Welcome! Bienvenidos!

U.S.-Mexico Border Health Commission

Mexico City, Mexico

March 17, 2005

Thank You!

• Centers for Disease Control and Prevention

• National Governors Association

• Association of State Health Officials

• Association of State and Territorial Chronic

Disease Program Directors

NCSL’s Mission

• To improve the quality and effectiveness of U.S. state legislatures

• To promote policy innovation and communication among U.S. state legislatures

• To ensure U.S. state legislatures a strong, cohesive voice in the federal system

NCSL Overview

• Membership Organization • Serves 50 State Legislatures and 6 Territories• Serves 7500 Legislators and 35,000

Legislative Staff• Provides research, technical assistance and

consultations• Coordinates educational seminars, Policy

Institutes and Forums

Potential Outcomes

• Legislation

• Executive Orders

• Budget Proposals

• Educational Summits

• Funding Mechanisms

• Rules or Regulations

• Interagency Agreements

• Program/Policy Initiatives

• Informal Partnerships

• Task Forces

Participating States

• Arizona

• California

• New Mexico

• Texas

• Baja California

• Chihuahua

• Coahuila de Zaragoza

• Nuevo León

• Sonora

• Tamaulipas

Institute Objectives

• To increase state policymakers’ knowledge of chronic disease prevalence and prevention and strategies to reduce health disparities related to chronic diseases in the U.S.-Mexican border region.

• To increase state policymakers’ knowledge of risk factors related to chronic disease prevention (improved nutrition, increased physical activity and tobacco use reduction).

Institute Objectives (con't.)

• To explore roles that state legislators play to develop effective health promotion and chronic disease prevention policies in the U.S.-Mexican border region.

• To stimulate dialogue among U.S. state legislators, U.S. and Mexican state health department staff, and non-governmental organizations about chronic disease prevention in the U.S.-Mexican border region.

Policy Institute Design

“Who Are These People and

What Are We Doing Here?”

Team Composition

• U.S. State Senators and Representatives

• Cabinet Secretaries/Health Commissioners

• Border Health Office Directors

• Border Health Commissioners

• Chronic Disease Directors

• Mexican State Health Department Officials

• Facilitators assigned by NCSL

Faculty and National Experts

• Centers for Disease Control and Prevention• Secretaria de Salud • Diabetes Research Center, TX Tech Medical Center• U.S. Mexican Border Health Commission• Pan American Health Organization• Conferencia Mexicana de Congresos y Legislatores

Estatles • Mexican Border State Legislator

Policy Institute Design

“Who Are These Peopleand

What Are We Doing Here?”

Developing State Action Plans:How is it Done?

• Attend plenary sessions

• Meet and deliberate as teams three times

• Consult with faculty as desired

• Present Action Plans twice and receive feedback

from faculty and peers

• All guided by facilitators assigned to each team

Developing State Action Plans:How is it Done?

• Conduct a Reality Assessment

• Identify and Prioritize Three Goals

• Develop Strategies to Accomplish Goals

• Define Specific Steps, Stakeholders, Resources

and Timelines

• Determine How to Implement the Action Plan

Visualize the Action Plan

R e a lity A sse ssm e nt(Y o u r S ta te To d a y)

G o a l #1

A c tio n 2 .1 .1 A c tio n 2 .1 .2

A c tio n 2 .1 .3 A c tio n 2 .1 .4

S tra te gy 2 .1

A c tio n 2 .2 .1 A c tio n 2 .2 .2

A c tio n 2 .2 .3

S tra te gy 2 .2

G o a l #2 G o a l #3

V is ion(Y o u r S ta te T o m o rro w )

The Action Plan Itself

STATE TEAM ACTION PLAN State: __________________

Team ContactName: __________________________________________

Address: __________________________________________

__________________________________________

Phone: __________________________________________

Fax: __________________________________________

E-mail: __________________________________________

ObjectivesDevelop an action plan for your state and the U.S.-Mexican border region taking into account: Chronic disease prevalence and cost Strategies to reduce health disparities Risk factors related to chronic disease prevention Challenges or obstacles to chronic disease prevention

that require legislative, administrative andcommunity solutions

Strengths and successes contributing to chronicdisease prevention

Team Participants:

The Action Plan

IDENTIFY STATEGOALS:

1.

2.

3.

STRATEGIES TOACCOMPLISHGOAL 1:

STRATEGIES AND ACTIONSTHAT WILL LEAD TO THIS GOAL

BY WHICHSTAKEHOLDERS:

RESOURCES REQUIRED: TIMELINE:

Expectations

• Acknowledge diverse opinions, perspectives, interests and constituents of team members.

• Share existing or desired state or regional policies, programs, funding, problems relevant to chronic disease prevention.

• Share openly and solicit input from team members, peers and faculty.

• Compromise, negotiate and reach decisions by consensus.

Expectations

• Consult with faculty as desired.

• Present the developing Action Plan Saturday afternoon.

• Present the final Action Plan Sunday morning.

• Identify technical assistance needed.

• Leave the Institute prepared to implement the Action Plan.

• Set a date for team to meet after the Institute.

NCSL’s Health Promotion Program, Staff Contacts

• Janis Elaine Borton, Program Manager

– 303-856-1354; janis.borton@ncsl.org

• Leslie Robbins, Senior Policy Specialist

– 303-856-1517; leslie.robbins@ncsl.org

• Shannon Harper, Research Analyst

– 303-856-1369; shannon.harper@ncsl.org