Measurement?
OFFICIAL DEFINITION:
The process of regularly measuring the outputs
and outcomes produced that allows tracking of
amount of work done and the impact of work on
program beneficiaries.
WHAT THAT MEANS:
The process of regularly measuring what you get
done, how much, and the impact of what you did
on the people you are trying to help.
The AmeriCorps Logic Model
Needs &
Assets
Inputs
Activities
Program Planning
Outputs
Intermediate
Outcome
End
Outcome
Intended Results
The AmeriCorps Logic Model Nuts & Bolts:
Program Planning
Community
Needs/Assets
• Identified local
need to
address
• Identified local
assets
• $$, agencies,
people &
resiliency
Inputs
• Resources
used by the
program such
as financial,
people, and
organizations
Activities
• What the
program does
with the
resources to
address
community
needs & make
a difference
The AmeriCorps Logic Model Nuts & Bolts:
Intended Results
Outputs
• What got
done
• Counts # of
services
delivered,
work or
products
created
Intermediate
Outcome
• Changes that
fall short of
significant
benefit
• Satisfaction
• Knowledge
End Outcome
• Significant
change with
lasting
benefit in the
lives of people
• Healthy birth
The Mission of Community HealthCorps…
… is to improve health care access and enhance
workforce development through community
health center sponsored AmeriCorps including
VISTA (Volunteers in Service to America), and
related programs.
Our Philosophy: Social Determinants
of Health
“Social determinants of health are the circumstances in
which people are born, grow, live, work and age,
Most Responsible for
including the health system. These circumstances are
Health Inequities
shaped by the distribution of money, power and
resources…which are themselves influenced by policy • Access to services
• Access to resources (e.g.,
choices.” (World Health Organization)
grocery stores)
• Discrimination by social
grouping (e.g., race, gender,
or class)
• Employment
• Education
• Health insurance coverage
• Housing
• Socioeconomic status –
(e.g., income)
• Transportation
• Social / Environmental
stressors
Our Logic Model: Assumptions
• Community health centers will serve the needs of people very
well with adequate capacity.
• The Community Health Worker role is an example of a major
way members serve the needs of community and health
center organizations.
• Members positively impact an organizations’ capacity to serve
patients/clients.
• Member service housed in Enabling Services should be the
priority placement within health centers in adequately
address social determinants of health.
• People need assistance with adopting self-care practices, and
navigating health and social services.
Performance Measures by Type
Key AmeriCorps Service Activity Measured
(Our Performance Measures)
Delivery of Health Services
Health Education
Enroll new people in a health insurance,
health services, or health benefits program.
Provide language translation services.
Assist health centers in increasing
knowledge and helping to change unhealthy
lifestyles of recipients, focusing on topics
such as general wellness, preventive disease
management, or other goals to improve
overall health.
Reducing Childhood Obesity
Volunteer Generation
Encourage children/youth to participate
in physical activities that are designed
to target and reduce childhood obesity.
Recruit and coordinate new non-AmeriCorps
volunteers to participate in health center
activities, such as distributing health
promotion material around communities or
health fairs.
Delivery of Health Services
OUTPUT
New unduplicated clients enroll in health insurance,
health services, or health benefits programs.
AND/OR…
New clients receive language translation services.
INTERMEDIATE OUTPUT
New unduplicated individuals who are uninsured,
economically disadvantaged, medically underserved,
or living in rural areas will use preventive and primary
health care services and programs.
END OUTCOME
These economically disadvantaged individuals will
improve their health status and overall quality of life.
Delivery of Health Services:
Definition of Key Terms
• Uninsured: An individual who does not have insurance coverage.
• Economically disadvantaged individuals: Those who meet income eligibility
for Medicaid or SCHIP within the state they live.
• Medically underserved: An individual who lives in a medically underserved area
as defined by Health & Human Services (HHS).
• Healthcare services: Accessible, comprehensive, continuous, & coordinated care
to preserve health within the community.
