1. Opioid Misuse Prevention Program “OMPP” Strategic Planning Workshop
June 2015

2. Overview of strategic planning2

3. What is a Strategic Plan?
A strategic plan is a tool that will help guide coalitions through the implementation of selected strategies.
Strategic plans serve as a map, so precision and detail are key! 3

4. Strategic Plans…
Include the policies, strategies and practices that create a logical, data-driven plan to address the problems identified during the needs assessment 4

5. Developing a Strategic Plan
In order to develop a strategic plan, the following should be considered:
What strategies are likely to have the most impact on the contributing factors in my community?
Do we have the capacity to implement a particular strategy?
What capacity do we need to build and how will we build it?
Who will implement the strategies and what steps do we need to take to implement them well?
Do we have measurable outcomes for the selected strategies? 5

6. Who Should be Involved in the Strategic Planning Process?
Similar to the assessment process, the entire coalition should have input into the strategic planning including the selection of evidence-based prevention strategies.
People support what they help create! 6

7. Moving from the Needs Assessment to the Strategic Plan
Each selected contributing factor should meet the following criteria:
Specific (not another intervening variable)
Identifiable
Actionable
Before moving forward to selecting strategies, it is important that your selected contributing factors are strong. 7

8. Developing the Strategic Plan8

9. The logic model is an important conceptual tool for planning a comprehensive and effective prevention effort 9 9

10. Develop/
deliver an evidence- based training for providers on safe prescribing practices (with a focus on opioids). Provide a forum for booster sessions or discussion.
Types and number of sectors trained.
Providers lack understanding about safe prescribing practices, particularly for opioids.
Retail access: Opioids are seen as easy to obtain for young adults in MD.
By (date), providers will report increased knowledge on safe prescribing practices by X%, from ___ to ___, as measured by local survey data
Within X years of program implementation, there will be a decrease in the availability of opioids for young adults by X amount, from __ to __, as indicated by PDMP data
By the end of the program, young adults self-reported non-medical use of opioids in Maryland will be reduced by X% (from __ to __), as indicated by YRBS data
Numbers of trainings and number of hours.
Number of providers trained.
Fidelity to training design, content, and method of delivery.
Number and type of post-training communications.
Audience (number and sector) receiving post-training communications. 10

11. Selecting strategies 11

12. Review and Select Strategies to Address Each Contributing Factor
It is important that coalitions know how to select strategies that are aligned with the goals of OMPP
During this step, coalitions will need to:
Review the strengths and weaknesses of the different strategies provided in the toolkit
Determine the likelihood of change, capacity and cost for each strategy (Selecting Strategies Worksheet)
Select the strategies that best fit (Goodness of Fit Worksheets)
Research has demonstrated that effective prevention approaches are both comprehensive in nature and sustained over time. Comprehensive approaches that embrace multiple-level prevention efforts across the community have been shown to be persistently effective in reducing substance use and abuse. Depending on the resources available, a combination of several complementary approaches should be considered.
Your local evaluator will be tasked with helping evaluate each of the chosen strategies; and they may be able to help the coalition better understand some of the challenges related to evaluating each strategy.
Because the focus of the OMPP is on population level change, coalitions must concentrate their efforts on environmental strategies that reach many people in the community at the organizational, community and policy level. 12

13. How do coalitions determine strategies that are the “BEST FIT” for their communities?
Go over page 4 in guidance document 13

14. How do coalitions determine strategies that are the “BEST FIT” for their communities?
To have a “best fit” within your community, it is preferable that prevention strategies meet several criteria:
fit conceptually with your targeted intervening variables and contributing factors
fit practically within your community and coalition
should be able to be implemented in your community with fidelity
should be culturally appropriate
sustainable within your community 14

15. Types of prevention strategies15

16. Prevention Categories
Three prevention categories:
Universal
Selective
Indicated

17. Prevention Categories
Universal Prevention Strategies:
Strategies designed to reach the general public at large with targeted prevention messages
Example: Community media campaigns or broad school-based programs

18. Prevention Strategies Categories
Selected Prevention Strategies:
Strategies designed to reach members of high risk groups that are not known to be using opioids

19. Prevention Categories
Indicated Prevention Strategies: Strategies designed to reach high-risk individuals who are known to be using opioids

20. Selecting Strategies
Strategies have been broken down into two main categories:
Primary prevention
Overdose prevention
Refer to tab 2 16

21. Primary prevention strategies include…
Prescription drug take back events
Provider education trainings
Expanding prescription drug lock boxes and drop off locations 17

22. Overdose prevention strategies include…
Raising public awareness of the Good Samaritan Law
Naloxone programs/ trainings
Screening, Brief Intervention and Referral to Treatment (SBIRT) 18

23. Planning the Process Evaluation
Process Measures - measures of the activities from strategy implementation
Components of Process Evaluation
Counts/Tracking
Participation
Relevance of messaging
Exposure
Fidelity 19

24. Strategies/ Activities
Intermediate Objectives (Broader changes related to the intervening variables)
Short-Term Objectives (Changes as a direct result of the strategies/ activities, relative to contributing factor) 
Long-Term Objectives (Broadest changes related to the state priority)
Contributing Factors (What locally is contributing to the problem?)
Intervening Variables (Why is this problem happening?)
Strategies/ Activities
Process Measures (Measure of activities from “Strategies/ Activities” column)

25. Planning the Outcome Evaluation
Outcome Evaluation will measure the changes to your selected contributing factors, intervening variables and priorities
To measure outcomes- You will need to develop short-term, intermediate and long-term objectives 20

26. Outcomes
Short-Term Outcomes- Changes as a direct result of the strategies/activities, relative to the contributing factor
Intermediate Outcomes- Broader changes related to the intervening variables
Long-Term Outcomes- Broadest changes related to the state priorities 21

