1. Chronic Disease Integration South Carolina’s Experience Chronic Disease Integration Learning Community Webinar May 28, 2009

2. South Carolina’s Chronic Disease Integration Story  What are we doing? Change Management Functional Teams  How is it going and lessons learned

3. Chronic Disease Integration  Chronic disease integration is a process that brings together categorical programs to identify common goals and work on objectives to achieve them (NACDD)  Program integration is NOT about adding more work, but about doing work differently (NACDD)  Results: efforts to improve health outcomes are more effective, efficient and focused (NACDD) National Association of Chronic Disease Directors (NACDD)

4. What are we doing? Change Management  Leadership commitment Agency leadership Bureau Director leadership Public Heath Workers  Integrated organizational structure Bureau of Community Health & Chronic Disease Prevention: Tobacco, Diabetes, Comp Cancer, Obesity (Physical Activity & Nutrition), Heart Disease/Stroke, Tobacco, Injury, Healthy Schools, PHHSBG, Arthritis + BRFSS  Cross Bureau Integration CH/CDP & Disease Control & Maternal & Child Health (MCH) & Office of Minority Health (OMH)  Flu Season Team  Adoption of Tobacco Clinical Practice Guidelines in the Local Health Department Clinics (e.g. WIC and FP)

5. What are we doing? Change Management (cont.)  Shared Resources Communication, Epidemiology, Evaluation  Cross Agency Integration Public Health Informatics Team Stroke Systems of Care Team (EMS & HD/SP) Chronic Diseases Surveillance System Team (RWJF Common Ground grant)

6. What are we doing? Functional Teams  Risk Reduction Team  Chronic Disease Coalition/Partnership Development Team  Joint Evaluation Team  Training & Skills Development Team  Health Ministries Team  Public Health Information Team

7. How is it going and lessons learned  Overall, going well  Taking time  Creating frustration at times  Creating energy & Building synergy  Leveraging opportunities & increasing program efficiency  Reducing duplication  Identifying new partners  Promoting flexibility to meet the needs of local communities  Making an impact on policy & environmental change

8. How will the FY 09 Collaborative FOA impact our efforts?  Creates another opportunity for collaboration  Creates flexibility  Promotes shared funding and shared planning  Provides base for “healthy communities” efforts  Emphasizes the need to address health disparities and social determinants of health  Move us toward the development of “chronic disease prevention” plan for our state

9.  For more information contact: Michael Byrd, PhD, Director Bureau of Community Health & Chronic Disease Prevention, SC DHEC  byrdmd@dhec.sc.gov