Prevention Agenda 2015
Implementation Progress Report
Office of Public Health Practice
March 28, 2016
March 28, 2016
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Agenda
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Welcome
Progress To-Date and Collaboration with Health Reform Initiatives
Panel to Highlight the Bronx and Schenectady
Lunch and Data Presentation
Break out Sessions on Important Challenging Issues:
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Health Equity
Implementing Evidence-Based Interventions
Measuring Short Term Impact
Strengthening Collaboration and Story Telling
• Report Outs
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March 28, 2016
Prevention Agenda 2015 Progress
• 185 responses
– 58 out of 58 Local Health Departments
– 127 Hospital/hospital groups
– 370 interventions reported on (2 per survey response)
• Information on:
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Interventions
Status of efforts
Disparities being addressed
Successes and challenges
• Helps DOH and its partners take options to support local efforts
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4
Percentage Of Local Health Departments, Hospitals Reporting On At least One Intervention By Priority Area, December 2015
100
94.8
94.5
80
Percent
60
40.4
40
29.9
28.3
25.9
20
10.3
9.4
7.9
3.4
0
Prevent Chronic Diseases
Promote a Health and Safe Environment
Promote Health Women, Infants and
Children
Promote Mental Health And Prevent
Substance Abuse
Prevent HIV/STDs.
VaccinePreventableDisease, and
HealthcareAssociatedInfections
Priority Area
LHDs N=58
Hospitals N=127
LHD
Hospitals
5
Chronic Disease Focus Areas Among Local Health Departments, Hospitals, December 2015
60
50
49.1
48.6
40.3
40
Percent
35.7
30
20
15.7
10.7
10
0
Reduce Obesity in Children and Adults
LHDs N=70
Reduce Illness, Disability and Death Related to Tobacco Use and
Secondhand Smoke Exposure
Increase Access to HighQuality Chronic Disease Preventive Care and
Management in Clinical and Community Setting
Focus Areas
Hospitals N=158
LHDs
Hospitals
6
Chronic Disease Interventions Among Local Health Departments, Hospitals, December 2015 45
39.0
40
35
30.0
30
27.7
Percent
25.7
25
20
15
13.8
11.4
10.0
10
7.1
5
3.1
2.5
0
other
LHDs N=70 Hospitals N=158
Increase participation of adult with arthritis,
Create linkages with local health care
Increase the number of public and private Increase the number of passed municipal
asthma, cardiovascular disease, or diabetes systems to connect patients to community employers and service providers in your
complete streets policies.
in a course or class to learn how to manage
preventative resources.
county to adopt standards for healthy food
theircondition.
andbeverage procurement.
LHDs
Hospitals
7
Percent of 'Other' Chronic Disease Interventions Reported as Evidence-Based, December 2015 (n=83)
100
90
87.1
Main Themes of “Other” Interventions:
1. School and community based physical
activity/nutrition programs
2. Referral programs to chronic disease selfmanagement courses
3. Tobacco cessation approaches
4. Interventions to enhance breastfeeding
80
70
Percent
60
50
40
30
20
12.9
10
0
Evidence-based
Not evidence-based
Type of Intervention
8
Healthy And Safe Environment Focus Areas Among Local Health Departments, Hospitals, December 2015
90
83.3
80
70
66.7
Percent
60
50
40
33.3
30
20
16.7
10
0
Built Environment
Injuries, Violence and Occupational Health
Focus Areas
LHDs N=6
Hospitals N=12
LHDs
Hospitals
9
Healthy And Safe Environment Interventions Among Local Health Departments, Hospitals,
December 2015
80
75.0
70
60
50.0
50.0
Percent
50
40
30
20
16.7
8.3
10
0
Promote community based programs for fall prevention.
LHDs N=6
Other
Hospitals N=12
LHD
Hospital
Develop multisector violence prevention programs in highrisk communities
10
Percent Of 'Other' Environmental Interventions Reported as Evidence-Based, December 2015 (n=5)
90
80
80
70
60
Main Themes of “Other” Interventions:
1. Risk assessments for falls prevention
2. Inclusion of smart growth in planning and
zoning activities
3. Environmental safety/building maintenance
Percent
50
40
30
20
20
10
0
Evidence-based
Not evidence-based
Evidence-based 'other' environmental interventions
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Healthy Women, Infants And Children Focus Areas Among Local Health Departments, Hospitals,
December 2015
90
83.8
80
70
66.7
Percent
60
50
40
30
26.7
20
13.5
10
6.7
2.7
0
Maternal and Infant Health
Child Health
Reproductive, Preconception and InterConception Health
Focus Areas
LHDs N=15
Hospitals N=38
LHDs
Hospitals
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Healthy Women, Infants And Children Interventions Among Local Health Departments, Hospitals
December 2015 70.0
59.4
60.0
50.0
46.7
Percent
40.0
30.0
24.3
20.0
20.0
13.3
10.0
6.7
2.7
6.7
2.7
0.0
0.0
Promote breastfeeding
LHDs N=15 Hospitals N=37
Other
Identify and promote educational messages to Ask all pregnant women about tobacco use and Develop effective health marketing campaigns
improve knowledge, attitudes, skills and/or
provide augmented, pregnancy tailored
that promote norms of wellness, healthy
behavior related to prenatal care and preterm
counseling for those who smoke
behavior and regular use of preventive
birth among target populations.
