nchn spring conference april 18, 2005 jill zabel, manager wipfli health care practice
DESCRIPTION
N. Network Formation, Evolution & Evaluation. NCHN Spring Conference April 18, 2005 Jill Zabel, Manager Wipfli Health Care Practice. Objectives. Network Life Cycle Stages & speed of development Evaluation A tool for sustainability. Quality Initiatives Recruiting Spread Risk - PowerPoint PPT PresentationTRANSCRIPT
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N
NCHN Spring ConferenceApril 18, 2005
Jill Zabel, ManagerWipfli Health Care Practice
Network Formation, Evolution & Evaluation
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Objectives
• Network Life CycleStages & speed of development
• EvaluationA tool for sustainability
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Why do networks form?
• Quality Initiatives
• Recruiting• Spread Risk• Education• Referrals• Professional
growth
• Advocacy• Share services• Purchasing• Technology
access• Managed Care
contracting• Grant access
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Network Life Cycle
DEVELOPMENT
GROWTH
MATURATION
PERFORMANCE & PROCESS IMPROVEMENT
PLATEAU
STAGNATION & DECLINE
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Network Development
• Why?Goal-drivenActivity-driven
• How? InformalFormal
• What?Solid Base Includes
Sustainability & Evaluation
DEVELOPMENT
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Network Growth
• Added Objectives• Added Demand• Added Services• Added Members• Added Funding
GROWTH
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Network Maturation
• Getting ThereStrategyMotivationEvaluation
• Staying ThereStrategyMotivationEvaluation
MATURATION
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Network Stagnation & Decline
• Why?Shaky purposeWeak developmentChangeConstraintsRelationship
dynamics• Lack of support• Conflicting agendas• Poor communication• LeadershipSTAGNATION &
DECLINE
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Network Stagnation and Failure
• Our observances & opinions Lack of focus and discipline in defining the
network’s “business” Fuzzy objectives Network members have different agendas or
strategies Services lack value or relevance Unequal levels of commitment, involvement,
benefit Poor communication, governance,
leadership, execution of strategies
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Avoiding Network Stagnation and Failure
• What the research* says Solid business plans Clear Missions and Goal
Statements Compelling need for network Balance between Mission and
Margin A strategic orientation allows
ability to deal with changing environment
* University of Minnesota Rural Health Research Center, Working Paper #31(Jan 2000), #55 (Nov 2004)
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Let’s Talk About Evaluation
• To improve
• To build organizational capacity
• To empower
• To demonstrate value
• To provide information for decisions about programs
Why Evaluate?
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Evaluation Reveals Where You Are
DEVELOPMENT
GROWTH
MATURATION
PERFORMANCE & PROCESS IMPROVEMENT
PLATEAU
STAGNATION & DECLINE
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Program Evaluation
• Is NOT about proving the success or failure of a program.
• Think about what you need to know to make program decisions
• What’s working and what is not?
• How well are you delivering value to stakeholders?
• What do your members, stakeholders, customers and funders need to know?
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Basic Evaluation
PROCESS OUTCOMESINPUTS
Resources
•Money
•Facilities
•Clients
•Staff
How the program is carried out. What do you do?
•Members share benefits
•Patients served
OUTPUTS
Units of measurement
•Number of members
•Number of people served
Impact of program
•Money saved
•Education
•Patients or members receiving services
There is no set recipe for evaluation…
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Evaluation Approaches
• Goals-basedAre you meeting your overall objectives?
• Process-basedHow does your program really work?
Strengths? Weaknesses?
• Outcomes-basedWhat are the benefits for members?
Patients?
All or some approaches can be useful
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Evaluation Methods
• Questionnaires, surveys
• Interviews
• Documentation review
• Focus Groups
• Case Studies
• Internal or External Evaluation
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Network Sustainability
• Have a plan• Monitor and measure
• Balance between Margin and Mission
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Critical Success Factors for Networks
• Strong sense of mutual ownershipCommon goals among
members
• Clear mission and objectives
• Equitable governance structure
• Adds ValueA clear “value
proposition”
• Strong and consistent communication within network
• Meeting needs not readily available from other sources
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Making the Connection
DEVELOPMENT
GROWTH
MATURATION
PERFORMANCE & PROCESS IMPROVEMENT
PLATEAU
STAGNATION & DECLINE
Where are you?
How do you know?
Where do you want to be?
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“The advantage of not looking at a map is that you don’t have to admit you’re lost.”
Source: Rural Wisconsin Health Cooperative
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Questions? Comments?
For more information about this topic, please contact:
Jill Zabel, Manager
Wipfli Health Care Practice
4000 Lexington Ave N, Suite 201
St. Paul, Minnesota 55126
651.636.6468