Hud 96010 Ross

"Logic Model" Grant Performance Report Standard

HUD 96010 Logic Model ROSS- 061314.xlsx

"Logic Model" Grant Performance Report Standard

OMB: 2535-0114

Document [xlsx]

Download: xlsx | pdf

Overview

Instructions
Dropdown Guidance
How To Count
Coversheet
Year 1
Year 2
Year 3
Totals
Extension
Goals Priorities
Needs
Services
Outcomes
Tools

Sheet 1: Instructions

Sheet 2: Dropdown Guidance

Sheet 3: How To Count

Sheet 4: Coversheet

2014 eLogic Model® Information Coversheet
		Instructions
	When completing this section, there are "mandatory" fields that must be completed. These fields are highlighted in yellow. The required data must be entered correctly to complete an eLogic Model®. Applicant Legal Name must match box 8a in the SF-424 in your application. Enter the legal name by which you are incorporated and pay taxes. Only complete the CCR Doing Business As Name field if your registration at CCR includes an entry in Doing Business as: (DBA). Enter the DUNS # as entered into box 8c of the SF-424 Application for Federal Assistance form. Enter the City where your organization is located. This information must match the SF-424 data in your application. Use the dropdown to enter the State where your organization is located. This information must match the SF-424 data in your application. Enter the Grantee Contact Name and the Grantee email address in the fields provided. Enter the eLogic Model® Contact Name and their email address in the fields provided. When completing the Project Information Section, applicants except Indian Tribes must enter their Project Name, Project Location City/County/Parish, and State. If there are multiple locations, enter the location where the majority of the work will be done. Indian tribes, including multi-state tribes should enter the City or County associated with their business address location. For Indian Tribes, enter the state applicable to the business address of the Tribal entity.






		Program Information
		HUD Program	ROSS-SC
		Program CFDA #	14.870
		Grantee Information
		Applicant Legal Name	Applicant Legal Name: Applicant Legal name must Match Box 8a in the SF-424 in your application. Enter the legal name by which you are incorporated and pay taxes.
		DUNS Number	DUNS Number: Enter the 9 digit DUNS # as entered into box 8c of the SF-424 Application for Federal Assistance form.
		City	City: Enter the City where your organization is located, this information must match the SF-424 data in your application
		State	State: Use the dropdown to enter the State where your organization is located, this information must match the SF-424 data in your application.
		Zip Code	Zip Code Enter the first 5 digits of your 9 digit zip code here.	Zip Code: Enter the last 4 digits of your 9 digit zip code here.
		Grantee Contact Name
		Grantee Contact email
		Logic Model Contact Name
		Logic Model Contact email
		Project Information
		Project Name	Project Name: Use exactly the same name as you did on box 15 of the form SF-424. If you are submitting multiple applications under the same applicant name for the same HUD program, you must include a project name that can distinguish between the two applications and logic models submitted, e.g., HBCU_DillardAffordableHousing15, HBCU_DillardAffordableHousing16. If the project name is not known at time of application, then insert TBD1, TBD2, etc., e.g., HBCU_DillardTBD1, HBCU_DillardTBD2.
		Project Location City/County/Parish	Project Location City/County/Parish: Applicants, except Indian Tribes, will enter the city, township, County/Parish, where the project will be located. If there are multiple locations, enter the location where the majority of the work will be done. Indian Tribes, including multi-state tribes, should enter the city or county associated with their business address location.
		Project Location State	Project Location State: Use the dropdown menu to select the location of your project. The data field label, “Project Location State” includes all fifty states and American Samoa, District of Columbia, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, Puerto Rico, and, Virgin Islands. In the case of multi-state, or regional entities, enter the State location where the majority of activities are to occur. For Indian Tribes, enter the state applicable to the business address of the Tribal entity.
		Zip Code	Zip Code Enter the first 5 digits of your 9 digit zip code here.	Zip Code: Enter the last 4 digits of your 9 digit zip code here.

		Additional Information for Reporting (Leave Blank At the Time of Application)

		HUD Award Number	HUD Award Number: When you submit your report enter your HUD Award Number here.

