The Logic Behind Collaborative Practice: A Map Toward Effectiveness in Care Delivery

Sunday, November 1, 2009: 11:00 AM

Roberta P. Pawlak, MS, RN
School of Nursing, Edgewood College, Madison, WI

Learning Objective 1: demonstrate how to “read” a logic model and apply basic elements to a chronic care population.

Learning Objective 2: recognize how logic model application can promote resource effectiveness and inform evidence-based program evaluation.

Efforts to meet individual and population health needs efficiently, calls for a manner of organization to provide services. 

Governments, public and private institutions, and communities strive to take scarce resources and improve the lives they serve.  Because systems vary significantly throughout the global community, one model of care delivery cannot be applied with uniform success.  Globalization demands thinking outside our local resources, and integrating goods and services, labor/people, capital, technology and policy across collaborative partnerships.  Through an extensive literature review of interdisciplinary and collaborative practice care models, one example stands out above the others in potential application beyond the boundaries of distinct disciplines and parochial services.  The use of a logic model can assist health service planners and policy makers in this application.

Logic models can be tools for disciplined processes to achieve impact.  They contribute to effectiveness and illustrate a path toward process outcomes.  Displaying relationships of many kinds, logic models communicate resources and activities, activities with outcomes, and outcomes with impact.  Logic models can be used to articulate collaborative partnerships in care delivery to the end of targeted outcomes for individuals and populations.  A systematic approach involving stakeholders and existing processes, these models contribute to performance management through discovery of the most effective means to a specified service.

A framework for a program logic model is shared that depicts care processes for children with cystic fibrosis.  Through this example, the illustration of using a logic model as a disciplined approach to planning, designing, implementing and evaluating health services is discussed.