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Steps Towards Sustainability

Steps Towards Sustainability. Jim Krieger, MD, MPH Steps National Grantees Meeting June 5, 2007. What do you want to sustain…. Programs and services? Policies? Coalitions? Relationships? The Steps Model? Accumulated knowledge and experience? Your youth?. Choosing what to sustain… .

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Steps Towards Sustainability

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  1. Steps Towards Sustainability Jim Krieger, MD, MPH Steps National Grantees Meeting June 5, 2007

  2. What do you want to sustain… • Programs and services? • Policies? • Coalitions? • Relationships? • The Steps Model? • Accumulated knowledge and experience? • Your youth?

  3. Choosing what to sustain… • Passion for the initiative • Coalition members • Constituents • Clear benefits • Effectiveness • Feasibility and adaptability • Opportunities

  4. What do you want to sustain?

  5. Strategies for sustainability… • Embedding into practice • Implementing policies • Building capacity and leadership • Maintaining relationships • Developing lessons learned and passing them along

  6. Strategies for sustainability… • Securing resources (programs) • Budget line item • Donated/shared resources • Local funders (private and public) • Fee-for-service • Securing resources (coalition) • Donated staff and leadership time

  7. What strategies will you use?

  8. Tools for sustainability • Engage community leaders from the beginning • Develop a business/strategic plan • Develop data to make the case • Gap assessment (the need) • Program effectiveness and cost-effectiveness (the solution) • Evidence from the literature • Program evaluation data

  9. Tools for sustainability • Prepare promotional materials • Stories and photos • Newsletters • Brochures • Websites • Press clippings • Etc.

  10. Tools for sustainability • Make a plan • Problem statement • Goals • Objectives • Activities • Evidence • Resources needed • Make a one-page summary in plain English

  11. Tools for sustainability • Advocate with decision makers and senior leaders • Figure out who they are • Develop relationships with them • Identify champions among them • Develop systematic approach to mobilizing membership/partners for advocacy • Build advocacy skills of partners • Seek media coverage

  12. Tools for sustainability • Build leadership and skills… • In organizations: to sustain programs • In coalition: to sustain efforts • Seek continuity of participants • Individuals • Organizations • Integrate service/program into routine operations

  13. Tools for sustainability • Build partnerships and nurture relationships • Convene • Link • Develop relationships with local funders/foundations • Grant writing

  14. What tools will you use?

  15. Examples from King County Steps to Health • Embed into practice: Clinical Quality Improvement • Secure resources: Community Health Workers • Implement policies: School Wellness • Spread the Steps ModelHealthy and Active Rainier Valley

  16. Embed in practice: Clinical Quality Improvement • Goal: Improve asthma care and overweight prevention • Strategy: Embed • Tools: • Improvement Model • Data • Champions/Leadership Development • Advocate with Clinic Leadership

  17. Embed in practice: Clinical Quality Improvement

  18. Secure resources: Community Health Workers • Goal: Fund CHWs to provide home visits for children with asthma • Strategy: Secure Medicaid funding • Tools: • Community advocacy team • Legislative champions • Proposal for legislative staff • Partner mobilization

  19. Secure resources: Community Health Workers

  20. Implement policies: School Wellness • Goal: Create school environments that support healthy eating and active living • Strategy: Support district in developing healthy policies • Tools • Champions • Data and evidence • Partner mobilization • Staffing for committees (nutrition and PE)

  21. Develop partnerships:Healthy and Active Rainier Valley • Goal: Make Rainier Valley a community that supports healthy eating and active living • Strategy: Build a local coalition to integrate partner efforts and enthusiasm • Tools: • Convening • Linking • Technical assistance • Seed funding

  22. Lessons we have learned • Takes a long time • start early… • but never too late • Use multiple strategies and tools • Have a strategic plan with benchmarks • Go for easier, early successes

  23. Lessons we have learned • Champions are key • elected officials • institutional leaders • opinion leaders • strong community advocates • Retain paid staff

  24. So, what are you going to do when you go home? http://www.metrokc.gov/health/steps/

  25. Examples from King County Asthma Forum • Sustained active coalition until funding ended • Built capacity to take on new challenges: Steps, obesity, etc.

  26. Examples from King County Asthma Forum • Transitioned most effective activities to other organizations/coalitions • Learning Collaborative • CHWs • Applied lessons learned to new coalitions • Maintained relationships

  27. Implement policies: Healthy Eating in Schools

  28. Implement policies: Physical Activity in Schools

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