Population Health
Improvement Program
Kick-Off Meeting
February 26, 2015
HealtheConnections
Cayuga Community Health Network
Seven Valleys Health Coalition
Madison County Rural Health Council
Central New York Health Home Network
Onondaga County Health Department
Oswego County Opportunities 1
2
“Connecting You to Better Care”
In collaboration with our Central New York stakeholders and participants, HealtheConnections' trusted and valued
services support healthcare transformation and efficiency initiatives focused on achieving the triple aim of better care,
better population health and lower healthcare costs.
HealtheConnections provides unbiased, neutral health information exchange (HIE) services*, population health
improvement support services, data analytics, and electronic health record adoption and meaningful use advisement
services for the eleven counties of the Central New York region.
The name HealtheConnections represents our commitment to connect and engage Central New York healthcare
physicians, hospitals, public health, mental and behavior health, human services and other health care providing
entities, insurers, business and consumers to implement services and initiatives that support New York State’s health
information exchange and population health improvement agendas.
In the pursuit of this mission, the actions of leadership, staff and our business partners will be guided by the following
values:
Integrity & Trust, Excellence, Teamwork & Collaboration, Respect, Commitment, Accountability, Responsibility, &
Diversity
HealtheConnections takes a business oriented approach to our non profit work; emphasizing value, efficiency, results
and sustainability.
*HealtheConnections is a Qualified Entity of the State Health Information Network of New York (SHIN-NY)
3
Introduction of the PHIP Team
HealtheConnections
Rob Hack
Rachel Kramer
Bruce Hathaway
Mary Carney
Megan Lee
John Snow, Inc.
Craig Stevens
Alec McKinney
Apter & O’Connor
Nancy Smith
County Agents
Cayuga: Cayuga County
Community Health Network
Cortland: Seven Valleys Health
Coalition
Madison: Madison County
Rural Health Council
Oneida: Central New York
Home Network
Onondaga: Onondaga County
Health Department
Oswego: Oswego County
Opportunities
4
Meeting Goal
By the end of the meeting, participants will understand:
• Activities necessary to meet NYS contractual obligations
• Objectives and priorities
• Framework and recommended approaches
• PHIP resources that can be leveraged
• County priorities across 6-county region
• Expectations for stakeholder involvement
• Contract parameters and payments from HeC
• Activities to be accomplished within first 6 months
Build an engaged and informed Central New York Population Health Improvement Program (PHIP) team.
• PHIP Overview
• Central New York PHIP Framework and Approach
• Example of PHIP Approach
• Working Lunch – Discussion of County Priorities
• Stakeholder Mapping
• Next Steps and Closing
5
Agenda
Better population
health
Better care
Fewer health
disparities
Lower health
care costs6
NYS DOH Population Health Improvement
Program (PHIP) will promote the Triple Aim
7
Promote population healthReduce health care disparities
Best Practices
Innovative Strategies
Identifying
Sharing
Disseminating
Helping to implement
PHIP contractors will provide a neutral forum for:
PHIP contractors will engage stakeholders, including but not limited to:
Health, behavioral health, & disabilities
service providers
Rural health networks
Insurers, and other payers Consumer & patient advocacy organizations
Behavioral health advocacy organizations Disability rights organizations
Local public health officials, other elected
officials
Local human service agencies
Business community Unions
Schools Higher education institutions
Local housing authorities Local transportation authorities
8
Stakeholder Engagement
9
• Support and advance the Prevention Agenda by
serving as a resource and assisting in the
implementation of evidence based initiatives to
address priorities
• Support and participate in the development,
implementation, measurement and evaluation of
innovative health system strategies that support the
goals and objectives of the SHIP
• Serve as a resource to DSRIP Performing Provider
Systems (PPS)
10
PHIP contractors will, within their regions:
12
PHIP Regions
13
PHIP Contractors by Region
Central New York PHIP Objectives
1. Convene stakeholders and demonstrate
transparency
2. Incorporate health disparities strategies
3. Data-driven priorities and decision making
4. Advance state and county goals
5. Promote consumer engagement and coordinate
regional activities
14
HealtheConnections Roles & Responsibilities
• Ensure meaningful engagement of stakeholders
• Develop and implement governance structure
• Develop strategic plan and business plan
• Identify and disseminate best practices and innovative
strategies
• Identify and implement capacity-building trainings for region
• Support awareness and coordination of existing regional
initiatives
• Facilitate and support plans for regional health improvement
initiatives
• Develop website • Compile, analyze, interpret and present population health data
15
County Agent Roles & Responsibilities
• Convene local stakeholders to inform PHIP activities and
share best practices
• Collect, analyze and utilize county-specific data
• Support and advance county activities addressing Prevention
Agenda priorities
• Serve on Operating Committee and Leadership Advisory
Committee
• Support and participate in regional health improvement
initiatives
16
John Snow, Inc. Roles & Responsibilities
• Provide recommendations regarding:• PHIP governance structure
• PHIP strategic plan
• Best practices for community engagement and addressing health disparities
• Assist with county inventories
• Provide trainings to build capacity in community engagement
• Compile population health data with focus on health disparities
• Support the development of a public use data dashboard and portal
17
• Develop performance management plan • Incorporate evaluation outcomes and measures reflective
of strategic plan
• Prepare report on best practices for regional health improvement initiatives
18
Apter & O’Connor Roles & Responsibilities
• Hire HealtheConnections staff
• Establish contracts with County Agents, John Snow, Apter &
O’Connor
• Identify governance structure
• Put in place Leadership Advisory and Operating Committees
• Identify stakeholders and partners at county and regional level
• Identify county level prevention agenda priorities and existing
initiatives
• Review and compile regional data
• Review and compile best practices
• Complete business plan and strategic plan
• Launch PHIP website
First Six Months of PHIP
20
• Convene local stakeholders to inform PHIP activities and share best practices, with a focus on improving health and health equity
• Collect, analyze and utilize county-specific data
• Support and advance county activities addressing
Prevention Agenda priorities
Wo
rk W
ith
in t
he
Co
un
ty
21
Working Together Across the Region
• Serve as a nexus for data management and analytics
• Establish regional PHIP objectives that support Prevention Agenda priorities
• Participate in CNY regional population health improvement strategies
