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State Health Department IVP Standards & Indicators - Program and Policy Strategies
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Standards & Indicators for a Model State Health Department Injury and Violence Prevention Program Program and Policy Strategies

 

Program and policy strategies are developed to raise awareness and incite change to reduce the burden of injuries and violence. Programmatic interventions occur when equipment, services, or information are provided to individuals or communities for a defined amount of time and with a specific goal in mind to help in changing individual and group behavior. When strategies focus on laws, regulations, rules, or contracts with the goal of setting a standard or requirement, we classify them as policy interventions. Both can be beneficial and have long term effects on positive behavior change.

 

Click on the standards below to identify specific indicators measuring progress within the Program and Policy Strategies Core Component: 

  1. The selection of policy and program strategies is informed by the best available research evidence (BARE), asset and needs assessments, data on morbidity and mortality, knowledge of risk factors and health disparities, cultural appropriateness, and determinations of feasibility and acceptability
  2. The IVPP has access through normal and recognized channels to educate local, state and federal policy-makers to increase their awareness and knowledge of IVP issues
  3. The IVPP reviews and monitors existing and proposed legislative, organizational, and regulatory policies that affect IVP issues
  4. The IVPP uses multi-faceted evaluation methods and applies these, as appropriate, across its policy and program strategies
  5. The IVPP facilitates practical IVP training on policy and program strategies for professionals (state and local level) and students
  6. The IVPP provides proactive and reactive technical support related to the development, implementation, and evaluation of policy and program strategies.
  7. The IVPP collaborates with all appropriate internal and external stakeholders, which reflect the state’s diverse populations, to promote the development, implementation, and evaluation of IVPP and policy strategies
  8. The state IVPP supports and monitors IVP activities at the local level
  9. The IVPP disseminates evaluation findings to educate and promote awareness regarding IVPP and policy strategies.

Standards and Indicators to Select, Implement, and Evaluate

Effective Program and Policy Strategies

 

P-1. The selection of program and policy strategies is informed by the best available research evidence (BARE), asset and needs assessments, data on morbidity and mortality, knowledge of risk factors and health disparities, cultural appropriateness, and determinations of feasibility and acceptability

 

Indicators

Example(s)

Community needs and assets inform the selection and design of policy and program strategies.

Completed community needs assessment or community diagnoses (e.g., focus groups, interviews, surveys, secondary data analysis) in intervention plans

Tools or protocols for needs assessments

Other (please describe)

Data about injuries — such as severity, prevalence and risk/protective factors —impact the focus and design of policy and program strategies.

Descriptions of how data analyses have directed the selection and design of IVP strategies

Documentation in state plan/strategic plan

Other (please describe)

IVP evidence-informed/based policy and program strategies address the entire lifespan.

 

 

Description of efforts to ensure that IVP policy and program strategies target multiple age groups and are age- or developmentally-appropriate

Documentation in state plan/strategic plan

IVP policy and program strategies address diverse populations represented in the state.

Description of target populations served by IVP policy and program strategies

Documentation in state plan/strategic plan

Other (please describe)

IVP policy and program strategies target key causes of injury (e.g., motor vehicle traffic, homicide, suicide, poisoning, falls) in the state.

List of leading causes of injury and the strategies that are underway to address them

Documentation in state plan/strategic plan

Other (please describe)

Reviews of the social and scientific literature are conducted to determine evidence-based strategies to inform design.

Reference to literature reviews and relevant journal articles in implementation plans

Documentation in state plan/strategic plan

Other (please describe)

Research, national evidence-based guidelines/standards, and program evaluation inform strategies.

Implementation plans that reference the research or evaluation base that informed selected strategies

Evaluation findings from previous initiatives/programs

Reference to national, evidence-based guidelines and standards in strategies (e.g., the Cochrane Collaborative, the CDC’s Guide to Community Preventive Services, CDC technical packages)

Documentation in state plan/strategic plan

Other (please describe)

IVP strategies demonstrate sensitivity to and understanding of the unique cultural differences within, among, and between different populations in the state.

