Texas Heart and Stroke Texas Heart and Stroke Prevention System Prevention System

PartnershipPartnershipSteering Committee MeetingSteering Committee Meeting

October 29, 2008October 29, 2008

THSPS PartnershipTHSPS Partnership

Meeting ObjectivesMeeting Objectives Gain consensus for a partnership building Gain consensus for a partnership building

framework – Coalition Action Theoryframework – Coalition Action Theory Gain consensus for implementing the Gain consensus for implementing the Texas Texas

Plan to Reduce Cardiovascular Disease and Plan to Reduce Cardiovascular Disease and Stroke 2008Stroke 2008

Identify Partnership structures and processes Identify Partnership structures and processes that will facilitate that will facilitate PlanPlan implementation implementation

IntroductionsIntroductions

Tell us who you are, where you are from, and with what Tell us who you are, where you are from, and with what organization you are affiliated. organization you are affiliated.

Give one reason why participation in the Partnership is Give one reason why participation in the Partnership is important to you/your organization. Give your card to important to you/your organization. Give your card to

Jane before you leave.Jane before you leave.

Please check your information on the Partnership Please check your information on the Partnership Steering Committee Roster for accuracy. Give Steering Committee Roster for accuracy. Give

corrections to Jane.corrections to Jane.

Making a CommitmentMaking a Commitment We are diverse in our organizational affiliationsWe are diverse in our organizational affiliations We are diverse in our prioritiesWe are diverse in our priorities We bring different skills and expertise to the tableWe bring different skills and expertise to the table We represent different populations We represent different populations We have local, regional, state, and national perspectivesWe have local, regional, state, and national perspectives We provide an array of services for TexansWe provide an array of services for Texans

We find common ground in We find common ground in implementing the implementing the Texas Plan to Reduce Cardiovascular Disease Texas Plan to Reduce Cardiovascular Disease

and Strokeand Stroke

Working together we WILL make a differenceWorking together we WILL make a difference

May 2008 State Plan Partnership May 2008 State Plan Partnership MeetingMeeting

63 Participants attended the meeting 63 Participants attended the meeting 38 Organizations were represented38 Organizations were represented Goals, Objectives, and Strategies were Goals, Objectives, and Strategies were

identified for the 2008 state plan.identified for the 2008 state plan. Four objectives were selected by the group for Four objectives were selected by the group for

Partnership actionPartnership action

Goal I : Goal I : Texans will experience improved Texans will experience improved cardiovascular health and quality of life cardiovascular health and quality of life through the Prevention of Risk Factorsthrough the Prevention of Risk Factors

Objective 1: Increase the proportion of Objective 1: Increase the proportion of adults who engage regularly, preferably adults who engage regularly, preferably daily, in moderate physical activity for at daily, in moderate physical activity for at least 30 minutes per day (HP 2010).least 30 minutes per day (HP 2010).

Goal II: Texans will experience improved Goal II: Texans will experience improved cardiovascular health and quality of life cardiovascular health and quality of life through the Detection and Treatment of through the Detection and Treatment of

Risk FactorsRisk Factors

Objective 3: Increase the proportion of adults Objective 3: Increase the proportion of adults with high blood pressure who are taking at with high blood pressure who are taking at least two actions (for example: losing weight, least two actions (for example: losing weight, participating in physical activity, reducing participating in physical activity, reducing sodium in take, taking medications as sodium in take, taking medications as prescribed) (HP 2010).prescribed) (HP 2010).

Goal III: Texans will experience improved Goal III: Texans will experience improved cardiovascular health and quality of life cardiovascular health and quality of life

through the Early Detection and Treatment through the Early Detection and Treatment of Heart Attack and Strokeof Heart Attack and Stroke

Objective 3: Increase the proportion of adults Objective 3: Increase the proportion of adults who are aware of the early warning signs and who are aware of the early warning signs and symptoms of heart attack; stroke; and the symptoms of heart attack; stroke; and the importance of calling 911 if a heart attack or importance of calling 911 if a heart attack or stroke is suspected (HP 2010).stroke is suspected (HP 2010).

Goal IV: Texans will experience improved Goal IV: Texans will experience improved cardiovascular health and quality of life cardiovascular health and quality of life

through the Prevention of Recurrent Eventsthrough the Prevention of Recurrent Events

Objective 1: Increase utilization of appropriate Objective 1: Increase utilization of appropriate therapeutic interventions and application of therapeutic interventions and application of clinical practice guidelines for treating patients clinical practice guidelines for treating patients with cardiovascular disease and stroke. with cardiovascular disease and stroke.

