national governors’ association center for best practices project overview nga policy academy...
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National Governors’ Association Center for Best Practices
Project OverviewProject Overview
NGA Policy AcademyNGA Policy Academy Improving Oral Health Care for ChildrenImproving Oral Health Care for Children
© 2000 National Governors Association© 2000 National Governors Association
What is Technical What is Technical Assistance?Assistance?
The provision of data, research, expertise, andother support to help decision makers:
– Think through policy options;– Design and implement new systems and
programs; and/or– Make existing systems and programs more
effective.
© 2000 National Governors Association© 2000 National Governors Association
Types of Technical AssistanceTypes of Technical Assistance
Literature ReviewsQuick-Response MemorandaIssue Briefs, ReportsConference CallsOnsite VisitsSeminars, Roundtables, and Policy ForumsOther
© 2000 National Governors Association© 2000 National Governors Association
What is a Policy Academy?What is a Policy Academy?
Type of technical assistance
Structured workshop Influential
policymakers Coordinated response Specific issue Process, not an event
© 2000 National Governors Association© 2000 National Governors Association
Why a Policy Academy?Why a Policy Academy?
Promote strategic planning
Learn from other state experiences
Establish/reinforce dialogue
Build consensus and plan for change
© 2000 National Governors Association© 2000 National Governors Association
Academy PurposeAcademy Purpose
For each teamteam to develop a state-wide policy initiativepolicy initiative (Action Plan) that can be realistically implementedimplemented to improve oral health care for children
© 2000 National Governors Association© 2000 National Governors Association
Participant StatesParticipant StatesAcademy IAcademy I Academy IIAcademy II Academy IIIAcademy III
AlabamaAlabama
ColoradoColorado
MinnesotaMinnesota
OhioOhio
OregonOregon
South CarolinaSouth Carolina
VirginiaVirginia
ArkansasArkansas
DelawareDelaware
GeorgiaGeorgia
KentuckyKentucky
TennesseeTennessee
UtahUtah
West VirginiaWest Virginia
WyomingWyoming
FloridaFlorida
HawaiiHawaii
IndianaIndiana
MaineMaine
MassachusettsMassachusetts
MississippiMississippi
MissouriMissouri
PennsylvaniaPennsylvania
© 2000 National Governors Association© 2000 National Governors Association
General Team CompositionGeneral Team Composition
Governor’s health policy advisor
Member(s) of the legislature
State dental director Medicaid/SCHIP
director(s) State dental association Others
© 2000 National Governors Association© 2000 National Governors Association
Hopeful Outcome(s)Hopeful Outcome(s)
Executive Order(s) Legislation Budget proposals/
funding mechanisms Interagency agreements
(Memoranda of Understanding or Agreement)
Informal partnerships Rules or regulations Program standards/
guidelines (licensure requirements)
Task forces/ Committees Other
© 2000 National Governors Association© 2000 National Governors Association
Site Visit ObjectivesSite Visit Objectives
Familiarize teams with Action Plan
Discuss Academy format
Ensure teams function
Set teams in motion (homework)
Policy Academy for State OfficialsPolicy Academy for State Officials Improving Oral Health Care for Improving Oral Health Care for
ChildrenChildren
National Governors’ Association Center for Best Practices
The Action PlanThe Action Plan
© 2000 National Governors Association© 2000 National Governors Association
A Return to PurposeA Return to Purpose
For each team to develop a state-wide policy initiativepolicy initiative (Action Plan) that can be realistically implemented to improve oral health care for children
© 2000 National Governors Association© 2000 National Governors Association
Policy Initiative FrameworkPolicy Initiative Framework(The Action Plan)(The Action Plan)
The Vision (Your State Tomorrow)The Reality Assessment (Your State Today)Priorities/Goals (Gaps)Strategies with Potential (Tactical Plans)Action Steps (Work Assignments)
© 2000 National Governors Association© 2000 National Governors Association
The VisionThe Vision(Your State Tomorrow)(Your State Tomorrow)
Provides a statement of purpose
Presents a picture of your ideal future (independent of the current reality)
Serves as a reference point for all future decisions
© 2000 National Governors Association© 2000 National Governors Association
Sample Vision StatementSample Vision Statement
We envision a State where every child enjoys optimal oral health; where prevention is emphasized and treatment is available, accessible, affordable, and timely; where parents are involved, providers are engaged, and insurers are responsible; where government is a guarantor of resources, quality, and patient protection; and where the total well-being of the child is promoted.
© 2000 National Governors Association© 2000 National Governors Association
The Reality AssessmentThe Reality Assessment(Your State Today)(Your State Today)
Requires a review / inventory of:– Key problem issues in your State– Previous policy actions taken to address these
issues– Current political environment
Assesses your strengths, weaknesses, opportunities, and threats
Helps to identify resources at your disposal Provides context for your efforts
© 2000 National Governors Association© 2000 National Governors Association
Team Priorities/GoalsTeam Priorities/Goals(Gaps)(Gaps)
Areas where you will focus your energy and resources
Likely to be the “gaps” between your vision and the current reality
Form the basis for planning, policy-making, and setting performance standards
May be short-term and/or long-term
© 2000 National Governors Association© 2000 National Governors Association
Strategies with PotentialStrategies with Potential(Tactical Plans)(Tactical Plans)
Broad-ranging tactics to affect change
Often require statewide or cross-agency efforts
Usually involve the combination of several courses of action
Should be directly related to your priorities/goals
© 2000 National Governors Association© 2000 National Governors Association
Action StepsAction Steps(Work Assignments)(Work Assignments)
Specific activities undertaken based on your strategy(-ies)
Require action from specific individuals (or entities) Considerations:
– Who is responsible for coordinating each action?– Who is responsible for completing each action?– What resources are required?– What is the timeline?– Who will be affected?– How will success be measured?
