College of Public Health and Human Sciences Public Health Policy Institute Synthesizing Current Policies and Gap Analysis Presenter: Jeff Luck Date: August 21, 2013

Evidence Synthesis Check-in Do example policies exist? Can you identify multiple options? Is their impact proven? Are implementation details clear? Can health impact and costs be estimated? November 30, 2018

List required elements for each policy option you selected [“To Be”] Gap Analysis Steps List required elements for each policy option you selected [“To Be”] Assess you current state with respect to each of those elements [“As Is”] Specify gaps to be filled during policy development and implementation November 30, 2018

1. What are the required elements for each policy option? Elements to consider include: Legislation or ordinances Regulations or rules Guidance documents for implementing or partner organizations Funding source(s) Detailed health impact and cost estimates for proposals Staff Training in skills needed to implement policy Partner organization(s)—community or government Infrastructure/Equipment ?? November 30, 2018

2. Where do you stand now on each required element? As needed, consult: Existing legislation/regulations Do any preclude or contradict your policy option(s)? Are there any voluntary standards? Reports and other documents Budgets Colleagues back home Be objective about your current state November 30, 2018

3. Specify Gaps to be filled Quantitative table or graph Qualitative matrix See Activity C template Visual format: Missing puzzle pieces November 30, 2018

Traditional Quantitative Gap Analysis November 30, 2018 Source: Georgia Mental Health Gap Analysis, 2005

Traditional Quantitative Gap Analysis (cont.) November 30, 2018 Source: Georgia Mental Health Gap Analysis, 2005

Matrix Gap Analysis – Smoke-free campus Dimensions Current State Desired State Notes about policy options that could help Public Health Situation to Improve: Campus tobacco use Too many students use tobacco and suffer chronic disease Few students use tobacco and are sick Maybe we could limit access to tobacco on campus to reduce use and change social norms Policy Policies Rules Regulations Other Policies require buildings to be smoke free. Policies exist to reduce/eliminate tobacco use on campus. No free distribution of tobacco or nicotine products at sporting events. Maybe we could extend the smoke free zone to outdoor sporting events Community Environment Social Behavioral Cultural Built Environment Natural Environment About 1/3 students smoke. More international students smoke than domestic. Chew tobacco is popular at school rodeo. We have faculty smoking lounges. Vendors distribute free samples of energy drinks and flavored cigarettes. It would be harder to find places to smoke on campus, reduced social modeling of smoking behavior, less second hand smoke, reduced access to tobacco on campus Maybe some of the activity is already illegal, so it’s an enforcement issue. We could restrict smoking in certain areas (30’ from an entrance) Economic Commerce Taxes & fees Income/access Tobacco sold on and near campus Tobacco not available for sale on campus. No free distribution by vendors. If we can’t restrict sale, maybe we could increase the tax on tobacco products Education K-12 & Higher Public awareness/media Current curriculum provides little formal education about tobacco hazards. Curriculum requires tobacco awareness education.   November 30, 2018

Matrix Gap Analysis – Mental Health November 30, 2018 Source: 2009-10 Gap Analysis and Improvement Plan, British Columbia

Matrix Gap Analysis (cont.) November 30, 2018 Source: 2009-10 Gap Analysis and Improvement Plan, British Columbia

Matrix Gap Analysis (cont.) November 30, 2018 Source: 2009-10 Gap Analysis and Improvement Plan, British Columbia

Required Elements Gap Analysis November 30, 2018

Bullet 1 Bullet 2 Bullet 3 November 30, 2018