• Promote local participation in the PHIP Leadership Advisory Council (LAC) and other operating committees
22
Working Together Across the Region
Wo
rk W
ithin
th
e C
ou
nty
23
PHIP Vertical
and Horizontal
Alignment
Madison
Oswego
Cortland
Oneida
Cayuga
HeC
Onondaga 24
Working As A
Team
LEVERAGE and
CONNECT
PREP PLAN ACT SHARE
P1: Identify
County and
Hospital Priorities
P2: Identify
Stakeholders
P3: Examine Data
P4: Explore
Evidence-Based
Approaches
P5: Identify
Existing
Interventions
P6: Identify Gaps
and Opportunities
P7a: Implement
County-Level
Work and
Evaluation
(Vertical)
P7b: Implement
Regional Work
and Evaluation
(Horizontal)
P8: Report Back
P9: Illustrate
Impact
25
26
Introduction
to Lincoln
County
Prevent Chronic Diseases
• Reduce obesity
• Increase access to high-quality chronic disease preventive care and management
Promote Healthy Women, Infants, and Children
• Reduce premature births
• Increase the rate of babies who are breast fed
Lincoln County ExamplePhase 1: Identify county and hospital priorities
27
Lincoln County ExamplePhase 2: Identify stakeholders
Lincoln County Health Department National Alliance for the Mentally Ill (NAMI)
Excellus BlueCross BlueShield, Lincoln Valley Lincoln Valley Midwifery Services
Big Lincoln Hospital YMCA of Lincoln Valley
Four Trees Walk-In Community Clinic Lincoln Transit Authority
Lincoln City School District University of Lincoln Student Health Center
United Builders of Lincoln County, No. 56 American Cancer Society
Lincoln City Landscape Architecture Firm Little Lincoln Hospital
Maryam Mallory, Mayor of Lincoln City Big Brother Big Sisters
Planned Parenthood Associates for Cardiac & Vascular Surgery
28
Lincoln County ExamplePhase 3: Examine data
29
LincolnNYS
PA 2017
Percentage of infants exclusively
breastfed in the hospital (33)
From Vital Statistics data, February 2014
Lincoln County ExamplePhase 3: Examine data
Infants
breastfed
Average number
of live birthsPercentage
Black Non-Hispanics 33 101 32.6%
White Non-Hispanics 324 667 48.6%
Medicaid patients 140 401 34.9%
Non-Medicaid patients 254 487 52.2%
Total 389 888 43.8%
30
From Vital Statistics data, February 2014
Prevent Chronic Diseases
• Reduce obesity
• Increase access to high-quality chronic disease preventive care and management
Promote Healthy Women, Infants, and Children
• Reduce premature births
• Increase the rate of babies who are breast fed
Lincoln County ExampleRevisitation of Phase 1: Identify county and hospital priorities
31
Lincoln County ExampleRevisitation of Phase 2: Identify your stakeholders
32
Tabernacle Church of God in Christ Women’s Educational Opportunity Center
Obstetrics & Gynecology Care Network Dr. Kenneth Raymond & Rajeena Tiwari, NP
Lincoln County Health Department National Alliance for the Mentally Ill (NAMI)
Excellus BlueCross BlueShield, Lincoln Valley Lincoln Valley Midwifery Services
Big Lincoln Hospital YMCA of Lincoln Valley
Four Trees Walk-In Community Clinic Lincoln Transit Authority
Lincoln City School District University of Lincoln Student Health Center
United Builders of Lincoln County, No. 56 American Cancer Society
Lincoln City Landscape Architecture Firm Little Lincoln Hospital
Maryam Mallory, Mayor of Lincoln City Big Brother Big Sisters
Planned Parenthood Associates for Cardiac & Vascular Surgery
33
Lincoln County ExamplePhase 4: Explore evidence-based approaches
34
Lincoln County ExamplePhase 4: Explore evidence-based approaches
From the Lincoln County CHIP, 2013:
• Implement well-tested social marketing campaigns to change attitudes, social
norms and behaviors related to breastfeeding initiation, exclusivity and/or duration
• Train physicians, nurses, and other health care providers on the importance of
breastfeeding and lactation support, and reduce distribution of infant formula
• Ensure that businesses/organizations create an environment to support
breastfeeding, pumping and provide lactation support
35
Lincoln County ExamplePhase 5: Identify existing, current, local interventions
36
Lincoln County ExamplePhase 5: Identify existing, current, local interventions
Organization(s) Interventions
Lincoln City School District Improved workplace breastfeeding & pumping
policies; Converted designated areas.
Big Lincoln Hospital Training for new hires in clinical roles;
discouraging distribution of free formula at birth
Little Lincoln Hospital Pinpointed their low-wage shift workers as at-risk
population; Planning to improve policies
37
Lincoln County ExamplePhase 6: Identify gaps and opportunities
DataCurrent
Interventions
Evidence Base
Stake-holders
CHA, CHIP, and
CSPs
38
Lincoln County ExamplePhase 5: Identify existing, current, local interventions
Organization(s) Interventions
Lincoln City School District Improved workplace breastfeeding & pumping
policies; Converted designated areas.
Big Lincoln Hospital Training for new hires in clinical roles
Little Lincoln Hospital Pinpointed their low-wage shift workers as at-
risk population; Planning to improve policies
• Supply Little Lincoln Hospital with evidence based tools
• Participate in ongoing dialogue and engagement
• Convene Lincoln City School District administrators and
Little Lincoln Hospital project manager
39
Lincoln County ExamplePhase 7a: Implement county-level work and evaluation
ACT
• Engage Leadership Advisory Committee
• LAC engages 3 neighboring County Agents
• County Agents assist in formation of large work group
• Big Lincoln Hospital leverages their expertise &
resources to bring the region’s providers on board
40
Lincoln County ExamplePhase 7b: Implement regional-level work and evaluation
ACT
• Agencies contribute to a large-scale TV and radio media
campaign to highlight the importance of breastfeeding.
• Regional Agents bring in medical anthropology fellows
from the University of Lincoln to consult on the content
41
Lincoln County ExamplePhase 7b: Implement regional-level work and evaluation
ACT
42
SHARELincoln County ExamplePhase 8: Report back
Communicate with County & Regional Agents
Com
mun
icate
with
Sta
keh
old
ers
43
Lincoln County ExamplePhase 9: Illustrate impact
SHARE
• Showed preliminary data from local hospitals
• Reported improvements to NYSDOH as part of
Prevention Agenda communications
• Presented approach & progress at NYSPHA conference
• Featured in media interviews and articles as part of
Central New York’s “Kids Health Week”
44
Subcontracts
Master services agreement with HealtheConnections
Exhibit will include statement of work (aligned with MOU)
Budgets and Payment
$70,000 annually for two years
12 monthly payments ($5,833)
Monthly invoice submitted by 10th of following month
Reimbursement contingent upon receipt of HeC vouchers
Reporting
Will align with HealtheConections’ reporting to NYSDOH
Monthly report to submit with invoice
Reporting format, content and schedule TBD
45
Subcontracts, Budgeting, and Reporting
• Provide feedback on meeting via Survey Monkey
• Meeting minutes
• Governance structure discussion – Friday, March 6th
• Nominations for Leadership Advisory Committee
• County assessment/inventory
• Monthly meetings of Operating Committee
• Weekly check-in with PHIP staff assigned to each county
46
Next Steps
Thank you!
