1. Texas Heart and Stroke Prevention System Partnership
Steering Committee Meeting
October 29, 2008

2. THSPS Partnership Meeting Objectives
Gain consensus for a partnership building framework – Coalition Action Theory
Gain consensus for implementing the Texas Plan to Reduce Cardiovascular Disease and Stroke 2008
Identify Partnership structures and processes that will facilitate Plan implementation

3. Introductions
Tell us who you are, where you are from, and with what organization you are affiliated.
Give one reason why participation in the Partnership is important to you/your organization. Give your card to Jane before you leave.
Please check your information on the Partnership Steering Committee Roster for accuracy. Give corrections to Jane.

4. Making a Commitment We are diverse in our organizational affiliations
We are diverse in our priorities
We bring different skills and expertise to the table
We represent different populations
We have local, regional, state, and national perspectives
We provide an array of services for Texans
We find common ground in
implementing the Texas Plan to Reduce Cardiovascular Disease and Stroke
Working together we WILL make a difference

5. May 2008 State Plan Partnership Meeting
63 Participants attended the meeting
38 Organizations were represented
Goals, Objectives, and Strategies were identified for the 2008 state plan.
Four objectives were selected by the group for Partnership action

6. Goal I : Texans will experience improved cardiovascular health and quality of life through the Prevention of Risk Factors
Objective 1: Increase the proportion of adults who engage regularly, preferably daily, in moderate physical activity for at least 30 minutes per day (HP 2010).

7. Goal II: Texans will experience improved cardiovascular health and quality of life through the Detection and Treatment of Risk Factors
Objective 3: Increase the proportion of adults with high blood pressure who are taking at least two actions (for example: losing weight, participating in physical activity, reducing sodium in­take, taking medications as prescribed) (HP 2010).

8. Goal III: Texans will experience improved cardiovascular health and quality of life through the Early Detection and Treatment of Heart Attack and Stroke
Objective 3: Increase the proportion of adults who are aware of the early warning signs and symptoms of heart attack; stroke; and the importance of calling 911 if a heart attack or stroke is suspected (HP 2010).

9. Goal IV: Texans will experience improved cardiovascular health and quality of life through the Prevention of Recurrent Events
Objective 1: Increase utilization of appropriate therapeutic interventions and application of clinical practice guidelines for treating patients with cardiovascular disease and stroke.

10. Partnership Structure, Operations, and Processes
% Agree
The Partnership’s organizational structure supports the achievement of its goals. (Steering Committee/Goal Workgroups) 88
The Partnership’s structure enables the Partnership to work collaboratively to implement the Texas Plan to Reduce Heart Disease and Stroke . 85
The Steering Committee structure contributes to the effectiveness of the Partnership. 82
The Steering Committee provides leadership for the Partnership’s work.
The current Partnership Goal Workgroup structure facilitates progress in achieving Partnership objectives.
The Goal Workgroups should work to advance heart disease and stroke prevention and control in Texas. 94
Communications to Partnership members have been timely.
I have a clear understanding of the Partnership's purpose.
My “home” organization has benefited from my participation in the Texas Heart Disease and Stroke Prevention Partnership. 83
The Texas State Plan to Reduce Cardiovascular Disease and Stroke provides a useful tool to guide heart disease and stroke prevention and control activities in Texas.
Partnership priorities will advance heart disease and stroke prevention and control in Texas. 91

11. Partnership Structure, Operations, and Processes
% Agree
The Partnership’s decision-making methods enable the Partnership to move forward effectively. 76
The Partnership’s support staff appropriately implements recommended activities. 79
My role and responsibilities as a Partnership partner are clear to me. 71
Partnership membership adequately represents diverse heart disease and stroke stakeholders in Texas.
The Partnership has the information it needs to prioritize heart disease and stroke prevention and control activities. 68

12. Partnership Activities
 % Agree
The Partnership has identified gaps in the heart disease and stroke public health system in Texas. 91
Progress has been made in prioritizing heart disease and stroke activities within the Partnership. 88
The Partnership has enhanced the sharing of information about heart disease and stroke prevention and control activities. 85
Partnership policy initiatives could improve heart disease and stroke prevention and control in Texas. 94
Goal workgroup activity has contributed to development of the revised Texas State Plan to Reduce Heart Disease and Stroke.
The Partnership is likely to increase efficient use of heart disease and stroke resources in Texas.