Descriptions of strategies that ensure cultural sensitivity and relevance as well as developmental milestones for children and youth

Description that strategies address social determinants of health

Documentation in state plan/strategic plan

Evidence that the target population for specific strategies (e.g. youth, people of color, specific geographic communities, etc.) were involved in the development of implementation plans (e.g. focus groups, membership on advisory councils, etc.)

Other (please describe)

IVP strategies reflect the knowledge, attitudes, and beliefs of the target population.

Descriptions of actions taken to confirm that strategies appropriately address the target populations’ knowledge, attitudes, and beliefs

Documentation in state plan/strategic plan

Other (please describe)

Policy and program strategies employ multiple approaches to prevention including educational campaigns, environmental changes, and enforcement of new and existing regulations/legislation.

Comprehensive project/program work plans

Demonstrates examples that employ multiple strategies across the social ecology (individual, relationship, community, societal levels)

Completion of Major Interventions/Program template

Provides documentation that demonstrates IVPP uses ecological models such as the Health Impact Pyramid or Spectrum of Prevention to inform program decisions

 

 

 

P-2. The IVPP has access through normal and recognized channels to educate local, state and federal policy-makers to increase their awareness and knowledge of IVP issues

 

Indicators

Example(s)

The IVPP works within approved state health department structures and communication pathways to educate and inform policy-makers and their staff about IVP.

Description of routine, recognized mechanisms or protocols for communication with policy-makers around issues related to IVP

Examples of involving policy-makers in IVP events/activities

Examples of materials sent to policy-makers and/or staff with accompanying cover letters

Records of meetings with policy-makers and/or staff

Examples of bill analyses for the health department

Examples of compilation of best practice policies related to IVP

Staff participation in Safe States Hill Day

Other (please describe)

When invited by the legislature, local government, or the state’s Executive Branch, the IVPP testifies at state and local hearings.

Copies of testimony or other evidence of participation at state and local hearings (indicate if testimony was given on behalf of the program)

Other (please describe)

The IVPP provides information to policy-makers on the best available research evidence to prevent injuries and violence.

 

Correspondence about what evidence was shared to inform legislation in development

Information about what happened with drafted legislation on which the IVPP provided information (e.g., whether hearings occurred, the bill became a law, the governor vetoed)

Description of issues addressed by bills that the IVPP addresses

Other (please describe)

The IVPP participates in state government processes that develop regulations that will impact IVP (e.g., within the health department or other departments such as education, transportation, law enforcement, social services, drug and alcohol, mental health).

 

Minutes or transcripts from regulatory meetings indicating the involvement of the IVPP in the adoption of regulations

Copies or summaries or regulations developed and the issues addressed by them (e.g., E-coded hospital discharge data, playgrounds to meet U.S. Consumer Product Safety Commission (CPSC) guidelines)

Other (please describe)

 

P-3. The IVPP reviews and monitors existing and proposed legislative, organizational, and regulatory policies that affect IVP issues

 

Indicators

Example(s)

The IVPP monitors existing and proposed IVP policies.

Description of system for identifying relevant organizational policies, bills and proposed regulations

Other (please describe)

The IVPP requests the opportunity to review proposed legislation that may affect IVP through appropriate Executive Branch channels.

Documented communication from the IVPP requesting a review of proposed legislation

Other (please describe)

The IVPP provides written analyses of proposed policies.

Number of legislative bills and proposed regulations analyzed

Samples of analyses of proposed legislation and organizational policies

Other (please describe)

The IVPP reviews and recommends health department positions for relevant policies.

List of legislative recommendations made by the IVPP

Number of support/oppose positions adopted by the health department based on IVPP recommendations

Other (please describe)

The IVPP maintains a record of existing state and local regulatory, legislative, and organizational IVP-related policies.

