Step 5: Implement and Evaluate
Once a state has selected a comprehensive set of strategies to pursue, it must build and execute implementation and evaluation plans.
The implementation plan should include program management components, such as assignment of roles and responsibilities—including designation of a team lead; development of action steps; creation of a timeline; and establishment of a governance structure. Core team leadership should pay careful attention to how timing aligns with a state’s legislative calendar, completion of a governor’s term, procedural barriers and opportunities that may slow down or speed up initiatives—such as procurement processes or timing of Medicaid contract updates. Additionally, states should carefully weigh the time and resources necessary to carry out multiple strategies concurrently and ensure that tasks and responsibilities are divided accordingly.
States also should develop an evaluation plan to monitor progress. States will need to determine the metrics that will define success for their initiatives and develop a rapid-cycle evaluation process that will allow for continuous performance assessment over the course of implementation and the ability to employ mid-course corrections as necessary. It is important to establish metrics before implementation begins to track progress as part of reporting and management processes. As states begin implementation and evaluation they may need to revisit certain strategies and action steps as new information becomes available, new barriers arise and new solutions become feasible. States should continue to work with their core teams and advisory groups to make changes to the implementation plan as necessary.
Please see Appendix D for a list of evaluation metrics states may consider as related to the strategies presented in this road map.