Table. Summary of Division-Specific Core Outcome Evaluation Questions for State Evaluations, the State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health (State Public Health Actions) Program.

Division Topic Area	Outcome Evaluation Question
Nutrition, Physical Activity, and Obesity	What are the key activities and/or resources considered critical to successful adoption/implementation of Healthier food retail venues or farmers’ markets in underserved areas? Food service guidelines/nutrition standards in priority settings? Interventions to create or enhance access to places for physical activity with an emphasis on walking through either state policies or pedestrian/transportation plans? Standards to increase physical activity in ECEs? Breastfeeding policies and practices? What are the major barriers and facilitators to adopting/implementing Healthier retail food venues or farmers’ markets in underserved areas? Food service guidelines/nutrition standards in priority settings? Interventions to create or enhance access to places for physical activity with an emphasis on walking through either state policies or pedestrian/transportation plans? Standards to increase physical activity in ECEs? Breastfeeding policies and practices?
School Health	What state activities have been effective in promoting Nutrition policy development and nutrition practice adoption among districts and schools? The development of CSPAPs among districts and schools? The implementation of policies, processes, and protocols in schools to meet the management and care needs of students with chronic conditions?
	What critical factors or activities influence the successful implementation of Nutrition policy and nutrition practice? CSPAP?
	What are the major facilitators and barriers in helping districts and schools Create supportive nutrition environments, such as partnerships (eg, MOUs) with the Department of Education? How were the barriers overcome? Develop CSPAPs, such as partnerships (eg, MOUs) with the Department of Education? How were the barriers overcome? Meet the management and care needs of students with chronic conditions? How were the barriers overcome?
	To what extent has implementation of nutrition policies and nutrition practices increased Access to healthier foods and beverages at school? The number of physical activity opportunities available to students during the school day? The management and care needs of students with chronic conditions?
Heart Disease and Stroke	What were the major facilitators and barriers in promoting implementation of Quality improvement processes, such as use of EHRs, in health care systems? How were the barriers overcome? Team-based care in health systems? How were the barriers overcome?
	How has the state promoted the use of health-care extenders in the community in support of self-management of high blood pressure? What were key facilitators and barriers?
	To what extent has the state effectively promoted implementation Of quality improvement processes, such as use of EHRs, in health care systems? Of team-based care in health systems?
	What factors at the state level are necessary to promote the use of health-care extenders in the community in support of self-management of high blood pressure?
	How has the relationship between the state health department, health care systems, and other QI/HIT partners in the state changed as a result of State Public Health Actions? Include the following aspects: The extent to which the state is able to obtain health systems data. Key facilitators and barriers to strengthening these partnerships.
	What policies/systems facilitated the support and promotion of Team-based care? The increased use of health-care extenders?
	To what extent have the QI processes influenced the quality, delivery, and use of clinical services for hypertension management among health systems?
	What policies/systems are needed for health care systems to effectively Implement team-based care? Increase the use of health-care extenders?
Diabetes	What were the major facilitators and barriers in implementing the 4 drivers during the start-up/implementation phase? How were the barriers overcome? For diabetes self-management education? For lifestyle intervention programs?
	What were the key activities critical to addressing disparities in the 4 drivers during the start-up/implementation phase? For diabetes self-management education? For lifestyle intervention programs?

Abbreviations: CSPAP, Comprehensive School Physical Activity Program; ECE, early care and education; EHR, electronic health record; HIT, health information technology; MOUs, memorandums of understanding; QI, quality improvement.