STATE TECHNICAL ASSESSMENT TEAMSTAT REVIEW GUIDE: STANDARDS, INDICATORS & EXAMPLES

TABLE OF CONTENTS

ABOUT SAFE STATES ALLIANCE 3

ABOUT THE STATE TECHNICAL ASSESSMENT TEAM (STAT) PROGRAM 4

PURPOSE AND USE OF THE STAT REVIEW GUIDE 5

STANDARDS, INDICATORS & EXAMPLES 6

CONTRIBUTORS TO THE STAT GUIDE 33

© 2006 Safe States Alliance

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ABOUT SAFE STATES ALLIANCE

The Safe States Alliance is a national non-profit organization and professional association whose mission is to serve as the national voice in support of state and local injury and violence prevention professionals engaged in building a safer, healthier America. To advance our mission and vision, the Safe States Alliance engages in activities that include:

Increasing awareness of injury and violence throughout the lifespan as a public health problem; Enhancing the capacity of public health agencies and their partners to ensure effective injury and violence prevention programs

by disseminating best practices, setting standards for surveillance, conducting program assessments, and facilitating peer-to-peer technical assistance;

Providing educational opportunities, training, and professional development for those within the injury and violence prevention field;

Collaborating with other national organizations and federal agencies to achieve shared goals; Advocating for public health policies designed to advance injury and violence prevention; Convening leaders and serving as the voice of injury and violence prevention programs within state health departments; and Representing the diverse professionals that make up the injury and violence prevention field.

For more information about Safe States Alliance, the STAT Program, or SAFE STATES, please contact the Safe States Alliance National Office at the following address, or visit the Safe States Alliance website at www.safestates.org.

Safe States Alliance2200 Century Parkway, Suite 700

Atlanta, GA 30345(770) 690-9000, (770) 690-8996 Fax

E-mail: info@safestates.org

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ABOUT THE STATE TECHNICAL ASSESSMENT TEAM (STAT) PROGRAM

The Safe States Alliance launched the State Technical Assessment Team (STAT) Program in 1999 and since then twenty states have requested and received STAT visits. The program is designed to assist state health department injury prevention programs in building their capacity to prevent injuries and violence. The process brings a team of injury prevention experts into a state for a five-day site visit. During the visit, the team interviews the staff and partners of the state’s injury prevention program and assesses the capacity of the program to conduct primary prevention at that point in time. The team also produces a report on-site which describes the status of the program and makes recommendations for its advancement.

The assessment focuses on four core components of a successful state health department injury prevention program including: 1) Infrastructure; 2) Data collection, analysis, and dissemination; 3) Program/Intervention design, implementation, and evaluation; 4) Public policy and advocacy.

Please note that for purposes of the assessment, Technical Support and Training have been incorporated into the other components and will not be reported separately.

The assessment often serves to refocus the state by requiring participating states to reflect on their strengths, weaknesses, opportunities, and barriers to success. The STAT process also serves to bring together diverse members of the injury prevention community and allows individuals to share ideas for program development. The process provides participating states with an outside perspective and important information they need, which is often critical to moving a state agenda forward. In addition, the STAT process provides the team with the opportunity to learn about another state’s program and ultimately to share barriers encountered and successful strategies used among state programs.

Use of the word assessment in the title of this program is intentional. The STAT visit serves as an assessment, not an evaluation. The team describes the status of a program, taking into account its complexity and uniqueness. It reveals the program’s assets and identifies ways in which the program can focus its efforts in order to strengthen its core capacity to prevent injuries and violence in the state.

The State Technical Assessment Team program does not serve as a venue for technical assistance. Safe States Alliance encourages states to use technical assistance resources following a STAT visit, in order to facilitate implementation of the STAT report’s recommendations. Safe States Alliance refers states to appropriate peers within Safe States Alliance, federal and national agencies, and national technical assistance resource centers, such as the Children’s Safety Network.

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PURPOSE AND USE OF THE STAT REVIEW GUIDE

The STAT Review Guide is intended to assist team members as they prepare for and conduct an on-site review. The Guide describes elements of model state Injury and Violence Prevention Programs within core component areas as described in SAFE STATES: 2003 Edition. One notable exception is that for purposes of briefing book development and site visit reporting, Technical Assistance and Training has been incorporated into the Infrastructure and Intervention components. The components and standards listed within the document are neither ranked nor staged, in recognition of the fact that specific program development strategies can only be determined contextually.

