Title: About 438,000 U.S. Deaths per Year Attributable to Cigarette Smoking*
1 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
2Vision 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
3NCCDPHP 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
4National Center for Chronic Disease Prevention
and Health Promotion
Disease-Focused Divisions
Risk Factor Divisions
Population/Setting Divisions
Division of Cancer Prevention and Control
Barbara Bowman, Ph.D.
Acting Director
Division of Adult and Community Health
Wayne H. Giles, M.D., M.S.
Director
Division of Reproductive Health
John Lehnherr
Acting Director
5Framework for Preventing Chronic Disease and
Promoting Health
Life Span and Settings
- Worksites
- - Schools
- - Communities
- Health Systems
- Infants
- Children and Adolescents
- Adults and Older Adults
Priority Conditions
Underlying Risk Factors
- Heart Disease
- Stroke
- - Cancer
- Diabetes
- Obesity
- Arthritis
- Oral Health
- Tobacco
- Nutrition
- Physical Activity
- Alcohol
- Family History
6Prevent, Delay, Detect Control Chronic 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
Heart Disease
7Early Efforts
- WISEWOMAN
- Comprehensive Cancer Control
- REACH (Racial and Ethnic Approaches to Community
Health) - Steps to a HealthierUS
- Chronic Disease Program Linkages with Quitlines
8Integration Initiative Background
- FY '05
- Began working with states to understand the
program integration efforts implemented by states - Siloed programs
- FY '06
- Integration workshop sponsored by CDC and NACDD
- FY '07
- Offers to Participate (Negotiated Agreements)
- FY '08
- Activities
- - Simplified FOAs
- - Negotiated Agreements
- - Collaborative FOAs
9NCCDPHP Vision for Program Integration
- To nurture and sustain a culture for program
- integration across chronic disease and health
- promotion, and other related programs
10Goals 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
11Evaluation
- 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
12NCCDPHPs 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
13Integration Challenges
- Organization norm change
- Technical Assistance/Consultation
- Business Processes
- MIS (Management Information Systems)
- Reporting Requirements
- Evaluation
- Sharing lessons learned, challenges, successes
14Early 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
15Early 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
16Chronic 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
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