STATE TECHNICAL ASSESSMENT TEAM (STAT) BRIEFING BOOK DEVELOPMENT GUIDE
Updated June 22, 2011 TABLE OF CONTENTS
About Safe States 3
About the State Technical Assessment Team Program 3
Developing the Briefing Book 4
Section I: Introduction 6
Section II: Infrastructure 8
Section III: Data Collection, Analysis & Dissemination 14
Section IV: Interventions 20
Section V: Policy 30
Appendices
Appendix A: Table of Contents Template 35
Appendix B: Program Funding Template 36
Appendix C: Core Data Sets Template 37
Appendix D: Injury/Injury Risk Factor Surveillance Template 38
Appendix E: Collaborations/Partnerships Template 39
Appendix F: Major Interventions/Programs Template 41
Appendix G: Link to Core Competencies for Injury & Violence Prevention 43
Appendix H: Major Public Policy Efforts Template 44
Appendix I: Checklist of State Policies 45
2 ABOUT SAFE STATES
The Safe States Alliance (formerly STIPDA) is a national non-profit organization of professionals committed to protecting the health of the public by sustaining, enhancing and promoting the ability of state, territorial and local health departments to reduce death and disability associated with injuries and violence. To advance this mission, Safe States engages in activities to increase awareness of injury and violence as public health problems; provide injury and violence prevention education and training; enhance the capacity of public health agencies to conduct injury and violence prevention programs; and support public health policies designed to advance injury and violence prevention.
For more information about Safe States or the STAT Program, please contact the Safe States National Office at the following address, or visit the Safe States website at www.safestates.org.
Safe States Alliance 2200 Century Parkway, Suite 700 Atlanta, GA 30345 (770) 690-9000, (770) 690-8996 Fax [email protected]
ABOUT THE STATE TECHNICAL ASSESSMENT TEAM PROGRAM
Safe States launched the State Technical Assessment Team (STAT) Program in 1999 and since then twenty eight states have requested and received STAT visits. The program is designed to assess injury prevention within the state health agency, focusing on specific roles, relationships, and performance of the designated injury prevention program. The process brings a team of injury prevention experts into a state for a five-day site visit. During the visit, the team interviews the staff and partners of the state’s injury prevention program and assesses the capacity of the program to conduct primary prevention at that point in time. The team also produces a report on-site which describes the status of the program and makes recommendations for its advancement.
The assessment focuses on four core components of a successful state health department injury prevention program including: 1) Infrastructure; 2) Data collection, analysis, and dissemination; 3) Program/ Intervention design, implementation, and evaluation; 4) Public policy and advocacy.
For purposes of the on-site assessment, standards and indicators related to technical support and training have been incorporated into the other four key components and will not be reported separately.
The assessment often serves to refocus the state by requiring participating states to reflect on their strengths, weaknesses, opportunities, and challenges to success. The STAT process also serves to bring together different members of the injury prevention community and allows individuals to share ideas for program development. The process provides participating states with an outside perspective and important information they need, which is often critical to moving a state agenda forward. In addition, the STAT process provides the team with the opportunity to learn about another state’s program and ultimately to share challenges encountered and successful strategies used among state programs.
3 DEVELOPING THE BRIEFING BOOK
The briefing book prepares team members for the upcoming State Technical Assessment Team (STAT) visit by providing a summary of the state injury prevention program’s past activities and current status. Prior to the site visit, STAT members will read the briefing book and begin to consider the ways in which standards are currently being met and identify gaps in the information provided and issues for further inquiry.
Step 1: Review the standards
State Technical Assessment Teams compare state injury and violence prevention programs to a set of standards and indicators that were developed by Safe States to describe features of a model state injury and violence prevention program. A list of these standards, potential indicators and suggested examples from the STAT Review Guide follow on pages 6-30 of this guide.
The standards and indicators describe actions that the state injury and violence prevention program may take to develop capacity within each component. The STAT Review Guide is the tool that State Technical Assessment Teams use to focus their efforts during their site visits. Keep in mind that the briefing book should help the State Technical Assessment Team measure the work the program is doing for each component, and develop recommendations for future growth.
Also, please note that it is unlikely that any state will have worked in all areas, and some standards and indicators may be more relevant to a state’s current stage of development than others.
Step 2: Compile documents and develop section summaries
The standards and indicators should be used to help state injury and violence prevention programs collect documents for the briefing book. Templates are also provided to ease the collection and documenting process.
When gathering documents, think about the kinds of information that would help the team obtain a basic understanding of your state’s injury and violence prevention program and its unique situation. Examples of documents that may be used to demonstrate activities related to a standard and/or indicator are suggested and may also stimulate ideas regarding other useful documents to include in the briefing book.
Do NOT feel limited by the list provided and include all documents deemed relevant.
Step 3: Put together the briefing book
Safe States has continually worked to ensure that the briefing books are both effective and user-friendly. Please adhere to the following guidelines:
1. Place briefing book contents in a 3-ring binder with locking rings, no more than three inches in width.
2. Use tabbed notebook dividers to separate the binder into 5 distinct sections: I. Introduction
4 II. Infrastructure III. Data IV. Interventions V. Policy
3. Copy documents double-sided when possible to save space and paper.
4. Place a colored piece of paper (ideally card stock weight) between each document in large sections of your briefing book.
5. At the end of each section of the briefing book, include a list of documents that will be available on-site. Typically, these are documents that are too large to include in the briefing book.
6. Use the tables provided in Sections I – V of the Briefing Book Development Guide to provide a brief summary the beginning of each component section. This should include a critical analysis of the program’s work in this area including an assessment of strengths and challenges.
7. After you have finished placing all relevant documents in your briefing book, hand number the pages in the lower right hand corner. The first number should be a Roman numeral indicating the component section. The second number should represent the page within that section. However, for the introduction section, use only the number. (For example: 1, 2, 3, 4…I-1, I-2, I-3…II-1, II- 2…III-1…IV-1…V-1…V-20)
8. Place a Table of Contents in the front of the Binder. List all items in the briefing book and identify the page number for each item. A sample Table of Contents is included in Appendix A.
