Executive Solution Overview
Please Review. Please let me know if you have any questions. – 2 years ago **files (3)** – ## Evaluation_Plan_Template.pdf – ## EvaluationplanTaskandRubric.docx – ## EvaluationPlanTemplate.docx **## Evaluation_Plan_Template.pdf** Evaluation Plan – EXAMPLE Description of Problem Patients are not …
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Please Review. Please let me know if you have any questions.
– 2 years ago
**files (3)**
– ## Evaluation_Plan_Template.pdf
– ## EvaluationplanTaskandRubric.docx
– ## EvaluationPlanTemplate.docx
**## Evaluation_Plan_Template.pdf**
Evaluation Plan – EXAMPLE
Description of Problem
Patients are not receiving frequent enough follow-up for their “disease” care, resulting in an increase in urgent
readmission to the hospital.
Description of the Change/Intervention/Program
The intervention: Begin a telehealth nurse visit program for patients at my clinic who have a diagnosis of “x” or
are at risk for “X.”
Measures:
1. Write at least one outcome measure.
Outcome measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Decrease in the
number of
patients being
urgently
readmitted for
diagnosis “X”
What are the
other factors
contributing to
these patients
being readmitted?
The project lead will
collect the data from the
case management
department staff.
Quantitative There will be a 20%
decrease in urgent
readmissions
within 6 months of
program start.
2. Write three process measures.
Process measures Questions to
consider
How will data be
collected?
Who will collect the data?
Type of
analysis
Target
1. Determine
provider support
through either
electronic survey
or presentation
and Q&A at
provider staff
meeting.
Which method of
collecting this
information will
be most effective
given current
circumstances?
The project lead will be
responsible for collecting
the data from the
providers.
Survey –
quantitative
Provider support
will be obtained
within 60 days.
2. Determine
specific unit to
implement
program.
With the current
staff shortages, is
there another
way to fill this
need?
The project lead will
coordinate with the
administrative sponsor.
Quantitative Specific unit will be
determined within 3
months of
approval.
3. Educate staff on
the program and
their
responsibilities.
What is the best
method to
provide the
education?
Attendance at the training
session will be monitored
by the project lead.
Quantitative 100% staff will be
educated within 30
days of hire/start.
4. Write one balance measure.
Balance measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Patients may
decrease their
usual primary
care visits to
rely on this
telehealth
visit.
What are additional
ways to monitor for
this?
The telehealth staff
program will talk
with the patients
and ask if they are
attending their
appointments.
Quantitative No change in the
rate of patient
primary care
provider visits.
5. Write one impact measure.
Impact measure Questions to
consider
When and How to
collect the data and
from whom
Type of
Analysis
Target
1. The hospital will
have improved
financials due to
less lost revenue
from the
readmissions.
What other things
might be affecting
the financials
related to this
patient population
admissions?
The project lead will
collect the
information from
the finance director.
Quantitative There will be 10%
less lost revenue
from the
readmissions
within 9–12
months of project
launch.
Communication Plan: Answer each question; you may use bullet points.
1. Who are the stakeholders to whom you need to communicate the results?
a. Providers
b. Patients
c. Administrators
d. Telehealth program staff
2. What do you need to communicate to the stakeholders?
a. If the program is seeing good results, then:
i. The providers need to know if the program is improving the readmission rates and
patient outcomes.
ii. Patients need to know that participation in the program can help them improve their
outcome.
iii. Administrators also need to know how effective the program is as well as patient
satisfaction with the program.
iv. Telehealth staff need to know that the work they are doing is effective.
b. If the program needs changes, then all the providers and administrators need to be made
aware of this and what is needed to make further improvements. Staff need to know as well.
3. When do you need to communicate?
a. Updates should be communicated regularly based on stakeholder preference. Providers may
want a quarterly update, whereas administrators may want monthly. Staff may require weekly
updates to help with sustaining positive workflow behaviors and implementation. Patients may
be updated if there are changes that pertain to their care.
4. How will you communicate the results?
a. Results will be communicated via presentation at the leadership meeting. A written executive
summary will be provided to the providers, unless they request a presentation at one of their
meetings. Staff will have verbal communication during staff huddles/meetings and written
communication via email.
**## EvaluationplanTaskandRubric.docx**
Task/ Rubric
1. Review the lesson.
2. Review a
[faculty example of an evaluation plan that uses the template (PDF)Links to an external site.](https://courseapps.onlinenursing.baylor.edu/media/NUR6316/week9/Evaluation_Plan_Template.pdf).
