Difference between revisions of "Effective Action Planning and Implementation"

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= Introductory Paragraph =
 
&nbsp;


= Background =
<div class="_">
After bringing stakeholders together, gathering and analyzing data, and identifying needs and priorities in terms of services and programs, the next step is for the coalition to collectively develop an action plan that addresses those identified needs, and then, support its implementation.&nbsp; Working together in close coordination during this process is as important as ever, so that all stakeholders have buy-in and are accountable.&nbsp; While the experience of communities varies, there are some common principles that consistently appear.&nbsp;
After bringing stakeholders together, gathering and analyzing data, and identifying needs and priorities in terms of services and programs, the next step is for the coalition to collectively develop an action plan that addresses those identified needs, and then, support its implementation.&nbsp; Working together in close coordination during this process is as important as ever, so that all stakeholders have buy-in and are accountable.&nbsp; While the experience of communities varies, there are some common principles that consistently appear.&nbsp;
</div>
= Key Components to an Effective Action Plan =
Substance misuse and substance use disorder is a complex problem whose solutions are numerous across the continuum of care.&nbsp; What specific solutions are put into an action plan will vary widely, as will the approach different communities take.&nbsp; Some communities, like Dayton, Ohio, have a complex organizational structure to their Community Overdose Action Team, which includes a planning section charged with development and revision of an action plan.&nbsp; This section works closely with the data unit to provide status reports to the larger group and evaluate different initiatives within the plan.&nbsp; Most community coalitions have less structure where specific tasks, like creating an action plan, are done by the entire coalition or where all or most members provide input.&nbsp; Whatever the scope of the effort, there are some key components needed to develop an effective action plan.&nbsp; Communities should also note that action plans are living documents and they will need to be constantly reviewed and revised to address new realities and lessons learned along the way.&nbsp;&nbsp;
== Setting Clear Strategies ==
When gaps and additional service needs are identified, the community coalition can begin to map out a set of actions and strategies to achieve desired outcomes.&nbsp; These outcomes first need to be agreed upon by the community coalition.&nbsp; From there, a set of action items can be added to achieve each intended outcome. Many community coalitions - especially those with a large number of members - will break into working groups or committees around each strategy or objective.&nbsp; Naturally those members who are subject matter experts and work in specific fields can take the lead in developing a plan and outlining the details for that specific strategy.
When formulating these plans, it is important that expectations are realistic and that the actions identified can be achieved.&nbsp; Even when action plans are revised due to changing data and lessons learned, achieving progress is important to keeping participants energized and motivated so communities may consider planning for small and early wins first.
== Identifying Members to Lead Implementation of Strategies ==
It is important for all participants to know what part of the action plan they are responsible for leading the implementing.&nbsp; This lays the groundwork of expectations between members and trust that each participant will carry out their portion of the plan.&nbsp; These responsibilities should be clearly spelled out in writing so there is no confusion or misunderstanding.&nbsp;&nbsp; Although a coalition member may be helping to coordinate the activities of members, it is the responsibility of each member to be accountable and help achieve progress.&nbsp;
&nbsp;
== Developing Short- and Long-Term Goals with Timelines ==
Once the group as a whole or sub-group agrees to an action plan, it is important to create timelines to complete each activity.&nbsp; As steps are taken to address both short- and longer-term goals, trust is built between the members working toward a common outcome.&nbsp; As with the actions themselves, the timelines need to be reasonable and achievable.&nbsp; Having a range of timelines helps keep members engaged and have a sense of accomplishment.&nbsp; Some coalitions will have short-term goals that can be achieved in 30 or 60 days, mid-term goals that are several months out, and long-term goals that can be expected to take a year or more.
== Identifying Resources ==
Part of creating an achievable action plan is identifying and securing any financial and other resources that are necessary.&nbsp; There are a variety of funding sources that&nbsp;support planning&nbsp;and programs.&nbsp; Sources of funding&nbsp;include:
Local or state government.&nbsp; (grants or direct funding)