Partnership Structure, Operations, and Processes % Agree

The Partnership’s organizational structure supports the achievement of its goals. (Steering Committee/Goal Workgroups) 88

The Partnership’s structure enables the Partnership to work collaboratively to implement the Texas Plan to Reduce Heart Disease and Stroke . 85

The Steering Committee structure contributes to the effectiveness of the Partnership. 82

The Steering Committee provides leadership for the Partnership’s work. 88

The current Partnership Goal Workgroup structure facilitates progress in achieving Partnership objectives. 88

The Goal Workgroups should work to advance heart disease and stroke prevention and control in Texas. 94

Communications to Partnership members have been timely. 82

I have a clear understanding of the Partnership's purpose. 88

My “home” organization has benefited from my participation in the Texas Heart Disease and Stroke Prevention Partnership. 83

The Texas State Plan to Reduce Cardiovascular Disease and Stroke provides a useful tool to guide heart disease and stroke prevention and control activities in Texas. 88

Partnership priorities will advance heart disease and stroke prevention and control in Texas. 91

Partnership Structure, Operations, and Processes % Agree

The Partnership’s decision-making methods enable the Partnership to move forward effectively.

76

The Partnership’s support staff appropriately implements recommended activities.

79

My role and responsibilities as a Partnership partner are clear to me.

71

Partnership membership adequately represents diverse heart disease and stroke stakeholders in Texas.

76

The Partnership has the information it needs to prioritize heart disease and stroke prevention and control activities.

68

Partnership Activities % Agree

The Partnership has identified gaps in the heart disease and stroke public health system in Texas.

91

Progress has been made in prioritizing heart disease and stroke activities within the Partnership.

88

The Partnership has enhanced the sharing of information about heart disease and stroke prevention and control activities.

85

Partnership policy initiatives could improve heart disease and stroke prevention and control in Texas.

94

Goal workgroup activity has contributed to development of the revised Texas State Plan to Reduce Heart Disease and Stroke.

88

The Partnership is likely to increase efficient use of heart disease and stroke resources in Texas.

88

Partnership Activities % AgreeDon't

Know

The Partnership has begun to improve coordination of statewide heart disease and stroke prevention and control activities in Texas. 76

The Partnership is addressing the disparity in heart disease and stroke services in Texas. 79

The Partnership has built new or improved on existing partnerships among Texans involved in heart disease and stroke prevention and control. 65 26

The Partnership has provided technical assistance to local community heart disease and stroke planning groups. 56 32

Partnership activities have enhanced better sharing of heart disease and stroke data in Texas. 65 29

The Partnership has increased public support for heart disease and stroke prevention and control in Texas. 50 41

The Partnership section of the Cardiovascular Health and Wellness website adequately supports communication of Partnership news and information. 47 47

Moving the Partnership Forward % Agree DisagreeDon't

Know

A comprehensive heart disease and stroke prevention and control partnership should continue in Texas – with or without funding for travel. 94

My organization would be willing to support my travel expenses to future Partnership meetings. 62 29

I would be willing to encourage my organization to make in-kind contributions to activities promoted by the Partnership. 71 18

I would be willing to encourage my organization to make a financial contribution to activities promoted by the Partnership. 47 21 26

The Partnership should move forward with a more formal structure (eg. A Coalition with operating principles and leaders who are elected) 53 15 26

A Partnership newsletter would improve member communication and dissemination of information 79

Convener/Lead Agency Activities % AgreeDon't

Know

The DSHS Cardiovascular Health and Wellness Program is an appropriate convener/lead agency for coordinating the Partnership. 91

The Cardiovascular Health and Wellness Program has improved coordination of state heart disease and stroke prevention and control activities.

68 26

The DSHS Cardiovascular Health and Wellness Program provides useful information to promote comprehensive heart disease and stroke prevention and control in Texas.

82

The Texas Heart and Stroke Healthy City Recognition Program is advancing heart disease and stroke prevention and control in Texas.

82

May 2008 State Plan Partnership May 2008 State Plan Partnership Meeting OutcomesMeeting Outcomes

Survey results revealed a high degree of satisfaction with the Survey results revealed a high degree of satisfaction with the partnership to date and a desire to move the partnership from partnership to date and a desire to move the partnership from planning to action. planning to action.

