New York State Local Health Departments’ Community Health Improvement Plan Summaries 2014 Introduction: The New York State Department of Health developed summaries of the Community Health Improvement Plans based on its review of the Community Health Assessments and Community Health Improvement Plans submitted by local health departments in November 2013. Each report was reviewed by at least two reviewers. Reviewers noted priorities, goals and interventions identified in the reports. Their observations and comments were consolidated into this summary. This summary was provided to local health departments in conjunction with the year one Prevention Agenda 2013-2017 update survey for feedback and corrections which were then incorporated into this updated report. On the following page, please find the county name of interest in the Local Health Department List; hold the Ctrl key on your key board and click on the county name to go to the summary of its community health improvement plan. Local Health Department List (Please click on your county (hold CTRL button and click) to be taken directly to your CHIP summary for review) Albany ......................................................................................................................................................................... 1 Allegany ...................................................................................................................................................................... 1 Broome ........................................................................................................................................................................ 2 Cattaraugus ................................................................................................................................................................. 2 Cayuga ........................................................................................................................................................................ 3 Chautauqua ................................................................................................................................................................. 3 Chemung ..................................................................................................................................................................... 4 Chenango .................................................................................................................................................................... 4 Clinton......................................................................................................................................................................... 5 Columbia ..................................................................................................................................................................... 6 Cortland....................................................................................................................................................................... 7 Delaware ..................................................................................................................................................................... 7 Dutchess ...................................................................................................................................................................... 8 Erie .............................................................................................................................................................................. 9 CHA-CHIP .................................................................................................................................................................. 9 posted at: ..................................................................................................................................................................... 9 Essex ........................................................................................................................................................................... 9 Franklin ....................................................................................................................................................................... 9 Fulton ........................................................................................................................................................................ 10 Genesee ..................................................................................................................................................................... 10 Greene ....................................................................................................................................................................... 11 Hamilton ................................................................................................................................................................... 11 Herkimer ................................................................................................................................................................... 12 Jefferson .................................................................................................................................................................... 12 Lewis ......................................................................................................................................................................... 13 Livingston ................................................................................................................................................................. 13 Madison..................................................................................................................................................................... 14 Monroe ...................................................................................................................................................................... 15 Montgomery.............................................................................................................................................................. 15 Nassau ....................................................................................................................................................................... 16 New York City .......................................................................................................................................................... 17 Niagara ...................................................................................................................................................................... 21 Oneida ....................................................................................................................................................................... 21 Onondaga .................................................................................................................................................................. 22 Ontario ...................................................................................................................................................................... 23 Orange ....................................................................................................................................................................... 23 Orleans ...................................................................................................................................................................... 24 Oswego ..................................................................................................................................................................... 25 Otsego ....................................................................................................................................................................... 25 Putnam ...................................................................................................................................................................... 26 Rensselaer ................................................................................................................................................................. 26 Rockland ................................................................................................................................................................... 27 Saratoga..................................................................................................................................................................... 28 Schenectady .............................................................................................................................................................. 28 Schoharie................................................................................................................................................................... 29 Schuyler .................................................................................................................................................................... 29 Seneca ....................................................................................................................................................................... 30 St. Lawrence ............................................................................................................................................................. 31 Steuben ...................................................................................................................................................................... 32 Suffolk....................................................................................................................................................................... 33 Sullivan ..................................................................................................................................................................... 34 Tioga ......................................................................................................................................................................... 