Opioid Misuse Prevention Program “OMPP” Strategic Planning Workshop

June 2015

OVERVIEW OF STRATEGIC PLANNING

2

What is a Strategic Plan?

• A strategic plan is a tool that will help guide coalitions through the implementation of selected strategies.

• Strategic plans serve as a map, so precision and detail are key!

3

Strategic Plans…

• Include the policies, strategies and practices that create a logical, data-driven plan to address the problems identified during the needs assessment

4

Developing a Strategic Plan

• In order to develop a strategic plan, the following should be considered:– What strategies are likely to have the most impact on the

contributing factors in my community?– Do we have the capacity to implement a particular strategy?– What capacity do we need to build and how will we build it?– Who will implement the strategies and what steps do we

need to take to implement them well?– Do we have measurable outcomes for the selected

strategies?

5

Who Should be Involved in the Strategic Planning Process?

• Similar to the assessment process, the entire coalition should have input into the strategic planning including the selection of evidence-based prevention strategies.

• People support what they help create!

6

Moving from the Needs Assessment to the Strategic Plan

• Each selected contributing factor should meet the following criteria:– Specific (not another intervening variable)– Identifiable– Actionable

7

DEVELOPING THE STRATEGIC PLAN

8

99

Retail access: Opioids are seen as easy to obtain for young adults in MD.

Providers lack understanding about safe prescribing practices, particularly for opioids.

Develop/deliver an evidence- based training for providers on safe prescribing practices (with a focus on opioids). Provide a forum for booster sessions or discussion.

Types and number of sectors trained.

Numbers of trainings and number of hours.

Number of providers trained.

Fidelity to training design, content, and method of delivery.

Number and type of post-training communications.

Audience (number and sector) receiving post-training communications.

By (date), providers will report increased knowledge on safe prescribing practices by X%, from ___ to ___, as measured by local survey data

Within X years of program implementation, there will be a decrease in the availability of opioids for young adults by X amount, from __ to __, as indicated by PDMP data

By the end of the program, young adults self-reported non-medical use of opioids in Maryland will be reduced by X% (from __ to __), as indicated by YRBS data

10

SELECTING STRATEGIES

11

Review and Select Strategies to Address Each Contributing Factor

• It is important that coalitions know how to select strategies that are aligned with the goals of OMPP

• During this step, coalitions will need to:• Review the strengths and weaknesses of the different

strategies provided in the toolkit • Determine the likelihood of change, capacity and cost

for each strategy (Selecting Strategies Worksheet)• Select the strategies that best fit (Goodness of Fit

Worksheets)12

How do coalitions determine strategies that are the “BEST FIT” for their communities?

13

How do coalitions determine strategies that are the “BEST FIT” for their communities?

• To have a “best fit” within your community, it is preferable that prevention strategies meet several criteria:– fit conceptually with your targeted intervening

variables and contributing factors– fit practically within your community and coalition – should be able to be implemented in your

community with fidelity– should be culturally appropriate – sustainable within your community 14

TYPES OF PREVENTION STRATEGIES

15

Selecting Strategies

Strategies have been broken down into two main categories:• Primary prevention

• Overdose prevention

16

Primary prevention strategies include…

• Prescription drug take back events• Provider education trainings• Expanding prescription drug lock boxes and

drop off locations

17

Overdose prevention strategies include…

• Raising public awareness of the Good Samaritan Law

• Naloxone programs/ trainings • Screening, Brief Intervention and Referral to

Treatment (SBIRT)

18

Planning the Process Evaluation

• Process Measures - measures of the activities from strategy implementation

• Components of Process Evaluation– Counts/Tracking

• Participation• Relevance of messaging• Exposure

– Fidelity19

Planning the Outcome Evaluation

• Outcome Evaluation will measure the changes to your selected contributing factors, intervening variables and priorities

• To measure outcomes- You will need to develop short-term, intermediate and long-term objectives

20

Outcomes

• Short-Term Outcomes- Changes as a direct result of the strategies/activities, relative to the contributing factor

• Intermediate Outcomes- Broader changes related to the intervening variables

• Long-Term Outcomes- Broadest changes related to the state priorities

21

Intermediate Objectives

(Broader changes related

to the intervening variables)

Short-Term Objectives

(Changes as a direct result of the

strategies/ activities, relative

to contributing factor)

Long-Term Objectives

(Broadest changes

related to the state priority)

Contributing Factors (What

locally is contributing to the problem?)

