Program Integration in Wisconsin
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1 Program Integration in Wisconsin A Division of Public Health Approach to Prevention and Control Millie Jones, MPH Bureau of Community Health Promotion
2 Coming together is a beginning, staying together is progress, and working together is success. --Henry Ford
3 Does the right hand know what the left hand is doing?
4 Our History
5 Similar Program Structures CDC Cooperative Agreements Convene Stakeholders Document the Condition Burden Develop a Specific State Plan Implement the Plan Address Priority Populations Evaluate Results
6 Logical Step to Collaborate Same Community Partners were on Multiple Advisory Groups Use Partner Time Effectively Maximaize Efforts Asked Partners for Recommendations
7 Partner Recommendations Communication Share Resources Develop Better Knowledge of Community Resources Participate in Other Program Advisory Group Meetings
8 Purpose of Collaborating in Increase efficiency Wisconsin Increase cost effectiveness Utilize resources more effectively Model integration what we ask of our partners
9 School Health Heart Disease and Stroke Injury Prevention Comprehensive Cancer Who is involved? Diabetes Prevention & Control Asthma Well Woman Program Management/Medical Director Physical Activity & Nutrition Minority Health Lead Prevention Oral Health Tobacco Control Long Term Care Arthritis Health Information/Policy Reproductive Health Maternal and Child Health i
10 Program Integration Group Our Approach Bi-Monthly Meetings Co-Facilitators Involve Bureau Director Two All BCHP Meetings- Spring 2006, 2007 All staff brainstormed strategies to incorporate Nutrition & Physical Activity and Medical Home into programs Yearly Planning, Disparities Review
11 Our Structure Program Coordinators/Designees Discuss projects Share progress on work Make decisions Work on objectives Share program activities Meetings Include: Planning Guest speakers Priority setting Joint projects
12 Examples of Some Collaborative Projects
13 Our Collaborative Projects: Communication Making the Business Case Breakfasts Disparity Reviews Health Awareness Initiative One Page Descriptions
14 Our Collaborative Projects: All Program Coordinators attended a Diabetes Advisory Group Meeting Joint Statement on Physical Activity and Nutrition Joint Statement on Physical Health, Mental Health, Substance Use, and Addition
15 Our Collaborative Projects: WI Collaborative Quality Improvement Project Partnership: UW Population Health, MetaStar, Division of Health Care Finance, Health maintenance organizations, (HMOs), and selected DPH state programs Forum To evaluate Diabetes Guidelines Share Resources Improve care
16 Our Collaborative Projects: WI Collaborative Quality Improvement Project Successful annual project: HEDIS measure collection Diabetes Selected Heart Disease and Stroke Cancer Advisement to Quit Smoking Others (Asthma) Forum QI Projects
17 Our Collaborative Projects: Worksite Wellness Resource Kit Many programs had a worksite toolkit approach in their State Plans Nutrition & Physical Activity Program took the lead on organization and development Resource Kit includes section on health conditions (diabetes, cancer, heart disease and stroke, arthritis)
18 Our Collaborative Projects: Worksite Wellness Resource Kit Nutrition & Physical Activity Program established Resource Kit pilot tests Comprehensive Cancer Program supported pilot tests Staff have promoted Worksite Resource Kit to advisory groups Web location- Google Wisconsin Physical Activity
19 Our Collaborative Projects: Joint Messaging Reviewed the multiple messages for all programs Categorized by life stage themes Development of overarching messages that all programs may use
20 Our Collaborative Projects: Other Projects Select Survey - Most Likely Collaboration Presentations to CDC Project Officers, Joint CDC and ASTHO affiliates (including AMCHP) Sample Cooperative Agreement Objective Application development for CDC Program Integration Demonstration Project Health Messaging Across the Life Span for Women Wellness AoA Evidence Based Prevention Programs Chronic Disease Self Management; Stepping On (Falls Prevention).
21 Our Collaborative Projects: Other Projects Linkage with Epidemiology Group Mission Statement Endorsement Possibility of Joint Funding/Staffing
22 Lessons Learned (and still learning)
23 Lessons Learned 1. Have time dedicated to the Program Integration (PI) process. 2. Effective PI collaboration takes TIME. 3. Identify barriers to collaboration and find ways to resolve problems. 4. Include collaboration in different facets of chronic disease and other programs. 5. Identify LEAD persons for projects.
24 Lessons Learned 6. Identify roles and responsibilities. It helps to have PI co-facilitators. 7. Establish strong systems for communication and accountability. 8. Perceptions affect collaboration. 9. Be Flexible and Supportive 10. Integration talk is easy. The walk is hard.
25 Questions?
26 For more information: Nancy Chudy: Millie Jones:
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