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2 | Document Measures for Aligning | |||||||||||||||||||||||||
3 | Developed by the Population Health Innovation Lab (PHIL) at the Public Health Institute | |||||||||||||||||||||||||
4 | with support from the Robert Wood Johnson Foundation and leadership from the Georgia Health Policy Center | |||||||||||||||||||||||||
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6 | Measure | Concept | Dimension | Variable | Document Source | |||||||||||||||||||||
7 | Extent to which interventions are sustained over time | ACH Outcomes | Sustainability | Interventions | Annual report Websites Meeting minutes | |||||||||||||||||||||
8 | Alignment of portfolio of interventions with vision and purpose | ACH Outcomes | Systems Change | Alignment of interventions | Websites Annual reports | |||||||||||||||||||||
9 | Ongoing funding sources are known. | ACH Outcomes | Sustainability | Ongoing Funding | Annual report Websites Meeting minutes | |||||||||||||||||||||
10 | Presence of Wellness Fund or other braided/blended funding stream. | ACH Outcomes | Sustainability | Braided/ Blended Funding Streams | Annual report Websites Meeting minutes | |||||||||||||||||||||
11 | Adoption of Value-Based Payment models. | ACH Outcomes | Sustainability | Value-Based Payment | Annual report Websites Meeting minutes | |||||||||||||||||||||
12 | % of organizations with objectives aligned to ACH's goals | ACH Outcomes | Systems Change | Mission alignment | Websites | |||||||||||||||||||||
13 | Presence of affirmed value case/proposition. | ACH Outcomes | Sustainability | Affirmed Value | Annual report Websites Meeting minutes | |||||||||||||||||||||
14 | Number of new data sharing agreements established | ACH Outcomes | Systems Change | Data systems | Annual reports Contracts | |||||||||||||||||||||
15 | # and type of interventions designed to improve health equity | ACH Outcomes | Health Equity | Health equity interventions | Annual reports Websites | |||||||||||||||||||||
16 | Yes/no equity in vision or mission statement | ACH Outcomes | Health Equity | Health equity intent | Annual reports Websites | |||||||||||||||||||||
17 | Extent to which interventions are mutually reinforcing | ACH Outcomes | Systems Change | Alignment of interventions | Meeting minutes Annual reports Websites | |||||||||||||||||||||
18 | Meeting frequency | Capacity for Joint Action | Procedural Arrangements | Meeting arrangements | Meeting minutes Websites | |||||||||||||||||||||
19 | Meeting accessibility (location, phone/videoconferencing, date) | Capacity for Joint Action | Procedural Arrangements | Meeting arrangements | Meeting minutes Meeting agendas | |||||||||||||||||||||
20 | Third-party facilitation | Capacity for Joint Action | Procedural Arrangements | Meeting arrangements | Meeting minutes Meeting agendas | |||||||||||||||||||||
21 | # and type of formal agreements in place (MOU/A, charter, contract, etc.) | Capacity for Joint Action | Institutional Arrangements | Agreements | MOUs Charters Contracts Annual reports | |||||||||||||||||||||
22 | # and type of formal rules/regulations in place (ground rules, operating protocols, decision rules, charters, bylaws, etc.) | Capacity for Joint Action | Institutional Arrangements | Rules & regulations | MOUs Charters Contracts Annual reports | |||||||||||||||||||||
23 | % of leadership roles filled in ACH (initiator/champion, sponsor, facilitator/mediator, scientific/technical experts, public decision makers) | Capacity for Joint Action | Leadership | Leadership capacity | Meeting minutes Membership documents Charters Annual reports | |||||||||||||||||||||
24 | Technical studies developed by ACH and shared with participants | Capacity for Joint Action | Knowledge | Knowledge generation | ||||||||||||||||||||||
25 | Diversity of people presenting | Capacity for Joint Action | Leadership | Leadership diversity | Meeting minutes | |||||||||||||||||||||
26 | Diversity of people taking on action items | Capacity for Joint Action | Leadership | Leadership diversity | Meeting minutes | |||||||||||||||||||||
27 | Existence of technical working groups | Capacity for Joint Action | Knowledge | Knowledge generation | Annual reports Charters Meeting minutes | |||||||||||||||||||||
28 | Cost-share or travel reimbursement | Capacity for Joint Action | Resources | ACH resource generation | ||||||||||||||||||||||
29 | Efforts to raise technical competence of participants | Capacity for Joint Action | Resources | ACH resource generation | ||||||||||||||||||||||
30 | % of participants contributing resources of each type to CGR (funding; in-kind support; meeting space; travel expenses; telecommunications; technical, technological, and logistical support; administrative and organizational assistance; and the requisite skills and expertise for data gathering and analysis and for implementation functions) | Capacity for Joint Action | Resources | Participant resource contribution | Meeting minutes Membership documents Charters Annual reports | |||||||||||||||||||||
31 | # and type of resources available for use by ACH participants | Capacity for Joint Action | Resources | ACH resource generation | Annual reports Websites Meeting minutes | |||||||||||||||||||||
