Integrating Community Health Centers and Public Health: Moving Down the Pyramid. Lauren Smith, MD, MPH May 2013
|
|
- Barnaby Rogers
- 5 years ago
- Views:
Transcription
1 Integrating Community Health Centers and Public Health: Moving Down the Pyramid Lauren Smith, MD, MPH May 2013
2 Overview Rationale for evolving role Transition from programs to evidencebased policies and systems Community Transformation and Mass in Motion Substance abuse treatment
3 Smallest Impact CDC Health Impact Pyramid Shifting our Emphasis Counseling & Education Examples Eat healthy, be physically active Largest Impact Clinical Interventions Long-lasting Protective Interventions Changing the Context to make individuals default decisions healthy Socioeconomic Factors Rx for high blood pressure, high cholesterol, diabetes Immunizations, brief intervention, cessation treatment, colonoscopy Fluoridation, trans fat, smoke-free laws, tobacco tax Poverty, education, housing, inequality
4 Percent of Adults Social Stratification of Illness: Education and Diabetes Boston MA High School or less Some college College or more Source: MassCHIP, MA Department of Public Health
5 Describing Pathways of Impact Connect the dots for policymakers and the public between social determinants and health Help identify points of intervention
6 How does the social become biologic? Housing costs/ quality/location Food deserts Health care access Environmental exposure to toxins, pollution advertising Residential segregation Transportation Education quality Social support Neighborhood violence
7 Moving Down the Pyramid: Working with Massachusetts League of Community Health Centers Community Transformation Grants
8
9 % Overweight or Obese Children Childhood Obesity is Not Randomly Distributed Among our Communities Childhood Obesity and Median Household Income, $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000 $180,000 Median Household Income ( American Community Survey, US Census Bureau)
10 Percent MA Students who are Overweight/Obese by Grade & Gender, Grade 1 Grade 4 Grade 7 Grade 10 Male Female Source: MDPH, Bureau of Community Health, Access and Prevention, Division of Primary Care and Health Access, School Health Unit
11 Massachusetts s Obesity Burden: Are we out of balance? Nutritional Risks Protective Factors
12 Fast food restaurant density related to income and % black residents of neighborhood. Disparities in Fast Food Nation A 4% increase in proportion of black residents associated with 10% increase in fast food density Block JP et al, Am J Prev Med, 2004 Predominantly black neighborhoods 6 times more fast food restaurants 2.4 fast food restaurants/sq mile
13 The fun way for on-the-go kids to refuel Kids Meals Chicken McNuggets (6 pc), small French fries, 8 oz low-fat chocolate milk Double cheeseburger, small French fries, 8 oz low-fat chocolate milk Chicken McNuggets (4 pc), small French fries, 8 oz low-fat chocolate milk Cheeseburger, small French fries, 8 oz low-fat chocolate milk Calories Fat (g) Chol (g) Sodium (mg)
14 Where are the healthy options? Supermarkets have more heart healthy food vs. grocery & convenience stores Low income & minority neighborhoods Less likely to have supermarket More likely to have small grocery stores
15 Mass in Motion: Eat Better, Move More Multifaceted state initiative Call to Action report Public information campaigns Municipal wellness grants Website Info on physical activity and nutrition Calendars Blogs Links to state and local resources
16
17 Municipal Wellness Grants: Evidenced Based Approaches Grantees using CDC recommended evidenced based strategies for community change Promote availability of affordable healthy food Support healthy food and beverage choices Create safe communities that support physical activity
18 Mass in Motion Municipal Wellness & Leadership Grants Promoting Healthy Eating and Active Living Initiating or expanding policy, systems, and environmental change through healthy community design to consider health in all policies Promote Health Equity Engage non-traditional & diverse stakeholders Multi-sector planning & work groups Using CDC recommended evidenced based assessments & strategies A public-private partnership supporting cities and towns
19 Community Transformation Grants Local policy and environmental change Tobacco-free living/smoke-free housing (Public) Healthy Eating/Active Living Clinical Interventions Three long-term outcomes Reduce death and disability due to tobacco use by 5% in the implementation area. Reduce the rate of obesity through nutrition and physical activity interventions by 5% in the implementation area. Reduce death and disability due to heart disease and stroke by 5% in the implementation area.
20
21
22 Healthy Community Design Important characteristics of the built environment critical to promoting health include: walkable and bikeable neighborhoods public transit parks, recreation facilities, and open spaces healthy food environments safety
23 Community Planning: Healthy Eating Create incentive programs to attract supermarkets and grocery stores to underserved neighborhoods Use zoning regulations to enable healthy food providers to locate in underserved neighborhoods (e.g., as of right and conditional use permits ) to limit the density of fast food establishments Land use policies/zoning regulations to promote, expand, and protect potential sites for community gardens and farmers markets vacant city-owned land or unused parking lots
24 Community Planning: Active Living Adopt a pedestrian & bicycle master plan for long-term vision for walking/cycling. Plan, build and maintain a network of sidewalks and street crossings that safely connect schools, parks and other destinations. Build and maintain parks and playgrounds that are safe, attractive and close to residential areas. Adopt community policing strategies that improve safety and security for park use 24
25 Clinical Initiative & State Innovations Model: e-referral Program The Division of Prevention and Wellness and the Massachusetts League of CHCs have two projects that aim to integrate primary care and public health: 1) Community Transformation Grants: Clinical Initiative The CTG (8 county) is working with 2 CHCs (Brockton and Mid Outer Cape Hyannis) in a QI initiative to improve clinical measures for blood pressure control. 2) The CMS State Innovations Model Testing Grant: e-referral program In the 4-year funding period, we will link up to 9 CHCs to 4 community resources (i.e., tobacco quitline, YMCA, local senior centers, and VNAs). Since this program kicked off 4/1/2013, we are still working with the Massachusetts League of CHCs to identify the specific CHCs.