Federal grants.
= Key Information =


Philanthropic Organizations
'''Key Components to an Effective Action Plan'''<br/> Substance misuse and substance use disorder is a complex problem whose solutions are numerous across the continuum of care.&nbsp; What specific solutions are put into an action plan will vary widely, as will the approach different communities take.&nbsp; Some communities have a complex organizational structure to their coalition, which includes a planning section charged with development and revision of an action plan.&nbsp; This section works closely with the data unit to provide status reports to the larger group and evaluate different initiatives within the plan.&nbsp; Most community coalitions have less structure where specific tasks, like creating an action plan, are done by the entire coalition or where all or most members provide input.&nbsp; Whatever the scope of the effort, there are some key components needed to develop an effective action plan.&nbsp; Communities should also note that action plans are living documents and they will need to be constantly reviewed and revised to address new realities and lessons learned along the way.&nbsp; Check out SAFE Project’s Community Playbook<ref>https://www.safeproject.us/safe-community-playbook-and-safe-solutions/</ref> for an action plan template.&nbsp;&nbsp;


Support from the business/corporate community.
'''Setting Clear Strategies'''<br/> When gaps and additional service needs are identified, the community coalition can begin to map out a set of actions and strategies to achieve desired outcomes.&nbsp; These outcomes first need to be agreed upon by the community coalition.&nbsp; From there, a set of action items can be added to achieve each intended outcome. Many community coalitions - especially those with a large number of members - will break into working groups or committees around each strategy or objective.&nbsp; Naturally those members who are subject matter experts and work in specific fields can take the lead in developing a plan and outlining the details for that specific strategy.<br/> When formulating these plans, it is important that expectations are realistic and that the actions identified can be achieved.&nbsp; Even when action plans are revised due to changing data and lessons learned, achieving progress is important to keeping participants energized and motivated so communities may consider planning for small and early wins first.


Grassroots and direct fundraising campaigns and events.
'''Identifying Members to Lead Implementation of Strategies'''<br/> It is important for all participants to know what part of the action plan they are responsible for leading the implementing.&nbsp; This lays the groundwork of expectations between members and trust that each participant will carry out their portion of the plan.&nbsp; These responsibilities should be clearly spelled out in writing so there is no confusion or misunderstanding.&nbsp; &nbsp;Although a coalition member may be helping to coordinate the activities of members, it is the responsibility of each member to be accountable and help achieve progress.&nbsp; For example, coalition members not tasks with a specific strategy can still help to track milestones, maintain community momentum, and update key community stakeholders as progress is made.


What is important is that the action plan take these needs into account and develop steps to secure any needed resources.&nbsp; Without needed funding community groups will be unable to meet their goals and objectives.
'''Developing Short- and Long-Term Goals with Timelines'''<br/> Once the group as a whole or sub-group agrees to an action plan, it is important to create timelines to complete each activity.&nbsp; As steps are taken to address both short- and longer-term goals, trust is built between the members working toward a common outcome.&nbsp; As with the actions themselves, the timelines need to be reasonable and achievable.&nbsp; Having a range of timelines helps keep members engaged and have a sense of accomplishment.&nbsp; Some coalitions will have short-term goals that can be achieved in 30 or 60 days, mid-term goals that are several months out, and long-term goals that can be expected to take a year or more.<br/> &nbsp;


== Plan Implementation ==
'''Identifying Resources'''<br/> Part of creating an achievable action plan is identifying and securing any financial and other resources that are necessary.&nbsp; There are a variety of funding sources that support planning and programs.&nbsp; Sources of funding include:


As work begins on implementing the plan, a process begins whereby actions are taken, effectiveness is assessed, and modifications to the plan are made.&nbsp; The constant evaluation of progress is an ongoing effort.&nbsp; Often goals are added and changed, as well as changes made in those responsible for implementing parts of the plan.&nbsp; It is important to have the expectation from the start that almost nothing goes exactly as planned.
*Local or state government (grants or direct funding)
*Federal grants
*Funding through philanthropic organizations
*Support from the business/corporate community
*Funding from grassroots and direct fundraising campaigns and events