Intervening Variables (Why is this

problem happening?)

Strategies/ Activities

Process Measures (Measure of activities

from “Strategies/ Activities” column)

22

OMPP Priorities

• Reduce opioid misuse• Reduce opioid overdoses• Reduce the number of overdose fatalities

23

Developing Objectives to Measure Outcomes

• An objective is a concrete statement describing what the project is trying to achieve.

• The objective should be written so that it can be easily evaluated at the conclusion of a project to see whether it was achieved or not.

• A well-worded objective will be Specific, Measurable, Attainable/Achievable, Realistic, and Time bound (S.M.A.R.T.) 24

Measurable Objectives State:• When will the outcome occur• What are the desired outcomes• Who is involved• Proficiency level (by how much)• How progress is measured (Indicators or Data

Points)

25

Developing Objectives• Objective for Long-Term Outcomes (Priority)

– By the end of the program, young adults self-reported non-medical use of opioids in Maryland will be reduced by X% (from __ to __) , as indicated by YRBS data (indicate years)

• Objective for Intermediate Outcomes (Intervening Variable)– Within X years of program implementation, there will be a decrease in

the availability of opioids for young adults by X amount, from __ to __, as indicated by PDMP data (indicate years)

• Objective for Short-Term Outcomes (Contributing Factors)– By (date), providers will report increased knowledge on safe prescribing

practices by X%, from ___ to ___, as measured by local survey data (indicate years)

24When What Who Proficiency Indicator26

Outcome EvaluationGoal Addressed Objective Measure

(including time interval)

Participants Tools/Resources Required

Short-Term Outcomes (~2 months; Changes as a direct result of the strategies/ activities, relative to the contributing factor)

Intermediate Outcomes (~12 months; Broader changes related to the intervening variables)

Long-Term Outcomes (~24 months; Broadest changes related to the state priority)

27

Implementation PlanState the Priority State the Intervening Variable

State the Contributing Factor

State the Short-term Objective

Evidence Based Environmental Strategy

Implementation Action Steps Implementation TimeframeFrom: Mm/yy To: Mm/yy

Who’s Responsible - Implementing Agency/Workgroup/Individual

28

IRB Umbrella Protocol

• Similar to MSPF umbrella protocol • Counties will submit an abstract to be added

to the umbrella protocol • Once approved implementation can start• Counties will submit a modification before any

changes are made to the initial abstract– Primary data collection– Changes to the protocol

29

IRB ProcessSteps Who is Responsible

1. Complete IRB Abstract Local Evaluator

2. Submit IRB Abstract to OMPP Evaluation Team Local Evaluator

3. Review IRB Abstract and send feedback OMPP Evaluation Team

4. Obtain Health Officer Approval via email Prevention Coordinator

5. Send Health Officer Approval to OMPP Evaluation Team Prevention Coordinator

6. Get required BHA signature OMPP Evaluation Team

7. Submit IRB Abstract to DHMH IRB OMPP Evaluation Team

8. Attend IRB Meeting if needed OMPP Evaluation Team

9. Send IRB Approval Letter to Prevention Coordinator OMPP Evaluation Team

30

DELIVERABLES & CLOSING REMARKS

31

Strategic Plan Deliverables

• OMPP Strategic Plan Application Packet– Strategic Plan Summary– Logic Model (include a logic model for each contributing

factor)– Outcome Evaluation Table– Implementation Plan (include a plan for each strategy)– Budget

• Strategies Selection Packet– Selecting Strategies Worksheet– Goodness of Fit Worksheet (complete for each strategy)

• IRB Abstract32

Closing Remarks

• Wrap-up• Questions

33