Iowa s Statewide Strategic Plans: Aligning Visions, Actions, and Stakeholders. Kady Reese, MPH, CPHQ Iowa Diabetes Summit November 17, 2017

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1 Iowa s Statewide Strategic Plans: Aligning Visions, Actions, and Stakeholders Kady Reese, MPH, CPHQ Iowa Diabetes Summit November 17, 2017

2 Goals Introduce the Statewide Strategic Plans currently in place in Iowa, targeting the Diabetes Statewide Strategy Speak to the intent and purpose of the statewide plans Share actionable tactics that will propel efforts around diabetes, care coordination, etc.

3 What is a Statewide Strategic Plan? A consensus and guidance document outlining a unifying goals and actions that can be undertaken to: Address an identified priority health issue Promote alignment of resources and efforts Advance the health and wellness of Iowans

4 Development Created through a multi-stakeholder, multidisciplinary task force process Designed to establish a statewide standard of care Endorsed as a working document for execution Able to be a template for community-led approaches

5 Two-Tier Application Statewide Application IDPH, IHC, state associations/agencies, payer community, large-scale initiatives, programs, etc. Local Community Application SIM C3 communities, any city, county, or region, Critical Access Hospitals, local public health agencies, ACOs, community coalitions

6 Statewide Strategies Existing Strategies Diabetes Medication Safety Obstetrics Healthcare-associated Infections Palliative Care (IPOST) Cardiovascular and Stroke Developed in 2016 Tobacco Obesity Care Coordination Person & Family Engagement Social Determinants of Health* Coming in 2017: Falls Statewide Strategy!

7 Consistent Framework Mission Statement Vision Statement Goals Objectives Tactics

8 Overarching Visions Mission Statement: Improve health and outcomes for all Iowans. Vision Statement: By 2019, improve outcomes, patient safety, patient experiences, and costs.

9 Consistent Framework Standard Goal Themes* Goal 1: Prevention Goal 2: Detection Goal 3: Management and Detection Goal 4: Data *Condition-focused strategies

10 Diabetes Statewide Strategy Mission: Improve diabetes care and outcomes in Iowa. Vision: By 2019, improve diabetes outcomes in quality, patient safety, patient experience, and cost.

11 Diabetes Statewide Strategy Goal 1: Prevent diabetes from occurring in Iowans (primary prevention). Goal 2: Ensure detection of diabetes in its earliest stages (detection). Goal 3: Improve the quality of diabetes management and treatment services and programs (management/treatment). Goal 4: Use data to drive population-based diabetes strategies (data)

12 Goal 1: Prevent Diabetes Objective 1: Advance primary prevention efforts to reduce the number of Iowans who develop diabetes. Objective 2: Increase healthy behaviors in Iowans to prevent or delay the onset of diabetes. Objective 3: Increase the number of Iowans who receive a pre-diabetes risk assessment.

13 Goal 2: Detect Diabetes Objective 1: Educate the public on diabetes screening recommendations. Objective 2: Increase access to quality recommended diabetes screenings and healthcare services. Objective 3: Implement health-care system-based strategies to detect undiagnosed diabetes.

14 Goal 3: Manage Diabetes Objective 1: Implement clinical, systems-based healthcare strategies to improve quality diabetes care. Objective 2: Increase coordination of diabetes management and treatment activities. Objective 3: Engage patients and families as the center of their diabetes care. Objective 4: Increase access to diabetes management, treatment, and support services.

15 Goal 4: Use Data Objective 1: Increase access to diabetes management, treatment, and support services. Objective 2: Enhance diabetes surveillance through development of an Iowa suite of standardized measures. Objective 3: Use diabetes data as a transformative suite to drive transformation of the healthcare system in Iowa

16 Execution Task Force/Work Group meet up to twice a year to review and update state plans Look at current language and inclusions for continued appropriateness and applicability Share activities and progress related to each tactical approach Complete a Stop Light progress report indicating current status of achievement

17 Execution Stop Light Progress Report

18 SWS Execution in the C3 SWS provided guidance and direction within the development of the SIM AY3/C3 Year 2 programming Specific tactical approaches incorporated within the Population Health Roadmap and C3 Work Plans Diabetes SWS, Care Coordination SWS, HAI SWS, Obesity SWS

19 Tactics within the Roadmap SWS Diabetes Care Coordination HAI Obesity Incorporated Tactics 1.2-B 1.1-F 1.1-A 3.2-A 2.2-A 2.3-B 3.1-B 3.2-A 3.2-C 3.2-D 3.4-B 1.2-C 1.3-A 1.3-B 2.2-A

20 Putting Tactics into Action Diabetes, Tactic 1.2-B: Increase participation in diabetes primary prevention programs, including NDPP and YMCA Diabetes Prevention Program (YDPP) Work with partners to establish new NDPP or YDPP programs in your community Partner with clinical providers to establish referral processes for existing programs Collaborate with local employers to discuss inclusion of DPP in employee health programs and incentives

21 Putting Tactics into Action Diabetes, Tactic 2.2-B: Increase access to diabetes screening opportunities through community, employer, and workplace-based outlets. Seek out space at farmer s markets, tradeshows, community events to provide diabetes screenings or share self-screening resources Collaborate with local businesses to offer screenings as part of workplace events, fairs, or other onsite options.

22 Putting Tactics into Action Diabetes, Tactic 3.2-C: Promote referral of patients to necessary community resources to address social determinants of health. Work with your community-based service partners and resources to create program links and collaborative referral/warm hand-off processes Create and SHARE a resource list with services and contacts to share with clinical and community partners ALSO SUPPORTS Care Coordination Tactic 1.3-B! Reach out to your clinical partners to create clinicalcommunity referral processes/structures

23 Putting Tactics into Action Diabetes, Tactic 4.2-A: Utilize diverse sources of available data, including surveillance and claims/service-based reporting, to capture ongoing execution of diabetes strategies. Reach out to local public health and community agencies to inquire as to what data they have Be aware of publicly available data sets BRFSS, County Health Rankings, etc. Build relationships with local provider community (including pharmacy) to explore sharing of de-identified, aggregate data

24 Putting Tactics into Action Bringing Together the Community

25 What Can You Do? Check out the statewide strategies! Review tactics and actions that your agency or organization may be able to take part in Convene your stakeholders and partners to develop a collaborative approach Watch for more information and opportunities to engage!

26 Reach Out! Kady Reese, MPH, CPHQ Program Lead, Statewide Strategies