coalition member
assessment Tool
Coalition Member Assessment
Tom Wolff and Gillian Kaye
Adapted from earlier satisfaction surveys by Gillian Kaye and Steve Fawcett
For each item please circle, the number that best shows your agreement with
the statement about that aspect of the coalition
Strongly
Agree Strongly
Disagree
1 2 3 4 5
Vision, –Planning,
Implementation, Progress
1. The coalition has a clear vision and mission
2. There is consistent follow through on coalition activities
3. The coalition utilizes activities that are effective in helping the coalition
reach its goals
4. The coalition has developed targeted action planning for community and
systems change
5. The coalition effectively reconciles difference among members
6. The coalition engages in collaborative problem solving
of jointly shared problems, resulting in innovative solutions
7. The coalition expands available resources by having partners bring resources
to the table or identify others with resources
Leadership and Membership
8. The coalition develops and supports leadership
9. There are opportunities for coalition members to take leadership roles
and members are willing to take them
10. Leadership responsibilities are shared in the coalition
11. The coalition creates greater ownership by partners in joint ventures
and projects
12 The coalition has broad and appropriate membership for the issue it is
addressing
13 The coalition membership is diverse
14 Members display commitment and take on tasks
Structure
15. The coalition has regular meeting cycles that members can expect
16. The coalition has active workgroups and committees
17. Members get agendas for the meetings prior to the meeting and minutes
afterwards
18. The work of the meeting, as outlined in the agenda, gets accomplished
19 The coalition has a viable organization structure that functions competently
Communication
20. Communication among members of the coalition is effective
21. Communication between the coalition and the broader renal community
is effective
22. Coalition members are listened to and heard
Activities
23. Information gets exchanged at coalition meeting
24. The coalition develops new materials and new programs
25. The coalition advocates for change
26. New and more perspectives are shared on issues
27. Outcomes are more comprehensive than those achieved without a coalition
Outcomes
OPEN ENDED Q
What changes occurred because of the coalition
that otherwise would not have occurred?
28. The coalition has been able to achieve its goals and create concrete
outcomes
29. The coalition is serving as a catalyst for positive change related to
renal disease
30. The coalition creates community changes as seen in changes in programs,
polices and practices that enhance patient outcomes
Definitions: (Programs can be new or modified interventions, new protocols,
and new products such as educational materials, marketing/branding materials,
and new presentations. Policies can include: facility/agency policies, state
policies, federal policies, institutional/agency policies. Consider practice
changes at facilities as well as other institutions and organizations; practice
changes by various practitioners (including PCP’s, nursing/social work
staff, facility administrators), by government, by patients)
30. The coalition has effected changes in programs, policies and practices
in many sectors and systems in the renal community
OPEN ENDED Q:
What specific changes in programs, policies and practices have
you seen that were created by the work of this coalition?
31. The outcomes created are the ones that matter
33. After each activity or project the leadership of the committee evaluates
how it went in order to learn from experience
Relationships:
34. Old/existing partnerships have been enhanced as a result of the coalition
35. We have built new relationships with new partners as result of the coalition
36. Members of the real community now know more about each other's resources
as result of the coalition
Systems Outcomes
37. As a result of the coalition’s formation, systems changes have
happened including changes in relationships in the Renal Community and the
capacity of the ESRD Network and the Renal Community to address emerging
issues.
38. We have seen positive changes in the renal community as a result of
the coalition: partners are more collaborative, and more cooperative
39. The coalition helped the renal community to access more resources than
the ESRD Networks have in order to reach their goals.
40. The ESRD Network is more visible as a result of the coalition
41. The coalition has created positive changes in the ESRD Network and its
role in the Renal Community
Overall rating
42. The renal community and renal patients are better off today because of
this coalition
43. I have benefited from participation in the coalition through:
a. Building relationships with other coalition members
b. Exchanging information with others - networking
c. Working with others on issues of importance
d. Being part of a process that brings about meaningful change
44 My agency has benefited from its participation in the coalition
through:
a. Modified programs
b. Developing new programs
c. Gaining access to new/more resources
d. Creating solutions collaboratively with other coalition partners
OPEN ENDED Q
What changes happened in your own organization
as a result of the coalition that would not otherwise have occurred?
What happened that surprised you
that you did not plan for as an outcome?
As
a result of the coalition work, what are the three most significant things
you’ve learned
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