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Gustavo Aquino, MPHAssociate Director for Program IntegrationNational Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention
Program Collaboration & Service Integration: Actions and Plans
Developing a 2009-10 PCSI Joint Agenda: Accelerating Implementation
Washington DC April 24, 2009
This presentation expresses the views of the author and not necessarily those of CDC.
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Presentation Overview
NCHHSTP and PCSI overview Accomplishments and plans Our Common Goal Working to accelerate PCSI
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Goal:
Provide prevention services that are holistic, evidence-based, comprehensive, and high quality to appropriate populations at every interaction with the health care system.
Program Collaboration and Service Integration (PCSI)
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Vision:
Remove barriers to and facilitate adoption of service delivery integration at the client level by aligning NCHHSTP activities, systems, and policies with this goal.
Program Collaboration and Service Integration (PCSI)
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Program Collaboration and Service Integration (PCSI)PROGRAM COLLABORATION
Definition: Collaboration describes a mutually beneficial and well-defined relationship entered into by two or more organizations or organizational units to achieve common goals. The collaborative relationship usually includes a commitment to mutual relationships and goals; a jointly developed structure and shared responsibility; mutual authority and accountability for success; and sharing of resources and rewards .
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SERVICE INTEGRATIONDefinition: Service integration is a distinct method of service delivery, characterized by features such as common intake and 'seamless' service delivery, where the client may receive a range of prevention and other services from different disease areas or programs without repeated registration procedures, waiting periods, or other administrative barriers.
Program Collaboration and Service Integration (PCSI)
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Program Collaboration and Service Integration (PCSI)
PCSI is NOT: An attempt to re-organize or merge NCHHSTP programs A call to local programs to re-organize structurally A stand-alone funded program or change to block grants An un-funded mandate A charge to merge categorical funds An Office or Branch that provides and monitors program
funds
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PCSI is:
A Strategic Program Imperative at NCHHSTP
An attempt by CDC to remove barriers and get out of the way
A gradual alignment of systems (surv, lab, training)
Influencing and improving business practices
A change in NCHHSTP work culture
Program Collaboration and Service Integration (PCSI)
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MARMA PCSI Points
Surveillance
Funding and Program Announcements
Program Guidance / Recommendations
Training
Work Structures
Communications
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Accomplishments and Plans
FUNDING and PROGRAM ANNOUNCEMENTS Standard operating procedures for FOA development Inventory FOA opportunities Incorporating PCSI language into funding
announcements to allow greater flexibility (5/11 FOAs) Expanded HIV Testing Initiative Section 317 Immunization Funds for adult hepatitis B
vaccine
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Accomplishments and Plans
INTEGRATED SURVEILLANCE
Surveillance Workgroup Integrated Report Plans to complete
NCHHSTP Common Confidentiality Standards for data sharing
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Accomplishments and Plans
TRAINING Held meeting of funded training
partners, June 24 Developed meeting report Identified priority next steps
Plans to complete a review of existing curricula for integration opportunities
In the process of reviewing internal training for Project Officers and Program Consultants
Piloting trainings of STD Program Managers
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Accomplishments and PlansPROGRAM GUIDELINES/ RECOMMENDATIONS
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Accomplishments and PlansPROGRAM GUIDELINES/ RECOMMENDATIONS
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Accomplishments and Plans
PROGRAM GUIDELINES/ RECOMMENDATIONS
UNDER CONSTRUCTION!
Recommendations for integrated services for substance users
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Accomplishments and Plans
COMMUNICATIONS Green Paper and External
Consultation
PCSI sessions at National Conferences
Plans to complete the White Paper
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Accomplishments and Plans
COMMUNICATIONS Website (external)
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Accomplishments and Plans
COMMUNICATIONS Website (Partners)
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Accomplishments and Plans
COMMUNICATIONS Website (internal) Plans to develop interactive
web resource to foster networks by jurisdictions and resource sharing
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Accomplishments and Plans
WORK STRUCTURES PCSI meetings at the Division, Branch and PO
level Division Directors PCSI meetings Program Integration and Excellence (PIE) Quarterly Project Officer/Program Consultant Grand Rounds Integrating Programs Collaboration with Portfolio Management Project
Workgroups for surveillance, corrections, drug users, MSM
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Accomplishments and Plans
PCSI EVALUATION
CAUTION!!! UNDER CONSTRUCTION!
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Our Common Goal•Funding and Program Announcements
•Integrated Surveillance
•Program Guidance/ Recommendations
•Training
•Communication
•Work structure
•Decrease missed opportunities to identify and treat disease
•Increase access to services for clients
•Improved behavioral and health outcomes
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Working to accelerate PCSI
Are CDC’s efforts translating locally?
What are some areas where we can join efforts for 2009-2010?
How do we enhance our network and communication?