1. PPI Checklist Jennifer L. Mabry, MSN, RN, FNP University of Tennessee at Knoxville

2. Objectives  To improve and streamline community based Primary Prevention Initiative’s (PPI’s) in the Upper Cumberland Region  Protect, Promote, and Improve  To assist the employees of the TDH in determining the best use of 5% of time devoted to PPI projects

3. TDH Mission and Vision Mission Protect, promote and improve the health and prosperity of people in Tennessee. Vision A recognized and trusted leader, partnering and engaging to accelerate Tennessee to one of the Nation’s 10 healthiest states

4. TENNESSEE’S “BIG THREE”

5. Checklist needed  Plan  Do  Check  Act

6. Plan  Community Assessment  Determine topic from PPI activities list  Determine indicators to evaluate and promote change  Review Bright Spots regarding topic of interest you choose on TN.gov

7. Bright Spots in Tennessee Morphine Milligrams Equivalent Prescribed

8. Do  Choose your team  Develop Logic Model  Fill out PPI event planning form  Determine team activities  Divide time spent and set target dates  Set bimonthly team meetings

9. Logic Model

10. Example-Obesity PPI Inputs Staff Time Equipment Handouts Community Partners Outputs Manufacturing Workers as Population to reach Firefighters in county Lunch and Learn on Health topics Outcomes Relationships established Behaviors changed Knowledge gained Decrease Obesity rates in 6 months

11. Check  Report progress each month to health educator  Review project goals as a team  Monitor and record your activities  Keep measurements of indicators

12. Act  Review goal for change  Did PPI project impact population?  Report activity to local and regional health offices  Submit finished project to DOH utilizing the Bright Spots template

13. Example Individual CarePopulation Care History of Present Illness Health History Chart review Problem Statement Health disparity Social Determinants of Health DiagnosticsCommunity Needs Assessment TreatmentSpecific PPI project to target problem