228527 Program integration models from basic coordination to comprehensive collaboration

Tuesday, November 9, 2010 : 1:30 PM - 1:50 PM

Jeanne Alongi, MPH , Program Integration Council, National Association of Chronic Disease Directors, Sacramento, CA
Context: More and more, state health departments and other public health sector public health agencies are faced with increased financial pressures, staffing reductions, changing funder expectations, and frustration with competing partner requests. Many are exploring program integration as a way to maximize impact per effort and expenditure. Program integration expects to improve overall effectiveness without jeopardizing the impact of individual programs. Discussion: Using a published chronic disease program integration logic model as a framework, this presentation will explore elements such as partnership, interventions, and data. Challenges and strategies collected from state heath department experiences highlight opportunities for tailoring effort in specific jurisdictions. Strategies may be as straightforward as periodic information sharing and as complex as matrix management for comprehensive planning and implementation. It is imperative that constituent and funder expectations are married to public health need while ensuring categorical program integrity is not compromised and emerging issues are addressed. Conclusion: Program integration is a process that can enable improved effectiveness and efficiency in state health departments and can be done without diluting the impact and focus of categorical programs.

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

Learning Objectives:
1. Name three strategies in the program integration spectrum. 2. Describe the appropriate goals of program integration. 3. Identify potential opportunities for improving public health practice through the use of program integration strategies.

Keywords: Chronic Diseases, Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 12 years of public health practice experience, four years of masters and doctoral level public health education, and primary responsibility for providing technical assistance from my organization to state health departments working in this area.
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.