35 Tompkins .................................................................................................................................................................. 36 Ulster ......................................................................................................................................................................... 36 Warren....................................................................................................................................................................... 37 Washington ............................................................................................................................................................... 37 Wayne ....................................................................................................................................................................... 38 Westchester ............................................................................................................................................................... 38 Wyoming................................................................................................................................................................... 39 Yates ......................................................................................................................................................................... 39 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Albany CHA-CHIP posted at: http://www.alba nycounty.com/G overnment/Depa rtments/Departm entofHealth/Dat aandStatistics.as px Priorities Prevent Chronic Diseases Focus Areas Increase access to high quality chronic disease preventive care and management in both clinical and community settings. 1 Promote culturally relevant chronic disease selfmanagement education of asthma and diabetes.. Reduce Obesity in Children and Adults Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth and adults. Reduce tobacco use among adults who report poor mental health. Strengthen Infrastructure Across Systems CHA-CHIP posted at: http://alleganyco untydepartmento fhealth.com/ Promote evidence-based care. Create community environments that promote and support healthy food and beverage choices and physical activity Promote Mental Health and Prevent Substance Abuse Allegany Goals Prevent Chronic Diseases Reduce obesity in children and adults. Promote Mental Health and Prevent Substance Abuse Strengthen Infrastructure across Systems. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Create community environments that promote and support healthy food and beverage choices and physical activity. Strengthen infrastructure for MEB health promotion and MEB disorder prevention Interventions Increase the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Increase the number of patients engaged in the asthma continuum of care; increase utilization of asthma action plans and controller medication; and promote tobacco-free policies and smoking cessation in communities. Improve processes that support and increase engagement in prevention and self-management of diabetes and hypertension; provide educational services and resources for patients and providers; expand wellness initiatives; and expand opportunities for safe physical activity. Educate the public about the risks of opiate abuse. Increase primary care provider’s knowledge of best practices and resources to address opiate use and addiction. Promote cross-system collaboration to optimize utilization and capacity of addiction services. Support collaboration of NYS Office of Mental Health, behavioral health providers and members of the tobacco control community to implement evidence-based strategies to reduce smoking among people with mental illness. Adopt tobacco-free policies in mental health facilities. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Other: Allegany County "Girls on the run Program"-increase physical activity, self -esteem; life skills. National Diabetes Prevention Program. Establish linkages with the OMH Early Recognition and Screening Initiative in the region. Other: Safe TALK curriculum; ASIST curriculum. PCP training on SBIRT Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Broome CHA-CHIP posted at: http://www.gobr oomecounty.co m/hd Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Promoting of policies and practices in support of breastfeeding Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Prevent childhood obesity through early childcare and schools. Promoting smoking cessation benefits among Medicaid beneficiaries. Expand the role of health care and health service providers and insurers in obesity prevention. Increasing adoption and use of food standards Implementing Complete Streets policies, plans, and practices Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. Promote a Healthy and Safe Environment Cattaraugus CHA-CHIP posted at: http://www.cattc o.org/downloads /health/cha-chip2014-2017 Prevent Chronic Diseases Injuries, Violence and Occupational Health Reduce fall risks among vulnerable populations Promote community-based programs for fall prevention. Reduce obesity in children and adults. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards Implementing Complete Streets policies, plans, and practices Promoting of policies and practices in support of breastfeeding Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Promote a Healthy and Safe Environment 2 Injuries, Violence and Occupational Health Reduce fall risks among vulnerable populations. Promote community-based programs for fall prevention. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Cayuga CHA-CHIP posted at: http://www.cayu gacounty.us/Co mmunity/Health Priorities Prevent Chronic Disease Focus Areas Reduce obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Implementing Complete Streets policies, plans, and practices Prevent childhood obesity through early childcare and schools. Promoting NYS Smokers' Quitline. Promoting policies and practices in support of breastfeeding Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Chautauqua CHA-CHIP posted at: http://chautauqu a.ny.us/241/Publ ic-Health 3 Promote Healthy Women, Infants and Children Maternal and Infant Health Prevent Chronic Disease Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Child Health Increase proportion of NYS Babies who are breastfed. Reduce the prevalence of dental caries among NYS children Create community environments that promote and support healthy food and beverage choices and physical activity. Promote evidence-based care. Promoting policies and practices in support of breastfeeding Other: Provide oral health supplies to school children for use in school and at home Increasing adoption and use of food standards Implementing Complete Streets policies, plans, and practices Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Other: healthy beverage policies; expand local food system; physical activity training in child care settings; expand National Diabetes Program; Expand Million Hearts Program Promote Healthy Women, Infants and Children Reproductive, Preconception and Inter-conception Care. Promote MH and Prevent SA Strengthen Infrastructure Across Systems Increase utilization of preventive health care services among women of reproductive ages. Other: goal is to decrease newborn drug-related discharge rate and also to improve birth spacing. Implement maternity care practices consistent with the World Health Organization's Ten Steps to Successful Breastfeeding and increase the number of Baby Friendly Hospitals in NYS. Support collaboration among professionals working in fields of mental, emotional, behavioral health promotion and chronic disease prevention, treatment and recovery Promote SBIRT and other screening tools Other: Baby Cafes'; provider education; Provide routine preconception and inter-conception health care for women of reproductive age that include screening and follow up for risk factors, management of chronic medical conditions and use of contraception to plan pregnancies Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Chemung CHA-CHIP posted at: http://www.che mungcountyheal th.org/index.asp ?pageId=57 Priorities Prevent Chronic Diseases Focus Areas Prevent obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Expand the role of health care and health service providers and insurers in obesity prevention. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Interventions Implementing Complete Streets policies, plans, and practices Promoting of policies and practices in support of breastfeeding Adopting tobacco-free outdoor policies. Promoting NYS Smokers' Quitline. Other: Continuing Medical Education and Nursing Education Programs on nutrition, obesity, physical activity and diabetes prevention; Promotion of physical activity and healthy eating through mass media; Implementing evidence-based programs to promote physical activity and healthy eating; Increase utilization of Farmers' Markets and community gardens; rehabilitate, improve and promote parks, playgrounds and trails; EMR/EHR prompts; etc. Eliminate exposure to secondhand smoke. Chenango CHA-CHIP posted at: http://www.co.c henango.ny.us/p ublic-health/ Prevent Chronic Diseases Reduce illness, disability and death related to tobacco use and secondhand smoke exposure Reduce the number of antepartum patients who smoke during pregnancy Reduce exposure to secondhand smoke in households Reduce the percentage of cigarette smoking among adults Reduce the growing number of Hepatitis C cases Reduce the risk to the community as it pertains to an increase in our IV Drug Use population Work on Prevention and Treatment strategies to reduce the use of IV Drug Use Promote Healthy Women, Infants and Children Maternal and Infant Health Increase the number of babies breastfed after discharge Improve pre-natal education, especially of firsttime mothers among low SES populations Reduce the percentage of unintended pregnancy among live births Reduce the percentage of live births that occur within 24 months of a previous pregnancy 4 Promoting NYS Smokers' Quit line Promote Mothers & Babies Perinatal Quit Kit Program Promote tobacco use cessation among antepartum patients including, those in low SES populations Promote evidence-based care by continuing to offer the Baby & Me Tobacco Free Program to our antepartum population with an expansion in 2015 to a named primary support person Created a Heroin