What A Difference A Year Makes: Update on State Falls ...
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Improving the Lives of 40 Million Older Adults by 2030 Ellen Bailey, NC Center for Health and Wellness Ingrid Bou-Saada, NC Division of Public Health, Injury & Violence Prevention Branch Carolyn Ham, WA State Department of Health What A Difference A Year Makes: Update on State Falls Prevention Action Plans from North Carolina and Washington State
Transcript of What A Difference A Year Makes: Update on State Falls ...
Improving the Lives of 40 Million Older Adults by 2030
Ellen Bailey, NC Center for Health and Wellness
Ingrid Bou-Saada, NC Division of Public Health, Injury & Violence Prevention Branch
Carolyn Ham, WA State Department of Health
What A Difference A Year Makes: Update on State Falls Prevention Action Plans
from North Carolina and Washington State
NC Falls Prevention Coalition
This presentation was partially supported by Cooperative Agreement Number, 6NU17CE924847, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.
This project was supported, in part by grant number 90FPSG0006-01-00 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.
Strategic Planning Retreat Outcomes
April 4, 2019 Falls Prevention Action Plan Retreat - used Results Based Accountability framework to identify priority strategy areas
Top 5 Strategies for “turning the curve” to reduce # of NC fall injuries/deaths
• Collaboration - State and Local coalitions
• Identifying shared risk and protective factors across issues related to falls prevention (i.e. traumatic brain injury (TBI), substance use disorder, suicide, etc.)
• Increasing prevention through a continuum of care
• Bridging clinical-community gap
• Identifying better data & reporting (and media campaign)
Lots of Volunteers!!
Partner Participation in Retreat
Representatives from diverse sectors: ◦ Physical Therapy◦ Nursing◦ Pharmacy◦ Social Work◦ Public Health◦ Trauma Center/Injury◦ Traumatic Brain Injury◦ Aging◦ Emergency Medical Services◦ Academia◦ YMCA
No representation from: ◦ ACO◦ Elected leaders◦ Advocacy leaders ◦ Funders◦ All regional coalitions ◦ Universal design◦ Occupational Therapy
Strategic Planning Update
GOAL
To develop a cross-sector, collaborative five-year action plan
for the NC Falls Prevention Coalition over the next 6-8
months
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Strategic Areas from Retreat
Headline Community Indicator: Reduce injuries/deaths from falls
Collaboration & Coalition Building
Prevention Across the Continuum of
Care
Public Awareness, Education & Advocacy
Action Plan Steering Committee
Steering CommitteeCo-Chairs
Collaboration & Coalition
BuildingCo-Chairs
Prevention Across the Continuum
of CareCo-Chairs
Public Awareness, Education & AdvocacyCo-Chairs
Work Group Tasks◦ Identify and recruit missing perspectives, sectors, skills
◦ Use Results Based Accountability (RBA) Values Clarification tool to prioritize strategies
◦ Come to a common understanding of each strategy
◦ Develop SMARTIE objectives for each (I=inclusion and E=equitable)
◦ Identify data points/measures to evaluate key strategies
◦ Create an action plan to track the steps necessary to achieve each objective.
Possible Strategies Values Impact Clarity Leverage Economic Trends
Total Points
Apply the following criteria to each strategy, ranking them on a scale of 1-3 for each criteria:Low (1), Medium (2), High (3) *If using these criteria to apply for funding, consider the questions with asterisks as wellThen add up the total points for each strategy to see what scores highest and might be the first priority.Values: Is it consistent with our personal, community and organizational values and mission? *Does it align with our prospective funder’s mission and priorities—consider the customer? Impact: How much difference will the proposed action make on the curves we are trying to turn and the results we want to achieve for our customers and community? *Can we show results within the funding time frame?Clarity: Is the idea concrete enough to be implemented? Who will do what for whom? Leverage: Do we have the necessary people/relationships/resources to implement it? *Does the funding allow for building our capacity to do so?Economic Trends: Are there funding sources for this type of strategy? Do we have a competitive advantage? Is demand for the desired customer results growing?
