Program Outcome Results
2004Data Report
Agency Name:______
Program Name: ______
OUTCOME #1: ______
______
Time period measured: ______
Total number served: ______
Total number reported:______
If the total reported is not the same as the number served, please describe why (i.e., conscious sampling, incomplete data response rates, etc.): ______
______
How was the target determined? ______
______
Indicator(s) / Previous Year Actual / This Year Target / This Year Actual#
Reported / #
Achieved / %
Achieved / %
Achieved / #
Reported / #
Achieved / %
Achieved
Indicator: / TOTAL / Influencing factor:
List category / List category
# / %
(of total) / # / % / # / %
Achieved
Not achieved
GRAND TOTAL / 100% / 100% / 100%
(Outcome #1, continued)
Interpretation of Results:
Highlight areas with the greatest difference between the target & actual results.
Identify key issues that have impacted the data
Predict the future effect
Action Taken:
Identify if any changes were made in the following areas in response to the results – program, data collection system, management system.
OUTCOME #2 ______
______
Time period measured: ______
Total number served: ______
Total number reported:______
If the total reported is not the same as the number served, please describe why (i.e., conscious sampling, incomplete data response rates, etc.): ______
______
How was the target determined? ______
______
Indicator(s) / Previous Year Actual / This Year Target / This Year Actual#
Reported / #
Achieved / %
Achieved / %
Achieved / #
Reported / #
Achieved / %
Achieved
Please use additional space as necessary to answer the following:
Interpretation of Results:
Action Taken:
OUTCOME #3______
______
Time period measured: ______
Total number served: ______
Total number reported:______
If the total reported is not the same as the number served, please describe why (i.e., conscious sampling, incomplete data response rates, etc.): ______
______
How was the target determined? ______
______
Indicator(s) / Previous Year Actual / This Year Target / This Year Actual#
Reported / #
Achieved / %
Achieved / %
Achieved / #
Reported / #
Achieved / %
Achieved
Please use additional space as necessary to answer the following:
Interpretation of Results:
Action Taken:
1
09/29/18