3. Review the grading rubric at the bottom of this page.
4. Complete each portion of the evaluation plan.
a. Description of the problem—must be specific and must include the organization/healthcare entity problem
b. Description of the intervention—must be specific and must include where or which organization/healthcare entity this intervention will be implemented
c. Outcome measure section
d. Process measures section (note: you need three in this section)
e. Balance measure section
f. Impact measure section
g. Communication plan—answer all four questions and be specific.
5. If you have any questions, ask your faculty.
| | | |
| — | — | — |
| **Evaluation Plan Rubric** |
| **Criteria** | **Ratings** | **Pts** |
| **Description of problem** | **4 to >3 pts**<br>**Meets Criterion**<br>The problem is clearly stated with specified patient population and the specific problem within a specific organization.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The problem is not clearly stated, the patient population is too broad, and/or there is no identified specific problem within a specific organization. | **/ 4 pts** |
| **Description of intervention** | **4 to >3 pts**<br>**Meets Criterion**<br>The intervention is clearly stated and is appropriate for implementation at a specific organization/healthcare entity.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The intervention is not clearly stated or is not appropriate, or a specific organization or healthcare entity is not identified. | **/ 4 pts** |
| **One outcome measure** | **16 to >15 pts**<br>**Meets Criterion**<br>Writes one clear, appropriate, and measurable outcome measure. Target is specific and includes time frame.<br>**15 to >0 pts**<br>**Partially Meets Criterion**<br>The outcome measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 16 pts** |
| **Three process measures** | **18 to >17 pts**<br>**Meets Criterion**<br>Writes three clear, appropriate, and measurable process measures.<br>**17 to >0 pts**<br>**Partially Meets Criterion**<br>The process measures are not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 18 pts** |
| **One balance measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable balance measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The balance measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **One impact measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable impact measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The impact measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **Communication plan**<br>**view longer description** | **4 to >3 pts**<br>**Meets Criterion**<br>Provides specific details on the four communication plan questions.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>Provides general statements in response to the communication plan questions. | **/ 4 pts** |
| **Total Points: 0** |
**## EvaluationPlanTemplate.docx**
## Evaluation Plan Template
**_Description of Problem_**
**Description of the Change/Intervention/Program**
## Measures:
1. Write at one outcome measure.
| | | | | |
| — | — | — | — | — |
| Outcome measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
2. Write three process measures
| | | | | |
| — | — | — | — | — |
| Process measures | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
3.Write one balance measure .
| | | | | |
| — | — | — | — | — |
| Balance measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
4.Write one impact measure.
| | | | | |
| — | — | — | — | — |
| Impact measure | Questions to consider | When and How to collect the data and from whom | Type of Analysis | Target |
| | | | | |
| | | | | |
## Communication Plan: Answer each question; you may use bullet points.
1.
_Who are the Stakeholders with which you need to communicate the results?_
2.
_What do you need to communicate to the stakeholders?_
3.
_When do you need to communicate?_
4.
_How will you communicate the results?_
**## EvaluationPlanTemplate.docx**
## Evaluation Plan Template
**_Description of Problem_**
**Description of the Change/Intervention/Program**
## Measures:
1. Write at one outcome measure.
| | | | | |
| — | — | — | — | — |
| Outcome measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
2. Write three process measures
| | | | | |
| — | — | — | — | — |
| Process measures | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
3.Write one balance measure .
| | | | | |
| — | — | — | — | — |
| Balance measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
4.Write one impact measure.
| | | | | |
| — | — | — | — | — |
| Impact measure | Questions to consider | When and How to collect the data and from whom | Type of Analysis | Target |
| | | | | |
| | | | | |
## Communication Plan: Answer each question; you may use bullet points.
1.
_Who are the Stakeholders with which you need to communicate the results?_
2.
_What do you need to communicate to the stakeholders?_
3.
_When do you need to communicate?_
4.
_How will you communicate the results?_
**## Evaluation_Plan_Template.pdf**
Evaluation Plan – EXAMPLE
Description of Problem
Patients are not receiving frequent enough follow-up for their “disease” care, resulting in an increase in urgent
readmission to the hospital.
Description of the Change/Intervention/Program
The intervention: Begin a telehealth nurse visit program for patients at my clinic who have a diagnosis of “x” or
are at risk for “X.”
Measures:
1. Write at least one outcome measure.
Outcome measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Decrease in the
number of
patients being
urgently
readmitted for
diagnosis “X”
What are the
other factors
contributing to
these patients
being readmitted?
The project lead will
collect the data from the
case management
department staff.