Step 4: Mail copies of the briefing book
At least nine copies of the briefing book are needed. Send one copy to each State Technical Assessment Team member (contact information for each team member will be provided by the Safe States National Office). Send one copy to the Safe States National Office. Keep one copy available on-site. Send the briefing books at least six weeks prior to the scheduled STAT visit.
5 SECTION I: INTRODUCTION
The background information provided in the introduction section of the briefing book will allow team members to better understand both your state and the injury and violence prevention program. Please remember, this is just a suggested list. Please feel free to include other documents or information that are not listed that would help the team better understand your program.
Organizational charts for the state health department and the injury and violence prevention program
Information about injury and violence prevention program staff Basic information about each staff member, such as: name, degrees, title, brief job description, percent time devoted to the injury and violence prevention program, immediate supervisor (and digital photos of staff members are helpful but not required) Resumes of staff members
Brief history of the injury and violence prevention program
Brief funding history for the injury and violence prevention program (e.g., budget cuts, reorganizations, or other financial impacts on the program over time)
A brief geographic/demographic overview of the state
Small map of the state (on letter size paper)
A brief description of injury-related morbidity and mortality in the state including trends (Note: The majority of data will be included in the data section of the briefing book.)
The names of other sections/divisions/offices within the health department and other state government agencies or community organizations involved in intentional and unintentional injury and violence prevention activities
List of acronyms used in the briefing book (i.e., an “Acronym Key”)
6 SECTION II: INFRASTRUCTURE
Place this table at the beginning of Section II of the briefing book. Use this as an opportunity to briefly describe how your program is addressing each standard/indicator related to Infrastructure and to identify the included supporting documents that have been included as examples. Additionally, the following template has been developed to ease documentation and description of efforts in this area: Appendix B: IVP Program Funding Template
I. In the state health department, there is a designated, functioning, core program which is responsible for providing leadership, coordination, and visibility for injury and violence prevention (IVP).
Indicators Example(s) Brief Description a) The Injury and Violence Prevention Program IVPP’s plan(s) (IVPP) develops and implements a plan to prevent Any other relevant strategic plans and injury in the state, including specific objectives, documents interventions, implementation activities, and Other ______evaluation.
b) IVP is included in all relevant state health and Statewide health plan including IVP safety planning documents. Statewide IVP plan Health Department’s plan including IVP Health Department’s IVP plan Maternal and Child Health (MCH) Block Grant needs assessment and service plan Preventive Health Services Block Grant needs assessment and service plan Other ______
c) The IVPP coordinates and collaborates with other A free standing plan with goals and state agencies to develop a comprehensive objectives that identify potential statewide IVP plan. opportunities, obstacles and implementation strategies Other ______
Updated June 22, 2011 Indicators Example(s) Brief Description d) State law mandates an IVPP. Statute mandating a public health IVPP Other ______e) The IVPP is a key contact for others who are Technical assistance logs interested in IVP. Record of contacts with media, legislators, community and professional organizations, and relevant executive level committees Documentation of referrals to other organizations Information about the number of website hits Other ______f) The IVPP enhances statewide visibility by Press releases informing the State Health Director, other health Program brochure with clear description department programs/offices, public, partners and of the mission of the injury prevention decision-makers about the injury and violence program, what it does, and why it is problem and the program’s value and needed accomplishments. Documentation of actions taken to share information about the value and accomplishments of the IVPP and collaborate with decision-makers and partners (e.g., governor; state health director, state health department public information officer, state health department legislative affairs officer, other department directors and/or staff of other state agencies; consumer and advocacy groups; community coalitions; advisory committee) Website Other ______g) The IVPP develops and utilizes a culturally Marketing plan appropriate marketing plan. Other ______
8 Indicators Example(s) Brief Description
h) The IVPP collaborates with other state level Advisory committee reports agencies, committees and organizations to develop Network activity reports knowledge and awareness of the various IVP Interdepartmental IVP plan activities in place in the state. Participation in state and local committees Other ______
i) The IVPP coordinates and utilizes a statewide List of advisory committee members advisory committee including key internal and Description of role/responsibilities of external stakeholders. advisory committee Advisory committee meeting minutes Advisory committee reports Other ______
j) The IVPP provides leadership to ensure that local List of local grantees grantees receive support from staff. Description of the state program’s role in administering and coordinating local grantees Written procedure for local grantees to obtain financial and technical support from the state program Documentation of training needs assessments for local grantees Other ______
II. The organizational placement and staffing supports a comprehensive statewide IVPP.
Indicators Example(s) Brief Description a) There is knowledgeable and supportive Organization chart oversight of the IVPP. Frequency of meetings with IVPP director’s supervisor Resume of IVPP director’s supervisor Other ______
9 Indicators Example(s) Brief Description
b) The IVPP has a qualified, full-time director. Position description for the IVPP director, % of time devoted to the IVPP, qualifications required Resume of director Participation in state, regional, and national associations, organizations, advisory committees, etc (public health and injury specific) Participation in internal management structures within the health department Other ______
c) Core staff members have permanent positions. Documentation of funding source, employer and physical location of all IVPP staff Other ______
d) A priority is placed on achieving or Equal Employment Opportunity (EEO) maintaining a diverse staff. plan Other ______
e) Staffing includes support staff adequate to Organization chart program needs (e.g., clerical staff). Other ______
III. The IVPP staff receives orientation, basic IVP training, on-the-job training, and continuing education.
Indicators Example(s) Brief Description a) New IVPP staff members are mentored by Mentoring assignments experienced staff members. Agendas which show that expertise is shared at staff meetings or team meetings Other ______
10 Indicators Example(s) Brief Description b) The IVPP’s director establishes mechanisms List or flow chart of systems to facilitate for regular communication among staff. communication Staff meeting schedule Sample of staff meeting agendas or minutes Other ______c) The IVPP director assesses the training needs Resumes of staff members of state staff and creates professional Completion of National Training development plans using the National Training Initiative Core Competency Assessment Initiative Core Competency Assessment Tool. Tool Professional development plans Other ______d) IVPP staff keep abreast of the field, maintain Participation in state and national forums and advance their training in IVP. with colleagues Participation in professional associations, meetings, etc (i.e. Safe States, APHA, etc) Other ______e) The IVPP staff utilizes current information Internet access, subscriptions to IVP resources. journals and list-serves, resource library and teleconferences Agendas from training sessions on topics such as how to locate journal articles, useful websites and search engines, etc Documentation of contacts with national resource centers (i.e. Children’s Safety Network, Suicide Prevention Resource Center, etc) Other ______
11 IV. The IVPP takes action to obtain funding that adequately supports its core functions and is commensurate with the nature and scope of the injury problem in the state.