Sheet 5: Year 1

eLogic Model®				Worksheet-YR1					OMB Approval 2535-0114 exp. 08/31/2014
		Applicant Legal Name	0

		HUD Program	ROSS SC		Reporting Period	Projection
					Reporting Start Date		DUNS No.	0
		Project Name	0		Reporting End Date				FY 2014
HUD Goals	Policy Priority	Needs	Services/Activities	Measures		Outcomes	Measures		Evaluation Tools
1		2	3	4		5	6		7
Policy		Planning	Programming	Projection	Annual	Impact	Projection	Annual	Accountability
3B 3C 3D	1a 1b 1c 2a		Administration-Hire ROSS Service Coordinator	Persons		Administration-ROSS Service Coordinator hired	Persons		A. Tools for Measurement
			Administration-Hire ROSS Service Coordinator			Administration-ROSS Service Coordinator hired
			Child Care-Families referred to child care services	Households		Child Care-Families obtain child care services	Households
			Child Care-Families referred to child care services			Child Care-Families obtain child care services
			Education-Adult Basic Education/Literacy classes-Enrolled	Persons		Education-Adult Basic Education/Literacy class-Completed	Persons
			Education-Adult Basic Education/Literacy classes-Enrolled			Education-Adult Basic Education/Literacy class-Completed
			Education-High school/GED program-Enrolled	Persons		Education-High school diploma/GED obtained	Persons
			Education-High school/GED program-Enrolled			Education-High school diploma/GED obtained			B. Where Data Maintained
			Employment-Job skills assessment	Persons		Employment-Job skills determined	Persons
			Employment-Job skills assessment			Employment-Job skills determined
			Financial Literacy-Financial literacy/management classes-Enrolled	Persons		Financial Literacy-Financial literacy/management class-Completed	Persons

			Financial Literacy-Individual Counseling-Enrolled	Persons		Financial Literacy-Individual Counseling-Completed	Persons
			Financial Literacy-Individual Counseling-Enrolled			Financial Literacy-Individual Counseling-Completed			C. Source of Data
			Outreach-Service providers contacted	Providers		Outreach-Providers make agreements with agency to provide services	Providers
			Outreach-Service providers contacted
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Improved living conditions/quality of life	Persons
						Seniors/Disabled-Improved living conditions/quality of life
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
									D. Frequency of Collection
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons

			Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun.	Persons		Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed.	Persons

			Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Households		Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
									E. Processing of Data
			Service Coordination-Participants with ITSPs continuing to receive services-Year 1	Households		Service Coordination-Services no longer needed-ITSP goals achieved-Year 1	Persons

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Sheet 6: Year 2

eLogic Model®				Worksheet-YR2					OMB Approval 2535-0114 exp. 08/31/2014
		Applicant Legal Name	0

		HUD Program	ROSS SC		Reporting Period	Projection
					Reporting Start Date		DUNS No.	0
		Project Name	0		Reporting End Date				FY 2014
HUD Goals	Policy Priority	Needs	Services/Activities	Measures		Outcomes	Measures		Evaluation Tools
1		2	3	4		5	6		7
Policy		Planning	Programming	Projection	Annual	Impact	Projection	Annual	Accountability
3B 3C 3D	1a 1b 1c 2a		Administration-Hire ROSS Service Coordinator	Persons		Administration-ROSS Service Coordinator hired	Persons		A. Tools for Measurement
			Administration-Hire ROSS Service Coordinator			Administration-ROSS Service Coordinator hired
			Child Care-Families referred to child care services	Households		Child Care-Families obtain child care services	Households
			Child Care-Families referred to child care services			Child Care-Families obtain child care services
			Education-Adult Basic Education/Literacy classes-Enrolled	Persons		Education-Adult Basic Education/Literacy class-Completed	Persons
			Education-Adult Basic Education/Literacy classes-Enrolled			Education-Adult Basic Education/Literacy class-Completed
			Education-High school/GED program-Enrolled	Persons		Education-High school diploma/GED obtained	Persons
			Education-High school/GED program-Enrolled			Education-High school diploma/GED obtained			B. Where Data Maintained
			Employment-Job skills assessment	Persons		Employment-Job skills determined	Persons
			Employment-Job skills assessment			Employment-Job skills determined
			Financial Literacy-Financial literacy/management classes-Enrolled	Persons		Financial Literacy-Financial literacy/management class-Completed	Persons

