From policy to practice: Lessons learned in implementing statewide health improvement plans
Elizabeth Walker, MS
, Health Improvement, Association of State and Territorial Health Officials, Arlington, VA
Paul E. Jarris, MD
, ASTHO, The Association of State and Territorial Health Officials, Arlington, VA
Lynn Shaull, MA
, Health Promotion and Disease Prevention, Association of State and Territorial Health Officials, Arlington, VA
The purpose of this project is to identify state's systems-level processes that contributed to improved rankings in United Health Foundation's America's Health Rankings. Project leads from the Association of State and Territorial Health Officials (ASTHO) identified four states that have improved their rankings in selected measures. ASTHO conducted interviews with four to five key informants from each state. Interviewees included state, local, and community level public health practitioners. Following the Social Ecological Model, ASTHO adapted a framework used in the education sector to understand the drivers for systems change. The framework includes context, key actions, and accountability for the changes that occurred in each state. Qualitative data from interviews with state, local and community level practitioners were analyzed to arrive at themes that described how state health improvement policy was implemented at the local and community levels. There was a core set of themes that were common across all states, but also themes unique to each state that were based on the context and change process in the state. This research helps understand the mechanism for successful statewide health improvement programs, so that best practices can be disseminated across the states. ASTHO will facilitate sharing of lessons learned among public health leaders in order to improve health outcomes.
Administration, management, leadership
Implementation of health education strategies, interventions and programs
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health
Explain lessons learned in state health improvement initiatives to attendees’ respective agencies
Keyword(s): Public Health Infrastructure, Health Departments
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: Through my MPH program and professional experience, I possess the necessary research skills to conduct research on state health agency policy and implementation. I have been working full-time in public health for over three years, in addition to having completed internships in clinical research, local governmental public health, and program evaluation. ASTHO is in the unique position to have a national perspective in terms of state public health agencies.
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.