== Tracking of Progress and Outcomes ==
What is important is that the action plan take these needs into account and develop steps to secure any needed financial resources.&nbsp; Without funding community groups may be unable to meet their goals and objectives.&nbsp; More funding is not always feasible, so coalition may need to consider alternate, innovative avenues.&nbsp;


Within an effective action plan, communities should identify and outline a series of performance indicators that align with their goal(s) and track progress.&nbsp; Shared accountability ensures that progress is being made towards achieving desired outcomes.&nbsp; The data can be used to report back to key stakeholders in the community on the progress that is being made, but it also can be used to revise any details related to the action plans as needed if strategies aren’t going as intended, so that all involved can collectively improve the desired outcomes.
'''Plan Implementation'''<br/> As work begins on implementing the plan, a process begins whereby actions are taken, effectiveness is assessed, and modifications to the plan are made.&nbsp; The constant evaluation of progress is an ongoing effort.&nbsp; Often goals are added and changed, as well as changes made in those responsible for implementing parts of the plan.&nbsp; It is important to have the expectation from the start that almost nothing goes exactly as planned.


=== Data Use to Implement Performance Management ===
'''Tracking of Progress and Outcomes'''<br/> Within an effective action plan, communities should identify and outline a series of performance indicators that align with their goal(s) and track progress.&nbsp; Shared accountability ensures that progress is being made towards achieving desired outcomes.&nbsp; The data can be used to report back to key stakeholders in the community on the progress that is being made, but it also can be used to revise any details related to the action plans as needed if strategies aren’t going as intended, so that all involved can collectively improve the desired outcomes.


Accountability and monitoring of progress is an ongoing process.&nbsp; As is the case with many aspects of community response, strategies and actions are constantly adjusted.&nbsp; Generally, the performance management process has four components:&nbsp;
Accountability and monitoring of progress is an ongoing process.&nbsp; As is the case with many aspects of community response, strategies and actions are constantly adjusted.&nbsp; Generally, the performance management process has four components:&nbsp;


<u>Identify Appropriate Performance Indicators</u>&nbsp;- Determine agreed upon markers of achieving success.
*Identify Appropriate Performance Indicators - Determine agreed upon markers of achieving success.  
 
*Conduct Performance Measurement - Leverage available data; collect new data to measure short-term and longer-term outcomes.  
<u>Conduct Performance Measurement</u>&nbsp;- Leverage available data; collect new data to measure short-term and longer-term outcomes.
*Monitor and Report Performance Measurement Results - Share cross-sector performance management data, insights, challenges, and successes.  
 
*Quality Improvement - Celebrate even small wins together, share what is working, and build on positive momentum to achieve continued progress.&nbsp; Use evidence of limited results or setbacks as learning opportunities that can be used to improve strategies and action plans.  
<u>Monitor and Report Performance Measurement Results</u>&nbsp;- Share cross-sector performance management data, insights, challenges, and successes.
 
<u>Quality Improvement</u> - Celebrate even small wins together, share what is working, and build on positive momentum to achieve continued progress.&nbsp; Use evidence of limited results or setbacks as learning opportunities that can be used to improve strategies and action plans.
 
&nbsp;


&nbsp;
'''Building a Culturally Competent Plan'''<br/> Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients.


= Building a Culturally Competent Plan =
A culturally competent healthcare organization seeks to understand the culture of the population served, recognizes the impact of cultural differences, fosters internal learning opportunities to improve cultural knowledge among care teams, and modifies patient care to meet the patient’s unique needs.&nbsp;<br/> Addressing the drug misuse and substance use disorder epidemic is a complex problem requiring a complex and coordinated set of solutions.&nbsp; Another critical factor to examine and plan for involves how to best serve diverse populations within a given community.&nbsp; Due to differences in language, culture, and experiences communities addressing any public health issue must develop action plans that can achieve desired outcomes for all people within the community.&nbsp;&nbsp;<br/> There are many resources that discuss how to improve cultural competence in the areas of substance use and mental health.&nbsp; Many of these strategies apply to community groups looking to improve their response to substance misuse and SUD:


