1. Creating an Impact Evaluation for an Academic/Community Practice Partnership
Adrianne J. Lane EdD, RN, CNE Cindy Foster, MS, RN, APRN
Chief Nurse Administrator, Chair, Associate Professor
and Professor of Nursing Northern Kentucky University
Northern Kentucky University

3. NKU College of Health Professions
NURSING
800 students
43 FT faculty
Programs
BSN
Accelerated BSN
RN-BSN: online
MSN/NP: online
Post Master’s Certification—NP: online
DNP: online

4. Purpose and Objectives
Describe a project undertaken to design an impact evaluation to measure outcomes of an academic/practice
partnership.
Objectives:
Design a comprehensive evaluation plan based on a logic model
Collect and analyze data for identified strategies within the plan
Determine next steps in care delivery and sustainability based on impact evaluation.

5. Background Regional university has as a strong mission of
community engagement.
Nurse Advocacy Center for the Underserved in This center provides services to the underserved in a variety of locations including, but not limited to, an emergency shelter, a transitional living unit, and a local church.
Center has been providing and evaluating services over the past 10 years, no formal mechanism existed to relate these services.
Overall health needs of the region are outlined by the regional health department.
No formal impact evaluation existed to measure the impact of the center on the overall regional health needs. 

6. Process for Development
Partner support and funding
Design a logic model
Develop a focused plan for collecting data
Meet with key stakeholders
Design data collection tools
patient survey, focus group, service-results check sheet
Collect data at pre-determined center sites
Conduct focus groups
Analyze results of data collection and focus groups for check sheet development
Comprehensive analyses informed by the logic model & Triple Aim: Health,
Healthcare, and Costs.
Community meetings for data collection alignment
Futures planning A B C

8. Logic Model
Problem: Some adults in Northern Kentucky lack access to healthcare
Intervention: Create a Nursing Advocacy Center for the Underserved
Goal: To provide culturally appropriate healthcare services to the underserved in their Northern Kentucky community by creating a Nursing Advocacy Center for the Underserved (NACU)
Objectives:
Develop the necessary infrastructure for the NACU
Provide ongoing healthcare services by partnering & collaborating with the community
Secure funding to sustain ongoing services provided through NACU

9. Logic Model
Outcomes:
Increase collaboration with community partners to identify health
needs and resources of the underserved in Northern Kentucky
Increase access to healthcare for the underserved in Northern Kentucky
Increase numbers of NKU faculty, NKU students, volunteers, and partners in providing healthcare services via NACU
Increase NACU involvement in advocacy activities for culturally appropriate healthcare for the underserved
Increase satisfaction among patients, NKU faculty, NKU students, volunteers, partners of NACU, and key NKYHD stakeholders
Stabilize NACU through ongoing funding
Track demographics and service-related results
Disseminate knowledge gained

10. Process for Development
Develop a focused plan for collecting data (pt. data form, focus group, tbd check sheet)
Collect pt. data forms at center sites
Conduct focus groups with stakeholders
Analyze results for check sheet development
Collect data using check sheet
Comprehensive analyses informed by the logic model & Triple Aim: Health, Healthcare, and Costs
Stakeholder meetings for results sharing and goals alignment
Annual impact evaluation provided to partner and future planning

11. Key Data -- Annual Impact Evaluation
Demographics
Allergies
Insurance
Tobacco Use
Alcohol Use
Recreational Drug Use
Homeless
Living Arrangements
Employment
Barriers to healthcare
Perceptions of Personal Health

12. Outcomes Achieved Strengthening of academic-practice partnerships
Creation of a sustainable impact evaluation plan
Ongoing comparisons/adjustments to programming
Future planning for this academic practice partnership
Dissemination of the process for designing the impact evaluation

13. Rural Health Implications
This process serves as model in
developing an impact evaluation for programs/
projects r/t the health of a region or another entity.
Creation of a logic model and an impact evaluation is key in measuring specific outcomes against global outcomes.
Process serves as an collaborative pathway for creating effective evaluation between agencies.
Evaluation is useful for linking rural needs, rural efforts, and rural outcomes with regional and/or state goals and objectives.

14. Recommended Best Practices
Partner with county health departments and community stakeholders.
Seek funding using impact evaluation.
Submit annual impact evaluation to regional health department.
Build and sustain trust with underserved populations through strengthening links with health care providers.
Respect the underserved—go to where they go and provide the services they need based on comprehensive data.

15. Summary In summary----
Design a comprehensive evaluation plan based on a logic model
Collect and analyze data for identified strategies within the plan
Determine next steps in care delivery and sustainability based on impact evaluation.

16. Funding provided by AACN/CDC Academic/Public Health Impact Evaluation Projects -- Small Grants

17. Contact Adrianne J. Lane

18. References
America's Health Rankings by United Health Foundation Kentucky Health Statistics. Retrieved from
Choudhry, L. , Douglass, M., Lewis, J., Olson, C.H., Osterman, R, & Shah, P. (2007). The impact of community health centers & community—affiliated health plans on emergency department use.
Cooper, B. (2013, November 24). If businesses lead the charge to improve health of our workforce, NKY
will flourish. The Cincinnati Enquirer.
Healthy People Retrieved from
Health, United States, Retrieved from
Institute of Medicine (2011). The future of nursing: leading change, Advancing health. Retrieved from
Northern Kentucky Independent District Health Department. (2014). Retrieved from
Northern Kentucky University Mission. (2014). Retrieved from

19. References, continued
Rodak, S. (2013). Study: 71% of ED visits unnecessary, avoidable. Becker's Hospital Review. Retrieved from ed-visits-unnecessarv-
avoidable-html
Sharma, M. & Petosa, R. (2014). Measurement and evaluation for health educators. Burlington, MA: Jones & Bartlett Learning.
Timmreck, T- (2003). Planning, program development, and evaluation, 2nd ed. Sudbury, MA: Jones and
Bartlett Publishers.
United States Department of Health and Human Services National Prevention Council (2010.).
Elimination of health disparities. Retrieved from disparities, html