Quantitative There will be a 20%
decrease in urgent
readmissions
within 6 months of
program start.
2. Write three process measures.
Process measures Questions to
consider
How will data be
collected?
Who will collect the data?
Type of
analysis
Target
1. Determine
provider support
through either
electronic survey
or presentation
and Q&A at
provider staff
meeting.
Which method of
collecting this
information will
be most effective
given current
circumstances?
The project lead will be
responsible for collecting
the data from the
providers.
Survey –
quantitative
Provider support
will be obtained
within 60 days.
2. Determine
specific unit to
implement
program.
With the current
staff shortages, is
there another
way to fill this
need?
The project lead will
coordinate with the
administrative sponsor.
Quantitative Specific unit will be
determined within 3
months of
approval.
3. Educate staff on
the program and
their
responsibilities.
What is the best
method to
provide the
education?
Attendance at the training
session will be monitored
by the project lead.
Quantitative 100% staff will be
educated within 30
days of hire/start.
4. Write one balance measure.
Balance measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Patients may
decrease their
usual primary
care visits to
rely on this
telehealth
visit.
What are additional
ways to monitor for
this?
The telehealth staff
program will talk
with the patients
and ask if they are
attending their
appointments.
Quantitative No change in the
rate of patient
primary care
provider visits.
5. Write one impact measure.
Impact measure Questions to
consider
When and How to
collect the data and
from whom
Type of
Analysis
Target
1. The hospital will
have improved
financials due to
less lost revenue
from the
readmissions.
What other things
might be affecting
the financials
related to this
patient population
admissions?
The project lead will
collect the
information from
the finance director.
Quantitative There will be 10%
less lost revenue
from the
readmissions
within 9–12
months of project
launch.
Communication Plan: Answer each question; you may use bullet points.
1. Who are the stakeholders to whom you need to communicate the results?
a. Providers
b. Patients
c. Administrators
d. Telehealth program staff
2. What do you need to communicate to the stakeholders?
a. If the program is seeing good results, then:
i. The providers need to know if the program is improving the readmission rates and
patient outcomes.
ii. Patients need to know that participation in the program can help them improve their
outcome.
iii. Administrators also need to know how effective the program is as well as patient
satisfaction with the program.
iv. Telehealth staff need to know that the work they are doing is effective.
b. If the program needs changes, then all the providers and administrators need to be made
aware of this and what is needed to make further improvements. Staff need to know as well.
3. When do you need to communicate?
a. Updates should be communicated regularly based on stakeholder preference. Providers may
want a quarterly update, whereas administrators may want monthly. Staff may require weekly
updates to help with sustaining positive workflow behaviors and implementation. Patients may
be updated if there are changes that pertain to their care.
4. How will you communicate the results?
a. Results will be communicated via presentation at the leadership meeting. A written executive
summary will be provided to the providers, unless they request a presentation at one of their
meetings. Staff will have verbal communication during staff huddles/meetings and written
communication via email.
**## EvaluationplanTaskandRubric.docx**
Task/ Rubric
1. Review the lesson.
2. Review a
[faculty example of an evaluation plan that uses the template (PDF)Links to an external site.](https://courseapps.onlinenursing.baylor.edu/media/NUR6316/week9/Evaluation_Plan_Template.pdf).
3. Review the grading rubric at the bottom of this page.
4. Complete each portion of the evaluation plan.
a. Description of the problem—must be specific and must include the organization/healthcare entity problem
b. Description of the intervention—must be specific and must include where or which organization/healthcare entity this intervention will be implemented
c. Outcome measure section
d. Process measures section (note: you need three in this section)
e. Balance measure section
f. Impact measure section
g. Communication plan—answer all four questions and be specific.