Indicators Example(s) Brief Description a) Dedicated funding in the state budget for the Evidence of the program’s participation IVPP has been obtained. in state budget processes (memos, meeting minutes, etc) Copies of relevant pages from the state budget that show support for the IVPP Completion of IVP Program Funding template Chart showing program funding for previous 5 years Evidence of working with the Advisory Committee to develop a plan to address dedicated funding issue Other ______
b) The IVPP participates in the priority setting Evidence of the program’s participation processes of the Preventive Health and Health in budgeting and grant processes (memos, Services (PHHS) Block Grant, the Title V meeting minutes, etc) (MCH) Block Grant, the National Highway Other ______Traffic Safety Administration (NHTSA) “402” grant processes, the SAFETY-LU grant processes, and other state and local level budget and grant processes.
c) The IVPP tracks potential funding and Multi-year budgets and list of current maintains funding from diverse sources (i.e., grants and contracts applied for and state, federal and private sources). received, including funding level Budgets or documents of funding from MCH or PHHS block grants List of funding sources utilized and others that may be available Other ______
12 Indicators Example(s) Brief Description d) Funding is available for the implementation of Requests for proposals (RFP) for local IVPPs at the local level. programs Contracts to local agencies or organizations Budget allocations to the IVPP Contracts with private foundations and organizations to obtain funding for local projects Other ______
13 SECTION III: DATA COLLECTION, ANALYSIS & DISSEMINATION
Place this table at the beginning of Section III of the briefing book. Use this as an opportunity to briefly describe how your program is addressing each standard/indicator related to Data and to identify the included supporting documents that have been included as examples. Additionally, the following templates have been developed to ease documentation and description of efforts in this area: Appendix C: Core Data Sets Template and Appendix D: Injury/Injury Risk Factor Surveillance Template.
V. The IVPP has access to and/or collects injury and violence related data.
Indicators Example(s) Brief Description a) The IVPP accesses the 11 core data sets Completion of Core Data Sets Template identified in the Consensus Recommendations Other ______for Injury Surveillance in State Health Departments report.
b) The IVPP collaborates with offices Reports, records or plans of efforts, or responsible for vital records, hospital outcome reports to improve data discharge data and behavioral risk surveys to accessibility, data collection, and analysis develop plans for optimal use of the data. and use (e.g. work plans or meeting minutes) Other ______
c) The IVPP collaborates with offices/agencies Reports or records of efforts to improve that have data on specific types or data collection and analysis and indicators mechanisms of injury, by providing input on of results of those efforts (e.g. work plans the development of plans for optimal use of or meeting minutes) their data, improving the quality of the data, Other ______and improving the data’s utility for prevention purposes.
d) The IVPP conducts needs assessments to Data collection instruments support effective program implementation, Reports of the findings from needs including original data collection and use of assessments existing data sets. Examples of data-based program activities Other ______
14 Indicators Example(s) Brief Description e) The IVPP maintains data or information Variable lists for specific data sets (e.g., systems about priority injuries. playground injuries, firearm-related injuries, or other priority injuries) Other ______
f) The IVPP promotes integration of injury State surveillance plan that includes surveillance and information systems with injury as an integral component general public health surveillance, consistent Reports of data analyses showing that the with the Consensus Recommendations for data office in the state health department Injury Surveillance in State Health routinely analyzes injury data along with Departments report. their other data Demonstration that individual data sets (e.g., vital statistics, hospital discharge data, BRFSS) are used for multiple surveillance purposes Other ______
g) The IVPP provides technical assistance to Reports of technical assistance provided other groups and agencies about surveillance and results of that technical assistance systems and data use (either suggesting new Other ______systems or improving existing systems).
VI. The IVPP strives to improve data quality.
Indicators Example(s) Brief Description a) The IVPP has assessed the completeness and Completion of Core Data Sets template accuracy of all 11 core data sets. Description of reported cases compared to population represented by the data set Results of the specific studies or assessment by data set managers Reports of surveillance system evaluations Documents describing data limitations, strengths and implications for use Other ______
15 Indicators Example(s) Brief Description b) The data collected or maintained by the IVPP Protocol for protecting data meet rigorous quality standards. confidentiality and evidence of implementation Variable definitions that are consistent with research and surveillance data sets used by IVPP Protocol for eliminating data duplication in other sources Documentation of adherence to IRB and other research subject/data protection protocols Other ______c) When reporting on injury incidence rates, the Documentation of use of unique patient IVPP has assessed whether each injury event identifier in each data set or removal or was counted only once. duplicate cases Summary of results from specific studies on data quality Other ______d) The IVPP collaborates with other agencies List of variables and assigned values that and community groups to establish and have been used to assess injury outcome periodically reassess the variables, assigned disparities and explanation of the values and grouping of values in each data set. selection process Other ______e) The IVPP establishes clear operational Definitions of variables used definitions of variables such as “race,” Other ______“ethnicity,” and “socioeconomic status” and provides those definitions in all reports that use the terms.
16 VII. The IVPP conducts data analysis and regularly monitors injury and violence indicators.
Indicators Example(s) Brief Description a) The IVPP conducts surveillance of the 14 Completion of Injury/Injury Risk Factor recommended conditions identified in the Surveillance template Consensus Recommendations for Injury Other ______Surveillance in State Health Departments report.
