Hello, we’re Goldie MacDonald, Associate Director for Evaluation in the Center for Surveillance, Epidemiology, and Laboratory Services at the Centers for Disease Control and Prevention and Jeff Engel, Executive Director of the Council of State and Territorial Epidemiologists. We co-chair the Digital Bridge Evaluation Committee comprised of professionals from state and local health departments, federal and non-governmental organizations, and the private sector.
Better a diamond with a flaw than a pebble without.
In many organizations, it’s easier to access evaluation reports than evaluation plans, especially as personnel or priorities change. Evaluation plans are usually shared with primary stakeholders, but not always disseminated widely. For example, some plans are not available because the content is sensitive or not user-friendly. Nonetheless, sharing an evaluation plan widely can contribute to transparency and richer discussions about evaluation quality earlier in the evaluation process.
One example of sharing an evaluation plan well-beyond primary stakeholders is the Digital Bridge (DB) multisite evaluation led by the Public Health Informatics Institute. DB convenes decision makers in health care, public health, and health information technology to address shared information exchange challenges. DB stakeholders developed a multi-jurisdictional approach to electronic case reporting (eCR) in demonstration sites nationwide. These sites aim to automate transmission of case reports from electronic health records to public health agencies. eCR can result in earlier detection of health-related conditions or events of public concern, more timely intervention, and lowered disease transmission.
The DB Evaluation Committee led development of an evaluation plan for these sites and referenced the Program Evaluation Standards throughout the planning process. Because eCR activities continue to develop and evolve nationwide, we are currently interested in Standard E1 Evaluation Documentation in the Evaluation Accountability domain. E1 calls for documentation of evaluation purposes, designs, procedures, data, and outcomes. We realized that the evaluation plan is crucial to this documentation and sharing it widely contributes to dialogue and transparency in meaningful ways. For example, anyone can access the evaluation plan to support current or future eCR activities. Stakeholders and others can consider the quality of the evaluation in more detail as implementation continues. And, posting the plan on a public-facing website paves the way to sharing additional artifacts of the evaluation widely.
Lessons Learned: The author of the proverb above prefers a gemstone with a flaw to a small rock without one. Stakeholders in this evaluation likely agree, but they surely want to understand any flaws in the evaluation plan. We need to examine an evaluation to determine its merit or worth—Dan Stufflebeam called this the metaevaluation imperative. An evaluation plan is a key artifact of an evaluation that can be examined even as the evaluation unfolds. For example, stakeholders in this evaluation continue to provide crucial information about practicalities of data collection not addressed in the plan—flaws revealed when discussing the plan prior to implementation. In our case, stakeholders chose the diamond, but transparency and documentation help us to see and understand any flaws on the path to a meaningful evaluation.
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