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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 |