A clear understanding of the problem and opportunity for improvement is essential to effectively lead planned change. This leads to the development of a clear and measurable outcome statement to describe the intended end result of the planned change initiative. Both of these elements are pivotal for effective planning change.
Additionally, it is essential that a valid plan for evaluation of the outcome is established early on in the planning process. A plan for evaluation is necessary to define how successful achievement of the outcome will be measured. An accurate and effective evaluation plan will specifically correspond to the aligning outcome statement and will describe how successful achievement of the outcome statement will be measured.
If a clear outcome statement has been determined, the evaluation plan will naturally flow from that statement. Here are a few examples which convey the alignment between the outcome statement and the evaluation plan:
Corresponding Evaluation Plan
20% increase in the number of patients receiving the flu vaccine at Mercy Clinic by 12/31/2020 (baseline = 160 patients accepting the vaccine)
Track the number of patients receiving the flu vaccine at Mercy Clinic and compare with baseline in order to validate an increase of 20% by 12/31/2020.
25% decrease in the number of patients readmitted with CHF within 30 days at Fairfield Hospital by the end of the second quarter, 6/30/2020 (baseline = 16 patients readmitted during the first quarter)
Monitor the number of patients readmitted with CHF within 30 days at Fairfield Hospital and compare with baseline in order to validate a decrease of 25% by the end of the second quarter (6/30/2020).
20% decrease in the number of teen pregnancies at Judson High School by 6/1/2020 (baseline = 15 pregnancies)
Calculate the number of pregnancies at Judson High School and compare with baseline to verify a 20% decrease by 6/1/2020.
Evaluation plans describe how the project outcome will be assessed and measured, and will include each of the following components:
Component of the Evaluation Plan
Outcome measure and current baseline for that measure
Outcome measure: Flu vaccine uptake among clinic patients
Baseline: 160 patients
Source of data
Electronic health records
Method of evaluating the outcome measure
Tracking and counting the number of people that receive the flu vaccine in the clinic
Indicator of success
192 patients (Increase of 20% by 12/31/2020 as noted above).
As you develop an evaluation plan to correspond with the outcome for your planned change project, be sure to ask yourself the following:
Once you have established a project outcome, or outcomes, it is essential that you develop a plan for evaluation of the outcomes. Review the Johns Hopkins Appendix B, number 10, located in the MSN Toolbox area of the course. Proceed with the following activities. Document your practicum-related activities on the Practicum Log:
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