n nchn spring conference april 18, 2005 jill zabel, manager wipfli health care practice network...
DESCRIPTION
Why do networks form? Quality Initiatives Recruiting Spread Risk Education Referrals Professional growth Advocacy Share services Purchasing Technology access Managed Care contracting Grant accessTRANSCRIPT
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NCHN Spring ConferenceApril 18, 2005
Jill Zabel, ManagerWipfli Health Care Practice
Network Formation, Evolution & Evaluation
Objectives
• Network Life CycleStages & speed of development
• EvaluationA tool for sustainability
Why do networks form?
• Quality Initiatives
• Recruiting• Spread Risk• Education• Referrals• Professional
growth
• Advocacy• Share services• Purchasing• Technology
access• Managed Care
contracting• Grant access
Network Life Cycle
DEVELOPMENT
GROWTH
MATURATION
PERFORMANCE & PROCESS IMPROVEMENT
PLATEAU
STAGNATION & DECLINE
Network Development
• Why?Goal-drivenActivity-driven
• How? InformalFormal
• What?Solid Base Includes
Sustainability & Evaluation
DEVELOPMENT
Network Growth
• Added Objectives• Added Demand• Added Services• Added Members• Added Funding
GROWTH
Network Maturation• Getting There
StrategyMotivationEvaluation
• Staying ThereStrategyMotivationEvaluation
MATURATION
Network Stagnation & Decline
• Why?Shaky purposeWeak developmentChangeConstraintsRelationship
dynamics• Lack of support• Conflicting agendas• Poor communication• LeadershipSTAGNATION &
DECLINE
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
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)
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?
Evaluation Reveals Where You Are
DEVELOPMENT
GROWTH
MATURATION
PERFORMANCE & PROCESS IMPROVEMENT
PLATEAU
STAGNATION & DECLINE
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?
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…
Evaluation Approaches
• Goals-basedAre you meeting your overall objectives?
• Process-basedHow does your program really work?
Strengths? Weaknesses?• Outcomes-based
What are the benefits for members? Patients?
All or some approaches can be useful
Evaluation Methods
• Questionnaires, surveys• Interviews• Documentation review• Focus Groups• Case Studies
• Internal or External Evaluation
Network Sustainability
• Have a plan• Monitor and measure
• Balance between Margin and Mission
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
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?
“The advantage of not looking at a map is that you don’t have to admit you’re lost.”
Source: Rural Wisconsin Health Cooperative
Questions? Comments?
For more information about this topic, please contact:
Jill Zabel, ManagerWipfli Health Care Practice4000 Lexington Ave N, Suite 201St. Paul, Minnesota 55126
651.636.6468