Framework for Program Evaluation in Public Health. FOREWORDHealth improvement is what public health professionals strive to achieve. To reach this goal, we must devote our skill - - and our will - - to evaluating the effects of public health actions. As the targets of public health actions have expanded beyond infectious diseases to include chronic diseases, violence, emerging pathogens, threats of bioterrorism, and the social contexts that influence health disparities, the task of evaluation has become more complex. CDC developed the framework for program evaluation to ensure that amidst the complex transition in public health, we will remain accountable and committed to achieving measurable health outcomes. By integrating the principles of this framework into all CDC program operations, we will stimulate innovation toward outcome improvement and be better positioned to detect program effects. More efficient and timely detection of these effects will enhance our ability to translate findings into practice. Guided by the steps and standards in the framework, our basic approach to program planning will also evolve. Findings from prevention research will lead to program plans that are clearer and more logical; stronger partnerships will allow collaborators to focus on achieving common goals; integrated information systems will support more systematic measurement; and lessons learned from evaluations will be used more effectively to guide changes in public health strategies. Publication of this framework also emphasizes CDC's continuing commitment to improving overall community health. Because categorical strategies cannot succeed in isolation, public health professionals working across program areas must collaborate in evaluating their combined influence on health in the community. Only then will we be able to realize and demonstrate the success of our vision - - healthy people in a healthy world through prevention. Jeffrey P. Koplan, M. D., M. P. H. Director, Centers for Disease Control and Prevention Administrator, Agency for Toxic Substances and Disease Registry. The following CDC staff members prepared this report: Robert L. Framework for Program Evaluation in Public Health. a basic organizational framework for program evaluation in. The framework for program evaluation.Milstein, M. P. H. Office of Program Planning and Evaluation. Office of the Director. Scott F. Wetterhall, M. D., M. P. H. Chair, CDC Evaluation Working Group. Office of Program Planning and Evaluation. Office of the Directorin collaboration with. Mental Health Counseling Evaluaton and Program Outcomes Created Date: 9/1/2015 11:46:52 AM. Program evaluation is. Framework for Program Evaluation in Public Health for more. as part of the evaluation so that the value of program efforts can be. Measuring Mental Health Outcomes. or results of former program evaluation efforts (if available). (For example, if your intended. Contra Costa County Health Services. Mental Health Division’s. Program Evaluation Framework * *. Another example of an indicator. . for all future decisions about its evaluation. For example, if a program is. III errors in health education program evaluation. and mental health. Mental health in Ontario. Program flow chart example. Ontario Centre of Excellence for Child and Youth Mental Health 2013 Program Evaluation Toolkit. CDC Evaluation Working Group Members. Gregory M. Christenson, Ph. D. Diane Dennis- Flagler. Division of Health Education and Promotion. Program Evaluation of VHA Mental Health Services. applicable in the present evaluation. 