			Financial Literacy-Individual Counseling-Enrolled	Persons		Financial Literacy-Individual Counseling-Completed	Persons
			Financial Literacy-Individual Counseling-Enrolled			Financial Literacy-Individual Counseling-Completed			C. Source of Data
			Outreach-Service providers contacted	Providers		Outreach-Providers make agreements with agency to provide services	Providers
			Outreach-Service providers contacted
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Improved living conditions/quality of life	Persons
						Seniors/Disabled-Improved living conditions/quality of life
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
									D. Frequency of Collection
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons

			Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun.	Persons		Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed.	Persons

			Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Households		Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
									E. Processing of Data
			Service Coordination-Participants with ITSPs continuing to receive services-Year 2	Households		Service Coordination-Services no longer needed-ITSP goals achieved-Year 2	Persons

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Sheet 7: Year 3

eLogic Model®				Worksheet-YR3					OMB Approval 2535-0114 exp. 08/31/2014
		Applicant Legal Name	0

		HUD Program	ROSS SC		Reporting Period	Projection
					Reporting Start Date		DUNS No.	0
		Project Name	0		Reporting End Date				FY 2014
HUD Goals	Policy Priority	Needs	Services/Activities	Measures		Outcomes	Measures		Evaluation Tools
1		2	3	4		5	6		7
Policy		Planning	Programming	Projection	Annual	Impact	Projection	Annual	Accountability
3B 3C 3D	1a 1b 1c 2a		Administration-Hire ROSS Service Coordinator	Persons		Administration-ROSS Service Coordinator hired	Persons		A. Tools for Measurement
			Administration-Hire ROSS Service Coordinator			Administration-ROSS Service Coordinator hired
			Child Care-Families referred to child care services	Households		Child Care-Families obtain child care services	Households
			Child Care-Families referred to child care services			Child Care-Families obtain child care services
			Education-Adult Basic Education/Literacy classes-Enrolled	Persons		Education-Adult Basic Education/Literacy class-Completed	Persons
			Education-Adult Basic Education/Literacy classes-Enrolled			Education-Adult Basic Education/Literacy class-Completed
			Education-High school/GED program-Enrolled	Persons		Education-High school diploma/GED obtained	Persons
			Education-High school/GED program-Enrolled			Education-High school diploma/GED obtained			B. Where Data Maintained
			Employment-Job skills assessment	Persons		Employment-Job skills determined	Persons
			Employment-Job skills assessment			Employment-Job skills determined
			Financial Literacy-Financial literacy/management classes-Enrolled	Persons		Financial Literacy-Financial literacy/management class-Completed	Persons

			Financial Literacy-Individual Counseling-Enrolled	Persons		Financial Literacy-Individual Counseling-Completed	Persons
			Financial Literacy-Individual Counseling-Enrolled			Financial Literacy-Individual Counseling-Completed			C. Source of Data
			Outreach-Service providers contacted	Providers		Outreach-Providers make agreements with agency to provide services	Providers
			Outreach-Service providers contacted
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Improved living conditions/quality of life	Persons
						Seniors/Disabled-Improved living conditions/quality of life
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
									D. Frequency of Collection
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons

			Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun.	Persons		Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed.	Persons

			Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Households		Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
									E. Processing of Data
			Service Coordination-Participants with ITSPs continuing to receive services-Year 3	Households		Service Coordination-Services no longer needed-ITSP goals achieved-Year 3	Persons

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Sheet 8: Totals

eLogic Model®				Totals					OMB Approval 2535-0114 exp. 08/31/2014
		Applicant Legal Name	0