The 26 standards within the STAT Review Guide describe conditions that would exist in an ideal state health department IVPP. The organization of the standards do not represent levels of priority, and thus are numbered using Roman Numerals (i.e. I, II, III, etc). To give further detail, each standard is followed by a list of indicators. Indicators describe actions that the state IVPP could take to achieve the standard. Examples of documents that could be included in the state’s briefing book are also included in the Review Guide. Please note that the standards, indicators and examples are not inclusive, but are meant to help the state and team members describe efforts undertaken within the areas of each key component. Likewise, all standards may not be appropriate or applicable to all programs.

During the site visit, the STAT Review Guide provides direction for the questions that the team members pose to the injury prevention program staff members and their colleagues who have been invited to present during on-site meetings. The STAT Review Guide may also be used to identify gaps in the information provided and issues for further inquiry. Finally, the standards form the backbone for the team’s final written report.

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STANDARDS, INDICATORS AND EXAMPLES

Component I: Infrastructure

I. In the state health department, there is a designated, functioning, core program which is responsible for providing leadership, coordination, and visibility for injury and violence prevention (IVP).

Indicators Example(s) Provided Reviewer’s Notesa) The Injury and Violence Prevention Program

(IVPP) develops and implements a plan to prevent injury in the state, including specific objectives, interventions, implementation activities, and evaluation.

IVPP’s plan(s) Any other relevant strategic plans and

documents Other __________________________

b) IVP is included in all relevant state health and safety planning documents.

Statewide health plan including IVP Statewide IVP plan Health Department’s plan including IVP Health Department’s IVP plan Maternal and Child Health (MCH) Block

Grant needs assessment and service plan Preventive Health Services Block Grant

needs assessment and service plan Other ___________________________

c) The IVPP coordinates and collaborates with other state agencies to develop a comprehensive statewide IVP plan.

A free standing plan with goals and objectives that identify potential opportunities, obstacles and implementation strategies

Other ___________________________

d) State law mandates an IVPP. Statute mandating a public health IVPP Other __________________________

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Indicators Example(s) Provided Reviewer’s Notese) The IVPP is a key contact for others who are

interested in IVP. Technical assistance logs Record of contacts with media,

legislators, community and professional organizations, and relevant executive level committees

Documentation of referrals to other organizations

Information about the number of website hits

Other __________________________

f) The IVPP enhances statewide visibility by informing the State Health Director, other health department programs/offices, public, partners and decision-makers about the injury and violence problem and the program’s value and accomplishments.

Press releases Program brochure with clear description

of the mission of the injury prevention program, what it does, and why it is needed

Documentation of actions taken to share information about the value and accomplishments of the IVPP and collaborate with decision-makers and partners (e.g., governor; state health director, state health department public information officer, state health department legislative affairs officer, other department directors and/or staff of other state agencies; consumer and advocacy groups; community coalitions; advisory committee)

Website Other __________________________

g) The IVPP develops and utilizes a culturally appropriate marketing plan.

Marketing plan Other ___________________________

h) The IVPP collaborates with other state level agencies, committees and organizations to develop knowledge and awareness of the various IVP activities in place in the state.

Advisory committee reports Network activity reports Interdepartmental IVP plan Participation in state and local

committees Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesi) The IVPP coordinates and utilizes a statewide

advisory committee including key internal and external stakeholders.

List of advisory committee members Description of role/responsibilities of

advisory committee Advisory committee meeting minutes Advisory committee reports Other ___________________________

j) The IVPP provides leadership to ensure that local grantees receive support from staff.

List of local grantees Description of the state program’s role in

administering and coordinating local grantees

Written procedure for local grantees to obtain financial and technical support from the state program

Documentation of training needs assessments for local grantees

Other ___________________________

II. The organizational placement and staffing supports a comprehensive statewide IVPP.

Indicators Example(s) Provided Reviewer’s Notesa) There is knowledgeable and supportive

oversight of the IVPP. Organization chart Frequency of meetings with IVPP

director’s supervisor Resume of IVPP director’s supervisor Other __________________________

b) The IVPP has a qualified, full-time director. Position description for the IVPP director, % of time devoted to the IVPP, qualifications required

Resume of director Participation in state, regional, and

national associations, organizations, advisory committees, etc (public health and injury specific)

Participation in internal management structures within the health department

Other __________________________

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Indicators Example(s) Provided Reviewer’s Notesc) Core staff members have permanent positions. Documentation of funding source,

employer and physical location of all IVPP staff

Other ___________________________

d) A priority is placed on achieving or maintaining a diverse staff.

Equal Employment Opportunity (EEO) plan

Other ___________________________

e) Staffing includes support staff adequate to program needs (e.g., clerical staff).