26 Community Transformation Grants: Clinical Initiative State Innovations Model: e-referral Program Activities EHR data transmission from CHCs to MDPH Create statewide primary care Quality Improvement collaborative Create Clinical- Community Linkages Outputs Data feedback reports for CHCs Learning Sessions, Best Practices Clinical- Community Linkages: SIM e- Referral Project Short-term Outcomes Increased rates of preventive care Improved health equity Systems change supported by primary care staff Lowered BP, lipids, HbA1C, tobacco use Increased connections to MiM community resources Long-term Outcomes Decrease in smoking prevalence Decrease in obesity prevalence Decrease in CHD and CHD-related diseases
27 Community Transformation Grants: Clinical Initiative Focus - implementing clinical systems change and enhancing community-clinical linkages The goals of the CTG clinical initiatives are to improve health outcomes reduce disparities for people with or at risk for chronic disease MDPH and the Massachusetts League of Community Health Centers have jointly worked to: identify outcome measures and survey tools develop a reporting structure to be used by local CHC recruit CHCs from Mass in Motion communities develop infrastructure for a Primary Care Quality Improvement (QI) Collaborative (PC-CORE).
28 Community Transformation Grants: Clinical Initiative Since October 2012, MDPH has: Conducted preliminary data analysis of ~ 90,000 deidentified unique patient encounters Developed feedback reports with actionable information for care teams at CHCs Drafted a Train-the-Trainer QI Coach curriculum Outlined a Culturally and Linguistically Appropriate Services (CLAS) training module for CHC staff Compiled community resources for asset mapping MDPH has also developed a bi-directional Community Rx that links patients, primary care providers and participating community agencies
29 Massachusetts State Innovation Model Testing Grant: e-referral program The Massachusetts League of Community Health Centers is primary clinical partner Bi-directional e-referral program enabling electronic communityclinical linkages $3.8 million over 4 years for IT support & clinical and community resource staff CHIA DRVS data system will allow evaluation of the impact on referrals to community resources & health outcomes E-Referral program estimated launch - Spring 2014 Initial pilot sites - 3 CHCs affiliated with Mass League with CHIA DRVS and 4 community resources: Tobacco Quitline, Councils on Aging, VNAs, YMCAs
30 State Innovations Model: e-referral Program Example of a bi-directional e-referral Outbound Transaction Clinical Setting Transmission from EMR Community Resource CHC Health care provider diagnoses Jane Smith with diabetes. Jane gives consent for referral to tobacco quitline and local CDSMP program. e-referrals from Provider to (1) Quitline & (2) Council on Aging Contact Information: Address, Phone Other Health Data: Current smoker and Type 2 Diabetes Tobacco Quitline & Local Council on Aging Jane is contacted by Quitline and starts counseling program to quit smoking. Jane is also contacted by Senior Center and begins 6 class CDSMP program. CHC Automatic updates of smoking and exercise program added to EMR. At next appointment, health care provider is able to see the update of Jane s progress in Jane s own electronic health record. Inbound Transaction Clinical Setting Transmission to EMR Community Resource Progress report from community resources to provider (Standardized HL7 Formatted Transaction) Jane Smith Smoking status at 6 months post referral, CDSMP sessions attended, and improvement in FV intake and exercise Tobacco Quitline & Local Council on Aging Quitline calls back 6-months post referral for update. Senior Center prepares final CDSMP report on Jane s progress. Updates transmitted to provider as requested.
31 Moving Down the Pyramid Office Based Substance Abuse Treatment
32 Integrating Office Based Opiate Treatment (OBOT) in CHCs: Why We Need it MA has a significant opioid abuse and addiction problem : 15% increase in clients with opiate use in Bureau of Substance Abuse Services treatment programs 51.7% of all clients in the last fiscal year : 2,300 fatal overdoses : 12,136 opioid overdoses 61.4 per 100,000 residents BSAS has piloted this model in 4 community health centers and 10 federally qualified health centers (FQHC) since August of 2008.
33 OBOT Integration Using Nurse Care Manager Model Developed by Boston Medical Center and adopted by SAMHSA as a promising practice BSAS and BMC received a SAMHSA Science to Service Award for this model in April 2012 Requires integration of primary health care and behavioral health services for opiate addicted patients Includes ongoing TA to FQHC s on implementing the model to ensure fidelity.
