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Innovators in schools, communities, workplaces and the health care system are proving the value of addressing chronic disease in building a healthier America. Working together at local, state and national levels, we can develop innovative, common sense solutions to our current health care system crisis. The Partnership to Fight Chronic Disease encourages you - as policymakers, community leaders and those with a vision for change - to use this tool to develop and support meaningful changes that will make a difference. Population health improvement is the foundation upon which a true health care system must be built. Following this roadmap will set us in the right direction toward quality, affordable health care and full, productive lives for all.
1. Define problem and program objective
Identify and clearly describe problem, program objective and target population using relevant, reputable data. Success is defined at inception and measures included in plans.
2. Tailor to the target population
Tailor program and its resources to achieve objectives within the target population. Program materials and approach must reflect cultural sensitivities, health literacy levels and be relevant to the target population.
3. Engage leadership
An individual or group is responsible for the program and its success. Leaders promote participation, shepherd resources and provide overall, ongoing support. Engagement of leaders with particular influence over the target population is key. Leaders commit to engage foe the length of time required to achieve the objective and are willing to experiment.
4. Coordinate among stakeholders and across settings
The program engages the target population and those who can help achieve program success. Coordination involves collabration, consistent communication and transparency of program processes, data and goals among stakeholders and across settings. Stakeholders adopt the program's objectives and promote the program within their respective spheres of influence.
5. Integrate throughout the organization or community
Program becomes part of the culture, messages and activities of the organization or sponsor and the target population.
6. Empower target population
Program engages with the target population to develop knowledge needed to achieve the desired results. Programs promote engagement by identifying and removing informational, financial, procedural and access barriers.
7. Motivate target population
Encourage participation by offering rewards, recognition and access to tools. Program manage change, builds individual accountability and regularly communicates about program achievements and individual successes.
8. Sustain and institutionalize program
Program is sustained and continues over time through support and appropriate focus from key leadership and maintains financial viability. Changes to policy were achieved.
9. Measure, evaluate and refine program
Program includes ongoing evaluation, assesment of gaps between outcomes and stated goals, and evolves to improve outcomes, achieve refined goals or meet evolving needs.
Download the roadmap here (PDF - 365 KB, 2 pp).