BRIEFLY show definition NACDD Definition from “Recommendations/Are Your Programs Linked? ” article published in PCD, April 2007. (Link - http://www.cdc.gov/pcd/issues/2007/apr/06_0163.htm) 1

Recommendations for Integration of Chronic Disease Programs: Are Your Programs Linked? Slonim, Amy B. et.al Preventing Chronic Disease April 2007 http://www.cdc.gov/pcd/issues/2007/apr/06_0163.htm BRIEFLY show definition NACDD Definition from “Recommendations/Are Your Programs Linked? ” article published in PCD, April 2007. (Link - http://www.cdc.gov/pcd/issues/2007/apr/06_0163.htm) 2

Recommendations for NACDD Action Develop/disseminate integration tools Provide educational opportunities Provide outreach and recruit national partners Reach beyond chronic disease programs Advocate leadership support Assure continuity of integration activities

Developing a chronic disease integration workplan for North Carolina Developing a chronic disease integration workplan for North Carolina. Marcus Plescia MD MPH Overview of NC project Integration Work Plan Content Challenges Lessons Learned

NC Steps Toward Integration Expanded statewide Chronic Disease Collaborative project through partnership with UNC School of Medicine and the NC Medicaid program Formed work group to guide integration planning process Established Health Promotion Manager position Expanded Quality team to include participation from all programs Established Chronic Disease Program Manager position

NC Steps Toward Integration Published Chronic Disease and Injury Section Integration Blueprint Held a Section retreat focused on integration Surveyed staff knowledge and attitudes about integration Organized state chronic disease conference focusing on program integration Recruited CDC Prevention Specialist to focus on Integration activities Developed worksite wellness demonstration with the NC State Employees Health Plan

NC Steps Toward Integration Implementation of Work Plan and Evaluation Plan Developed Communities of Practice (CoPs) around four priority areas Wrote CDC Integration Work Plan in place of Collaborative FOA Preformed Section-wide assessment of integration opportunities and priorities Chosen as one of four states (including MA, WI, CO) by CDC Applied to be CDC Program Integration Demonstration State

NC Chronic Disease and Injury Section Integration Blueprint An integrated approach to addressing chronic disease Review plan with group

NC Integration Work Plan 1) Create vision of CDI as a fully integrated organization 2) Develop infrastructure and build best mgmt practices to support integration 3) Prioritize and implement integrated programs and processes 4) Continuously evaluate integration outputs and health outcomes

Communities of Practice Groups within the organization that are related either by function or practice

Policy CoP Goal and Objectives This assists in identifying gaps and resources

Community Based Health Promotion Goal and Objectives The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

Data Collaborative CoP Goal and Objectives The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

Healthcare Systems CoP Goal and Objectives The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

Lessons Learned Centralized Management Capacity is needed to effect significant organizational change

Lessons Learned Organizational change creates anxiety Develop clear, consistent messages at the onset of the process Ensure organization has the infrastructure to support integration Assess and address concerns regularly

Challenges CDC Integration Work Plan Shift from program content to integration content Program Action plans Traditional reliance on FOA guidance