The Arizona Chronic Disease Plan:   An Integrated Model for Promoting Healthy Communities September 28, 2006

VISION FOR THE PLAN Guideline for developing a coordinated and integrated approach to chronic disease Model for establishing funding priorities for a portion of the Prop 303 Arizona Tobacco Tax and Health Care Fund – Health Education Account Vehicle for establishing partnerships with and among local communities and organizations Framework for leveraging resources and exploring other funding streams

CATEGORICAL PLANS ● CARDIOVASCULAR DISEASE ● COMPREHENSIVE CANCER - HEART - STROKE ● COMPREHENSIVE CANCER ● LUNG DISEASE - CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) - ASTHMA ● DIABETES ● NUTRITION AND PHYSICAL ACTIVITY ● TOBACCO EDUCATION AND PREVENTION

CHRONIC DISEASE TEAM Representatives from each of the Categorical plans Administrative staff from the Office of Chronic Disease Prevention and Nutrition Services (OCDPNS) and the Tobacco Education and Prevention Program (TEPP) Team expanded to include other ADHS staff as needed Technical Assistance Consultants

HOW THIS PLAN IS DIFFERENT  Scope of the plan is very broad  Did not follow the typical strategic planning process  Each of the disease-specific entities and risk factor categories developed a comprehensive planning document  Focus was on the common cross-cutting elements of the categorical plans  Goal was to effectively merge the elements of the categorical plans into a coordinated, cohesive and integrated model

NUTRITION / PHYSICAL ACTIVITY INTERVENTION SITES PROGRAM CATEGORY HEART STROKE CANCER LUNG DIABETES NUTRITION / PHYSICAL ACTIVITY TOBACCO SCHOOLS X WORK SITES COMMUNITY & FAMILY HEALTHCARE SYSTEM INTERVENTION SITES

SELECTING PRIORITIES Identified 5-10 priorities from each of the disease-specific and risk factor plans Grouped priorities according to type Identified common elements across priorities Developed major categories for the chronic disease framework

THE FRAMEWORK Priorities fell into 3 main categories: Individual Choices Healthcare Provider Responsibility System Support

PROVIDER RESPONSIBILITY SYSTEM SUPPORT INDIVIDUAL CHOICES PROVIDER RESPONSIBILITY EDUCATION TRAINING > Capacity Building > Technical Assistance > Data / Surveillance > Policy / Environmental Change > Resources / Workforce > Access to Care > Make healthy choices > Be Aware - benefits of screening & early detection > Take responsibility for requesting screening services > Knowledge re: screening protocols & guidelines > Order tests according to accepted guidelines > Make referrals and/or follow accepted treatment standards

PRIORITIES INDIVIDUAL: A. Promote healthy lifestyles as primary prevention for chronic disease B. Inform, educate, and empower consumers re: benefits of screening & availability of screening resources C. Link consumers to needed personal health services by developing & disseminating a comprehensive list of resources regarding screening and early detection.

PRIORITIES HEALTHCARE PROVIDER: A. Promote screening for chronic disease according to established guidelines B. Assure competent public and personal health care by educating providers re: benefits of screening & screening guidelines C. Educate providers regarding appropriate referral and follow-up based on screening outcomes

PRIORITIES SYSTEM SUPPORT: A. Improve data and surveillance systems B. Develop policies and environmental changes to support community and individual health efforts C. Support plans and actions that promote development of community infrastructure D. Promote access to quality personal and population-based health services. E. Mobilize community partnerships and promote collaboration of advocacy groups F. Monitor health status to identify and strive to reduce disparities

INTEGRATION WHEEL RISK FACTORS HEART DISEASE CANCER LUNG DISEASE NUTRITION RISK FACTORS ACTIVITY PHYSICAL TOBACCO HEART DISEASE CANCER STROKE LUNG DISEASE Promote partnerships and collaboration of advocacy groups Support the development of community infrastructure Improve data and surveillance systems Develop policies and support environmental change Promote access to quality health services Monitor health status and strive to reduce disparities Educate providers re: referrals based on screening outcomes Promote screening according to established guidelines Educate providers re: benefits of screening Link consumers to services by developing list of resources Promote healthy lifestyles as primary prevention for chronic disease Educate consumers re: screening and early detection

- Internal – ADHS Programs - External – Community Implementation NEXT STEPS Implementation Plan - Internal – ADHS Programs - External – Community Implementation Tobacco Fund Initiatives Explore Other Funding Sources         Evaluation

Arizona Department of Health Services (ADHS) Janet Bourbouse, M.A. Arizona Department of Health Services (ADHS) 150 N. 18th Avenue Phoenix, AZ 85007 PH 602-542-2753 Fax 602-542-0512 Email: Bourboj@azdhs.gov Electronic copies of the Plan: www.azdhs.gov/phs/oncdps/pdf/chronic_disease_plan.pdf