47
Central New York Population Health Improvement Program (PHIP)
Regional Advisory Committee MeetingMay 27, 2015
2
Agenda
• Welcome/Introductions
• Population Health Improvement Program (PHIP) Overview
• Healthy Communities Institute (HCI) Website Presentation
• Regional Advisory Committee Roles and Responsibilities
• Next Steps
3
New York State’s PHIPwill promote the Triple Aim
Better population
health
Better care
Fewer health
disparities
Lower health
care costs
4
PHIP contractors will provide a neutral forum for:
Promote population healthReduce health disparities
Best PracticesInnovative Strategies
Add value Fill gaps
Build capacity
Identifying
Sharing
Disseminating
Helping to implement
5
PHIP contractors will provide a neutral forum for:
Health, behavioral health, & disabilities service providers
Rural health networks
Insurers, and other payers Consumer & patient advocacy organizations
Behavioral health advocacy organizations
Disability rights organizations
Local public health officials, other elected officials
Local human service agencies
Business community Unions
Schools Higher education institutions
Local housing authorities Local transportation authorities
Convening a broad set of stakeholders
6
PHIP Regions
7
NYS Health Improvement Initiatives
8
Central New York PHIP Team
Oneida
Onondaga
Oswego
Cayuga
Cortland
HeC
Madison
9
PHIP’s CNY Region
County Percentage
Onondaga 45%
Oneida 23%
Oswego 12%
Cayuga 8%
Madison 7%
Cortland 5%
6 Counties1,026,817 People
10
PHIP’s CNY Region
11
CNY PHIP Initial Activities
• Stakeholder engagement
• Governance structure established
o Steering Committee – met 2/26, 3/23, 4/13, and 5/11
o Regional Advisory Committee
• Generating reports on best practices:
• Models for population health improvement work
• Addressing health disparities
• Community engagement
• Identification of Central NY priorities
• Prevention Agenda Priorities Grid
• Identification of regional projects
• Development of website with health data, best practices and resources
12
CNY Prevention Agenda Priorities
Reduce obesity among children & adults
Reduce illness, disability and death related to tobacco use and secondhand
smoke exposure
Increase access to high quality chronic disease preventive care and management in both clinical and community settings
13
Supporting the Chronic Disease Self-Management Program (CDSMP) in CNY
14
Convening Function
Health Equity Dialogues• Partnering with several stakeholders• How to better address health equity and health
disparities• Dialogue designed to inform collective action for
stakeholders
Listening Forum• Sponsored by the YMCA, PHIP and other stakeholders• How to better connect healthcare and community
based organizations and services• Informs DSRIP, PHIP and NYS Prevention Agenda
15
Central New York Website
16
HCI Website Examples
www.ochealthiertogether.orgwww.ncnyhealthcompass.org
www.dchealthmatters.org
17
Improving Population Health in Central New York
Scott DahlDirector of Business Development, East RegionHealthy Communities Institute
• Mission‒ Improve the health, vitality and environmental
sustainability of communities, counties and states
• Problem/Solution‒ Health data is too decentralized, quickly out of date, doesn’t identify health problems‒ Need to move beyond a traditional medical/disease model towards an active and systemic
philosophy that seeks to better prevent and manage disease‒ Built upon WHO/Healthy Cities Initiative – a catalyst to community health improvement,
widespread through the ubiquity of the internet, dynamic
• Our Unique ApproachProactive and dynamic integrated technology and services for monitoring disparities, synthesizing data, evaluating results, and creating action plans for health improvement and health equity
• National Relationships / Awards / Coverage:‒ Department of Health and Human Services Healthy People 2020 Award‒ Health Data Initiative Forum III Best Community App Award‒ VHA and CHA National Agreements‒ >130 million lives in the United States, 485 counties, 7 states, 425 hospitals
Healthy Communities Institute: focused on health informatics for community health since 2002
mm
Benefit from an experienced team of epidemiologists, biostatisticians, informatics experts
• Ambassador Kevin Moley, U.S. Ambassador to United Nations 2001-06, Assistant Secretary, Health and Human Services
• Kevin Patrick, MD, Professor UCSD, Editor In Chief American Journal of Preventive Medicine
• Len Duhl, MD, Professor UC Berkeley, Co-Founder Healthy Cities Movement
• Linda Neuhauser, PhD, Clinical Professor, School of Public Health, Co-PI Health Research for Action, UC Berkeley
• David Holbrooke, MD, Founder PerSe Techs, Board Advisor McGill University Medical School
• Larry Leisure, Global Healthcare Practice Leader Accenture, CRO Kaiser Permanente
• Hans Ploos Van Amstel, CFO Levi Strauss
• David Warthen, Founder Ask Jeeves
HCI Advisors• Deryk Van Brunt, DrPH, President/CEO‒ Associate Clinical Professor, UC Berkeley;
CEO, eMedicine; COO HealthCentral• Marcos Athanasoulis, DrPH, CTO
‒ Director IT, Harvard Medical School; VP Engineering RelayHealth; CTO HealthCentral.com
• Florence Reinisch, MPH, VP Content/Research/ClientSvcs ‒ Research Director, CA Health Department
• Robert Murphy, Marketing Director‒ SVP Marketing iMetrikus
• Jan Barker, RN, FNP, MS, Business Development Advisor ‒ MedVenture
• Kathi deFremery, MBA, Director of Finance ‒ Finance Director, Center for Volunteer & Non-profit
Leadership• Sheila Baxter, MPH, Business Development
‒ WHO, UCSF, Kaiser Permanente
• Scott Dahl, MBA, Business Development, ‒ VHA, Kimberly-Clark, Texas Health Resources
HCI Management
• 100 – 200 indicators• Constantly updated• Analytic tools
Community Knowledge
• >2000 in database• Programs & policies• Evaluation-based
Promising Practices
• Form working groups • Set local goals• Manage achievement
of objectives
Collaboration Centers• HP 2020 tracker
• Local Priorities tracker
• Comparative and longitudinal evaluation
Evaluation &Tracking
Continuous health improvement: Effectively moving from data to action
Stakeholder Engagement
Management and Legal
Entity
Operations
HealtheConnections Steering Committee Regional Advisory Committee
6 County Advisory Groups
Standing Committees
Short-term Committees
Individual Outreach
Strategic Input StakeholderEngagement
22
Thank you!
Central New York Population Health Improvement Program (PHIP)
Regional Advisory Committee MeetingAugust 18, 2015
Agenda
• Welcome/Introductions
• PHIP Funding Changes
• PHIP Scope of Work – Past and Future
• HealtheCNY Website – Launch and Promotion
• Next Steps
2
PHIP Funding Changes
• Reduction in PHIP funding
• 50% cut - retroactive to January 2015
• Consultant work taken on by HeC staff
• Overhead and business costs absorbed by HeC
• County Agent contracts significantly reduced
• Explore new funding opportunities
3
PHIP Scope of Work
Convening Stakeholders___________
• PHIP regional and local stakeholders
• Clinic to community linkages
• Health equity
Data and Best Practices
_____________• HealtheCNY
• Promoting best practices
• CDSMP
• NYS Prevention Agenda
Building Capacity
___________• Website TA and
Training
• Training
• Connecting to resources
4
HealtheCNY Website – Launch and Promotion
• Pre-launch feedback
• Regional Advisory Committee, topic area experts, key stakeholders, beta testers
• Planned promotion efforts:
• Targeted announcements to intended audience/press release
• County based introduction events - in coordination with County Agents
• Ongoing activities
• Website work group
• Ongoing additions and improvements
5
Next MeetingWednesday, November 18, 2015
Thank you!