Organization chart Other ___________________________

III. The IVPP staff receives orientation, basic IVP training, on-the-job training, and continuing education.

Indicators Example(s) Provided Reviewer’s Notesa) New IVPP staff members are mentored by

experienced staff members. Mentoring assignments Agendas which show that expertise is

shared at staff meetings or team meetings Other ___________________________

b) The IVPP’s director establishes mechanisms for regular communication among staff.

List or flow chart of systems to facilitate communication

Staff meeting schedule Sample of staff meeting agendas or

minutes Other ___________________________

c) The IVPP director assesses the training needs of state staff and creates professional development plans using the National Training Initiative Core Competency Assessment Tool.

Resumes of staff members Completion of National Training

Initiative Core Competency Assessment Tool

Professional development plans Other ___________________________

d) IVPP staff keep abreast of the field, maintain and advance their training in IVP.

Participation in state and national forums with colleagues

Participation in professional associations, meetings, etc (i.e. Safe States Alliance, APHA, etc)

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Indicators Example(s) Provided Reviewer’s Notes Other ___________________________

e) The IVPP staff utilizes current information resources.

Internet access, subscriptions to IVP journals and list-serves, resource library and teleconferences

Agendas from training sessions on topics such as how to locate journal articles, useful websites and search engines, etc

Documentation of contacts with national resource centers (i.e. Children’s Safety Network, Suicide Prevention Resource Center, etc)

Other __________________________

IV. The IVPP takes action to obtain funding that adequately supports its core functions and is commensurate with the nature and scope of the injury problem in the state.

Indicators Example(s) Provided Reviewer’s Notesa) Dedicated funding in the state budget for the

IVPP has been obtained. Evidence of the program’s participation

in state budget processes (memos, meeting minutes, etc)

Copies of relevant pages from the state budget that show support for the IVPP

Completion of IVP Program Funding template

Chart showing program funding for previous 5 years

Evidence of working with the Advisory Committee to develop a plan to address dedicated funding issue

Other ___________________________

b) The IVPP participates in the priority setting processes of the Preventive Health and Health Services (PHHS) Block Grant, the Title V (MCH) Block Grant, the National Highway Traffic Safety Administration (NHTSA) “402” grant processes, the SAFETY-LU grant processes, and other state and local level

Evidence of the program’s participation in budgeting and grant processes (memos, meeting minutes, etc)

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesbudget and grant processes.

c) The IVPP tracks potential funding and maintains funding from diverse sources (i.e., state, federal and private sources).

Multi-year budgets and list of current grants and contracts applied for and received, including funding level

Budgets or documents of funding from MCH or PHHS block grants

List of funding sources utilized and others that may be available

Other ___________________________

d) Funding is available for the implementation of IVPPs at the local level.

Requests for proposals (RFP) for local programs

Contracts to local agencies or organizations

Budget allocations to the IVPP Contracts with private foundations and

organizations to obtain funding for local projects

Other ___________________________

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Data Collection, Analysis & Dissemination

V. The IVPP has access to and/or collects injury and violence related data.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP accesses the 11 core data sets

identified in the Consensus Recommendations for Injury Surveillance in State Health Departments report.

Completion of Core Data Sets Template Other ___________________________

b) The IVPP collaborates with offices responsible for vital records, hospital discharge data and behavioral risk surveys to develop plans for optimal use of the data.

Reports, records or plans of efforts, or outcome reports to improve data accessibility, data collection, and analysis and use (e.g. work plans or meeting minutes)

Other ___________________________

c) The IVPP collaborates with offices/agencies that have data on specific types or mechanisms of injury, by providing input on the development of plans for optimal use of their data, improving the quality of the data, and improving the data’s utility for prevention purposes.

Reports or records of efforts to improve data collection and analysis and indicators of results of those efforts (e.g. work plans or meeting minutes)

Other ___________________________

d) The IVPP conducts needs assessments to support effective program implementation, including original data collection and use of existing data sets.

Data collection instruments Reports of the findings from needs

assessments Examples of data-based program

activities Other ___________________________

e) The IVPP maintains data or information systems about priority injuries.

Variable lists for specific data sets (e.g., playground injuries, firearm-related injuries, or other priority injuries)

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesf) The IVPP promotes integration of injury

surveillance and information systems with general public health surveillance, consistent with the Consensus Recommendations for Injury Surveillance in State Health Departments report.

State surveillance plan that includes injury as an integral component

Reports of data analyses showing that the data office in the state health department routinely analyzes injury data along with their other data

Demonstration that individual data sets (e.g., vital statistics, hospital discharge data, BRFSS) are used for multiple surveillance purposes

Other ___________________________

g) The IVPP provides technical assistance to other groups and agencies about surveillance systems and data use (either suggesting new systems or improving existing systems).

