Miller’s Impact Assessment Framework
Note: All dimensions and outcomes should be filled out. If not applicable, please input N/A.
Potential Positive Potential Negative
Dimension
Impacts Impacts
A. Individual
Decreased maternal death Possibly longer visits to
A1: Experience of health include maternal and
mental health
More patients evaluated Increased travel, fuel
through remote visits costs
A2: Health across settings
through mobile clinics and
home visits
Patients more willing to Personal health
share private information information not as secure.
A3: Privacy while in their own homes Lap tops or I-pads with
encryptions would need to
be used – not paper.
Increased sex education will Increased cost in
empower teen girls to be outreach education
A4: Empowerment
empowered to decrease
unplanned pregnancies
Patients more actively Cultural concern with how
A5: Behavior engaged in their care things have been done
historically
B. Health Services
B1: Patient safety and quality Improved maternal health Increased workload
of care outcomes including training
Enhanced learning Increased cost for training
B2: Advancing the standard of
opportunities which will and paying individuals to
care
increase quality of care attend training
Increased opportunities for More workforce needed to
B3: Care efficiency care through mobile clinic complete all visits
and home visits
Training and certifications Increased workload, time
B4: Provider experience of care will enhance the providers in trainings, cost of
knowledge trainings
1