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HHS Basic Logic Model Template free printable template

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How to Select an EvidenceBased Teen Pregnancy Prevention Program Basic Logic Model Template The Situation Inputs Activities Outputs Short term & Interim Outcomes This product was developed for OAK
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How to fill out logic model template program

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How to fill out HHS Basic Logic Model Template

01
Identify the program or initiative that you want to evaluate.
02
Define the problem or need that the program addresses.
03
Outline the program’s goals and objectives.
04
List the target population that the program aims to serve.
05
Specify the resources and inputs needed for the program.
06
Document the activities and strategies to be implemented.
07
Establish the expected outputs from these activities.
08
Determine the desired outcomes and impact of the program.
09
Fill in each section of the template with the information collected.

Who needs HHS Basic Logic Model Template?

01
Program managers and evaluators.
02
Health and human services organizations.
03
Grant writers and funding applicants.
04
Stakeholders involved in program planning and implementation.
05
Public health officials and policymakers.
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Included in most logic models are four components: resources, activities, outputs, and outcomes.
Intended Results Outputs. Outcomes/Results. Impacts/Effects.
4 Practical Steps to Creating a Logic Model Step 1: Gather helpful information. Begin by compiling any information or documentation that might be useful in your logic modeling discussion. Step 2: Assess your resources and capacity. Step 3: Engage the people involved in your work. Step 4: Draft, seek feedback and revise.
PCMH models emphasize patient-centered, comprehensive, coordinated, accessible care, and a systematic focus on quality and safety. A logic model—also known as a program model, theory of change, or theory of action—is a graphic illustration of how a program or intervention is expected to produce desired outcomes.
CDC Approach to Evaluation. Print. A logic model is a graphic depiction (road map) that presents the shared relationships among the resources, activities, outputs, outcomes, and impact for your program. It depicts the relationship between your program's activities and its intended effects.
A logic model is a graphic illustration of the relationship between a program's resources, activities, and its intended effects. Logic models clearly and concisely show how interventions affect behavior and achieve a goal.

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The HHS Basic Logic Model Template is a structured framework used by the U.S. Department of Health and Human Services to outline and visualize the processes, relationships, and expected outcomes of a program or initiative. It serves to clarify the connections between resources, activities, outputs, and anticipated impacts.
Entities that receive funding or are involved in delivering health and human services programs from the HHS are typically required to file the HHS Basic Logic Model Template. This includes state and local governments, non-profit organizations, and other stakeholders.
To fill out the HHS Basic Logic Model Template, users should start by defining the program's goals and objectives, then identify the resources required, detail the key activities, describe the outputs generated, and outline the short-term and long-term outcomes. It's important to keep it clear and focused on the program's intended impact.
The purpose of the HHS Basic Logic Model Template is to provide a clear, visual representation of how a program operates and how various components interrelate. This helps stakeholders understand the program's logic and enhances planning, evaluation, and communication efforts.
The HHS Basic Logic Model Template requires the reporting of information such as the program goals, inputs (resources), activities, outputs (products/services delivered), outcome indicators, and evaluation measures. This comprehensive reporting helps in tracking progress and assessing effectiveness.
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