34 Value of Medication Assisted Treatment Decrease health disparities Non-whites patients who access MAT do so later in their illness. Develop workforce capacity to integrate the identification and treatment of patients with substance use disorders in a primary care setting.
35 OBOT Works 14 community health centers 6,503 patients enrolled Disparities reduced - improved retention among non-white patients compared to other MAT 77.8% achieved opiate abstinence based on objective drug screening results 28.3% have resumed their education 17.2% decrease in unemployment
36 Detox Admissions Notes: Hospital data is only available through 10/2010. Enrollments must have spanned the future timeframes (e.g. client must still be in treatment for admission to be counted). 5/10/2013 8:51 AM
37 ER Visits Notes: Hospital data is only available through 10/2010 Enrollments must have spanned the future timeframes (e.g. client must still be in treatment for admission to be counted). 5/10/2013 8:51 AM
38 ER Expenditures Notes: Hospital data is only available through 10/2010 Enrollments must have spanned the future timeframes (e.g. client must still be in treatment for admission to be counted). ER costs are estimated based on hospital charged amounts; Paid is currently calculated using 2/3 of the charged amount. These statistics have not yet been fully scrutinized. 5/10/2013 8:51 AM
39 Hospital Admissions Notes: Hospital data is only available through 10/2010 Enrollments must have spanned the future timeframes (e.g. client must still be in treatment for admission to be counted). 5/10/2013 8:51 AM
40 Hospital Admission Expenditures Notes: Hospital data is only available through 10/2010 Enrollments must have spanned the future timeframes (e.g. client must still be in treatment for admission to be counted). ER costs are estimated based on hospital charged amounts; Paid is currently calculated using 2/3 of the charged amount. These statistics have not yet been fully scrutinized. 5/10/2013 8:51 AM
41 CDC Health Impact Pyramid Getting Comfortable in a New Place Smallest Impact Largest Impact Counseling & Education Clinical Interventions Long-lasting Protective Interventions Changing the Context to make individuals default decisions healthy Socioeconomic Factors Eat healthy, be physically active Rxfor high blood pressure, high cholesterol, diabetes Immunizations, brief intervention, cessation treatment, colonoscopy Fluoridation, trans fat, smoke-free laws, tobacco tax Poverty, education, housing, inequality
42 Questions?
A Community Response to a Community Crisis
A Community Response to a Community Crisis Prevention Intervention Treatment Recovery Factors that Affect Health Public Health Pyramid Smallest Impact Largest Impact Counseling and Education Clinical Interventions
More informationMaking the healthy choice, the easy choice: Tobacco control and obesity prevention in Philadelphia
Making the healthy choice, the easy choice: Tobacco control and obesity prevention in Philadelphia Giridhar Mallya, MD, MSHP Director of Policy and Planning Philadelphia Department of Public Health Schroeder
More information5 Public Health Challenges
5 Public Health Challenges The most recent Mecklenburg County Community Health Assessment (CHA) prioritized the prevention of premature death and disability from chronic disease as the number one public
More informationWICOMICO COUNTY LOCAL HEALTH IMPROVEMENT COALITION
Background: Obesity prevention was identified by the Wicomico County Local Health Improvement Coalition as a priority concern for the County in 2009. In 2013, The Wicomico County Executive s Fitness Council
More informationPrevention and Public Health Fund: Community Transformation Grants
Prevention and Public Health Fund: Community Transformation Grants Overview of Los Angeles County Department of Public Health s Grant Award Summary LA Health Collaborative October 27, 2011 Background Two
More informationCharles County Chronic Disease Prevention Team Action Plan
Strategies Actions Outputs Intermediate Measures End Measures A. Increase access to healthy foods 1. Establish, Re-establish, and enhance s to educate the community on healthy foods such as the Grow It,
More informationI. Why planning & public health Mass in Motion approach: healthy community design III. Bringing public health & planning together in Worcester IV.
