228058 Partnerships, gender focus, and systems change: Measuring program performance with Healthy People 2010 Goals

Tuesday, November 9, 2010 : 10:30 AM - 10:50 AM

Kathleen Digre, MD , University of Utah School of Medicine, Center of Excellence Women's Health, University of Utah, Salt lake City, UT
Brenda Ralls, PhD , Utah Diabetes Prevention and Control Program, Utah Department of Health, Salt Lake City, UT
Anna Erickson, BS , Association for Utah Community Health, Salt Lake city, UT
Utah Women's Health INformation Network Uwin , Center of Excellence Women's Health, University of utah, Salt Lake City, UT
Background: Diverse partners, University of Utah, Utah State Health Department, Association for Utah Community Health and Utah Navajo Health System responded to an Office on Women's Health grant entitled: Advancing System Improvements to Support Targets for Healthy People 2010 (ASIST 2010). Using HP2010 objectives, we measured improvements in exercise and nutrition, health information delivery, and diabetes treatment using a gender focus. Programmatic components included: Developing health information infrastructure to circulate information for patients and providers on diabetes and cardiovascular disease and a public library-clinic partnership to disseminate health information with the help of trained librarians; and Providing direct interventions at community health clinics: diabetes prevention interventions to improve diet and exercise using previously validated programs tailored to individual clinics, a program to improve diabetes control in pregnant women with pre-conception or gestational diabetes, and a community health center-based tele-ophthalmology diabetic screening program for underserved patients. Methods: We measured progress by working with Utah's Behavioral Risk Factor Surveillance System (BRFSS) to obtain small area data on relevant HP2010 measures to evaluate our progress in improving health. We collected qualitative data through clinical interviews and secondary data through our own surveys to contextualize our programming in our communities. Conclusions: Using standard performance measures to gauge progress provided us with powerful tools to encourage the adoption of many of our initiatives by the CHCs, the state, and clinics. Having strong academic-state-CHC partnerships has provided a particularly effective system-change mechanism to enhance our ability to measure and track progress toward HP2010 objectives.

Learning Areas:
Advocacy for health and health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Identify specific challenges for community partnerships in using standard performance measures like Healthy People 2010 to gauge program success. 2. Describe advantages for community partnerships in utilizing standard performance measures.

Keywords: Healthy People 2000/2010, Women's Quality Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI of the grant we received; I direct UWIN; I am an MD
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.