Lifecycle Management as a Roadmap to the Tobacco Endgame

Table 4.

Zachman Cell Measures with Data SourceExamples

Lifecycle Phase Interrogative Measures Variables Potential Data Sources / AI Search Examples

1. Conception & Initiation What Availability of baseline prevalence & mortality datasets; Endgame policy concept papers produced % of states with current prevalence data; # of policy concept papers published CDC NHIS, BRFSS, STATE System for prevalence; state health dept reports; Surgeon General reports
How Quality of stakeholder engagement processes # of stakeholder meetings; % of priority stakeholders engaged NAQC quitline annual survey; minutes from state tobacco control coalition meetings
Where Geographic coverage of baseline data % of states with reliable baseline prevalence measures CDC STATE maps; county-level BRFSS prevalence data
Who Diversity of engaged stakeholder groups # of unique stakeholder categories (gov, NGO, research, community) NAQC survey partner lists; state tobacco advisory board rosters
When Time from problem identification to initial strategy draft Avg. months elapsed Legislative records; news archives; HHS press releases
Why Specificity of mission statements % of mission statements with measurable targets State tobacco control plans; CDC OSH national strategy documents

2. Policy & System Design What Completeness of draft legislation & regulatory frameworks % of FCTC-recommended measures included; # of policy gaps identified CDC STATE System policy coverage; state legislative tracking (NCSL)
How Process adherence to regulatory impact assessment standards % of policy drafts with documented impact analysis; review cycle time (days) Federal Register entries; GAO reports on tobacco regulation
Where State-level alignment with federal frameworks % of states with harmonized endgame policies CDC STATE policy alignment datasets
Who Representation in policy design forums % of policy design meetings with multi-sector participation Legislative hearing transcripts; public comment registries
When Policy drafting cycle time Avg. days from drafting start to legislative submission Bill histories from Congress.gov and state legislature portals
Why Alignment of policy goals with national health targets % of goals tied to Healthy People or FCTC objectives State tobacco plans vs Healthy People TU objectives

3. Implementation & Operation What Campaign material coverage; Quitline/NRT resource stock % of population reached by campaigns; NRT supply adequacy index CampaignReach metrics; NAQC Quitline reports; NRT distribution records
How Campaign deployment effectiveness; Compliance inspection coverage % of planned campaigns delivered; # of inspections per 1,000 retailers FDA Tobacco Compliance Check database; campaign progress reports
Where Geographic reach of campaigns and enforcement % of population in covered jurisdictions; inspections per region FDA inspection location data + Census population maps
Who Stakeholder participation in campaign delivery % of NGOs actively delivering campaign components NAQC program participation data
When Campaign and inspection timeliness % of activities delivered on schedule Campaign schedules; FDA enforcement calendar
Why Alignment of program KPIs to strategic goals % of program KPIs mapping to national endgame targets State DOH performance plans; CDC OSH performance dashboards

4. Evaluation & Adaptation What Timeliness and completeness of surveillance datasets Avg. lag (months) between data collection and release; % of data fields complete CDC YRBSS, NYTS release calendars; STATE System update logs
How Responsiveness of policy adjustments Avg. time from new threat detection to policy update FDA guidance issuance timelines; policy change notices
Where Distribution of data collection sites % of counties with active surveillance points YRBSS site list; state survey sampling frames
Who Multi-stakeholder involvement in evaluation % of evaluation panels with non-gov participants Panel rosters; evaluation meeting minutes
When Speed of response to emerging threats Avg. days to policy update after detection DOJ/FDA illicit trade enforcement announcements
Why Use of evaluation findings to adjust goals % of updated goals following evaluation cycles Revision histories in state tobacco control plans

5. Consolidation & Endgame Transition What Endgame law enactment rate; Supply reduction instruments in place % of endgame measures legislated; # of retail outlets under supply quotas CDC policy tracking; state licensing data
How Execution speed of final cessation pushes % of remaining smokers reached with targeted support; weeks to implement supply quota State cessation program reports; NRT procurement records
Where Cross-border enforcement coverage # of customs checkpoints integrated into enforcement plan CBP operation logs; DOJ task force reports
Who Cross-agency coordination effectiveness # of joint operations conducted; % of joint objectives met MOUs; joint task force meeting reports
When Synchronization of final measures nationally % of states implementing endgame measures within target window Policy adoption timelines from CDC STATE
Why Goal clarity in final push phase % of endgame policies with specific prevalence targets Legislative text review; agency strategic plans

6. Sustainment / Sunset What Post-endgame monitoring systems operational % of illicit trade cases detected vs prosecuted; # of norm reinforcement materials issued/year CBP/DOJ enforcement stats; public health education archives
How Continuity of surveillance and education % of planned monitoring events completed; % of educational programs renewed annually Surveillance schedules; funding renewal records
Where Post-endgame coverage of illicit trade monitoring % of high-risk border zones under continuous monitoring CBP surveillance maps; enforcement jurisdiction reports
Who Community engagement in sustaining tobacco-free norms % of community groups funded for prevention activities Grant award databases; program rosters
When Frequency of post-endgame monitoring events Avg. interval (months) between surveillance reports Report publication dates
Why Maintenance of post-endgame vision % of strategic plans including relapse prevention objectives Strategic plan review; public health policy archives