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Evaluating Capacity/Collaboration Building Efforts Not as Easy as You Think! The Gestational Diabetes Collaborative National Association of Chronic Disease Directors Program Integration Teleconference September 12, 2011. National Collaborators. CDC Division of Diabetes Translation

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National collaborators

Evaluating Capacity/Collaboration Building EffortsNot as Easy as You Think!The Gestational Diabetes CollaborativeNational Association of Chronic Disease DirectorsProgram Integration TeleconferenceSeptember 12, 2011

National collaborators
National Collaborators

CDC Division of Diabetes Translation

CDC Division of Reproductive Health

Association of Maternal and Child Health Programs (AMCHP)

National Association of Chronic Disease Directors (NACDD)

NACDD Women’s Health and Diabetes Councils

What is the goal of this project
What Is the Goal of This Project?

To foster integration (collaboration) of MCH and chronic disease programs in the development of diabetes prevention initiatives

Objectives of this project
Objectives of this Project

Discover connections between maternal health and chronic disease prevention across the lifespan, especially for women of child-bearing age (15-44).

Articulate lessons learned from maternal and child health (MCH) and chronic disease initiatives that focus on diabetes prevention among women of child-bearing age.

Understand the maternal and infant complications associated with GDM and particularly, the increased risk of developing Type 2 diabetes among women with a history of GDM).

Objectives continued
Objectives continued

  • Share information about existing state data sources that can monitor:

    ◦prevalence of GDM

    ◦prevalence of type 2 diabetes among women ages 15-44 years

    ◦risk factors for GDM and type 2 diabetes such as obesity,

    inactivity, family history of diabetes, and previous birth of an

    infant >4000 grams.

  • Develop a state action plan to prevent or delay the development of Type II diabetes among women who have a history of GDM.

  • Identify and prioritize at least three possible strategies for MCH and chronic disease program collaboration to address critical issues in gestational diabetes data collection, diagnosis, treatment and follow-up

Objectives continued1
Objectives continued

Engage in teambuilding to develop the plan for action

Identify and address factors that promote or hinder MCH and chronic disease collaborations

List potential partners (internal and external) to assist in collaboration

Participate in a capacity assessment survey at baseline and 12 months later


1 ½ day workshop on collaboration

Baseline and follow-up assessments after 12 months

Zoomerang assessments completed independently by MCH and Chronic Disease Directors

States: Missouri, Ohio, West Virginia

Assessment design
Assessment Design

Three Sections

I. MCH and CD Collaboration

II. GDM Competencies

III. Capacity for reducing Type 2

Diabetes among women with hx of GDM

Likert scale
Likert Scale

  • Assigned points to Scale:

    1 = Strongly disagree

    2 = Disagree

    3 = Neutral

    4 = Agree

    5 = Strongly agree

I networking cooperation
I: Networking/Cooperation

Participate on committees together

Have constructive work relationships

Are committed to the GDM collaboration

Seek opportunities to collaborate

Support each others’ program’s efforts

Keep appointments with one another

I coordination resource sharing
I. Coordination/Resource Sharing

Share data and information of mutual interest

Proactively coordinate on assignments of common interest

Regularly meet about programming

I policy development planning and decision making
I. Policy Development, Planning, and Decision-Making

Invite participation of one another when developing messaging, marketing, or packaging of promotional materials

Share accountability and credit for joint initiatives’ successes

Jointly plan analyses and publications

Share resources to expand services

Jointly develop funding applications

Jointly develop policy around women’s health issues

Make decisions together to further enhance women’s health issues

Ii knowledge ability
II. Knowledge/Ability

Association between GDM and development of Type 2 diabetes

Key overlapping chronic disease and MCH issues related to GDM and diabetes prevention

Evidence-based approaches to GDM management, prevention and control

Current scientific evidence for GDM/diabetes prevention programs and practices

GDM/diabetes prevention initiatives for different populations

Ii data
II. Data

Identify appropriate data sources relevant to GDM/diabetes prevention initiatives

Use data to identify and monitor GDM and diabetes burden, trends, and outcomes among women

Use data to develop recommendations for changes in policy, programs, data collection, and practice.

Use data to develop and prioritize intervention strategies for GDM/diabetes prevention initiatives

Use MCH and Diabetes program evaluation findings to improve GDM/diabetes prevention initiatives

Iii funding
III. Funding

Dedicated funding for GDM initiatives

Funding for staff training related to GDM initiatives

Budget for medical supplies or equipment related to GDM initiatives

Budget for promoting GDM initiatives

Iii staffing
III. Staffing

Dedicated staff time for GDM program integration efforts

Commitment to GDM program integration efforts

GDM programmatic knowledge, training, and skills

Adequate time to monitor program activities

Ability to effectively build support with management

Access to program evaluation expert consultation on GDM initiatives

Iii effective leadership
III. Effective Leadership

Leadership support for MCH and CD collaboration and integration in general

Leadership support for developing or enhancing current GDM activities to prevent Type 2 Diabetes

Adequate oversight/management of GDM integrated efforts

Mentoring/technical assistance for GDM integrated efforts

GDM Program integration is a priority for leadership

Has a GDM master plan and effective communication of that vision

Iii internal administrative systems
III. Internal Administrative Systems

Integrated data collection and surveillance systems

Compatible administrative system across their programs

Compatible information technology and computer systems across programs

Coordinated management systems across programs

Communication networks and tools facilitate information sharing

Preliminary results
Preliminary Results

Overall, there was increased capacity and collaboration for GDM work between baseline and at the 12-month follow-up

Next steps
Next Steps

Due to staff changes in one state, the assessments were completed by different people at baseline and follow-up, necessitating interviews with each state team member for validation of results

After validation and further analysis, results will be published and available

Contact information
Contact Information

Joan Ware, Consultant

National Assoc. of Chronic

Disease Directors