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NCHN Spring Conference April 18, 2005 Jill Zabel, Manager Wipfli Health Care Practice

N. Network Formation, Evolution & Evaluation. NCHN Spring Conference April 18, 2005 Jill Zabel, Manager Wipfli Health Care Practice. Objectives. Network Life Cycle Stages & speed of development Evaluation A tool for sustainability. Quality Initiatives Recruiting Spread Risk

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NCHN Spring Conference April 18, 2005 Jill Zabel, Manager Wipfli Health Care Practice

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  1. N Network Formation, Evolution & Evaluation NCHN Spring Conference April 18, 2005 Jill Zabel, Manager Wipfli Health Care Practice

  2. Objectives • Network Life Cycle • Stages & speed of development • Evaluation • A tool for sustainability

  3. Quality Initiatives Recruiting Spread Risk Education Referrals Professional growth Advocacy Share services Purchasing Technology access Managed Care contracting Grant access Why do networks form?

  4. Network Life Cycle PERFORMANCE & PROCESS IMPROVEMENT MATURATION PLATEAU GROWTH STAGNATION &DECLINE DEVELOPMENT

  5. Network Development • Why? • Goal-driven • Activity-driven • How? • Informal • Formal • What? • Solid Base • Includes Sustainability & Evaluation DEVELOPMENT

  6. Network Growth • Added Objectives • Added Demand • Added Services • Added Members • Added Funding GROWTH

  7. Network Maturation • Getting There • Strategy • Motivation • Evaluation • Staying There • Strategy • Motivation • Evaluation MATURATION

  8. Network Stagnation & Decline • Why? • Shaky purpose • Weak development • Change • Constraints • Relationship dynamics • Lack of support • Conflicting agendas • Poor communication • Leadership STAGNATION &DECLINE

  9. 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

  10. 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 (Nov2004)

  11. 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?

  12. Evaluation Reveals Where You Are PERFORMANCE & PROCESS IMPROVEMENT MATURATION PLATEAU GROWTH STAGNATION &DECLINE DEVELOPMENT

  13. 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?

  14. Basic Evaluation There is no set recipe for evaluation… PROCESS OUTCOMES INPUTS OUTPUTS • How the program is carried out. What do you do? • Members share benefits • Patients served • Resources • Money • Facilities • Clients • Staff • Units of measurement • Number of members • Number of people served • Impact of program • Money saved • Education • Patients or members receiving services

  15. Evaluation Approaches • Goals-based • Are you meeting your overall objectives? • Process-based • How does your program really work? Strengths? Weaknesses? • Outcomes-based • What are the benefits for members? Patients? All or some approaches can be useful

  16. Evaluation Methods • Questionnaires, surveys • Interviews • Documentation review • Focus Groups • Case Studies • Internal or External Evaluation

  17. Network Sustainability • Have a plan • Monitor and measure • Balance between Margin and Mission

  18. Strong sense of mutual ownership Common goals among members Clear mission and objectives Equitable governance structure Adds Value A clear “value proposition” Strong and consistent communication within network Meeting needs not readily available from other sources Critical Success Factors for Networks

  19. Making the Connection Where are you? How do you know? Where do you want to be? PERFORMANCE & PROCESS IMPROVEMENT MATURATION PLATEAU GROWTH STAGNATION &DECLINE DEVELOPMENT

  20. “The advantage of not looking at a map is that you don’t have to admit you’re lost.” Source: Rural Wisconsin Health Cooperative

  21. Questions? Comments? For more information about this topic, please contact: Jill Zabel, Manager Wipfli Health Care Practice 4000 Lexington Ave N, Suite 201 St. Paul, Minnesota 55126 651.636.6468 jzabel@wipfli.com

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