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Focusing Our Efforts For Public Health Impact National Heart Disease and Stroke Prevention Program September 2010 Progr

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Focusing Our Efforts For Public Health Impact National Heart Disease and Stroke Prevention Program September 2010 Progr

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    1. Focusing Our Efforts For Public Health Impact National Heart Disease and Stroke Prevention Program September 2010 Program Meeting

    2. Agenda Welcome Dr. Frieden’s criteria for setting priorities Program Priorities Documenting reach and impact Current use of indicators Sodium recommendations Discussion with Dr. Ursula Bauer Hypertension recommendations

    3. Dr. Frieden’s Criteria

    4. Focus on ABCS

    5. Majority of effort should be on the ABCS, with emphasis on high blood pressure and sodium reduction Program Efforts

    6. Promote significant impact

    7. Structure of the Work Plan in MIS Intervention Objectives Long term Objectives Supporting Objectives Objective Title Objective Description Objective Progress Activities Make sure your objectives are SMART Wednesday 1:30 to 2:40pm Make sure your objectives are SMART Wednesday 1:30 to 2:40pm

    8. What to Include in Work Plan in MIS? Add indicator numbers parenthetically to relevant objectives in the objective title Write out the word “Indicator” Write new objectives to mirror indicator language Include SMART objective from indicators Report on key evaluation findings of selected indicators

    9. Example - Indicator Use Supporting Objective Title – Primary Care QI Initiative (Indicators 1.1.5, 2.1.5) By 6/2012, increase the number of community health centers participating in evidence-based QI initiatives to increase practitioner compliance with JNC and ATP treatment guidelines from 15 to 35

    10. Include information on reach (number of systems and individuals affected by the policy/system change) and impact (outcome) in the objective description Include numerator and denominator in the descriptions Example: 10 out of 20 community health centers (CHC) and 10,000 patients (Reach) 20% increase in controlled blood pressure (impact) Documenting Reach and Impact

    11. Documenting Reach and Impact

    12. Example- Objective Description Text It is estimated that meeting this objective in _____ (number) community health centers (out of ___ total community health centers in the State) will impact ______ (number) patients and enhance high blood pressure control. Include specific text on reach in the objective description box and objective progress box Include specific text on reach in the objective description box and objective progress box

    13. This objective was implemented in ____ (number) community health centers serving a total of _______ (number) people; in this population, control of high blood pressure was increased from _____ to _____. Example - Objective Progress Text Include specific text on reach in the objective description box and objective progress box Include specific text on reach in the objective description box and objective progress box

    14. Reporting on Evaluation Report results as a progress note or upload report with each activity. Upload evaluation plans, logic models, survey tools and other data collection tools. When you upload evaluation reports, please reference the report in the corresponding progress note.

    15. Reporting Key Policies in MIS Attach key public or organizational policies in the Policy and Environmental Assessment Section of Core Components. May upload an executive summary and include link to the full policy. Indicate whether there was HDSP Program involvement or notIndicate whether there was HDSP Program involvement or not

    16. Sodium IOM: Establish Procurement Policies (3.4) Food retailers, governments, businesses, institutions … that purchase or distribute food should establish sodium specifications for the foods they purchase and the food operations they oversee.

    17. Sodium IOM: Reduce Sodium in Menus (3.5) Restaurant/foodservice leaders in collaboration with other key stakeholders, including federal, state, and local health authorities should develop, … initiatives … to facilitate and sustain sodium reduction in menu items.

    18. Sodium IOM: Support Consumer Education (4.2) Government agencies, public health and consumer organizations, health professionals, the food industry, and public-private partnerships should … support consumers in making behavior changes to reduce sodium intake …

    19. Sodium: Key Recommendations for States

    20. Hypertension IOM: Integrate (6.2) SLHJ should integrate HTN prevention and control in efforts to effect system, environmental, and policy changes to support healthy eating, active living, and obesity prevention…

    21. Hypertension IOM: Improve Treatment (6.5) SLHJ should convene health care system representatives, physician groups, purchasers of health care services, quality improvement organizations, and employers to develop a plan to engage, and leverage skills and resources for improving the medical treatment of HTN.

    22. Hypertension IOM: Remove Economic Barriers (6.6) SLHJ should work with business coalitions and purchasing coalitions to remove economic barriers to effective antihypertensive medications …

    23. Hypertension IOM: Promote Community Health Workers (CHW) (6.7) SLHJ should promote and work with CHW initiatives to ensure … prevention and control of HTN … and are appropriately linked to primary care.

    24. Hypertension: Key Recommendations for States

    25. Questions to Ask What are gaps and opportunities? What policy or systems change do we want? What scientific evidence exists? What data are needed? How can we address at the highest level? Who has authority to make the change? What partners should be involved? How will we evaluate progress?

    26. Questions

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