Development and Implementation of the 2000–2002 West Virginia State Health Plan

1. Development and Implementation of the 2000–2002 West VirginiaState Health Plan

2. Learning Objectives • Describe components of a statewide health policy development strategy • Identify aspects of facilitating successful policy implementation • Discuss techniques to establish and sustain partnerships in health planning activities

3. Overview of West Virginia • Rural state • Aging population • Health status • Economic conditions • Health care system resources

4. Components of a Statewide Health Policy Development Strategy • 1998 • Preliminary Survey • Issue Survey

5. Components of a Statewide Health Policy Development Strategy • 1999 • Issue selection • Development of issues, chapters and policies • Public involvement - written comments, teleconference and Summit • Policy ranking • State Health Plan Policy revisions and finalize Plan

6. Components of a Statewide Health Policy Development Strategy • Role of Issue Paper Authors • Provide background research • Develop problem statement to analyze issue • Draft policy recommendations • Identify potential solutions • Assess plausibility and feasibility of policy recommendations

7. Components of a Statewide Health Policy Development Strategy • Role of the Health Care Authority • Coordinate the process • Establish the advisory group • Analyze author’s issue papers • Develop descriptive sections and implementation strategy for the Plan • Obtain public involvement • Publicize and distribute Plan

8. Strategic Policy Issues • Health status and health system issues • Access • Accountability • At-risk populations • Coordinated health-related information networks • Financing and cost • Promotion of a coordinated health care system • Public health • Quality of care • Rural health

9. Members of the Plan Process • Health Care Authority • State Health Plan Group • Group facilitator • Authors of issue papers • Public commenters • Summit participants • Lead agencies • Governor

10. Aspects of Facilitating Successful Policy Implementation • 2000 • Gubernatorial approval • Design policy implementation process • Select lead agencies and obtain commitment • 2001 • Prepare annual report • Initiate lead agency reporting activity • Begin to assess and plan for the future

11. Aspects of Facilitating Successful Policy Implementation • Start early to build support and pace the work • Establish priorities and consider options • Identify and involve key stakeholders and decision makers • Determine actions and resources needed • Work cooperatively with others and negotiate • Communicate often and effectively

12. Aspects of Facilitating Successful Policy Implementation • What do you consider to be the status of your State Health Plan policy implementation? Preparation29% Action50% Intervention14% Mobilization7%

13. Techniques to Establish Partnerships in Health Planning Activities • Establish a sense of purpose and a clear vision • Provide regular communications • Involve major stakeholders • Form a guiding advisory group • Assure resource needs • Actively manage the process

14. Using Partnerships • Generate and prioritize issues • Review plans and analysis • Recommend priorities • Set standards • Evaluate decisions • Help obtain support • Pace activities

15. Techniques to Sustain Partnerships in Health Planning Activities • Motivate • Mobilize • Monitor • Celebrate

16. Conclusions • Clearly define your issue • Leadership is about change...learn about change theory • Recognize that the process is just as important as the product • Establish a framework to succeed • Account for the requirements of implementation in Plan development • Use advisory groups effectively • Create opportunities to include all interested groups • Assess and reassess the process over time • Be flexible

17. West Virginia Health Care Authority • Website: http://www.hcawv.org/shp.htm • E-mail: lsovine@hcawv.org