Creating an Action Plan Jennifer Woodward, MD, MPH Kansas Health Institute.
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Transcript of Creating an Action Plan Jennifer Woodward, MD, MPH Kansas Health Institute.
"People don't plan to fail. Instead they fail to plan." "People don't plan to fail. Instead they fail to plan."
Objectives
Review CHIP framework
Describe action plans
Outline components of an action plan
Review sample action plans
OVERVIEW
OVERVIEW
CHA
Strategic Plans
CHIP
Describe health status of community
• Priority setting exercise priority areas
• Investigate root causes of the problem
• Set goals for each priority area
• Write SMART objectives for each goal
• Choose evidence-based intervention strategies that address the root cause of priority area
• Develop action plan to assign tasks to members and ensure timely completion
• Implementation, evaluation, adjustments
What is an action plan?What is an action plan?
Detailed work plan that guides the implementation of the CHIP
Gets people organized and adds structure to the details needed to get things done
Early organization and structure can save time, energy, and resources
Functions of an action planFunctions of an action plan
Helps us think through why we are doing things instead of just jumping in
Provides framework to a complex project with multiple moving parts
Clarifies responsibilities
Action Plan BenefitsAction Plan Benefits
A comprehensive action plan can have positive side effects
Maximizes probability of a successful CHIP
Can help justify funding requests
Adds credibility to your CHIP process
Contributes to transparency
Components of an action planComponents of an action plan Associated goal, objective, and intervention
strategy
Planned activities
Individual/organization responsible for each activity
Timeline for each activity
Resource needs
Status report and results of actions taken, monitoring system
Three Cs of action plansThree Cs of action plans
Complete List all action steps or changes to be sought
in all relevant parts of the community (health department, schools, government)
Clear Make sure everyone knows who will do
what by when
Current Update and re-update
PHAB RequirementsPHAB Requirements
“The tracking process must specify the strategies being used, the responsible partners involved, and the status of the effort or results of the actions taken.
Documentation could be, for example, a narrative, table, spread sheet, or a combination. This may look like a work plan that includes the status of the implementation of the work plan.”
Process measuresProcess measures
Answers the question: are we doing what we said we were going to do in our action plan?
Evidence of whether or not the activities in the action plan were carried out
Completed action steps can be listed as process measures
Example Action step: Plan meeting with school board Process measure: Meeting planned for 7/28/14
Pre-plan considerationsPre-plan considerations
What are the existing resources, assets, and strengths for this work?
Who is already engaged in this work? What are they doing? Can we partner?
Who else needs to be engaged in this work?
What are the barriers and how can they be overcome?
Pre-plan considerationsPre-plan considerations
More work on understanding the problem may be necessary
Good time to think about why you have chosen this particular strategy
What is it about your CHA, root cause analysis, additional investigation that makes you sure completion of these action steps will lead to change?
Immunization exampleImmunization example Due to low immunization rates in your county which is reflected in
your CHA data, you have chosen immunizations as a priority area
Goal: Increase immunization rates in your community
Objective #1: Increase the percentage of kindergarten age children immunized to the HP2020 goal of 95% by 2017
Outcome measure: 95% of kindergarten age children will be appropriately immunized by 2017 [school immunization survey data]
Intervention strategy: Develop/promote an educational campaign to increase awareness about immunizations in the community
Before developing action steps and getting started on the work, cycle back to think about why you know an educational campaign is going to increase immunization rates in your community
Example #1Example #1 Priority area: Decrease obesity
Goal: Increase consumption of healthy foods by County residents
Objective: Increase the percent of children and teens (ages 2-17) who consume five or more servings of fruits and vegetables daily to 22% by 2017
Outcome measures: measures of F/V intake, # of schools with healthy vending policy, healthy vending sales, decrease % of children consuming sugary beverages
Intervention strategy #1: Healthy vending machines - work with school board to create and implement healthy vending policy
Worksheet #9Worksheet #9
Goal: Increase consumption of healthy foods by County residents
Objective: Increase the percent of children and teens who consume 5+ servings of fruits and vegetables daily to 22% by 2017
Intervention strategy: Healthy vending machines - work with school board to create and implement healthy vending policy
