HEP 456 Module 2 Evaluation Plan Draft: Section 6

HEP 456: Health Promotion Program Eval

Arizona State University

Dean Helitzer

20th October 2022

Section 6 Evaluation Draft.

Engaging The Stakeholders

The intervention plan which is aimed at helping diabetic individuals manage hypertension will incorporate a couple of stakeholders namely financiers and insurers, health professionals, the management at Gulfport Memorial Hospital, diabetic patients, and their caregivers. The engagement of stakeholders in healthcare is very important. By working together, they are able to weigh the merits of competing viewpoints and interests, improving both the quality of care and patient outcomes. Stakeholder involvement is, thus, a crucially vital duty in aiding CMS in its efforts to learn about future measurement requirements and to carry out its measurement operations openly.

Stakeholders, Their Roles and the Importance of Engagement

Program Financiers and Insurers

The program will be grant-funded. The American Kidney Association will be responsible for acquiring the grants for the project. These program financiers will provide the resources necessary for the execution of the project in terms of money to pay salaries to the staff and the procurement of resources e.g., hospital beds. Engaging the program financiers will improve accountability within the intervention program. Transparency as to how the plan intends to use the grants will improve the trust between the financiers and the executors of the plan. This will augment the chances of even receiving more grants and helping more individuals than intended.

Medicare is the main insurance program for diabetic patients. The program can cover everyone, individuals from any age group, undergoing dialysis. Again, the engagement of Medicare will improve transparency and trust. This will help in the timely disbursement of funds from Medicare to the program.

Health Professionals and Supporting Staff

These are the individuals who will be actively engaging the patients. The program will encompass a total of 15 staff members i.e., a charge nurse, 3 floor nurses, a patient advocate, 3 social workers, a dietician, 5 therapists, and a CHES. Each of these members needs to know their roles and also any contribution from these members is important as they are foot soldiers. The engagement of these individuals is important as they can help identify some probable errors in the intervention plan and suggest some remedies.

The Management at Gulfport Memorial Hospital

As previously stated, this intervention plan will be executed in Gulfport Memorial Hospital, Mississippi. New patients diagnosed with ESRD at Memorial hospital will be given top priority. Dialysis will take place on the left wing of the Gulfport Memorial hospital, the physical activities will take place on the rooftop, the therapy sessions will take place next to the psychiatric facilities, and the interactions and education will take place in the nurse’s cafeteria. This means that the hospital is directly involved and is part of the plan. Engaging the management at Gulfport Memorial Hospital is important in order to get the necessary clearance to execute the plan on their premises. The management needs to know that the plan is serious before letting us execute it.

Dialysis Patients

As previously stated, new dialysis patients at the Gulfport Memorial Hospital will be the top priority. The whole plan revolves around these patients. Involving the patient population via committees and focus groups may be a successful technique for gaining support, increasing program awareness, and improving program results.

Dialysis Patient’s Caregivers

These are the friends and family members of dialysis patients. Their support is very vital in patient recovery. They need to understand their roles and also their suggestions are very important and need to be incorporated in the plan. In primary care settings, patient and family engagement in decision-making has been linked to lower pain and suffering and quicker recovery. Patients, their families, and other caregivers provide firsthand information about the appropriateness — or lack thereof — of various therapies for the patient’s conditions and preferences. Input from both sources is required to choose the best care choice.

Evaluation Questions

Impact evaluations assess the effectiveness of a program in producing change while process evaluations help stakeholders see how a program outcome or impact was achieved.

Evaluation Questions for Process Evaluation

Process evaluation information is helpful for understanding how program impact and outcomes were accomplished, as well as for program replication (Hieu & Nwachukwu, 2019). Looking at outcomes without considering how they were obtained fails to account for the human capital (overworked employees) required in achieving strong outcomes as well as the genuine expenses of the program.

Process evaluation questions

a) Was the plan executed as expected? Why or Why Not?

b) What are the specific kind of interventions that was put into place? Have the interventions worked or not? If not why have they not worked?

c) Did all the planned activities go as planned? If not, why dis some activities not go as planned?

d) Was the target population reached as earlier planned?

e) Was the program able to maintain an active and diverse stakeholder community? If not, why did some stakeholders pull out of the plan before termination?

f) What types of issues did you experience when delivering the program – did you have adequate resources from the start to perform it well?

g) Was the program well-managed?

h) Were employees taught or educated to the appropriate degree of program design? Is there skill in enabling the program procedures from start to finish?

i) Was the program well-supported?

Evaluation Questions for Impact Evaluation

IMPACT EVALUATION

The most prevalent form of assessment sought by foundations is impact evaluation. Impact assessments analyze a program’s ability to impact change (Sadare et al., 2020). Impact assessments concentrate on the challenging issues of what happened to enrollees and how much of an impact the program made for them. Impact or outcome assessments are conducted when it is necessary to determine whether or not the goals of a project or program were accomplished.

Impact evaluation questions

a) Is the community around Gulfport Memorial Hospital happy regarding the project?

b) Has the project being able to meet the community’s needs?

c) What was the completion rates of the enrolled individuals? If not 100%, why were some individuals unable to complete the program?

d) Is there evidence that the wellbeing of dialysis patients involved in the program is improving?

e) Has the’ Living Well in Dialysis’ plan met its objectives? These objectives are stated below.

Program Goal: Prevent complications for patients on dialysis and promote long-term healthy habits for patients that have been admitted to Gulfport Memorial Hospital.

Process Objective Statement 1: By August 2023, 150 newly diagnosed ESRD patients will be set up for long-term success on dialysis at Memorial Hospital Gulfport.

Process Objective Statement 2: By July 2022, The Case Manager will distribute 2500 pamphlets on healthy lifestyle and long-term success to 150 newly diagnosed ESRD patients at Memorial Hospital Gulfport.

Impact Objective Statement 1: By August 2023, 150 newly diagnosed ESRD patients on dialysis will have completed 12 group counseling sessions at Memorial Hospital Gulfport.

Outcome Objectives Statement: Five years after the program implementation, patient success on dialysis at Memorial Hospital Gulfport will increase by 80%.

Additional Impact Objectives:

• At the end of the educational workshop, all 150 patients will be able to list three foods high in potassium and three foods low in potassium.

• After completing 12 months of group counseling sessions, 95% of the patients will be able to list four coping techniques verbally.

Evaluation Design and Measures

Months 1 Months 2-11 Months 12

Process Evaluation

Questions Was the target population reached as earlier planned?

Was the plan executed as expected? Why or Why Not?

What types of issues did you experience when delivering the program – did you have adequate resources from the start to perform it well?

Was the program well-supported?

Was the program well-managed?

Were employees taught or educated to the appropriate degree of program design? Is there skill in enabling the program procedures from start to finish?

Did all the planned activities go as planned? If not, why did some activities not go as planned?

What are the specific kind of interventions that was put into place? Have the interventions worked or not? If not why have they not worked?

Impact Evaluation

Questions Is the community around Gulfport Memorial Hospital happy regarding the project?

Has the’ Living Well in Dialysis’ plan met its objectives?

Is there evidence that the wellbeing of dialysis patients involved in the program is improving?

What were the completion rates of the enrolled individuals? If not 100%, why were some individuals unable to complete the program?

References

Hieu, V. M., & Nwachukwu, C. (2019). Strategy Evaluation Process And Strategic Performance Nexus.

Sadare, O., Williams, M., & Simon, L. (2020). Implementation of the Health Equity Impact Assessment (HEIA) tool in a local public health setting: challenges, facilitators, and impacts. Canadian Journal of Public Health, 111(2), 212-219.