		HUD Program	ROSS SC		Reporting Period	TOTALS
					Reporting Start Date		DUNS No.	0
		Project Name	0		Reporting End Date				FY 2014
HUD Goals	Policy Priority	Needs	Services/Activities	Measures		Outcomes	Measures		Evaluation Tools
1		2	3	4		5	6		7
Policy		Planning	Programming	Projection	Annual	Impact	Projection	Annual	Accountability
3B 3C 3D	1a 1b 1c 2a		Administration-Hire ROSS Service Coordinator	Persons		Administration-ROSS Service Coordinator hired	Persons		A. Tools for Measurement
			Administration-Hire ROSS Service Coordinator	0	0	Administration-ROSS Service Coordinator hired	0	0
			Child Care-Families referred to child care services	Households		Child Care-Families obtain child care services	Households
			Child Care-Families referred to child care services	0	0	Child Care-Families obtain child care services	0	0
			Education-Adult Basic Education/Literacy classes-Enrolled	Persons		Education-Adult Basic Education/Literacy class-Completed	Persons
			Education-Adult Basic Education/Literacy classes-Enrolled	0	0	Education-Adult Basic Education/Literacy class-Completed	0	0
			Education-High school/GED program-Enrolled	Persons		Education-High school diploma/GED obtained	Persons
			Education-High school/GED program-Enrolled	0	0	Education-High school diploma/GED obtained	0	0	B. Where Data Maintained
			Employment-Job skills assessment	Persons		Employment-Job skills determined	Persons
			Employment-Job skills assessment	0	0	Employment-Job skills determined	0	0
			Financial Literacy-Financial literacy/management classes-Enrolled	Persons		Financial Literacy-Financial literacy/management class-Completed	Persons
				0	0		0	0
			Financial Literacy-Individual Counseling-Enrolled	Persons		Financial Literacy-Individual Counseling-Completed	Persons
			Financial Literacy-Individual Counseling-Enrolled	0	0	Financial Literacy-Individual Counseling-Completed	0	0	C. Source of Data
			Outreach-Service providers contacted	Providers		Outreach-Providers make agreements with agency to provide services	Providers
			Outreach-Service providers contacted	0	0		0	0
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Improved living conditions/quality of life	Persons
				0	0	Seniors/Disabled-Improved living conditions/quality of life	0	0
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
				0	0		0	0	D. Frequency of Collection
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons
				0	0		0	0
			Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun.	Persons		Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed.	Persons
				0	0		0	0
			Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Households		Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
				0	0		0	0	E. Processing of Data
			Service Coordination-Participants with ITSPs continuing to receive services-Year 1	Households		Service Coordination-Services no longer needed-ITSP goals achieved-Year 1	Persons
				0	0		0	0
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Sheet 9: Extension

eLogic Model®				Extension					OMB Approval 2535-0114 exp. 08/31/2014
		Applicant Legal Name	0

		HUD Program	ROSS SC		Reporting Period	EXTENSION
					Reporting Start Date		DUNS No.	0
		Project Name	0		Reporting End Date				FY 2014
HUD Goals	Policy Priority	Needs	Services/Activities	Measures		Outcomes	Measures		Evaluation Tools
1		2	3	4		5	6		7
Policy		Planning	Programming	Projection	Annual	Impact	Projection	Annual	Accountability
3B 3C 3D	1a 1b 1c 2a		Administration-Hire ROSS Service Coordinator	Persons		Administration-ROSS Service Coordinator hired	Persons		A. Tools for Measurement
			Administration-Hire ROSS Service Coordinator			Administration-ROSS Service Coordinator hired
			Child Care-Families referred to child care services	Households		Child Care-Families obtain child care services	Households
			Child Care-Families referred to child care services			Child Care-Families obtain child care services
			Education-Adult Basic Education/Literacy classes-Enrolled	Persons		Education-Adult Basic Education/Literacy class-Completed	Persons
			Education-Adult Basic Education/Literacy classes-Enrolled			Education-Adult Basic Education/Literacy class-Completed
			Education-High school/GED program-Enrolled	Persons		Education-High school diploma/GED obtained	Persons
			Education-High school/GED program-Enrolled			Education-High school diploma/GED obtained			B. Where Data Maintained
			Employment-Job skills assessment	Persons		Employment-Job skills determined	Persons
			Employment-Job skills assessment			Employment-Job skills determined
			Financial Literacy-Financial literacy/management classes-Enrolled	Persons		Financial Literacy-Financial literacy/management class-Completed	Persons

			Financial Literacy-Individual Counseling-Enrolled	Persons		Financial Literacy-Individual Counseling-Completed	Persons
			Financial Literacy-Individual Counseling-Enrolled			Financial Literacy-Individual Counseling-Completed			C. Source of Data
			Outreach-Service providers contacted	Providers		Outreach-Providers make agreements with agency to provide services	Providers
			Outreach-Service providers contacted
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Improved living conditions/quality of life	Persons
						Seniors/Disabled-Improved living conditions/quality of life
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
									D. Frequency of Collection
			Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons		Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons

			Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun.	Persons		Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed.	Persons

			Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Households		Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
									E. Processing of Data
			Service Coordination-Participants with ITSPs continuing to receive services-Year 1	Households		Service Coordination-Services no longer needed-ITSP goals achieved-Year 1	Persons

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Sheet 10: Goals Priorities

	HUD Goals		HUD Priorities
3B	Utilize Housing as a Platform for Improving Quality of Life (3B) Utilize HUD assistance to improve health outcomes.	1a	Job Creation/Employment (1A) Improving access to job opportunities through information sharing, coordination with federal, state, and local entities, and other means.
3C	Utilize Housing as a Platform for Improving Quality of Life (3C) Utilize HUD assistance to increase economic security and self-sufficiency.	1b	Job Creation/Employment (1B) Increasing access to job training, career services, and work support through coordination with federal, state, and local entities.
3D	Utilize Housing as a Platform for Improving Quality of Life (3D) Utilize HUD assistance to improve housing stability through supportive services for vulnerable populations including the elderly, people with disabilities, homeless people, and those individuals and families at risk of becoming homeless.	1c	Job Creation/Employment (1C) Expanding economic and job creation opportunities for low-income residents and creating better transportation access to those jobs and other economic opportunities by partnering with federal and nonprofit agencies, private industry, and planning and economic development organizations and by leveraging federal and private resources.
		2a	Sustainability (2A) Promote and preserve community assets including small businesses, fresh food markets, parks, hospitals, and quality schools by incentivizing comprehensive and inclusive local economic development planning.

Sheet 11: Needs

CAMP eLogic Model®

Column 2

NEEDS

There is a need for supportive services to enable disabled and elderly residents to remain living independently and/or age in place.

There is a need for supportive services to assist youth, adults, and families connect to educational and professional services and training to help them achieve economic self-sufficiency.

There is a need to assess residents’ health insurance status.

There is a need to connect residents to health resources.

Sheet 12: Services

CAMP eLogic Model®
Column 3
ACTIVITIES/SERVICES/OUTPUTS	UNITS

Administration-Hire ROSS Service Coordinator	Persons
Child Care-Families referred to child care services	Households
Education-Adult Basic Education/Literacy classes-Enrolled	Persons
Education-High school/GED program-Enrolled	Persons
Employment-Job skills assessment	Persons
Financial Literacy-Financial literacy/management classes-Enrolled	Persons
Financial Literacy-Individual Counseling-Enrolled	Persons
Outreach-Service providers contacted	Providers
Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons
Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons
Seniors/Disabled-Service Coordination-Referrals for senior/disability services	Persons
Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) begun	Persons
Service Coordination-Non-ITSP individuals seeking services (unduplicated count)	Persons
Service Coordination-Participants with ITSPs continuing to receive services-Year 1	Persons
Service Coordination-Participants with ITSPs continuing to receive services-Year 2	Persons
Service Coordination-Participants with ITSPs continuing to receive services-Year 3	Persons
Education-Post secondary classes-Enrolled	Persons
Financial Literacy-Banking, credit and IDA information provided	Persons
Outreach-Outreach to individuals (non-elderly/non-disabled residents)	Persons
Outreach-Outreach to seniors/persons with disabilities	Persons
Policy Priority 1-Health Care Assessment-Health insurance assessment conducted	Persons
Policy Priority 1-Health Care Assistance-Referral for health care services	Persons
Policy Priority 1-Partnership with Health Care Organization-Outreach to Health Care Providers	Providers
Policy Priority 1-Target High-Need Clients-Baseline needs identified for most vulnerable residents	Persons
Policy Priority 1-Target High-Need Clients-Most vulnerable residents identified	Persons
Policy Priority 2-Promote Economic Development-Job training classes-Enrolled	Persons
Policy Priority 2-Promote Economic Development-Participants referred to employers	Persons
Seniors/Disabled-Food and Nutrition-Congregate Meals coordinated	Persons
Training-Parenting/Household Skills/Life skills classes-Enrolled	Persons
Transportation-Referrals to transportation services to enable employment	Persons
Transportation-Referrals to transportation services to enable service provision	Persons

