1. The Arizona Chronic Disease Plan:
An Integrated Model for Promoting
Healthy Communities
September 28, 2006

2. VISION FOR THE PLAN
Guideline for developing a coordinated and integrated approach to chronic disease
Model for establishing funding priorities for a portion of the Prop 303 Arizona Tobacco Tax and Health Care Fund – Health Education Account
Vehicle for establishing partnerships with and among local communities and organizations
Framework for leveraging resources and exploring other funding streams

3. CATEGORICAL PLANS ● CARDIOVASCULAR DISEASE ● COMPREHENSIVE CANCER
- HEART
- STROKE
● COMPREHENSIVE CANCER
● LUNG DISEASE
- CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
- ASTHMA
● DIABETES
● NUTRITION AND PHYSICAL ACTIVITY
● TOBACCO EDUCATION AND PREVENTION

4. CHRONIC DISEASE TEAM
Representatives from each of the Categorical plans
Administrative staff from the Office of Chronic Disease Prevention and Nutrition Services (OCDPNS) and the Tobacco Education and Prevention Program (TEPP)
Team expanded to include other ADHS staff as needed
Technical Assistance Consultants

5. HOW THIS PLAN IS DIFFERENT
 Scope of the plan is very broad
 Did not follow the typical strategic planning process
 Each of the disease-specific entities and risk factor categories developed a comprehensive planning document
 Focus was on the common cross-cutting elements of the categorical plans
 Goal was to effectively merge the elements of the categorical plans into a coordinated, cohesive and integrated model

7. NUTRITION / PHYSICAL ACTIVITY
INTERVENTION SITES
PROGRAM CATEGORY
HEART
STROKE
CANCER
LUNG
DIABETES
NUTRITION / PHYSICAL ACTIVITY
TOBACCO
SCHOOLS X
WORK SITES
COMMUNITY & FAMILY
HEALTHCARE SYSTEM
INTERVENTION SITES

10. SELECTING PRIORITIES
Identified 5-10 priorities from each of the disease-specific and risk factor plans
Grouped priorities according to type
Identified common elements across priorities
Developed major categories for the chronic disease framework

11. THE FRAMEWORK Priorities fell into 3 main categories:
Individual Choices
Healthcare Provider Responsibility
System Support

12. PROVIDER RESPONSIBILITY
SYSTEM SUPPORT
INDIVIDUAL CHOICES
PROVIDER RESPONSIBILITY
EDUCATION
TRAINING
> Capacity Building
> Technical Assistance
> Data / Surveillance
> Policy / Environmental Change
> Resources / Workforce
> Access to Care
> Make healthy choices
> Be Aware - benefits of screening & early detection
> Take responsibility for requesting screening services
> Knowledge re: screening protocols & guidelines
> Order tests according to accepted guidelines
> Make referrals and/or follow accepted treatment standards

13. PRIORITIES INDIVIDUAL:
A. Promote healthy lifestyles as primary prevention for chronic disease
B. Inform, educate, and empower consumers re: benefits of screening & availability of screening resources
C. Link consumers to needed personal health services by developing & disseminating a comprehensive list of resources regarding screening and early detection.

14. PRIORITIES HEALTHCARE PROVIDER:
A. Promote screening for chronic disease according to established guidelines
B. Assure competent public and personal health care by educating providers re: benefits of screening & screening guidelines
C. Educate providers regarding appropriate referral and follow-up based on screening outcomes

15. PRIORITIES SYSTEM SUPPORT: A. Improve data and surveillance systems
B. Develop policies and environmental changes to support community and individual health efforts
C. Support plans and actions that promote development of community infrastructure
D. Promote access to quality personal and population-based health services.
E. Mobilize community partnerships and promote collaboration of advocacy groups
F. Monitor health status to identify and strive to reduce disparities

16. INTEGRATION WHEEL RISK FACTORS HEART DISEASE CANCER LUNG DISEASE
NUTRITION
RISK FACTORS
ACTIVITY
PHYSICAL
TOBACCO
HEART DISEASE
CANCER
STROKE
LUNG DISEASE
Promote partnerships and
collaboration of advocacy groups
Support the development of
community infrastructure
Improve data and
surveillance systems
Develop policies and support
environmental change
Promote access to
quality health services
Monitor health status and
strive to reduce disparities
Educate providers re: referrals
based on screening outcomes
Promote screening according to
established guidelines
Educate providers re:
benefits of screening
Link consumers to services
by developing list of resources
Promote healthy lifestyles
as primary prevention
for chronic disease
Educate consumers re:
screening and early detection

17. - Internal – ADHS Programs - External – Community Implementation
NEXT STEPS
Implementation Plan
- Internal – ADHS Programs
- External – Community Implementation
Tobacco Fund Initiatives
Explore Other Funding Sources
       
Evaluation

18. Arizona Department of Health Services (ADHS)
Janet Bourbouse, M.A.
Arizona Department of Health Services (ADHS)
150 N. 18th Avenue
Phoenix, AZ 85007 PH
Fax
Electronic copies of the Plan: