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OCCTH564
Evaluation of Occupational Therapy Services
Question | Answer |
---|---|
What are the 4 parts of a logic model? | 1. components 2. objectives 3. Outputs 4. Outcomes |
What is a logic model? | A simplied diagram of an initiative or program used for planning and evaluating. |
What does a logic model show? | The connection and the sequence of events between resources, activities and outcomes |
What are components? | Main activities, or stages |
What are the Objectives? | What is expected to be done |
What are Outputs? | What is offered, evidence produced |
What are the outcomes? | Changes, Impact |
Are there draw backs to logic models? | Yes, they can be simplistic, inacurate, time consuming, loaded with vested interests and biased |
Why are evaluations performed? | Locate areas for improvement, judge value, generate knowledge |
What is evaluated to determine if results/effectiveness are being achieved? | Outcomes |
What kind of evaluation is improvement orientated? | Formative evaluation |
What kind of evaluation is worth/value orientated? | Summative evaluation |
An evaluation for the purpose of improvement? | Formative evaluation |
The extent which a program produces the desired outcome? | Effectiveness |
Compares the costs of a program to it's benifits/improvement | Efficiency |
What can be done to evaluate against 'best practice'? | An audit |
Reviewing against a certain quality standard for credentials? | Accreditation |
What is formative evaluation? | Continual, current assessment that aims at improvement and outputs and short term goals |
Focusing on the broud longterm outcomes, evaluation jugement of worth or merit? | Summative evaluation |
Are formative evaluations usually performed internally or externally, why? | Internally, because they care about improvement |
Are summative evaluations usually performed interally or externally, why? | Externally, because they are less biased about end product value |
Are outputs qualitative or quantitative in nature? | qantitative, how much, did we achieve |
Are outcomes qualitative or quantative? | Can be both |
What is the difference between efficiency and effectiveness? | Efficiency is same results, less resources Effectiveness is better results same resources |
What is Quality? | Sistinguishing attributes, degree of excellence |
What is accredidation? | comparing with a credentialled standard |
What is research? | Nature of best practice |
What is an audit? | Compare against best practice |
What is the difference between merit and worth? | merit is the ability to meet the needs of those it is directed towards Worth is the value to those outside the direcct use |
Does a logic model help formulate summative and formative questions? | Yes, measurement of each step can be performed. Measuring the outcomes is the whole point of developing a logic model |
Do objectives help formulate formative questions? | Yes, by measuring the outcomes or objectives it is possible to measure areas of change |
"To what extent does the university achieve it's stated outcomes" is this a formative or summative question? | Summative-just measuring outcomes not looking for improvement |
"Does the OT program train competent people?" is this a summative or formative question? | Summative, measuring a value not looking for improvement |
What part of a logic model is the begining of the model and the key ingredient? | The outcomes |
On finalizing outcomes, what 6 factors need to be considered? | Specific- are outcomes specific Achievable-Are they reasonable Realistic-Plausable Time-when will they be studied? Meaningful-Is the outcome important and culturally appropriate? What are the possible consequences |
When setting outcome TARGETS/SUMMATIVE GOALS what 3 things should be considered? | What is the baseline? How realistic is the target? Is there support for the action? |
What shows the connections and give a logic model it's power? | The linkages/logical connections |
What are the 6 ways of performing summative and formative evaluations? | After only, Retrospective (hind sight), Before and After, During, Time series, Case study. |
What are indicators of merit that define the characteristics of a successful program? | criteria |
A method of data collection, to improve cohesiveness through surveys and opinion reporting? | Delphi technique |
A design that describes rather than states cause? | Descriptive design |
The blue print for the evaluation? | Evaluation plan |
Used to determine causation,and explore validity? | Experimental design |
A graphical display of proportion and time for tasks and communicating evaluation plans? | Gantt chart |
An evaluation to determine worth and/or merit of the evaluation | Metaevaluation |
Researching specific areas of need | Needs assessment |
P.E.R.T | Program evaluation and Review Technique |
Researching to systematically investigate the effectiveness of what a program is doing and how well? | Programme evaluation |
A description of the critical aspects of a program and why is should work | Program theory |
Mechanism for monitoring quality as it approaches the outcome | Quality assurance |
The mechanisms for monitoring quality AT ALL STAGES | Quality control |
A systematic way of obtaining information or answering a question | Research |
Designated levels of performance to be deemed successful | Standards |
Cause and effect, explains the underlying logic | Theory |
A management approach for improving organizational efficiency by examining relationships | Total Quality Management |
An evaluation done for and with specific users | utilization-focused evaluation |
The quality that renders something/the degree something is desired? | Value |
What 5 factors go into a needs assessment? | Identification of needs, Factors contributing, set priorities, allocation of resources |
