Getting to Impact: An Evaluation Framework for Performance Improvement

A performance improvement evaluation plan for Health Indicators need not be complicated. But, it must be built into the intervention at the outset.   The evaluation framework for performance improvement is organized around three sets of inter-related questions:  

Tracking and reviewing key things as the intervention is happening helps you manage the effectiveness of what you are doing.  


Process Measures look at what is happening with your intervention so that you can spot a problem and make any needed changes.   Some of the things you may want to know:


Progress Measures capture how things are going with your intervention.

Tracking your progress along the way helps identify any problems that need to be addressed before it is too late.


Impact Measures will document if the intervention has helped your clients. Understanding what has changed (improved) will require, in most instances, administering a set of specific questions before the intervention begins and after the intervention period has ended (pre and post intervention).  In some instances, the pre and post questions will come from the Health Indicators survey that was administered  to identify the risks to healthy aging. 

Depending on the intervention you are doing, questions from the survey about exercise (Q.30 and 31), blood pressure control (Q.49) or diabetes control (Q. 43) are good questions to administer post intervention.  How clients rate their health (Q.41) is generally a good measure to use pre and post with all clients.  

Whichever impact measures you use, be sure the impact measurement questions have been administered and recorded for each intervention client before he/she begins and after the intervention (or the set time period) has ended.  Without a before and after measurement for each client, you will not have the data you need to see if there has been an improvement.