• Preventative health care services: Any activity that is conducted with a goal of
preventing/detecting illness.
• Primary health care: The basis of health care and is defined as an individual’s
essential form of health care.
• Translation vs. Interpretation: Translation is the written conversion of one
language to another, and Interpretation is the spoken conversion of language to
another.
Delivery of Health Services:
How to Measure
Enrolling patients in health insurance
/ FQHC programs (output):
Count unduplicated new clients who
were newly enrolled in a health
insurance, health services, or health
benefits program as a result of
grantee activities. Count each client
only once.
Example: Enrolling an unduplicated
client in health insurance and then
enrolling that same client in a health
service would count as one client.
Included - records or data (application
and follow-up) on client enrollment
and health insurance status.
Clients receiving language translation
services (output):
Count unduplicated new clients who
receive the language translation services
(can be either written or verbal). If an
encounter involves more than one
person (e.g., family members), count
each individual separately.
Individuals utilize preventive / primary
health care services & programs
(intermediate outcome):
Count unduplicated new individuals who
actually use the preventive and primary
health care services and programs, as a
result of the grantee’s activities.
Delivery of Health Services: Tools
Examples of instruments (tools) that can be used to track
this information prior to entering it into OnCorps.
•Electronic enrollment logs
•Electronic interpretation logs
•Electronic translation logs
•Electronic medical records
•Practice management system
Health Education
OUTPUT
New unduplicated clients participate in health education programs.
STRATEGY:
Whether focused on the importance healthy oral health
habits or educated teens recovering from substance
abuse on the importance of fitness and nutrition,
members will assist health centers in increasing
knowledge and helping to change unhealthy lifestyles of
service recipients. Members will most often assist
certified health educator staff to deliver set curricula (or
design new curricula) to populations that are not
currently served in this capacity by existing resources.
KEY TERM: Health Education Programs:
An educational process where information is given to individuals about community health
status, health care needs, positive health behaviors and health care policy issues.
Health Education: How to Measure
New clients in health education
programs:
Count unduplicated new clients
who participate in the health
education program. If the health
education program has multiple
sessions, topics, etc., count the
client once. Do not count clients by
number of sessions. For example, if
a health education program meets
once a month for one year, and has
12 participants who complete, then
only report 12 (not 144).
(Photo: Community HealthCorps 2005 Health Fest)
Reducing Childhood Obesity
OUTPUT
Unduplicated children and youth participating in in-school or after school physical
education activities with the goal of reducing childhood obesity.
STRATEGY:
Members will engage children and
youth in physical activities as part of a
comprehensive set of health service
activities that, in concert are designed
to address childhood obesity. For
example, physical activity will be
combined with the provision of
healthier choice snacks and drinks, and
nutrition health education that includes
caregivers of participating children and
youth.
(Photo: East Boston Neighborhood Health Center End of Year Celebration)
Reducing Childhood Obesity:
How to Measure & Key Terms
Reducing childhood obesity:
Count of the number of unduplicated children
actively participating in the activities. Not just
the number enrolled or even the number
attending, but rather the number who engage
in the activities. Count each child only once.
KEY TERMS:
• Physical Education: An physical activity that is in
addition to any school or after-school provided
activities that aim to reduce obesity and to
maintain a healthier lifestyle.
Volunteer Generation
OUTPUT
Unduplicated non-AmeriCorps volunteers recruited & coordinated.
STRATEGY:
Members mobilize and support individuals in
one-time and ongoing needs such as arranging
transportation, facility improvements,
volunteer readers, organizing health fairs and
neighborhood distribution of health
promotion materials.
For example, members can assist with
recruiting patients or clients to serve on the
Board of Directors or other take on volunteer
roles.
(Photo: AmeriCorps Week 2008)
Volunteer Generation:
How to Measure
Recruiting & Coordinating Volunteers:
Count unduplicated new Non-AmeriCorps volunteers, which are
individuals who use their time and talent(s) to benefit or impact gaps
in community services under no formal obligation to do so and
without receiving external rewards such as monetary or insurance
benefits. Do not count volunteers by number of service activities. For
example, if a service activity occurs once a week for one month, and
has 10 volunteers who were engaged, then only report 10 (not 40).
