Shelli Bischoff

January 2012

Creating Integrated Chronic Disease Organizations

Agenda

Coordination and Integration Trends

A Systematic Process

The Nevada Process

Partner Input

Coordination and Integration

• 2008-9: 4 pilot states work on integration

• Others begin talking about integration, mostly coordination

• Potential chronic disease “block grant” funding

• 2011-12: All states and territories receive coordinated chronic disease funding

Interest in Integration

• To meet chronic disease needs without specific programmatic funding

• Sustainability of most important initiatives • Increased focus on physical activity and

nutrition cut across all disease prevention and management

• Focus on policy, environment and systems change

• Fiscal constraints require efficiency and effectiveness

Integration is…

• A mindset • Organizational change • A whole that is greater than the sum of the

parts • A means to an end, not the end in itself• Can’t “sort of” integrate

A deliberate, systematic process to redesign what work we do and how we do

our work.

Integration Process

• What are we integrating to achieve? The integrated planning process

How do we organize to be successful? Organizational alignment

How do we transition and change the way we do our business?

Change management

1. The Integrated Plan

• Purpose Defines the organization-wide health outcomes Clarifies focus, role and position

• Process Data gathering and situation analysis Strategic decisions Integrated work plan

2. Organizational Alignment

Organization wide goals

Integrated strategies

Systems

Staffing

Partners

Finance

Structure

3. Change Management

• Leadership and management

• Programmatic discipline- what do we STOP doing

• Moves in the direction set by the plan

NV’s Process

• Intense - 2 months

• Focused – what difference can we/ should we make

• Deliberate decisions

• An internal plan, not a partner plan

• Guide focus and partner relations

Partner Engagement

• External leadership team

• Input throughout this conference

• Plan as a foundation for dialogue and engagement on an ongoing basis

Focused Input

• What are the critical chronic disease trends, issues, needs?

• What is the role of the State Chronic Disease and Health Promotion Program?

• What (1 thing) must be achieved in the next 4 years relative to chronic disease in NV?