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Strategic plan presentation 11.16.11


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Strategic plan presentation 11.16.11

  1. 1. November Tobacco Review Committee Meeting
  2. 2.  Introduction Overview Context Priority Populations Impact and Outcomes Implications Implementation and Evaluation Conclusion
  3. 3.  Is this plan going in the right direction? What feedback/input do you have on the goals? Are the goals in line with where this committee is heading? What information do we need to gather from stakeholders and the rest of the tobacco control community?
  4. 4.  Background ◦ Legislatively mandated ◦ Currently operating under 2007 plan Purpose of new plan ◦ Provide focus and guidance for RC grant prioritization ◦ Direct projects, activities, and grants towards specific outcomes ◦ Inform agencies, coalitions and organizations
  5. 5.  Planning Group ◦ Designated by the Review Committee ◦ Originally: Erin Bertoli, Arnold Levinson, Lorenzo Olivas, Jennifer Ludwig, Jason Vahling, Karen DeLeeuw, Bob Doyle, Nita Mosby Henry Process ◦ Builds on 2007 plan Context ◦ 2008 Colorado Tobacco Data ◦ State Situation ◦ Public Health Trends ◦ Industry Update and Regulatory Environment
  6. 6.  Focused, rather than comprehensive Outcomes 10-year strategic framework Does not include task and activity level detail Data and evidence-based Attention to health and tobacco use disparities
  7. 7.  Strategic Focus ◦ “Given the data, evidence, and operating context, what must the Review Committee focus on in order to have the greatest impact to eliminate tobacco related disease and death?” Imperatives ◦ Ensure quitters maintain long-term abstinence ◦ Decrease initiation and prevalence among all populations, particularly of those disparately affected by tobacco use ◦ Influence the sale of tobacco
  8. 8. Health Equity NATIONAL INFLUENCES GOVERNMENT POLICIES U.S. CULTURE & CULTURAL NORMS + = ACCESS , HEALTH PREGNANCY ECONOMIC PHYSICAL SOCIAL MENTAL UTILIZATION BEHAVIORS & HEALTH & QUALITY QUALITY OF LIFE OPPORTUNITY ENVIRONMENT FACTORS CONDITIONS CARE EARLY • Nutrition • Mental health • Health MORBIDITY CHILDHOOD • Income Built • Participation • Employment Environment • Social • Physical status insurance • Education •Recreation support activity • Stress coverage MORTALITY •Food • Tobacco use • Substance • Received CHILDHOOD • Housing • Leadership •Transportation • Skin Cancer abuse needed care • Political LIFE EXPECTANCY • Injury • Functional • Provider influence Environmental status availability • Organization • Oral healthADOLESCENCE quality • Preventive al networks • Sexual health •Housing care • Violence •Water • Discrimination •Air • Obesity ADULTHOOD • Cholesterol Safety • High Blood PressureOLDER ADULTSPublic Health’s Role in Addressing the Social Determinants of Health•Advocating for and defining public policy to achieve health equity•Data collection, monitoring and surveillance•Coordinated interagency efforts •Population based interventions to address health factors•Creating organizational environments that enable change •Community engagement and capacity building Colorado Department of Public Health - Social Determinants of Health
  9. 9.  Plan Focus ◦ The state’s low SES population, which is inclusive of more than 60% of the smoking population, and cuts across racial and ethnic disparate groups ◦ The 18 to 24 (“straight to work”) population to break a pattern of tobacco use prior to the onset of related diseases ◦ Continued attention to youth – particularly those most at risk (Low SES) to continue decline in prevalence among that population
  10. 10. “Thanks to the tobacco industry’s targeted marketing efforts, lower-income and less- educated populations are particularly burdened by tobacco use. Low-income people smoke more, suffer more, spend more, and die more from tobacco use. The tobacco industry has gone to great lengths to target lower income and racial and ethnic groups.”
  11. 11.  Disparate Populations ◦ African Americans, American Indians, Asian Americans and Pacific Islanders, LGBTIQ, Latinos and Hispanics, People with low socioeconomic status, People with disabilities, People with mental illnesses, People with substance abuse disorders and, Spit tobacco users ◦ The greatest single predictor of tobacco use is Low SES Young Adults and “Straight to Work” ◦ Highest prevalence of smokers Youth, Particularly At-risk
  12. 12. Vision and Mission Goals Outcomes to achieve Strategies Best way to achieve outcomes given conditions Objectives Purpose of strategy-what we are trying to achieve ActivitiesTasks to meet objectives given the strategy to achieve the goal
  13. 13.  Impact ◦ Eliminate tobacco related disease and death for all populations in Colorado Vision ◦ A healthy Colorado free of the burdens of tobacco Mission ◦ Prevent premature death related to tobacco
  14. 14. • The cessation-success gap affecting low SES smokers is decreased by 50%• Tobacco use is treated as a chronic disease in Colorado• There are major constraints to the tobacco industry in time, place and manner as a result of Colorado statute and FDA regulations• Smoking prevalence and initiation among “straight- to-work” young adults is decreased by 50%• Initiation among low SES youth is reduced by 50%• Colorado is in the top 10 among states with the highest price for tobacco products
  15. 15.  Social marketing & community mobilization Health systems and policy change Policy Advocacy
  16. 16.  Systems and Process Alignment ◦ Realign priorities, funding, and activities to facilitate the accomplishment of strategic goals ◦ Alignment with other A35 committees ◦ State Chronic Disease Plan Next Steps ◦ Stakeholder feedback ◦ Incorporate feedback ◦ Plan finalization ◦ Funding alignment with plan
  17. 17.  Is this plan going in the right direction? What feedback/input do you have on the goals? Are the goals in line with where this committee is heading? What information do we need to gather from stakeholders and the rest of the tobacco control community?