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GEAR Group Topics


Topics are developed by NACDD members and are aligned with the CDC’s Four Domains and board strategic priorities--leadership and management skills in state public health, partnering with health care, and explaining data, evidence and value.

Previous topics are listed below. For products related to these GEAR Groups, click here.

GEAR Up For Understanding Chronic Disease Data and Methods for Communicating Impact

The GEAR Group for Chronic Disease Data and Methods explored chronic disease data, levels of evidence and methods for analyzing and presenting data. Participants shared experiences in data surveillance, analysis and presentation, as well as communicating public health value. This group sought to improve individual and chronic disease/health promotion unit competency in basic-to-advanced epidemiology and epidemiological methods, presenting data and communicating impact. The group audience received presentations on visually presenting data (data visualization); predicting and calculating cost savings, return on investment, and cost effectiveness and other topics selected by the GEAR Group. The group reviewed published literature and explored professional development recommendations for chronic disease and health promotion staff.

GEAR Up for Community Benefit

Team members learned about the IRS Community Benefit requirement and how it links to their state and local partners. The group explored how it may enhance collaboration and outreach within states to further their partnership efforts to reduce chronic diseases and its risk factors.

GEAR Up for Understanding Healthcare Payment Reform

This group addressed how public health needs to understand payers and payment reform in the context of population health management. This included a review of common language, understanding the public payers, commercial payers, what is driving the reform and how the payment system is changing to accommodate this, as well political and financial challenges. The team discussed how public health can get to the table and contribute to the dialogue including how to engage with health systems and payers.

GEAR Up to Communicate the Value of Public Health

Team members shared state and local examples of public health and health system goals that are aligned for mutual benefit and identified key messages that communicate the value of public health. Team members shared the frameworks and tools they have used to make the case for public health to key audiences and partners.

GEAR Up for Health Equity

This group focused on strategies to integrate health equity into all aspects of state chronic disease and health promotion programs. Team members shared and built upon lessons learned to approach chronic disease prevention with a health equity lens.

Communicating the Value of Public Health through Data and Surveillance

GEAR Group members shared experiences in using quantitative data, qualitative data, and epidemiological methods to help decision makers, project partners, and other groups understand the value of public health and evidence-based public health approaches. Participants also discussed lessons learned and tailoring messages to meet audience needs.

Communicating the Value of Public Health focusing on Domain 2 (environmental approaches to support health and promote healthy behaviors)

GEAR Group members discussed environmental approaches, specifically those implemented by the public health workforce in collaboration with partners. This group discussed communicating the value of public health across multiple sectors in the community, schools and childcare settings, worksites and business considering environmental approaches that impact policies and the social and physical environments specifically focusing on improving physical activity, improving nutrition and reducing tobacco use.

Communicating the Value of Public Health to Health Systems

GEAR Group members addressed the role of public health in implementing health system interventions that increase the use and improve the quality of clinical and other preventive services. Members of this group also discussed where the intersection exists between public health and the healthcare system, and shared examples of effective ways in which public health has supported health system-related activities. This group helped to define what public health offers to health systems that are working to impact the health and health outcomes of the population they serve.

Communicating the Value of Public Health through Community-Clinical Linkages

GEAR Group members discussed the public health strategies that are effective in linking community and clinical services to help ensure that people with or at high risk of chronic diseases have access to the resources they need to prevent or manage these diseases. The group shared how they are improving links between the community and clinical settings to offer community delivery of proven programs, to which patients may be referred by a clinician, with third-party payments to community organizations and lay providers.

Communicating the Value of Public Health through Health Equity

State health departments are the foundation of the US public health system but often implement programs that are heavy behavioral risk focused. Valuing public health services requires understanding and employing systems to ensure all individuals have opportunities to live their full health potential thereby facilitating health equity. To achieve this desired population health outcome, state health departments must consider upstream approaches that drive poor health outcomes and inequalities. The health equity gear group members explored and developed strategies to communicate the value of public health services by addressing upstream and structural inequalities across all Domains that contribute to poor health outcomes.

National Association of Chronic Disease Directors
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