Reports of technical assistance provided and results of that technical assistance

Other ___________________________

VI. The IVPP strives to improve data quality.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP has assessed the completeness and

accuracy of all 11 core data sets. Completion of Core Data Sets template Description of reported cases compared to

population represented by the data set Results of the specific studies or

assessment by data set managers Reports of surveillance system

evaluations Documents describing data limitations,

strengths and implications for use Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesb) The data collected or maintained by the IVPP

meet rigorous quality standards. Protocol for protecting data

confidentiality and evidence of implementation

Variable definitions that are consistent with research and surveillance data sets used by IVPP

Protocol for eliminating data duplication in other sources

Documentation of adherence to IRB and other research subject/data protection protocols

Other ___________________________

c) When reporting on injury incidence rates, the IVPP has assessed whether each injury event was counted only once.

Documentation of use of unique patient identifier in each data set or removal or duplicate cases

Summary of results from specific studies on data quality

Other ___________________________

d) The IVPP collaborates with other agencies and community groups to establish and periodically reassess the variables, assigned values and grouping of values in each data set.

List of variables and assigned values that have been used to assess injury outcome disparities and explanation of the selection process

Other ___________________________

e) The IVPP establishes clear operational definitions of variables such as “race,” “ethnicity,” and “socioeconomic status” and provides those definitions in all reports that use the terms.

Definitions of variables used Other ___________________________

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VII. The IVPP conducts data analysis and regularly monitors injury and violence indicators.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP conducts surveillance of the 14

recommended conditions identified in the Consensus Recommendations for Injury Surveillance in State Health Departments report.

Completion of Injury/Injury Risk Factor Surveillance template

Other ___________________________

b) Surveillance data are used to track injury incidence, determine the frequency of different mechanisms of injury, identify groups at highest risk for different mechanisms of injury, and recommend prevention priorities.

Reports of data identifying or tracking leading cause(s) of injury

Documentation of how surveillance data have been used to establish prevention priorities and programs

Other ___________________________

c) The IVPP monitors and reports disparities in injury rates among different groups (e.g., age group, gender, race/ethnicity, rural/urban, counties/regions).

Reports of disparities in injury rates Documentation of how surveillance data

have been used to monitor disparities in injury rates

Other ___________________________

d) As with other health conditions, a mechanism is in place to alert state and local health officials to injury hazards and injury clusters and risk factors that require timely investigations or field studies.

A protocol for alerting officials about injury hazards, trends, or clusters that require a timely reaction

Examples of health alerts issued Evidence that such events have been

identified and investigated Other ___________________________

e) The IVPP uses the results from behavioral risk surveys (BRFSS, YRBS, child health surveys, etc) to monitor trends in IVP beliefs and practices.

Documentation of how behavioral risk survey results have been used to monitor trends

Other ___________________________

f) The IVPP links data sets when it is appropriate and useful to do so.

Identification of common data elements, if any, in the 11 core data sets, that enable linkage

Data file utilizing at least two of the data sets

Other ___________________________

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VIII. The IVPP regularly disseminates data.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP disseminates reports to relevant

coalitions and partners, including appropriate programs within the state health department (e.g., MCH, Health Statistics, Rural/Minority Health), local health departments and public health agencies, hospitals and trauma centers, other state agencies, prevention advocates and practitioners, and all levels of government (state and local), as well as the general public.

Data request log Examples of data provided Other ___________________________

b) The IVPP distributes reports on injury disparities and invites feedback from other agencies, organizations, and community groups.

List of variables and assigned values that have been used to assess injury outcome disparities and explanation of the selection process

Documents requesting feedback on reports

Summaries of feedback from other agencies, organizations and community groups

Other __________________________

c) Program reports (e.g. state publications, peer-reviewed articles, websites, newsletters) are readily accessible.

Recent publications Program reports that have been adapted

or formatted for different target audiences (e.g., policy makers, local health departments, media)

Other ___________________________

d) IVP staff participate in or make presentations to local, state, and national groups about injury and violence data.

Examples or lists of presentations about injury and violence data

Other ___________________________

e) Data files or custom data reports are provided to individuals or groups upon request and in a timely fashion, consistent with any data protection regulations.

Protocol for obtaining data Data request log Other ___________________________

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IX. The IVPP conducts and/or participates in research activities.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP collaborates with injury control

research centers and/or academic centers to conduct research that is related to IVPP priorities presented in the state injury plan and are supportive of effective program implementation and evaluation.