Task Force made up of key stakeholders in the County to address the following areas: Harm Reduction Measures, Treatment, Prevention and sustainability of Programs/Task Force Promote evidence-based care by using the Collective Impact Model to Assess, Develop, Implement and Reassess our Task Force Plan Offer prenatal education classes as well as parenting literature Work with paraprofessionals to reinforce health education and health care service utilization and enhance social support to high-risk pregnant women Provide routine preconception and inter-conception health care for women of reproductive age that include screening and follow up for risk factors, management of chronic medical conditions and use of contraception to plan pregnancies (partnering with WIC, Hospital, Family Planning and Health Department staff) Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Create a breastfeeding Support Group made up of Hospital, WIC and Health Department staff. Group will work together on consistent messaging, referral processes and promotion of the group to the community Clinton CHA-CHIP posted at: http://www.clint onhealth.org/ Promote a Healthy and Safe Environment Built Environment Improve the design and maintenance of the built environment Support transportation options that reduce air pollution from mobile sources (e.g., support public transportation, community planning incorporating enhanced walkability or cycling, pricing strategies, greater diversification of transportation fuels). Other: Complete Streets and Increase percentage of residents utilizing current available physical activity opportunities. Promote Mental Health and Prevent Substance Abuse Strengthen Infrastructure across Systems. Strengthen infrastructure for MEB health promotion and MEB disorder prevention by 2017. Meetings and Discussions Identify specific roles in different sectors (e.g. governmental and nongovernmental) and key initiatives (e.g. Health reform) have in contributing towards MEB health promotion and MEB disorder in NYS for crisis intervention within the community. Establish a system to identify indicator data and establish baseline targets for data required to plan and monitor county level strength based efforts that promote MEB health and prevent substance abuse and other MEB disorders. Strengthen training and technical assistance of primary care physicians, MEB health workforce and community leaders in evidence based, including culturally sensitive training, approaches to MEB disorder prevention and mental health promotion. 5 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Columbia CHA-CHIP posted at: https://sites.goo gle.com/a/colum biacountyny.co m/health/reports -and-data Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Reduce Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke Exposure. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Increase breastfeeding Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Prevent, non-medical use of prescription pain relievers drugs by youth Interventions Encourage the increase of physical activity into the school day; encourage breast-feeding; establish joint use agreements to use school space afterhours, support Healthy Monday programs, support health screenings related to cardiovascular health, Promote Eat Smart NY. Promote policies and implement programs which aim to decrease availability and visibility of tobacco products Promote Quitline, online resources, and "apps" to assist individuals with quitting Conduct media campaigns aimed at tobacco use prevention Continue to implement ATUPA surveillance program Work with employers on smoke-free grounds Promote tobacco prevention through the Healthy Mondays program Work with community partners to educate adolescents at high schools and adults in the community about the dangers of cigarette smoking - Reduce the abuse of prescription drugs by high school students as measured by a school-based survey administered in the 2012/2013 year and re-administered in 2016/2016. - The Columbia-Greene Controlled Substance Task Force will continue its work to decrease prescription drug abuse in Columbia and Greene Counties Strategies include: educating community members, students, medical providers about the dangers of non-medical use of prescription drugs; promoting community collection opportunities for unused prescription drugs; and linking community members to substance abuse treatment 6 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Cortland CHA-CHIP posted at: http://cchd.cortl andco.org/index.php /data-andreports Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Implementing of Complete Streets policies, plans, and practices. Prevent childhood obesity through early childcare and schools. Adopting tobacco-free outdoor policies. Promoting of policies and practices in support of breastfeeding. Promoting NYS Smokers' Quitline. Expand the role of health care and health service providers and insurers in obesity prevention. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Eliminate exposure to secondhand smoke. Delaware CHA-CHIP posted at: www.delawarec ountypublichealt h.com/download s.php Promote Healthy Women, Infants and Children Maternal and Infant Health Prevent Chronic Diseases Reduce obesity in children and adults. Increase the proportion of NYS babies who are breastfed. Link pregnant or postpartum low-income women to local WIC services for breastfeeding and other nutritional supports. Other: Early prenatal care and tobacco cessation during pregnancy Create community environments that promote and support healthy food and beverage choices and physical activity. Have at least one municipality that will have passed a complete streets policy Promoting of policies and practices in support of breastfeeding. Expand the role of public and private employers in obesity prevention. Promote Mental Health and Prevent Substance Abuse 7 Reduce premature births in New York State. Strengthen Infrastructure across Systems. Prevent suicides among youth and adults. Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Other: Reduce suicide mortality by education and training. Strengthen MEB infrastructure by identifying indicator data and collect/establish baseline data; provide MEB training for health professionals. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Dutchess CHA-CHIP posted at: http://www.co.d utchess.ny.us/Co untyGov/Depart ments/Health/14 178.htm Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Interventions Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Other: healthy eating and physical activity in schools; worksite wellness; community access to healthy food; educate medical community on evidencebased practices; plan to get uninsured covered for medical care; promote screening services; Expand the role of public and private employers in obesity prevention. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. 8 Promote a Healthy and Safe Environment OTHER Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Other: Reduce burden of Tick Borne Diseases Other: Prevent exposure to tick bites through increased community awareness and use of preventive measures. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. CME to providers re Lyme Disease treatment; public education for personal protection for tick borne diseases; Other: develop a community-wide plan to address prescription drug overdose; reduce inappropriate access to prescription drugs;; expanding overdose prevention measures; access and use of treatment for opioid dependence Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Erie CHA-CHIP posted at: http://ecdh.org/c ommunityhealthplan.php/ErieCountyCommunityHealthImprovementPlan/40/2152/88 6/5615 Essex CHA-CHIP posted at: http://www.co.e ssex.ny.us/Essex CountyPublicHe alth/index_files/ Page4114.htm Priorities Promote Healthy Women, Infants and Children Focus Areas Maternal and Infant Health Goals Increase the proportion of NYS babies who are breastfed. Interventions Implement maternity care practices consistent with the World Health Organization's Ten Steps to Successful Breastfeeding and increase the number of Baby Friendly Hospitals in NYS. Provide structured, comprehensive breastfeeding education and professional lactation counseling and support during pregnancy, in the hospital and at home. Link pregnant or postpartum low-income women to local WIC services for breastfeeding and other nutritional supports. Other: lactation rooms for mothers at worksites. Prevent Chronic Diseases Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Implementing of Complete Streets policies, plans, and practices Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Other: promote and support healthy food and beverage choices and physical activity in community, schools; expand the role of health care and health service providers in obesity prevention (breastfeeding promotion in hospitals and elsewhere; use of EHR to target obesity counseling); establish a "learning collaborative" around organizational nutrition Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. Promote culturally relevant chronic disease selfmanagement education. Franklin CHA-CHIP posted at: http://franklinco ny.org/content/ Departments/Vi ew/2#documents Prevent Chronic Diseases Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards Prevent childhood obesity through early childcare and schools. Promoting of policies and practices in support of breastfeeding Expand the role of health care and health service providers and insurers in obesity prevention. Implementing of Complete Streets policies, plans, and practices Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Promote culturally relevant chronic disease selfmanagement education. 9 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Fulton CHA-CHIP not posted Genesee CHA-CHIP posted at: http://www.co.g enesee.ny.us/dep artments/health/ Priorities Prevent Chronic Diseases Promote Healthy Women, Infants and Children Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Interventions Other: diabetes screening; increase physical activity and the eating of healthier foods. Prevent childhood obesity through early childcare and schools. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Child Health Increase the proportion of NYS children who receive comprehensive well-child-care in accordance with AAP guidelines. The strategy was to increase lead screening by better access to well child care--there is no place to put this strategy in the tool. Reduce obesity in children and adults. