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Ccpd presentation 11 4 2011

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Ccpd presentation 11 4 2011

  1. 1. Integrating to Improve Chronic Disease Outcomes Prevention Services Division CCPD Review Committee November 4, 2011 Jason Vahling, Director of the Healthy Living and Chronic Disease Prevention Branch
  2. 2. Today’s Purpose To describe: • How integration supports achieving positive health outcomes in Colorado • Discuss the Chronic Disease Prevention Planning Process
  3. 3. PSD shares responsibility with state and local partners for improving health-related quality of life for all Coloradans by preventing and postponing chronic disease and its complications. Purpose
  4. 4. • Comprehensive Cancer • Diabetes • Heart Disease and Stroke • Oral Health • Tobacco • Obesity, physical activity and nutrition • *Breast and cervical cancer screening • *Colorectal cancer screening • *Chronic disease self-management Department’s CDC Chronic Disease Initiatives
  5. 5. Continuum of ‘Working Together’ Cooperation Coordination, Collaboration Integration Increasing trust, time, dependence, relinquishing turf
  6. 6. 47 39 33 24 29 15 28 45 56 54 19 51 40 24 0 10 20 30 40 50 60 70 Monitor Educate Partnerships Policy Link Workforce Evaluate percent PSD State National Public Health Performance Standards Assessment - 2005
  7. 7. Integration • Formal reorganization - Prevention Services Division • Consolidated all evaluation and epidemiology functions into a new branch • Due to funding from A35 (~$50M/yr), began consolidating grants process • Created informal teams on crosscutting issues, including health disparities and training
  8. 8. Underlying principles • Use a comprehensive, strategic, holistic approach to achieve specific health outcomes • Be data driven - what/where/who to focus on • Move toward increased use of evidence-based practices and programs
  9. 9. Underlying Principles (cont’d.) • Focus on heath disparities and social determinants • Be more accountable to demonstrating health outcomes • Maintain program-specific content experts
  10. 10. Why Integrate? • Efficiency: To promote streamlined business processes • Effectiveness: Preventing and reducing chronic disease is a complex problem requiring the efforts of many different programs working together • Elegance: Chronic disease programs are designed to work at the intersection of many different systems
  11. 11. A Chronic Disease System Dynamics Map Smoking Obesity Secondhand smoke Healthiness of diet Extent of physical activity Psychosocial stress Diagnosis and control CV events & lung cancers Deaths Access to and marketing of smoking quit products and services Access to and marketing of mental health services Sources of stress Access to healthy food options Marketing & educ’n around healthy food options Access to physical activity options Marketing of physical activity options Access to and marketing of weight loss services Access to and Marketing of primary care Particulate air pollution Utilization of quality primary care Tobacco taxes Sales/marketing regulation Smoking bans at work and public places Junk food taxes Sales/marketing regulations Downward trend in CV event fatality Quality of primary care provision Anti-smoking social marketing High BP High cholesterol Diabetes Morbidity Screening for chronic disease Chronic disease management Oral diseases Colorectal cancers Breast cancers COPD
  12. 12. What’s Common? • Targeting same populations – low income, racial/ethnic and medically underserved • Working through the same “channels” – communities, schools, health care providers, worksites • Working with many of the same partners • Working with many people have multiple risk factors
  13. 13. CDC Integration Demonstration Project • Offered potential to remove external barriers • Provided visibility within Department • Created external products and deadlines Cover this blue placeholder with your program logo
  14. 14. How We Got Here • Developed mission, vision and health outcomes • Conducted, coordinated strategic planning • Submitted single work plans and reports • Aligned and assigned resources for each goal Cover this blue placeholder with your program logo
  15. 15. Health Outcomes • Maintain prevalence of obesity among adults • Increase prevalence of healthy weight - youth and children • Reduce prevalence of smoking - adults and youth • Reduce secondhand smoke exposure • Increase smoking cessation attempts Cover this blue placeholder with your program logo
  16. 16. Health Outcomes (cont’d.) • Increase prevalence of recommended physical activity - adults, youth, children • Increase fruit and vegetable consumption • Increase screening and early detection – pap test, colonoscopy, mammography, lipid testing, smoking cessation, weight management • Increase participation in chronic disease self-management
  17. 17. Policy and Environmental Change Strategies • Primarily tobacco use, physical activity and nutrition initiatives • Healthy communities • Oral health • Policy and legal analysis
  18. 18. Links with Healthcare Systems and Practices Strategies • Primarily cancer, diabetes, heart disease, stroke, oral health and smoking cessation initiatives • Focus on screening, disease self-management and health systems change
  19. 19. Health Communications, Health Equity and Evaluation Strategies • Centralizing cross-cutting functions to better serve all initiatives – Media relations, marketing, written communications and communications technology – Language services – Social determinants of health – Resource development – Coordinated surveillance and evaluation
  20. 20. Fiscal and Operations • Incoming grants management, contract services and procurement, monitoring and fiscal support • Coordinates outgoing grant programs, including Amendment 35 (State tobacco tax)
  21. 21. Benefits of Integration • Brings categorical programs together to improve health outcomes • Facilitates the strategic alignment of resources to maximize mutual benefits and opportunities • Increases the effectiveness and efficiency of individual programs • Protects the integrity of categorical program objectives
  22. 22. Lessons Learned from Integration • Is a process, not a point in time event • Focuses limited resources on most pressing public health issues • Provides more flexibility to respond to emerging issues • Elevates focus on key winnable battles • Makes sense when approached by sector
  23. 23. Integration
  24. 24. Next Steps in PSD • Integration in the Division and Department • Winnable Battles • Division Priorities
  25. 25. CDC Coordinated Chronic Disease Program • Senate 2011 budget: – Proposed collapsing 5 chronic disease lines into one grant program • President’s Proposed FY 2012 budget: – Puts 8 chronic disease lines into a grant program
  26. 26. CDC Coordinated Chronic Disease Program (cont’d.) • Develop a state chronic disease plan & establish a statewide coalition of partners
  27. 27. CDC’S EXPECTATIONS OF STATESCDC’S EXPECTATIONS OF STATES
  28. 28. QUESTIONS?
  29. 29. THANK YOU! Jason Vahling Branch Director 303-692-2578 Jason.vahling@state.co.us

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