National Association of Chronic Disease Directors January 2013 Dr. Jewlya Lynn Jason Vahling

1/17/20132 Complex Change Efforts Take Time Iterative process Requires constant adaptation and improvements Accountability

Click to edit Master title style Same populations Same channels Same partners Collective impact 1/17/2013 Chronic disease state plans Logic models 4 domains Leadership Communication Partnerships 3 How do we Know it’s Working?

1/17/ The Spark Model of Strategic Learning 4 Improving strategies Systemic integration of information Collective interpretation

1/17/20135 The Five Stages Get Ready for Learning STAGE  Develop Your Roadmap STAGE  Focus Your Learning STAGE  Systematic Data Collection STAGE  Improve Your Strategies STAGE 

Click to edit Master title style Six months into implementation of the coaching model 11 out of 15 organizations analyzed had made changes to improve their strategies and outcomes. 1/17/20136 Does it Work?

8 Learning Teams Strategy knowledge Research & evaluation skills Passion for learning

1/17/20139 Breaking Down Your Logic Model and State Plan

1/17/ Getting Inside the Black Box Activity: Develop Common Policy Framework Black Box Output: Coordinated Policy Agenda Black Box Outcome: Increase Stakeholder Coordination /Support for Policies

11 Unless we know __________________, we won’t know how to improve our strategy. Focus Your Learning Only learn where it’s useful!

Systematic Data Collection 1/17/ Accurate Rapid Useful PerspectivesUnbiased

Facilitated dialogue Timely Includes: – Results of systematic data collection – Intuitive learning 13 Improve Your Strategies

1/17/ Benefits of Strategic Learning Increase your ability to achieve your desired outcomes Is adaptable to your needs, even as your needs change Allows your State Plan to be a living document Useful with coordinated and categorical strategies Functions as your real time evaluation tool

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