ArticleEvaluation of a Peer Assessment Approach for Enhancing the Organizational Capacity of State Injury Prevention ProgramsHunter, Wanda M. MPH; Schmidt, Ellen R. MS, OTR; Zakocs, Ronda PhDAuthor Information Assistant Director for Teaching and Service, The University of North Carolina Injury Prevention Research Center, and Associate Professor, Department of Social Medicine, University of North Carolina at Chapel Hill at the time this article was written for publication. She currently is an independent public health consultant in Chapel Hill, as well as an Adjunct Associate Professor at The University of North Carolina at Chapel Hill (Hunter). Senior Project Director, Education Development Center, Children's Safety Network National Injury and Violence Prevention Resource Center, Washington, D.C. (Schmidt) Assistant Professor, Boston University School of Public Health, Massachusetts (Zakocs). Corresponding author: Wanda M. Hunter, MPH, 817 Old Mill Road, Chapel Hill, NC 27514. Funding was provided by the State and Territorial Injury Prevention Directors Association through a cooperative agreement with the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (NCIPC), and by the Health Resources Services Administration, Maternal and Child Health Bureau's resource center, the Children's Safety Network (CSN) through the provision of staff time. The authors thank the state injury prevention program staff for their invaluable evaluation interviews, and Carol W. Runyan, PhD, and Tom Cole, MD, MPH, of the University of North Carolina Injury Prevention Research Center who contributed to the evaluation design. The STAT Standards Development Work Group included: Ellen Schmidt, chair; STIPDA members, Alex Kelter, Mark Johnson, Sue Mallonee, Trisha Keller, Linda Scarpetta, Victoria Ozonoff, Susan Hardman, Ann Thacher, Julie Sergeant and David Scharf, STIPDA Executive Director; CSN representatives, Susan Gallagher, Chris Miara, and Xan Young; and John Horan from NCIPC. Journal of Public Health Management and Practice: January-February 2005 - Volume 11 - Issue 1 - p 29-36 Buy SDC AbstractIn Brief To conduct a formative and pilot impact evaluation of the State Technical Assessment Team (STAT) program, a visitation-based (visitatie) peer assessment program designed to enhance the organizational capacity of state health department injury prevention programs. The formative evaluation was based on observational, record review, and key informant interview data collected during the implementation of the first 7 STAT visits. Pilot impact data were derived from semi-structured interviews with state injury prevention personnel one year after the visit. Formative evaluation identified 6 significant implementation problems in the first visits that were addressed by the program planners, resulting in improvements to the STAT assessment protocol. Impact evaluation revealed that after one year, the 7 state injury prevention programs had acted on 81% of the recommendations received during their STAT visits. All programs reported gains in visibility and credibility within the state health department and increased collaboration and cooperation with other units and agencies. Other significant program advancements were also reported. Specific program standards and review procedures are important to the success of peer assessment programs such as STAT. Early impact evaluation suggests that peer assessment protocols using the visitatie model can lead to gains in organizational capacity. This article details the results of a formative and pilot impact evaluation of the State Technical Assessment Team (STAT) program, a visitation-based peer assessment program designed to enhance the organizational capacity of state health department injury prevention programs. © 2005 Lippincott Williams & Wilkins, Inc.