27. Strategies/ Activities
Intermediate Objectives (Broader changes related to the intervening variables)
Short-Term Objectives (Changes as a direct result of the strategies/ activities, relative to contributing factor)
Long-Term Objectives (Broadest changes related to the state priority)
Contributing Factors (What locally is contributing to the problem?)
Intervening Variables (Why is this problem happening?)
Strategies/ Activities
Process Measures (Measure of activities from “Strategies/ Activities” column) 22

28. OMPP Priorities Reduce opioid misuse Reduce opioid overdoses
Reduce the number of overdose fatalities 23

29. Developing Objectives to Measure Outcomes
An objective is a concrete statement describing what the project is trying to achieve.
The objective should be written so that it can be easily evaluated at the conclusion of a project to see whether it was achieved or not.
A well-worded objective will be Specific, Measurable, Attainable/Achievable, Realistic, and Time bound (S.M.A.R.T.) 24

30. Measurable Objectives State:
When will the outcome occur
What are the desired outcomes
Who is involved
Proficiency level (by how much)
How progress is measured (Indicators or Data Points)
When: Identify the time frame for success
Desired outcomes: - A change in the related contributing factor.
Who is involved: The people, sectors of the community, organizations, etc. who will be impacted by a result of the change in the environment or who can help to bring about that change.
Proficiency Level- Identify the criteria for success (a measurable decrease in problem behavior/situation or increase in a desired behavior/situation.)
Data points-What data gathering tool or activity such as surveys, local or state data sources, community input (i.e. focus groups) and direct observational methods (i.e.) will be used to measure the expected change.
Remember you need to ensure that the coalition has the resources/capacity (time, staff, funding, etc.) to conduct the measurement and collect the appropriate data. ( indicators) 25

31. Developing Objectives
Objective for Long-Term Outcomes (Priority)
By the end of the program, young adults self-reported non-medical use of opioids in Maryland will be reduced by X% (from __ to __) , as indicated by YRBS data (indicate years)
Objective for Intermediate Outcomes (Intervening Variable)
Within X years of program implementation, there will be a decrease in the availability of opioids for young adults by X amount, from __ to __, as indicated by PDMP data (indicate years)
Objective for Short-Term Outcomes (Contributing Factors)
By (date), providers will report increased knowledge on safe prescribing practices by X%, from ___ to ___, as measured by local survey data (indicate years)
When What Who Proficiency Indicator 24 26

32. Strategies/ Activities
Intermediate Objectives (Broader changes related to the intervening variables)
Short-Term Objectives (Changes as a direct result of the strategies/ activities, relative to contributing factor)
Long-Term Objectives (Broadest changes related to the state priority)
Contributing Factors (What locally is contributing to the problem?)
Intervening Variables (Why is this problem happening?)
Strategies/ Activities
Process Measures (Measure of activities from “Strategies/ Activities” column)

33. Strategies/ Activities
Intermediate Objectives (Broader changes related to the intervening variables)
Short-Term Objectives (Changes as a direct result of the strategies/ activities, relative to contributing factor) 
Long-Term Objectives (Broadest changes related to the state priority)
Contributing Factors (What locally is contributing to the problem?)
Intervening Variables (Why is this problem happening?)
Strategies/ Activities
Process Measures (Measure of activities from “Strategies/ Activities” column)

34. Outcome Evaluation
Goal Addressed
Objective
Measure (including time interval)
Participants
Tools/Resources Required
Short-Term Outcomes (~2 months; Changes as a direct result of the strategies/ activities, relative to the contributing factor)
Intermediate Outcomes (~12 months; Broader changes related to the intervening variables)
Long-Term Outcomes (~24 months; Broadest changes related to the state priority)
This template will help specifically document the outcomes listed in the logic model. 27

35. Implementation Plan
State the Priority
State the Intervening Variable
State the Contributing Factor
State the
Short-term Objective
Evidence Based Environmental Strategy
Implementation Action Steps
Implementation Timeframe
From: Mm/yy To: Mm/yy
Who’s Responsible - Implementing Agency/Workgroup/
Individual
Implementation Action Steps: For each of the activities or strategies identified in the first column, identify all the steps required for implementation. Please be detailed and thorough. 28

36. Strategic Planning Logic Model Activity Select strategies
Identify Process Measures
Identify Outcome Measures
Develop Objectives 27

37. IRB Umbrella Protocol Similar to MSPF umbrella protocol
Counties will submit an abstract to be added to the umbrella protocol
Once approved implementation can start
Counties will submit a modification before any changes are made to the initial abstract
Primary data collection
Changes to the protocol 29

38. IRB Process Steps Who is Responsible 1. Complete IRB Abstract
Local Evaluator
2. Submit IRB Abstract to OMPP Evaluation Team
3. Review IRB Abstract and send feedback
OMPP Evaluation Team
4. Obtain Health Officer Approval via
Prevention Coordinator
5. Send Health Officer Approval to OMPP Evaluation Team
6. Get required BHA signature
7. Submit IRB Abstract to DHMH IRB
8. Attend IRB Meeting if needed
9. Send IRB Approval Letter to Prevention Coordinator 30

39. Deliverables & closing remarks31

40. Strategic Plan Deliverables
OMPP Strategic Plan Application Packet
Strategic Plan Summary
Logic Model (include a logic model for each contributing factor)
Outcome Evaluation Table
Implementation Plan (include a plan for each strategy)
Budget
Strategies Selection Packet
Selecting Strategies Worksheet
Goodness of Fit Worksheet (complete for each strategy)
IRB Abstract 32

41. Closing Remarks
Wrap-up
Questions 33