Documentation of injury research priorities

Documentation that the IVPP has collaborative relationships with other researchers addressing IVP (e.g. researchers at academic institutions and Injury Control Research Centers)

Other ___________________________

b) Data requirements for research are established in collaboration with program development staff and other stakeholders.

Documentation of collaboration for research design

Other ___________________________

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Interventions

X. The IVPP collaborates with internal and external stakeholders, reflective of the state’s diverse populations, to promote the development, implementation and evaluation of IVP interventions.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP has a process to identify and

include stakeholders from relevant internal and external constituencies.

Records of advisory groups, working groups, task forces, coalitions, steering committees, focus groups, key informant interviews

Documentation of the role of internal and external stakeholders in the strategic planning process

Mechanism to maintain stakeholder relationships

Other ___________________________

b) The IVPP collaborates with other offices within the state health department to coordinate, enhance and/or integrate IVP efforts.

Completion of collaboration/ partnerships template

Documentation of participation in internal working groups that meet on a regular basis and address aspects of IVP

Documentation of the ways in which the programs are working together and indications of results of those efforts (e.g. sharing program plans, developing joint programs, sharing data, recommending new ideas to improve the programs, sharing staff or funds, requesting funding support, etc)

Description of methods used to maintain collaborative relationships/ coalitions

Other __________________________

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Indicators Example(s) Provided Reviewer’s Notesc) The IVPP collaborates with other state

agencies to coordinate, enhance and/or integrate IVP efforts by state government.

Completion of collaboration/ partnerships template

Documentation of the IVPP’s representation at meetings of state agencies

Description of methods used to maintain collaborative relationships/ coalitions

Other ___________________________

d) The IVPP collaborates with non-governmental organizations in the state to coordinate, enhance and/or integrate IVP efforts.

Completion of collaboration/ partnerships template

Documentation demonstrating that all relevant partners were included in developing a state plan for IVP

Description of methods used to maintain collaborative relationships/ coalitions

Other ___________________________

e) The IVPP collaborates with federal agencies, national organizations and colleagues from other states to inform the state program and have an impact at the national level.

Completion of collaboration/ partnerships template

Examples of technical assistance and data received from federal agencies, national organizations and colleagues

List of ways that staff participates in national associations

Examples of information shared with and training provided to national partners

Other ___________________________

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XI. The selection of intervention areas is informed by needs assessments, asset assessments, and data on disparities in morbidity, mortality, and risk factors with an effort to address a wide range of populations and injury areas.

Indicators Example(s) Provided Reviewer’s Notesa) Community needs and assets inform the

selection and design of interventions. List of completed assessments or

community diagnoses (e.g., focus groups, interviews, surveys, secondary data analysis) in intervention plans

Tools or protocols for needs assessments Other ___________________________

b) Data about injuries – such as severity, prevalence and risk factors – impact the focus and design of interventions.

Descriptions of how data analyses have directed the selection and design of IVP interventions

Other __________________________

c) IVP interventions address all ages groups and are developmentally appropriate.

Description of efforts to ensure that IVP interventions are developmentally appropriate

Other ___________________________

d) IVP interventions address diverse populations represented in the state.

Description of target populations served by IVP interventions

Other ___________________________

e) IVP interventions target all key causes of injury (e.g. motor vehicle traffic, homicide, suicide, poisoning, etc).

List of all key causes of injury and the interventions that are underway to address them

Other ___________________________

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XII. The IVPP staff utilizes proven or promising approaches and considers feasibility and acceptability when developing and/or implementing specific interventions.

Indicators Example(s) Provided Reviewer’s Notesa) Reviews of the social and scientific literature

inform intervention design. Reference to literature reviews and

relevant journal articles in intervention plans

Other ___________________________

b) Research and program evaluation conducted by the state health agency, academic partners, and professional colleagues inform interventions.

Intervention plans that reference information obtained through research and evaluation at the state health agency, academic partnerships, memberships in national organizations, and/or attendance at national meetings

Other __________________________

c) National, evidence-based guidelines and standards inform interventions.

Reference to national, evidence-based guidelines and standards in interventions (e.g. the Cochrane collaborative, the CDC’s Guide to Community Preventive Services, Harborview Injury Prevention Research Center’s Best Practices Project, etc)

Other __________________________

XIII. Attention is given to fitting IVP interventions into a culturally appropriate framework of norms, values, roles, and practices.

Indicators Example(s) Provided Reviewer’s Notesa) IVP interventions demonstrate sensitivity to

and understanding of the unique cultural differences within, among, and between different populations in the state.

