California Collaborative for Chronic Disease Prevention: Promoting healthy communities by implementing the Performance Partnership Model

The California Collaborative for Chronic Disease Prevention (CCCDP) is an integrated chronic disease project of the California Heart Disease and Stroke Prevention Program, California Arthritis Partnership Program, California Diabetes Program, and California Smokers' Helpline that aims to reduce the burden of cardiovascular disease by influencing shared risk factors. CCCDP uses a multi-sector, community-based approach to implement policy, systems, and environmental (PSE) strategies to support chronic disease self-management and prevention behaviors. The CCCDP pilot project is being implemented in five counties with four local health departments and one federally-qualified health care clinic taking the lead position for community implementation.

Lessons learned from California's successful Tobacco Control Program informed the CCCDP implementation design. CCCDP lead agencies use the Performance Partnership Model (PPM) to guide the development and implementation of PSE strategies. The PPM empowers community stakeholders to devise strategies and share resources to achieve a measurable outcome they choose by consensus. The PPM promotes strategies that are diverse, informed by local health statistics, and tailored to work within the context of the specific community. CCCDP counties convene Chronic Disease Summits, bringing together leaders from the worksite, health care, and community sectors to identify their public health priorities and develop action plans to deliver PSE strategies. CCCDP is undertaking a partnership evaluation to assess the effectiveness of this highly collaborative approach. Data from partnership surveys administered at the Chronic Disease Summits will present a snapshot of the effectiveness of the initial phase of creating community-level partnerships using the PPM.