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Prevent childhood obesity through early childcare and schools. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings Adopting tobacco-free outdoor policies. Promoting NYS Smokers' Quitline. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. Promote Mental Health and Prevent Substance Abuse 10 Strengthen Infrastructure across Systems. Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Other: Improve public awareness of mental health services available by creation of a user friendly information portal focused on promoting MEB services. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Greene CHA-CHIP posted at: http://greenegov ernment.com/de partments/public health/programs -services/healtheducation/ Hamilton CHA-CHIP posted at: http://www.ham iltoncountyhhs.o rg/publichealth/abouthcphns Priorities Focus Areas Prevent Chronic Diseases Reduce obesity in children and adults Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Prevent chronic diseases Reduce obesity in children and adults. Goals Interventions Prevent childhood obesity through early childcare and schools. Other: Worksite, community based and primary care interventions to promote healthy nutrition, activity and weight loss. Promote culturally relevant chronic disease selfmanagement education. Other: Hospital, family practice, WIC, worksite and community based breast feeding initiatives. Other: Screening for behavioral health issues in primary care. Screening of youth and children aged 5-18 for behavioral health issues. Create varied community educational opportunities to prevent prescription drug abuse. Install 3 drug disposal boxes within Greene County. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Increase access to and awareness of mental health services. By the year 2017, reduce the prevalence of adult diabetes and hospital complications: The percent of adults with diabetes is not more than 5.7%: The county DOH explains they are doing outreach and education. The rate of hospitalizations for short-term complication of diabetes in ages 6-17 is no more than 2.3 per 10,000 and for ages 18+ is no more than 3.9 per 10,000. By the year 2017, reduce the age-adjusted coronary heart disease hospitalization rate to no more than 48.0 per 10,000. By the year 2017, reduce the congestive heart failure hospitalization rate for ages 18+ to no more than 33.0 per 10,000 By the year 2017, reduce the age-adjusted cerebrovascular disease (stroke) mortality rate to no more than 24.0 per 10,000. By the year 2017, reduce the age-adjusted cancer mortality rate to no more than: o o o OTHER: Improving access to care 21.3 per 100,000 females for breast cancer 2.0 per 100,000 females for cervical cancer 13.7 per 100,000 for colorectal cancer By the year 2017, increase the percentage of adults with health care coverage to 100% The county DOH explains they are doing outreach and education. By the year 2017, increase the percentage of adults who have a regular health care provider to 96%. 11 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions By the year 2017, increase the percentage of adults who have seen a dentist in the past year to 83%. By the year 2017, increase the percentage of cancer cases diagnosed at an early stage of disease in residents to at least: o o o Herkimer CHA-CHIP posted at: http://herkimerc ounty.org/conte nt/Generic/View /39 ) Jefferson CHA-CHIP posted at: http://www.co.je fferson.ny.us/ind ex.aspx?page=9 6 12 80% for breast cancer 65% for cervical cancer 50% for colorectal cancer Prevent Chronic Diseases Reduce obesity in children and adults. Expand the role of health care and health service providers and insurers in obesity prevention. Other: Expand the HCPH home visitation program "Healthy Families" to provide nutrition education families. Promote Healthy Women, Infants and Children Child Health Increase childhood immunization rates. Strategy does not fit in any of above categories, nor is it specifically Goal 4 (listed above). It's to use the HCPH home visitation program "Healthy Families" to track children so they receive their childhood vaccinations. This activity could be listed under HIV/STD/Vaccine preventable disease, but the "Healthy Families" Program is MCH focused. CHANGE THIS TO HIV/STDs Prevent Chronic Diseases Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Promote Mental Health and Prevent Substance Abuse Other: health education materials regarding colorectal screening developed and distributed; adopt anti-tobacco marketing policy. Promote Healthy Women, Infants and Children Child Health Increase the proportion of NYS children who receive comprehensive well-child-care in accordance with AAP guidelines. Other: expand school-based dental sealant delivery programs. Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities; Prevent Substance Abuse and other Mental Emotional Behavioral Disorders; Strengthen Infrastructure across Systems Reduce the prevalence of dental caries among NYS children. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery Other: suicide prevention; telemedicine; recruitment and retention; expand the number of regional meetings of suicide prevention coalitions (from one meeting per year to quarterly meetings) Strengthen infrastructure for MEB health promotion and MEB disorder prevention Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Lewis CHA-CHIP posted at: www.lewiscount ypublichealth.co m Priorities Prevent Chronic Diseases Promote Healthy Women, Infants and Children Focus Areas Reduce obesity in children and adults. Maternal and Infant Health Child Health Reproductive, Preconception and Inter-Conception Health Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Livingston CHA-CHIP posted at: http://www.co.li vingston.state.ny .us/index.aspx? NID=512 Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Expand the role of health care and health service providers and insurers in obesity prevention. Other: improve availability/consumption of fresh produce; healthier and fresh food choices at food pantries; community and health care-based nutrition counseling provided; CDSMP and DPP Programs made available. Increase the proportion of NYS babies who are breastfed. Work with paraprofessionals to reinforce health education and health care service utilization and enhance social support to high-risk pregnant women. Increase the proportion of NYS children who receive comprehensive well-child-care in accordance with AAP guidelines. Other: nurses in all types of practices discuss intended-ness of pregnancy at patient visits; educational campaigns to increase knowledge of the importance of preconception education and health care revisits; universal screening of pregnant women or new families including the benefits of breastfeeding and well child visits. Prevention of unintended and adolescent pregnancy. Promote Mental Health and Prevent Substance Abuse Prevent Chronic Diseases Interventions Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Prevent suicides among youth and adults. Build community coalitions that advance the State's 'Suicide as a Never Event' through promotion and prevention activities. Reduce obesity in children and adults. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Expand the role of health care and health service providers and insurers in obesity prevention. Other: promote use of farmers’ markets vouchers among low-income senior population; gather additional obesity-related data from local providers and health insurers, and collaborate on findings. Other: Development and maintenance of a Suicide Prevention Coalition in LC; MEB screening at hospital's inpatient and outpatient programs. Promoting of policies and practices in support of breastfeeding. Expand the role of public and private employers in obesity prevention. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote Mental Health and Prevent Substance Abuse 13 Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Promote mental, emotional and behavioral (MEB) well-being in communities. Develop social marketing and anti-stigma campaigns that promote the importance of early identification and intervention. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Other: increase general capacity of services; access and address transportation barriers; implement and evaluate anti suicide (youth) efforts; create and maintain a suicide prevention task force; pursue passage of "Social Host Law". Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Prevent suicides among youth and adults. Madison CHA-CHIP posted at: http://www.healt hymadisoncount y.org/data/index. html Prevent Chronic Diseases Reduce Obesity in Children and Adults. Reach and maintain a healthy weight for children/adolescents ages 4-18. Promoting of policies and practices in support of breastfeeding. Link health care-based efforts with community prevention activities (Fit Kids Madison County) Conduct research to support evidence-based approaches to reducing obesity.(Fit Kids Madison County) Expand Healthy Schools New York initiative to all school districts Establish Food Hubs and Farm to School program Promote Mental Health and Prevent Substance Abuse Strengthen Infrastructure Across Systems Increase access to and awareness of mental health services. Conduct robust studies on cost-effectiveness, strategy coordination and cultural challenges.(Community School Initiative) Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Reduce youth use and abuse of drugs, alcohol and tobacco. Implement telemedicine psychiatry Identify and implement evidence-based practices and environmental strategies to prevent underage drinking, substance abuse and other MEB disorders.(e.g., INROADS, Botvin’s Life Skills, Class Action, Project Alert) Support campaigns and policies that prevent tobacco sales to minors.