Designing for Healthy Communities: Public Health & Planning I. Why planning & public health II. Mass in Motion approach: healthy community design III. Bringing public health & planning together in Worcester
More informationPutnam County Community Health Improvement Plan. One-Year Evaluation Report, 2014
Putnam County Community Health Improvement Plan One-Year Evaluation Report, 2014 Revised April 22, 2015 Putnam County s Community Health Improvement Plan (CHIP) focuses on two overarching priorities: prevent
More informationEnhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer. December 2018
Enhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer December 2018 Goals GET INFORMED GET INSPIRED GET UNCOMFORTABLE GET ACTIVATED Carolinas HealthCare System Is Our
More informationMA Health Policy Student Forum. Lea Susan Ojamaa, MPH Director, Division of Prevention and Wellness January 8, 2014
MA Health Policy Student Forum Lea Susan Ojamaa, MPH Director, Division of Prevention and Wellness January 8, 2014 Division of Prevention and Wellness The Division of Prevention and Wellness uses an integrated
More informationRHODE ISLAND CANCER PREVENTION AND CONTROL
RHODE ISLAND CANCER PREVENTION AND CONTROL 2013 2018 STRATEGIC PLAN TABLE OF CONTENTS Purpose 1 The Partnership to Reduce Cancer 3 Prevention 4 Tobacco 4 Healthy Weight 6 Nutrition 6 Physical Activity
More informationThe Elimination of Racial and Ethnic Disparities A Public Health Priority
Massachusetts Department of Public Health The Elimination of Racial and Ethnic Disparities A Public Health Priority September, 2009 The Elimination of Racial and Ethnic Disparities is a Core Public Health
More informationCommunity Impact Through Data-Driven Action Teams
Community Impact Through Data-Driven Action Teams Who is in the room? The Heart of New Ulm Project What if we could eliminate heart attacks in an entire community? New Ulm Primary Objective Improve the
More informationSPARTANBURG COUNTY BODY MASS INDEX (BMI) REPORT
SPARTANBURG COUNTY BODY MASS INDEX (BMI) REPORT 1 st, 3 rd, and 5 th GRADE STUDENTS SCHOOL YEAR 2013-2014 2 CHILDHOOD OBESITY TASK FORCE ADVISORY COMMITTEE PARTNERS 3 4 TABLE OF CONTENTS Preface.. 4 Project
More informationBUILT ENVIRONMENT ACCESS TO HEALTHY FOODS
Importance Definitions The environment in which we live often shapes the choices we make. If our built environment offers mainly fast food restaurants and liquor stores and we have limited transportation,
More informationPriority Area: 1 Access to Oral Health Care
If you are unable to attend one of the CHARTING THE COURSE: Developing the Roadmap to Advance Oral Health in New Hampshire meetings but would like to inform the Coalition of activities and services provided
More information2016 Community Service Plan & Community Health Improvement Plan
2016 Community Service Plan & Community Health Improvement Plan A.O. Fox Memorial Hospital The Mary Imogene Bassett Hospital (dba: Bassett Medical Center) & Otsego County Health Department Service Area:
More informationStrategic Plan: Implementation Work Plan
Healthy Eating Active Living New Hampshire Strategic Plan: Implementation Work Plan July 1, 2011 June 30, Adopted: July 28, 2011 Goal One: Increase the number and effectiveness of community coalitions
More informationPreventing 1 Million Heart Attacks and Strokes by 2022
Preventing 1 Million Heart Attacks and Strokes by 2022 Miriam Patanian, MPH Senior Consultant for Health Systems and Cardiovascular Health National Association of Chronic Disease Directors Million Hearts
More informationChronic Diseases, Injury Kansas Department of Health and Environment, Bureau of Health Promotion
Chronic Diseases, Injury Kansas Department of Health and Environment, Bureau of Health Promotion Topeka, Kansas Assignment Description The CDC/CSTE applied chronic disease epidemiology fellow position
More informationImproving Public Health with Healthy Food Environments
www.ncceh.ca Improving Public Health with Healthy Food Environments Tina Chen, MPH, CPHI(C) Environmental Health and Knowledge Translation Scientist Project Collaborator: Ellen Gregg, Public Health Nutritionist,
More informationPatricia Bax, RN, MS August 17, Reaching New York State Tobacco Users through Opt-to-Quit
Patricia Bax, RN, MS August 17, 2015 Reaching New York State Tobacco Users through Opt-to-Quit Good Afternoon! Welcome Roswell Park Cessation Services and Opt-to-Quit Overview Featured Site: Stony Brook
More informationNutrition and Physical Activity Situational Analysis
Nutrition and Physical Activity Situational Analysis A Resource to Guide Chronic Disease Prevention in Alberta Executive Summary December 2010 Prepared by: Alberta Health Services, AHS Overview Intrinsic
More informationWill California s Health Care Reform Make Californians Healthier?
Will California s Health Care Reform Make Californians Healthier? E. Richard Brown, PhD Director, UCLA Center for Health Policy Research Professor, UCLA School of Public Health Council of State Governments
More information4.b.i Promote tobacco use cessation, especially among low SES populations and those with poor mental health (Focus Area 2; Goal #2.
