Performance Partnerships Producing Results with Smoking Cessation.ppt

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1、Performance Partnerships:Producing Results with Smoking Cessation,Smoking Cessation Leadership Center,What is a Performance Partnership?,Partnership organized around a specific,measurable resultModel developed in the 90s that has produced a variety of measurable results in areas from reducing child

2、abuse and teen pregnancy to salmon restoration and bay cleanup,The Performance Partnership Model,Model requires assembling a group of partners all interested in attacking the same issueModel asks four questions,The Four Questions,Where are we now?(baseline)Where do we want to be?(target)How will we

3、get there?(multiple strategies)How will we know we are getting there?(measures),Setting the Baseline,Need a jumping-off point against which to measure progressStatistical baselines are good teen pregnancy rates,school dropout rates,childhood immunization ratesIn the case of smoking cessation how man

4、y clinicians intervene with smoking patients?,Setting a Target,This requires complete agreement on a single measurable outcomeAgreement on the what rather than the howThis provides the focus for the partnership,Multiple Strategies,No one party owns the answer to“How will we know we are getting there

5、?”Allow a wide array of strategies even competing strategies to be used by the various partnersLoose governance structureThis maximizes engagement and commitment among partners,Measures Keep Partners on Track,Devise a measurement strategyBoth process and outcome measures are neededIf measures are mo

6、ving in the wrong direction,regroup and rethink strategiesPublicize progress to keep partners involved,Celebrate Successes,As you progress toward your goal,honor those who are making a differenceAdd new partners as you goTolerate a messy process;just keep communications lines open among partners,An

7、Example:The Smoking Cessation Initiative of the ADHA,Thirteen dental hygienists from clinical practice,academe,and the association formed a task forceLeadership from elected president of ADHASupport from Smoking Cessation Leadership CenterFacilitation from expert on performance partnerships,How ADHA

8、 Answered the Four Questions,Where are we now?About a quarter of hygienists intervene with patients who use tobacco.Where do we want to be?We can double that in three yearsHow will we get there?Very broad work plan using state affiliates to deliver at the grass roots.How will we know we are getting

9、there?Develop an evaluation plan with pre-and post-tests.,The SCI Communication Plan,Developed a web site Created a liaison in each state affiliate organizationCreated scripts and protocols to help clinicians broach the subject of quitting with patientsPublicized the initiative through local channel

10、s and nationally through newsletter and meetings,The Partnership Prototype,American Dental Hygienists Association represents the nations 130,000 dental hygienists.The newly elected president agreed to put tobacco cessation on her short list of projects for her term of office.She chose 14 movers and

11、shakers for a tobacco task force,including two past presidents,the next president and a key association staffer.,The Partnership Prototype,SCLC held a meeting in September 2003.Group agreed on baseline 25 percent of hygienists now intervene with their clients regarding tobacco.Target 50 percent in t

12、hree years.,The Approach,Multiple strategies centering around referral to quitlines and raising awarenessImplemented through the state affiliate organizations,which have named tobacco liaisonsMeasurement of progress to be aided by ADHAs research institute and by academic members of task force,The Re

13、sults,56 percent of respondents offered tobacco treatment at all or most visits.71 percent of respondents focus on and intervene with higher-risk clients,including clients with tobacco-related oral findings.Of those who visited the web site,78 percent said they had incorporated cessation information

14、 from the site into their practice.,Lessons Learned,Performance Partnerships,Performance Partnerships,Use data as a tool for motivation and management.,Performance Partnerships,Information technology can accelerate measurable progress dramatically.,Performance Partnerships,Circumvent hierarchy and t

15、urf.,Performance Partnerships,Focus on measurable results tied to a vision.,MEASURABLERESULTS,VISION,Performance Partnerships,Draw from all sectors and all levels of government using an open door policy.Dont forget to include non-traditional partners.,Performance Partnerships,Focus on better use of

16、existing resources.peoplemoneytime,Performance Partnerships,Employ multiple strategies.Allow partners to“agree to disagree”on the strategy as long as they agree on the result.,Performance Partnerships,Measure progress frequently.,Measuretoday!,Performance Partnerships,Agree to flexibility in exchang

17、e for accountability.,Performance Partnerships,Generally,use an inductive approach rather than a deductive approach-just get started!,Performance Partnerships,Tolerate mesy messyn messiness and asymMetRy.,Performance Partnerships,Encourage self-organizing efforts.,Performance Partnerships,Reward pro

18、gress,but remember rewards dont have to be financial.They can include lots of positive attention,flexibility,increased trust and other non-traditional benefits.,Performance Partnerships,De-emphasize programs.Emphasize partnerships and cross-sector initiatives.,Example of a State Initiative,The New C

19、alifornia Gold Rush,Our Hopes for This Summit,Strengthen our partnership with family physiciansDevelop a solid work planHelp with implementationProvide ongoing technical assistance,For more information on implementing a Performance Partnership in your area,contact Catherine Saucedo at csaucedomedici

20、ne.ucsf.edu or call 415.502.8880.http:/smokingcessationleadership.ucsf.edu,MajpjMVcyzj21HLfrvy96dv02lPPfYgxUS7IYmZkyEmZ0kGeYZS3bpLCkYH1lt4EK7CxmUX3ijoYSOer7ZuaVWYgz4EpZrUirVpMzzvNtf1XZw5oswSXOtFaejnOcmfE1lZgnN1RSXg8wLCG8CVQ3XPJMvodPFWcpiYJgZazNSEPNIaklYSu7qSd1UpaxmZDlpN9zW7kljfsLCLi26Yv109ffbnDH8LbU

21、N1G6ACURQ39eG12KHL9tXsZ1jzgoCK8g1kuNOh5eFvcmVT5ZYVQt9zk3rp3qLnf02FovEXxVRxjCcFRNppiJljNiOuk6fONnyX7fyGg7sXZ49BmCN5oy9VesHpKzdjTKwjrkCEQCFDehVmGax3lrOEbw63VscA3YSijtUKoCyiLzAlVRp7l4QgPNHxvJFFDyjUVN3oHlMah0XBd4uTbkfPIhHtw0evPmYOrdhEDoPwvYhzlGplU1AU9mpyiCXH8gpPCBRYjq77VcnbXumNE1yGfyTsbSj89J63kRTKDkKUg3

22、mdS5sJ4X5cQ8dK7oW9IkScssECQdz2O9UTlpRjAFPChjhLdzopQzwxQf8ozdzOhogwAooXpUF83BX4C3jRgjDJiiXEUDMaNz4vQ4n164vspddHvOIVuBBdMA4xp1YhiHk0vOJ8TL1BxogzVlMpmod6ianYGmksQq6NWCEd56hZF4wfaNyZcrGfNxnPiG6ZAxSkfmhJAKtNmCqbRmppeXp8inz4eq3HkWCMSORyMMX522xpHG6basNr6KQfbZsFbHjzyNlJrruLolKFcC84dqfijBO5Dy2NaBcNEBPgQrT12PgpcKx2or2YChN5DPjs80zzdtdAdTKuW4uVv9bbZu3K2SZ2aEhTlIC1UqrIWibkzwHh6p8gLv26zr01mJybfOzFc4T7kQH1IpPwOzMDnAKPLsLrznXGjFNIA9bSWWms6ibKZwQIKrMzalwbFrQJvOP1rPH8rx2KkyYqrtQk5VRwM1HSX,

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