Completion of checklist of state policies template

Documentation of existing state and local legislation and policies

Other (please describe)

 

P-4. The IVPP uses multi-faceted evaluation methods and applies these, as appropriate, across its policy and program strategies

 

Indicators

Example(s)

An evaluation plan is outlined for each program and policy strategy, including qualitative and quantitative assessments, prior to implementation.

Written evaluation plans for program and policy strategies

Copies of evaluation tools (pre- and post-test, surveys)

Copies of logic models for injury program and strategies

Other (please describe)

Formative, process, impact and outcome evaluation techniques are utilized as appropriate.

A report of evaluation findings for each intervention/prevention effort demonstrating the use of qualitative and quantitative assessment

Other (please describe)

The IVPP reviews the results of state and local program and policy strategies in order to consider and implement adjustments.

Documentation of changes in program objectives and activities following process, impact, and/or outcome evaluations

Other (please describe)

A designated internal or external evaluator is assigned to each program and policy strategy.

Job description for a designated internal or external evaluator

Contract with external evaluator describing skills and expertise and details of evaluation to be conducted

Documentation of IVPP or state health department evaluation capacity

Other (please describe)

 

Training and Technical Assistance Standards/Indicators Related to Policy and Program Strategies

 

P-5. The IVPP facilitates practical IVP training on policy and program strategies for professionals (state and local level) and students

 

Indicators

Example(s)

The IVPP has the capacity to provide a variety of training opportunities to new professionals and students (e.g., mentoring, short projects).

Number of students who have participated in state IVPP

Number of staff members that have served as preceptors to students

List of projects/programs ready for student learners

Documentation of outreach to recruit student learners

Examples of projects completed by students and others

Formalized internship programs for students

Webinars or other student/new professional training opportunities for students

Student scholarships to conferences and trainings

Other (please describe)

The IVPP conducts assessments of the training needs of grantees and other local public health providers, and provides training on policy and program strategies, and their evaluation, as needed.

Evidence of working with groups to identify training needs

Agendas for training programs offered

Assessment reports

Other (please describe)

The IVPP holds or promotes trainings with other IVP partners to teach specific skills and core competencies related to IVP policy and program strategies and their evaluation.

 

Description of established training programs and workshops

Link to archived webcasts

Evidence of promoting or presenting as part of Injury Control Research Center training opportunities.

Evidence of promoting or presenting during regional network or national peer learning webinars/trainings

Other (please describe)

 

P-6. The IVPP provides proactive and reactive technical support related to the development, implementation, and evaluation of policy and program strategies

 

Indicators

Example(s)

The IVPP has documented capacity to provide appropriate, timely and current technical support.

Description of resources used to provide technical support (e.g., library, educational materials, resource centers)

Availability of staff to provide support

Other (please describe)

The IVPP proactively and reactively upon request provides technical support on policy and program strategies and their evaluation.

 

Log of technical assistance requests and responses

Sample of technical assistance reports

Documentation of priority technical assistance/support areas (e.g., needs assessment)

Log of technical assistance requests and responses

Sample of technical assistance reports

Documentation of how support is offered/promoted (e.g., Website copy, letters to partners, presentations)

Other (please describe)

 

Partnership Standards/Indicators Related to Policy and Program Strategies

 

P-7. The IVPP collaborates with all appropriate internal and external stakeholders, which reflect the state’s diverse populations, to promote the development, implementation, and evaluation of IVPP and policy strategies

 

Indicators

Example(s)

The IVPP has a process to include stakeholders from relevant internal and external constituencies to provide feedback, advice, and/or assistance in identifying and implementing IVP strategies.