5. If you have any questions, ask your faculty.
| | | |
| — | — | — |
| **Evaluation Plan Rubric** |
| **Criteria** | **Ratings** | **Pts** |
| **Description of problem** | **4 to >3 pts**<br>**Meets Criterion**<br>The problem is clearly stated with specified patient population and the specific problem within a specific organization.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The problem is not clearly stated, the patient population is too broad, and/or there is no identified specific problem within a specific organization. | **/ 4 pts** |
| **Description of intervention** | **4 to >3 pts**<br>**Meets Criterion**<br>The intervention is clearly stated and is appropriate for implementation at a specific organization/healthcare entity.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The intervention is not clearly stated or is not appropriate, or a specific organization or healthcare entity is not identified. | **/ 4 pts** |
| **One outcome measure** | **16 to >15 pts**<br>**Meets Criterion**<br>Writes one clear, appropriate, and measurable outcome measure. Target is specific and includes time frame.<br>**15 to >0 pts**<br>**Partially Meets Criterion**<br>The outcome measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 16 pts** |
| **Three process measures** | **18 to >17 pts**<br>**Meets Criterion**<br>Writes three clear, appropriate, and measurable process measures.<br>**17 to >0 pts**<br>**Partially Meets Criterion**<br>The process measures are not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 18 pts** |
| **One balance measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable balance measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The balance measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **One impact measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable impact measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The impact measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **Communication plan**<br>**view longer description** | **4 to >3 pts**<br>**Meets Criterion**<br>Provides specific details on the four communication plan questions.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>Provides general statements in response to the communication plan questions. | **/ 4 pts** |
| **Total Points: 0** |
**## EvaluationPlanTemplate.docx**
## Evaluation Plan Template
**_Description of Problem_**
**Description of the Change/Intervention/Program**
## Measures:
1. Write at one outcome measure.
| | | | | |
| — | — | — | — | — |
| Outcome measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
2. Write three process measures
| | | | | |
| — | — | — | — | — |
| Process measures | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
3.Write one balance measure .
| | | | | |
| — | — | — | — | — |
| Balance measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
| | | | | |
| | | | | |
4.Write one impact measure.
| | | | | |
| — | — | — | — | — |
| Impact measure | Questions to consider | When and How to collect the data and from whom | Type of Analysis | Target |
| | | | | |
| | | | | |
## Communication Plan: Answer each question; you may use bullet points.
1.
_Who are the Stakeholders with which you need to communicate the results?_
2.
_What do you need to communicate to the stakeholders?_
3.
_When do you need to communicate?_
4.
_How will you communicate the results?_
**## Evaluation_Plan_Template.pdf**
Evaluation Plan – EXAMPLE
Description of Problem
Patients are not receiving frequent enough follow-up for their “disease” care, resulting in an increase in urgent
readmission to the hospital.
Description of the Change/Intervention/Program
The intervention: Begin a telehealth nurse visit program for patients at my clinic who have a diagnosis of “x” or
are at risk for “X.”
Measures:
1. Write at least one outcome measure.
Outcome measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Decrease in the
number of
patients being
urgently
readmitted for
diagnosis “X”
What are the
other factors
contributing to
these patients
being readmitted?
The project lead will
collect the data from the
case management
department staff.
Quantitative There will be a 20%
decrease in urgent
readmissions
within 6 months of
program start.
2. Write three process measures.
Process measures Questions to
consider
How will data be
collected?
Who will collect the data?
Type of
analysis
Target
1. Determine
provider support
through either
electronic survey
or presentation
and Q&A at
provider staff
meeting.
Which method of
collecting this
information will
be most effective
given current
circumstances?
The project lead will be
responsible for collecting
the data from the
providers.
Survey –
quantitative
Provider support
will be obtained
within 60 days.
2. Determine
specific unit to
implement
program.
With the current
staff shortages, is
there another
way to fill this
need?
The project lead will
coordinate with the
administrative sponsor.
Quantitative Specific unit will be
determined within 3
months of
approval.
3. Educate staff on
the program and
their
responsibilities.
What is the best
method to
provide the
education?
Attendance at the training
session will be monitored
by the project lead.
Quantitative 100% staff will be
educated within 30
days of hire/start.
4. Write one balance measure.
Balance measure Questions to
consider
How will data be
collected?
Who will collect the
data?
Type of
analysis
Target
1. Patients may
decrease their
usual primary
care visits to
rely on this
telehealth
visit.
What are additional
ways to monitor for
this?
The telehealth staff
program will talk
with the patients
and ask if they are
attending their
appointments.
Quantitative No change in the
rate of patient
primary care
provider visits.
5. Write one impact measure.
Impact measure Questions to
consider
When and How to
collect the data and
from whom
Type of
Analysis
Target
1. The hospital will
have improved
financials due to
less lost revenue
from the
readmissions.
What other things
might be affecting
the financials
related to this
patient population
admissions?
The project lead will
collect the
information from
the finance director.
Quantitative There will be 10%
less lost revenue
from the
readmissions
within 9–12
months of project
launch.
Communication Plan: Answer each question; you may use bullet points.
