Preventing Chronic Disease | Process Evaluation of a Regional Public Health Model to Reduce Chronic Disease Through Policy and Systems Changes, Washington State, 2010–2014 - CDC

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Preventing Chronic Disease | Process Evaluation of a Regional Public Health Model to Reduce Chronic Disease Through Policy and Systems Changes, Washington State, 2010–2014 - CDC

Process Evaluation of a Regional Public Health Model to Reduce Chronic Disease Through Policy and Systems Changes, Washington State, 2010–2014

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Lina P. Walkinshaw, MPH; Caitlin Mason, PhD; Claire L. Allen, MPH; Thuy Vu, MPH; Paj Nandi, MPH; Patti Migliore Santiago, MAOM; Peggy A. Hannon, PhD, MPH

Suggested citation for this article: Walkinshaw LP, Mason C, Allen CL, Vu T, Nandi P, Santiago PM, et al. Process Evaluation of a Regional Public Health Model to Reduce Chronic Disease Through Policy and Systems Changes, Washington State, 2010–2014. Prev Chronic Dis 2015;12:140446. DOI: http://dx.doi.org/10.5888/pcd12.140446.

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Abstract

Introduction
Although the regionalization of public health systems has been well documented in the case of emergency preparedness, there is little literature on the application of regional approaches to other aspects of public health. From 2011 through 2014 the Washington State Department of Health implemented a Community Transformation Grant to support community-level policy and systems changes to decrease chronic disease risk factors and increase access to clinical preventive services. The Department of Health implemented the grant through a regional model, grouping 32 of the state’s 35 local health jurisdictions into 5 regions. Our process evaluation identifies the challenges and facilitators to Community Transformation Grant planning and implementation.

Acknowledgments

The WA DOH funded this evaluation through the CTG. We thank our interview participants for their contributions.

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Author Information

Corresponding Author: Caitlin Mason, Health Promotion Research Center, University of Washington, Department of Health Services, 1107 NE 45th St, Ste 200, Seattle, WA 98105. Telephone: 206-685-4373 Email: cemason@uw.edu.

Author Affiliations: Lina P. Walkinshaw, Claire L. Allen, Thuy Vu, Peggy A. Hannon, University of Washington, Seattle, Washington; Paj Nandi, Patti Migliore Santiago, Washington State Department of Health, Olympia, Washington.

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References

1. Koh HK, Elqura LJ, Judge CM, Stoto MA. Regionalization of local public health systems in the era of preparedness. Annu Rev Public Health 2008;29:205–18.CrossRef PubMed
2. Stoto MA. Regionalization in local public health systems: variation in rationale, implementation, and impact on public health preparedness. Public Health Rep 2008;123(4):441–9. PubMed
3. Hyde JK, Shortell SM. The structure and organization of local and state public health agencies in the U.S.: a systematic review. Am J Prev Med 2012;42(5, Suppl 1):S29–41. CrossRef PubMed
4. Mays GP, Smith SA, Ingram RC, Racster LJ, Lamberth CD, Lovely ES. Public health delivery systems: evidence, uncertainty, and emerging research needs. Am J Prev Med 2009;36(3):256–65. CrossRef PubMed
5. Edwards JC, Stapley J, Akins R, Silenas R, Williams JR. Lessons learned from a regional strategy for resource allocation. Biosecur Bioterror 2005;3(2):113–8.CrossRef PubMed
6. Konkle KM. Exploring shared services collaboration in Wisconsin local public health agencies: a review of the literature. Madison (WI): Institute for Wisconsin’s Health Inc; 2009.
7. Libbey P, Miyahara B. Cross-jurisdictional relationships in local public health: preliminary summary of an environmental scan. Princeton (NJ): Robert Wood Johnson Foundation; 2011.
8. Metzler M. Social determinants of health: what, how, why, and now. Prev Chronic Dis 2007;4(4):A85. PubMed
9. Institute of Medicine. The future of the public’s health in the 21st century. Washington (DC): The National Academies Press; 2003.
10. Bunnell R, O’Neil D, Soler R, Payne R, Giles WH, Collins J, et al. Fifty communities putting prevention to work: accelerating chronic disease prevention through policy, systems and environmental change. J Community Health 2012;37(5):1081–90. CrossRef PubMed
11. Guide to national public health department accreditation (version 1.0). Alexandria (VA): Public Health Accreditation Board; 2013.
12. Centers for Disease Control and Prevention. Community Transformation Grants (CTG) states and communities program descriptions. 2013. http://www.cdc.gov/nccdphp/dch/programs/communitytransformation/funds/programs.htm. Accessed September 12, 2014.
13. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19(6):349–57. CrossRef PubMed
14. Marshall MN. Sampling for qualitative research. Fam Pract 1996;13(6):522–5. CrossRef PubMed
15. Cheadle A, Beery WL, Greenwald HP, Nelson GD, Pearson D, Senter S. Evaluating the California Wellness Foundation’s Health Improvement Initiative: a logic model approach. Health Promot Pract 2003;4(2):146–56. CrossRef PubMed
16. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277–88. CrossRef PubMed
17. Hassmiller S. Turning point: the Robert Wood Johnson Foundation’s effort to revitalize public health at the state level. J Public Health Manag Pract 2002;8(1):1–5. CrossRef PubMed
18. Cheadle A, Hsu C, Schwartz PM, Pearson D, Greenwald HP, Beery WL, et al. Involving local health departments in community health partnerships: evaluation results from the Partnership for the Public’s Health initiative. J Urban Health 2008;85(2):162–77. CrossRef PubMed
19. Bartsch BYD, Keller A, Chung P, Armijo C. Improving access to health through collaboration: lessons learned from The Colorado Trust’s Partnerships for Health Initiative Evaluation. Denver (CO): The Colorado Trust; 2012.