1. 1 Strategies for Sustainability Sharon Johnson Oregon State University Extension Service …“built to last”

2. 2 In southern Oregon, the chronic disease self-management program is built on….. Collaboration  OSU Extension  Area Agency on Aging  United Way  Local foundations  Local hospitals and clinics  RSVP (Retired Senior Volunteer Program)

3. 3 In southern Oregon, the program relies on…  A single coordinating ‘hub’  A talent pool of (fully engaged) volunteers  A (developing) database for on-going program management

4. 4 In southern Oregon, the initial challenges were…  Lack of initial health provider investment (interest, money or time)  Making it ‘sexy’ enough  Appealing to the ‘right’ return on investment  The weight of of other priorities

5. 5 In southern Oregon, initial success is grounded on…  A large, visible population of older adults  The positive presence of ‘Powerful Tools of Caregiving’  Persistence, persistence, persistence

6. 6 In southern Oregon, sustaining success involves…  Continue to fuel the now- established momentum  Acquire additional investments  “Systematize” the approaches

7. 7 Future strategies for sustainability include…  Expand existing website; use it as the primary informational resource  Maximize use of the media (community cable TV; weekly newspaper columns)

8. 8 More sustainability strategies  Encourage participants and leaders to ‘leverage’ physician referrals  Involve libraries in promotion and information-giving  ‘Regionalize’ the concept  Nurture volunteers (maximally)  Celebrate successes

9. 9 Sustainability Strategies in southern Oregon: An Overview COPE  Collaboration (commitment, careful planning)  Organization (operating practices clear)  Persistence (passion, pure stubbornness)  Evaluation (excessive attention to impact) … “built to last”

10. 10 For additional information about southern Oregon chronic disease self management programs using Stanford University approaches…. Sharon Johnson Oregon State University Extension Service 541-776-7371 x210 s.johnson@oregonstate.e du s.johnson@oregonstate.e du Program website: http://www.callineb.com/ chronicconditions.htm http://www.callineb.com/ chronicconditions.htm John Irwin Community Informatics Consulting 541-664-2456 jirwin@mind.net