For one, program evaluation measures performance. Health care managers, in all sectors, must measure program performance in order to sustain a competitive advantage (U.S. Department of Housing and Urban Development, 1997)
Moreover, the relationship between participants and the research may distort the findings. (Charoenruk, 2005)
The growth of HCBS program is traced back to 1988 when it has been identified that "a disproportionate percentage of Medicaid resources were being used for institutional long-term care." (Duckett, 2000
Under this program, the states provide wide range of services to the participants, and the legislation allow states to recognize many individuals who at risks to be placed in the medical facilities in their homes, and communities. (Kitchener, Terence Miller, et al
The state revenues shortfall has created enormous challenge in securing quality and growth of the HCBS waiver program. (Lakin, & Prouty 2003)
The debate over the rising costs of the institutional healthcare has led to the passage of Omnibus Budget Reconciliation Act (OBRA) of 1981. (Miller, 1992)
b. Sampling "Sampling is the process of selecting subjects from a population of interest so that by studying the sample we may fairly generalize our results back to the population from which they were chosen" (Trochim & Donnelly 2007 P
Mandated programs, like the PS/RtI, have the effect of improving the overall education within Florida's schools and have been found to supply undeviating assistance, preparation, and coaching at each location to pilot, or participating, schools. Researchers who have been working with the state of Florida have found this particular program to be valuable and very helpful because it grants statewide qualified progress and scientific aid to regions connected to or desire to start PS/RtI projects, and they favor this system because it will offer express support preparation, and on-site education to all (Castillo, Hines, Batsche, & Curtis, 2008)
Individuals involved in program development may be biased, and have their own suggestions implemented. They may be subjective and look to ensure that their input is more valuable (Bowen, n
By putting the interviewees into a group setting, issues associated with cultural or social dynamics are easily explored in detail as the participants interact on what they share and the way their perspectives and issues differ. Besides, document as well as media analyses are important if an evaluator is unable to make direct observation (Elliott, Pearson d'Estree & Kaufman, 2003)
Research can: ascertain which families will most likely benefit from and participate in the services; determine program service aspects crucial to replicability; and determine threshold intensity levels and service duration. Study outcomes will facilitate continuous quality improvements to existing programs, possibly through the use of mechanisms like research networks, which bring together practitioners and researchers on a collaborative and continuous basis (Gomby, Culross & Behrman, 1999)
The evaluation framework aided program evaluation in health institutions' corporate culture. It enables institutions' evaluation regardless of composition (Koplan, Milstein & Wetterhall, 1999)
As well, data about the service outcomes of program can result in more rational decisions regarding expansion or continuation of the effective program or modification or elimination of the program, if it is less effective. Decisions about the development of a fresh program or selection of an alternate one can be made, not only based on the evaluation, but also the evaluative data, which makes a huge contribution (Lewis, Packard & Lewis, 2012)
One key obligation is clarifying what can and can't be done. I must be honest about how far we can clearly judge project services quality and outcome utility, how far the project assumes responsibility for changes occurring, and limitations to generalizability of results to conditions in future (Managing the Evaluator: Roles, Responsibilities and Maintaining the Relationship, n
e., the manner of definition is same); and (2) the data was collected in the same period (White & Sabarwal, 2014)
Learning can be achieved through the assessment of outcomes so that what is found out can be fed back into the system and result in improvements. Findings can thus be incorporated in the activities of the program (Yung, et al