© 2000 National Governors Association© 2000 National Governors Association
Visualizing the Action PlanVisualizing the Action Plan
R ea lity A ssessm en t(Y ou r S ta te Tod ay)
P rio rity/G oa l # 1
A c tion 2 .1 .1 A c tion 2 .1 .2
A c tion 2 .1 .3 A c tion 2 .1 .4
S tra teg y 2 .1
A c tion 2 .2 .1 A c tion 2 .2 .2
A c tion 2 .2 .3
S tra teg y 2 .2
P rio rity/G oa l # 2 P rio rity/G oa l # 3
V is ion(Y ou r S ta te Tom orrow )
Policy Academy for State OfficialsPolicy Academy for State Officials Improving Oral Health Care for Improving Oral Health Care for
ChildrenChildren
National Governors’ Association Center for Best Practices
The Planning GuideThe Planning Guide
© 2000 National Governors Association© 2000 National Governors Association
What is the Planning Guide?What is the Planning Guide?
Guidance toolPurpose is to help
your team: – Prepare for the
Academy– Develop your
Action Plan
© 2000 National Governors Association© 2000 National Governors Association
Academy StagesAcademy Stages
State preparation– Site visits– Homework
Formal Policy AcademyPost-Academy implementation
(and technical assistance)
© 2000 National Governors Association© 2000 National Governors Association
State PreparationState Preparation(Site Visits)(Site Visits)
Familiarize teams with Action Plan
Discuss Academy format
Ensure teams function
Set teams in motion (homework)
© 2000 National Governors Association© 2000 National Governors Association
State PreparationState Preparation(Homework)(Homework)
Formalize decision making process
Develop a common vision
Assess current reality Narrow priorities /
goals Develop team
presentation
© 2000 National Governors Association© 2000 National Governors Association
Working as a TeamWorking as a Team
Choose a LeaderEstablish Tasks, Time Table, and
TimekeeperSelect a ScribeDevelop Team Ground RulesDetermine Decision Making ProcessCheck-In and Check-Out
© 2000 National Governors Association© 2000 National Governors Association
Team TipsTeam Tips
Try to stay focusedEncourage ideasChallenge your assumptionsHighlight and explore your differencesDifferentiate between what you are totally
committed to and what you can live with
© 2000 National Governors Association© 2000 National Governors Association
During the AcademyDuring the Academy
Teams “complete” Action Plans– State Presentations– State Delegation
Meetings– Report-Outs
Feedback from faculty and peers
© 2000 National Governors Association© 2000 National Governors Association
State Team PresentationState Team Presentation
Discuss your initial vision, priorities/goals
Elaborate on key issues and your efforts to address those issues
Emphasize transferable themes and activities
Solicit feedback from faculty and peers
© 2000 National Governors Association© 2000 National Governors Association
State Delegation MeetingsState Delegation Meetings
Continue developing Action Plan– Reaffirm team vision, priorities/goals– Formulate policy and program strategies– Assign specific action steps based on
strategies (optional)Confer “one-on-one” with faculty,
peers
© 2000 National Governors Association© 2000 National Governors Association
State Report-OutsState Report-Outs
Outline Action Plan (brief)
Discuss how priorities may have changed (or been reinforced)
Elaborate on immediate next steps
Identify potential technical assistance needs
Solicit feedback from faculty and peers
© 2000 National Governors Association© 2000 National Governors Association
Following the AcademyFollowing the Academy
Finalize strategies (short- and long-range)Develop specific action stepsImplement the Action Plan
– Agree on a timeline– Develop benchmarks / outcome measures
Report on progressSeek technical assistance as needed
© 2000 National Governors Association© 2000 National Governors Association
Team ChallengesTeam Challenges
Building team consensus around Action Plan Staying focused Encouraging ideas Challenging assumptions Highlighting/exploring differences Differentiating between what team members are
totally committed to and what they can live with
© 2000 National Governors Association© 2000 National Governors Association
Team Challenges (cont’d)Team Challenges (cont’d)
Identifying politically feasible strategies Presenting a clear message to influential
policymakers Generating public and political will to support
Action Plan Implementing the Action Plan through executive,
legislative, administrative, and private sector (non-government) processes
© 2000 National Governors Association© 2000 National Governors Association
NGA Center for Best PracticesNGA Center for Best Practices(www.nga.org/center)(www.nga.org/center)
Robert J. BurnsPolicy Analyst
National Governors AssociationCenter for Best Practices
444 North Capitol Street, Suite 267Washington, DC 20001-1512
(202) 624-7729fax: (202) 624-5313email: rburns@nga.org
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