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Using Case Studies to Assess Longer: Term Outcomes of Expanded Advocacy Capacity
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| Presenter(s):
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| Annette Gardner, University of California, San Francisco, annette.gardner@ucsf.edu
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| Claire Brindis, University of California, San Francisco, claire.brindis@ucsf.edu
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| Lori Nascimento, California Endowment, lnascimento@calendow.org
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| Sara Geierstanger, University of California, San Francisco, sara.geierstanger@ucsf.edu
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| Abstract:
In 2009 and 2010, the Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco, as part of its ongoing evaluation of The California Endowment’s Clinic Consortia Policy and Advocacy Program, developed case studies detailing the advocacy activities and policy outcomes of 17 grantee agencies. Informants included decision makers, clinic staff, clinic patients, and clinic consortia staff. UCSF categorized the 17 case study initiatives by health program type (insurance coverage expansions, coordinated services, and statewide policy initiatives) and analyzed the gains for each Program outcome. Where possible, quantitative measures were aggregated, e.g., number of children enrolled in Medicaid. The objective of these case studies was to assess achievement of 3 longer-term outcomes achieved by grantees, specifically 1) Strengthened clinic operations; 2) Increased services for the underserved and uninsured; and 3) Improved health outcomes for targeted communities and populations.
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Employing a Systems Change Framework to Evaluate Health and Education Policy Advocacy in California
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| Presenter(s):
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| Mary Kreger, University of California, San Francisco, mary.kreger@ucsf.edu
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| Claire Brindis, University of California, San Francisco, claire.brindis@ucsf.edu
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| Abigial Arons, University of California, San Francisco, abigail.arons@ucsf.edu
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| Gaylen Mohre, University of California, San Francisco, gaylen.mohre@ucsf.edu
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| Elodia Villasenor, University of California, San Francisco, elodia.villasenor@ucsf.edu
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| Katherine Sargent, University of California, San Francisco, katherine.sarget@ucsf.edu
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| Sara Truebridge, WestEd, struebr@wested.org
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| Bonnie Benard, WestEd, struebr@wested.org
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| Mona Jhawar, California Endowment, mjhawar@calendow.org
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| Abstract:
Only 75% of ninth graders in California graduate from high school; in some school districts, the percentage is as low as 50%. In 2006-07, more than one in four Hispanic youth, and more than one in three African American youth dropped out of high school. Reducing the achievement gap and improving educational success in California requires a systems approach to integrate health and educational supports, to support youth in facing complex social and health conditions.
We present process and outcome measures to assess collaboration efforts among interdisciplinary stakeholders for policy advocacy. Additionally, we analyze policy advocacy as it relates to structural changes across multiple sectors of communities and state policy. We present outcomes for building the policy advocacy network at a state level and implementing local-level programs. A typology of collaboration is presented that assesses barriers, successes, and cross-pollination opportunities.
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Tracking and Assessing State Policies Related to Food and Active Living
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| Presenter(s):
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| Martha Quinn, University of Michigan, marthaq@umich.edu
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| Carpenter Laurie, University of Michigan, lauriemc@umich.edu
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| Abstract:
Between 2007 and 2009, the Center for Managing Chronic Disease at the University of Michigan tracked and analyzed state-level policy changes in 7 states where the W.K. Kellogg Foundation’s Food & Fitness Initiative grantees are located (California, Iowa, Massachusetts, Michigan, New York, Pennsylvania and Washington). The Center contracted with the National Conference of State Legislatures, who used NetScan and other online tracking services to gather the data on state-level legislation, regulations, executive orders and resolutions. The Center staff then sorted, organized and analyzed the data to better understand the most common policy initiatives being considered in each state, types of initiatives most likely to be enacted or adopted, and changes over time. The Center staff also looked across states for similarities and differences in policy trends and innovations. The purpose of this session is to better inform conference participants about how tracking policy outcomes can enhance their evaluation efforts.
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Conducting Research to Advance Smoke-Free Air Legislation in Louisiana
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| Presenter(s):
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| Jenna Klink, Louisiana Public Health Institute, jklink@lphi.org
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| Nikki Lawhorn, Louisiana Public Health Institute, nlawhorn@lphi.org
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| Lisanne Brown, Louisiana Public Health Institute, lbrown@lphi.org
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| Abstract:
The Louisiana Smoke-Free Air Act prevents smoking in all workplaces with the exception of bars and casinos. In support of policy efforts to expand the smoke-free air law several special studies were conducted. The first study measures the level of secondhand smoke exposure in unprotected workplaces by comparing the levels of saliva cotinine and nicotine of non-smokers who work in bars and casinos to non-smoking controls who work in smoke-free workplaces. Findings suggest individuals who work in environments where smoking is allowed have elevated saliva cotinine and nicotine levels, in some cases comparable to levels in smokers, and are therefore at risk for tobacco-related morbidity and mortality. The second study evaluates the air quality in unprotected workplaces by measuring fine particulate matter concentrations with aerosol monitoring machines. The findings from both studies were used to demonstrate the negative effects of non-comprehensive smoke-free legislation.
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