1. Sustainability Planning Pat Simmons Missouri Department of Health and Senior Services

2.  Based on the framework from Washington University Center for Tobacco Policy Research  UNC Center for Health Promotion and Disease Prevention  Centers for Disease Control and Prevention Planning Resources

3. Planning Steps

4. Defining Sustainability

5. Sustainability Framework

6. The ability to make long-term plans based on a stable funding environment  Supportive state economic climate  Budgetary management from the larger organization  A combination of stable and flexible funding  Adequate funding

7. An internal and external political environment which influences program funding, initiatives, and acceptance  Political champions that advocate for the program  Support within and outside your organization  Strong support from advocacy groups

8. The connection between the program and stakeholders  Key stakeholders from a variety of disciplines  Communication with community leaders  Strong collaborative partnerships among federal, state, and local public health agencies

9. The resources to effectively manage the program and its activities  Vision, mission, and goals are aligned with the larger organization  Infrastructure that supports the needs of the program  Leadership who effectively articulate the vision of the program to external partners  Staff who possess the necessary skills to implement the program

10. The ability to adapt and enhance the program to ensure its effectiveness  Defined processes for quality improvement  Utilization of evaluation results to make improvements  Ability to adapt to new science

11. The monitoring and evaluation of process and outcome data associated with program activities  Capacity for quality program evaluation  Reporting short term and intermediate outcomes  Communication of surveillance and evaluation results to demonstrate successes to funders and other stakeholders

12. The strategic dissemination of program outcomes and activities with stakeholders, decision-makers, and the public  Communication strategies to secure and maintain public support  Marketing that generates interest  Positive media attention

13. Effect on the health attitudes, perceptions, and behaviors in the area it serves  Take into account the needs of the population it is designed to serve  Focus on policy and environmental change  Reach enough people to improve measureable health outcomes  Demonstrate the program’s value to stakeholders

14. The process to define program direction, goals and strategies  A plan for future resource needs  Goals that are understood by all stakeholders  Strategic planning is done in coordination with partners and other programs

15.  Outlined by the Nine Domains of the Framework  Documents status of each of the 9 domains (i.e. demonstrated success, work in progress, needs further improvement, not relevant)  Includes prompts (i.e. what activities do you have planned, which partners are involved, how is progress being tracked, etc.)  Includes dates (milestones) for evaluating progress in each of the domains.  Invites discussion for best practices Practical Sustainability Plan

16. Sustainability Tool Results

17. Plan Outline □ MOCAN Program Summary □ Overview of the Sustainability Planning Process □ Review of Key Elements for Sustainability □ Action Plans for Priority Domains □ Priority Domain #1Funding Stability □ Priority Domain #2 Surveillance & Evaluation □ Priority Domain #3 Communication □ Sustainability Plan Follow-up □ Missouri Council for Activity and Nutrition Members

18. Priority Domain #1 Funding Stability Action Steps (How will you get to where you want to be?) Responsibility (Who will make it happen?) Timeframe (When will it happen?) Convene MOCAN steering committee to discuss funding opportunities and needs. UME—Cindy Deblauw On-going—meet monthly Identify possible funding sources and the best member to reach out to each potential funder. Create spreadsheet to track sources and “asks.” UME/Steering Committee November 2011 Develop a packet of information, including talking points, for members to use when speaking with potential funders. Steering Committee December 2011 Identify at least 3 potential partnerships that would benefit the organization and cultivate new partnership opportunities. Steering Committee December 2011 Survey workgroups for financial needs. Steering Committee February 2012

19. Priority Domain #2 Communications Action Steps (How will you get to where you want to be?) Responsibility (Who will make it happen?) Timeframe (When will it happen?) Complete MOCAN web site updates.Cindy Deblauw October 2011; ongoing Gather and compile examples of existing educational initiatives and messages that have been effectively used to motivate target audiences. Messages Group December 2011 Survey work groups for existing materials and resources. Messages Group December 2011 Survey work groups on messaging needs and target audiences. Messages GroupFebruary 2012 Create an integrated communications plan including strategies and steps for implementation. Messages GroupMarch 2012

20. Priority Domain #2 Communications (continued) Action Steps (How will you get to where you want to be?) Responsibility (Who will make it happen?) Timeframe (When will it happen?) Prioritize a select number of messages and materials for use by all MOCAN workgroups and initiatives to ensure the consistent use of messages across settings. MOCAN membership with Messages Group lead April 2012 Facilitate development of talking points, fact sheets, and other materials as needed to support and meet the needs of workgroups. Messages GroupApril 2012 Collaborate with the media to ensure fair and consistent coverage of relevant issues. UMEMay 2012 Use social media to share success stories of MOCAN Messages GroupMay 2012

21. Priority Doman #3 Surveillance & Evaluation Action Steps (How will you get to where you want to be?) Responsibility (Who will make it happen?) Timeframe (When will it happen?) Identify and prioritize program outcome measures (using indicators listed in the state plan) that need to be evaluated/tracked from each workgroup and overall. Workgroup leadsApril 2012 Identify team to develop and monitor implementation of evaluation plan. UMEFebruary 2012 Assess data sources and tools available from partners.Workgroup leadsMay 2012 Develop evaluation plan and have it approved by steering committee. Eval TeamAugust 2012 Inform membership of plan and request assistance to help implement it. Eval Team leadOctober 2012 Implement plan and monitor outcome. Eval Team and membership as required November 2012 and ongoing

22.  Information?  Costs?  Resources/Assistance? Resources Needed

23.  Finalize plan and send to CDC  Implement plan including tracking of activities Next Steps