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Introduction to PSTK Rapid Protocol ATV Exercise Joel L. Nitzkin, MD

Preventive Services ToolKit. Introduction to PSTK Rapid Protocol ATV Exercise Joel L. Nitzkin, MD. 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

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Introduction to PSTK Rapid Protocol ATV Exercise Joel L. Nitzkin, MD

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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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