Central New York Population Health Improvement Program (PHIP)
Regional Advisory Committee MeetingNovember 18, 2015
Agenda
• Welcome
• PHIP Updates
• Promotion of HealtheCNY
• Health Equity and Health Disparities Activities
• Prevention Agenda Planning Activities
• NEW Local IMPACT Initiative
• Next Steps
• Next meeting: February 23, 2015
2
Central New York Population Health Improvement Program (PHIP)
HealtheCNY Analytics: 9/14/15 – 11/11/15
4
HealtheCNY traffic sources
Half of all HealtheCNY visitors were “direct traffic” (typed in the URL, or clicked on a URL in an email)
Most other visitors were referred from another website linking to HealtheCNY
• HealtheConnections• CNY Vitals.org• Madison County
Department of Health• Auburn Citizen
Direct50%
Referral39%
Organic Search
9%
Social Media2%
5
HealtheCNY Analytics: 9/14/15 – 11/11/15
Page Title Unique PageviewsHealtheCNY Homepage 1156Community Dashboard (All CNY Data) 192Health Priorities 166Promising Practices Database 146Explore Data 122County Landing Page 121Disparities Dashboard 115SocioNeeds Index 99Onondaga County Priorities 93About Us 82NYS Prevention Agenda 2013-2017: Progress Tracker 80
6
Health Equity and Health Disparities
• Cultural Competency and Health Literacy Workgroup• Culturally and Linguistically Appropriate Services
(CLAS) Standards Assessment
7
Prevention Agenda Planning Activities
• Plans are due December 30, 2016• Community Health Assessment (CHA)• Community Health Improvement Plan (CHIP)• Community Service Plan (CSP)
• PHIP Assistance Highlighted• HealtheCNY: data, best practices, activities, posting report,
engaging partners, tracking progress• County agents participation at each county• Where can PHIP resources be most useful?
8
Central New York Local Initiatives for Multi-Sector Public Health Action
(Local IMPACT)
Regional Advisory Committee MeetingNovember 18, 2015
• Describe the Local IMPACT Grant
• Share the Goals and Intent of the Project
• Convey the Local IMPACT Implementation Plan
• Discuss the 15 Associated Strategies
• Explore Collaboration Opportunities
Today’s Objectives
10
• HealtheConnections selected as one of three large area awardees
• $2.05 million grant over the next 3 years
• Administered by the NYSDOH with funding from the CDC
• Partially funded by the ACA (2014 Prevention and Public Health Fund DP14-1422)
Local IMPACT Overview
11
Local IMPACT Goals
• Prevent obesity, prevent and control diabetes, heart disease and stroke, with a focus on reducing health disparities among adults
• Support high-need counties in implementing intensive, general and location-specific strategies in community and health system settings
Local IMPACT
12
• Package of policies and programs to strengthen communities and health systems
• We are testing• Dual Approach• Addressing risk factors and conditions
simultaneously• Local implementation of whole-population and
priority population strategies
Local IMPACT Intent
13
• Four Local IMPACT Partnerships are required to
• Serve counties identified in application• Identify and target high-need areas within these
counties - Bundled strategies• Partner with community entities and health
systems that serve low-income populations (e.g. Federally Qualified Health Centers)
Target Population
14
CNY Local IMPACT Region
15
CNY Local IMPACT Region –Population Distribution
County Percentage
Onondaga 46%
Oneida 23%
Oswego 12%
Cayuga 8%
Herkimer 6%
Cortland 5%
6 Counties - 1,017,894 People Source: ACS 2010
16
CNY Local IMPACT County Agents
Onondaga County Health Department
17
CNY Local IMPACT Partners
18
19
Thank you!
Population Health ImprovementRegional Advisory Committee Meeting
February 23, 2016
Central New York PHIP: 2015 Highlights
Established infrastructure to support regional health priorities• County Agents and Advisory Groups• Engaged 600+ stakeholders• Listening Forum on clinic-to-community linkages
• Collaboration with YMCA, St. Joseph’s and Lerner Center
Compiled, shared and promoted data and best practices• www.HealtheCNY.org• Over 1800 unique users since September 2015• Best practices around Health Equity and Site Based Work• Promoted Monday Mile expansion, CDSMP, NDPP
Supported NYSDOH efforts• DSRIP, SHIP and Prevention Agenda
Capacity to apply for other grants• Local IMPACT• NACDD: Reaching People With Disabilities Through Healthy
Communities (RPDTHC)• Others in process
2
Held Cooking Matters workshop in partnership with Cornell Cooperative Extension
Provided monthly Diabetes Support Group
Cayuga County:Cayuga Community Health Network
3
Coordinated Renter’s Rights & Landlord Rights workshops with Human Services Coalition
Cayuga County:Cayuga Community Health Network
4
Started National Diabetes Prevention Program
Cortland County:Seven Valleys Health Coalition
5
Supported local Prevention Agenda groups
Supported Cortland Counts
Cortland County:Seven Valleys Health Coalition
6
Established Live Well Committee to address obesity in children
Madison County:Madison County Rural Health Council
7
Supported National Diabetes Prevention Program in collaboration with Herkimer County HealthNet
Madison County:Madison County Rural Health Council
8
Launched Baby Café with Mohawk Valley Perinatal Network and Oneida County Breastfeeding Workgroup
Offered Fresh Start tobacco cessation curriculum with multiple partners
Oneida County:Central New York Health Home, Inc.
9
Restructured the Oneida County Health Coalition to enhance Prevention Agenda efforts
Oneida County:Central New York Health Home, Inc.