Volunteer Generation: Special Populations
• Disadvantaged children & youth
• College students (must be enrolled in a
degree-seeking program)
• Baby boomers (those born between 1946 &
1964)
• Among all volunteers recruited, members
should keep track of whether the volunteer
was participating as “one-time” or “on-going”
OnCorps Service Reporting Tool(s) You Use
• Direct Service Report / Team Direct Service Report
• Member / Team Development Report
• Capacity Building Report
For more details of how to report within this system,
refer to the tutorials and guidance posted on the
OnCorps resources page.
What does the member need to know
when working with a patient/client?
The following three items are important when
reporting in OnCorps:
1. First time patients/
clients
2. Patients new to the
service activity itself
3. Ongoing patients among each service activity
Why do members need to collect these
numbers about patients/clients they serve?
1. First time patients/clients
– Nationally we look at how many unduplicated patients the
program serves each year
2. Patients new to the service activity itself
– This will help determine the number of unduplicated
people across individual activities (which is what we pull
for the output performance measure numbers)
3. Ongoing patients among each service activity
– This helps determine the utilization and initial outcome
numbers among activities and performance measures
Great Stories & Reflection Logs
Stories Are Data Too!
• Share your great stories
• Highlight your service
experiences that you
think express the impact
that:
− You have on others
− The program has in the community
− The program has on you
The Anatomy of a Great Story
• Completely true
• Has a Beginning, Middle
and End (the peak)
• Be Descriptive! Create
pictures using words
Examples: Word Images
• Sight
“After the third time I helped Jason find help, he no longer
walked into the health center with slumped shoulders and
bewildered eyes.”
• Sound
“I could barely think with all the loud clamor of the
construction outside.”
• Sight, Smell and Sound Combined
“The neighborhood seemed like a place that once was, but the
sweet scent of flowers and laughter carried by the summer
wind gave me a sense of possibility, hope for this place, and the
people in it. So then I asked myself, ‘what can WE get done’.”
The Habit of Documenting Stories:
• Seize the Moment: The best time to write down your
thoughts is as they come to mind – not always
possible.
• Reflection Logs in OnCorps: Establish a routine of
recording each day. Editing can come later. These
logs could help build a Great Story.
• Ask for Help: Receiving constructive feedback
strengthens over time.
• Share your stories in OnCorps and at
www.communityhealthcorps.org.
OnCorps Story Reporting Tool(s) You Use
• Log in to OnCorps
• Under Reporting in the main header, there are
options to enter ‘Reflection Logs’ and ‘Great Stories’.
• Reflection Logs: These should act as a daily or
almost daily journal. Entries should be should
capture your most recent activities.
• Great Stories: These are all-encompassing stories
that should reflect your immense impact in the
program using the tips described earlier.
• Reflection Logs & Great Stories can be saved for later
edits.
Now what?
What happens to all the
information I collect?
• For monitoring the progress of all Community
HealthCorps programs
• For publicizing our successes – telling the story
• For responding to requests for information from
Congress and other stakeholders
• For identifying trends and issues that may lead to
opportunities for improving:
– peer learning;
– policy; and
– training and technical assistance.
Accuracy is the Key to Good Data
• Never Guess or Estimate
Focus on
hitting the
bull’s eye
instead.
Key Points about Information Tracking
for Reports
• Gather data in designated area as a daily routine
such as at the end of each day
• The program coordinator and the organization you
serve with are there as support
– So ask for help as needed.
• Most important for information to be accurate
• The longer you wait the more you will forget – the
detail gets lost - even the things we do or use often
(utilize the Reflection Logs to aide your Great Story).
• Point to remember:
– Data collection for measuring success is simply
“taking a closer look”
For further information about Community HealthCorps,
visit www.communityhealthcorps.org