Logic model for Cross-Sector Community Health Initiatives

Community Health Center

Influence on social determinants of health:

Federally qualified community health centers (CHC) provide access to health care in underserved communities.

New/rehabbed community health center buildings can serve as anchor institutions by providing an access point for other community services and by serving as catalysts for other economic development.

This example logic model provides a menu of typical inputs, activities, outputs, and outcomes for community development and health organizations that work in the Community Health Center field.

The outcomes listed in this example logic model link, whenever possible, to measures already collected through existing data sources and to measures that might require users to collect their own data through a survey, or other means. Measures with existing data sources are highlighted in blue.

Click on highlighted outcome measures to access existing data, or to identify question wording that can be used to collect your own outcome data. Use the model as a map for understanding how the work of community development and health organizations collaboratively leads to improved community health.

Community Health Center

Inputs

Community plans

Evidence-based practice literature

Location, site

Source of funds

Staffing

Activities

Computer lab

Employment training services

Exercise classes

Financial education

Financing for federally qualified community health center (FQHC) or look-alike

Food assistance

Health care services (e.g. dental, substance abuse treatment, mental health treatment, hospital/specialty care)

Health insurance exchange navigation

Healthy food distribution

Housing assistance

Mental health treatment services

Nutrition education

Smoking cessation programs

Youth programming

Outputs

(service volume/reach)

Dollars invested (amount of)

FQHC or look-alike facilities financed (number of)

Jobs created/retained as a result of financing or programming (number of)

Mental health treatment program participants (number of)

Participants served by human service programs offered by community health center (number of)

Patient visits, total (number of)

Patients who receive dental services (number of)

Patients who receive mental health treatment services (number of)

Patients who receive primary care services (number of)

Patients who receive substance abuse treatment services (number of)

Residents with increased access to primary care services (number of)

OUTCOME MEASURES

Shorter-term outcomes

(changes in access/awareness)

Access to dental care increases

Access to mental health services increases

Employment skills increase

Facilities for out-of-school-time activity increase

Food security increases

Health care coverage rates increase

Immunization rate (on time) increases

Medical home increases

Primary care provider - regular (proportion with) increases

Wait-time for appointments decreases

Medium-term outcomes

(changes in individual behavior)

Longer-term outcomes

(changes in population health
changes in community conditions)

Academic proficiency scores increase

Child abuse/ maltreatment/ neglect decreases

Child residential treatment placements decrease

Diabetes rate decreases

Disability rates for chronic conditions decrease

Emergency room admissions decrease

Employment rate increases

Graduation rate increases

Health disparities decrease

Inpatient mental health hospitalizations decrease

Mental health problems decrease

Obesity rate decreases

Out-of-home placement rate disparities decrease

Preventable hospitalizations decrease

Property values increase

Smoking rate disparities decrease