b) Surveillance data are used to track injury Reports of data identifying or tracking incidence, determine the frequency of leading cause(s) of injury different mechanisms of injury, identify Documentation of how surveillance data groups at highest risk for different have been used to establish prevention mechanisms of injury, and recommend priorities and programs prevention priorities. Other ______
c) The IVPP monitors and reports disparities in Reports of disparities in injury rates injury rates among different groups (e.g., age Documentation of how surveillance data group, gender, race/ethnicity, rural/urban, have been used to monitor disparities in counties/regions). injury rates Other ______
d) As with other health conditions, a mechanism A protocol for alerting officials about is in place to alert state and local health injury hazards, trends, or clusters that officials to injury hazards and injury clusters require a timely reaction and risk factors that require timely Examples of health alerts issued investigations or field studies. Evidence that such events have been identified and investigated Other ______
e) The IVPP uses the results from behavioral risk Documentation of how behavioral risk surveys (BRFSS, YRBS, child health surveys, survey results have been used to monitor etc) to monitor trends in IVP beliefs and trends practices. Other ______
17 Indicators Example(s) Brief Description
f) The IVPP links data sets when it is Identification of common data elements, appropriate and useful to do so. if any, in the 11 core data sets, that enable linkage Data file utilizing at least two of the data sets Other ______
VIII. The IVPP regularly disseminates data.
Indicators Example(s) Brief Description a) The IVPP disseminates reports to relevant Data request log coalitions and partners, including appropriate Examples of data provided programs within the state health department Other ______(e.g., MCH, Health Statistics, Rural/Minority Health), local health departments and public health agencies, hospitals and trauma centers, other state agencies, prevention advocates and practitioners, and all levels of government (state and local), as well as the general public.
b) The IVPP distributes reports on injury List of variables and assigned values that disparities and invites feedback from other have been used to assess injury outcome agencies, organizations, and community disparities and explanation of the groups. selection process Documents requesting feedback on reports Summaries of feedback from other agencies, organizations and community groups Other ______
18 Indicators Example(s) Brief Description
c) Program reports (e.g. state publications, peer- Recent publications reviewed articles, websites, newsletters) are Program reports that have been adapted readily accessible. or formatted for different target audiences (e.g., policy makers, local health departments, media) Other ______
d) IVP staff participate in or make presentations Examples or lists of presentations about to local, state, and national groups about injury and violence data injury and violence data. Other ______
e) Data files or custom data reports are provided Protocol for obtaining data to individuals or groups upon request and in a Data request log timely fashion, consistent with any data Other ______protection regulations.
IX. The IVPP conducts and/or participates in research activities.
Indicators Example(s) Brief Description a) The IVPP collaborates with injury control Documentation of injury research research centers and/or academic centers to priorities conduct research that is related to IVPP Documentation that the IVPP has priorities presented in the state injury plan and collaborative relationships with other are supportive of effective program researchers addressing IVP (e.g. implementation and evaluation. researchers at academic institutions and Injury Control Research Centers) Other ______
b) Data requirements for research are established Documentation of collaboration for in collaboration with program development research design staff and other stakeholders. Other ______
19 SECTION IV: PROGRAMS/ INTERVENTIONS
Place this table at the beginning of Section IV of the briefing book. Use this as an opportunity to briefly describe how your program is addressing each standard/indicator related to Programs/Interventions and to identify the included supporting documents that have been included as examples. Additionally, the following templates have been developed to ease documentation and description of efforts in this area: Appendix E: Collaboration/Partnerships Template, Appendix F: Major Interventions/Programs Template, and Appendix G: Link to Core Competencies for Injury and Violence Prevention.
X. The IVPP collaborates with internal and external stakeholders, reflective of the state’s diverse populations, to promote the development, implementation and evaluation of IVP interventions.
Indicators Example(s) Brief Description a) The IVPP has a process to identify and Records of advisory groups, working include stakeholders from relevant internal groups, task forces, coalitions, steering and external constituencies. committees, focus groups, key informant interviews Documentation of the role of internal and external stakeholders in the strategic planning process Mechanism to maintain stakeholder relationships Other ______
b) The IVPP collaborates with other offices Completion of collaboration/ partnerships within the state health department to template coordinate, enhance and/or integrate IVP Documentation of participation in internal efforts. working groups that meet on a regular basis and address aspects of IVP Documentation of the ways in which the programs are working together and indications of results of those efforts (e.g. sharing program plans, developing joint programs, sharing data, sharing staff or funds, requesting funding support, etc) Description of methods used to maintain collaborative relationships/ coalitions
20 Indicators Example(s) Brief Description Other ______c) The IVPP collaborates with other state Completion of collaboration/ partnerships agencies to coordinate, enhance and/or template integrate IVP efforts by state government. Documentation of the IVPP’s representation at meetings of state agencies Description of methods used to maintain collaborative relationships/ coalitions Other ______d) The IVPP collaborates with non-governmental Completion of collaboration/ partnerships organizations in the state to coordinate, template enhance and/or integrate IVP efforts. Documentation demonstrating that all relevant partners were included in developing a state plan for IVP Description of methods used to maintain collaborative relationships/ coalitions Other ______e) The IVPP collaborates with federal agencies, Completion of collaboration/ partnerships national organizations and colleagues from template other states to inform the state program and Examples of technical assistance and data have an impact at the national level. received from federal agencies, national organizations and colleagues List of ways that staff participates in national associations Examples of information shared with and training provided to national partners Other ______
21 XI. The selection of intervention areas is informed by needs assessments, asset assessments, and data on disparities in morbidity, mortality, and risk factors with an effort to address a wide range of populations and injury areas.
Indicators Example(s) Brief Description a) Community needs and assets inform the List of completed assessments or selection and design of interventions. community diagnoses (e.g., focus groups, interviews, surveys, secondary data analysis) in intervention plans Tools or protocols for needs assessments Other ______
b) Data about injuries – such as severity, Descriptions of how data analyses have prevalence and risk factors – impact the focus directed the selection and design of IVP and design of interventions. interventions Other ______
c) IVP interventions address all ages groups and Description of efforts to ensure that IVP are developmentally appropriate. interventions are developmentally appropriate Other ______
d) IVP interventions address diverse populations Description of target populations served represented in the state. by IVP interventions Other ______
e) IVP interventions target all key causes of List of all key causes of injury and the injury (e.g. motor vehicle traffic, homicide, interventions that are underway to address suicide, poisoning, etc). them Other ______
22 XII. The IVPP staff utilizes proven or promising approaches and considers feasibility and acceptability when developing and/or implementing specific interventions.