1. Who are the stakeholders to whom you need to communicate the results?
a. Providers
b. Patients
c. Administrators
d. Telehealth program staff
2. What do you need to communicate to the stakeholders?
a. If the program is seeing good results, then:
i. The providers need to know if the program is improving the readmission rates and
patient outcomes.
ii. Patients need to know that participation in the program can help them improve their
outcome.
iii. Administrators also need to know how effective the program is as well as patient
satisfaction with the program.
iv. Telehealth staff need to know that the work they are doing is effective.
b. If the program needs changes, then all the providers and administrators need to be made
aware of this and what is needed to make further improvements. Staff need to know as well.
3. When do you need to communicate?
a. Updates should be communicated regularly based on stakeholder preference. Providers may
want a quarterly update, whereas administrators may want monthly. Staff may require weekly
updates to help with sustaining positive workflow behaviors and implementation. Patients may
be updated if there are changes that pertain to their care.
4. How will you communicate the results?
a. Results will be communicated via presentation at the leadership meeting. A written executive
summary will be provided to the providers, unless they request a presentation at one of their
meetings. Staff will have verbal communication during staff huddles/meetings and written
communication via email.
**## EvaluationplanTaskandRubric.docx**
Task/ Rubric
1. Review the lesson.
2. Review a
[faculty example of an evaluation plan that uses the template (PDF)Links to an external site.](https://courseapps.onlinenursing.baylor.edu/media/NUR6316/week9/Evaluation_Plan_Template.pdf).
3. Review the grading rubric at the bottom of this page.
4. Complete each portion of the evaluation plan.
a. Description of the problem—must be specific and must include the organization/healthcare entity problem
b. Description of the intervention—must be specific and must include where or which organization/healthcare entity this intervention will be implemented
c. Outcome measure section
d. Process measures section (note: you need three in this section)
e. Balance measure section
f. Impact measure section
g. Communication plan—answer all four questions and be specific.
5. If you have any questions, ask your faculty.
| | | |
| — | — | — |
| **Evaluation Plan Rubric** |
| **Criteria** | **Ratings** | **Pts** |
| **Description of problem** | **4 to >3 pts**<br>**Meets Criterion**<br>The problem is clearly stated with specified patient population and the specific problem within a specific organization.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The problem is not clearly stated, the patient population is too broad, and/or there is no identified specific problem within a specific organization. | **/ 4 pts** |
| **Description of intervention** | **4 to >3 pts**<br>**Meets Criterion**<br>The intervention is clearly stated and is appropriate for implementation at a specific organization/healthcare entity.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>The intervention is not clearly stated or is not appropriate, or a specific organization or healthcare entity is not identified. | **/ 4 pts** |
| **One outcome measure** | **16 to >15 pts**<br>**Meets Criterion**<br>Writes one clear, appropriate, and measurable outcome measure. Target is specific and includes time frame.<br>**15 to >0 pts**<br>**Partially Meets Criterion**<br>The outcome measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 16 pts** |
| **Three process measures** | **18 to >17 pts**<br>**Meets Criterion**<br>Writes three clear, appropriate, and measurable process measures.<br>**17 to >0 pts**<br>**Partially Meets Criterion**<br>The process measures are not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 18 pts** |
| **One balance measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable balance measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The balance measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **One impact measure** | **8 to >7 pts**<br>**Meets Criterion**<br>Writes one clear and measurable impact measure.<br>**7 to >0 pts**<br>**Partially Meets Criterion**<br>The impact measure is not measurable, not appropriate, or not clear, or there is no time frame provided. | **/ 8 pts** |
| **Communication plan**<br>**view longer description** | **4 to >3 pts**<br>**Meets Criterion**<br>Provides specific details on the four communication plan questions.<br>**3 to >0 pts**<br>**Partially Meets Criterion**<br>Provides general statements in response to the communication plan questions. | **/ 4 pts** |
| **Total Points: 0** |
**## EvaluationPlanTemplate.docx**
## Evaluation Plan Template
**_Description of Problem_**
**Description of the Change/Intervention/Program**
## Measures:
1. Write at one outcome measure.
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| Outcome measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
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2. Write three process measures
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| — | — | — | — | — |
| Process measures | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
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3.Write one balance measure .
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| Balance measure | Questions to consider | How will data be collected? <br>Who will collect the data? | Type of Analysis | Target |
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4.Write one impact measure.
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| — | — | — | — | — |
| Impact measure | Questions to consider | When and How to collect the data and from whom | Type of Analysis | Target |
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## Communication Plan: Answer each question; you may use bullet points.
1.
_Who are the Stakeholders with which you need to communicate the results?_
2.
_What do you need to communicate to the stakeholders?_
3.
_When do you need to communicate?_
4.
_How will you communicate the results?_
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