ONEIDA COUNTY HEALTH COALITION
Partnership of stakeholders from a broad cross section of sectors convene to network, increase
awareness of programs, initiatives, and/or community health issues related to the NYS
Prevention Agenda (PA)
Representatives of agencies, groups or initiatives supporting
Prevention Agenda #1 Prevent Chronic Disease:
Obesity in Children and Adults Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke
Access to High Quality Chronic Disease Preventive Care and Management
Representatives of agencies, groups or initiatives supporting
Prevention Agenda #4-Promote Mental Health and Prevent Substance Abuse:
Mental, emotional and behavioral (MEB) well-being
Substance Abuse and other Mental Emotional Behavioral Disorders
Strengthening Infrastructure across Systems
Representatives of agencies, groups or initiatives supporting
Prevention Agenda #3 - Promote Healthy Women, Infants, and Children:
Maternal and Infant Health Child Health
Reproductive, Preconception and Inter-Conception Health
Representatives of agencies, groups or initiatives supporting
Prevention Agenda #2 Promote Healthy and Safe Environments:
Outdoor Air Quality Water Quality
Built EnvironmentInjuries, Violence and Occupational Health
Representatives of agencies, groups or initiatives supporting Prevention Agenda #5 - Prevent HIV, STDs,
Vaccine Preventable Diseases, and Healthcare-Associated Infections:
Prevent HIV and STDsPrevent Vaccine-Preventable Diseases
Prevent Healthcare-Associated Infections
PHIP GrantProvide funding resources to support
community agencies, groups or initiatives doing evidence-based interventions in the
Prevention Agenda focus areas
HealtheConnectionsProvide technical support, data and/or
expertise to support the work of the AAA Team
STEERING COMMITTEE A subgroup of OCHC members
working with OCHD to: Monitor PA health status indicators Recruit representatives to the OCHC Report on access to care and health issues and
trends, vulnerable populations Recommend evidence-based interventions Support health assessment activities
Community Initiatives (Example: Stop ACEs, DSRIP
Projects)
Community Initiatives (Examples: Immunization
Consortium, DSRIP Projects)
Community Initiatives (Examples: IMPACT Grant, CHIP – Tobacco Cessation
Workgroup, DSRIP Projects)
Community Initiatives (Example: Creating Health Schools and Communities
Grant)
Community Initiatives (Examples: CHIP Breastfeeding Workgroup, Teenage Pregnancy
Prevention Network, DSRIP Projects)
10
Created life expectancy tables using Onondaga County Health Department Vital Statistics data
Onondaga County:Onondaga County Health Department
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Perc
ent S
urvi
ving
Age (Years)
Onondaga (excl. of Syracuse), Male
Onondaga (excl. of Syracuse),FemaleSyracuse, Male
Syracuse, Female
Survivorship for residents of Syracuse, New York compared to residents of Onondaga County, New York (exclusive of Syracuse), 2011-2014
75.9 76.874.6
72.6
78.777.5 77.2
78.579.8
65
70
75
80
85
90
95
100
13202* 13203* 13204* 13205* 13206 13207 13208 13210* 13224
Life
Exp
ecta
ncy
at B
irth
(Yea
rs)
Age (Years)
Life Expectancy at Birth by Zip Codefor Residents of Syracuse, New York, 2011-2014
*Zip codes containing nursing homes or assisted living facilities
Onondaga County:Onondaga County Health Department
Partnered with Cornell Cooperative Extension to hire AmeriCorps worker for community garden
Built Chronic Disease Self-Management Program (CDSMP) infrastructure
Oswego County:Rural Health Network of Oswego County
13
Central New York PHIP: 2016+
NYSDOH’s Population Health Improvement Program• 11 regions• Broad boundaries/flexible program• Common framework
Funding for 2016 and beyond• PHIP in Executive Budget for 2016• Possibility of renewal years
CNY PHIP work going forward• Continue: stakeholder engagement, HealtheCNY, supporting
NYSDOH initiatives, supporting other funded activities• What else?
PHIP work across the state
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Thank you
Next Meeting: Wednesday, May 18, 2016
Population Health ImprovementRegional Advisory Committee
August 24th, 2016
Chronic Disease Prevention and Self-Management Programs
in Central New York
PHIP & Local IMPACT: Our Charge
2
Population Health Improvement Program
• Engaging stakeholders• Providing data,
resources, best practices• Capacity building/support
for PHI & Prevention Agenda priorities
Local Initiatives for Multi-Sector Public Health
Action
Preventing and controlling obesity, diabetes, heart
disease, and stroke through 15 mutually reinforcing
strategiesSupporting, scaling up, and
sustaining Chronic Disease Prevention and
Self-Management Programs
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• By 2050, 1 out of 3 adults in U.S. could have diabetes if current trends continue
SOURCE: Centers for Disease Control and Prevention
Prevalence of Diagnosed Diabetes in NYS
4
Herkimer, Cayuga and Cortland are among five counties with highest prevalence in state.
NYS = 8.6%US = 9.3%
Prevalence of Diagnosed Diabetes in CNY
5
SOURCE: 2013-2014 NYS Expanded Behavioral Risk Factor Surveillance System. Accessed via www.HealtheCNY.org.
Age-Adjusted Hospitalization Rate Due to Diabetes by Zip Code
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Hospitalizations per 10,000 population aged 18 and over.SOURCE: 2012-2014 New York Statewide Planning and Research Cooperative (SPARCS).
Accessed via www.HealtheCNY.org
National Diabetes Prevention Program
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• Endorsed/recognized by the CDC
• Evidence-based program includes:
• NDPP, Prevent T2, YDPP, Omada
• In-person, virtual, online, combination
• 12 month standard curriculum
• “Lifestyle change” focus: Eating healthy and increasing physical activity for weight loss
Chronic Disease Self-Management Program
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• Supported by Stanford University Patient Education Research Center
• Evidence-based program
• Six week standard curriculum for all chronic diseases
• “Self-management” focus: Techniques for improving daily functioning, communicating effectively, and making decisions.
Diabetes Self-Management Program
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• Supported by Stanford University Patient Education Research Center
• Evidence-based program
• 16 week standard curriculum specific to diabetes
• “Self-management” focus: Techniques for improving daily functioning, communicating effectively, and making decisions specific to diabetes.
Regional Progress
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• Forming CDSMP Workgroup
• Building NDPP Infrastructure
• Training NDPP Coaches via QTAC-NY
• Increasing enrollment in NDPP
• Working with diverse partners including employers
• Evaluating challenges/opportunities with focus groups and subject matter experts
• Tracking policy changes
Guest Speaker Presentations
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• Organization’s role in relation to NDPP, CDSMP, DSMP
• County(s) served
• Specific population(s) served
• Setting(s)
• Key points relating to guest speakers’ unique perspectives, experiences
Central New York Examples
Oswego County Health Department
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• Diane Oldenburg, Senior Public Health Educator• Organization’s Role: Provider of CDSMP, NDPP;
Partner with and support other organizations that provide CDSMP, NDPP; hold the MOU with QTAC in Albany
• County served: Oswego County
Oswego County Health Department
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Populations Served:• Since 2012, we have offered 15 workshops, with
176 participants and 124 completers
• Participants are from 20 different zip codes
• 65-69 years is most common participant age
• Hypertension is most often listed chronic condition
Oswego County Health Department
15
Host Workshops at:• Senior Nutrition Sites
• Senior Housing
• Step-By-Step Clubhouse
• Bishop’s Commons
• Health Centers
Oswego County Health Department
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Key Points:• Local health department perspective on
delivery of CDSMP, NDPP
• Collaboration in Oswego County around marketing, recruitment, delivery
• Roles of health department, hospital, rural health network, not-for-profit organizations
Oswego County Health Department
17
Key Points:• Lessons learned from serving people of low
socio-economic status, rural populations
• In Oswego County, partnerships are key!
YMCA of Greater Syracuse
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• Jessica DesRosiers, Senior Healthy Living Director
• Organization’s Role: YMCA of Greater Syracuse provides Y-DPP program, as well as: Fall Prevention, Arthritis Management, Blood Pressure Monitoring, Cancer Survivor Programming, Orthopedic/Physical Therapy Step Down Program
• Counties served:• Onondaga County
• Cayuga & Oswego Counties
YMCA of Greater Syracuse
19
• Serves various populations including: low income, rural, suburban, Hispanic, African American
• Estimated annual reach is on average 75-100 participants with the Y-DPP
• Y-DPP can be delivered in versatile locations, since it is a classroom based program. We have offered it at the workplace, church, schools, health centers, and YMCAs.
