State activation and response (STAR)

STAR

STAR is a rapid cycle organizational development process for improving effectiveness and efficiency in state health department chronic disease prevention and health promotion practices.

STAR assesses organizational capacity using evidence-based measures of organization and function, works with units to identify opportunities for increasing organizational capacity, and facilitates development of a short-term (100 days to six months) action plan for achieving improvements.  STAR’s Framework includes six components, called spokes: (1) Partnerships and Relationships; (2) Workforce Development; (3) Leadership; (4) Management and Administration; (5) Organizational Climate and Culture; and (6) Evidence-Based Public Health Practice. 

Importantly, the STAR process is an opportunity for Chronic Disease Directors to create a shared understanding of organizational capacity with their team and kick-start a collaborative process for ongoing organizational capacity development to advance health equity through chronic disease prevention and control.

NACDD supports up to six STAR participants per year. Eighteen states / territories, including the U.S. territories of Puerto Rico, U.S. Virgin Islands, and affiliated Pacific islands, fully participated in the STAR process between 2016 – 2019. 

The STAR framework infographic.
View the STAR Poster featured at a 2019 conference