chronic disease and health promotion program integration
DESCRIPTION
Chronic Disease and Health Promotion Program Integration. Rosemarie Henson, MSSW, MPH Deputy Director Kaetz Beartusk, MPH Team Lead, Public Health Practice National Center for Chronic Disease Prevention and Health Promotion. Vision and Mission of NCCDPHP. - PowerPoint PPT PresentationTRANSCRIPT
Chronic Disease and Health PromotionProgram Integration
Rosemarie Henson, MSSW, MPHDeputy Director
Kaetz Beartusk, MPHTeam Lead, Public Health Practice
National Center for Chronic Disease Preventionand Health Promotion
Vision and Mission of NCCDPHP
Our VisionAll people living healthy lives free from the devastation of chronic diseases
Our MissionLeading efforts to promote health and well-being through prevention and control of chronic diseases
NCCDPHP Goals
• Prevent, delay, detect, and control chronic diseases• Contribute to chronic disease research and apply
that research to put practical and effective intervention strategies into practice
• Achieve equity in health by eliminating racial and ethnic disparities and achieving optimal health for all Americans
National Center for Chronic Disease Prevention and Health Promotion
Office of PublicHealth Genomics
Muin J. Khoury, M.D.Director
Division of Adult andCommunity Health
Wayne H. Giles, M.D., M.S.Director
Division of Nutrition,Physical Activity, and Obesity
William H. Dietz, M.D., Ph.D.Director
Office onSmoking and Health
Matthew T. McKenna, M.D., M.P.H.Director
Division of CancerPrevention and Control
Barbara Bowman, Ph.D.Acting Director
Division ofDiabetes Translation
Ann Albright, Ph.D.Director
Division for Heart Diseaseand Stroke Prevention
Darwin Labarthe, M.D., M.P.H., Ph.D.Director
Division ofOral Health
Kathleen Ethier, Ph.D.Acting Director
Disease-Focused Divisions Risk Factor Divisions
Division of Adolescentand School Health
Howell Wechsler, Ed.D, M.P.H.Director
Division ofReproductive Health
John LehnherrActing Director
Population/Setting Divisions
Framework for Preventing Chronic Disease and Promoting Health
Priority Conditions
Life Span and Settings
- Heart Disease - Stroke- Cancer- Diabetes- Obesity- Arthritis - Oral Health
- Tobacco- Nutrition- Physical Activity- Alcohol- Family History
Underlying Risk Factors
- Worksites- Schools- Communities - Health Systems- Infants- Children and Adolescents- Adults and Older Adults
Prevent, Delay, Detect & Control Chronic Disease
Heart Disease
Division for Heart Disease and Stroke Prevention
Office on Smoking and Heath
Division of Nutrition, Physical Activity and Obesity
Division of Adolescent and School Health
Division of Adult and Community Health
Office of Public Health Genomics
Early Efforts
• WISEWOMAN• Comprehensive Cancer Control • REACH (Racial and Ethnic Approaches to
Community Health)• Steps to a HealthierUS• Chronic Disease Program Linkages with Quitlines
Integration Initiative Background FY '05• Began working with states to understand the program integration efforts implemented by
states• Siloed programsFY '06• Integration workshop sponsored by CDC and NACDDFY '07• Offers to Participate (Negotiated Agreements) FY '08• Activities
- Simplified FOAs- Negotiated Agreements- Collaborative FOAs
NCCDPHP Vision for Program Integration
To nurture and sustain a culture for programintegration across chronic disease and healthpromotion, and other related programs
Goals for Integration
• Improve program reach and impact by enhancing synergies among approaches to different diseases, risk factors, populations, and settings
• Promote opportunities for greater flexibility, creativity and responsiveness by our partners
• Increase efficiencies across categorical disease programs• Provide consistency of CDC processes, reporting and
interpretation of policy across programs for states and other partners
• Maximize and leverage limited federal resources
Evaluation
What integration efforts seem to create the favorable environment that is necessary for implemented programs to achieve their intended chronic disease outcomes.
• Do/did integration efforts produce improvements in intra-organization collaboration, efficiencies etc
• Do/did integration efforts produce the intended external improvement such as increased outreach/access to populations, leveraged funding etc
• Do/did the increased leverage, efficiencies, collaboration lead to enhanced reach and /or significant policy or environmental changes
NCCDPHP’s Integration Approaches
• 2008 Streamlined FOAs for all Center programs • 2009 Collaborative Performance Agreements for Pacific
Basin Programs (BRFSS, Diabetes, Tobacco)• 2009 Collaborative FOA for National Programs
(BRFSS, Tobacco, Diabetes + DACH Healthy Communities)
• 2009-2011 Negotiated Agreement Pilots
Integration Challenges
• Organization norm change• Technical Assistance/Consultation• Business Processes• MIS (Management Information Systems)• Reporting Requirements• Evaluation• Sharing lessons learned, challenges, successes
Early Successes
• Integrated work plan (process & the document) • Increased communication and engagement among staff• Recognizing need for consistency in our terminologies,
processes, and messages• Engagement with PGO in new ways of doing business
Early Observations
• Organizational change is difficult, it takes time• Good relationships between categorical Project Officers
and Program Managers need to be preserved• Staff at all levels must be engaged• Processes must be transparent • Need to create a learning organization where people
share information freely and create new systems for open communication
Chronic Disease Program Integration Learning Community
Vision: An opportunity for continuous learning across chronic disease programs to exchange relevant tools and approaches for building collaborative knowledge and to propel program integration and integrative thinking
• Program Integration – On Demand• Program Integration Networking Calls• Program Integration Webinar Series