YMCA of Greater Syracuse
20
Key Points• How Y-DPP relates to national NDPP effort
• YMCA of Greater Syracuse has been offering the program since 2009
• Y-DPP infrastructure: We have 18 Lifestyle Coaches (16 Female, 2 Male, 1 Female is Bi-Lingual)
• Y-DPP at worksites: Cayuga County Health Department, CENTRO, SCHC, Say Yes Parent University
YMCA of Greater Syracuse
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Key Points• Lessons learned from serving people of low socio-
economic status
• Childcare Needed
• Transportation - Hold class in community
• Language barrier
• Attendance struggle
• Preparation for Medicare reimbursement
• Compliance Officer
• Keeping relationships active
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• Tom Curnow, Executive Director• Elyse Enea, Program Coordinator• Organization’s Role: NDPP classes represent one
component of core service area focused on chronic disease prevention; other future components to include CDSM & DSM
• Counties served: • Herkimer County• Madison County
(Collaboration)
Herkimer County Health Net
Herkimer County Health Net
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• Population served: NDPP classes currently serving 47 individuals (Herkimer - 29, Madison - 18)
• Characteristics:• Avg. age – 58 (range: 32 – 84)• Avg. weight – 223 (range: 143 – 362)• Other diseases: hypertension, high cholesterol,
heart disease• Setting: Hospitals, non-profit agency, Chamber of
Commerce, primary care clinics
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Key Points:• Unique model that separates administrative and
coaching components of NDPP
• Coaches work under an independent contractoragreement.
• HCHN assumes primary responsibility for marketing (recruitment concept dropped)
• HCHN manages class data and QTAC input
• Marketing: Newspaper block ads, website, Facebook, radio advertisements, community flyers, Chamber of Commerce newsletter
Herkimer County Health Net
Herkimer County Health Net
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Key Points:• Lessons learned during expansion of NDPP:
Relationship with coaches, share resources for most impact, shift to marketing.
• Lessons learned in achieving “pending” recognition from CDC, moving towards “full:” “Manage your coaches”, consistently review & assess your data, outcomes are somewhat “out of your control.”
Herkimer County Health Net
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Key Points:• QTAC-NY’s support role: Training & data support
• Cross-county collaboration: Leverage resources
• Requirements for class size can be a barrier
• Impact of Medicare & Medicaid: BIP demonstration project
Madison County Rural Health Council
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• Bonnie Slocum, Executive Director• Victoria Brown, Program Assistant• Organization’s Role: Madison County Rural Health
Council coordinates NDPP/CDSMP facilitator training,markets & promotes classes, patient referral process (except Hamilton), schedules classes, completes datarecording & evaluation as required by Herkimer Health Net
• County served: Madison County• Open to Oneida & Chenango Counties
Madison County Rural Health Council
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• Population Served: • Anyone over the age of 18 with prediabetes, also those
without if more than 50% in class have prediabetes
• 2015- 21 people; 2016 - 18 people so far, potential for 20 more in Sept. 2016.
• Reaching out to obstetric practices for those with gestational diabetes
• Characteristics: • Ages 30 – 83, weights from 140 – approx. 300, heart
disease, arthritis, high cholesterol, hypertension, about 1/3 employed, 2/3 retired, most live within 12 miles of class location.
Madison County Rural Health Council
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• Setting where program is delivered: 3 locations• Classrooms on 2 hospital campuses
• Community Based Organization meeting room
Madison County Rural Health Council
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Key Points:• Goals: Increasing number of referrals; Letting
physicians know of NDPP resource; Streamliningreferral process from physicians to RHC, Getting information back to physicians about patient participation.
• Need better identification by physicians of prediabetics
• Rural health network perspective on delivery of these programs: A way to shift thinking from treatment to prevention and self-management
Madison County Rural Health Council
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Key Points:• Cross-county partnerships:
• Herkimer Health Net – Grant recipient for both Herkimer & Madison Counties
• Facilitators from Onondaga and Cortland counties engaged to conduct classes in 2016
• Residents from Oneida County have attended
• Open to Chenango County residents
Madison County Rural Health Council
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Key Points:• QTAC- NY – Training for ALED and DMP to develop
capacity for full spectrum of preventive and self management programs. QTAC & CDC class requirements challenging for rural areas
• Sustainability – w/ Herkimer, larger region?• Will it be feasible as a rural health council to continue with heavy
Medicaid/Medicare data and record requirements for reimbursement?
• How do the preventive and self management programs fit with DSRIP over the long term?
• No cost to participants at present. Will that be possible to continue
• NDPP will be included in CHA/CHIP/CSP strategies for Healthy weight priority
ARISE, Inc.
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• Shane Hoey, Habilitation Coordinator • Jim Karasek, Manager of Independent Living• Organization’s Role: ARISE, Inc. is a provider of
CDSMP, DSMP, NDPP
• Counties served:• Cayuga
• Madison
• Onondaga
• Oswego
• Seneca
ARISE, Inc.
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• ARISE is a non-profit Independent Living Center that provides disability services for people of all ages and abilities in Syracuse and Central New York.
• 1 in 10 adults in Oswego County is diabetic which is higher than the state average (9.0%)
• Currently approx. 50 individuals per year are completing the course in Oswego County.
• We deliver these classes throughout the community where needed, our office, nursing homes, homeless shelters, schools, etc.
ARISE, Inc.
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Key Points • DSMP differs from previously mentioned
programs by specifically providing information for diabetics to help manage their disease with topics such as monitoring your blood sugar as well as skin and foot care.
ARISE, Inc.
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Key Points - What did we learn?• Lessons learned from serving specific
subpopulations with CDSMP, DSMP, NDPP
• We were part of an original BIP grant that asked us to specifically target individuals with disabilities to help adapt the program as needed.
• In Oswego County approximately 61% of the population lives in the rural area compared with 12% for the state and 19% nationwide.
