Step 7: Evaluation

Once your community has created an LTSS program or modified an existing program, it is important to measure its impact. Evaluation measures your progress toward goals and objectives, and helps identify successes and areas that need improvement.

Evaluation Questions

Your evaluation should answer these basic questions:

  • How do current program outcomes compare to your baseline measurements (the starting numbers you identified in Step 1)?
  • Has the program achieved the objectives you set?
  • Has the program achieved its goal?
  • Is the program sustainable?
    • Have factors of program cost changed(e.g., wages, rent, equipment)?
    • Is the program creating enough revenue to cover its operating costs?
  • Are there opportunities for growth or maintenance of services over time?

Key Evaluation Elements

Use the performance metrics you identified in Step 2 to find measurable results. Measure changes regularly (monthly, quarterly, or yearly).

Examples of measuring results using performance metrics:

Program Participation over Time
Health Program Participation for Tribal Members 65 Years of Age and Older Requiring LTSS, 2012-13
Services Delivered by Different Program Types over Time
Service Delivery for Tribal Members 65 Years of Age or Older Requiring LTSS, 2010-2014

Use your performance metrics to answer these questions:

  • Do the current program activities and results match what you planned for?
  • Is your program effective?
    • How do key indicators (e.g., elders' health outcomes, level of collaboration between partners) compare with the measurements you took before program implementation?
    • How did the program impact certain indicators?
    • Did the program achieve the outcomes you wanted it to achieve?
  • Is your program efficient?
    • What is the relationship between how your program uses resources and the LTSS outcomes it achieves?
    • How do different services compare to one another in the health outcomes they achieve? Use recipients' health statuses to measure this.
  • What lessons can you learn from both met and unmet objectives?
    • If you did not achieve your objectives, do your performance metrics show that your program is moving in the right direction?
    • Can you think of ways to improve performance and meet the unmet objectives?
    • Do your objectives still accurately represent what the program or community needs?
    • Should objectives be changed, based on a new understanding of the LTSS program or the environment?

Logic Model

Next, develop a logic model, which provides a picture of:

  • What you have (resources)
  • What activities you will do or have done
  • Target results for your activities (outputs)
  • Short- and long-term program outcomes

The model provides a structured way of organizing the information you discover from your evaluation.

Example of LTSS Logic Model

Evaluation Is a Continuous Process

Use your evaluation results to help improve your program.

Factors that affect your program—such as community demographics, health status, funding opportunities, and many others—evolve constantly. Continue to measure LTSS needs in your community and consider whether your program meets those needs.

Because evaluation is ongoing, it loops back into Step 1: Conducting a Needs Assessment. This cycle should continue throughout the life of your program to ensure continual improvement.

See Intro to Evaluation for detailed information on program evaluation.

Page Last Modified:
06/22/2016 10:53 AM