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Advocacy Strategy Seminar: Think Outside the Box

Learn how to navigate bureaucracy with the PSTK Advocacy Strategy Seminar. Master mindsets, stakeholder analysis, and partnering for effective advocacy. Enhance your research skills and decision-making process to drive change.

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Advocacy Strategy Seminar: Think Outside the Box

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  1. Preventive Services ToolKit Introduction to PSTK Rapid Protocol ATV Exercise Joel L. Nitzkin, MD AAPHP PSTK Advocacy Strategy Seminar

  2. History of PSTK • Funded by CDC in 2004 as curriculum to enable public health professionals to be more effective in preventing budget cuts and developing new programming • Based on • Epidemiology as a policy tool • Principles of public administration • Experience of PSTK faculty in securing outcomes not considered possible before they were achieved AAPHP PSTK Advocacy Strategy Seminar

  3. Goals of Seminar • -- to enable participants to get the bureaucracy and legislature to do what you want them to do – • - - to open the hearts and minds of participants to “out of the box” thinking AAPHP PSTK Advocacy Strategy Seminar

  4. -- the problem • Tradition!!! • “in the box” thinking • Researcher • Clinician • Administrator • Legislator • Patient/Community Client • Organizational culture hostile to new approaches AAPHP PSTK Advocacy Strategy Seminar

  5. PSTK Response • A ladder to climb out of the box • Policy Analysis skill set • Epidemiology • Public administration • Political Science • Real life experience AAPHP PSTK Advocacy Strategy Seminar

  6. Root of Most Problems • Mark Twain – “it’s not what people don’t know that worries me – it’s what they know for sure that just aint so” AAPHP PSTK Advocacy Strategy Seminar

  7. MLK on Thinking • “Rarely do we find men who willingly engage in hard, solid thinking. There is an almost universal quest for easy answers and half-baked solutions. Nothing pains some people more than having to think." AAPHP PSTK Advocacy Strategy Seminar

  8. How to Think • PSTK teaches how to think these bureaucratic and legislative things through AAPHP PSTK Advocacy Strategy Seminar

  9. Lesson 1:Framing and Mindsets • 4 mindsets • Technical/Scientific • Administrative • Policy/Political • Deeply held belief/Org. culture AAPHP PSTK Advocacy Strategy Seminar

  10. Lesson 3:Stakeholder Analysis • Stakeholder • Power • Leverage • Character types • Games People play AAPHP PSTK Advocacy Strategy Seminar

  11. Lesson 4:Partnering • -- a bird may love a fish – but where can they make a home together? • (ref: Fidler on the Roof) AAPHP PSTK Advocacy Strategy Seminar

  12. ATV Initial Narrative(all terrain vehicle) • Prominent local legislator • Teenage daughter killed when thrown from ATV • Wants them banned county-wide • Health director asked to write the bill and provide the justification • ?? How should you, as health director, proceed?? AAPHP PSTK Advocacy Strategy Seminar

  13. Rapid Protocol – Step 1Define and Set Up • Specify problem and proposal • Anticipated • What intervention? • Who pays? • Who gets the benefit? AAPHP PSTK Advocacy Strategy Seminar

  14. Step 2: ATV Policy Options • Ban all terrain vehicles (ATVs) • Require warning placards on ATVs • Impose control on ATV events • Prohibit use under age 18 • Safety training and licensure or certification • Posting of hazardous properties • Research and surveillance • Health education AAPHP PSTK Advocacy Strategy Seminar

  15. Step 3: some numbers • Local ATVs • Injuries and deaths • Number and percent that might be prevented by various options • (start with best guestimate – save research for later) AAPHP PSTK Advocacy Strategy Seminar

  16. Step 4: Stakeholder Analysis • Brainstorm obvious stakeholders • Identify key stakeholders who otherwise would have been missed • Select the 1-5 stakeholders that appear most critically important • 10-20 minutes (the heart of the brainstorming session) AAPHP PSTK Advocacy Strategy Seminar

  17. Preliminary list of ATV Stakeholders • Local vendors • Manufacturers (none local) • Current owners of ATVs • Members of ATV clubs • Families of kids injured by ATVs • Emergency room doctors • County legislators • State legislators • Local police AAPHP PSTK Advocacy Strategy Seminar

  18. Step 5: Brainstorm Partnering • Decide who to partner with • For leverage and for advocacy • For implementation • ATV potential partners • Vendors • Doctors • Parents • Police • DMV • 3-5 minutes AAPHP PSTK Advocacy Strategy Seminar

  19. Step 6:Identify Research Needs • (research to be done before initiating advocacy) • Stakeholder research • (per stakeholder analysis) • Evidence and guidelines • (literature review) • Baselines and benchmarks • (project likely benefits) • 3-5 minutes AAPHP PSTK Advocacy Strategy Seminar

  20. Step 7: Initial and Final Decisions • Options: • “Go” • “No Go” • “Hold until . . .” • ATV: • “go” on health education and training • “Hold” on ban and legal restrictions • 5-10 minutes AAPHP PSTK Advocacy Strategy Seminar

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