Logic Model for Evaluation

Activities

Increased use of PM/QI across the agency

Increased ability to meet national public health standards

Increased use of data for decision-making

Increased efficiency and improved effectiveness of PH agency services and programs

Readiness Efforts Implemented

• Prerequisites completed

• Gaps identified

• Plans for addressing deficiencies in place

Infrastructure and Capacity in Place

• PM offices staffed

• Staff trained and proficient in relevant competencies

• PM system developed and implemented

• Efforts to enhance QI culture in place

• Cross-jurisdictional support provided

Implement Projects to Improve Efficiency and Effectiveness

• Identify areas needing improvement

• Apply QI tools, techniques and approaches

• Document progress

Engage in Accreditation Readiness Activities

• Complete prerequisites

• Complete a self-assessment

• Address deficiencies related to national public health standards

Build Capacity and Infrastructure for Performance Management

• Hire Performance Improvement Manager (PIM)

• Establish and/or staff PM offices

• Participate in training

• Receive TA/CBA

• Develop and implement a performance management system

• Implement efforts to enhance QI culture

• Support cross-jurisdictional accreditation and PM efforts

QI Projects Implemented

• QI Tools used

• Measureable progress documented

NPHII funding and guidance

PIM Network

Project Officers

Capacity Building/technical assistance (CBA/TA) (APHA, ASTHO, CDC, NACCHO, NNPHI, PHF)

Performance Management (PM) & Quality Improvement (QI) Models & Tools

National Performance Standards

Grantee Agency PH Leadership

Grantee experience & expertise in PM/QI

State/local resources for PM/QI

Outputs

External Forces: Public Health (PH) agency priorities; PH agency prior experience with PM; PH agency leadership support and leadership change; local, state, national political and economic environment; healthcare reform; PHAB; PH system partners capacity and priorities; PH agency diversity in size, structure, and population served

Spread of 10 ES based standards, PM, and QI across PH agencies

Evaluation

Improved public health outcomes

Fully functional PH agencies that achieve optimal performance standards

PH agencies have a culture of quality

Increased performance management capacity

Long Term Outcomes

Intermediate Outcomes: Improved Quality

Short Term Outcomes: Improved Capacity

Inputs

Attachment F. Logic Model for NPHII Evaluation