healthcare services throughout the lifespan
LHDs
Hospitals
13
Percent Of 'Other' Maternal Child Health Interventions Reported as Evidence-Based, December 2015
(n=40)
80
75
70
60
Percent
50
Main Themes of “Other” Interventions:
1. Neonatal abstinence syndrome
awareness and treatment
2. Lead poisoning prevention
3. Specialized trainings on Certified
Lactation Counseling
40
30
25
20
10
0
Evidence-based
Not evidence-based
Evidence-based 'other' maternal child health interventions
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Mental Health And Substance Abuse Focus Areas Among Local Health Departments, Hospitals,
December 2015
60
50
47.8
41.7
39.1
40
Percent
33.3
30
25.0
20
13.0
10
0
Promote Mental, Emotional and Behavioral WellBeing in Communities
Prevent Substance Abuse and Other Mental Emotional Behavioral
Disorders
Strengthen Infrastructure across Systems
Focus Areas
LHDs N=23
Hospitals N=36
LHDs
Hospitals
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Mental Health And Substance Abuse Interventions Among Local Health Departments, Hospitals,
December 2015 60
50
47.8
40
Percent
33.3
30
20
16.7
13.9
13.0
11.1
8.7
10
8.7
0
other
LHDs N=23 Hospitals N=36
Administer screening programs such as SBIRT,
Symptom Checklist 90 etc.
Build community coalitions that advance the State's
'Suicide as a Never Event' through promotion and
prevention activities
Engage communities in action and create supportive
environments with the goal of improving social
environment, which is known toimpact physical and
mental health
Mental Health Interventions
LHDs
Hospitals
16
Percent of 'Other' Mental Health/Substance Abuse Interventions Reported as Evidence-Based,
December 2015 (n=23)
70
65.2
60
50
Main Themes of “Other” Interventions:
1. Public Access/Awareness of Mental
Health Programs
2. Opioid Prevention
3. Suicide Awareness/Prevention
Percent
40
34.8
30
20
10
0
Evidence-based
Not evidence-based
Evidence-based 'other' mental health interventions
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Infectious Disease Focus Areas Among, Local Health Departments, Hospitals, December 2015
100
100
90
80
70
Percent
60
50.0
50
40
30.0
30
20.0
20
10
0
0
0
Prevent HIV and STDs
LHDs N=2
Hospitals N=10
Prevent Vaccine Preventable Diseases
Prevent Health Care Associated Infections
Infectious Disease Focus Areas
LHDs
Hospitals
18
Infectious Disease Interventions Among Local Health Departments, Hospitals, December 2015 60
50
50
50
Percent
40
30
30
30
30
20
10
10
0
Other
LHDs N=2
Hospitals N=10
Enhance vaccination of adults with HPV, Tdap,
influenza and pneumococcal vaccines.
Support existing HIV/STD treatment guidelines by
establishing computerized algorithms
Infectious Disease Interventions
Include at least two cofactors that drive the HIV virus,
such as homelessness, substance use, history of
incarceration and mental health, incommunity
interventions
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Number Of Interventions Addressing Each Type Of Disparity, By Local Health Departments, Hospitals,
December 2015
180
156
160
140
Number
120
96
100
95
82
80
72
60
45
41
39
40
35
27
26
19
20
16
16
8
1
0
Disparity Type Intervention Addresses
LHDs
Hospitals
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Current Status Of Implementation Efforts Of Interventions Reported Local Health Departments, Hospitals, December 2015
90
78.0
80
69.8
70
Percent
60
50
40
30
20
15.5
13.8
11.8
9.1
10
0.9
1.2
0
Ahead of Schedule
On track with schedule
Behind projected schedule
Have not started
Current Status
LHDs N=116
Hospitals N=254
LHDs
Hospitals
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March 28, 2016
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Process Measures
• In 2015 all organizations were using process
measures, a significant improvement from 2014
(86%).
• Used to track progress of implementation, make
improvements to implementation process,
engage stakeholders and leverage additional
resources.
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Implementation Successes and Challenges
Successes:
• Identifying problem to be
addressed
• Defining target population
• Educating community about
the problem
• Reviewing and monitoring
progress
Challenges:
• Educating community about
the problem
• Developing data collection
methods
• Engaging community leaders
to address the problem
• Disseminating results
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Are Prevention Agenda Interventions Included in Community Benefit Reporting? 2014 vs 2015
70
61.4
60
50
2014
2015
39
Percent
40
30
23.6
22.8
20
15.8
14.6
11.8
11.0
10
0
Just one on Schedule H
Yes both on schedule H
No
On Schedule H
Unsure
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Are Any Hospital Led Prevention Agenda Interventions Part of DSRIP Activities 2015 vs. 2014? 60
52.8
50
47
2014
2015
Percent
40
29.3
30
27.6
20
14.8
14.2
8.9
10
5.5
0
Yes
No
Unsure
Interventions Part of DSRIP Activities
No DSRIP application
Progress on Outcome Objectives
Prevention Agenda Dashboard measures progress on 96 statewide
outcome indicators, including reductions in health disparities.
As of April 2015:
 16 of the objectives were met
 22 indicators show progress
(19 with significant improvement)
 42 not met and staying the same
 13 not met and going in wrong direction
 Of 29 objectives tracking health disparities,
making progress on only 2
For More Information
https://www.health.ny.gov/prevention/prevention_agenda/20132017/
[email protected]
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