Evaluation 2015: Exemplary Evaluations in a Multicultural World

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Advancing the implementation science of evaluating community systems change: Health equity evaluation case studies

Session Number: 2186
Track: Systems in Evaluation
Session Type: Multipaper
Session Chair: Lori Nascimento [The California Endowment]
Presenter 1: Sinead Younge [Community Science ]
Presenter 2: Margaret Hargreaves [Principal Associate at Community Science]
Presentation 1 Additional Author: Kien S Lee [Principal Associate & Vice President - Community Science]
Time: Nov 13, 2015 (05:30 PM - 06:15 PM)
Room: Skyway 272

Abstract 1 Title: Documenting, Understanding, and Learning From a Foundation’s Statewide Goals to Promote Health Equity
Presentation Abstract 1: In the past two years, the Connecticut Health Foundation (CHF) has focused on promoting equity in the state’s healthcare system by using a systems approach to ensure increased access and use of better quality health care. Community Science collaborated with the foundation’s leadership to develop a framework to evaluate the implementation and outcomes of CHF’s approach to health equity; identifying the drivers, capacities and contextual factors that contributed to CHF’s success, and understanding the role the foundation played in effecting policy and systems change. Data were collected from grantees, foundation staff, and community stakeholders and decision-makers to identify the foundation’s levels of influence on promoting equity in health policies and understand how grantees were advancing and supporting health equity through their work. The presentation will also review lessons learned about how to evaluate a statewide foundation’s goal to effect systems change to promote equity.
Abstract 2 Title: An Evaluation Case Study of a Health in all Policies Initiative: Lessons Learned from The California Endowment's Building Healthy Communities Initiative
Presentation Abstract 2: Through its Building Healthy Communities initiative, the California Endowment (TCE) used a Health in All Policies (HiaP) framework to work with local partners to develop a Health and Wellness Element for the Los Angeles General Plan, shepherd the plan through the planning commission’s approval process, and support its implementation. TCE’s external evaluation found that, in addition to moving the plan from design to adoption at the policy level the project also shifted individual-level shifting perceptions of local politicians; planners, advocates, and community members about of the value of a health equity approach; created systems-level co-benefits for the city and county departments to work together on the plan; revised organization-level programs, policies, and planning codes to align with the plan; and increased community engagement in the city planning process. This presentation shows how the evaluation used a five-level framework to better understand the multilevel drivers of the HiaP initiative’s successful implementation.
Audience Level: Intermediate

Session Abstract: 



Many Implementation Science (IS) theories and frameworks
have been developed to assess the quality of the dissemination and
implementation of evidence-based programs, policies, and practices. However,
virtually all IS frameworks omit systems- and policy-level factors that can have
a significant influence on the successful implementation, scale-up, and spread
of social innovations. In this session, we present case studies of two
evaluations of health equity initiatives that have bridged this gap by
assessing all five socioecological levels (individual, organization, community,
systems, and policy) of influence on health equity.  The first presentation provides an overview
of the Community Science evaluation of the Connecticut Health Foundation’s
health equity work to ensure equity in all health care policies.  The second presentation outlines the
evaluation framework used in the evaluation of The California Endowment’s
Building Health Communities’ Health in All Policies initiative to create a
Health and Wellness component for Los Angeles’ Comprehensive Plan.



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