4.b.i Promote tobacco use cessation, especially among low SES populations and those with poor mental health (Focus Area 2; Goal #2.2) Project Objective: This project will promote tobacco use cessation,
More informationService Area: Herkimer, Fulton & Montgomery Counties. 140 Burwell St. 301 N. Washington St. Little Falls, NY Herkimer, NY 13350
2016 Community Service Plan & Community Health Improvement Plan & Herkimer County Public Health Service Area: Herkimer, Fulton & Montgomery Counties Bassett Healthcare Network s Little Falls Hospital Herkimer
More informationPREVENTION. Category: Initiation of Tobacco Use. Strategies to Reduce tobacco use initiation. used smokeless tobacco on one or more of the
Goal 1: Reduce incidence and mortality from tobaccorelated cancers (lung, throat, mouth, pancreas, kidney, bladder and cervix) in all populations. Category: Initiation of Tobacco Use OBJECTIVE 1.1: By
More informationBrown County Health Needs Assessment. A summary of key informant interviews
Brown County Health Needs Assessment A summary of key informant interviews 2015 This report was prepared by the Design, Analysis, and Evaluation team at the Center for Urban Population Health. Carrie Stehman,
More informationThe Massachusetts Department of Health Immunization Equity Initiative Targeting Underserved Populations
The Massachusetts Department of Health Immunization Equity Initiative Targeting Underserved Populations 2009-2012 Massachusetts Department of Public Health Office of Health Equity July 2013 1 Table of
More informationResolution in Support of Improved Food Access and Education in Jefferson County
Resolution in Support of Improved Food Access and Education in Jefferson County WHEREAS healthy food defined as the product of a system where food is grown, processed, transported and marketed in a healthy
More informationQuantifying Local Public Health Infrastructure for Obesity Prevention: Results of a Practice Inventory of US Local Health Departments
Quantifying Local Public Health Infrastructure for Obesity Prevention: Results of a Practice Inventory of US Local Health Departments KEENELAND CONFERENCE APRIL 8, 2014 KATIE STAMATAKIS, PHD, MPH ALLESE
More informationArizona health survey special Issue. Influence of Community, the Built Environment and Individual Behavior on Weight and Obesity among Arizona Adults
Arizona health survey special Issue Prepared by Li Zhu,Ph.D., Arizona State U nive rsity Influence of Community, the Built Environment and Individual Behavior on Weight and Obesity among Arizona Adults
More informationBuilding a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine
Building a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine Scott M. Gagnon, MPP, PS-C Director, AdCare Educational Institute of Maine, Inc. Co-Chair, Prevention & Harm
More informationHealth Impact Pyramid
Promoting Salt Reduction through State Agency Food Standards: The Massachusetts Experience Lauren Smith, MD, MPH Massachusetts Department of Public Health December 2010 Health Impact Pyramid Increasing
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationMassachusetts Department of Public Health, Tobacco Cessation and Prevention Program. Massachusetts spends $4.3 billion on
Massachusetts Tobacco Cessation and Prevention Program Winnable Battles Initiative June 6-8 Massachusetts Department of Public Health, Tobacco Cessation and Prevention Program Context Massachusetts spends
More informationThe State of Obesity 2017 Better Policies for a Healthier America
The State of Obesity 2017 Better Policies for a Healthier America Southern Obesity Summit Atlanta, GA October 2, 2017 Richard Hamburg Executive Vice President and COO Trust for America s Health Overview
More informationNORTH CAROLINA CARDIOVASCULAR STATE PLAN I N T R O D U C T I O N S, G O A L S, O B J E C T I V E S A N D S T R A T E G I E S
NORTH CAROLINA CARDIOVASCULAR STATE PLAN 2011-2016 I N T R O D U C T I O N S, G O A L S, O B J E C T I V E S A N D S T R A T E G I E S PRIMARY PREVENTION OF CARDIOVASCULAR DISEASE THROUGH HEALTHY LIVING
More informationRandolph County. State of the County Health Report 2014
Randolph County State of the County Health Report 2014 Inside this issue: Priority Areas 2-4 Overweight and Obesity Data 5 Physical Activity 6 Substance Abuse 7 Access to Care 8 Morbidity and Mortality
More informationNYC: Promising and Innovative Cross-Sector Solutions
NYC: Promising and Innovative Cross-Sector Solutions Jeni Clapp, MPA Director of Healthy Eating Initiatives, Bureau of Chronic Disease Prevention & Tobacco Control New York City Department of Health and
More informationWhittier Street Health Center Diabetes Care Coordination Program
Whittier Street Health Center Diabetes Care Coordination Program PROJECT OVERVIEW Whittier Street Health Center (WSHC) is a Federally Qualified Health Center (FQHC) located in Boston, Massachusetts. The
More informationNo one should be at risk of poor health because of their social and economic situations.
