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Goal 2: Program Collaboration and Service Integration (PCSI)

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Objective Strategy Progress
2A. Expand programmatic flexibility to facilitate program collaboration and the integration of services at the client level.

I. Review all non-research, programmatic funding opportunity announcements (FOAs) for NCHHSTP divisions to ensure the inclusion of language and performance measures in support of PCSI.

Indicator: Number of non-research FOAs in alignment with PCSI principles annually)

FY 2011-2012 Accomplishments

  • Incorporated PCSI language into 6 new NCHHSTP FOAs.
  • Developed standard language describing the priority of addressing sexual health and is now being included in relevant FOAs.

FY 2013 Plans

  • By the end of 2013 all of the core FOAs will be aligned with the PCSI goal and outline concrete deliverables that are required grantee activities.

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Goal is completed.

II. Organize and coordinate activities to ensure cross-division involvement in the development of FOAs and program guidance.

FY 2011-2012 Accomplishments

  • Published a single integrated FOA for HIV, viral hepatitis, STD, and TB prevention for the Pacific Islands.

FY 2013 Plans

  • Develop implementation plans to provide monitoring and technical assistance for this integrated FOA.

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Goal is in progress.

III. In an era of health reform, encourage and support jurisdictions to identify and remove administrative barriers to PCSI; review local epidemiology for co-morbidities; and develop and implement locally appropriate strategies.

FY 2011-2012 Accomplishments

  • Completed development of the “Passport to Partner Services” course. A version of the course is being piloted.
  • The six PCSI grantees developed implementation plans and are in the process of implementing service integration activities described in these plans.

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Goal is in progress.
2B. Align surveillance systems, policies, standards, and procedures so that surveillance data can be accessed and used for integrated public health interventions, integrated programmatic planning, and evaluation.

I. Develop guidance that facilitates data sharing between programs and that identifies and removes barriers to surveillance integration.

FY 2011-2012 Accomplishments

  • Published Data Security and Confidentiality Guidelines for HIV/AIDS, Viral Hepatitis, STD and TB in December 2011.

FY 2013 Plans

  • Division of HIV/AIDS Prevention, in collaboration with the Council of State and Territorial Epidemiologists, is planning multiple seminars on data sharing, security and confidentiality.

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Goal is in progress.

II. Produce integrated surveillance reports that enhance understanding of co-morbidities and syndemics.

Indicator: Number of integrated surveillance reports published (by 2015)

FY 2011-2012 Accomplishments

  • The NCHHSTP Atlas (an interactive surveillance tool) was released in January 2012.
  • Published an Integrated Epidemiologic Profile for Asians, and Native Hawaiians and Other Pacific Islanders.

FY 2013 Plans

  • Additional plans underway to create epidemiologic profiles within ATLAS and provide more granular data with additional functionalities.

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Goal is in progress.

III. Assess and demonstrate the feasibility and acceptability of integrated surveillance.

FY 2011-2012 Accomplishments

  • The Community Viral Load guidance was distributed in August 2011.
  • DHAP hosted a consultation with HRSA in March 2012 to address lab data reporting and use for monitoring HIV.
  • Held external consultation to: 1) Provide recommendations for surveillance requirements and associated processes that take advantage of health information technology opportunities and 2) Define options for the future configuration and harmonization of the HIV, viral hepatitis, STD, and TB case surveillance systems.

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Goal is in progress.
2C. Identify and promote opportunities for integrated trainings, cross-training, and training on integration for NCHHSTP and jurisdictions.

I. Enhance collaboration and coordination between NCHHSTP training units and identify opportunities for integration.

Indicator: Integrated trainings developed (by 2012)

FY 2011-2012 Accomplishments

  • PTCs are participating in numerous Federal Training Center Collaboration (FTCC) regional and national-level projects to integrate training courses and materials. FTCC partners are CDC (DSTDP, DHAP, DTBE, and DVH), HRSA/HAB, OPA, and SAMHSA and their training programs grantees.

FY 2013 Plans

  • Develop individual and organizational training assistance for providers in private sector and CHCs to address clinical training needs post-ACA.

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Goal is completed.

II. Enhance capacity to cross-train CDC staff (headquarters and field), partners, and staff in jurisdictions and territories.

FY 2011-2012 Accomplishments

  • NCHHSTP developed a contract for an online data security and confidentiality training for project officers.

FY 2013 Plans

  • Develop a web-based training on the newly published Data Security and Confidentiality Guidelines. The training will increase the knowledge and awareness of NCHHSTP project officers about the guidelines.

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Goal is in progress.

III. Identify and assess evolving training needs and opportunities in a transformed health system.

Goal is in progress.
2D. Implement, maintain, and evaluate support systems, policies, structures, and activities designed to enhance PCSI.

I. Maintain cross-division work groups to develop guidance and coordinate program efforts for MSM, drug users, and other populations with multiple health disparities.

Indicator: Number of integrated guidelines and recommendations published (annually)

FY 2011-2012 Accomplishments

  • Convened cross-division workgroups focusing on surveillance, MSM, drug users, corrections, PCSI, health equity.
  • MSM Framework completed and steps to implement and monitor in division are underway.
  • Published “Integrated Prevention Services for HIV Infection, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis for Persons Who Use Drugs Illicitly: Summary Guidance from CDC and the U.S. Department of Health and Human Services” in MMWR Recommendations and Reports.

FY 2013 Plans

  • Implement NCHHSTP MSM prevention plan.

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Goal is in progress.

II. Identify and support opportunities for integrated program guidelines and recommendations and facilitate access to information that will improve integrated public health practice.

FY 2013 Plans

  • Explore development of integrating or harmonizing data release agreements with jurisdictions.

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Goal is in progress.

III. Incentivize PCSI activities for work plans at the individual, branch, division, and center levels.

FY 2013 Plans

  • Develop a mechanism to incentivize PCSI activities within programs, with national partners, and at the state and local levels.
  • Insert PCSI language in 2013 performance plans for project officers and consultants.

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Goal is in progress.
2E. Conduct research and evaluation related to PCSI.

I. Facilitate and encourage behavioral, health services, and communications research and epidemiological studies related to PCSI in a transformed health system.

FY 2011-2012 Accomplishments

  • Disseminated a collaboration assessment rubric and made revisions to a qualitative interview guide. Guidance for APR was revised to obtain more quantitative and qualitative responses to assist with answering evaluation questions identified.
  • Announced a call for papers in Public Health Reports related to program collaboration and integrated service activities.

FY 2013 Plans

  • Complete a midcourse review of PCSI activities internal and external to CDC.
  • Publish a PCSI supplement in Public Health Reports.
  • Work with the National Network of Public Health Institutes to develop a national inventory of public health laws and policies by jurisdiction that affect the delivery of holistic, integrated prevention services.

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Goal is in progress.

II. Collaborate with federal and other partners to develop a sexual health research agenda.

FY 2011-2012 Accomplishments

  • Hosted a consultation on sexual health with partners and stakeholders. A report from this meeting, “A Public Health Approach for Advancing Sexual Health in the United States: Rationale and Options for Implementation” was published in June 2011.
  • Convened a national coalition of partners to address sexual health.
  • Completed communication research on sexual health.
  • Sponsored a supplement on sexual health for the journal Public Health Reports.

FY 2013 Plans

  • Publish Public Health Reports supplement on sexual health.

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Goal is in progress.


FY 2010-2011 Goal 2: Program Collaboration and Service Integration (PCSI)
 
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