title: A Customizable Model for Chronic Disease Coordination: Lessons Learned From the Coordinated Chronic Disease Program.
abstract: In 2012, the Centers for Disease Control and Prevention provided funding and technical assistance to all states and territories to implement the Coordinated Chronic Disease Program, marking the first time that all state health departments had federal resources to coordinate chronic disease prevention and control programs. This article describes lessons learned from this initiative and identifies key elements of a coordinated approach. We analyzed 80 programmatic documents from 21 states and conducted semistructured interviews with 7 chronic disease directors. Six overarching themes emerged: 1) focused agenda, 2) identification of functions, 3) comprehensive planning, 4) collaborative leadership and expertise, 5) managed resources, and 6) relationship building. These elements supported 4 essential activities: 1) evidence-based interventions, 2) strategic use of staff, 3) consistent communication, and 4) strong program infrastructure. On the basis of these elements and activities, we propose a conceptual model that frames overarching concepts, skills, and strategies needed to coordinate state chronic disease prevention and control programs.
authors.affiliation: Centers for Disease Control and Prevention, 4770 Buford Hwy, Atlanta, GA 30341. Email: kmp9@cdc.gov.
authors.forename: Karen
authors.initials: K
authors.lastname: Voetsch
authors.affiliation: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
authors.forename: Sonia
authors.initials: S
authors.lastname: Sequeira
authors.affiliation: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
authors.forename: Amy Holmes
authors.initials: AH
authors.lastname: Chavez
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D002908:Chronic Disease / Q000191:economics* / Q000517:prevention & control*; D003695:Delivery of Health Care / Q000592:standards*; D006295:Health Resources; D007857:Leadership; D008962:Models, Theoretical; D015397:Program Evaluation / Q000592:standards*; D011635:Public Health Administration; D013219:State Government; D014481:United States