healthcare logic model

Logic Model Template

Outputs

Activities Goals

(What do you need to do with whom, and what do you need them to focus on?)

Project Assumptions

Example: Change project is needed because:

Stakeholders are invested because:

Examples: Change outcome achieved.

Examples: Acceptance of change project from key stakeholders, education completed,

policy changes accepted.

Examples: Participants will gain ownership of change project.

Examples: Examine identified barriers and opportunities for change.

Project Outcomes/Goals

Short Medium Long

(What do you need to do with whom, and what do you need them to focus on?)

Examples: Set up focus group, interview key stake holders.

Examples:

Staff

Space

Stakeholders

Funding

Educational Materials

Inputs (What resources do you need to make this happen?)

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