Program Evaluation: Developing and Implementing a Remediation Plan1

TB programs can use program evaluation as an opportunity to improve the program through planning and 

implementation of remediation strategies based on program evaluation findings.

1

 A remediation plan will take 

your program evaluation results to the next step in continuous quality improvement.2

 

The first step in developing an actionable remediation plan is to review your program evaluation findings. For 

instance, the example program evaluation plan Completion of Treatment for Tuberculosis Disease by Using 

Incentives and Enablers includes a section on how the program evaluation findings will be used to address 

identified barriers. The remediation plan should build on the information included in the program evaluation 

report, going into more detail about actions and activities that will address the barriers identified through 

program evaluation. 

An actionable remediation plan should include goals and objectives: 

 Goal

The overall goal of a remediation plan is to address the areas where the TB program did not meet objectives and

to implement strategies for long-term improvement in those areas. For example, our remediation plan goal for

Completion of Treatment for Tuberculosis Disease by Using Incentives and Enablers should be based on 

addressing patient barriers for completing treatment using strategies that can be implemented long term. 

 Objectives 

Developing objectives for your remediation plan will help to ensure that the activities meet the specific 

achievements that your program wants to accomplish. See Developing Objectives and Evaluation Questions for 

TB Program Evaluation for information about developing objectives that are Specific, Measurable, Achievable, 

Relevant, and Time bound (SMART).
The goals and objectives should be followed by specific information about remediation plan activities, measures, timeline, dissemination of results and 

determining next steps. The table provides information about the elements that will help your program develop an action-oriented remediation plan. 

Activities

Measures to Determine 

Effectiveness Timeline Persons Responsible

Dissemination of Results and 

Determining Next Steps

These are specific activities 

that are decided upon by the 

TB program to address 

program evaluation findings. 

For example:

• Program evaluation 

finding: many TB patients 

have a difficult time 

arriving at the TB clinic 

during normal clinic hours 

to receive Directly 

Observed Therapy (DOT)

• Activity to address the 

finding: the TB program 

decides to partner with 

the STD clinic to offer 

extended hours and 

services for DOT of TB 

patients

The criteria for each 

measure should be 

reasonable and 

quantifiable. For example:

• The number of STD 

clinic staff crosstrained in 

administration of TB 

DOT

• The number of TB 

patients who arrived at 

the STD clinic for TB 

DOT during extended 

clinic hours

• The percentage of TB 

patients who 

completed therapy by 

DOT

The timeline should cover the 

time it will take to:

• Implement new activities

• Collect data to determine 

their effectiveness

• Analyze and interpret data

• Disseminate results of the

remediation plan 

• Determine next steps 

When developing a timeline, 

consider the following:

• Reasonable timeframe: give 

a reasonable and feasible 

amount of time to complete 

each proposed activity

• Resources: the TB program 

should have the necessary 

support (materials, staff, 

training, and collaboration) 

to implement and complete 

each activity 

• Accountability: regular 

communication between 

staff who are implementing 

activities, project lead, and 

other stakeholders on 

progress, barriers, and 

Appoint a project lead to 

manage the implementation 

and monitoring of the 

remediation plan. 

• This person will be 

responsible for keeping 

the plan moving 

according to the timeline, 

addressing issues that 

come up, and adjusting 

the plan activities or 

timeline as needed.

• The TB PEN focal point 

might be an excellent 

point person for the 

implementation of the 

remediation plan

List the activity leads who will 

manage the implementation 

and monitoring of specific 

activities in the remediation 

plan

Determine how you will 

share results of your 

remediation plan. This may 

include reports to your 

program evaluation 

stakeholders.

• Results can be 

disseminated informally 

in meetings or 

conference calls and 

formally through reports 

and presentations. See 

“Sharing Program 

Evaluation Findings” for 

more information and 

suggestions.

• If you are required to 

submit an annual 

progress report to the 

Centers for Disease 

Control and Prevention’s 

Division of TB 

Elimination, be sure to 

include the progress and 

results of your 

remediation plan.

Determine any next steps, 

such as policy or practice 

changes, other activities, or 
achievements of 

remediation plan activities

further evaluation based on

your remediation plan

findings

Resources:

1

For more information about using program evaluation findings and developing remediation plans:

Tuberculosis Elimination and Laboratory Cooperative Agreement (See page 51 for a description of remediation plan structure)

Ensure Use of Evaluation Findings and Share Lessons Learned

Beyond Reporting: Getting More Value out of Your Evaluation

Evaluation Toolkit: Improve Program with Evaluation Findings

2

For more information about quality improvement in public health: 

Minnesota Department of Health: Continuous Quality Improvement Model

Centers for Disease Control and Prevention: Performance Management and Quality Improvement

Defining Quality Improvement in Public Health. Journal of Public Health Management and Practice. 2010:16(1); 5-7.