(Reality Check) Develop and support social marketing campaigns to promote activities that enhance MEB health. Promote Healthy Women, Infants and Children Maternal and Infant Health Child Health Increase the proportion of NYS babies who are breastfed. Reduce the prevalence of dental caries among NYS children. Increase utilization of preventive health care services among women of reproductive ages. Develop and implement local service networks and coordinating strategies to ensure that women with identified risk factors are linked to appropriate community resources. Implement business case for breastfeeding at work sites Link children and families to dental services and ensure access to a quality system of care (Community School Initiative) Facilitate co-location of medical and dental programs and development of effective referral networks.(Community School Initiative) Promote Healthy and Safe Environment Built Environment Improve the design and maintenance of home environments to promote health and reduce related illness. Injuries, Violence and Occupational Health. Improve the design and maintenance of the built environment to promote healthy lifestyles, sustainability and adaption to climate change Publicize risk factors and steps to improve home environment.(Healthy Housing Initiative) Promote and implement Madison County Smart Growth Policy and Code Audit Tool for Rural Communities in at least 3 municipalities Establish and provide technical assistance services to municipalities on the Madison County Smart Growth Policy and Code Audit Tool Reduce occupational injuries and illnesses 14 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Conduct research to review links between occupation and industry and chronic and infectious diseases.(Workforce Health & Productivity Management initiative) Concerted outreach and media campaigns directed at targeted occupational groups. .(Workforce Health & Productivity Management initiative) Monroe CHA-CHIP posted at: http://www2.mo nroecounty.gov/ files/health/Data Reports/Monroe %20County%20 cha%20chip%20 2013.pdf Prevent Chronic Diseases Montgomery Prevent CHA-CHIP posted at: https://www.co. montgomery.ny. us/sites/public/g overnment/Publi chealth/Publiche alth_Developme nt/default.aspx 15 Chronic Diseases Promote a Healthy and Safe Environment Reduce obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Create community environments that promote and support healthy food and beverage choices and physical activity. Expand the role of public and private employers in obesity prevention. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Promoting smoking cessation benefits among Medicaid beneficiaries by implementing Opt-to-Quit in FHQC’s and Hospitals. Adopting tobacco-free outdoor policies. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Other: Affordable healthy foods to increase intake of fruits and vegetables. Reduce obesity in children and adults Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Injuries, Violence and Occupational Health Reduce fall risks among vulnerable populations. Promote community-based programs for fall prevention. Promoting NYS Smokers' Quitline. Other: Workplace wellness; CPED and Safe-Growth; active transportation; restricting tobacco marketing; HBP collaborative; community wide physician guidelines for diabetes care. Other: educational opportunities in fitness and nutrition; joint use agreements between school and municipality. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Nassau CHA-CHIP posted at: http://www.nass aucountyny.gov/ agencies/Health/ data.html Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Interventions Promoting Mental Health and Prevent Substance abuse should be integrated in both strategies and all goals. Increasing adoption and use of food standards. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Other: The Long Island Health Collaborative (LIHC) in partnership with the Nassau County Department of Health will launch a walking initiative regionwide. "Rx for Walking" is a program that demonstrates the importance of walking to good health. It has been tested in San Diego, California among other places. Promote evidence-based care. Promote culturally relevant chronic disease selfmanagement education. Promote Mental Health and Prevent Substance Abuse 16 Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Promote mental, emotional and behavioral (MEB) well-being in communities. Establish linkages with the OMH Early Recognition and Screening Initiative in the region. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. One of the organizations listed on the Program Inventory the Hispanic Counseling Center has thirteen programs dealing with Mental Health. Among them are a Mental Health Outpatient Program, Domestic Violence, Parenting Education, Ryan White Part A for people with HIV/Aids, Teen Drop In Center and Medicaid Service Coordination Program (MSC) and Non-Medicaid Service Coordination. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. New York City CHA-CHIP not posted Take Care New York is available at: http://www.nyc. gov/html/doh/ht ml/about/tcny.sh tml Priorities Focus Areas Goals Interventions Guiding Principle: Reduce health disparity, promote health equity in chronic disease prevention (e.g. disparities in tobacco use, obesity rates, sugar-sweetened beverage consumption, physical inactivity, cancer screening rates and premature deaths from cardiovascular disease) and create and strengthen community partnerships that advance the following initiatives: Prevent Chronic Diseases Reduce obesity in children and 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. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Eliminate exposure to secondhand smoke. Enforce tobacco tax laws, limit tobacco industry marketing to youth and limit exposure to secondhand smoke Expand access to smoking cessation services and incorporate tobacco use, treatment and referral into electronic health records Deliver health promotion media campaigns depicting the dangers of tobacco use Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Support implementation of NYC food standards, promote healthy foods in hospitals and other workplaces, lower sodium in processed foods, advocate for health food options for lower income New Yorkers, support policies that reduce consumption of sugary drinks Increase access to health foods by transforming the retail environment Expand the role of public and private employers in obesity prevention. Educate public on nutrition and risks of sugary drink consumption; provide nutrition education to children, parents and staff at childcare centers. Create community environments that promote and support healthy food and beverage choices and physical activity. Improve the built environment to support active transportation and recreation, Increase opportunities for physical activity among children and assist communities to improve their physical environment Promote policies and practices to support breastfeeding. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Develop and implement strategic plan for HCV treatment, promote HCV testing and linkages to care for infected people and enhance provider awareness of care and treatment guidelines, increase HPV vaccination rates Enhance public and provider awareness of HCV screening, diagnosis and referral Identify areas of low HPV vaccine coverage in the city and initiate activities to raise coverage Promote colonoscopy screening for all people 50 years and older through Citywide Colon Cancer Control Coalition and gather data on colonoscopy quality and benchmarks in NYC Advocate for changes in coverage and delivery of clinical and communitybased preventive services, use electronic health records to improve the delivery and quality of clinical preventive services and support providers in caring for patients with chronic disease. 17 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Promote evidence-based care. Interventions Advocate for increased access to primary care and preventive services Expand capacity of and access to community health centers, improve timely communication between primary care providers and patients, improve care coordination among healthcare providers through information technology, promote adoption of electronic health records among primary care providers, develop measures of the accessibility, utilization and continuity of the healthcare system and use those measures to make recommendations for system improvements, assist with enrolling eligible New Yorkers in health insurance programs Promote oral health within primary care settings, raising aware ness about self-care and increasing access to preventive and essential restorative care Promote culturally relevant chronic disease selfmanagement education. Promote a Healthy and Safe Environment Air Quality The above listed chronic disease prevention strategies are designed in a culturally competent manner to address the diverse needs of the NYC community. Guiding Principle: Reduce disparities and promote health equity for a safe and healthy environment (e.g. in rates of indoor air pollutants, asthma hospitalizations, tobacco use, , violence, and physical inactivity) and create and strengthen community partnerships that advance the following initiatives: Built Environment Injuries, Violence and Occupational Health Reduce exposure to outdoor air pollutants. Improve the design and maintenance of home environments. Understand and help reduce levels of air pollutants by supporting transportation options that reduce air pollution (e.g., public transportation, incorporating enhanced walkability or cycling, pricing strategies, and diversification of fuel). Incorporate ‘Healthy Homes’ education and inspections into other (nonhealth) ‘opportunity points’, e.g., building inspections, firefighters annual fall fund drives, installation and inspection of CO alarms. Raise public awareness about the value of integrated pest management, promote safer pest control and continue inspections, especially by city agencies and in housing Promote reimbursement by health plans for indoor asthma trigger reduction and counseling about reduction of asthma triggers by healthcare providers Improve the built environment to support active transportation and recreation, Increase opportunities for physical activity among children and assist communities to improve their physical environment Reduce violence by targeting prevention programs particularly to highest risk populations. 