Sheet 13: Outcomes

CAMP eLogic Model®
Column 5
OUTCOMES	UNITS
Administration-ROSS Service Coordinator hired	Persons
Child Care-Families obtain child care services	Households
Education-Adult Basic Education/Literacy class-Completed	Persons
Education-High school diploma/GED obtained	Persons
Employment-Job skills determined	Persons
Financial Literacy-Financial literacy/management class-Completed	Persons
Financial Literacy-Individual Counseling-Completed	Persons
Outreach-Providers make agreements with agency to provide services	Providers
Seniors/Disabled-Improved living conditions/quality of life	Persons
Seniors/Disabled-Live independently/age in place and avoid long term care placement	Persons
Seniors/Disabled-Service Coordination-Seniors/disabled obtain needed services	Persons
Service Coordination-New Participants Enrolled-Individual Training Service Plans (ITSPs) completed	Persons
Service Coordination-Non ITSP individuals served (unduplicated count)	Persons
Service Coordination-Services no longer needed-ITSP goals achieved-Year 1	Persons
Service Coordination-Services no longer needed-ITSP goals achieved-Year 2	Persons
Service Coordination-Services no longer needed-ITSP goals achieved-Year 3	Persons
Education-Post secondary classes-Completed	Persons
Financial Literacy-Checking/Savings account established	Persons
Financial Literacy-Credit score improved	Persons
Financial Literacy-IDA account established	Persons
Outreach-Eligible seniors/persons with disabilities enrolled in ROSS program	Persons
Outreach-Non-elderly/non-disabled residents enrolled	Persons
Policy Priority 1-Health Care Assessments-Residents obtain insurance	Persons
Policy Priority 1-Health Care Assistance-Health care services obtained	Persons
Policy Priority 1-Partnership with Health Care Organizations-Medical home* established for residents	Persons
Policy Priority 1-Partnerships with Health Care Organizations-Partnership established with health care providers	Providers
Policy Priority 1-Target High-Need Clients-Most vulnerable residents linked to services addressing their baseline health needs	Persons
Policy Priority 2-Promote Economic Development-Earned income increases	Persons
Policy Priority 2-Promote Economic Development-Job training classes-Completed	Persons
Policy Priority 2-Promote Economic Development-Participants obtain part-time employment	Persons
Policy Priority 2-Promote Economic Development-Participants obtain full-time employment	Persons
Policy Priority 2-Promote Economic Development-Participants’ job skills increase	Persons
Seniors/Disabled-Food and Nutrition-Senior participants have adequate nutrition	Persons
Training-Parenting/Household Skills/Life skills classes-Completed	Persons
Transportation-Employment obtained as a result of transportation	Persons
Transportation-Service(s) obtained as a result of transportation	Persons

Sheet 14: Tools

CAMP eLogic Model®

A. Tools For Measurement

Bank accounts

Construction log

Database

Enforcement log

Financial aid log

Intake log

Interviews

Mgt. Info. System-automated

Mgt. Info. System-manual

Outcome scale(s)

Phone log

Plans

Pre-post tests

Post tests

Program specific form(s)

Questionnaire

Recruitment log

Survey

Technical assistance log

Time sheets

B. Where Data Maintained

Agency database

Centralized database

Individual case records

Local precinct

Public database

School

Specialized database

Tax Assessor database

Training center

C. Source of Data

Audit report

Business licenses

Certificate of Occupancy

Code violation reports

Counseling reports

Employment records

Engineering reports

Environmental reports

Escrow accounts

Financial reports

GED certification/diploma

Health records

HMIS

Inspection results

Lease agreements

Legal documents

Loan monitoring reports

Mortgage documents

Payment vouchers

Permits issued

Placements

Progress reports

Referrals

Sale documents

Site reports

Statistics

Tax assessments

Testing results

Waiting lists

Work plan reports

D. Frequency of Collection

Daily

Weekly

Monthly

Quarterly

Biannually

Annually

Upon incident

E. Processing of Data

Computer spreadsheets

Flat file database

Manual tallies

Relational database

Statistical database

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