Indicators Example(s) Brief Description a) Reviews of the social and scientific literature Reference to literature reviews and inform intervention design. relevant journal articles in intervention plans Other ______
b) Research and program evaluation conducted Intervention plans that reference by the state health agency, academic partners, information obtained through research and professional colleagues inform and evaluation at the state health agency, interventions. academic partnerships, memberships in national organizations, and/or attendance at national meetings Other ______
c) National, evidence-based guidelines and Reference to national, evidence-based standards inform interventions. guidelines and standards in interventions (e.g. the Cochrane collaborative, the CDC’s Guide to Community Preventive Services, Harborview Injury Prevention Research Center’s Best Practices Project, etc) Other ______
XIII. Attention is given to fitting IVP interventions into a culturally appropriate framework of norms, values, roles, and practices.
Indicators Example(s) Brief Description a) IVP interventions demonstrate sensitivity to Descriptions of interventions that ensure and understanding of the unique cultural cultural sensitivity and relevance as well differences within, among, and between as developmental milestones for children
23 Indicators Example(s) Brief Description different populations in the state. and youth Other ______b) IVP interventions reflect the knowledge, Descriptions of actions taken to confirm attitudes, and beliefs of the target population. that interventions appropriately address the target populations’ knowledge, attitudes, and beliefs Other ______
XIV. All IVP interventions are designed to include multi-faceted evaluation and dissemination of evaluation findings.
Indicators Example(s) Brief Description a) An evaluation plan is outlined for each Intervention plans demonstrating program, including qualitative and evaluation design quantitative assessments, prior to Evaluation reports demonstrating use of implementation. qualitative and quantitative assessment Other ______
b) Formative, process, impact and outcome A report of evaluation findings for each evaluation techniques are utilized as intervention/prevention efforts appropriate. Other ______
c) A designated internal or external evaluator is Job description for a designated internal assigned to each intervention. or external evaluator Other ______
d) Evaluation findings are disseminated to Guidelines, reports, newsletters, stakeholders (e.g. staff members responsible conferences, websites, peer-reviewed and for intervention development, professionals other publications, press releases or and academics at the national level, and presentations showing the dissemination agency leadership). of evaluation findings Other ______
24 XV. IVPP’s interventions utilize a comprehensive, multi-level approach.
Indicators Example(s) Provided Reviewer’s Notes a) Interventions employ multiple strategies for Completion of Major Interventions/ prevention including educational campaigns, Program template environmental changes, and enforcement of Other ______new and existing regulations/legislation.
b) Interventions demonstrate a multi-level Completion of Major Interventions/ approach to prevention. Potential levels of Program template intervention include (but are not limited to) Other ______knowledge and skills of individuals, community norms, and institutional practice.
XVI. The state IVPP supports and monitors IVP activities at the local level.
Indicators Example(s) Brief Description a) Local program roles are explicit in state A strategic plan for local IVP with injury plans. identifiable goals and time-framed, measurable objectives Other ______
b) The IVPP promotes the development of local Documentation of the IVPP’s interaction interventions. with local programs. Documentation of provision of local technical assistance Dissemination of recent developments in the field Provision of local data Provision of support materials to local programs and interventions. Sample protocols and resource materials Other ______
25 Indicators Example(s) Brief Description
c) The IVPP monitors the progress of local Site visit reports produced by the IVPP interventions, including required and routine Progress reports produced by local progress reports. programs for the IVPP. Schedule for submission or those reports Reports or minutes or meetings between the IVPP and local partners Other ______
XVII. The IVPP establishes agreements with agencies and individuals to implement IVP interventions.
Indicators Example(s) Brief Description a) The IVPP establishes collaborative Copies of collaborative agreements agreements with agencies and individuals. Other ______
b) The selection process for collaborative Description of collaborative agreement agreements includes an objective review process including consideration of need, size of target Samples of review criteria and score sheet population, resources, skill level. Other ______
XVIII. Progress in achieving the objectives of the state IVP plan or agenda is monitored by state IVP staff.
Indicators Example(s) Brief Description a) A staff member of the IVPP is designated to A job description showing program lead - at minimum - an annual program progress review as a specific staff review. member’s responsibility Copy of an annual progress report Other ______
b) The IVPP reviews the results of state and local Documentation of changes in intervention prevention strategies and interventions in objectives and activities following
26 Indicators Example(s) Brief Description order to consider and implement adjustments. process, impact, and/or outcome evaluations Other ______c) The IVPP seeks input and uses feedback from Description of the method used to solicit its constituency and the general public to public input improve its performance and programming. Records of public hearings and/or circulated draft documents Description of feedback given and the way in which the information was subsequently used Other ______
XIX. The IVPP provides practical IVP training at the basic and advanced levels to professionals (state and local), students, and the public.
Indicators Example(s) Brief Description a) The IVPP offers preceptors and practicums Number of students that have participated for undergraduate and graduate students. in IVPPs Number of staff members that have served as preceptors to students Other ______
b) The IVPP conducts assessments of the Evidence of working with groups to training needs of grantees and other local identify training needs public health providers and provides training Agendas for training programs offered as needed. Other ______
c) The IVPP has established training workshops Description of established training and other training within the state to teach programs and workshops specific skills related to building capacity for Other ______IVP.
d) The IVPP has developed or adapted protocols Number and description of protocols and and training manuals addressing the core training materials utilized competencies for injury prevention Other ______
27 Indicators Example(s) Brief Description professionals to build capacity for IVP.
e) The IVPP staff makes presentations at Number and description of workshops professional conferences and meetings. and presentations conducted Examples of abstracts that have been accepted Examples of PowerPoint presentations that have been developed Other ______
f) The IVPP staff participates in and/or presents Number & description of at seminars offered by Injury Control workshops/presentations Research Centers or other university-based Examples of PowerPoint presentations programs. that have been developed Other ______
g) The IVPP responds to public requests for Number and description of presentations presentations. made to community groups Number of presentations made by local experts, following referrals from the IVPP Other ______
h) The IVPP involves partners in training IVPP curricula, agendas, training programs sponsored by the IVPP. materials and conference programs that show involvement of other partners Other ______
XX. The IVPP provides proactive and reactive technical support.
Indicators Example(s) Brief Description a) The capacity to provide technical support has Description of resources used to provide been demonstrated by the IVPP. Potential technical support (e.g., library, areas include basic IVP, grant writing, educational materials, resource centers,
28 Indicators Example(s) Brief Description surveillance/epidemiology, evaluation, etc) developing or adapting educational materials, Other ______establishing an identify for the program, marketing the program, etc. b) The IVPP provides technical support A log of technical assistance requests and reactively. responses Sample of technical assistance reports Other ______
c) The IVPP provides technical support to Definition of identified needs and improve capacity by identifying and providing examples of support given to partners support to address the specific needs of Other ______various partners. Potential recipients of technical support: local health departments, other local coalitions, state level groups, agencies and organizations, state health departments and national organizations.
