Online Program

Realizing a vision: A look at chronic disease frameworks in multiple state health departments

Monday, November 4, 2013

Nikie Sarris, MPH, Community Health Promotion Research, RTI International, Research Triangle Park, NC
Sonya Green, BA, MPH, Community Health Promotion Research Program, RTI International, RTP, NC
Carol Schmitt, PhD, Public Health Policy Program, RTI International, Washington, DC
Antonio Neri, MD, MPH, Division of Cancer Prevention and Control, Centers for Disease Control and Preventions, Chamblee, GA
Jennifer W. Kahende, PhD, National Center for Chronic Disease Prevention and Health Promotion / Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Behnoosh Momin, MS, MPH, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Chamblee, GA
Background: To increase efficiency and leverage limited resources, the Centers for Disease Control and Prevention (CDC) promotes integration and collaboration among state health department chronic disease programs. Recently, CDC has promoted this collaboration by releasing several integrated funding announcements. This presentation outlines the benefits of and barriers to collaboration across state health department chronic disease programs, with a focus on Comprehensive Cancer Control Programs (CCCs) and Tobacco Control Programs (TCPs). Description: Cross-collaboration, challenges encountered, and factors facilitating collaboration within a chronic disease framework were explored in 6 states. Individual and group interviews were conducted with 84 key stakeholders from state health department leadership, CCCs, TCPs, and tobacco and cancer control coalitions. Data were analyzed using NVivo 10.0. Lessons Learned: Integrated efforts are implemented formally (e.g., changes in organizational structure) and informally (e.g., cross-program communications). Barriers to implementing a chronic disease framework included funding restrictions on program-specific activities and fear of diluting an individual program's influence or importance. The benefits of a chronic disease framework (e.g., minimizing duplication of efforts) were extolled by most respondents. Leadership support was instrumental in implementing all collaborative activities. Recommendations: Efforts to promote integration of chronic disease programs are underway at federal, state, and local levels. As cross-collaboration becomes more common, many chronic disease program staff - including those in CCCs and TCPs - may find these results relevant to their work. Our recommendations include encouraging funding agencies to make meaningful collaboration a requirement of funding opportunities, and having states share successful cross-collaboration strategies with each other.

Learning Areas:

Administration, management, leadership
Chronic disease management and prevention
Public health administration or related administration

Learning Objectives:
Identify existing examples of chronic disease frameworks for collaboration in state health departments. Articulate the key strengths and challenges of a chronic disease framework. Describe various strategies for replication by other states seeking to facilitate new collaborative efforts across chronic disease programs.

Keyword(s): Chronic Diseases, Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Manager and have been intimately involved in all aspects of this Partnership Study, including developing instruments development, conducting interviews during site visits, analyzing and interpreting the data, and summarizing key findings for CDC and the six participating states.
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.