NC Chronic Disease and Injury Section Integration Blueprint

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NC Chronic Disease and Injury Section Integration
Blueprint

• An integrated approach to addressing chronic
  disease

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NC Chronic Disease and Injury Section
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Integration Goals

• I Develop infrastructure to support integration
  efforts
• II Implement integrated programs and processes
• III Evaluate integration outputs and health
  outcomes

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Priority Recommendations

• Policy
• Community Based Health Promotion
• Epidemiology and Surveillance
• Healthcare Systems

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Policy CoP Goal and Objectives

• Goal Develop a comprehensive, coordinated
  Chronic Disease and Injury (CDI) Section policy
  agenda
• Objectives
• Analyze staffing needs for policy development
  within the CDI Section
• Develop a partner map depicting various levels of
  collaboration related to policy development
• Create a policy tracking tool of policy
  priorities, ready for introduction to the General
  Assembly
• Develop criteria for Section policy prioritization

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Community Based Health PromotionGoal and
Objectives

• Goal Integrate programs within the CDI Section
  that fund and support health promotion activities
  in all counties.
• Objectives
• Develop a framework for all health promotion
  outcome measures
• Define elements of an integrated evaluation
  system
• Determine the organizational structure to manage
  and lead community health promotion work

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Community Based Health Promotion Objectives

• Develop an integrated system through which health
  promotion funding is distributed
• Build local support for evidence based
  interventions or promising practices.

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Evaluation and Surveillance CoPGoal

• Goal Develop a well-trained evaluation and
  epidemiology workforce who provide coordinated
  and quality data collection, analysis and
  interpretation services that lead to the highest
  level of health possible for the citizens of
  North Carolina

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Evaluation and Surveillance CoP Objectives

• Objectives
• Increase CDI Section chronic disease evaluation
  and epidemiology quality and capacity
• Coordinate data collection and ensure
  sustainability of data collection systems
• Coordinate data reporting and make data sources
  more known and accessible

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Healthcare Systems CoPGoal and Objectives

• Goal Support and assist current state quality
  improvement efforts (IPIP and GQI) to promote
  more effective care primary care models for
  clinical management of chronic diseases by
  changing systems of care in practices across the
  state.
• Objectives
• Develop integrated measures to document systems
  changes in clinical practice that are relevant to
  all chronic disease areas

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Healthcare Systems CoP Goals and Objectives

• Maximize strategic interface with planning,
  oversight and evaluation efforts to achieve
  maximal influence on programmatic direction and
  content of current state efforts (IPIP and GQI)
• Cross train state and regional staff to work with
  statewide partners on these efforts (AHEC, CCNC,
  NC AAFP, NCPS)
• Foster collaboration between local health
  departments and primary care practices to promote
  patient self management
• Pilot new models of care or communication
  strategies to improve health outcomes for people
  with low health literacy skills.

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Evaluate Process and Outcomes
Four Standards Utility Feasibility Propriety Accur
acy
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Chronic Disease Program Integration Causal
Roadmap
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What does Success Look Like?

• A Section where communication flows between
  Section entities using tools and built
  relationships. A Section where lines of
  authority are clear and followed and promote the
  sharing of information. A Section where programs
  work together to share resources to create even
  stronger, more creative, and innovative public
  health programming.
• (A response from the CDI Integration Survey)

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How do we evaluate that?

• Primary tools
• Survey
• Assessment Rubrics
• Indicators
• Milestone Map

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Lessons Learned

• Ensure organization has the infrastructure to
  support integration
• Develop clear, consistent messages at the onset
  of the process
• Subject matter experts are necessary for
  designing goals and strategies
• Assess staff concerns and address them
• Regularly evaluate the integration process to
  identify needed changes

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Lessons Learned

• STAR Visit Recommendations
• Hire a Chronic Disease Epidemiologist
• Develop an integrated regional consultation
  approach
• Consider a matrix management approach to staffing
  

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Other Considerations

• Holistic integration will span beyond Integration
  Priorities and CoPs