Adapted from Trying Hard is Not Good Enough and The Nonprofit Strategy Revolution
Feasibility
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Action Plan Timeline
Proposed8/19
RecruitPrioritize
9/19–10/19Goals
SMARTIE Objs
11/19–12/19Action
Planning
01/20Write Draft
02/20Final Plan!!!
Actual8/19
Recruit Prioritize
9/19–11/19Goals/SMARTIE Objectives
11/19–2/20 Iterative Master List
3/20–6/20 Feedback
(COVID) Draft…
Making of the Master List!
Making of the Master List!
Action Plan – Draft – Master List• Notes for Introduction/Overview
• Shared Values• Health Equity, Accessibility & Inclusion• Consistent Messaging• Shared Risk and Protective Factor Framework• Continuum of Care• Sample visuals (i.e. timeline, Continuum of Care)
• 3 Main Strategy Areas• Objectives/Action Steps
Coalition Input
• First impressions? Clarifications?• Missing major elements?• Feasibility for an all-volunteer Coalition?• How to ensure inclusion and health equity
throughout?• Alignment with current or future work?
Successes (so far!)• Achieving consensus on strategies to reduce
headline indicator (falls injuries/deaths)• Inviting multidisciplinary input• Maintaining investment• Synthesizing - Master List
• Values clarification• 3 Goals, 19 objectives with detailed action
steps*
Challenges
• Finding a balance of structure • Assigning cross-cutting strategies (i.e. Messy
overlap!)• Ensuring health equity and inclusion• Working during COVID-19
Lessons Learned• Open process – participation & feedback• Volunteers• Flexibility• 3 Goals, 19 objectives with detailed action
steps*
Action Planning Process –Next Steps
September FPAW:
Final 5-yr plan
June: Input back to Work GroupsJuly: Draft Intro Sections/Steering CommitteeAugust: Finalize Draft
AcknowledgmentsWork Group Co-Chairs
Nicolle Miller NC Center for Health & Wellness at UNC Asheville
Tish Singletary NC Office of Rural HealthRebecca Freeman NC Division of Adult and Aging ServicesAngel Vanover Centralina Area Agency on AgingNatalie Tunney Centralina Area Agency on AgingVicki Tilley University of North Carolina Geriatric
Workforce Enhance ProgramLindsay Bailey University of North Carolina Trauma Center -
Injury Prevention
Collaboration & Coalition Building
Ashley Abode Realo Discount DrugsKathie Smith Association for Home and Hospice Care of NCNicolle Miller NC Center for Health and Wellness at
UNC AshevilleSherée Vodicka NC Alliance of YMCAsTish Singletary NC Office of Rural HealthToni Chatman Wake Area Health Education CenterTricia Smar Duke Trauma Center – Injury PreventionNathan Boucher Durham VA Health System, Duke Univ.Jeff Horton NC Senior Living Association
Prevention Across the Continuum of Care
Diane Saccone YMCA of Western North CarolinaLeigha Jordan Moses Cone Hospital Lindsay Bailey University of North Carolina Trauma Center -
Injury Prevention Lori Schrodt Western Carolina UniversityVictoria Tilley University of North Carolina Geriatric
Workforce Enhance ProgramScott Pokorny NC Division of Mental Health, Developmental
Disabilities & Substance Abuse Services
Public Awareness, Education & Advocacy
Angel Vanover Centralina Area Agency on AgingKathleen Cody American Bone HealthKristin Ferriter Carolina Meadows, Inc.Martha Y. Zimmerman McDowell CHAMP CoordinatorMary Hall Vidant Health/Eastern NC Falls
CoalitionNatalie Tunney Centralina Area Agency on AgingRebecca Freeman NC Division of Aging and Adult
ServicesSharon Rhyne NC Division of Public Health
