Stakeholders Report: Appendix C 

Steering Committee Retreat Agenda, and Consortium Focus Group Moderator’s Guides Agenda

Healthy People 2000 Steering Committee Retreat

Healthy People 2000 Consortium Focus Group Moderator's Guide

• Pilot - Washington, D.C. Area - October, 1996
• New York Groups November, 1996

HMO/Purchasers Group

HEALTHY PEOPLE 2000 STEERING COMMITTEE RETREAT

8:30-8:45: Welcome -- Earl Fox

• Seque intro of Shoshanna Sofaer as facilitator for the day

8:45-9:00: Introduction of Staff and Overview of the Day -- Shoshanna Sofaer

9:00-10:15: Plenary Session: The Value and Functions of HP Objectives: Current and Future

• Brainstorming Session; facilitated by Shofaer
  • review rules for brainstorming -- 5 minutes
  • cover following key questions: -- 40 minutes
  • Why do we have these objectives? What is their critical value and role?
  • To date, what specific functions have the objectives served well?
  • To date, what specific functions do the objectives need work to serve well?
• Brief Presentation of Major Changes in Health and Health Care that could influence the value and function of the HP Objectives: S. Sofaer (who asks at the end -- any additions or changes or deletions) -- 10 minutes
• Return to Brainstorming: 20 minutes

  What new functions must Healthy People objectives serve, given these changes?

  What functions of Healthy People objectives are no longer as important, if any?

10:15-10:30: BREAK

10:30-11:00: Plenary Session: Who Should be Involved in Developing and Using Healthy People Objectives?

• Return to Brainstorming:
  • Are These Objectives for the Public Health Service or for the Health of the Public?
  • Who are the Current Active Stakeholders?
  • Who Needs to Become a More Active Stakeholder? Why?
  • Who Has Been Overly Dominant? Why?

11:00-11:10: Instructions for Breakout Sessions

11:10-Noon: First Part of Breakout Sessions

Noon - 1:00: LUNCH

1:00 - 2:00: Second Part of Breakout Sessions

Design of Breakout Session:

Focus: Develop Options for Re-structuring the Healthy People Framework

Group has an assigned facilitator who convenes, explains instructions, watches process, keeps time, handles tape recorder

Start with round robin intros -- very brief -- 5 minutes

Group should identify, at the outset, a recorder/reporter (must not be an ODPHP person) -- 5 minutes

Group Tasks:

1. Identify and discuss at least two overarching organizing principles for the objectives (e.g. the current categories; a life stage approach; priority health problems; a "sector" approach) -- 20 minutes
2. Address the following questions:

• How many priority areas should be selected? -- Group discussion -- 20 minutes

AFTER LUNCH:

• What criteria should be used in determining priority areas? -- nominal group process plus discussion -- 25 minutes
• How many objectives within each priority area? -- Group Discussion -- 10 minutes
• What criteria should be used for inclusion of an objective? (Not including measurability issues) -- nominal group process -- 25 minutes
• What is the best way to address differentials across populations? -- 20 minutes

3. Wrap up to identify single key message for report back -- 10 minutes

2:30-2:45: BREAK

2:45-3:00: Return to Plenary Session: Brief Report Back from Groups

3:00-3:45: Plenary Session: Data Requirements for a Well-Functioning System of Healthy People Objectives

• Brainstorming Session:
  • What are the advantages of using fairly liberal data requirements for inclusion of objectives?
  • What are the advantages of using fairly strict data requirements for inclusion of objectives?

3:45-4:00: Wrap-up, Preview of Focus Groups and Thanks

HEALTHY PEOPLE 2000 CONSORTIUM FOCUS GROUP MODERATOR'S GUIDE

PILOT - WASHINGTON, D.C. AREA - OCTOBER, 1996

INTRO

My name is Barbara Kreling. I am part of a group at GW which is helping the Healthy People 2000 Program staff gather opinions from Steering Committee members and Consortium Members about the Healthy People 200 Framework. We are going to be conducting focus groups with approximately 80 Consortium members in November in New York City .

Please introduce yourselves and briefly tell us how you are involved with Healthy People.

• Thank you all for coming and helping us with our intitial effort to get the opinions of Consortium members about the development of Healthy People 2010.
• We'll meet for 2 hours with a break in the middle. Please help yourselves to refreshments.
• This meeting is being video taped and observed from behind the glass. The purpose of the taping is to observe the process of interviewing Consortium members before we conduct the seven groups in New York.
• Tapes and transcripts will only be available to study team members: no information from the groups will be linked to your name or organization.
• Because we are taping, please speak one at a time.
• I will direct the traffic, so to speak, to keep us on the topic, to ask for clarification, and to be sure we hear from everyone.
• The only rules are as follows: We are not trying to achieve consensus - we are interested in everyone's opinion- and in getting all points of view out on the table.
• Don't feel that you have to agree or disagree with eachother but do feel free to converse, ask eachother questions, add to each other's ideas.

These are the topics we'll cover:

1. Whether or not the Healthy People Document needs a major overhaul or just minor adjustments.
2. What works and what doesn't work about the way the Goals 2000 Document functions. What are the implications for change?
3. Consider the organizing principles - the priority areas - Should they be changed? How?
4. Should the criteria for setting objectives be changed? How should it be changed?

