186449 Meeting performance management outcomes: Learning from the success of the Synar program

Tuesday, October 28, 2008

Jennifer L. Wagner , SPFAS Project, JBS International, Inc., Silver Spring, MD
Susan Marsiglia Gray, MPH , National Synar Program, SAMHSA/Center for Substance Abuse Prevention, Rockville, MD
In 1996, the Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Substance Abuse Prevention (CSAP) introduced the outcomes-based Synar program to prohibit the sale of tobacco to minors. The program requires that States (i.e., all States, District of Columbia, and Territories) (1) have in effect laws prohibiting youth tobacco sales; (2) enforce laws to reduce youth access to tobacco; and (3) conduct annual random, unannounced inspections of tobacco outlets to ensure retailers' compliance with the laws. SAMHSA/CSAP set a 20% target retailer violation rate (RVR) that States must achieve to meet the Synar compliance requirements of the Substance Abuse Prevention and Treatment Block Grant. CSAP, with support from JBS International, Inc., provides statistical and programmatic assistance to States to evaluate, strengthen, and sustain their Synar programs. Each year, States calculate their RVR and assess their compliance; CSAP and JBS review each State's survey sampling design to validate the survey methodology and ensure its fidelity. CSAP and JBS conduct reviews in the States to monitor implementation of each State's Synar program and provide technical assistance to strengthen and sustain State Synar infrastructure and outcomes. This process ensures that States are able to make annual adjustments to meet their outcomes. For more than 10 years, States faced many challenges in implementing their Synar programs but have exceeded their outcomes. When the RVR baseline was established in 1996, the national RVR was reported as 40.1%. In 2006, the national RVR was reported at 10.9%, an almost 30% reduction in merchant noncompliance.

Learning Objectives:
1. Participants will become familiar the challenges States have faced implementing a performance management program 2. Participants will become familiar with strategies States used to meet their perforamnce management outcomes c.Participants will be able to apply the strategies used in the Synar program to implementing other performance management programs.

Keywords: Tobacco Control, Performance Measurement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. Wagner has acted as the SPFAS Synar Coordinator for three years, making her responsible for reviewing the Synar reports for all 59 States and territories that participate in the Synar program. She is a recognized expert on the Synar program, participating as an expet consultant in both State System reviews and technical assistance events. Ms. Wagner is a member the committee that plans National Synar Conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.