Addressing the drug misuse and substance use disorder epidemic is a complex problem requiring a complex and coordinated&nbsp;set of solutions.&nbsp; Another critical factor to examine and plan for involves how to best serve diverse populations within a given community.&nbsp; Due to differences in language, culture, and experiences communities addressing any public health issue must develop action plans that can achieve desired outcomes for all people within the community.&nbsp; [https://www.samhsa.gov/section-223/cultural-competency/resources SAMHSA] has developed a list of resources to help imporve cultural competence.
*Collect race, ethnicity and language preference (REAL) data
*Identify and report disparities
*Provide culturally and linguistically competent care
*Develop culturally competent management programs
*Increase diversity and minority participation
*Involve the community  
*Make cultural competency a priority&nbsp;  


&nbsp;
&nbsp;


== Cultural Competence Defined ==
= Relevant Research =


Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients.<ref name="https://hpi.georgetown.edu/cultural/" />
In this section, please capture any recent findings, reports, or data on the topic. Please also highlight any gaps or existing disparities. Please include references and links to the information so that we may add a footnote for the reader to find further information. Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?


A culturally competent healthcare organization seeks to understand the culture of the population served, recognizes the impact of cultural differences, fosters internal learning opportunities to improve cultural knowledge among care teams, and modifies patient care to meet the patient’s unique needs.&nbsp;
= Impactful Federal, State, and Local Policies =


=== Cultural Competence&nbsp;in Addressing Substance Abuse and Mental Health ===
SAFE Solutions is an ever-growing platform.&nbsp; Currently no information is readily available for this section.&nbsp; SAFE Project is dedicated to providing communities with the most relevant and innovative materials.&nbsp; We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration.&nbsp; Please check back soon.


There are many resources that discuss how to improve cultural competence in the areas of&nbsp;substance use and mental health.&nbsp; [https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4849.pdf The Substance Abuse and Mental Health Services Administration] has examined this issue in great detail in improving treatment.
= Available Tools and Resources =
 
Improving Cultural Competence
 
There are many good resources on how healthcare interests can improve cultural competence.&nbsp; Many of these strategies apply to community groups looking to improve their response to substance misuse and SUD:
 
*Collect race, ethnicity and language preference (REAL) data.
*Identify and report disparities.
*Provide culturally and linguistically competent care.
*Develop culturally competent management programs.
*Increase diversity and minority participation.
*Involve the community.
*Make cultural competency an priority
 
Typically it will take a combination of several strategies to improve cultural competence.&nbsp; It is therefore important that there be as much input as possible when considering what needs to be done in a given community.&nbsp; An report with greater detail of specific strategies can be found [https://www.aha.org/system/files/hpoe/Reports-HPOE/becoming-culturally-competent-health-care-organization.PDF here].
 
&nbsp;
 
&nbsp;


<br/> <br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
There are many resources that discuss how to improve cultural competence in the areas of substance use and mental health.&nbsp; The Substance Abuse and Mental Health Services Administration has examined this issue in great detail in improving treatment.&nbsp;&nbsp;<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4849.pdf</ref>


{| class="wiki_table"
Typically, it will take a combination of several strategies to improve cultural competence.&nbsp; It is therefore important that there be as much input as possible when considering what needs to be done in a given community.&nbsp; An report with greater detail of specific strategies can be found here.&nbsp;&nbsp;<br/> &nbsp;Check out SAFE Project’s resources for diverse populations here.&nbsp;<ref>https://www.safeproject.us/resource/resources-for-diverse-populations/</ref>
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
| &nbsp;
| &nbsp;
| &nbsp;
|}


&nbsp;
&nbsp;


= <span style="background-color: #ffffff">Sources</span> =
= Promising Practices =


----
SAFE Solutions is an ever-growing platform.&nbsp; Currently no information is readily available for this section.&nbsp; SAFE Project is dedicated to providing communities with the most relevant and innovative materials.&nbsp; We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration.&nbsp; Please check back soon.


