1. BRIEFLY show definition
NACDD Definition from “Recommendations/Are Your Programs Linked? ” article published in PCD, April 2007.
(Link - 1

2. Recommendations for Integration of Chronic Disease Programs: Are Your Programs Linked? Slonim, Amy B. et.al Preventing Chronic Disease April
BRIEFLY show definition
NACDD Definition from “Recommendations/Are Your Programs Linked? ” article published in PCD, April 2007.
(Link - 2

3. Recommendations for NACDD Action
Develop/disseminate integration tools
Provide educational opportunities
Provide outreach and recruit national partners
Reach beyond chronic disease programs
Advocate leadership support
Assure continuity of integration activities

5. Developing a chronic disease integration workplan for North Carolina
Developing a chronic disease integration workplan for North Carolina. Marcus Plescia MD MPH
Overview of NC project
Integration Work Plan Content
Challenges Lessons Learned

6. NC Steps Toward Integration
Expanded statewide Chronic Disease Collaborative project through partnership with UNC School of Medicine and the NC Medicaid program
Formed work group to guide integration planning process
Established Health Promotion Manager position
Expanded Quality team to include participation from all programs
Established Chronic Disease Program Manager position

7. NC Steps Toward Integration
Published Chronic Disease and Injury Section Integration Blueprint
Held a Section retreat focused on integration
Surveyed staff knowledge and attitudes about integration
Organized state chronic disease conference focusing on program integration
Recruited CDC Prevention Specialist to focus on Integration activities
Developed worksite wellness demonstration with the NC State Employees Health Plan

8. NC Steps Toward Integration
Implementation of Work Plan and Evaluation Plan
Developed Communities of Practice (CoPs) around four priority areas
Wrote CDC Integration Work Plan in place of Collaborative FOA
Preformed Section-wide assessment of integration opportunities and priorities
Chosen as one of four states (including MA, WI, CO) by CDC
Applied to be CDC Program Integration Demonstration State

9. NC Chronic Disease and Injury Section Integration Blueprint
An integrated approach to addressing chronic disease
Review plan with group

10. NC Integration Work Plan
1) Create vision of CDI as a fully integrated organization
2) Develop infrastructure and build best mgmt practices to support integration
3) Prioritize and implement integrated programs and processes
4) Continuously evaluate integration outputs and health outcomes

12. Communities of Practice
Groups within the organization that are related either by function or practice

13. Policy CoP Goal and Objectives
This assists in identifying gaps and resources

14. Community Based Health Promotion Goal and Objectives
The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

15. Data Collaborative CoP Goal and Objectives
The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

16. Healthcare Systems CoP Goal and Objectives
The framework will encompasses Health Carolinians 2020 objectives, the three leading preventable causes of death, the ten essential services of public health and the social determinants of health and health disparities.

17. Lessons Learned
Centralized Management Capacity is needed to effect significant organizational change

18. Lessons Learned Organizational change creates anxiety
Develop clear, consistent messages at the onset of the process
Ensure organization has the infrastructure to support integration
Assess and address concerns regularly

19. Challenges CDC Integration Work Plan
Shift from program content to integration content
Program Action plans
Traditional reliance on FOA guidance