A Model for Integrated Chronic Disease Prevention Programs

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A Model for Integrated Chronic Disease Prevention
Programs

• Pennsylvania Diabetes Prevention and Control
  Program

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Objectives

• 1. Identify critical strategies for effectively
  integrating chronic disease prevention efforts
• 2.Explain the benefits of an integrated model for
  health promotion and disease prevention

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Pennsylvania

• 67 Counties
• Pennsylvania Department of Health District
  Offices and State Health Clinics cover all or
  parts of 63 counties
• 5 County Health Departments (serve entire
  counties)
• 5 Municipal Health Districts (serve only cities
  or municipalities within a county)

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• Question
• How do we help county and municipal health
  departments address their needs with as much
  funding as possible and with as few barriers as
  possible?

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• Answer
• An Integrated Chronic Disease Prevention
  Programfocusing on environmental and policy
  changes
• the OPANAC grant

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Sociological Model
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OPANAC Grants

• Programs Involved
• Osteoporosis
• Physical
• Activity
• Nutrition
• And
• Cardiovascular Disease
• Also includes Diabetes Program

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Department of Health Roles

• Funding (Federal and State)
• Convening of Partners
• Federal, state, and local recognition
• Technical Assistance

• Training
• Resources
• Program evaluation
• Monitoring
• Reporting
• Communication (conference calls, emails, list
  serv)

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Local Health Departments Roles

• Implementation of deliverables
• Action planning
• Local Partnership Development
• Coordination and Communication
• Health Education

• Resource Leveraging
• Deliverable/dissemination evaluation
• Success Stories
• Reporting

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Local Projects

• 4 key areas
• Schools
• Worksites
• Healthcare settings
• Community settings

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Schools

• Partner to establish and increase
  participation in a weekly after school physical
  activity program that promotes non-competitive
  activities

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Communities

• Develop, improve and promote community
  walking and bicycling trails and active
  recreation areas

Create community gardens
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Worksites

• Increase point-of-decision prompts that
  encourage healthy lifestyle choices

In partnership develop, promote and increase
participation in a social support network that
uses evidence-based interventions that promote
healthy lifestyles
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Healthcare

• Partner to develop and disseminate
  culturally appropriate healthcare literature
  focusing on diabetes, heart disease and stroke,
  osteoporosis, overweight and obesity, and their
  related risk factors

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Key Strategies

• Theoretical understanding of concept of
  integration at all levels
• Hard to do when funding is specific to only one
  disease
• Practical understanding of concept of
  integration
• For example, ensuring that the Budget and
  Contracts Divisions could support the nuts and
  bolts of integrating funding streams
• Deciding on focus of integration
• For PA it was on prevention and addressing shared
  risk factors for many diseases

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Key Strategies

• Communication in house
• All programs represented were involved in the
  development and continued monitoring of funded
  projects
• Communication with grantees
• Regular means of communication established-confere
  nce calls, emails, list servs, face to face
• Quarterly meetings
• Discuss common issues
• Facilitate networking and information sharing
• Training and Resources
• Site visits
• Evaluation process and outcome related

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Outcome Improvements

• Improved local capacity to implement
  interventions
• Improved relationships between state and local
  health departments
• Standardized work statements
• Standardized reporting templates

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Benefits

• Reaching more people possible with greater
  amounts of money
• Diabetes only provides 10,000 per grantee which
  would not go far
• Addressing shared risk factors for many diseases
• Collaboration
• Between State and Local Departments as well as
  between Local Departments
• Standardization-comparing apples to apples
• Blueprint for the future
• Shows how things can work

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Contacts

• State Department Jan Miller, MA
• Administrator for Planning and Development
• Diabetes Prevention and Control Program
• Pennsylvania Department of Health
• Room 1000, Health and Welfare Building
• Harrisburg, PA 17120
• [phone]
• janmille_at_state.pa.us
• Local Department Tina Amato, MS, RD,LDN
• Nutrition and Physical Activity Manager
• Chronic Disease Programs
• Allentown Health Bureau
• 245 N. Sixth Street
• Allentown, PA 18102
• 610-437-7581
• amato_at_allentowncity.org

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