32 | Diversity of participants attending meetings | Principled Engagement | Diversity | Diversity of participation | Meeting minutes | |||||||||||||||||||||
33 | # of participants involved in collaborative determinations (setting agendas, creating work groups, etc.) | Principled Engagement | Determination | Collaborative determinations | Meeting minutes | |||||||||||||||||||||
34 | Mechanism to identify stakeholder groups | Principled Engagement | Diversity | Diversity of inclusion | Meeting minutes Annual reports | |||||||||||||||||||||
35 | Diversity of individuals participating in discussions | Principled Engagement | Diversity | Diversity of participation | Meeting minutes | |||||||||||||||||||||
36 | Proportion of parties that formally reveal interests, concerns, and values | Principled Engagement | Discovery | Discovery Opportunities | Meeting minutes | |||||||||||||||||||||
37 | Extent of public outreach by ACH | Principled Engagement | Diversity | Diversity of inclusion | Meeting minutes Annual reports | |||||||||||||||||||||
38 | # of “discovery” opportunities per year (meetings, conferences, review periods, etc.) | Principled Engagement | Discovery | Discovery Opportunities | Annual reports Websites | |||||||||||||||||||||
39 | # of “definition” resources created per year (definition sheets, resource libraries, theory of change, logic model, strategic plan, evaluation criteria, task descriptions, etc.) | Principled Engagement | Definition | Definition resources | Annual reports Websites | |||||||||||||||||||||
40 | Evidence of shared problem definition | Principled Engagement | Definition | Definition activities | Meeting minutes | |||||||||||||||||||||
41 | Parties jointly reflect on process | Principled Engagement | Definition | Definition activities | Meeting minutes | |||||||||||||||||||||
42 | # of meetings where “deliberation” occurs (e.g. active discussion among participants; not information dissemination/update meetings) | Principled Engagement | Deliberation | Deliberative meetings | Meeting minutes | |||||||||||||||||||||
43 | Ratio of meetings emphasizing discussion versus presentations | Principled Engagement | Deliberation | Deliberative meetings | Meeting minutes | |||||||||||||||||||||
44 | Use of “deliberation technologies” (e.g. brainstorming, ranking) | Principled Engagement | Deliberation | Deliberative technologies | Meeting minutes | |||||||||||||||||||||
45 | Distribution of decision making among participants | Principled Engagement | Determination | Equity in determinations | Meeting minutes | |||||||||||||||||||||
46 | Development of an ACH-specific theory of change | Principled Engagement | Theory of Change | ACH-specific theory of change | Annual reports Websites | |||||||||||||||||||||
47 | Use of negotiations vs. formal submissions to influence decision | Shared Motivation | Internal Legitimacy | Credibility of processes | Meeting minutes | |||||||||||||||||||||
48 | % of participants formally committed to CGR (through MOU/A, charter, contract, etc.) | Shared Motivation | Commitment | Formal commitment | MOUs Charters Contracts Annual reports | |||||||||||||||||||||
49 | Node degree distribution among ACH participants | System context | Power relations | Power disparity | Meeting minutes | |||||||||||||||||||||
50 | Extent to which relatively powerful actors are distributed across geographic areas in the ACH community | System context | Power relations | Geographic power distribution | Meeting minutes Google Maps | |||||||||||||||||||||
51 | Extent to which relatively powerful actors are distributed across sectors in the ACH community | System context | Power relations | Sectoral power distribution | Meeting minutes Websites | |||||||||||||||||||||
52 | Closeness centrality (node) / Centralization (network) | System context | Network characteristics | Network centralization | Meeting minutes | |||||||||||||||||||||
53 | Degree (node) / Density (network) | System context | Network characteristics | Network density | Meeting minutes | |||||||||||||||||||||
54 | Type of organization that led implementation in each ACH community (e.g. public health department, hospital, nonprofit organization, etc.) | System context | Governance structure | Initiating leadership | Annual reports Evaluation reports | |||||||||||||||||||||
55 | Dollar amount of funding received to date | System context | Financing | Funding levels | Annual reports Evaluation reports | |||||||||||||||||||||
56 | # of local jurisdictions included in ACH | System context | Scale | Geographic scale | Websites | |||||||||||||||||||||
57 | # of formal partners | System context | Scale | Partnership scale | Annual reports Websites | |||||||||||||||||||||
58 | % of board members by sector as compared to ACH participants by sector | System context | Power relations | Representative governance | Annual reports Websites Meeting minutes | |||||||||||||||||||||
59 | # of diverse characteristics (node) / % of diverse participants (network) | System context | Network characteristics | Network diversity | Annual reports Websites | |||||||||||||||||||||
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