Descriptions of interventions that ensure cultural sensitivity and relevance as well as developmental milestones for children and youth

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesb) IVP interventions reflect the knowledge,

attitudes, and beliefs of the target population. Descriptions of actions taken to confirm

that interventions appropriately address the target populations’ knowledge, attitudes, and beliefs

Other ___________________________

XIV. All IVP interventions are designed to include multi-faceted evaluation and dissemination of evaluation findings.

Indicators Example(s) Notesa) An evaluation plan is outlined for each

program, including qualitative and quantitative assessments, prior to implementation.

Intervention plans demonstrating evaluation design

Evaluation reports demonstrating use of qualitative and quantitative assessment

Other ___________________________

b) Formative, process, impact and outcome evaluation techniques are utilized as appropriate.

A report of evaluation findings for each intervention/prevention efforts

Other __________________________

c) A designated internal or external evaluator is assigned to each intervention.

Job description for a designated internal or external evaluator

Other ___________________________

d) Evaluation findings are disseminated to stakeholders (e.g. staff members responsible for intervention development, professionals and academics at the national level, and agency leadership).

Guidelines, reports, newsletters, conferences, websites, peer-reviewed and other publications, press releases or presentations showing the dissemination of evaluation findings

Other ___________________________

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XV. IVPP’s interventions utilize a comprehensive, multi-level approach.

Indicators Example(s) Provided Reviewer’s Notesa) Interventions employ multiple strategies for

prevention including educational campaigns, environmental changes, and enforcement of new and existing regulations/legislation.

Completion of Major Interventions/ Program template

Other ___________________________

b) Interventions demonstrate a multi-level approach to prevention. Potential levels of intervention include (but are not limited to) knowledge and skills of individuals, community norms, and institutional practice.

Completion of Major Interventions/ Program template

Other ___________________________

XVI. The state IVPP supports and monitors IVP activities at the local level.

Indicators Example(s) Provided Reviewer’s Notesa) Local program roles are explicit in state

injury plans. A strategic plan for local IVP with

identifiable goals and time-framed, measurable objectives

Other ___________________________

b) The IVPP promotes the development of local interventions.

Documentation of the IVPP’s interaction with local programs.

Documentation of provision of local technical assistance

Dissemination of recent developments in the field

Provision of local data Provision of support materials to local

programs and interventions. Sample protocols and resource materials Other __________________________

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Indicators Example(s) Provided Reviewer’s Notesc) The IVPP monitors the progress of local

interventions, including required and routine progress reports.

Site visit reports produced by the IVPP Progress reports produced by local

programs for the IVPP. Schedule for submission or those reports

Reports or minutes or meetings between the IVPP and local partners

Other ___________________________

XVII. The IVPP establishes agreements with agencies and individuals to implement IVP interventions.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP establishes collaborative

agreements with agencies and individuals. Copies of collaborative agreements Other ___________________________

b) The selection process for collaborative agreements includes an objective review including consideration of need, size of target population, resources, skill level.

Description of collaborative agreement process

Samples of review criteria and score sheet Other ___________________________

XVIII. Progress in achieving the objectives of the state IVP plan or agenda is monitored by state IVP staff.

Indicators Example(s) Provided Reviewer’s Notesa) A staff member of the IVPP is designated to

lead - at minimum - an annual program review.

A job description showing program progress review as a specific staff member’s responsibility

Copy of an annual progress report Other ___________________________

b) The IVPP reviews the results of state and local prevention strategies and interventions in order to consider and implement adjustments.

Documentation of changes in intervention objectives and activities following process, impact, and/or outcome evaluations

Other __________________________

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Indicators Example(s) Provided Reviewer’s Notesc) The IVPP seeks input and uses feedback from

its constituency and the general public to improve its performance and programming.

Description of the method used to solicit public input

Records of public hearings and/or circulated draft documents

Description of feedback given and the way in which the information was subsequently used

Other ___________________________

XIX. The IVPP provides practical IVP training at the basic and advanced levels to professionals (state and local), students, and the public.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP offers preceptors and practicums for

undergraduate and graduate students. Number of students that have participated

in IVPPs Number of staff members that have

served as preceptors to students Other ___________________________

b) The IVPP conducts assessments of the training needs of grantees and other local public health providers and provides training as needed.

Evidence of working with groups to identify training needs

Agendas for training programs offered Other ___________________________

c) The IVPP has established training workshops and other training within the state to teach specific skills related to building capacity for IVP.

Description of established training programs and workshops

Other __________________________

d) The IVPP has developed or adapted protocols and training manuals addressing the core competencies for injury prevention professionals to build capacity for IVP.

Number and description of protocols and training materials utilized

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notese) The IVPP staff makes presentations at

professional conferences and meetings. Number and description of workshops

and presentations conducted Examples of abstracts that have been

accepted Examples of PowerPoint presentations

that have been developed Other __________________________

f) The IVPP staff participates in and/or presents at seminars offered by Injury Control Research Centers or other university-based programs.

