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National Public Health Improvement Initiative

2011 National Public Health Improvement Initiative (NPHII)
Grantee Meeting

Atlanta, Georgia
March 30 – April 1, 2011

Improving Performance in Chronic Disease Prevention

Speakers: Ursula Bauer, PhD, MPH, Director of the National Center for Chronic Disease Prevention and Health Promotion, CDC

Key Themes and Highlights:

  • Individual health depends on community health
  • Increasing efficiency and impact with the Coordinated Chronic Disease Prevention and Health Promotion Grant Program (CCDPP)
  • Proposed structure for the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

Presentation: Improving Performance in Chronic Disease Prevention

Questions and Answers:

Q: What happened to DASH?

A:  DASH is currently funded at $57 million with $40 million for HIV prevention activities and $17 million for chronic disease prevention and health promotion.  The 2012 President’s Budget shifts funding for HIV work from the National Center for Chronic Disease Prevention and Health Promotion to the National Center for HIV, Hepatitis, STD and TB Prevention.   The non-HIV portion of DASH’s budget is not large enough to sustain a division. Therefore, DASH’s non-HIV activities will be moved to a new division within NCCDPHP.

Q: What is the status of the Youth Risk Behavior Surveillance System?

A: The YRBSS is an essential tool in tracking priority health-risk behaviors. CDC is committed to continuing the YRBSS. A final decision has not been made regarding which center will house the YRBSS.

Q: When will we see real time electronic disease surveillance system with GIS?

A: I am not aware of any current efforts to move to real time electronic disease surveillance systems with GIS. In general such a system would be a challenge from a fiscal and data collection perspective. We are currently evaluating the potential of uses of electronic health records and other emerging technologies to improve interventions that will prevent the onset of chronic disease.

Q: With the current reorganization, what efforts are being made for coordination across the divisions?

A: One of the underlying reasons for the reorganization is to increase the level of coordination across the chronic disease and risk factor programs at the Center.  Subject Matter Expertise (SME) will continue to be sustained within each division. In addition, we will implement three main efforts:

  • Collaboration across chronic disease programs to ensure effective delivery,
  • Determining how to support project officers so that they deliver consistent technical assistance and support to funded programs, and
  • Developing a clear and operational approach to achieving health equity.

Q: How do you incorporate building capacity to focus on performance improvement in FOAs?

A: Our focus for the Coordinated Chronic Disease Prevention and Health Promotion Grant Program is to align funding with disease outcomes.  This emphasis is of particular importance given the current environment that is placing a greater emphasis on accountability and outcomes. We believe that the CCDPP is an opportunity to demonstrate that sustained state investments that build chronic disease capacity and support coordinated program investments can improve program efficiencies and enhance health impact. 

Q: How did you decide to divide population health from community health?

A: We recognized that we need to organize ourselves in a way that best positions us to deliver on new opportunities such as the Community Transformation Grants and the Coordinated Chronic Disease Prevention and Health Promotion Grant Program. Mindful of the current federal fiscal climate, we are seeking ways to be more efficient in our use of funds and ensure that every dollar we invest has the greatest impact in preventing chronic disease and promoting health.

 

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