These are the topics we'd like to avoid:

What we don't want to talk about are specific priority areas, and most of all, specific objectives.

First, Considering the Document as a whole, do you believe it should be changed significantly? In one or two words, how should it be changed?

What are the functions of the document? In which ways has the document functioned well?

SUMMARIZE AND ASK, what are the implications for change?

In which ways has the document failed to be effective?

SUMMARIZE AND ASK, What are the implications for change?

SHOW POSTER/HANDOUT OF PRIORITY AREAS

DISCUSS ALTERNATIVES (?) SHOW ALTERNATIVES(?)

This chart shows the way the priority areas were organized. Does this need to be changed? How?

What are the advantages and disadvantages of (ALTERNATIVE SUGGESTED)?

SHOW CHART/HANDOUT: CRITERIA FOR INCLUSION

These are the criteria for inclusion used to develop Goals 2000. Considering the changes you've suggested earlier, how can the criteria be altered to achieve those changes.

What are the advantages and disadvantages of the changes suggested?

HEALTHY PEOPLE 2000 CONSORTIUM FOCUS GROUP MODERATOR'S GUIDE

NEW YORK GROUPS NOVEMBER, 1996

INTRO

My name is ________________. I am part of a group at GW which is helping the Healthy People 2000 Program staff gather opinions from Steering Committee members and Consortium Members about the Healthy People 2000 Framework. We are going to be conducting focus groups with approximately 60 Consortium members.

Please introduce yourselves and briefly tell us how you are involved with Healthy People.

• Thank you all for coming and helping us with our effort to get the opinions of Consortium members about the development of Healthy People 2010.
• We'll meet for 2 hours with a break in the middle. Please help yourselves to refreshments.
• This meeting is being video taped and observed from behind the glass.
• Tapes and transcripts will only be available to study team members: no information from the groups will be linked to your name or organization.
• Because we are taping, please speak one at a time.
• I will direct the traffic, so to speak, to keep us on the topic, to ask for clarification, and to be sure we hear from everyone.
• The only rules are as follows: We are not trying to achieve consensus - we are interested in everyone's opinion- and in getting all points of view out on the table.
• Don't feel that you have to agree or disagree with eachother but do feel free to converse, ask eachother questions, add to each other's ideas.

These are the topics we'll cover:

1. Whether or not the Healthy People Document needs a major overhaul or just minor adjustments.
2. What works and what doesn't work about the way the Goals 2000 Document functions. What are the implications for change?
3. Consider the organizing principles - the priority areas - Should they be changed? How?
4. Should the criteria for setting objectives be changed? How should it be changed?

These are the topics we'd like to avoid:

What we don't want to talk about are specific priority areas, and most of all, specific objectives.

First, Please tell us how you (or others) have used the document in your organization?

Be Specific

How would you like to use it in the future?

SUMMARIZE AND ASK, what are the implications for change?

In which ways has the document failed to be effective?

SUMMARIZE AND ASK, What are the implications for change?

SHOW AND DISCUSS HANDOUT OF (1)PRIORITY AREAS

AND (2) GROWTH

What do you think of the number of priority areas and the number of objectives?

How do you think priorities should be set? How would you organize a list of priorities?

SHOW HANDOUT OF THREE ALTERNATIVES (3,4,5)

What are the advantages and disadvantages of these alternative suggestions? Is there another way you can suggest?

SHOW CRITERIA HANDOUT (6)

These are the criteria for inclusion used to develop Goals 2000. Considering the changes you've suggested earlier, how can the criteria be altered to achieve those changes?

Considering the Document as a whole, do you believe it should be changed significantly, only in small ways, or not changed at all?

HMO/PURCHASERS GROUP

DISCUSSION GUIDE: Conducted January 1997

1. Intro purpose of group and self – 5 minutes
2. Intros of participants, including name, affiliation , role in organization and answer to question What impact, if any, has HP2K had on the work of your organization? -- 10-15 minutes
3. Start by giving some history of HP2K and then talk about changes that have occurred in health care (managed care; accountability and quality initiatives; breakdown of boundaries between public and private sector activities and roles; changes in info technology). This group has been convened in part to think about the implications of those changes for the future of Healthy People Objectives – 10 minutes
4. Why do we have these objectives? What is their critical value and role? -- 15 minutes

   Who "owns" these objectives? Who Should? -- 10 minutes

5. What are the opportunities presented by changes in health care for the development and use of HP? What are the challenges? -- 20 minutes

   What can your organization contribute to the HP Objective process? -- 15 minutes

6. What kinds of specific changes are needed in building HP 2010 so it can have a more positive impact on your organization and on health care – 20 minutes

   Changes in who participates in the process of development/selection of objectives

   Changes needed in the structure/organization of the document
   (Show goals; priority area categories; growth of # of objectives)

   • should it go on a diet?
   • should the framework for organizing objectives be changed?
   • should there be multiple versions for different purposes or audiences?

   Changes in how it is disseminated and promoted

   Changes in the data base for tracking progress

7. What should be the criteria for inclusion of objectives? What should not?

   (Show current criteria) ?? if there is time ??

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1997 Public Comment Secretary's Council  Consortium
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