Learning from the Coordinated Chronic Disease Project

During my time in the public sector, I observed many stakeholder engagement processes that went really well and led to meaningful change. Unfortunately, I also process observed like this:

Picture of two men sparringParticipants arrive. They have been told it’s an opportunity to provide input to an important planning process. After listening to a 20 minute presentation, audience members sign up to share their input. In three minute comments, audience members rush to get to their main point, largely focusing on their strongly held views. As the staff listen, they feel exhausted by the idea of bridging all these conflicting priorities. The information is mostly left unused in the final plan.

This week’s blog highlights a real life example on how to put your stakeholder engagement process successfully into action so you never have to sit through or participate in a process like the one described above.

Tips to Make your Stakeholder Engagement Efforts Successful

In my last blog, I thought I could do this on my own: Why engaging stakeholders throughout your initiative is so important, I shared what stakeholder engagement is and why it is important. I also offered four tips to make your stakeholder engagement process successful, including defining your stakeholders early in the process, developing a stakeholder engagement plan, developing a communication plan, and using a high-quality facilitator. Please keep your eye out for our upcoming checklist that has a bit more detail about each tip and how to put them into action.

Making it Happen – The Coordinated Chronic Disease State Framework

In 2012, Spark implemented a stakeholder engagement process to develop the Coordinated Chronic Disease State Framework, an initiative led by the Colorado Department of Public Health and Environment.  Here’s how we did it:

noun_341553_ccThe stakeholders were identified. We worked collaboratively with CDPHE to identify a broad range of stakeholders at the state and local level. The stakeholders included local public health, higher education, health care providers and associations, community organizations, state agencies, advocacy organizations, provider and family members, board members, funders, and researchers.

noun_14382A stakeholder engagement plan was developed & implemented. We used a two-pronged approach by hosting seven community forums and convening a State Advisory Team. Over 125 stakeholders attended forums in Montrose, Frisco, Denver, Sterling, La Junta, Alamosa, and Durango. They and the Advisory Team gained a deeper understanding of a coordinated chronic disease approach, provided input on themes and approaches from the community forums and prioritized strategies to include in the framework.

noun_33104_ccA communication plan was developed and implemented. We partnered with the CDPHE Health Communications Unit to develop messages and materials to reach our stakeholders. A monthly newsletter was distributed, meetings were broadcast and archived on-line, a webpage was created on CDPHE’s website, and messages were sent out through Twitter and Facebook.

noun_175971_ccAll meetings were facilitated thoughtfully. Our staff facilitated the community forums and State Advisory Team meetings. Our approach to facilitation established trust and engaged all members. For community forum participants, this was their experience:

 

Participants arrive and have been told that the state is seeking to develop a coordinated approach to chronic disease programming. After listening to a presentation on CDPHE’s chronic disease efforts and a cross-walk of state chronic disease plans, participants self-select into small groups. The groups discuss their vision for the coordination of the chronic disease programming and discuss action steps in five domain areas (community-clinical linkages, health systems, policy and environmental changes, education and communications, and data surveillance). Each group reported their small group discussions out to the large group. They are told how their information will be used by CDPHE and the State Advisory Team before adjourning.

The  Take-Away

Not every stakeholder participation process is going to look just like my example here. Every situation is different, and every set of stakeholders in a particular issue will have their own challenges to face. But I’m hoping that by telling you this story – about how we’ve engaged stakeholders about the Coordinated Chronic Disease State Framework – you might see not only how the change you seek might be advanced by engaging your stakeholders thoughtfully, but also how to accomplish that engagement.

Resources
  • Community Toolbox Stakeholder Engagement Tools: The Community Tool Box is a big fan of participatory process. That means involving as many as possible of those who are affected by or have an interest in any project, initiative, intervention, or effort. In this section, they discuss how to find and involve the right stakeholders and respond to their needs.
  • Brochures on Public Involvement, Environmental Protection Agency: Due to extensive mandates requiring public involvement in environmental processes, the EPA has provided many tools on their website for engaging a broad range of stakeholders. In particular, the brochures are relevant to engaging the public on any issue. They provide steps and information on budgeting for public involvement, identifying people to involve, technical assistance, outreach, using public input, evaluating public involvement, improving public meetings, and overcoming barriers.
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