226701 CDC Pilot Community Health Integration in Wisconsin's Public Health System

Wednesday, November 10, 2010 : 1:30 PM - 1:50 PM

Susan Uttech, MS , Bureau of Community Health Promotion, Wisconsin Department of Health Services, Madison, WI
Mark Wegner, MD, MPH , Bureau of Community Health Promotion, Wisconsin Department of Health Services, Madison, WI
Wisconsin is one of four states participating in CDC's chronic disease integration demonstration project. Wisconsin's integration efforts build on the knowledge that many chronic conditions share common risk factors (e.g., smoking, poor diet, lack of exercise) to leverage collective efforts to: reduce duplicative activity; increase efficiency; maximize program impact; and improve health outcomes. Unique among the pilot states, Wisconsin's integration efforts include the state's chronic disease programs as well as other related programs such as coordinated school health, maternal and child health, lead, oral health, asthma, minority health, and injury prevention. Division leadership and multiple cross-program workgroups promote adoption of a life-course perspective and facilitate communication, collective thinking, and problem solving about cross cutting issues. Key accomplishments include:

• Formulating a common language for discussing the life-course perspective and strategies to address health issues over the lifespan; • Piloting new ways of working with external partners; • Funding three community coalitions focused on “Healthy Lifestyles” (rather than specific risk factors); • Holding regular meetings to discuss integration and plan for further implementation; and • Establishing monthly meetings of program epidemiologists to create a report addressing the most common risk factors for chronic disease.

Challenges encountered in integration efforts include: time constraints; competing priorities; negotiating participant interests within collaborations; communication; and funding constraints. Future integration-focused activities include developing an Integrated Risk Factor Report; increasing policy and advocacy activities at the state and local level; and establishing a comprehensive approach to partnering.

Learning Areas:
Chronic disease management and prevention
Public health administration or related administration
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Participants will learn about: • Potential benefits of integrating chronic disease and risk factor programs or initiatives; • Different models and approaches to program integration taken by four states under a CDC pilot; and • Different approaches to managing an organizational change process

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Medical Director for the Wisconsin Division of Public Health and in that capacity work with all of the programs involved in Wisconsin's program integration pilot program. I am also the co-lead on that project with Susan Uttech (the other author of this presentation)
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.