Number & description of workshops/presentations

Examples of PowerPoint presentations that have been developed

Other __________________________

g) The IVPP responds to public requests for presentations.

Number and description of presentations made to community groups

Number of presentations made by local experts, following referrals from the IVPP

Other __________________________

h) The IVPP involves partners in training programs sponsored by the IVPP.

IVPP curricula, agendas, training materials and conference programs that show involvement of other partners

Other ___________________________

XX. The IVPP provides proactive and reactive technical support.

Indicators Example(s) Provided Reviewer’s Notesa) The capacity to provide technical support has

been demonstrated by the IVPP. Potential areas include basic IVP, grant writing, surveillance/epidemiology, evaluation, developing or adapting educational materials, establishing an identify for the program, marketing the program, etc.

Description of resources used to provide technical support (e.g., library, educational materials, resource centers, etc)

Other __________________________

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Indicators Example(s) Provided Reviewer’s Notesb) The IVPP provides technical support

reactively. A log of technical assistance requests and

responses Sample of technical assistance reports Other __________________________

c) The IVPP provides technical support to improve capacity by identifying and providing support to address the specific needs of various partners. Potential recipients of technical support: local health departments, other local coalitions, state level groups, agencies and organizations, state health departments and national organizations.

Definition of identified needs and examples of support given to partners

Other ___________________________

d) The IVPP publishes articles in peer-reviewed journals, newsletters and other publications.

List(s) of articles and other publications Other ___________________________

XXI. The IVPP integrates IVP and the public health approach into the training of other disciplines.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP encourages the inclusion of IVP

topics in training programs and conferences offered by other partners

Lists of conferences and training programs offered by other partners

Curricula, agendas, training materials and conference programs showing the involvement of the IVPP

Other ___________________________

b) The IVPP supports academic and research partners in providing IVP training.

Agendas from academic training programs that used IVPP materials or staff

Class outlines that include evidence of the involvement of the IVPP

Other ___________________________

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Policy

XXII. The IVPP has access to local, state and federal policymakers to achieve IVP goals.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP works within approved structures to

influence policy-makers and their staff. Description of mechanisms or protocols

for communication with policy-makers around issues related to IVP

Examples of involving policy-makers in IVP events/activities

Examples of materials sent to policy-makers and/or staff with accompanying cover letters

Records of meetings with policy-makers and/or staff

Other __________________________

b) The IVPP testifies at state and local hearings. Copies of testimony or other evidence of participation at state and local hearings (indicate if testimony was given on behalf of the program)

Other __________________________

c) The IVPP participates on boards and commissions at the federal, state and local levels.

Evidence of participation on boards and commissions, such as meeting minutes or injury related agenda items.

Other ___________________________

XXIII. The IVPP monitors the effectiveness of existing state and local policies and disseminates findings.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP maintains a record of existing state

and local policies. Completion of checklist of state policies

template Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesb) The IVPP analyzes existing policies and

disseminates findings. Reports on findings of research and needs

assessments Dissemination plan Copies of publications and reports Descriptions of evaluation designs used Descriptions of analyses regarding the

reliability and validity of data and instruments used

Cost-benefit analyses of IVP policies Other __________________________

XXIV. The IVPP reviews proposed legislation

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP monitors proposed IVP policies. Description of system for identifying

relevant bills and proposed regulations Other ___________________________

b) The IVPP requests the opportunity to review bills.

Documented communication from the IVPP requesting a review of proposed legislation

Other ___________________________

c) The IVPP provides written analyses of proposed policies.

Number of legislative bills and proposed regulations analyzed

Samples of analyses of proposed legislation

Other ___________________________

d) The IVPP recommends health department positions for relevant bills.

List of legislative recommendations made by the IVPP

Other ___________________________

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XXV. The IVPP collaborates with all appropriate partners, reflective of the state’s diverse populations, to develop and promote policies related to selected IVP issues.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP cultivates strategic partnerships that

influence the adoption of IVP policies. Description of advocacy strategies used

by the IVPP’s partners List of partners that provide testimony at

legislative hearings Copies of information or testimony

provided by partners Other __________________________

b) The IVPP participates in groups that are involved in policy change.

Documentation of the IVPP’s participation in groups involved in policy change activities

Other ___________________________

c) The IVPP provides partners with information on pertinent legislative contacts, the legislative process, and state IVP priorities.