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /progress
notes
Goal: Increase consumption of healthy foods by County residents
Objective: Increase the percent of children and teens who consume 5+ servings of fruits and vegetables daily to 22% by 2017
Intervention strategy: Healthy vending machines - work with school board to create and implement healthy vending policy
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /
progress notes
1. Research model policies
2. Adapt policy for our community
3. Peer review and corrections
Goal: Increase consumption of healthy foods by County residents
Objective: Increase the percent of children and teens who consume 5+ servings of fruits and vegetables daily to 22% by 2017
Intervention strategy: Healthy vending machines - work with school board to create and implement healthy vending policy
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /
progress notes
1. Research model policies
April-14County
Commission20 hours staff time
KHIWritten summary
completed
2. Write policy adapted to our community
Jun-14
LHD Communications
staff
10 hours of staff time
County Commission, KHI, KDHE
Draft policy created
3. Peer review and corrections
Jul-14 LHD staff5 hours
staff timeKHI Policy finalized
Example #2Example #2 Priority area: Address needs of elderly in county
Goal #1: Reduce preventable injuries to elderly adults
Objective #1: Reduce the number of fall-related injuries to elderly residents of county by 20% by 2016
Outcome measure: Number of ED visits due to preventable fall-related injury to elderly residents decreases from approx. 425/year to 340/year (20% decrease) by 2016 [ED data]
Intervention strategy #1: Develop educational campaign to bring awareness to issue of elderly falls in the community
Intervention strategy #2: Provide CDC’s STEADI (Stopping Elderly Accidents and Injuries) toolkit to health care providers in county and offer education for its use
Worksheet #9Worksheet #9
Goal: Reduce preventable injuries to elderly adults in county
Reduce the number of fall-related injuries to elderly residents of county by 20% by 2016
Intervention strategy: Provide CDC’s STEADI (Stopping Elderly Accidents and Injuries) toolkit to health care providers in county and offer education for its use
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /progress
notes
Goal: Reduce preventable injuries to elderly adults in county
Objective: Reduce the number of fall-related injuries to elderly residents of county by 20% by 2016
Intervention strategy: Provide CDC’s STEADI (Stopping Elderly Accidents and Injuries) toolkit to health care providers in county and offer education for its use
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /
progress notes
1. Obtain list of all clinical providers serving elderly adults in county
2. Order CDC STEADI materials
3. Contact providers to announce materials and offer training
4. Complete provider training sessions
Goal: Reduce preventable injuries to elderly adults in county
Objective: Reduce the number of fall-related injuries to elderly residents of county by 20% by 2016
Intervention strategy: Provide CDC’s STEADI (Stopping Elderly Accidents and Injuries) toolkit to health care providers in county and offer education for its use
Action stepsTarget date
Lead person/organization
Resources needed
Potential partners
Process measure /
progress notes
1. Obtain list of all clinical providers serving elderly adults in county
7/1/14Senior Citizen Center
In kind staff time
KAFP, KUMC geriatric society
List created
2. Order CDC STEADI materials
8/1/14Health
departmentFree N/A Materials arrived
3. Contact providers to announce materials and offer training
9/1/14 KAFPIn kind staff
timeSenior Citizen
CenterProviders contacted
4. Complete provider training sessions
3/1/15KUMC
geriatric society
$50/class for materials/
snacksKAFP
Trainings completed
Tips to ensure actionTips to ensure action
Make sure individuals responsible for action items in the plan are involved in its creation
Identify a responsible organization for each action item
Everyone with an assigned task receives a copy of the action plan with his/her role is clearly defined
Tips to ensure actionTips to ensure action
CHIP leaders regularly make friendly, supportive contact to check in
Add reports on accomplishments to meeting agendas
Acknowledge and commend those who complete activities
Think about adding things that have the potential for quick, highly visible results
Ongoing monitoring, evaluation, and adjustments
ConclusionConclusion Action plans are detailed work plans that guide the
most important part of the CHIP process – implementation
Organization early can save resources and maximize the possibility of success
Be specific
Communicate with members, celebrate accomplishments
Adapt action plan as needed
ReferencesReferences Information adapted from several sources:
Connecticut Department of Public Health: Guide and Template for Comprehensive Health Improvement Planning
KU Community Toolbox: Developing an Action Plan
Beginning with the End in Mind: Supporting the Development of Health Improvement Plans Designed for Action. IPHI, MPHI – available on NACCHO website