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Objective:This presentation describes how photo-journaling has increased understanding of the complex change processes involved in the implementation of a cardiovascular disease and diabetes patient registry at the 15 rural health clinics participating in the Nebraska Registry Partnership (NRP), a CDC-funded pilot project sponsored by the Nebraska Cardiovascular Health Program and the Diabetes Prevention and Control Program. The goal of the NRP is to determine how the use of a registry at participating clinics can improve the quality of care of their patient populations.
Methods:Evaluation of the NRP uses a mixed methods approach that includes surveys, interviews, direct observation and photo-journaling. Photo-journaling is used to analyze the processes followed by care providers and staff at individual clinics to build the registry and to integrate the registry into the processes of delivering care.
Results:Photo-journaling has provided the NRP management team with: (a) new knowledge to further refine the processes of project implementation, (b) a greater understanding and accurate assessment of the needs of the participating clinics, and (c) an improved responsiveness in the design and selection of resources and services to help support participating clinics. It has also provided the participating clinics with an assessment of how their processes of health care delivery have been affected by the registry.
Conclusion:Photo-journaling can enhance the value of program evaluation of projects with complex processes that are changing within the health care environment.