HEALTH MATTERS No one should be at risk of poor health because of their social and economic situations. Members of municipal government play an important role in shaping policies that impact all aspects
More informationArizona Smokers Helpline AnnualAprilReport
30, 2015 Arizona Smokers Helpline AnnualAprilReport Fiscal Year 2015 Impact of Media Campaigns on Call Volume Program Statistics Improving the Health of Arizonans Page 1 of 1 Media Campaigns Effect on
More informationHEALTH REFORM & HEALTH CARE FOR THE HOMELESS POLICY BRIEF JUNE 2010
HEALTH REFORM & HEALTH CARE FOR THE HOMELESS CREATING HEALTHIER COMMUNITIES: CHRONIC DISEASE PREVENTION INITIATIVES OF INTEREST TO HEALTH CENTERS Chronic disease is the leading cause of death and disability
More informationWalker Baptist Medical Center
Community Health Needs Implementation Strategy FY2013 - FY2015 FY2013-FY2015 Community Health Needs Implementation Strategy Overview Located in Jasper, Alabama, Walker Baptist Medical Center is part of
More informationHealth Care Reform in the Northwest: Part 1
Health Care Reform in the Northwest: Part 1 Lillian Shirley, BSN, MPH, MPA Patrick F. Luedtke, MD, MPH www.nwcphp.org/hot-topics Integrating Population Health within a Health System Delivery to Achieve
More informationHealth Care Reform in the Northwest: Part 1
Health Care Reform in the Northwest: Part 1 Lillian Shirley, BSN, MPH, MPA Patrick F. Luedtke, MD, MPH www.nwcphp.org/hot-topics Integrating Population Health within a Health System Delivery to Achieve
More informationTobacco use is Wisconsin s
Focus on... Smoking Increasing tobacco taxes: An evidencebased measure to reduce tobacco use Marion Ceraso, MHS; David Ahrens, MS; Patrick Remington, MD Tobacco use is Wisconsin s single most important
More informationMassachusetts Healthy Aging Initiative
Massachusetts Healthy Aging Initiative Joining Forces to Build Healthier Communities Anita Albright, Director Office of Healthy Aging Massachusetts Department of Public Health Chronic Disease in MA While
More informationTo: Mayor and Council From: Christina Vugteveen, Business Analyst Subject: Healthy Abbotsford Partnership and Healthy Community Strategies
ABBOTSFORD Report No. PRC 35-2011 September 9, 2011 File No: 8020-20 COUNCIL REPORT Executive Committee To: Mayor and Council From: Christina Vugteveen, Business Analyst Subject: Healthy Abbotsford Partnership
More informationExpert Task Group Recommendations
Expert Task Group Recommendations CASE FOR ACTION 157,000 Champlain residents smoke daily. Tobacco use will kill half of these residents if they do not quit. Tobacco use is a very powerful modifiable CVD
More informationDeveloping Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant
Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant Deborah van Olst, MPH Epidemiologist What is Health Equity?
More informationSE Ferguson Initiative Update
SE Ferguson Initiative Update Community Demographics C0mmunity Demographics Cont d 80000 60000 40000 20000 Median Household Income Source: ACS 5 Year Estimates, 2012-2016 0 2012 2013 2014 2015 2016 St.
More informationThe following report provides details about the strategic plan and the main accomplishments from the 2015 plan.
INTRODUCTION In Fall 2014, the Denver Public Health Strategic Planning Committee worked with staff and partners to develop the 2015-2017 Strategic Plan. From this plan, the annual 2015 implementation plan
More informationLorain County Community Health Improvement Plan Annual report
Lorain County Community Health Improvement Plan 2017 Annual report Completed July 2, 2018 Introduction In December 2012, partner agencies used data from the 2011 Lorain County Community Health Assessment
More informationPerformance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)
Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and
More informationFred Podesta, Department of Finance and Administrative Services Director Catherine Lester, Human Services Department Director
MEMORANDUM DATE: TO: VIA: FROM: Subject: Councilmember Teresa Mosqueda, Chair Housing, Health, Energy, and Workers Rights Ben Noble, Budget Director Fred Podesta, Department of Finance and Administrative
More informationPublic Health & Prevention: Supporting Healthy Aging in Los Angeles County
Public Health & Prevention: Supporting Healthy Aging in Los Angeles County Senior Center Directors Knowledge Fair February 12, 2014 Jonathan E. Fielding, M.D., M.P.H., M.B.A Director of Public Health and
More information70.4% of clients rated the services they received as excellent and 25.9% rated the services as very good. Specialized Clinical Services:
Our Mission: The Human Services Department seeks to support, strengthen and empower Falmouth residents and the community by ensuring access to a comprehensive range of community-based health and human
More informationEngaging community leaders & youth in promoting smoke free policies for parks
Engaging community leaders & youth in promoting smoke free policies for parks October 31, 2012 APHA 140 th Annual Meeting & Expo Nicole Coxe, MPH(c), Janie Burkhart, MPH, Whitney Webber, MS, Tonya Veitch,
More informationMonroe County Community Health Needs Implementation Plan. Approved May 21, 2013 Mercy Memorial Hospital System Board of Trustees
Monroe County Community Health Needs Implementation Plan Approved May 21, 2013 Mercy Memorial Hospital System Board of Trustees Chronic Conditions- Diabetes and Obesity CHRONIC CONDITIONS- DIABETES AND
More informationWebinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve.
Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve April 22, 2015 Qualis Health A leading national population health management organization
More informationViral Hepatitis in the U.S.: Federal Partner Update
Viral Hepatitis in the U.S.: Federal Partner Update Corinna Dan, RN, M.P.H. Office of HIV/AIDS and Infectious Disease Policy October 20, 2015 1 Institute of Medicine Report, 2010 Hepatitis and Liver Cancer:
More informationBe Healthy. Nutrition and Food Security
Be Healthy Nutrition and Food Security Texas Health and Human Services HHS oversees the operation of the health and human services system. HHS has responsibility for strategic leadership, administrative
More informationEvidence-Based Programs in Massachusetts
Evidence-Based Programs in Massachusetts Rachel Richards Assistant Secretary Massachusetts Executive Office of Elder Affairs MassHealth Office of Long Term Care 1 September 29, 2010 Chronic Disease in
More informationPriority #1: Walkability and Bikeability Communities
Priority #1: Walkability and Bikeability Communities Individual Interpersonal Organizational Community Public Policy Active Halton Fair Guide Active Minds Active Bodies Active and Safe Routes to Bike Helmet
More informationPolicies are Important to Parks and
Why Healthy Eating and Active Living Policies are Important to Parks and Recreation Agencies Rachel Callanan, JD, MNM Regional Vice President of Advocacy, MN & WI American Heart Association, Midwest Affiliate
More informationSTRATEGIC DIRECTIONS AND FUTURE ACTIONS: Healthy Aging and Continuing Care in Alberta
STRATEGIC DIRECTIONS AND FUTURE ACTIONS: Healthy Aging and Continuing Care in Alberta APRIL 2000 For additional copies of this document, or for further information, contact: Communications Branch Alberta
More informationRESILIENCY AND RECOVERY ORIENTED SYSTEMS OF CARE
RESILIENCY AND RECOVERY ORIENTED SYSTEMS OF CARE An Introduction to the Approach Lisa Muré, NH Center for Excellence RESILIENCY AND RECOVERY ORIENTED SYSTEMS OF CARE 1. An Introduction to the Approach
More informationHistory 10/6/2015. National Conference on Tackling Tobacco Use in Vulnerable Populations
National Conference on Tackling Tobacco Use in Vulnerable Populations National SelfMade Health Network (SMHN) Dwana Dee Calhoun, MS-Director October 5-6, 2015 Bethesda, Maryland History One of a consortium
More informationTobacco Control in Los Angeles County: Lessons Learned
Tobacco Control in Los Angeles County: Lessons Learned Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health May 15, 2008 Prevalence of Cigarette
More informationBaptist Health Jacksonville Community Health Needs Assessment Implementation Plans. Health Disparities. Preventive Health Care.
Baptist Health Jacksonville Community Health Needs Assessment Implementation Plans Health Disparities Infant Mortality Prostate Cancer Heart Disease and Stroke Hypertension Diabetes Behavioral Health Preventive
More informationCommunity Health Needs Assessment for the Greater Brockton CHNA
The Greater Brockton Community Health Network Area Abington / Avon / Bridgewater / Brockton / East Bridgewater / Easton / Holbrook / Stoughton / West Bridgewater / Whitman Community Health Needs Assessment
More informationHealthy People, Healthy Communities
Healthy People, Healthy Communities Public Health Policy Statements on Public Health Issues The provincial government plays an important role in shaping policies that impact both individual and community
More informationCHAPTER 59: HEALTHY F OOD RETAILER ORDINANCE.
FILE NO. 1 ORDINANCE NO. 1 [Administrative Code - Healthy Food Retailer Incentives Program] Ordinance amending the Administrative Code by adding Chapter (Sections.1-.) to establish a Healthy Food Retailer
More informationHeather L. Clinger, MPH, CPS Cathy Sisco, MPA, CPS Sara Wakai, PhD. August 2018 National Prevention Network Annual Conference
Heather L. Clinger, MPH, CPS Cathy Sisco, MPA, CPS Sara Wakai, PhD August 2018 National Prevention Network Annual Conference How to Begin a Coalition Use the Strategic Prevention Framework (SPF) to guide
More informationHRSA HIV/AIDS Bureau Updates
HRSA HIV/AIDS Bureau Updates Minority AIDS Initiative (MAI): 15 Years Later What s Been Achieved? What Are the Ongoing Barriers to Success? October 2, 2014 Harold J. Phillips Deputy Director Division of
More informationAn Overview of HUD s Smoke-Free Multifamily Housing Initiative
An Overview of HUD s Smoke-Free Multifamily Housing Initiative Rachel M. Riley Senior Program Analyst Office of Lead Hazard Control and Healthy Homes U.S. Department of Housing and Urban Development 451
More informationThe Burden of Opioid Use/Misuse in Pima County
The Burden of Opioid Use/Misuse in Pima County Francisco García, MD, MPH Assistant County Administrator & Chief Medical Officer 19 July 2017 Health Department Video 2 What impacts health? 3 How do you
More informationMaryland s Health Enterprise Zones Addressing Social Determinants of Health
Maryland s Health Enterprise Zones Addressing Social Determinants of Health Michelle Spencer, MS Associate Director, Bloomberg American Health Initiative Associate Scientist, Health Policy and Management
More informationSENTARA MARTHA JEFFERSON HOSPITAL 2016 Community Health Needs Assessment Supplemental Report
SENTARA MARTHA JEFFERSON HOSPITAL 2016 Community Health Needs Assessment Supplemental Report Sentara Martha Jefferson Hospital participated in a collaborative effort to conduct a community health needs