1 1 For example, NQF# 0008 (Experience of Care and Health Outcomes. Agency for Toxic Substances and Disease Registry. Jeffrey R. Harris, M. D. Donna L. Higgins, Ph. D. Kenneth A. Schachter, M. D., M. B. A. Division of Prevention Research and Analytic Methods. Nancy F. Pegg, M. B. A. Office of the Director. Epidemiology Program Office. Janet L. Collins, Ph. D., M. S. Division of Adolescent and School Health. Diane O. Dunet, M. P. A. Division of Cancer Prevention and Control. Aliki A. Pappas, M. P. H., M. S. W. Division of Oral Health. National Center for Chronic Disease Prevention and Health Promotion. Alison E. Kelly, M. P. I. A. Office of the Director. National Center for Environmental Health. Paul J. Placek, Ph. D. Office of Data Standards, Program Development, and Extramural Programs. National Center for Health Statistics. Michael Hennessy, Ph. D., M. P. H. Division of STD Prevention. Deborah L. Rugg, Ph. D. Division of HIV/AIDS Prevention - - Intervention, Research, and Support. National Center for HIV, STD, and TB Prevention. April J. Bell, M. P. H. Deborah A. Deppe, M. P. A. Martin I. Meltzer, Ph. D., M. S. Sarah D. Wiley, M. P. H. Office of the Director. National Center for Infectious Diseases. Thomas A. Bartenfeld, III, Ph. D. Office of the Director. National Center for Injury Prevention and Control. Roger H. Bernier, Ph. D., M. P. H. Office of the Director. National Immunization Program. Max R. Lum, Ed. D. Office of the Director. National Institute for Occupational Safety and Health. Galen E. Cole, Ph. D., M. P. H. Office of Communication. Kathy Cahill, M. P. H. Connie Carmack, M. P. H. Nancy E. Cheal, Ph. D. Office of Program Planning and Evaluation. Hope S. King, M. S. Anthony D. Moulton, Ph. D. Office of the Director. Eunice R. Rosner, Ed. D., M. S. Division of Laboratory System. Public Health Practice Program Office. William Kassler, M. D. New Hampshire Department of Health and Human Services. Concord, New Hampshire. Joyce J. Neal, Ph. D., M. P. H. Council of State and Territorial Epidemiologists. Atlanta, Georgia. Additional CDC Contributors. Office of the Director: Lynda S. Doll, Ph. D., M. A.; Charles W. Gollmar; Richard A. Goodman, M. D., M. P. H.; Wilma G. Johnson, M. S. P. H.; Marguerite Pappaioanou, D. V. M., Ph. D., M. P. V. M.; David J. Sencer, M. D., M. P. H. (Retired); Dixie E. Snider, M. D., M. P. H.; Marjorie A. Speers, Ph. D.; Lisa R. Tylor; and Kelly O’Brien Yehl, M. P. A. (Washington, D. C.). Agency for Toxic Substances and Disease Registry: Peter J. Mc. Cumiskey and Tim L. Tinker, Dr. P. H., M. P. H. Epidemiology Program Office: Jeanne L. Alongi, M. P. H. (Public Health Prevention Service); Peter A. Briss, M. D.; Andrew L. Dannenberg, M. D., M. P. H.; Daniel B. Fishbein, M. D.; Dennis F. Jarvis, M. P. H.; Mark L. Messonnier, Ph. D., M. S; Bradford A. Myers; Raul A. Romaguera, D. M. D., M. P. H.; Steven B. Thacker, M. D., M. Sc.; Benedict I. Truman, M. D., M. P. H.; Katherine R. Turner, M. P. H. (Public Health Prevention Service); Jennifer L. Wiley, M. H. S. E. Public Health Prevention Service); G. David Williamson, Ph. D.; and Stephanie Zaza, M. D., M. P. H. National Center for Chronic Disease Prevention and Health Promotion: Cynthia M. Jorgensen, Dr. P. H.; Marshall W. Kreuter, Ph. D., M. P. H.; R. Brick Lancaster, M. A.; Imani Ma’at, Ed. D., Ed. M., M. C. P.; Elizabeth Majestic, M. S., M. P. H.; David V. Mc. Queen, Sc. D., M. A.; Diane M. Narkunas, M. P. H.; Dearell R. Niemeyer, M. P. H.; and Lori B. Ravello, M. P. H. National Center for Environmental Health: Jami L. Fraze, M. S. Ed.; Joan L. Morrissey; William C. Parra, M. S.; Judith R. Qualters, Ph. D.; Michael J. Sage, M. P. H.; Joseph B. Smith; and Ronald R. Stoddard. National Center for Health Statistics: Marjorie S. Greenberg, M. A. and Jennfier H. Madans, Ph. D. National Center for HIV, STD, and TB Prevention: Huey- Tsyh Chen, Ph. D.; Janet C. Cleveland, M. S.; Holly J. Dixon; Janice P. Hiland, M. A.; Richard