IMPLEMETING BEST PRACTICES PRACTICAL CONSIDERATIONS

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IMPLEMETING BEST PRACTICES PRACTICAL
CONSIDERATIONS

• CDC Best Practices What are they in the real
  world.
• How have they been used and applied Colorado
• Best Practices The Community Preventive
  Guidelines
• Best Processes Integrating funding sources

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What are some Best Practices?

• A model program with the nine components
• The strongly recommended strategies from the
  Community Preventive Guidelines (specific program
  initiatives-excise taxes)
• Known processes to build and operate an effective
  program (stakeholders, integration, logic models)
• Key learnings (best practices) from other
  fields relevant to tobacco control (managing
  change, leadership)

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What are the CDC Best Practices

• Provides a snapshot of model final product
• Describes a mature program that takes lots of
  time and specified resources
• Based upon what was known at the time
• Is just that a model implementation highly
  dependent upon state conditions

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CDC Best Practices Considerations

• Building a comprehensive program takes years and
  is resource and context dependent
• Cant implement all nine components at once -
  creates need to prioritize redefine components
• Few states have recommended funding levels
• Implementing both the entire program and specific
  components is a developmental process
• Logical sequence or order to components
• Highly dependent on state conditions

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CDC Best Practices- Uses in Colorado

• To establish credibility and funding
  justification with legislature
• As a framework for state plan
• Framework for strategic planning that required
  priorities (among and within components)
• Measurement of state comprehensiveness
• To help define comprehensiveness of local
  programs

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CDC Best Practices at Local Level

• Colorado funds a comprehensive local tobacco
  control program in every county
• Use CDC Matrix ( another version of best
  practices) as way to organize actual work
• Use 9 components to define the scope of local
  programs and to create integration with state

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Modifications to CDC Best Practices Definitions

• Existing definitions of components is one just
  one way - make them work for you
• Added youth to schools matches org chart
  includes statewide, enforcement and
  counter-marketing
• All internal functions go under Admin.
  (TA/training not statewide)

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Priorities and Sequencing of 9 Components in CO

• Best Practices are influenced by contextual
  Drivers in Colorado
• Justifying continuation and funding increases
• Need to show short-term results AND maintain
  program integrity
• Attending to very specific Legislative mandates
  and intents

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Components Implementation in Colorado Year 1

• Prove effectiveness baseline data, ways to
  measure any impact, start thinking evaluation
  Surveillance
• Emphasis on local communities local public
  health infrastructure Community Programs
• Quick results, visibility, using funds as
  intended Cessation programs Quitline/Quitnet
• One-third to youth Youth Initiatives, visible,
  feel good statewide programs, not ready for
  schools
• What we did not do Counter-marketing, Statewide
  SHS, Chronic Disease

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Community Preventive Guidelines as Best
Practices

• Add considerable meat to the bones of the CDC
  Best Practices
• Add evidence to expression Evidence-based
  Programs - double-edge sword
• Help clarify specific program initiatives within
  each CDC goal area that produce greatest impact
  on achieving the goal
• Provide criteria to focus limited resources

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Colorado- Using Community Preventive Guidelines

• Help provide specific direction/content for
  RFPs, contract/agency activities
• To direct our capacity building and focus our
  processes need partners for excise tax
• To justify working on certain initiatives we
  are evidenced-based
• Criteria for funding decisions

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Best Processes as Best Practices

• Not just about what (the content) of what we are
  doing but how we do what we do
• Other necessary conditions to succeed
• Engage stakeholders, use partners
• Use data to define needs
• Ensure parity
• Use logic models to clarify and legitimize
• Integrate resources

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Integrating Resources as a Best Process

• Play to the strengths and avoid weaknesses
• MSA, CDC, ALF, NCI in Health Dept.
• MSA Research, RWJ, CFTK external
• Forces coordination- minimizes duplication
• Makes success more likely 60 of minimum to
  90
• Integration makes cuts more difficult and
  impactful

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Other best practicesfor Tobacco Control

• Read the book Good to Great by Jim Collins
• Tobacco Control and Level 5 leaders
• Ambition is about the work, not personal
  recognition, credit or accomplishment (short
  toes)
• Consciously build new leadership from within
• Have ferocious resolve, determination, produce
  results, freely give credit to others
• Confront the brutal facts AND never lose faith
• Getting the right people on the right seats on
  the bus then figure out where to go