What are the 3 phases of a needs assessment? | Preassessment Exploration, Assessment Data Gathering, Postassessment Utilization |
What is the cyclical process of program envaluation? | Needs assessment->Priority and Plan->Program Eval |
What 6 dimensions of quality did Maxwell (1984) use to evaluate? | Outcomes (criteria) Audit Accreditation Indications Effectiveness Efficiency |
What are health indicators? | summary measures of population health |
In what is Donabedian famous for? | His structure, process, outcome quality assessment model "Good healthcare doesn't just happen, you plan for it" |
In a Donabedian model what are the three categories? | Structure-Resources Process-steps to achieve outcome Outcome-effectiveness at achieving change |
Booz Hamilton 1950's is famous for what? | Pert (Program Evaluation and Review Technique) Chart |
What does a Pert Chart do? | Identify the sequence of events and time spent in each |
What are the three overall intended uses/purposes of evaluation? | Facilitate improvements Make overall judgements Generate knowledge |
What type of evaluation is concerned with improving and providing feedback? | Formative evaluation |
What type of evaluation is concerned with quality, impact for acoountability and decision making? | Summative evaluation |
What are the Four Standards to evaluation? | Utility, Feasibility, Propiety, Accuracy |
What is utility? | It serves the need of the user |
What is propiety? | Conduct in a legal, ethical way |
What are the 5 types of economic evaluations? | Cost minimization Cost Consequence Cost Effectiveness Cost benifit Cost Utility |
What kind of economic evaluation look for the cheepest service? | Cost minimalization evaluation |
What kind of economic evaluation lists the value of services (looks at all the cost and outcomes)? | Cost consequence evaluation |
What economic evaluation examines services and compares the cost per unit of benifit? | Cost effectiveness evaluation |
What economic evaluation compares all the financial costs AND financial outcomes of programs? | Cost benifit evaluation |
What economic evaluation measures health quality or life expectancy? | Cost utility |
What is the purpost of a Donabedian model? | Quality via structure, processes, and outcome |
A PERT Chart can be used for what 3 purposes? | An audit, decision making or program evaluation |
What are the two types of activities in a PERT Chart? | Dependent (sequential), and Non-Dependent (non sequential) |
In a PERT chart steps (circles), lines and bold lines are what? | circles are Nodes Lines are Vectors Bold lines represent the critical path. |
Accreditation teams with use an audit to monitor progress? T, F | False. Internal audits are usually used to monitor quality. |
The overall quality of a service is what? | Effectiveness |
The overall quantity and speed of a service is called what? | Efficiency |
What is the purpose of the Preassessment exploration phase of a Needs assessment? | Identify major need areas or issues Determine what data will be collected and how Plan phase 2 & 3 |
What is the purpose of the Assessment data collection phase of a Needs Assessment? | Gather Data Determine the 3 levels of Need |
What are the three levels of need? | Level 1: Primary recievers of service Level 2: Secondary providers of service Level 3: Teriary resources maintainers |
What are the three information sources for a Needs Assessment? | Archival (records) Communication (surveys, interviews) Analytic- Swot, PEST, Forcefield analysis |
What is the purpose of the Postassessment utilization phase of a needs assessment? | Set priority of needs Creat action plan report |
The Fishbone Diagram's purpose is what? | List causes of problem and the effects they have for Total Quality Management |
What is the purpose of a force feild analysis? | Identify driving strengths and impediments restraints and identify their power. |
At what point do you START to have enough force for a postential for change according to a force feild analysis? | Zero |
What is the first step of a Program evaluation, and what is an example of doing this? | Engage stakeholders, Perform an needs assessment |
What is the second stage of performing an program evaluation, what are some examples? | Describe the program Mission statment, Maxwells 6 dimensions, Donabedian's SPO, PERT for timelines, Logic Model |
What is the third step to program evaluation and what are some examples? | Identify issues/problems Quality, Accredidation, Research, Audit, Evaluation, Need |
What is the Fourth step to program evaluation? | Recognize external pressures, (Financial, competition, legistaltion) |
What is the Fifth step to program evaluation? | State the internal purpose |
What is the sixth step to program evaluation? | Define the Questions-who is the user, intended use, improvement, judgment, knowledge |
What is the seventh step to program evaluation? | Clarify the domains/focus of the eval Formative, Summative, or both |
What is the eighth step to a program evaluation? | Select a theoretical approach eg. Logic Model, HE Model |
What is the 9th step to a program evaluation? | Design the evaluation- how going to collect data |
What is the 10th step to a program evaluation? | Collect data/evidence |
What is the 11th step to a program evaluation? | Make a conclusion, or perform a metaevaluation of the evaluation |
What is the 12th step to a program evaluation? | Present findings |
Wht is the 13th step to a program evaluation? | Follow up to ensure action and seek feedback |
At ALL stages of a program evaluation what should be kept in mind? | Utility, Feasability, Propriety, and Accuracy |
What is a SWOT analysis? | Strengths, Weaknesses, Opportunities, Threats |
What is a PEST analysis? | Political, Economic, Social, Technological |