#[http://www.cadca.org/ [11]]
= Sources =
#[http://www.modernhealthcare.com/assets/pdf/CH115670524.PDF [12]]
#[http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949 [13]]
#[http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949 [14]]
</div> </div> </div> </div> </div> </div> </div></div></div></div>
[[Category:Community Resources]] [[Category:SAFE Communities]]

Revision as of 15:17, 30 June 2021

 

Introductory Paragraph

After bringing stakeholders together, gathering and analyzing data, and identifying needs and priorities in terms of services and programs, the next step is for the coalition to collectively develop an action plan that addresses those identified needs, and then, support its implementation.  Working together in close coordination during this process is as important as ever, so that all stakeholders have buy-in and are accountable.  While the experience of communities varies, there are some common principles that consistently appear. 

Key Information

Key Components to an Effective Action Plan
Substance misuse and substance use disorder is a complex problem whose solutions are numerous across the continuum of care.  What specific solutions are put into an action plan will vary widely, as will the approach different communities take.  Some communities have a complex organizational structure to their coalition, which includes a planning section charged with development and revision of an action plan.  This section works closely with the data unit to provide status reports to the larger group and evaluate different initiatives within the plan.  Most community coalitions have less structure where specific tasks, like creating an action plan, are done by the entire coalition or where all or most members provide input.  Whatever the scope of the effort, there are some key components needed to develop an effective action plan.  Communities should also note that action plans are living documents and they will need to be constantly reviewed and revised to address new realities and lessons learned along the way.  Check out SAFE Project’s Community Playbook[1] for an action plan template.  

Setting Clear Strategies
When gaps and additional service needs are identified, the community coalition can begin to map out a set of actions and strategies to achieve desired outcomes.  These outcomes first need to be agreed upon by the community coalition.  From there, a set of action items can be added to achieve each intended outcome. Many community coalitions - especially those with a large number of members - will break into working groups or committees around each strategy or objective.  Naturally those members who are subject matter experts and work in specific fields can take the lead in developing a plan and outlining the details for that specific strategy.
When formulating these plans, it is important that expectations are realistic and that the actions identified can be achieved.  Even when action plans are revised due to changing data and lessons learned, achieving progress is important to keeping participants energized and motivated so communities may consider planning for small and early wins first.

Identifying Members to Lead Implementation of Strategies
It is important for all participants to know what part of the action plan they are responsible for leading the implementing.  This lays the groundwork of expectations between members and trust that each participant will carry out their portion of the plan.  These responsibilities should be clearly spelled out in writing so there is no confusion or misunderstanding.   Although a coalition member may be helping to coordinate the activities of members, it is the responsibility of each member to be accountable and help achieve progress.  For example, coalition members not tasks with a specific strategy can still help to track milestones, maintain community momentum, and update key community stakeholders as progress is made.

Developing Short- and Long-Term Goals with Timelines
Once the group as a whole or sub-group agrees to an action plan, it is important to create timelines to complete each activity.  As steps are taken to address both short- and longer-term goals, trust is built between the members working toward a common outcome.  As with the actions themselves, the timelines need to be reasonable and achievable.  Having a range of timelines helps keep members engaged and have a sense of accomplishment.  Some coalitions will have short-term goals that can be achieved in 30 or 60 days, mid-term goals that are several months out, and long-term goals that can be expected to take a year or more.
 

Identifying Resources
Part of creating an achievable action plan is identifying and securing any financial and other resources that are necessary.  There are a variety of funding sources that support planning and programs.  Sources of funding include:

  • Local or state government (grants or direct funding)
  • Federal grants
  • Funding through philanthropic organizations
  • Support from the business/corporate community
  • Funding from grassroots and direct fundraising campaigns and events

What is important is that the action plan take these needs into account and develop steps to secure any needed financial resources.  Without funding community groups may be unable to meet their goals and objectives.  More funding is not always feasible, so coalition may need to consider alternate, innovative avenues. 

