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Priority Settings for CHA (because we can’t always do what we want…)

Priority Settings for CHA (because we can’t always do what we want…). Gianfranco Pezzino Senior Fellow and Strategy Team Leader Kansas Health Institute. Prioritization.

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Priority Settings for CHA (because we can’t always do what we want…)

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  1. Priority Settings for CHA(because we can’t always do what we want…) Gianfranco Pezzino Senior Fellow and Strategy Team Leader Kansas Health Institute

  2. Prioritization A process whereby an individual or group places a number of items in rank order based on their perceived or measured importance or significance Source: APEXPH in practice

  3. Exercise • Look at the list of health issues on the next slide • Take no more than 1 minute to rank on a piece of paper the health issues (most important first) • Be ready to present and justify your ranking

  4. Obesity Alzheimer disease IMR Cancer Vaccine-preventable disease Unintentional injuries Cardio-vascular disease Foodborne disease Mental illness HIV infection Oral health

  5. Report • What are “your” priorities? • How did you come to this conclusion? • Could there be something missing?

  6. Do we have a consensus? • If not, what would it take to get to a consensus?

  7. Key Issues • “…an individual or group places a number of items …” • Each of us has values through which we judge the world • For group prioritization, we need to “combine” values from multiple people • “…based on their perceived or measured importance…” • Some issues have significance beyond statistics

  8. Priority Settings Tools • Many tools available: • “Qualitative”: build consensus, based primarily on perceptions and values (e.g., brainstorming, affinity diagrams, Pareto charts, etc.) • “Quantitative”: use data (e.g., statistics, scores, indexes, evidence of effectiveness) • Mixing tools is often recommended

  9. Resources (all provided) • Handbook, page 6 • Memory Jogger • NACCHO: “Tip Sheet” • Additional resources available upon request

  10. Model for Ranking Process • Decide and refine criteria to use for ranking • Decide relative significance of each criterion (weights) • Define list of potential issues • Use a ranking method of choice, identify 2-6 priority issues • Develop an improvement plan / action plan to address the priority issues

  11. Model for Ranking Process • Decide and refine criteria to use for ranking

  12. How to Reach Consensus on Criteria • Involve the stakeholders in the process • Can start from a provided list of criteria or leave options open • This is a very important step: • If there is no agreement on how to judge each health issue, there can be no real consensus • Vision and mission statements may be helpful

  13. Commonly Used Criteria • MAGNITUDE: How many people are affected? • SERIOUSNESS: How severe is the issue? • STRATEGIES: Is the problem responsive to interventions • FEASIBILITY: How feasible is an intervention to attack this problem? • CONCERN: What is the level of concern in the community?

  14. Model for Ranking Process • Decide and refine criteria to use for ranking • Define list of potential issues

  15. Why Compiling a List of Potential Issues? • People need to know WHAT to rank and prioritize • Start from your data profile: • If relatively few measures, that can be your list • If lots of measures, you need to develop shorter list • Several techniques can be helpful (e.g., nominal group, “dotmocracy”)

  16. Hands-on Activity (5 minutes) • Refer to the handout with KHM priority indicators • Imagine that you have included in your CHA the 20 KHM priority health indicators • Spend a few minutes thinking which 10 indicators should be ranked for priority setting • Put a colored sticker next to the 10 selected indicators on the flip chart (in no particular order) • The 10 indicators with more stickers will be then prioritized

  17. Discussion • What do you think of this method?

  18. Model for Ranking Process • Decide and refine criteria to use for ranking • Define list of potential issues • Use a ranking method of choice, identify 2-6 priority issues

  19. Recap • Now you have: • A list of issues to rank • Criteria for ranking them • Useful techniques: • Nominal Group • Dotmocracy • Multi-voting technique • Others (see handout from North Carolina)

  20. Priority Setting –Individual Scores

  21. Priority Setting – Aggregate Scores

  22. Are We Done Yet…? • Review the results of the ranking process • Does the group members recognize themselves in that list? • Can everyone live with that? • Make adjustments as necessary • Process is only a tool • Process serves the team, not vice versa • Adapt process based on the group’s needs

  23. Model for Ranking Process • Decide and refine criteria to use for ranking • Define list of potential issues • Use a ranking method of choice, identify 2-6 priority issues • Develop an improvement plan / action plan to address the priority issues

  24. Model for Ranking Process • Decide and refine criteria to use for ranking • Define list of potential issues • Use a ranking method of choice, identify 2-6 priority issues • Develop an improvement plan / action plan to address the priority issues Community Health Improvement Plan – Strategic Plan

  25. Kansas Health Institute Information for policy makers. Health for Kansans.

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