1. MAPP Technical Assistance Webcast Series Statewide Implementation of NPHPS and MAPP January 16, 2008

2. What are the benefits to a statewide approach? Coordinated orientation, training, and technical assistance activities Aggregate reports of assessment results Analyze data by selected categories (e.g., region or jurisdiction type) Coordinated quality improvement activities

3. Questions to Consider Preparing and Implementing 1.How does our state/local public health structure affect our planning? 2.What approaches will be most successful? 3.How can we best kick off or initiate the process? 4.What entity should serve as the lead organization? Sustaining and Improving 5.What type of leadership is needed – to sponsor the process, create buy-in and sustain, coordinate activities, etc.? 6.How can we best use our results for quality improvement? 7.What resources exist to support the effort?

4. Lead Organization What entity(ies) should serve as the lead organization(s)? State health department State association of health officials State association of boards of health Public health institute Co-lead organizations Local Health Departments

5. Aggregate Report Information Box Plot Showing Distribution of Scores Stacked Bar Chart of Indicators Met by Essential Service Bar Chart of Indicator Scores Bar Chart of ES Scores Bar Charts for Categories (regions, types of jurisdiction, etc.) Summary Scores in Excel and CSV Raw Data

6. Tools and Resources for Statewide Quality Improvement Examples from the Field Statewide steering committee Work Groups to address different priorities / Essential Services Learning Communities Connection with concurrent or previous efforts Resources User Guide – Guidance and resource sections NPHPSP User Calls NPHPSP Partner organizations Your own statewide resources?

7. Panelist Introduction Christine Abarca Florida Department of Health Natalie Pawlenko NJ Department of Health & Senior Services Alyson Shupe Colorado Department of Public Health & Environment

8. How did state structure affect planning? Florida Centralized structure allows for strong state coordination and support. State mandate for NPHPSP, but not MAPP. Colorado Decentralized structure. Shared leadership. Developed a communication system. New Jersey Decentralized structure was a challenge. State mandate for regional planning led to implementation using BT funding. Regional approach requires a large commitment of resources.

9. How was state-wide implementation supported? Were these effective? New Jersey Mini-grants and monthly meetings. More TA (workshops) may have been beneficial. Florida Workshops, in-person and phone TA (one-to-one), assessment facilitation. Training audience should include process/implementation managers as well as health directors/administrators Colorado Facilitation, meeting coordination, BT funding. Participation diminished when funding ended. State is working to engender a culture of PI.

10. What was the impact of doing the NPHPS on doing MAPP? New Jersey All regions also implemented MAPP Florida COMPASS initiative supports Florida MAPP and related processes State encourages use of MAPP, providing extensive TA NPHPS led to MAPP interest. Colorado 12-13 agencies went on to conduct MAPP. The state does not coordinate but encourages the use of MAPP

11. What type of leadership is needed? Need local champions and liaisons. Leaders at both the local and state levels need to actively support the process.

12. What were the challenges in doing the NPHPS? How can these be overcome? Provide information about the resource that will be provided as well as existing resources that can be tapped. Highlight benefits in doing the process. Provide seed money, facilitation training and orientation as incentive. Time and Funding

13. What were the challenges in statewide implementing? How can these be overcome? Florida Need to be prepared to provide support. Colorado Local uniqueness necessitates flexibility. Lack of leadership, planning at state level. Need for statewide improvement process.

14. What advice would you offer to others interested in statewide implementation? Develop and leverage strategic relationships. Dont force approaches. Communicating back to the larger group. Utilizing CDCs Resources. Bringing agencies together for orientation is effective and efficient. Using a pilot site to test the process. Planning how to move from assessment to performance improvement.

15. Questions?