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Spread, Scale, and Sustainability in Population Health-Workshop in Brief
Pages 1-8

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From page 1...
... McGahan stated, "The easiest way to fail in spreading, scaling, and sustaining population resilience is trying to spread interventions that are not effective, to scale nonscalable activities, and to try to sustain outcomes that patients don't want." Effective interventions require figuring out how to spread, scale, and sustain outcomes that are desired at the level of the individual, community, and population, she said. "Why is it so difficult for us to take what is sound, what has worked locally, to a larger scale?
From page 2...
... Demonstration and Evaluation Before starting demonstration projects, Steven Kelder of the University of Texas School of Public Health and cocreator of the Coordinated Approach to Child Health (CATCH) said, he and his colleagues conducted studies evaluating the impact of their interventions on children's health in Dallas schools; for example, they "piggybacked" on existing fitness standard testing to show that schools and districts that implemented their interventions at a higher rate showed a stronger effect on health outcomes than other schools.
From page 3...
... The Legacy Foundation partnered with hotel chains to make hotels 100 percent smoke free, said Cheryl Healton of New York University. Sally Herndon of the North Carolina Division of Public Health worked with the Department of Housing and Urban Development to provide incentives to make affordable housing smoke free.
From page 4...
... Jeannette Noltenius, former national director of the National Latino Tobacco Control Network, said that scaling up the impact of smoke-free policies in racial, gender, and ethnic minority communities by disseminating information and mobilizing support is difficult to do when there is not enough money at the local level to partner with states or other stakeholders. Noltenius and Brian King of the Centers for Disease Control and Prevention commented that a lack of data that are relevant to a particular community can also add to the challenge of making equitable interventions.
From page 5...
... Noltenius commented that California initially funded 160 community-based organizations at the height of national efforts to control tobacco, and now there are 34. Healton stated that the biggest challenge is that when people stop smoking as a result of the success of campaigns, the tobacco industry responds forcefully, and that makes it harder to have a sustained impact.
From page 6...
... Accelerating Spread and Scale in Population Health George Isham of HealthPartners, Inc., asked McCannon his thoughts on when to initiate scaling up and what would be the equivalents of 100,000 homes or 100,000 lives (an initiative of the Institute for Healthcare Improvement) for the population health field's goals of prolonging life expectancy and increasing equity.
From page 7...
... http://www.isqua.org/docs/ http://sssw.hunter.cuny.edu/cti education-/options-for-large-scale-spread-of simple-high-impact-interventions-910.pdf? sfvrsn=0 National Latino Tobacco Control Network (accessed March 16, 2015)
From page 8...
... The California Endowment José Montero Association of State and Territorial Jacqueline Martinez Garcel Health Officials and New Hampshire For more information about the Roundtable on Population New York State Health Foundation Division of Public Health Services Health Improvement, visit www.iom.edu/pophealthrt or e-mail Mary Lou Goeke Mary Pittman pophealthrt@nas.edu. United Way of Santa Cruz County Public Health Institute Marthe R


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