Texas CVD and Stroke Partnership Steering Committee Meeting Meeting Objectives Provide an opportunity for partners to network and share information about their current heart and stroke related activities. Communicate partnership evaluation results to Steering Committee members. Introduce Steering Committee members to the SharePoint site. Elect a new Chair Elect for the 2010 year. Provide time for Goal Committees to work face to face. Review heart and stroke data in Texas and identify gaps that could be addressed by the partnership. Brainstorm, prioritize, and select Partnership objectives for next year.

Texas CVD and Stroke Partnership Steering Committee Meeting A big thanks to Seton Family of Hospitals for allowing us to meet in their beautiful facility! Introductions Who are you? Where are you from? VERY BRIEFLY – What heart and stroke news do you have?

Partnership Evaluation Results Partnership Quality Committee Becky Heinsohn – Chair Don Nicholson Dr. Hardy Loe Dr. Thomas Alexander Jane Osmond

Framework for Partnership Development and Evaluation

Partnership Objectives Objective I By June 30, 2010, achieve greater than 80% agreement from the Steering Committee that the Partnership has achieved a minimum of 8 identified measures of partnership capacity to support and sustain collaborative implementation of the Texas Plan to Reduce Cardiovascular Disease and Stroke.

Measures of Partnership Capacity Lead Agency Support Membership Processes Structures Leadership Staffing Synergy – Member Engagement and Pooled Resources Assessment and Planning Implementation Outcomes

Lead Agency Support

Lead Agency Support You are doing a great job, keep it up. The amount and quality of work in support from DSHS staff is phenomenal. This suggests that not only are staff directly involved performing well, but that there is serious backup from the Commissioner on this.

Membership

Membership Heavy public health, light on private business, academics -- w/regards to ACTIVE participants. I think there are some key groups missing from the partnership such as integrated delivery systems, hospital groups, health plans. Getting these involved will help to achieve our goals. Committee member participation is not consistent-Committee membership continually changes. I think Stroke Rehab representation could be stronger. I am not sure we have adequate representation of sectors of society that represent the relevance of income, education, mental health, consumer interests and the like in the deliberations of the group. These perspectives are critical in understanding the range of relevant risk factors for occurrence of disease and the prospects for devising interventions that are relevant to that range of risks.

Processes

Processes It would be helpful if the larger "road map" of where we are going and our ultimate objectives were conveyed more clearly. While I agree the number of meetings are adequate, there are times when communications, surveys, etc are numerous. With respect to the importance of the third question above, I think it would be worth while having each committee spend some time discussing what is important about the data and information, how it is used and how frequently reviews of such information needs to be done.

Structures

Structures It's sometimes hard to see the work of the separate goal committees come together, and it doesn't appear there's much coordination of efforts going on toward common goals. With many people balancing significant obligations, the structures utilized offer an opportunity to participate when possible, and constantly have people with then available time working to address our needs. In my view, the structural arrangements take into account the difficulties of coordinating schedules across the State and make room for contingencies so that progress proceeds even if any one individual is presently unavailable.

Leadership

Leadership Not sure whether all the leaders "own" their roles in the Partnership as much as necessary to foster growth. I do not register "inspiring" leadership. To me what this leadership does is get the job done. We all have too many meetings with no outcome and this partnership has tangible accomplishments/outcomes. Although I've been favorably impressed, and enjoyed participation, I feel that I lack information to properly respond to these questions due to my own situation involving family illness and travel.

Staffing

Synergy – Pooled Resources

Synergy – Pooled Resources The State Plan is long and I question whether the assumption it is a tool regularly referred. It seems the majority Active Partnership members are from the public health sector -- one which is not known for excessive resources. As you are aware, money makes the world go around. Unfortunately we lack the available funds to make an immediate & strong difference. Member resources would be improved by addition of representation from other sectors of society (as described in the previous question (consumer, mental health, income generation, education), and the addition of financial resources would allow our objectives some realistic prospects for being achieved.

