Chronic Disease Integration South Carolinas Experience Chronic Disease

Chronic Disease Integration South Carolina’s Experience Chronic Disease Integration Learning Community Webinar May 28, 2009

South Carolina’s Chronic Disease Integration Story ¡ What are we doing? l l ¡ Change Management Functional Teams How is it going and lessons learned

Chronic Disease Integration ¡ ¡ ¡ Chronic disease integration is a process that brings together categorical programs to identify common goals and work on objectives to achieve them (NACDD) Program integration is NOT about adding more work, but about doing work differently (NACDD) Results: efforts to improve health outcomes are more effective, efficient and focused (NACDD) National Association of Chronic Disease Directors (NACDD)

What are we doing? Change Management ¡ Leadership commitment l Agency leadership l Bureau Director leadership l Public Heath Workers ¡ Integrated organizational structure l Bureau of Community Health & Chronic Disease Prevention: Tobacco, Diabetes, Comp Cancer, Obesity (Physical Activity & Nutrition), Heart Disease/Stroke, Tobacco, Injury, Healthy Schools, PHHSBG, Arthritis + BRFSS ¡ Cross Bureau Integration l CH/CDP & Disease Control & Maternal & Child Health (MCH) & Office of Minority Health (OMH) ¡ Flu Season Team ¡ Adoption of Tobacco Clinical Practice Guidelines in the Local Health Department Clinics (e. g. WIC and FP)

What are we doing? Change Management (cont. ) ¡ Shared Resources l Communication, Epidemiology, Evaluation ¡ Cross Agency Integration l Public Health Informatics Team l Stroke Systems of Care Team (EMS & HD/SP) l Chronic Diseases Surveillance System Team (RWJF Common Ground grant)

What are we doing? Functional Teams ¡ Risk Reduction Team ¡ Chronic Disease Coalition/Partnership Development Team ¡ Joint Evaluation Team ¡ Training & Skills Development Team ¡ Health Ministries Team ¡ Public Health Information Team

How is it going and lessons learned ¡ ¡ ¡ ¡ ¡ Overall, going well Taking time Creating frustration at times Creating energy & Building synergy Leveraging opportunities & increasing program efficiency Reducing duplication Identifying new partners Promoting flexibility to meet the needs of local communities Making an impact on policy & environmental change

How will the FY 09 Collaborative FOA impact our efforts? ¡ ¡ ¡ Creates another opportunity for collaboration Creates flexibility Promotes shared funding and shared planning Provides base for “healthy communities” efforts Emphasizes the need to address health disparities and social determinants of health Move us toward the development of “chronic disease prevention” plan for our state

¡ For more information contact: l Michael Byrd, Ph. D, Director Bureau of Community Health & Chronic Disease Prevention, SC DHEC ¡ byrdmd@dhec. sc. gov