Making Choices in Health Department: CHOICES Case Study Overview
Explore the concepts of reach, effect, and cost in a health department setting through the CHOICES Case Study. Learn about optimal interventions, cost-effectiveness analysis, and the implementation of policies to improve public health outcomes. Discover how interventions can impact population health and reduce disparities effectively and efficiently.
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Presentation Transcript
Teachers Aid An Overview of Reach, Effect, & Cost Making CHOICES in a Health Department: CHOICES Case Study #1 (Introductory)
Teachers Aid Time allocated Activities Activity Introduction to the Case with Overview Slides 25 minutes Case Group Work Activity (3- 5 students per group) 45 minutes OPTIONAL ADDITIONAL EXERCISES: Estimating reach Estimating cost 30 minutes each Class Discussion and Wrap up 20 minutes
Teachers Aid Learning Objectives Describe the concepts of cost, effect, and reach in your own words. o Identify intervention strategies that have any evidence o Identify intervention strategies that have good evidence for effectiveness at reducing obesity o
Teachers Aid Optimal Interventions Policies and programs improving nutrition and physical activity environments Improve population health and reduce disparities Best results for dollars invested Gortmaker et al., Health Aff, 2015
Teachers Aid Cost-Effectiveness Analysis compares the costs and outcomes of: vs. vs. vs. vs. One policy or program intervention with no intervention Two or more policy or program interventions OR OR
Teachers Aid Reach, Effect, & Cost Cost Reach Effect Implementation costs of program/policy and healthcare cost savings Who will benefit? What is effect of the policy/program on health? Focus on cost-effectiveness implementation of interventions to improve nutrition & physical activity environments Dietz & Gortmaker, Am J Prev Med, 2016
Teachers Aid What is Reach? The number of people who are impacted by an intervention o
Teachers Aid Reach Total State/City Population Relevant Population Eligible Population Intent to Treat Population Reach Who will benefit? Benefitting Population
Teachers Aid What is Effect? The impact of an intervention on health by using estimates from literature o
Teachers Aid Effect Anthropometric change: IDEAL Policy/ program/ intervention BMI, BMI z-score, weight change Evidence links intervention directly to BMI Effect Defined activities o What is being impacted? How strong is the evidence? Potential to be implemented using a process or system o Applicability within a real-world setting o Prioritize effect estimates from strong study designs o
Teachers Aid What is Cost? The activities and resources that are necessary to achieve the expected health outcome o
Teachers Aid Cost Costs required to implement intervention Modified societal perspective on costs o o Cost What are the implementation costs of program/policy and what are the health care cost savings? o Determine activities Who does what to whom, when?
Teachers Aid More Informed Decision-Making The components of reach, effect, and cost can Help you to understand what may or may not be feasible to implement o o Provide information to inform prioritization