Synergy – Pooled Resources

Synergy – Pooled Resources Contributions Meeting space Staff as facilitators Science/Programs Travel reimbursement Time In-kind Dollars

Synergy – Member Engagement

Synergy – Member Engagement

Synergy – Member Engagement

Synergy – Member Engagement

Partnership Synergy – Member Engagement

Partnership Letters of Commitment (Feb 2009) Support partnership 39 Support partnership activities 37 Participate in partnership work 36 Seek opportunities for collaborative efforts to implement plan Seek opportunities for organization to implement the plan 34 Encourage others to implement the Plan 1 Incorporate Plan Goals/Objectives in org planning Assist in disseminating Plan 33 Education communities about Partnership priorities 35 Education communities about sustained funding for CVD and stroke Efforts have included attending meetings 38 Efforts have included reviewing/preparing policies and reports Efforts have included supporting committee activities Contributions have included staff time Contributions have included travel 28 Contributions have included expertise

Partnership Outcomes

Partnership Outcomes The Digest provides a wealth of information. Whether its usage can be expanded is a question worth investigating. Please make sure I am on the Digest distribution list.

Partnership Outcomes

Partnership Intermediate Outcomes Objective II By June 30, 2010, >50% of Steering Committee members will experience a self reported increase in competency in at least 3 of the 7 competency areas identified by the NACDD for managing, planning, implementing, and evaluating programs.

Partnership Intermediate Outcomes

Partnership Sustainability

Partnership Areas for Improvement Objective III By June 30, 2010, > 80% of the propositions of the CCAT framework for effective coalitions will have been addressed through partnership structures, processes, and activities. Survey addresses most of these Still need to look at planning, implementation, and impact Objective IV By June 30, 2010, increase from 76% to >80% partner satisfaction with the number and diversity of Steering Committee members and general partnership members. May 2008 = 76% Satisfaction Sept 2009 = 76% Satisfaction

Partnership Areas for Improvement As we look into the future, how can the Texas CVD and Stroke Partnership be improved? Work to raise its status/visibility within the health care community. Increase its professional diversity. Tell its "story" or successes on a consistent basis (communications committee?). Promote the partnerships to include decision making people all across Texas ie city mangers, judges, mayors Keep our eye on the prize, don't accept defeat. Expand the Partnership membership to broaden reach and effectiveness Increase membership retention Find ways for more team members to participate To reach the goals of the Partnership, it will take real investment of time and funds from all of the partner organizations or a group of partners dedicated to funding development. DSHS funding for CVD prevention and treatment is not sufficient alone to achieve the goals of the Partnership statewide. If partners can offer their site for holding meetings. It may encourages organizations to get involved more directly . We have not achieved a balance between the inpatient care and the prevention and follow-up care for affected and at risk patients. We still view these components as separate silos as opposed to a continuum of health challenges for the population. Project management for midlevel organizational leaders. The higher level administration probably already understands the process but I think it would be fairly new to the mid-level directors. Incorporating sectors of society not now represented as members. Bringing more people

Additional Partnership Objectives Objective V By June 30, 2010, provide one plan for increasing partner satisfaction with communication and collaboration among system partners and Texas communities. (Identified during Plan development as a priority (Plan Goal V). Objective VI By June 30, 2010, increase by 30% the number of partners reporting using the state plan in their organization/program planning.

Partnership Use of the State Plan

Partnership Use of the State Plan   % of Respondents 2008 Survey Results 2009 Survey Results % change Reviewed the State Plan 97 84 (13) Studied the State Plan carefully 18 32 78 Shared the State Plan with others in my organization 72 125 Shared the State Plan with others outside my organization 12 44 266 Reviewed my organization's goals and objectives to determine their congruence with the Texas State Plan 26 69 Suggested modifications in my organization's goals and objectives to address Texas State Plan objectives 28 133 Used the Texas State Plan as a basis for initiating or advocating for new activities 60 87.5 Used the Texas State Plan to prioritize existing activities in my organization 24 83

Additional Partnership Objectives Objective VII By June 30, 2010, conduct one assessment of stakeholder implementation of the Goals, Objectives, and/or Strategies in the State Plan (Underway – PLEASE COMPLETE YOUR SURVEY) Objective VIII By June 30, 2010, increase from 0 to 4 the number of state plan objectives related to CDC priority areas that have been implemented by the Partnership (Underway in 4 Goal Committees)

Partnership Evaluation Results Jane Osmond, MPH, RRT Program Specialist V Cardiovascular Health and Wellness Program Texas Department of State Health Services Jane.osmond@dshs.state.tx.us 512-458-7111 ext 6573