d) The IVPP publishes articles in peer-reviewed List(s) of articles and other publications journals, newsletters and other publications. Other ______
XXI. The IVPP integrates IVP and the public health approach into the training of other disciplines.
Indicators Example(s) Brief Description a) The IVPP encourages the inclusion of IVP Lists of conferences and training topics in training programs and conferences programs offered by other partners offered by other partners Curricula, agendas, training materials and conference programs showing the involvement of the IVPP Other ______
b) The IVPP supports academic and research Agendas from academic training partners in providing IVP training. programs that used IVPP materials or staff
29 Indicators Example(s) Brief Description Class outlines that include evidence of the involvement of the IVPP Other ______
30 SECTION V: POLICY
Place this table at the beginning of Section V of the briefing book. Use this as an opportunity to briefly describe how your program is addressing each standard/indicator related to Policy and to identify the included supporting documents that have been included as examples. Additionally, the following templates have been developed to ease documentation and description of efforts in this area: Appendix H: Major Public Policy Efforts Template and Appendix I: Checklist of State Policies.
XXII. The IVPP has access to local, state and federal policymakers to achieve IVP goals.
Indicators Example(s) Brief Description a) The IVPP works within approved structures to Description of mechanisms or protocols influence policy-makers and their staff. for communication with policy-makers around issues related to IVP Examples of involving policy-makers in IVP events/activities Examples of materials sent to policy- makers and/or staff with accompanying cover letters Records of meetings with policy-makers and/or staff Other ______
b) The IVPP testifies at state and local hearings. Copies of testimony or other evidence of participation at state and local hearings (indicate if testimony was given on behalf of the program) Other ______
c) The IVPP participates on boards and Evidence of participation on boards and commissions at the federal, state and local commissions, such as meeting minutes or levels. injury related agenda items. Other ______
31 XXIII. The IVPP monitors the effectiveness of existing state and local policies and disseminates findings.
Indicators Example(s) Brief Description a) The IVPP maintains a record of existing state Completion of checklist of state policies and local policies. template Other ______
b) The IVPP analyzes existing policies and Reports on findings of research and needs disseminates findings. assessments Dissemination plan Copies of publications and reports Descriptions of evaluation designs used Descriptions of analyses regarding the reliability and validity of data and instruments used Cost-benefit analyses of IVP policies Other ______
XXIV. The IVPP reviews proposed legislation
Indicators Example(s) Brief Description a) The IVPP monitors proposed IVP policies. Description of system for identifying relevant bills and proposed regulations Other ______
b) The IVPP requests the opportunity to review Documented communication from the bills. IVPP requesting a review of proposed legislation Other ______
c) The IVPP provides written analyses of Number of legislative bills and proposed proposed policies. regulations analyzed Samples of analyses of proposed legislation Other ______
32 Indicators Example(s) Brief Description d) The IVPP recommends health department List of legislative recommendations made positions for relevant bills. by the IVPP Other ______
XXV. The IVPP collaborates with all appropriate partners, reflective of the state’s diverse populations, to develop and promote policies related to selected IVP issues.
Indicators Example(s) Brief Description a) The IVPP cultivates strategic partnerships that Description of advocacy strategies used influence the adoption of IVP policies. by the IVPP’s partners List of partners that provide testimony at legislative hearings Copies of information or testimony provided by partners Other ______
b) The IVPP participates in groups that are Documentation of the IVPP’s involved in policy change. participation in groups involved in policy change activities Other ______
c) The IVPP provides partners with information Documentation of information provided on pertinent legislative contacts, the to partners regarding legislative contacts, legislative process, and state IVP priorities. the legislative process, and state IVP priorities Evidence of support for IVP priorities in partners’ strategic plans Other ______
d) The IVPP provides model and/or sample Model legislation provided by the IVPP legislation to partners. to partners Examples of information provided to partners about other state laws Other ______
33 Indicators Example(s) Brief Description e) The IVPP provides topic-specific data and Record of topic-specific data and other other information (fact sheets) to partners policy information sent to partners about injury-related policy and advocacy Meeting agendas that reflect the IVPP’s issues. provision of topic-specific data and other policy information to partners Other ______
f) The IVPP assists partners with strategic Documentation of assistance provided by planning and priority setting activities that the IVPP support IVP policy implementation/ Partners’ strategic plans, reflecting IVP enforcement. priorities Other ______
g) The IVPP collaborates with partners to Sections from the strategic plans of the develop and expand a public constituency for IVPP and its partners that specify plans to the public health problem of injuries. increase public support for IVP activities Description of actions taken to increase public involvement in IVP activities Other ______
XXVI. The IVPP participates in the process of policy development to support IVP.
Indicators Example(s) Brief Description a) The IVPP assures that state and local Completion of Major Public Policy legislation is drafted and submitted to policy- Efforts template makers in order to promote IVP activities. Correspondence about legislation in development Information about what happened with drafted legislation that the IVPP supported (e.g., whether hearings occurred, the bill became a law, the governor vetoed, etc) Description of issues addressed by bills that the IVPP supported Other ______
34 Indicators Example(s) Brief Description b) The IVPP assures the development of state Minutes or transcripts from regulatory regulations and other policies that create meetings indicating the involvement of specific IVP measures (e.g., within the health the IVPP in the adoption of regulations department or other departments such as Copies or summaries or regulations education, transportation, law enforcement, developed and the issues addressed by social services, drug and alcohol, mental them (e.g., E-coded hospital discharge health, etc). data, playgrounds to meet CPSC guidelines, etc) Other ______c) The IVPP supports the development of local Demonstrated role of the program in the policies that enact specific IVP measures. adoption of local policies Other ______
35 APPENDIX A: TABLE OF CONTENTS TEMPLATE
Note: This page shows the layout of one page in a briefing book table of contents. Use it to inform the design of the table of contents in your briefing book. Make sure to include a detailed table of contents at the front of your briefing book.
