About 438,000 U.S. Deaths per Year Attributable to Cigarette Smoking* - PowerPoint PPT Presentation

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About 438,000 U.S. Deaths per Year Attributable to Cigarette Smoking*

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Chronic Disease and Health Promotion Program Integration Rosemarie Henson, MSSW, MPH Deputy Director Kaetz Beartusk, MPH Team Lead, Public Health Practice – PowerPoint PPT presentation

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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
2
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

3
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

4
National 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
5
Framework 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

6
Prevent, 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
7
Early Efforts
  • WISEWOMAN
  • Comprehensive Cancer Control
  • REACH (Racial and Ethnic Approaches to Community
    Health)
  • Steps to a HealthierUS
  • Chronic Disease Program Linkages with Quitlines

8
Integration 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

9
NCCDPHP Vision for Program Integration
  • To nurture and sustain a culture for program
  • integration across chronic disease and health
  • promotion, and other related programs

10
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

11
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

12
NCCDPHPs 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

13
Integration Challenges
  • Organization norm change
  • Technical Assistance/Consultation
  • Business Processes
  • MIS (Management Information Systems)
  • Reporting Requirements
  • Evaluation
  • Sharing lessons learned, challenges, successes

14
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

15
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

16
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

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