Development and Implementation of the 2000

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Development and Implementation of the 20002002
West VirginiaState Health Plan
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Learning Objectives

• Describe components of a statewide health policy
  development strategy
• Identify aspects of facilitating successful
  policy implementation
• Discuss techniques to establish and sustain
  partnerships in health planning activities

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Overview of West Virginia

• Rural state
• Aging population
• Health status
• Economic conditions
• Health care system resources

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Components of a Statewide Health Policy
Development Strategy

• 1998
• Preliminary Survey
• Issue Survey

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Components of a Statewide Health Policy
Development Strategy

• 1999
• Issue selection
• Development of issues, chapters and policies
• Public involvement - written comments,
  teleconference and Summit
• Policy ranking
• State Health Plan Policy revisions and finalize
  Plan

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Components of a Statewide Health Policy
Development Strategy

• Role of Issue Paper Authors
• Provide background research
• Develop problem statement to analyze issue
• Draft policy recommendations
• Identify potential solutions
• Assess plausibility and feasibility of policy
  recommendations

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Components of a Statewide Health Policy
Development Strategy

• Role of the Health Care Authority
• Coordinate the process
• Establish the advisory group
• Analyze authors issue papers
• Develop descriptive sections and implementation
  strategy for the Plan
• Obtain public involvement
• Publicize and distribute Plan

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Strategic Policy Issues

• Health status and health system issues
• Access
• Accountability
• At-risk populations
• Coordinated health-related information networks
• Financing and cost
• Promotion of a coordinated health care system
• Public health
• Quality of care
• Rural health

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Members of the Plan Process

• Health Care Authority
• State Health Plan Group
• Group facilitator
• Authors of issue papers
• Public commenters
• Summit participants
• Lead agencies
• Governor

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Aspects of Facilitating Successful Policy
Implementation

• 2000
• Gubernatorial approval
• Design policy implementation process
• Select lead agencies and obtain commitment
• 2001
• Prepare annual report
• Initiate lead agency reporting activity
• Begin to assess and plan for the future

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Aspects of Facilitating Successful Policy
Implementation

• Start early to build support and pace the work
• Establish priorities and consider options
• Identify and involve key stakeholders and
  decision makers
• Determine actions and resources needed
• Work cooperatively with others and negotiate
• Communicate often and effectively

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Aspects of Facilitating Successful Policy
Implementation

• What do you consider to be the status of your
  State Health Plan policy implementation?

Action50
Preparation29
Intervention14
Mobilization7
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Techniques to Establish Partnerships in Health
Planning Activities

• Establish a sense of purpose and a clear vision
• Provide regular communications
• Involve major stakeholders
• Form a guiding advisory group
• Assure resource needs
• Actively manage the process

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Using Partnerships

• Generate and prioritize issues
• Review plans and analysis
• Recommend priorities
• Set standards
• Evaluate decisions
• Help obtain support
• Pace activities

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Techniques to Sustain Partnerships in Health
Planning Activities

• Motivate
• Mobilize
• Monitor
• Celebrate

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Conclusions

• Clearly define your issue
• Leadership is about change...learn about change
  theory
• Recognize that the process is just as important
  as the product
• Establish a framework to succeed
• Account for the requirements of implementation in
  Plan development
• Use advisory groups effectively
• Create opportunities to include all interested
  groups
• Assess and reassess the process over time
• Be flexible

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West Virginia Health Care Authority

• Website http//www.hcawv.org/shp.htm
• E-mail lsovine_at_hcawv.org