DATA COLLECTION, ANALYSIS, & DISSEMINATION
Name of Document Page number
Data – Section Summary Table..…………………………………………………...II-1
[Document title]…………………………………………………………...... II-5
[Document title]…………………………………………………………...... II-7
[Document title]…………………………………………………………...... II-8
[Document title]…………………………………………………………...... II-12
[Document title]…………………………………………………………...... II-15
[Document title]…………………………………………………………...... II-17
[Document title]…………………………………………………………...... II-18
[Document title]…………………………………………………………...... II-25
[Document title]…………………………………………………………...... II-26
[Document title]…………………………………………………………...... II-28
Documents available on-site………………………………………………………..II- 29
INTERVENTIONS: DESIGN, IMPLEMENTATION & EVALUATION
Name of Document Page number
Interventions – Section Summary Table.…...……………………………………...III-1
[Document title]…………………………………………………………...... III-8
[Document title]…………………………………………………………...... III-9
Updated June 22, 2011 APPENDIX B: IVP PROGRAM FUNDING TEMPLATE
How to use this template: You may use this template if you do not already have a program budget summary written. Simply fill in the boxes. Feel free to supply additional information, as well.
Funding Program/Activity Size of Type (e.g., Length of Status (i.e., source / Personnel grant/ competitive, funding when funds Funded amount block grant) will expire)
37 APPENDIX C: CORE DATA SETS TEMPLATE
Safe States recommends that state injury prevention programs use eleven injury data sets. They are listed in the table below.
Place a check mark in the appropriate column to indicate whether this state’s injury prevention program has accessed the data set, assessed its completeness and validity, analyzed it, linked it to another data set when appropriate, or used it to inform the design, implementation or evaluation of interventions.
Core Data Sets
Name of data set Accessed? Assessed? Analyzed? Linked to Informed another set? interventions? Vital records
Hospital discharge
Fatality Analysis Reporting System (FARS) Behavioral Risk Factor Surveillance System (BRFSS) Youth Risk Behavior Surveillance System (YRBSS) Emergency department
Medical examiner
Child death review
National Occupant Protection Use Survey (NOPUS) Uniform Crime Reporting (UCR) System Emergency Medical Services (EMS)
38 APPENDIX D: INJURY/INJURY RISK FACTOR SURVEILLANCE TEMPLATE
Safe States recommends that state injury prevention programs monitor 14 injuries and injury risk factors, using the 11 recommended data sets. The following table is adapted from Consensus Recommendations for Injury Surveillance in State Health Departments, produced by Safe States in 1999. Check marks indicate data sets that are considered essential. Parentheses indicate data sets that are considered supplementary. Please highlight the check marks that reflect this injury prevention program’s current surveillance activities.
Injury/Injury Risk VR HDD FARS BRFSS, ED ME CDR Other Factor YRBSS Motor vehicle () () () () (EMS) injuries Alcohol in MV () deaths Self-reported seat Both (NOPUS) belt/safety seat use Homicide () () () (UCR)
Suicide () () ()
Suicide attempts Both ()
Firearm injuries () () () (UCR)
Traumatic brain () () injuries Fire and burn () () injuries Smoke alarm use BRFSS
Submersion injuries () (EMS)
Traumatic spinal () () cord injuries* Fall injuries* () ()
Poisoning* () ()
NOTES The asterisks indicate conditions for which Safe States has not come to closure on specific recommendations for surveillance. Traumatic spinal cord injuries (TSCI) – Vital records systems have very low sensitivity in the detection of TSCI. Surveillance systems for TSCI that have been developed in several states have depended on medical record abstraction of hospitalized cases for reliable data collection. Development of a less costly and less labor-intensive approach would put TSCI surveillance more realistically within reach for all state health departments. Fall Injuries and Poisoning – Safe States has not yet developed surveillance case definitions to be recommended for routine use in all states.
39 APPENDIX E: COLLABORATION/PARTNERSHIPS TEMPLATE
The following template has been created to assist the state injury and violence prevention program describe major collaborations and relationships.
I. Major Relationships/Collaborations within the Health Department Potential partners may include (but are not limited to): Maternal and Child Health; Health Promotion; Epidemiology; Emergency Medical Services; Environmental Health; School Health; Substance Abuse; Aging; Chronic Disease; and Occupational Health.
PROGRAM/OFFICE LENGTH OF BRIEF DESCRIPTION OF RELATIONSHIP COLLABORATION/RELATIONSHIP Example: Maternal 7 years Involved in MCH Block Grant processes; collaborate and Child Health on health department injury and violence prevention plan; they serve on our advisory board, work together on child passenger safety program; provide data for their reporting measures…
(add additional lines as needed)
II. Major Relationships/Collaborations with other State Agencies Potential partners may include (but are not limited to): Criminal Justice; Public Safety (State Police); Highway Safety; Mental Health; Department of Education; Social Services; Office on Aging; Labor; Attorney General’s Office; and Child Welfare Agencies.
PROGRAM/OFFICE LENGTH OF BRIEF DESCRIPTION OF COLLABORATION RELATIONSHIP
(add additional lines as needed)
III. Major Relationships/Collaborations with Non-Governmental Organizations Potential partners may include (but are not limited to): SAFE KIDS; Brain Injury Association; health care associations; injury and violence community-based organizations; American Red Cross chapters; MADD/SADD; sports associations; safety council; businesses; consumer groups; youth-serving organizations; universities; injury prevention research centers; religious organizations; and PTAs.
PROGRAM/OFFICE LENGTH OF BRIEF DESCRIPTION OF COLLABORATION RELATIONSHIP
(add additional lines as needed)
40 IV. Major Relationships/Collaborations with Federal Agencies, National Organizations, Others Potential partners may include (but are not limited to): CDC; Safe States; Children’s Safety Network; NHTSA; NFPA; ASHA; and HRSA-MCHB, colleagues in other states.
