The use of formative evaluation to assess integrated services for children. The Robert Wood Johnson Foundation Child Health Initiative.

Abstract:

:This article describes the use of formative evaluation in assessing the feasibility of implementing a new service integration effort. The Child Health Initiative, a nine-site, national demonstration project funded in 1991 by the Robert Wood Johnson Foundation, sought to implement systemic change through the creation of new mechanisms for spending service dollars more flexibly at the local site. The Child Health Initiative called for developing local child health-monitoring systems, a care coordination mechanism, and a program for decategorizing the myriad of restrictive categorical public programs serving children. Most demonstration communities experienced some degree of success in achieving the first two components, but none was able to implement decategorization during the 3- to 5-year funding period. Key lessons for evaluators include the need for (a) a flexible evaluation design that can sequentially adapt to changes in program implementation, (b) repeated longitudinal data collection measures to document changes over time, (c) avoidance of a premature focus on program outcomes, and (d) methods to establish attribution of outcomes.

journal_name

Eval Health Prof

authors

Brindis C,Hughes DC,Halfon N,Newacheck PW

doi

10.1177/016327879802100104

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

66-90

issue

1

eissn

0163-2787

issn

1552-3918

journal_volume

21

pub_type

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