Plan Implementation
As work begins on implementing the plan, a process begins whereby actions are taken, effectiveness is assessed, and modifications to the plan are made.  The constant evaluation of progress is an ongoing effort.  Often goals are added and changed, as well as changes made in those responsible for implementing parts of the plan.  It is important to have the expectation from the start that almost nothing goes exactly as planned.

Tracking of Progress and Outcomes
Within an effective action plan, communities should identify and outline a series of performance indicators that align with their goal(s) and track progress.  Shared accountability ensures that progress is being made towards achieving desired outcomes.  The data can be used to report back to key stakeholders in the community on the progress that is being made, but it also can be used to revise any details related to the action plans as needed if strategies aren’t going as intended, so that all involved can collectively improve the desired outcomes.

Accountability and monitoring of progress is an ongoing process.  As is the case with many aspects of community response, strategies and actions are constantly adjusted.  Generally, the performance management process has four components: 

  • Identify Appropriate Performance Indicators - Determine agreed upon markers of achieving success.
  • Conduct Performance Measurement - Leverage available data; collect new data to measure short-term and longer-term outcomes.
  • Monitor and Report Performance Measurement Results - Share cross-sector performance management data, insights, challenges, and successes.
  • Quality Improvement - Celebrate even small wins together, share what is working, and build on positive momentum to achieve continued progress.  Use evidence of limited results or setbacks as learning opportunities that can be used to improve strategies and action plans.

Building a Culturally Competent Plan
Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients.

A culturally competent healthcare organization seeks to understand the culture of the population served, recognizes the impact of cultural differences, fosters internal learning opportunities to improve cultural knowledge among care teams, and modifies patient care to meet the patient’s unique needs. 
Addressing the drug misuse and substance use disorder epidemic is a complex problem requiring a complex and coordinated set of solutions.  Another critical factor to examine and plan for involves how to best serve diverse populations within a given community.  Due to differences in language, culture, and experiences communities addressing any public health issue must develop action plans that can achieve desired outcomes for all people within the community.  
There are many resources that discuss how to improve cultural competence in the areas of substance use and mental health.  Many of these strategies apply to community groups looking to improve their response to substance misuse and SUD:

  • Collect race, ethnicity and language preference (REAL) data
  • Identify and report disparities
  • Provide culturally and linguistically competent care
  • Develop culturally competent management programs
  • Increase diversity and minority participation
  • Involve the community
  • Make cultural competency a priority 

 

Relevant Research

In this section, please capture any recent findings, reports, or data on the topic. Please also highlight any gaps or existing disparities. Please include references and links to the information so that we may add a footnote for the reader to find further information. Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?

Impactful Federal, State, and Local Policies

SAFE Solutions is an ever-growing platform.  Currently no information is readily available for this section.  SAFE Project is dedicated to providing communities with the most relevant and innovative materials.  We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration.  Please check back soon.

Available Tools and Resources

There are many resources that discuss how to improve cultural competence in the areas of substance use and mental health.  The Substance Abuse and Mental Health Services Administration has examined this issue in great detail in improving treatment.  [2]

Typically, it will take a combination of several strategies to improve cultural competence.  It is therefore important that there be as much input as possible when considering what needs to be done in a given community.  An report with greater detail of specific strategies can be found here.  
 Check out SAFE Project’s resources for diverse populations here. [3]

 

Promising Practices

SAFE Solutions is an ever-growing platform.  Currently no information is readily available for this section.  SAFE Project is dedicated to providing communities with the most relevant and innovative materials.  We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration.  Please check back soon.

Sources

  1. ↑ https://www.safeproject.us/safe-community-playbook-and-safe-solutions/
  2. ↑ https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4849.pdf
  3. ↑ https://www.safeproject.us/resource/resources-for-diverse-populations/
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