Group Discussion
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Possible themes to consider:• Reaching high-risk subpopulations
• Marketing & recruitment
• Collaborating with other agencies
• Linking community-based programs with health systems
• Paying for program by charging participants, billing insurance
Population Health ImprovementRegional Advisory Committee Meeting
November 10, 2016
Follow Up From Summer Meeting
Theme: Scaling and Sustaining Chronic Disease Prevention and Self-Management Programs in CNY
Areas of Action:
1. Improve awareness and coordination of current programs
2. Provide local feedback to the national level about implementation challenges
2
Awareness and Coordination
Improve awareness and coordination of current programs
Created and distributed a list of programs – see handouts
Launched a map of programs on HealtheCNY: http://www.healthecny.org/ChronicDiseasePrograms
Piloting a multi-directional referral system on HIE, using Direct Mail to refer patients with prediabetes to NDPP and share information back with provider for participants in NDPP
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Feedback to the National Level
Provide local feedback to the national level about implementation challenges
Participated in NYSDOH meeting on EBSMPs• Feedback on facilitators and barriers to EBSMP adoption• HeC plus Onondaga, Madison, Cayuga, Herkimer, Oswego
and Cortland attended• NYSDOH will submit white paper with feedback to the CDC
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Today’s Agenda
Theme: Using data from multiple sources to plan and monitor population health improvement work in CNY
Sources of Data to Inform Population Health Improvement Work
County Initiatives Using Data to Guide Population Health Improvement Work
Opportunities for Action
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Central New York PHIP Scope of Work
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Convening Stakeholders
Data and Best Practices
Building Capacity
Opportunities for Action - Ideas
Convening Stakeholders• Convene a regional Work Group around using data
Data and Best Practices• Arrange for access/purchase specific data sources• Enhance HealtheCNY with new data or functionality• Products: printable county profiles, custom dashboards,
snapshots of data or health topics• Communications messaging about data (e.g., for social media)
Building Capacity• Contract with consultant to offer technical assistance• Trainings (e.g., qualitative data, communicating about data)• Resources that help people understand and use data.
Other ideas7
Thank you
Connecting You To Better Care and Health
Karen Romano and Gary Krudys
HealtheConnections
HealtheConnections is a not-for-profit corporation that supports the meaningful use of health information exchange and technology adoption, and the use of community health data and best practices, to enable Central New York stakeholders to transform and improve patient care, improve the health of populations and lower health care costs.
3
Health Information Exchange
Population Health
Improvement
Value Based Solutions & Analytics
Participant Engagement &
Provider Advisory
“Supporting the Triple Aim”
Health Information Exchange
1111
Health Information Exchange
1212
HealtheConnections By The Numbers
7,000+ Active Users
1.87 Million Patients in the HIE
2.4 Million Consents (1.1 Unique)
2.5 Million Results Delivered
93,000+ Alerts Sent
750,000,000+ Patient Clinical Items Available and Growing
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Health Information Exchange
Data Warehouse
• Data to support HIE functions
• Organized for look up efficiency
• Data to support reporting and analytic functions
• Organized for reporting and analysis efficiency
Information Flow
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Data Warehouse
Clinical Information Areas
Labs - Results
Diagnosis
Encounter
Procedures
Provider
Patients
Medications
Conditions
Vitals
Allergy
Consent
What’s in the Data Warehouse ??
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Data Warehouse
Use Case Examples
Brief Overview
Cortland Counts
Susan Williams
A Picture of Cortland County:Assessment of Health and Well-Being
The Community Assessment Team (CAT)
Cortland Counts Reports:
* Demographics
I. Health and Safety
II. Social Cohesion, Recreation, and Culture
III. Employment, Economy and Welfare
IV. Housing and Environment
V. Positive Development Through the Life Stages
Annual Report Card, yearly, 8 pages
Comprehensive Report, every 4 - 5 years (CHA cycle), 180 pages
PROCESS
• mothersandbabies.org
• cdc.gov
• nyskwic.org
• health.data.ny.gov
• health.ny.gov
• seer.cancer.gov
• mchb.hrsa.gov
• childhealthdata.org
• jamanetwork.com
• criminaljustice.ny.gov
• ucr.fbi.gov
• elections.ny.gov
• labor.ny.gov
• bls.gov
• census.gov
• data.guttmacher.org
• data.nysed.gov
• healthecny.org• Calls or emails to specific agencies
Sources
Housing: 2008
Sustainability: 2016
SUCCESSES
Oneida County Health Coalition’s Health Report Cards
Phyllis Ellis
Data
Perceptions
Trends
Best practices
Issues
Improve the way we monitor health status by:
Analyzing data and health trends during “off” CHA years.
Providing up-to-date information on and data trends.
Using the OCHC as a means to capture and compile qualitative data (potential underlying causes, influences, trends, gaps in services, vulnerable populations, etc.)
OCHC restructuring and sustaining engagement
Initially: PHIP Agent, HealtheConnections (OCHC web page), OCHC
Steering Committee
Thereafter: Broad engagement of all stakeholders, actively solicit for
involvement.
Identify topic and facilitator to lead discussion/analysis.
Collect and disseminate preliminary quantitative data for advance review
Quarterly Meeting Discussion Format:
Summarize quantitative data. Gather qualitative feedback - Why do we have this issue? What are some of the underlying
causes (social, environmental, economical)? Gaps in resources? Community’s perception, concerns? Vulnerable populations? Existing community partnerships/coalitions doing work in this area?
Compile and organize data into Quarterly Health Status Report Card (Review Sample)
Report distributed to general membership and posted on OCHC web page.
NYSDOH
HealtheConnections
Survey membership for:o Community Agency and Program Data
o Community Surveys
Too early to determine how they have been used (assess after 1 yr)
Expectations:o Increase education, awareness
o Set priorities
o Initiate new or strengthen existing partnerships
o Monitor change
o Leverage grant opportunities
Challenges: Partners still learning the process Keeping focus on issues and areas for improvement (understanding
population health) Identifying programs and services vs. collaborations/partnerships Structuring qualitative feedback Facilitator selection
Successes: Strong partner interest in the Report Card and high engagement Increasing awareness and identifying collaborative opportunities One source for local quantitative and qualitative data on specific issues.
Continuously assessing process and making improvements such as: Provide opportunities for add’l feedback at the meeting (comment cards) and after the
discussions (Surveys)
Use Flip Charts with categories of issues (i.e., Social, Economic, Legal, Technological,
etc.) to guide and frame discussions.
Pre-identify topics and speakers for Steering Committee selection
Include links to additional data sources and community resource information(i.e, 2-1-1)
Limitations: Summarizing multiple sources of data Qualitative feedback limited to participants Community feedback not fully represented Managing expectations
Potential: Stronger efforts to recruit input from unrepresented groups Inclusion of community members in qualitative discussion Driver for making decisions about programs and services Snapshot to educate community and policy-makers
Discussion and Opportunities for Action
Population Health ImprovementRegional Advisory Committee Meeting
February 28, 2017
CNY Prevention Agenda Priorities
2* Breastfeeding is being addressed by 1 county under the main goal of "Prevent Chronic Diseases". Oral Health is being addressed by 1 county under the main goal "Promote a Healthy and Safe Environment".