A. Jenkins, Ph. D.; Jill K. Leslie; Mark N. Lobato, M. D.; Kathleen M. Mac. Queen, Ph. D., M. P. H.; and Noreen L. Qualls, Dr. P. H., M. S. P. H. National Center for Injury Prevention and Control: Christine M. Branche, Ph. D.; Linda L. Dahlberg, Ph. D.; and David A. Sleet, Ph. D., M. A. National Immunization Program: Susan Y. Chu, Ph. D., M. S. P. H. and Lance E. Rodewald, M. D. National Institute for Occupational Safety and Health: Linda M. Goldenhar, Ph. D. Travis Kubale, M. S. W. Public Health Practice Program Office: Patricia Drehobl, M. P. H.; Michael T. Hatcher, M. P. H.; Cheryl L Scott, M. D., M. P. H.; Catherine B. Shoemaker, M. Ed.; Brian K. Siegmund, M. S. Ed., M. S.; and Pomeroy Sinnock, Ph. D. Consultants and Contributors. Suzanne R. Adair, Ph. D., M. A., Texas Department of Health, Austin, Texas; Mary Eden Avery, M. A., American Cancer Society, Atlanta, Georgia; Ronald Bialek, M. P. P., Public Health Foundation, Washington, D. C.; Leonard Bickman, Ph. D., Vanderbilt University, Nashville, Tennessee; Thomas J. Chapel, M. S., M. B. A., Macro International, Atlanta, Georgia; Don Compton, Ph. D., American Cancer Society, Atlanta, Georgia; Ross F. Conner, Ph. D., University of California Irvine, Irvine, California; David A. Cotton, Ph. D., M. P. H., Macro International, Atlanta, Georgia; Bruce Davidson, M. D., M. P. H., National Tuberculosis Controllers Association, Philadelphia, Pennsylvania; Mary V. Davis, Dr. P. H., Association of Teachers of Preventive Medicine, Washington, D. C.; William W. Dyal, De. Kalb County Board of Health, Decatur, Georgia; Stephen B. Fawcett, Ph. D., University of Kansas, Lawrence, Kansas; Jane Ford, National Association of City and County Health Officers, Lincoln, Nebraska; Nicholas Freudenberg, Dr. P. H., M. P. H., City University of New York, New York, New York; Jean Gearing, Ph. D., M. P. H., De. Kalb County Board of Health, Decatur, Georgia; Kristine Gebbe, Dr. P. H., Columbia University, New York, New York; David N. Gillmore, M. Ed., University of Texas School of Public Health, Houston, Texas; Rebecca M. Glover Kudon, M. S. P. H., American Cancer Society, Atlanta, Georgia; Lynne E. Greabell, M. A. A., National Association of State and Territorial AIDS Directors, Washington, D. C.; Susan R. Griffin, M. P. A., Independent Consultant, Austin, Texas; Sharon Lee Hammond, Ph. D., M. A., Westat, Inc., Atlanta, Georgia; Anne C. Haddix, Ph. D., Rollins School of Pubic Health, Atlanta, Georgia; Susan E. Hassig, Dr. P. H., Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Gary T. Henry, Ph. D., M. A., Georgia State University, Atlanta, Georgia; James C. Hersey, Ph. D., M. S., M. A., Research Triangle Institute, Research Triangle Park, North Carolina; Richard E. Hoffman, M. D., M. P. H., Council of State and Territorial Epidemiologists, Denver, Colorado; Robert C. Hornik, Ph. D., M. A., Annenberg School of Communication, Philadelphia, Pennsylvania; Eric Juzenas, American Public Health Association, Washington, D. C.; Mark R. Keegan, M. B. A., Association of State and Territorial Health Officers, Denver, Colorado; Jeffrey J. Koshel, M. A., Department of Health and Human Services, Washington, D. C.; Amy K. Lewis, M. P. H., North Carolina Department of Health and Human Services, Raleigh, North Carolina; Jennifer M. Lewis, M. Ed., Association of Schools of Public Health, Chapel Hill, North Carolina; Hardy D. Loe, Jr., M. D., M. P. H., University of Texas School of Public Health, Houston, Texas; Anna Marsh, Substance Abuse and Mental Health Service Administration, Washington, D. C.; Pamela Mathison, M. A., Texas Department of Health, Austin, Texas; Dennis Mc. Bride, Ph. D., University of Washington, Seattle, Washington; Kathleen R.
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