PROGRAM/OFFICE LENGTH OF BRIEF DESCRIPTION OF COLLABORATION RELATIONSHIP
(add additional lines as needed)
41 APPENDIX F: MAJOR INTERVENTIONS/PROGRAMS TEMPLATE
This template has been developed to assist state injury and violence prevention programs in describing the planning, implementation and evaluation of major programs. This template should be used to highlight examples, but does not need to be completed for every program conducted by the state program. It is useful to provide a variety of examples (i.e., serving different populations, addressing different injury areas, etc.) Please complete one form per intervention and do not leave any questions blank.
Intervention Name:
Injury area(s) addressed:
How long has the intervention been in existence?
Please describe collaboration with internal and external stakeholders in the identification, development, implementation and/or evaluation of the intervention. Stakeholders may include those within state health department, other state agencies, colleges and universities, private and non-profit organizations, business and industry, statewide constituency groups, federal agencies, national organizations, and other colleagues.
Stakeholder Brief Description of Collaboration
What methods were used to select the injury topic: (check all that apply) Assessments/community diagnoses (focus groups, interviews, surveys, secondary data analysis) Data including severity, prevalence and risk factors Availability of resources Politically expedient Part of state strategic plan Grant requirement Other, please describe
What methods were used to select/develop the intervention plan: (check all that apply) Reviews of social/scientific literature Research by state agency, academic partners and professional colleagues National, evidence-based guidelines and standards Other, please describe
42 What age group(s) and/or target populations are addressed by the intervention and how was this population selected?
Describe the strategies (education, environmental change, enforcement of new/existing regulations/legislation) and level (individual knowledge/skills, community norms, and institutional practice) utilized in the intervention plan.
Provide a short description of how the state injury/violence prevention program worked to ensure that the intervention is developmentally appropriate, culturally sensitive and relevant, and reflects the target population’s knowledge, attitudes and beliefs.
Describe the evaluation plan for the intervention. This may include when the plan was developed (i.e., during planning, during implementation, after implementation, etc) and what measurements are used (i.e., qualitative/quantitative, formative, process, impact and outcome).
If applicable, describe how evaluation results/findings have been used and/or disseminated (i.e., through program improvements, reports, newsletters, conferences websites, publications, press releases or presentations).
If applicable, please describe how the intervention has been integrated into other public health program activities (i.e., WIC, EMS, primary care providers, etc):
Does the state injury/violence prevention program use contracts or collaborative agreements to implement this intervention? (If yes, please have copies available on-site for team review)
43 APPENDIX G: LINK TO CORE COMPETENCIES FOR INJURY AND VIOLENCE PREVENTION
This tool was developed by the National Injury and Violence Prevention Training Initiative (NTI) to enhance the use of the core competencies for injury and violence prevention. Its intended purpose is for use in assessing organizational capacity and competency.
Injury and violence prevention practitioners at entry-, mid- and senior levels of a program/agency/organization may use this tool to assess their current standing regarding proficiency in the knowledge and skill areas outlined by the core competencies. These individual self-assessments can then be used to identify gaps in proficiency for individuals within specific areas or across the program/agency/organization as a whole. The document may also be used to plan strategically for program growth, advocate for additional resources, identify proficiencies needed in community partners, assess training needs of staff, prioritize professional development resources, and for assistance in evaluating potential applicants for positions in the organization.
Ultimately, it is anticipated that identification of the variance in knowledge and skills among an organization’s workforce can be leveraged to achieve organizational competency and to create an organization that is competent in the range of skills required to best serve injury and violence prevention programs.
The document was developed to illustrate knowledge and skill areas where the listed professionals should be proficient. In this sense, the document identifies current suggested benchmarks for injury programs. Empty cells indicate that knowledge in this area does not have to be at an advanced level. Injury programs are not identical. Thus, higher or lower levels of proficiency could be applied to each cell depending upon the maturity of a particular program.
To review and print, please visit: http://www.injuryed.org/docs/Proficiency%20Levels%20June %202005.pdf
44 APPENDIX H: MAJOR PUBLIC POLICY EFFORTS TEMPLATE
The following template has been created to assist the state injury and violence prevention program to provide a few examples of major policy-related efforts undertaken by the program during the last 2-3 years. Policy is defined to include legislation, ordinances, and regulations. Please complete one form per example.
Briefly describe the purpose of the policy.
Were your efforts to: (circle one)
Oppose Promote
What methods were used: (check all that apply)
Participated in task force/coalition/group to advocate/oppose policy Provided written analysis of proposed policy Provided recommendation for health department position of proposed policy Provided testimony on behalf of the program at state/local hearings Provided materials to policy-makers (i.e., data to support/oppose, reports, etc) Held meetings with policy-makers and/or staff Provided model and/or sample legislation to partners or policy-makers Drafted and submitted proposed policy Other, please describe
List partners the program worked with to oppose/promote the policy.
Please provide documentation of methods used (i.e., written analysis of proposed policy, meeting minutes from task force, materials provided to policy-makers, copies of testimony, etc).
Describe current status of efforts (i.e., the bill passed, the ordinance was not approved, efforts are still in progress, etc.)
45 APPENDIX I: CHECKLIST OF STATE POLICIES
The following checklist has been created to assist the state injury and violence prevention program briefly describe injury and violence prevention related state laws and regulations, as well as program priorities for upcoming legislative action.
General Injury Prevention/Safety Legislation
Date Brief Description Unique Features/ Enacted Gaps/Enforcement Problems Authorizing legislation for injury/violence prevention program Authorizing legislation for specific groups/activities Specific appropriations for injury prevention Authorizing/protecting injury-related data collection Fire safety (smoke alarm requirements, fireworks restrictions, etc) Water safety (pool requirements, boating while intoxicated, etc) Others
Traffic-Safety Related Laws:
Date Brief Description Unique Features/ Enacted Gaps/Enforcement Problems Child Restraint Mandates (car seats, booster seats, etc) Passenger Safety Belt Requirements DWI-Related Motorcycle Helmet Graduated licensing for young drivers All Terrain Vehicles (ATV) safety laws Bicycle safety laws Pedestrian safety laws Others
46 Violence Related Laws:
Date Brief Description Unique Features/ Enacted Gaps/Enforcement Problems Firearm laws (mandatory trigger locks, registration, etc) Domestic violence related laws Sexual assault laws and programs Child abuse laws and penalties Others
Please describe what legislative priorities are currently being considered for upcoming legislative action.
47