Selected by 4 counties
Follow Up From Fall Meeting
Theme: Using data from multiple sources to plan and monitor population health improvement work in CNY
Areas of Action:
Create Data Products/Customizable Tools (Report Cards)
Offer Training and Technical Assistance (Qualitative Training and Communicating About Data)
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PHIP Actions
Create Data Products/Customizable Tools• Reached out to Healthy Communities Institute to
request enhanced functionality around generating customizable reports to easily print
Offer Training and Technical Assistance• Scheduling a 2-part training for the spring/early
summer to include:• Visual Communications• Creating infographics
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Today’s Agenda
Theme: NYS Prevention Agenda 2013-2018: Breastfeeding Initiatives in Central New York
Review of breastfeeding data and evidence based approaches
Breastfeeding activities in NEW CHIPs and CSPs: Cayuga, Cortland, Oneida and Oswego
Discussion of successes, challenges and opportunities for action
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Review of Breastfeeding Data and Evidence Based Approaches
Data on Breastfeeding in CNY
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Data on Breastfeeding in CNY
8
30
4040
69
61
0
10
20
30
40
50
60
70
80
Percent of CNY Infants Exclusively Breastfed in the Hospital,By Medicaid Status and Race/Ethnicity, 2012-2014
Black Non-
Hispanic
Hispanic White Non-
Hispanic
Medicaid Non-Medicaid
Data on Breastfeeding in CNY
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Breastfeeding Best Practices
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Describes actions to promote breastfeeding for 3 sectors:
1. Hospitals – quality improvement efforts
2. Primary Care providers –become NYS Breastfeeding Friendly Practices
3. Employers – use the Business Case for Breastfeeding
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Coalition Development
Breastfeeding Friendly Practices
Breastfeeding Friendly Childcare
Worksites Supportive of Breastfeeding Moms
Baby Cafés
Activities from the Creating Breastfeeding Friendly Communities RFA
Summary of Breastfeeding Activities in NEW
CHIPs and CSPs
Cayuga County
Cayuga County Health Department
•Review of 2013-2016 Community Health Improvement Plan findings and accomplishments
•Moving forward: 2016 – 2018 Community Health Improvement Plan
Results from 2013-2016 CHIP
87
32
144 2
69
2011
4 1
2516
3 2 0
112
48
176 2
0
20
40
60
80
100
120
Initial 3 Month 6 Month 9 Month 1 year
Annual Statistics for2016
Call #1 Surveys Completed Yes Breastfeeding Not Breastfeeding Lost to Follow-up Total Clients
Results from 2013-2016 CHIPReasons women stopped breastfeeding
Breakdown of "Other"Difficulty with Latch 6Incorrect Information Provided 4"Not for Me" 2Breast Milk Dried Up 1Maternal Weight Loss 1
02468
1012141618
Painful Developed mastitis Not enough milk Baby wasn't gaining weight Went back to work Other
Reasons Clients Stopped BF2016 Annual Statistics
Sum of Reasons Client Stopped BreastfeedingPainful 4Developed mastitis 0Not enough milk 5Baby wasn't gaining weight 2Went back to work 6Other 16
• Goal #1 – CCHD and Auburn Community Hospital will collaborate to promote breastfeeding to pregnant and post-partum women in an effort to increase the proportion of babies who are breastfed.
• Objective #1 – By December 2018, increase the awareness of breastfeeding and breastfeeding resources available in community.
• Breastfeeding Connection Facebook page (seek funding to run a social media campaign on Facebook to promote and encourage breastfeeding)
• Promote breastfeeding resource guide• Educate hospital maternity floor staff and local pediatricians• Offer community workshops on breastfeeding • Promote breastfeeding support groups
• Objective 2-4 are more of planning and timeline for staff.
• Objective #5– By March 2017, CCHD staff will begin conducting well-check calls to obtain information on the health, well-being and safety of mom and baby as well as to assess the mother’s breastfeeding status. Initial calls will be conducted within one week of discharge and those moms that are breastfeeding upon initial call will be followed-up with at different intervals. The follow-up calls will occur at 3 months, at 6 months, at 9 months and at 12 months post discharge. The follow-up calls will only be made to those mothers who are continuing to breastfeed at these later intervals.
Cortland County
Partners:
• Cortland County Health Department• Cortland Regional Medical Center• Dr. Djafari Pediatrics• Family Health Network• Mothers and Babies Perinatal Network • CAPCO WIC• La Leche League• Seven Valleys Health Coalition
Oneida County
Breastfeeding Initiatives
Objectives & Activities- centered around prenatal, inpatient, and beyond and include:
Increase rate of exclusive breastfeeding during hospital stay
Decrease rate of elective supplementation during Hospital stay
Increase the number of babies who receive any breastmilk in the hospital
Increase the number of childcare providers with NYS Breastfeeding-friendly childcare designation
Increase the number of Breastfeed Your Baby Here (BYBH) locations
Increase the number of individuals educated at health department Baby Weigh Station
Increase the number of providers with NYS Breastfeeding Friendly Practice designation
Increase the WIC initiation rate
Establish educational programs with refugee center
Increase number of people utilizing peer support group (Breastfeeding cafes)
CHIP Goal - Increase the proportion of Oneida County babies who are breastfed
Traditional Art work to promote and normalize Breastfeeding for targeted Health Care Providers in Oneida County will be distributed by Eliesa.
Cutouts will contain education message and links for more information on Breastfeeding as overseen by CCE Oneida County
College students will be used by Carpenter and Damsky for 6 months for ongoing placement and use of cut outs. Will include the development of a toolkit for community use after initial kick off. (open access to borrow from CCE Oneida County for community events, college projects, ect.)
Target Date for Kick off Press Event - June 14, 2017
Marketing and EducationSocial Media
#Mohawk Valley BreastfeedsSocial Media and Marketing Breastfeeding Education
Campaign
Example: #MVBreastfeeds under DevelopmentBased on other successful social media campaigns.
Goals:• To change social norms to accept public breastfeeding
as a normal infant feeding practice• Educate on benefits of breastfeeding • Engage community in Breastfeeding Conversations by
using social media platforms such as Facebook, twitter, and Instagram (selfies with cut outs in community)
Media Company: Carpenter and Damsky
Workgroup participants: Mohawk Valley Perinatal Network Mohawk Valley Health System Rome Memorial Hospital Mohawk Valley Breastfeeding Network Neighborhood Center Oneida County Health Department Cornell Cooperative Extension WIC Healthy Families Community Health Worker Program
CHIP workgroup- Local health department, hospitals, and community partners meeting quarterly.
Oswego County
Oswego County
Oswego County selected breast feeding as an outcome measure under the Reduce Obesity in Children and Adults priority area.• Encourage and recruit pediatricians, obstetricians and
gynecologists, and other primary care provider practices and clinical offices to become New York State Breastfeeding Friendly Practices;
• Continue to participate in the Oswego County Breastfeeding Coalition;
• Increase breastfeeding exclusively at discharge as part of Oswego Hospital’s quality improvement efforts.
Goal is to increase the number of breastfeeding mothers in Oswego County to prevent obesity.
Discussion and Opportunities for Action
Discussion Questions
Question 1: For your discussion topic, what have you tried in your county that has worked?• Follow-up Question: What facilitators led to success?
Question 2: For your discussion topic, what have you tried in your county that did not work?• Follow-up Question: What could have helped make the effort
successful?
Question 3: What ideas/strategies from today’s presentations or from other sources, like evidence-based practices, would help move this work forward in your county or the region?
Thank you
Next Meeting: Thursday, May 25, 2017
NEW LOCATION
443 N. Franklin St.Suite 001
Syracuse, NY 13204