1. 10/10/06AAPHP PSTK IntroModule 1, Slide 1 (Title and Host) (date and place) Presented by AAPHP Preventive Services ToolKit Seminar/Workshop

2. 10/10/06AAPHP PSTK IntroModule 1, Slide 2 AAPHP Preventive Services Toolkit Prepared by the AAPHP Team Joel L. Nitzkin – Principal Investigator Christopher M. Buttery Dave Cundiff Patricia Falcao Hugh S. Fulmer Robert G. Harmon Kevin Sherin Jonathan B. Weisbuch

3. 10/10/06AAPHP PSTK IntroModule 1, Slide 3 Preventive Services Toolkit Project  An AAPHP Project  Funded by CDC o National Center for Health Marketing Division of Partnership Communications  3-Year Cooperative Agreement o Initiated September 2005

4. 10/10/06AAPHP PSTK IntroModule 1, Slide 4 PSTK Modules 1. Introduction 2. Evidence, Guidelines, and Benchmarks 3. Planning (selecting problems and interventions) 4. Data (survey, group interview and HIPAA) 5. Epidemiology as a policy tool 6. Power Structure (stakeholder) Analysis 7. Cost, Benefit, and Return on Investment 8. Partnering ( Principles of COPC as adapted by PSTK team) 9. Wrap-up (evaluation and preparation for follow-up)

5. 10/10/06AAPHP PSTK IntroModule 1, Slide 5 Goals, Content and Methods  Goal: o Impart new and enhanced skills  Content: o Assessment Frames, Mindsets, and Data Models o Policy development and implementation “tricks of the trade,” guidelines and protocols  Methods: o Seminar/workshop o Post-workshop consultation

6. 10/10/06AAPHP PSTK IntroModule 1, Slide 6 Frames, Mindsets, Data Models  Frame = perspective; point of view  Mindset = the way people think in organizational settings  Data Models o Medical, Public Health and Community

7. 10/10/06AAPHP PSTK IntroModule 1, Slide 7 Mindsets  (PSA Module)  Personal  Technical  Administrative  Policy/Political  Organizational Culture  (adapted from Graham Allison, Essence of Decision)

8. 10/10/06AAPHP PSTK IntroModule 1, Slide 8 Data Models  (Epi Module)  Medical  Public Health  Community

9. 10/10/06AAPHP PSTK IntroModule 1, Slide 9 True or False – Public Health  An MPH confers advanced knowledge and expertise  There is no such thing as “advanced” advocacy, public health or management skills  Politics and science do not (or should not) mix  Poor people need public health services, rich people do not

10. 10/10/06AAPHP PSTK IntroModule 1, Slide 10 True or False – Health Systems  Doctors, nurses, administrators, fiscal officers and board members usually understand each other  Mindset  Power relationships  Outcomes can be improved my moving care from public to private sectors  The mission of the healthcare system is to maintain and improve health  What is good for me and my agency is good for the community

11. 10/10/06AAPHP PSTK IntroModule 1, Slide 11 True or False – Healthcare  Stratification is discriminatory and, therefore unethical  Most preventive services are not effective  Most preventive services are not reimbursable  Tertiary preventive (DSM) services reduce long term healthcare costs  Quality of healthcare is the major determinant of health outcomes  Competition precludes collaboration  Health education not a “medical” service.  HIPAA regulations preclude new surveillance and data systems

12. 10/10/06AAPHP PSTK IntroModule 1, Slide 12 Today’s Agenda  Introduction  Educational modules Evidence, Guidelines and Benchmarks Planning Data Management (survey, group interview and HIPAA) Epidemiology as a policy tool Power Structure (stakeholder) Analysis Cost, Benefit, and Return on Investment Partnering ( Principles of COPC as adapted by PSTK team)  Wrap-up

13. 10/10/06AAPHP PSTK IntroModule 1, Slide 13 Wrap-up and Post-Workshop Follow-up  PSTK Registration  Workshop evaluation  Multiple-choice quiz  Plans for post-workshop follow up and networking

14. 10/10/06AAPHP PSTK IntroModule 1, Slide 14  Q and A