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Lifecycle Management as a Roadmap to the Tobacco Endgame
World Journal of Clinical Medicine Research
| Vol 5, Issue 1
Table 3. Measures & Variables – Zachman Cells forU.S. Tobacco Endgame
| 1. WHAT — Data / Elements / Products Goal: Assess completeness and quality of endgame-relevant artifacts (laws, datasets, infrastructure). | Conception & Initiation | Availability of baseline prevalence & mortality datasets; Endgame policy concept papers produced | % of states with current prevalence data; # of policy concept papers published |
| Policy & System Design | Completeness of draft legislation & regulatory frameworks | % of FCTC-recommended measures included; # of policy gaps identified | |
| Implementation & Operation | Campaign material coverage; Quitline/NRT resource stock | % of population reached by campaigns; NRT supply adequacy index | |
| Evaluation & Adaptation | Timeliness and completeness of surveillance datasets | Avg. lag (months) between data collection and release; % of data fields complete | |
| Consolidation & Endgame Transition | Endgame law enactment rate; Supply reduction instruments in place | % of endgame measures legislated; # of retail outlets under supply quotas | |
| Sustainment / Sunset | Post-endgame monitoring systems operational | % of illicit trade cases detected vs prosecuted; # of public norm reinforcement materials issued per year | |
| 2. HOW — Processes / FunctionsGoal: Evaluate maturity and consistency of endgame-related processes. | Conception & Initiation | Quality of stakeholder engagement processes | # of stakeholder meetings; % of priority stakeholders engaged |
| Policy & System Design | Process adherence to regulatory impact assessment standards | % of policy drafts with documented impact analysis; review cycle time (days) | |
| Implementation & Operation | Campaign deployment effectiveness; Compliance inspection coverage | % of planned campaigns delivered; # of inspections per 1,000 retailers | |
| Evaluation & Adaptation | Responsiveness of policy adjustments | Avg. time from new threat detection to policy update | |
| Consolidation & Endgame Transition | Execution speed of final cessation pushes | % of remaining smokers reached with targeted support; weeks to implement supply quota | |
| Sustainment / Sunset | Continuity of surveillance and education | % of planned monitoring events completed; % of educational programs renewed annually | |
| 3. WHERE — Locations / NetworksGoal: Measure geographic reach and network integration. | Conception & Initiation | Geographic coverage of baseline data | % of states with reliable baseline prevalence measures |
| Policy & System Design | State-level alignment with federal frameworks | % of states with harmonized endgame policies | |
| Implementation & Operation | Geographic reach of campaigns and enforcement | % of population in covered jurisdictions; inspections per region | |
| Evaluation & Adaptation | Distribution of data collection sites | % of counties with active surveillance points | |
| Consolidation & Endgame Transition | Cross-border enforcement coverage | # of customs checkpoints integrated into enforcement plan | |
| Sustainment / Sunset | Post-endgame coverage of illicit trade monitoring | % of high-risk border zones under continuous monitoring | |
| 4. WHO — Stakeholders / ActorsGoal: Assess breadth and alignment of actors. | Conception & Initiation | Diversity of engaged stakeholder groups | # of unique stakeholder categories (gov, NGO, research, community) |
| Policy & System Design | Representation in policy design forums | % of policy design meetings with multi-sector participation | |
| Implementation & Operation | Stakeholder participation in campaign delivery | % of NGOs actively delivering campaign components | |
| Evaluation & Adaptation | Multi-stakeholder involvement in evaluation | % of evaluation panels with non-gov participants | |
| Consolidation & Endgame Transition | Cross-agency coordination effectiveness | # of joint operations conducted; % of joint objectives met | |
| Sustainment / Sunset | Community engagement in sustaining tobacco-free norms | % of community groups funded for prevention activities | |
| 5. WHEN — Timeframes / EventsGoal: Evaluate timeliness and synchronization. | Conception & Initiation | Time from problem identification to initial strategy draft | Avg. months elapsed |
| Policy & System Design | Policy drafting cycle time | Avg. days from drafting start to legislative submission | |
| Implementation & Operation | Campaign and inspection timeliness | % of activities delivered on schedule | |
| Evaluation & Adaptation | Speed of response to emerging threats | Avg. days to policy update after detection | |
| Consolidation & Endgame Transition | Synchronization of final measures nationally | % of states implementing endgame measures within target window | |
| Sustainment / Sunset | Frequency of post-endgame monitoring events | Avg. interval (months) between surveillance reports | |
| 6. WHY — Goals / MotivationsGoal: Measure clarity, alignment, and adaptability of goals. | Conception & Initiation | Specificity of mission statements | % of mission statements with measurable targets |
| Policy & System Design | Alignment of policy goals with national health targets | % of goals explicitly tied to Healthy People objectives or FCTC | |
| Implementation & Operation | Alignment of program KPIs to strategic goals | % of program KPIs mapping to national endgame targets | |
| Evaluation & Adaptation | Use of evaluation findings to adjust goals | % of updated goals following evaluation cycles | |
| Consolidation & Endgame Transition | Goal clarity in final push phase | % of endgame policies with specific prevalence targets | |
| Sustainment / Sunset | Maintenance of post-endgame vision | % of strategic plans including long-term relapse prevention objectives |