Integrating Planning Across Programs, Disciplines, and Funding Sources

1. June 12, 2005 Integrating Planning Across Programs, Disciplines, and Funding Sources Randy Kirkendall, Senior Policy Fellow Preparation assistance from Tom Kean, Strategic Health Concepts

2. Session Objectives • To define “integration” for chronic disease prevention and how to apply it. • Overview key concepts related to integration • To describe the circumstances in which an integrated approach makes sense. • Discuss the application of integration in the context of healthy eating and physical activity programs • Break out for discussions of key aspects of integration • Share ideas from table discussions • Call to action 2005 National DHPE/CDC Conference

3. Why do we collaborate and/or integrate? • To address cross-cutting risk factors (e.g., nutrition, physical inactivity, smoking) • To respond to pressure or encouragement from leadership • To give us an advantage when applying for funds, because this is the direction public health is heading • To achieve common goals • To reduce costs in wake of budget cuts • To share resources (lack or slack) • To avoid duplication • To improve efficiency and cost effectiveness • To fulfill a mandate 2005 National DHPE/CDC Conference

4. What does “integration” mean? • “collaboration”? or “coordination”? or “synergy”? • Awareness across categorically funded programs in terms of overlap? • Overlapping responsibilities across categorical programs? • Coordination between various systems (e.g., public health, medical, insurance, schools, worksites, businesses)? • Reduced duplication in addressing the same risk factors for different diseases? • Greater efficiency in tackling multiple diseases? 2005 National DHPE/CDC Conference

5. TA: working definition of an “integrated approach” • An integrated approach to chronic disease prevention • Provides opportunities for programs to work together, • Promotes collective thinking and problem solving, and • Supports working together in new ways so that the impact of all programs is improved. • An integrated approach • Does NOT mean a destruction of categorical areas of chronic disease, rather it offers ways for categorical areas to have even greater focused impact; and • Is NOT about adding work, but about doing work differently. 2005 National DHPE/CDC Conference

6. A Comprehensive Approachto Chronic Disease Prevention: • Addresses the leading causes of death and disability (heart disease, stroke, diabetes, cancer, arthritis); • Addresses the major risk factors (physical activity, obesity, nutrition, socioeconomic factors, tobacco use); and • Reaches the general population as well as targets high risk and priority populations in all the places in which members of the communities are found (schools, work sites, recreation areas, religious organizations, health care settings). 2005 National DHPE/CDC Conference

7. Key outcomes for integration • Something changes in the way we work together • All participating programs benefit • Overall impact is improved • Process and outcomes are measured 2005 National DHPE/CDC Conference

8. Examples of general integration strategies • Data collection and review • Coordination outreach to populations of common interest • Common messaging • Joint planning • United approaches to common bureaucratic problems • Sharing lessons learned • Speaking with ‘one voice’ on issues that effect each of us • Joint and supportive approaches to garnering resources 2005 National DHPE/CDC Conference

9. Comprehensiveness and Integration Matrices 2005 National DHPE/CDC Conference

10. Comprehensiveness and Integration Matrix 2005 National DHPE/CDC Conference

11. The application of integration concepts to healthy eating and physical activity • Connecting multiple programs with nutrition components • Connecting nutrition and physical activity • Connecting disease specific programs that have outcomes requiring healthy eating and physical activity • Connecting health departments with other governmental agencies that impact on healthy eating and physical activity • Connecting with community partners that have healthy eating and physical activity initiatives • Connecting with other social issue movements that impact of healthy eating and physical activity 2005 National DHPE/CDC Conference

12. Steps to Integration • Make the case. • Convene a core team. • Determine and define your terminology (e.g., integration, collaboration, comprehensive, etc.). • Define the scope of your focus and engage the right people. • Assess current comprehensiveness and integration (matrices). • Identify opportunities. • Select your project(s). • Measure and review your progress. 2005 National DHPE/CDC Conference

13. Key elements to successful integration • Communication • Dedicated staff and time • Support from leadership • Goals that are shared and broadly understood • Agreement on the scope of integration • Communication!!! 2005 National DHPE/CDC Conference

14. Table discussions of key questions • 10 Min – Introductions and backgrounds • 5 Min - Select a State or Territory represented in your group • 5 Min - Make the Case: Convince leadership and staff to support integration efforts. • What reasons would leadership or staff have for opposing integration efforts? • What would you say in response to those questions? • 10 Min - Access Current Activities for Integration: Improving the connection between physical activity and healthy eating initiatives across chronic disease programs (Select one matrix) • Which programs have healthy eating and physical activity components? • What are they doing together? • Where do the integration opportunities lie? • 10 - Identify Opportunities: Connect long-standing nutrition (and physical activity) programs with the more recent emphasis on ‘obesity’. • What are the main opportunities for integration? • What challenges will we face? • How can we take advantage of the opportunities and mitigate the challenges? 2005 National DHPE/CDC Conference

15. Contact Information Randy Kirkendall Phone: 507.645.2985 E-mail: rkirkendall@prevent.org Website: www.prevent.org Tom Kean Phone: 303.721.7155 E-mail: tom@shconcepts.com 2005 National DHPE/CDC Conference