Records of advisory groups, working groups, task forces, coalitions, steering committees, focus groups, key informant interviews

Documentation of governance documents (e.g., bylaws, terms of reference, mission statements, charters, rules of procedure)

Mechanism to maintain stakeholder relationships (e.g., travel reimbursement, remote meeting access, project funding, food)

Other (please describe)

The IVPP collaborates with other offices within the state health department to coordinate, enhance and/or integrate IVP policies and programs.

Documentation of participation and contribution to internal working groups that meet on a regular basis and address aspects of IVP

Documentation of the ways in which the programs are working together and indications of results of those efforts (e.g., sharing program plans, developing joint programs, sharing data, recommending new ideas to improve the programs, sharing staff or funds, requesting funding support)

Description of methods used to maintain collaborative relationships/ coalitions

Other (please describe)

The IVPP cultivates strategic partnerships to provide accurate evidence, data and information to inform the implementation of IVP best practices, regional laws and policies, and evaluations of the impact of policy changes.

Examples of data and information shared with partners

Description of strategies used by the IVPP’s partners to develop, implement, and evaluate policy change (including legislation, funding, regulations)

Copies of information or testimony provided by partners

Other (please describe)

The IVPP provides topic-specific evidence, data and other information to partners about injury-related policy and programmatic issues.

Record of topic-specific data and other policy and programmatic information sent to partners (e.g., reports, policy briefs, fact sheets)

Meeting agendas that reflect the IVPP’s provision of topic-specific data and other policy and programmatic information to partners

Other (please describe)

The IVPP provides technical assistance, when requested, to partners with strategic planning and priority setting activities that support IVP best practice policy implementation/enforcement.

Documentation of assistance provided by the IVPP

Partners’ strategic plans, reflecting IVP priorities

Other (please describe)

The IVPP collaborates with partners to educate the general public on why injuries and violence are a public health problem.

Sections from the strategic plans of the IVPP and its partners that specify plans to increase knowledge of IVP and IVP activities

Description of actions taken to increase public involvement in IVP activities

Other (please describe)

The IVPP collaborates with national, regional, state, and local organizations related to IVP policy and programmatic strategies.

Evidence of participation on boards and commissions, such as meeting minutes or injury-related agenda items.

Other (please describe)

 

P-8. The state IVPP supports and monitors IVP activities at the local level

 

Indicators

Example(s)

The IVPP promotes the development of local IVP strategies.

Documentation of the IVPP’s interaction with local programs

Documentation of provision of local technical assistance or training

Dissemination of recent developments in the field

Provision of local data

Provision of support materials to local programs

Sample protocols and resource materials

Contracts with local partners for grant programs

Local grantee reports

Other (please describe)

The IVPP supports implementation of local strategies for IVP.

 

Site visit reports produced by the IVPP

Progress reports produced by local programs for the IVPP, schedule for submission or those reports

Agenda, reports or minutes of meetings between the IVPP and local partners

Examples of providing technical assistance

Memorandums of understanding between IVPP and local programs

Funding contracts with local partners

Other (please describe)

The IVPP establishes collaborative agreements with local health agencies and other organizations to advance IVP at the local level.

Copies of collaborative agreements

Contracts with local partners for grant programs

Other (please describe)

 

 

Communications Standards/Indicators Related to Policy and Program Strategies

 

P-9. The IVPP disseminates evaluation findings to educate and promote awareness regarding IVPP and policy strategies.

Indicators

Example(s)

Evaluation findings are disseminated to stakeholders (e.g., staff members responsible for intervention development, professionals and academics, and agency leadership).

Dissemination plan for evaluation findings

Guidelines, reports, newsletters, conferences, websites, peer-reviewed and other publications, press releases or presentations showing the dissemination of evaluation findings and/or other analyses (e.g., cost-benefit analyses)

Other (please describe)

The IVPP publishes articles on policy and program strategies and their results in peer-reviewed journals, newsletters, and other publications.

List(s) of articles and other publications

Other (please describe)

 

 

The development of the standards and indicators was supported by CE13-1307 (Safe States Alliance) from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.

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