More informationPhase I Planning Grant Application. Issued by: Caring for Colorado Foundation. Application Deadline: July 1, 2015, 5:00 PM
Phase I Planning Grant Application Issued by: Caring for Colorado Foundation Application Deadline: July 1, 2015, 5:00 PM Executive Summary Caring for Colorado is currently accepting applications for SMILES
More informationJOINING HANDS: SHARING RESOURCES AND DATA ACROSS SECTORS TO IMPROVE POPULATION HEALTH
JOINING HANDS: SHARING RESOURCES AND DATA ACROSS SECTORS TO IMPROVE POPULATION HEALTH Virginia Population Health Summit Charlottesville, Virginia March 29, 2017 Steven H. Woolf, MD, MPH Director, Center
More informationNAQC Conference 2017 Lunch Plenary
NAQC Conference 2017 Lunch Plenary State Innovations: Enhancing Quitline Services for Medicaid Smokers Karen Brown, MPH Paula Celestino, MPH Tasha Moses, MPA Moderator: Linda Bailey, JD, MHS Tuesday, March
More informationCommunities Putting Prevention to Work
Communities Putting Prevention to Work Applying research to practice brought to you by the Department of Health and Human Services Making the healthy choice the easy choice by changing policy, systems,
More informationClinical and Public Health Progress Each Contributed About Half to the 50% Reduction in Heart Disease Deaths, US,
The Beat Goes On Kim La Croix, MPH, RD Nutrition Coordinator/Public Health Nutritionist Public Health Division Center for Prevention & Health Promotion Health Promotion Chronic Disease Prevention Objectives
More informationTennessee Tobacco Settlement Health Councils Planning Meeting. Tennessee Public Health Association September 12, 2103
Tennessee Tobacco Settlement Health Councils Planning Meeting Tennessee Public Health Association September 12, 2103 Session Objectives Identify facts regarding tobacco use and its relationship to county
More informationSanta Clara County Highlights
Santa Clara County Highlights Data and Partnerships: Pivotal Elements to Create Healthy Communities November 6th, 2009 David Hill, PhD, MPH Cities of Santa Clara County 2 The pivotal elements Data evidence-based
More informationCommunity Health Needs Assessmen. Implementation Strategy
Community Health Needs Assessmen Implementation Strategy HOSPITAL BACKGROUND Baptist Memorial Restorative Care Hospital was established in 1994 as a long term acute care hospital and is located within
More informationOffice of Minority Health. A Call to Action November 17, 2010
Office of Minority Health A Call to Action November 17, 2010 Office of Minority Health Mission Improve the health of racial and ethnic minority populations through the development of health policies and
More informationCommunity Health Workers (CHWs) in HIV Services: Insights from Virginia. November 16, 2017
Community Health Workers (CHWs) in HIV Services: Insights from Virginia November 16, 2017 1 Welcome Allyson Baughman, MPH Program Manager, Center for Innovation in Social Work and Health Boston University
More informationAdventist HealthCare Washington Adventist Hospital Community Health Needs Assessment Implementation Strategy. Adopted May 15, 2017
Adventist HealthCare Washington Adventist Hospital 2017-2019 Community Health Needs Assessment Implementation Strategy Adopted May 15, 2017 Implementation Strategy Development & Adoption Adventist HealthCare
More informationIntegrative Medicine Group Visits: A New Model of Care for Managing Health and Well-Being Katherine Gergen Barnett, MD Diane Rogers June 25, 2015
+ Integrative Medicine Group Visits: A New Model of Care for Managing Health and Well-Being Katherine Gergen Barnett, MD Diane Rogers June 25, 2015 Safety net hospital for Boston and surrounding communities;
More informationRay County Memorial Hospital 2016 Implementation Plan 1
Ray County Memorial Hospital 2016 Implementation Plan 1 Ray County Memorial Hospital is a critical access health care facility located in Richmond, Missouri. Ray County Memorial Hospital provides inpatient
More informationWELLNESS POLICY I. INTRODUCTION AND RATIONALE
WELLNESS POLICY Cabell County Schools recognizes a relationship exists between nutrition, physical activity, and learning. Healthy eating and activity patterns are essential for students to achieve their
More informationCourtney S. Turner Charitable Trust Application September 2013
Courtney S. Turner Charitable Trust Application September 2013 Organizational Information Live Well Live Atchison Creating Healthy Communities (LWLA) Type of Organization: Community Initiative Amount Requested:
More informationArizona Health Improvement Plan
Arizona Health Improvement Plan Arizona Alliance for Community Health Centers February 4, 2015 Will Humble, MPH ADHS Director Leading Health Issues State Health Assessment Obesity Behavioral Health Services
More information2016 Implementation Plan
2016 Implementation Plan Summary As a trusted local healthcare leader, Mount Nittany Health is committed to understanding and addressing the most pressing health and wellness concerns for our community.
More informationVirginia s Health 2017
Virginia s Health 2017 Marissa J. Levine, MD, MPH, FAAFP Virginia State Health Commissioner The Virginia Department of Health HAC Health & Human Resources Subcommittee Overview Virginian s Health Status
More informationDiabetes Prevention and Control A Comprehensive Process. Commissioner John Auerbach Massachusetts Department of Public Health
Diabetes Prevention and Control A Comprehensive Process Commissioner John Auerbach Massachusetts Department of Public Health Like everywhere else, Massachusetts has a growing diabetes problem Diabetes
More information