Participants were generally in favor of creating a structure and Participants were generally in favor of creating a structure and processes that would enhance the group’s ability to move into processes that would enhance the group’s ability to move into implementation activities. implementation activities.

There was group consensus for creating a Steering Committee There was group consensus for creating a Steering Committee that would propose a structure and processes. that would propose a structure and processes.

The group was in agreement that the Department of State The group was in agreement that the Department of State Health Services was an appropriate lead agency for the Health Services was an appropriate lead agency for the partnership.partnership.

Partnership InterestPartnership Interest

Partnership Interest Survey e-mailed to Partnership Interest Survey e-mailed to 199 stakeholders199 stakeholders

96 responses received to date96 responses received to date 55 agreed to serve on Steering Committee55 agreed to serve on Steering Committee 91 want electronic dissemination of 91 want electronic dissemination of

informationinformation 69 agreed to serve on Work Groups69 agreed to serve on Work Groups

Partnership Building FrameworkPartnership Building Framework

Community Coalition Action Theory (CCAT)Community Coalition Action Theory (CCAT) Authors: Butterfoss, F. and Kegler, M. Toward Authors: Butterfoss, F. and Kegler, M. Toward

a comprehensive understanding of community a comprehensive understanding of community coalitions. coalitions. Emerging Theories in Health Emerging Theories in Health Promotion Practice and ResearchPromotion Practice and Research, 2002., 2002.

Model revised in 2007Model revised in 2007

Lead Agency/Convener GroupLead Agency/Convener Group

Department of State Health Services/Centers Department of State Health Services/Centers for Disease Control and Preventionfor Disease Control and Prevention

American Heart AssociationAmerican Heart Association Texas Medical AssociationTexas Medical Association Texas Association of Local Health OfficialsTexas Association of Local Health Officials Texas Medical FoundationTexas Medical Foundation Texas Public Health AssociationTexas Public Health Association

Partnership ProcessPartnership Process

Decision MakingDecision Making Consensus by those in the roomConsensus by those in the room Anonymous ballets for electionsAnonymous ballets for elections

Partnership StructurePartnership Structure

Steering CommitteeSteering Committee Decision making authorityDecision making authority Characteristics – DiversityCharacteristics – Diversity SizeSize Meeting frequencyMeeting frequency

Partnership StructurePartnership Structure

LeadershipLeadership Steering Committee Steering Committee Elected officesElected offices

Chair/Co chairsChair/Co chairs Chair electChair elect

Partnership ProcessPartnership Process

Leadership Selection ProcessLeadership Selection Process Nominations/recruitmentNominations/recruitment ElectionElection TermsTerms

Partnership StructurePartnership Structure

StaffingStaffing Coordination of meetingsCoordination of meetings MinutesMinutes Information disseminationInformation dissemination Web site maintenanceWeb site maintenance

Partnership StructurePartnership Structure

CommitteesCommittees 4 Goal Committees/Work Groups4 Goal Committees/Work Groups Ad hoc committeesAd hoc committees

Member recruitmentMember recruitment Nominations (URGENT – meet soon)Nominations (URGENT – meet soon) Advocacy (URGENT – meet soon)Advocacy (URGENT – meet soon) Communication/disseminationCommunication/dissemination Resources/fundingResources/funding Conference planning (URGENT – meet soon)Conference planning (URGENT – meet soon) Others?Others?

Partnership MembersPartnership Members

Historical partnersHistorical partners Inclusivity vs limited to specific stakeholder Inclusivity vs limited to specific stakeholder

mix and numbermix and number Characteristics – DiversityCharacteristics – Diversity Member recruitmentMember recruitment Member profile/applicationMember profile/application Member commitment – letter of supportMember commitment – letter of support DisclosuresDisclosures

Partnership ActivitiesPartnership Activities

Spring 2009 ConferenceSpring 2009 Conference Planning committee volunteersPlanning committee volunteers Proposed datesProposed dates Proposed locationsProposed locations Intended audienceIntended audience Speakers/topicsSpeakers/topics

Training needs assessmentTraining needs assessment Goal Committee recommendationsGoal Committee recommendations

Next StepsNext Steps

Second Steering Committee MeetingSecond Steering Committee Meeting Proposed date – First week of December (needs to Proposed date – First week of December (needs to

be face to face)be face to face) Proposed locationProposed location Identify our “Mission”Identify our “Mission” Elect leadershipElect leadership Goal Committees meet – continue action planningGoal Committees meet – continue action planning

THANK YOU!THANK YOU!

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