13. Partnership Activities
% Agree
Don't Know
The Partnership has begun to improve coordination of statewide heart disease and stroke prevention and control activities in Texas. 76
The Partnership is addressing the disparity in heart disease and stroke services in Texas. 79
The Partnership has built new or improved on existing partnerships among Texans involved in heart disease and stroke prevention and control. 65 26
The Partnership has provided technical assistance to local community heart disease and stroke planning groups. 56 32
Partnership activities have enhanced better sharing of heart disease and stroke data in Texas. 29
The Partnership has increased public support for heart disease and stroke prevention and control in Texas. 50 41
The Partnership section of the Cardiovascular Health and Wellness website adequately supports communication of Partnership news and information. 47

14. Moving the Partnership Forward
% Agree
Disagree
Don't Know
A comprehensive heart disease and stroke prevention and control partnership should continue in Texas – with or without funding for travel. 94
My organization would be willing to support my travel expenses to future Partnership meetings. 62 29
I would be willing to encourage my organization to make in-kind contributions to activities promoted by the Partnership. 71 18
I would be willing to encourage my organization to make a financial contribution to activities promoted by the Partnership. 47 21 26
The Partnership should move forward with a more formal structure (eg. A Coalition with operating principles and leaders who are elected) 53 15
A Partnership newsletter would improve member communication and dissemination of information 79

15. Convener/Lead Agency Activities
% Agree
Don't Know
The DSHS Cardiovascular Health and Wellness Program is an appropriate convener/lead agency for coordinating the Partnership. 91
The Cardiovascular Health and Wellness Program has improved coordination of state heart disease and stroke prevention and control activities. 68 26
The DSHS Cardiovascular Health and Wellness Program provides useful information to promote comprehensive heart disease and stroke prevention and control in Texas. 82
The Texas Heart and Stroke Healthy City Recognition Program is advancing heart disease and stroke prevention and control in Texas.

16. May 2008 State Plan Partnership Meeting Outcomes
Survey results revealed a high degree of satisfaction with the partnership to date and a desire to move the partnership from planning to action.
Participants were generally in favor of creating a structure and processes that would enhance the group’s ability to move into implementation activities.
There was group consensus for creating a Steering Committee that would propose a structure and processes.
The group was in agreement that the Department of State Health Services was an appropriate lead agency for the partnership.

17. Partnership Interest
Partnership Interest Survey ed to 199 stakeholders
96 responses received to date
55 agreed to serve on Steering Committee
91 want electronic dissemination of information
69 agreed to serve on Work Groups

18. Partnership Building Framework
Community Coalition Action Theory (CCAT)
Authors: Butterfoss, F. and Kegler, M. Toward a comprehensive understanding of community coalitions. Emerging Theories in Health Promotion Practice and Research, 2002.
Model revised in 2007

20. Lead Agency/Convener Group
Department of State Health Services/Centers for Disease Control and Prevention
American Heart Association
Texas Medical Association
Texas Association of Local Health Officials
Texas Medical Foundation
Texas Public Health Association

21. Partnership Process Decision Making Consensus by those in the room
Anonymous ballets for elections

22. Partnership Structure
Steering Committee
Decision making authority
Characteristics – Diversity
Size
Meeting frequency

23. Partnership Structure
Leadership
Steering Committee
Elected offices
Chair/Co chairs
Chair elect

24. Partnership Process Leadership Selection Process
Nominations/recruitment
Election
Terms

25. Partnership Structure
Staffing
Coordination of meetings
Minutes
Information dissemination
Web site maintenance

26. Partnership Structure
Committees
4 Goal Committees/Work Groups
Ad hoc committees
Member recruitment
Nominations (URGENT – meet soon)
Advocacy (URGENT – meet soon)
Communication/dissemination
Resources/funding
Conference planning (URGENT – meet soon)
Others?

27. Partnership Members Historical partners
Inclusivity vs limited to specific stakeholder mix and number
Characteristics – Diversity
Member recruitment
Member profile/application
Member commitment – letter of support
Disclosures

28. Partnership Activities
Spring 2009 Conference
Planning committee volunteers
Proposed dates
Proposed locations
Intended audience
Speakers/topics
Training needs assessment
Goal Committee recommendations

29. Next Steps Second Steering Committee Meeting
Proposed date – First week of December (needs to be face to face)
Proposed location
Identify our “Mission”
Elect leadership
Goal Committees meet – continue action planning

30. THANK YOU! Please complete your donated hours form
Please complete the Meeting Effectiveness Inventory