Figure 2. Washington State Heart Disease and Stroke Prevention Program (WaHDSPP) Logic Evaluation Plan, 2005–2006. (WSC indicates Washington State Collaborative; CVD, cardiovascular disease; FHCQ, Foundation for Healthcare Quality; HBP, high blood pressure; BRFSS, Behavioral Risk Factor Surveillance System; HD, heart disease; PA, physical activity; and CHARS, Comprehensive Hospital Abstract Reporting System.) This figure contains a series of boxes arranged into eight columns, each of which contains a title box: 1) Activities, 2) Process Measures, 3) Short-Term Outcome, 4) Short-Term Outcome Measure, 5) Medium-Term Outcome, 6) Medium-Term Outcome Measure, 7) Long-Term Outcome, and 8) Long-Term Outcome Measure. Underneath these eight heading boxes is one long, rectangular box that stretches the length of the figure. The following text is contained in the long box: Washington State Collaborative: By June 29, 2006, enroll 20 clinical practice teams in the WSC 5, focused on secondary prevention of heart disease and stroke, and hold at least two Learning Sessions (supports short-term outcome, “Widespread adoption of planned care model�). Underneath the heading box of the first column, entitled “Activities,� are the following six bullet points: 1) focus group with current CVD clinic teams to learn how to better market WSC 5; 2) develop marketing plan to enroll clinical practice teams; 3) develop marketing plan to enroll clinical practice teams; 4) site visits to at least 10 potential CVD clinical teams to join WSC 5; 5) work with clinical practice teams to identify baseline performance on established measures; and 6) conduct two learning sessions. Underneath the heading box of the second column, entitled “Process Measures,� are six bullet points. The first bullet point says, “Target: Focus groups held. Measure: Written summary of focus group results.� The second bullet point says, “Target: Marketing plan. Measure: copy of marketing plan that is developed.� The third bullet point says, “Targets: Contract in place with FHCQ; scoring criteria are established, and grants are awarded and monitored by FHCQ. Measures: copy of contract; copy of scoring criteria, copy of grants awarded.� The fourth bullet point says, “Target: Completion of at least 10 site visits.� The fifth bullet point says, “Target: Clinics have baseline data on process/outcome measures. Measure: copy of baseline measures for each team.� The sixth bullet point says, “Target: at least 2 Learning Sessions held. Measure: copy of agenda for learning session.� The first two columns are connected to the third and fourth columns with a right-pointing bracket. Underneath the heading box of the third column, entitled “Short-Term Outcome,� is the following information: Widespread adoption of the Planned Care Model. Underneath the heading box of the third column, entitled “Short-Term Outcome Measure,� is the following information: Number of clinical team using the Planned Care Model with CVD patients. The third and fourth columns are connected to the fifth and sixth columns with a right-pointing bracket. Underneath the heading box of the fifth column, entitled “Medium-Term Outcome,� are five bullet points. The first bullet point says, “Improved quality of care for people with CVD.� The second bullet point says, “Better management of chronic conditions.� The third bullet point says, “Better self-management of chronic disease.� The fourth bullet point says, “Control CVD risk factors, HBP and high cholesterol.� The fifth bullet point says, “Improved lifestyle behaviors.� Underneath the heading box of the sixth column, entitled “Medium-Term Outcome Measure,� are five bullet points. The first bullet point says, “Health care provider survey: Prevalence of implementation of Planned Care Model.� The second bullet point says, “Health care provider survey: Implementation of guidelines.� The third bullet point says, “BRFSS: Medications and knowledge of HD and stroke symptoms.� The fourth bullet point says, “BRFSS: High blood cholesterol, High blood pressure questions.� The fifth bullet point says, “BRFSS: Nutrition and PA questions.� The fifth and sixth columns are connected to the seventh and eighth columns with a right-pointing bracket. Underneath the heading box of the seventh column, entitled “Long-Term Outcome,� are the following two bullet points: 1) Reduce health disparities between general and priority populations; and 2) Reduce deaths and disability due to heart disease and stroke. Underneath the heading box of the eighth column, entitled “Long-Term Outcome Measure,� are the following two bullet points: BRFSS, CHARS, and Vital Statistics data; and 2) CHARS and Vital Statistics datasets. |
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