Launching the Next State Health Plan: Stakeholder Views of Healthiest Wisconsin 2010

1. Launching the Next State Health Plan: Stakeholder Views of Healthiest Wisconsin 2010 Marina De Pablo Dual Degree Student MS Nursing/MPH MPH Spring Symposium May 9, 2008

2. Acknowledgements • Patricia Guhleman, Bureau Director of Health Information and Policy, Division of Public Health • Marilyn Haynes-Brokopp, UW mentor • Margaret Schmelzer, preceptor, DPH • Linda Baumann, academic advisor • Susan Zahner, academic advisor • Bridget Booske, Population Health, Barbara Duerst, MPH program, Yvonne Eide, DPH, Cathy Frey, UWSMPH, Pat Nametz, editor, DPH, Elizabeth Oftedahl, DPH, Lori Severtson, School of Nursing, Sheri Seimers, DPH • Dave Kindig Administrative Medicine Scholarship

3. Outline • Introduction: History of State Health Plan • Description of field work project • Project methods • Summary of findings • Discussion • Next steps • Conclusion

4. Introduction: History of State Health Plan • Statutory mandate: Wisconsin statute s.250.07 • Healthiest Wisconsin 2010 (HW2010) nationally recognized • Official launch of Healthiest Wisconsin 2020 (HW2020) May 1, 2008

5. Field Work Project: Evaluation of Healthiest Wisconsin 2010 • Student Learning Objectives • Project Purpose: Strengthen planning processes and inform the work of teams associated with development of Healthiest Wisconsin 2020 • Public Health Communication Planning Framework – why, what, who, how, when? (Nelson et al, 2002)

6. Project Methods • What: Written survey with open-ended questions • Who: Division of Public Health (DPH) and community stakeholders of the State Health Plan • When & How: Sent via email in November 2007 to DPH cohort and March 2008 to Community cohort

7. Healthiest Wisconsin 2020 Logic Model(HW2020 Strategic Leadership Team, 2008)

8. Methods: Survey Questions 1. Strengths of Healthiest Wisconsin 2010 2. Gaps in Healthiest Wisconsin 2010 3. Chief Public Health Message 4. How to connect HW2020 to existing programs in your agency or Bureau 5. Best communication method to keep you informed and to get your feedback 6.(Community) Best way to make new plan useful to your agency 6.(DPH) How to get DHFS system partners engaged in next State Health Plan

9. Methods: Project Analysis • DPH: n=29/73 (39% response) • Community: n=29/44 (65% response) • Qualitative responses sorted and categorized for content analysis • Responses reviewed by members of DPH management and HW2020 teams

10. Summary of Findings: Strengths of Healthiest Wisconsin 2010 • Inclusive Process/Partnerships • Science/Determinants of Health Model • Shared vision/language for Public Health “It included many traditional and nontraditional partners. That makes it more Wisconsin’s plan than the Division’s plan.” (DPH respondent)

11. Summary of Findings: Gaps in Healthiest Wisconsin 2010 • Include new partners • Need measurable objectives • Make objectives specific to special populations • Need funding for implementation • Need communication planning team “Transforming the public health system takes resources and information…The health departments have done about as much as they can operating on influence and goodwill. Now they need resources and a mandate.” (Community respondent)

12. Summary of Findings: Best way to make plan useful to your agency How DHFS can get system partners engaged • Build on HW2010 • Involve staff in development • Clear map for implementation • Show products from 2010 – objectives reached • Include legislators, communities of color, new partners in planning • Communication and marketing “Make sure it doesn’t stray significantly from the 2010 priorities...as it is difficult to get momentum if the target moves substantially.” (Community respondent)

13. Discussion: Strengths of Survey Design “Qualitative approaches give a voice, both literally and metaphorically, to stakeholders; this is important because they then feel valued.” (Issel, 2004)

14. Discussion: Limitations of survey design • Bias due to small samples and number of respondents • Some responses hand written – hard to read • Time constraints – some responses more thorough than others • Email requests may be unnoticed • Cohorts may not represent all users

15. Next Steps: Dissemination • Healthiest Wisconsin 2020 planning team meeting presentations: May and June • Healthiest Wisconsin 2020 website resource • Future publication as issue brief?

16. Conclusions • Survey documents stakeholder support • Do not reinvent the wheel • Coordinate funding for implementation • Great opportunity for student learning about policy development!

17. Vision “Through collaborative work and a shared vision of our state priorities, we can improve the health of our people, reduce health disparities and transform our system into something great.” (community respondent)