FY13 Health Promotion/Disease Prevention Biannual Progress Report & Logic Model Evaluation



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State of Alaska / DHSS / Division of Senior & Disabilities Services


FY13 Health Promotion/Disease Prevention Biannual Progress Report & Logic Model Evaluation
Reports are due January 30 and July 30th.

Instructions


  • Check the box for Yes or No and then click on the shaded boxes to fill in the text.

Yes or No answers alone are insufficient.

  • Wherever possible, use a story to illustrate the achievement or other outcome.

  • Attach to email Marlyn.Carrillo@alaska.gov or fax to 907.465.3419

  • If you have any questions about any of the items in this report, contact Nancy Jamieson nancy.jamieson@alaska.gov


Period:  1st (7/1 -12/31)

 2nd (1/1 – 6/30)



Provider:       Grant # 607-13-      

Prepared by:       Phone:       Email:      

I hereby certify that I have reviewed this report and compared it against project records to assure that all data and information are correct.


_____________________________________

Authorized Signature Date:       Phone:      



(Authorized signature must be the supervisor of person preparing this report, executive director, or board president.)

1.  Briefly, summarize your overall health promotion program for the past sixth months. This may include activities not covered by grant funding but which contribute to the overall success of your HP program.


  •   Examples of items you might consider discussing are non funded complimentary activities, anything you’ve learned about providing HP/DP activities, new activities, challenges/barriers to providing services, collaborations, and how your different HP activities work together to increase customer wellbeing. Include your efforts to bring AOA priority audiences into your HP program. [Note: if something is already covered in your reporting on logic model findings, omit here. ]

     

2. Did the program have any unintended consequences (positive or negative)? Unintended consequences are results or outcomes that are not the outcomes intended by a purposeful planned action. Yes       No      



  • Describe something (positive and/or negative) that happened as a result of your program that you didn’t expect or plan.

     
3. Did the program meet or exceed expectations? Yes       No      

  • Briefly Describe how your service delivery is (or is not) progressing as expected, based on expectations established with or by DSDS; for example, Planned Services & Expenditures, costs, maintaining records that will allow for measuring indicators, timely and complete reporting, active participation in quarterly teleconference meetings, etc. Note: information about progress toward achieving planned outcomes will be covered in the logic model reporting section.

     
4. Did the Health Promotion activities you are providing demonstrate benefits to consumers? Yes       No      


  • List each activity and give one or more examples of how each activity or how a combination of HP activities is enhancing the independence and wellbeing of one or more of your consumers. (please tell about the specific consumer/s, don’t just describe benefits in general. )

     



  1. Did the program solicit consumer input on services? Yes       No      

  • List and describe any activities undertaken this period to collect and respond to feedback from consumers such as written satisfaction survey, ongoing solicitation of input e.g., suggestion box, advisory groups or other

methods.

     


  • If you have done a survey, please attach a copy and explain how the survey was done. If it was a mail-out, provide information about % of surveys returned.

     
Note: The findings of any input gathering efforts will be reported in logic model reporting. Also, discuss any actions you’ve taken in response to findings. If no action taken, please note and describe this.


  1. Did the program have a wait list for services at the end of this period due to lack of funding?

Yes       No      
Describe:      


  1. Was staff or volunteer training provided during this reporting period? Yes       No      

If so, please list the topics and indicate if this was for staff and/or volunteers.
  • If the training occurred more than once during the period, please list the number of times, e.g., 6 volunteers assisting with physical activity participant recruitment received 2 hour HIPAA training and one hour orientation to [one or more activities] and discussion how they can promote it.


  • If the training occurred in another community, please list the community and describe how the training was provided; for example, distance learning, staff traveling to site, etc.

     
8. Logic Model Evaluation: Refer to the logic model submitted with your grant application when completing this section of the report. If you change the content of your logic model during the course of the year, please submit and discuss your revisions to the HP/DP program coordinator prior to submitting this report. Depending upon the changes made, a revised planned services form may also be required.
In the ‘findings’ section, quantify your findings when possible. As requested in the RFP, do submit actual numbers to show findings, in addition to %’s; for example, x number new participants and the baseline [# of participants in previous activities.] This is because the numbers are often small and a % is difficult to interpret.

Discuss what you’ve learned from measuring the indicator or indicators for this outcome. Do report on successes as well as efforts that were not as successful: What led to the findings and any changes you would make to improve or strengthen what you are doing.



  • For the second annual report, report any increase and report on the participants who have sustained participation in the specific activity after the first reporting period.


EXAMPLES:

Outcome #1  Short-term Intermediate  Long-term

Indicator

Data Gathering Strategies


More older adult consumers are participating in physical activity programs.

Increase in consumers participating in Physical Activity programs

a. new AOA priority audience consumers participating who were not previously participating regularly in Center activities.

existing consumers

b. consumers who had been participating regularly in Center activities who are now participating in new or additional activities.

Review signup and participation records.

Note ‘new’ or ‘additional’ for names on initial sign-up sheet for a program.

Findings: Provide absolute numbers: the number of participants with goals/records and total number of participants – then %’s can also be reported.

Discuss the meaning of the findings: for example: what did you do that has achieved any increase among existing and new participants? or if there is no increase, what are you planning? etc. What have you learned about achieving this outcome?





Outcome #2 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

Participants in physical activity have set personal goals and are using personal tracking records to monitor progress

Absolute number and % of participants who have set personal goals


Absolute number and % of participants who have been assisted to track achievement during the past 6 months.



Review records kept re: personal plan creation and monitoring assistance.

Findings:

Provide absolute numbers: the number of participants with goals/records and total number of participants – then %’s can also be reported.

Discuss the meaning of the findings:

Describe what you’ve done, and your experience with helping participants to set personal goals and use personal tracking records.

For the second biannual report, report on any participant who’ve set goals/monitoring participants and the data re: those who have been assisted to continue working with their goals and records after the first reporting period. What have you learned about achieving this outcome?




Outcome #1 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

     

     

     


Findings:

     





Outcome #2 Short-term  Intermediate Long-term

Indicator


Data Gathering Strategies

     

     

     


Findings:      




Outcome #3 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

     

     

     


Findings:      




Outcome #4 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

     

     

     


Findings:      




Outcome #5 Short-term  Intermediate Long-term

Indicator


Data Gathering Strategies

     

     

     


Findings:      




Outcome #6 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

     

     

     


Findings:      




Outcome #7 Short-term  Intermediate Long-term

Indicator

Data Gathering Strategies

     

     

     


Findings:      



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