Online Program

Building sustainable systems for the distribution and delivery of the chronic disease self-management program

Tuesday, November 5, 2013

Cynthia Woodcock, MBA, The Hilltop Institute, UMBC, Baltimore, MD
Holly Korda, PhD, MA, Health Systems Research Associates, Old Orchard Beach, ME
Erkan Erdem, PhD, Health Policy, IMPAQ International, Washington, DC
Sarah Pedersen, MPP, Health Policy, IMPAQ International, Washington DC, DC
Susan Jenkins, PhD, Administration for Community Living, Washington DC, DC
Sustainable systems are essential to ensure ongoing distribution and delivery of community-based programs, but how to effectively ensure continuation of grant funded community-based programs after funding ends remains a common challenge for program developers and funders. This session presents successful sustainability strategies used by grantees of the Communities Putting Prevention to Work: Chronic Disease Self-Management Program (CDSMP) initiative, that awarded two-year grants totaling $27 million to 45 states, the District of Columbia, and Puerto Rico to provide CDSMP to older adults in 2010. These strategies are based on findings of a multi-method national process evaluation of CDSMP implementation funded by the Administration for Community Living, based on site visits, surveys, key informant interviews, and grantee reports. Sustainable systems shared common features: (1) champions who integrated CDSMP into statewide strategic planning, actively support implementation through technical assistance, and advocate for statewide fidelity monitoring; (2) building a strong delivery system and broad support for the program is important, even when champions are present; (3) outsourcing program oversight and technical assistance as long as there is funding to do so; (4) “showing the numbers” to provide state officials with evidence of program benefits and cost-effectiveness; (5) developing effective recruiting strategies; (6) “smart” investment of program funds to develop infrastructure (e.g., developing marketing materials and Web sites, training program coordinators and leaders, establishing processes for fidelity monitoring); (7) integration of CDSMP into new delivery system and financing models. These strategies can help to support and sustain distribution and delivery of CDSMP and related programs.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Identify features and successful practices of sustainable systems for delivery of the chronic disease self-management program; discuss strategies for sustaining CDSMP and other evidence-based community-based programs.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal, co-principal, or team member of multiple research contracts and projects focusing on chronic disease management, long term services and supports, community based services for immigrants, bundled payment models, and patient centered health care. Among my scientific interests has been the development of strategies to strengthen chronic disease management programs and long term services and supports policies and improve bundled payment models for participating entities.
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.