National Association of Chronic Disease Directors January 2013

Dr. Jewlya LynnJason Vahling

Strategic Learning for Chronic Disease Prevention

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Complex Change Efforts Take Time

• Iterative process• Requires constant adaptation

and improvements • Accountability

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• Same populations

• Same channels• Same partners • Collective

impact

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• Chronic disease state plans

• Logic models• 4 domains • Leadership • Communication • Partnerships

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How do we Know it’s Working?

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The Spark Model of Strategic Learning

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Improving strategies

Systemic integration of information

Collective interpretation

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The Five Stages

Get Ready for

Learning

STAGE

Develop Your

Roadmap

STAGE

Focus Your

Learning

STAGE

Systematic Data

Collection

STAGE

Improve Your

Strategies

STAGE

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Six months into implementation of the coaching model 11 out of 15 organizations analyzed had made changes to

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Does it Work?

SAMPLE POLICY CHANGE LOGIC MODEL

Reduced chronic disease prevalence Reduced chronic disease morbidity and mortality Improved quality of life for all

Increased number of policies passed Increased compliance and enforcement of policies

Increased knowledge, attitudes, support of policies Increased number of programs focused on policy change Increased stakeholder coordination& support for policies

# of stakeholders involved Matrix of policy options Messages developed, reach of messages # of cmtys mobilized, reach of advocacy Coordinated policy agenda

Stakeholder involvement Identify policy priorities Educating communities Mobilization communities Develop common framework

Infrastructure and staff Federal, state and private funding State and local partners CD Plan Evidence-Based Practices Data

INPUTS LONG TERM

STRATEGIES AND OUTPUTS

SHORT-TERM OUTCOMES

INTERMEDIAT OUTCOMES

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Learning Teams

• Strategy knowledge• Research &

evaluation skills• Passion for learning

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Breaking Down Your Logic Model and State Plan

Activity

Activity

Activity

Outcome

Outcome

Outcome

End-of-the-Road

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Getting Inside the Black Box

Activity: Develop Common

Policy Framework

Black Box

Output: Coordinated

Policy Agenda

Black Box

Outcome: Increase

Stakeholder Coordination/Support for

Policies

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Unless we know __________________, we won’t know how to improve our strategy.

Focus Your Learning

Only learn where it’s useful!

Systematic Data Collection

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Accurate

Rapid

Useful

PerspectivesUnbiased

• Facilitated dialogue

• Timely

• Includes:

o Results of systematic data collection

o Intuitive learning13

Improve Your Strategies

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Benefits of Strategic Learning

• Increase your ability to achieve your desired outcomes

• Is adaptable to your needs, even as your needs change

• Allows your State Plan to be a living document

• Useful with coordinated and categorical strategies

• Functions as your real time evaluation tool

For more information, please contact Spark Policy Institute at Jewlya@sparkpolicy.com, Jason@sparkpolicy.com or 303-455-1740.

Or visit our website: www.sparkpolicy.com

Thank You