Documentation of information provided to partners regarding legislative contacts, the legislative process, and state IVP priorities

Evidence of support for IVP priorities in partners’ strategic plans

Other ___________________________

d) The IVPP provides model and/or sample legislation to partners.

Model legislation provided by the IVPP to partners

Examples of information provided to partners about other state laws

Other ___________________________

e) The IVPP provides topic-specific data and other information (fact sheets) to partners about injury-related policy and advocacy issues.

Record of topic-specific data and other policy information sent to partners

Meeting agendas that reflect the IVPP’s provision of topic-specific data and other policy information to partners

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesf) The IVPP assists partners with strategic

planning and priority setting activities that support IVP policy implementation/ enforcement.

Documentation of assistance provided by the IVPP

Partners’ strategic plans, reflecting IVP priorities

Other ___________________________

g) The IVPP collaborates with partners to develop and expand a public constituency for the public health problem of injuries.

Sections from the strategic plans of the IVPP and its partners that specify plans to increase public support for IVP activities

Description of actions taken to increase public involvement in IVP activities

Other ___________________________

XXVI. The IVPP participates in the process of policy development to support IVP.

Indicators Example(s) Provided Reviewer’s Notesa) The IVPP assures that state and local

legislation is drafted and submitted to policy-makers in order to promote IVP activities.

Completion of Major Public Policy Efforts template

Correspondence about legislation in development

Information about what happened with drafted legislation that the IVPP supported (e.g., whether hearings occurred, the bill became a law, the governor vetoed, etc)

Description of issues addressed by bills that the IVPP supported

Other ___________________________

b) The IVPP assures the development of state regulations and other policies that create specific IVP measures (e.g., within the health department or other departments such as education, transportation, law enforcement, social services, drug and alcohol, mental health, etc).

Minutes or transcripts from regulatory meetings indicating the involvement of the IVPP in the adoption of regulations

Copies or summaries or regulations developed and the issues addressed by them (e.g., E-coded hospital discharge data, playgrounds to meet CPSC guidelines, etc)

Other ___________________________

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Indicators Example(s) Provided Reviewer’s Notesc) The IVPP supports the development of local

policies that enact specific IVP measures. Demonstrated role of the program in the

adoption of local policies Other ___________________________

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CONTRIBUTORS TO THE STAT REVIEW GUIDE

The STAT Program is supported by the Centers for Disease Control and Prevention (CDC), the Association of State and Territorial Health Officials (ASTHO), in-kind support from the Health Resource Services Administration’s Maternal and Child Health Bureau (HRSA/MCHB) through the Children’s Safety Network (CSN), and state health department injury and violence prevention programs.

Safe States Alliance acknowledges with great appreciation the many participants in the STAT program for their contributions to continual improvement of the STAT Program.

Barb Alberson, MPH, Chief, State and Local Injury Control Section, EPIC Branch, California Department of Health Services

Jim Enders, MPH, Deputy Director, Division of Injury and Disability Outcomes, National Center for Injury Prevention, CDC

Susan Gallagher, MPH, Senior Advisor, Children’s Safety Network, Education Development Center

Susan Hardman, Director, Bureau of Injury Prevention, New York State Department of Health

Holly Hedegaard, MD, MSPH, Director, Injury, Suicide and Violence Prevention Section, Colorado Department of Public Health and Environment

Trisha Keller, RN, MPH, Program Manager, Violence and Injury Prevention Program, Utah Department of Health

Alex Kelter, MD, Chief, EPIC Branch, California Department of Health Services

Sue Mallonee, RN, MPH, Chief, Injury Prevention Service, Oklahoma State Department of Health

Lisa Millet, MPH, Manager, Injury Prevention and Epidemiology, Oregon Health Division

Linda Scarpetta, MPH, Manager, Childhood and Unintentional Injury Prevention Section, Michigan Department of Community Health

Ellen R. Schmidt, MS, OTR, National Outreach Coordinator, Children’s Safety Network, Education Development Center

Shelli Stephens Stidham, Director, Injury Control Division, Oklahoma State Department of Health

Ann Kelsey Thacher, MS, Chief, Office of Health Promotion, Rhode Island Department of Health

Lisa VanderWerf-Hourigan, MS, Manager, Office of Injury Prevention, Florida Department of Health

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Billie Weiss, MPH, Associate Director, Southern California Injury Prevention Research Center, UCLA School of Public Health

Amber Williams, BS, CHES, Assistant Director, State and Territorial Injury Prevention Directors Association

Barak Wolff, MPH, former director of the New Mexico Department of Health

Xan J. Young, MPH, STAT Review Guide Project Coordinator, Education Development Center

Ronda Zakocs, PhD, Assistant Professor, Boston University School of Public Health

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