18 Support policies to reduce the number of illegal guns in New York City and prevention programs Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Promote Healthy Women, Infants and Children Focus Areas Goals Maternal and Infant Health Interventions Guiding Principle: Reduce disparities and promote equity in the health and mental well-being of women, children and youth (e.g. rates of childhood asthma, obesity, physical inactivity, vaccination and access to quality preventive and reproductive health service) and create and strengthen community partnerships that advance the following health promotion initiatives: Child Health Reproductive, Preconception and Inter-Conception Health Increase the proportion of NYS babies who are breastfed. Reduce the prevalence of dental caries among NYS children. Increase utilization of preventive health care services among women of reproductive ages. Prevention of unintended and adolescent pregnancy. Promote Latch On NYC to reduce formula supplementation in healthy breastfed infants during the hospital stay, increase number of accredited “baby-friendly” hospitals in NYC through the NYC Breastfeeding Hospital Collaborative Initiative, provide structured, comprehensive breastfeeding education and professional lactation counseling and support during pregnancy, in the hospital and at home, support family-friendly workplaces and employee lactation programs through the department’s worksite wellness website Promote oral health within primary care settings, raising aware ness about self-care and increasing access to preventive and essential restorative care Support the implementation of comprehensive, evidence-based, ageappropriate sex education in schools and other community settings. Increase awareness of contraception and sexual health resources available to teens through the health department’s Teens in NYC mobile app, social media and programmatic activities (e.g. Bronx Teens Connection) Support the delivery of comprehensive clinical family planning services, targeting resources to the highest-need communities and populations. At the local level, facilitate referral networks to link clients in need of services to available resources. Promote maternal depression screening, referral and treatment for perinatal women in pediatric and women’s health settings. Other Children and Youth strategies: Encourage screening of children for social-emotional development and mental health conditions in primary care settings for early identification, referral and intervention. Encourage pediatric healthcare professionals to identify children at risk for developmental disorders and refer any child with developmental delays to the Early Intervention Program. Advocate for Medicaid managed care policies that include additional mental health treatment and substance use disorder support services for children and youth 19 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Strengthen Infrastructure across Systems Goals Interventions Guiding Principle: Reduce disparities and promote equity in mental health and substance abuse services, and create and strengthen community partnerships that advance the following initiatives: Promote mental, emotional and behavioral (MEB) well-being in communities. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Reduce fragmentation and improve access to care through the statewide planning process to transition behavioral health into managed care, advocate for policies that help people with serious mental illness become competitively employed and stably housed, reduce number of individuals with mental illness in jails Improve quality and reduce fragmentation of clinical care for persons with mental illness by assisting providers in adopting electronic health records and exchanging information with other providers. improve coordination of care for individuals with both mental and physical health needs, improve the outcomes of individuals experiencing new onset schizophrenia and other psychoses, reduce preventable psychiatric hospitalizations Encourage pediatric healthcare professionals to identify children at risk for developmental disorders and refer any child with developmental delays to the Early Intervention Program. Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Provide information and referrals to individuals and families experiencing a mental health problem, train non-mental health professionals in communities to respond to mental illnesses and substance use disorders Advocate for Medicaid managed care policies that include additional mental health treatment and substance use disorder support services for children and youth Encourage screening of children for social-emotional development and mental health conditions in primary care settings for early identification, referral and intervention. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Promote appropriate prescribing of opioid painkillers and advocate for improved access to naloxone Increase the number of New Yorkers receiving screening and brief intervention for excessive alcohol use and promote buprenorphine treatment and work with other agencies and community groups to reduce sales of alcohol to underage youth Continue raising awareness of the adverse consequences of excessive drinking, educate persons at risk and providers about prevention of opioidrelated overdose deaths, raise awareness of the risks of prescription opioid analgesic misuse 20 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Prevent HIV/STDs, VaccinePreventable Diseases and HealthcareAssociated Infections Focus Areas Goals Prevent HIV and STDs. Interventions Guiding Principle: Reduce health disparities and promote equity in HIV , and STD prevention, and create and strengthen community partnerships that advance the following initiatives: Decrease HIV and STD disparities in New York State. Reduce disparities in viral suppression rates, condom use and HIV testing Advocate for and support policies of routinely offering HIV testing and expand access to sterile syringes Increase access to and quality of HIV antiviral treatment, promote prompt linkage to care among those newly diagnosed with HIV, increase condom accessibility and availability, increase access to sexual and behavioral healthcare among high-risk groups, promote and increase access to postexposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP) among people at highest risk of HIV acquisition. Promote risk reduction among men who have sex with men and other highrisk groups, promote healthy living and risk reduction among HIV-infected persons and reduce risky behaviors among youth. Decrease STD morbidity in New York State. Develop and implement strategic plan for HCV treatment, promote HCV testing and linkages to care for infected people and enhance provider awareness of care and treatment guidelines, increase HPV vaccination rates Enhance public and provider awareness of HCV screening, diagnosis and referral Identify areas of low HPV vaccine coverage in the city and initiate activities to raise coverage Niagara CHA-CHIP posted at: http://www.niag aracounty.com/h ealth/Resources. aspx Oneida CHA-CHIP posted at: http://www.ocgo v.net/health/com munity-healthassessment 21 Prevent Chronic Diseases Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Promote evidence-based care. Educate staff; Diabetes prevention program; clinic depression screening. Promote a Healthy and Safe Environment Prevent Chronic Diseases Injuries, Violence and Occupational Health Reduce fall risks among vulnerable populations. Promote community-based programs for fall prevention. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Increasing referrals to NYS Quitline. Others: Fax-to-Quit Policy; Opt-to-Quit Policy; smoke free campus - Oneida County government buildings. Promote evidence-based care. Promote Healthy Women, Maternal and Infant Health Increase the proportion of NYS babies who are breastfed. Provide structured, comprehensive breastfeeding education and professional lactation counseling and support during pregnancy, in the hospital and after delivery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Link pregnant or postpartum low-income women to local WIC services for breastfeeding and other nutritional supports. Infants and Children Employers’ breastfeeding policies; community lactation lounges; breastfeeding cafes - educational; increase OB/GYN referrals; hospital support of Great Beginnings. Onondaga CHA-CHIP posted at: http://www.ong ov.net/health/pu blications.html Prevent Chronic Diseases Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Increasing adoption and use of food standards. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Other: Described several local initiatives that are in process. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Promote Mental Health and Prevent Substance Abuse 22 Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Programs and practices to address issue of Neonatal abstinence syndrome (NAS) Other: Described several local initiatives that are in process. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Ontario CHA-CHIP posted at: http://www.onta riocountypublic health.com Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Other: Breastfeeding policies, sugar sweetened beverage policies, health meeting guidelines, healthy vending policies, physical activity resource guide, promoting policies and practices to increase healthy eating and physical activity, reduce screen time, school use agreements, educating providers to talk to their patients about nutrition, physical activity and tobacco use. Reduce sodium content in meals served at hospitals, nursing home, and senior meal providers. Participate in the Finger Lakes Health Systems Activity Hypertension Program Offer chronic disease selfmanagement programs. Expand the role of health care and health service providers and insurers in obesity prevention. Decrease hypertension rates Promote culturally relevant chronic disease selfmanagement education. Orange CHA-CHIP posted at: http://www.oran gecountygov.co m/content/124/1 334/15295.aspx Prevent Chronic Diseases Promote Healthy Women, Infants and Children Reduce obesity in children and adults. Interventions Promoting of policies and practices in support of breastfeeding. Create community environments that promote and support healthy food and beverage choices and physical activity. Implementing of Complete Streets policies, plans, and practices. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Other: The smoking cessation benefits would be targeted towards anyone who lives or works in Orange County. To increase the availability of affordable healthy foods, especially in communities with limited access, through starting and sustaining farmers’ markets. Maternal and Infant Health Reduce premature births in New York State. Reproductive, Preconception and Inter-Conception Health Prevention of unintended and adolescent pregnancy Develop and implement local service networks and coordinating strategies to ensure that women with identified risk factors are linked to appropriate community resources. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Promoting smoking cessation benefits among Medicaid beneficiaries. Promote annual preconception and inter-conception visits to develop and review reproductive health plans. Other: 23 1. Identify and promote education messages on delaying sexual activity, contraceptive use, and preventive health care. 2. Improve work with faith‐based organizations, focusing on dissemination of facts to their members. 3. Support or conduct public health detailing to improve health and human service providers’ knowledge, beliefs and skills related to improved use of evidence-based clinical and community-based interventions to reduce preterm birth. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Orleans CHA-CHIP posted at: http://www.orle ansny.com/Depa rtments/Health/P ublicHealth/Hea lthEducation.asp x Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and 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. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Interventions Increasing adoption and use of food standards. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Adopting tobacco-free outdoor policies. Promoting NYS Smokers' Quitline. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. Promote culturally relevant chronic disease selfmanagement education. Promote Mental Health and Prevent Substance Abuse 24 Strengthen Infrastructure across Systems Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Other: Improve public awareness of mental health services available by creation of a user friendly information portal focused on promoting MEB services. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Oswego CHA-CHIP not posted Otsego CHA-CHIP posted at: http://www.otse gocounty.com/d epts/doh/ Priorities Prevent Chronic Diseases Prevent Chronic Diseases Focus Areas Goals Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Eliminate exposure to secondhand smoke. Reduce obesity in children and adults Interventions Other: 1. Increase the number of smoke free units in multi-unit housing to 50 units by getting statements of support from landlords, developing a list of smoke-free MHU rentals to distribute to the public, engage housing authorities that serve low SES residents in the development of smokefree policies for MHU residents, and developing a guide for pregnant women and parenting residents on smoke-free indoor and outdoor activities. 2. Increase the percentage of pregnant women that previously smoked who will quit during their pregnancy by conducting training for facilitators in smoking cessation for pregnant women, recruiting pregnant women who smoke into smoking cessation programs, and encouraging clinicians to take the online interactive program, 'Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic'. Promote culturally relevant chronic disease selfmanagement education. Create community environments that promote and support healthy food and beverage choices and physical activity. Other: Let's Go 5-2-1-0- program; "Get Fit"; reduce intake of SSB - social media; “Baby and Me”; Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Promote culturally relevant chronic disease selfmanagement education. Promote Mental Health and Prevent Substance Abuse 25 Promote mental, emotional and behavioral (MEB) well-being in communities. Promote mental, emotional and behavioral (MEB) well-being in communities. Other: county screening/suicide prevention; school-based mental health counseling. Prevent suicides among youth and adults. Opiod task force formed to address drug abuse in county. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Putnam CHA-CHIP posted at: http://www.putn amcountyny.co m/health/ Priorities Prevent Chronic Diseases Focus Areas Goals Interventions Reduce obesity in children and adults. Prevent childhood obesity through early childcare and schools. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Expand the role of public and private employers in obesity prevention. Promoting smoking cessation benefits among Medicaid beneficiaries. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promoting smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. increase anti-tobacco legislative policies, restrict sale and marketing of tobacco products, reduce use of e-cigarettes Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Promote culturally relevant chronic disease selfmanagement education. Rensselaer CHA-CHIP posted at: http://www.rens co.com/publiche alth_cha.asp Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Chronic Diseases Reduce obesity in children and adults. Promote mental, emotional and behavioral (MEB) well-being in communities. Develop social marketing and anti-stigma campaigns that promote the importance of early identification and intervention. Prevent suicides among youth and adults. Promote smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. Other: reduce suicides and attempts via coalitions and education efforts; collect better data re MEB problems. 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. Create community environments that promote and support healthy food and beverage choices and physical activity. Expand the role of public and private employers in obesity prevention. Other: connect with school initiatives; work on policy with Child care providers; worksite initiatives; improve quality and choice in neighborhood food markets; Shopping matters; social media; garden to market; DPP; Lose to Win; Gestational Diabetes; strategies to meet 2.0 and 3.0 goals appear to be drawing directly from prevention agenda guidance for each category of stakeholder. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote Mental Health and Prevent 26 Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Reduce tobacco use among adults who report poor mental health Promote smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Substance Abuse Rockland CHA-CHIP posted at: http://rocklandg ov.com/departm ents/health/statis tics-and-data/ Prevent HIV/STDs, VaccinePreventable Diseases and HealthcareAssociated Infections Prevent Chronic Diseases Prevent HIV and STDs. Decrease STD morbidity in New York State. Decrease HIV and STD disparities in New York State. Reduce obesity in children and 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. Create community environments that promote and support healthy food and beverage choices and physical activity. Expand the role of public and private employers in obesity prevention. Other: youth education; increase provider knowledge; social norms campaigns; Other: connect with school initiatives; work on policy with Child care providers; worksite initiatives; improve quality and choice in neighborhood food markets; Shopping matters; social media; garden to market; DPP; Lose to Win; Gestational Diabetes; strategies to meet 2.0 and 3.0 goals appear to be drawing directly from prevention agenda guidance for each category of stakeholder. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Prevent HIV/STDs, VaccinePreventable Diseases and HealthcareAssociated Infections 27 Prevent HIV and STDs. Decrease STD morbidity in New York State. Decrease HIV and STD disparities in New York State. Other: youth education; increase provider knowledge; social norms campaigns; Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Saratoga CHA-CHIP posted at: http://www.sarat ogacountyny.go v/departments/1 6662/communityhealthassessment/ Schenectady CHA-CHIP posted at: http://www.sche nectadycounty.c om/FullStory.as px?m=39&amid =808 Priorities Focus Areas Prevent Chronic Diseases Reduce obesity in children and adults. Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Prevent Chronic Diseases Reduce obesity in children and adults. Promote Healthy Women, Infants and Children Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Promote evidence-based care. Other: Promote activity through promotion of a 5K challenge throughout the county for all age groups. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Interventions Other: Promoting High Five 5 K challenge throughout county to increase physical activity – school districts, YMCA’s, businesses, etc. Assess education classes for all ages on nutrition and physical activity available in the county at the local daycare centers, school districts, libraries, YMCA’s etc. Administer evidence-based screening programs such as SBIRT, etc. Collaborate with Mental Health, providers and schools to administer a tool that screens Mental Emotional health in adolescents. Collaborate with school districts to increase and implement evidence-based programs to increase positive social development and healthy lifestyles. Eliminate exposure to secondhand smoke. Adopting tobacco-free outdoor policies. Promote evidence-based care. Promoting quit line, smoking cessation though not necessarily among Medicaid beneficiaries, promoting breastfeeding. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Promote culturally relevant chronic disease selfmanagement education. Reproductive, Preconception and Inter-Conception Health. Prevention of unintended and adolescent pregnancy. Work with paraprofessionals to reinforce health education and health care service utilization and enhance social support to high-risk pregnant women. Develop and implement local service networks and coordinating strategies to ensure that women with identified risk factors are linked to appropriate community resources. Providing breastfeeding education in the hospital and Healthy families at home to some women. They are advocating to expand the dental screening program. Promote Mental Health and Prevent Substance Abuse 28 Strengthen Infrastructure across Systems. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Other: Rejuvenating a suicide prevention committee. Prevent suicides among youth and adults. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Schoharie CHA-CHIP posted at: www.schohariec ountyny.gov/County WebSite/Health/ healthhome.html Schuyler CHA-CHIP posted at: http://www.schu ylercounty.us/In dex.aspx?NID= 166 Priorities Prevent Chronic Diseases Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Interventions Health education messages through various means including "Healthy Families" Program. , and CRH's "Healthlink" newsletter. Continue partnership in "Creating Healthy Places" program. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Expand the role of public and private employers in obesity prevention. Promote culturally relevant chronic disease selfmanagement education. Other: Expand the knowledge base of partners in obesity prevention. Train primary care providers to talk with their patients about their weight and provide community resources available to patients Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings through providing the Diabetes’s Prevention Program and Active Living Every Day Program, as well as researching other EB programs to have available in the community. Increasing adoption and use of food standards. Other: -Promote increased physical activity through on line resource guide using GIS program to, community events, after school settings, hospital activities create a QRP for easy access to site. -Advocate for inclusion of healthy environments such a walk-able communities with Regional Economic Development Council, -Educate and promote the benefits of limited use of sugar sweetened beverages. -Develop links using GIS program to available resources including local fresh products, farmers’ markets, gardening classes, orchards, etc. create a QRP for easy access to site. -Outreach to worksites and assess any current wellness programs activities. Offer information/programs appropriate to each worksite’s stage of wellness activities and interest. -Provide training to Primary care provider about resources in the community and build referral links into their EHR. -Reduce sodium in hospital and nursing home meals 29 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Seneca CHA-CHIP posted at: http://www.co.s eneca.ny.us/dep artments/commu nityservices/publichealth/ Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Expand the role of health care and health service providers and insurers in obesity prevention. Promoting smoking cessation benefits among Medicaid beneficiaries. Expand the role of public and private employers in obesity prevention. Promote culturally relevant chronic disease selfmanagement education. Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Interventions Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults Promoting of policies and practices in support of breastfeeding. Promoting smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. SSB campaign; social media; SNAP/EBT at Farmers’ Markets; guide to physical activities; joint use agreements; employee wellness; healthy vending machine policy; WE CAN Program; CHOOSE Health; promote use of EHR in management of chronic disease. Establish linkages with the OMH Early Recognition and Screening Initiative in the region. Promote smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. Mobilize community for reducing alcohol use. Participating in community trial intervention to reduce high-risk drinking. Other: Developing Social Host Law 30 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. St. Lawrence CHA-CHIP posted at: http://www.co.st lawrence.ny.us/d ata/files/Depart ments/PublicHe alth/St_%20Law rence%20Count y_CHA_CHIP_ 2013.pdf Priorities Prevent Chronic Disease Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Promoting of policies and practices in support of breastfeeding. Implementing of Complete Streets policies, plans, and practices. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Prevent initiation of tobacco use by New York youth and young adults, especially among low so Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities, socio-economic status (SES) populations. Promote Mental Health and Prevent Substance Abuse 31 Focus Areas Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Educate referral agents regarding MEB-related programs and resources. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Steuben CHA-CHIP posted at: http://www.steu bencony.org/Pag es.asp?PGID=36 Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Promote culturally relevant chronic disease selfmanagement education. Eliminate exposure to secondhand smoke. 32 Interventions Promoting of policies and practices in support of breastfeeding. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Promoting NYS Smokers' Quitline. Other: Develop and disseminate central resource guide to promote local hiking trails and natural resources. Advocate for inclusion of creating health environments with Regional Economic Development Council. Develop and expand joint use agreement with schools. Expand implementation of PE 4 Life. Promote Know Your Numbers Campaign. Educate health professionals to talk with patients about weight, nutrition and physical activity. Reduce sodium content in meals served to patients, visitors, staff and the public at area hospitals Office for the Aging meal sites and long term care facilities. Advocate for smoke free environments by encouraging Steuben County government to lead by example. Investigate use of prompts, decision supports and reminders regarding weight, physical activity, diet and tobacco use in Electronic Health Records at area hospitals. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Suffolk CHA-CHIP Posted at: http://www.suff olkcountyny.gov /Departments/H ealthServices/He althCommission er.aspx Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and adults. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Increase participation in walking programs throughout Suffolk County Implement a Food Desert Program in collaboration with Island Harvest, Sustainable LI, SC Social Services, and SC Food Policy Council Expand the role of health care and health service providers and insurers in obesity prevention. Improve awareness of the importance of nutrition and exercise in school aged children Expand the role of public and private employers in obesity prevention. Other: Reduce barriers and facilitate individuals' access to care. Increase awareness of obesity as a risk factor for Chronic Disease Develop training for allied health professionals on obesity screening, prevention and referrals Establish a worksite program at a major employer in Suffolk County, intended to improve diet and/or physical activity behaviors Increase the percentage of women that choose to breastfeed Maintain and expand ongoing partnerships with the Long Island Health Collaborative and academic institutions Create Patient Advocacy Unit in the Division of Patient Care Prevent and reduce the number of opioid related deaths by increasing education and availability of Naloxone Engage in Office of Minority Health and Neighborhood Aide Program Activities to encourage access to care for chronic diseases Increase the inmate population awareness of the availability of the Criminal Drug Treatment Court Program Advocate for mental health consumers at various levels (state government, hospitals, community agencies, etc.) to ensure access to care for pediatric psychiatric patients that would be unable to utilize Sagamore inpatient services when they close Study the spread of tick and vector-borne related diseases, and to develop a comprehensive needs assessment given the County’s approach to this public health and safety issue 33 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Sullivan CHA-CHIP posted at http://co.sullivan .ny.us/Departme nts/Departments NZ/PublicHealt hServices/Healt hRelatedDataan dReports/tabid/3 316/Default.asp x Priorities Prevent Chronic Diseases Focus Areas Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Interventions Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote Healthy Women, Infants and Children Maternal and Infant Health Reduce premature births in New York State. Reproductive, Preconception and Inter-Conception Health. Increase the proportion of NYS babies who are breastfed. Prevention of unintended and adolescent pregnancy. Work with paraprofessionals to reinforce health education and health care service utilization and enhance social support to high-risk pregnant women. Implement policies, community and organizational systems and practices to expedite enrollment of low-income women in Medicaid, including presumptive eligibility for prenatal care and family planning coverage. Help identify and recruit 'natural helpers' from affected communities who can serve as trained paraprofessionals in health promotion programs, and individuals for professional education/training to serve as health care practitioners in their community. Promote Mental Health and Prevent Substance Abuse Promote Mental, Emotional and Behavioral Well Being in Communities. Prevent Substance Abuse and other MEB Disorders. Promote Mental, Emotional and Behavioral Well-Being in Communities. Increase availability of prescription drug drop-boxes. ID gaps in services and increase availability of services for youth. Prevent underage drinking, non-medical use of prescription pain reliever drugs by young and excessive alcohol consumption by adults. Prevent suicides among youth and adults. Promote tobacco use cessation among adult smokers. 34 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Tioga CHA-CHIP posted at http://tiogacount yny.com/depart ments/healthdepartment/repo rts.html Priorities Prevent Chronic Diseases Focus Areas Reduce obesity in children and 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. Goals Interventions Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Adopting tobacco-free outdoor policies. Promoting of policies and practices in support of breastfeeding. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Eliminate exposure to secondhand smoke. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Promote evidence-based care. Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Promote mental, emotional and behavioral (MEB) well-being in communities. Develop social marketing and anti-stigma campaigns that promotes the importance of early identification and intervention. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Mobilize community for reducing alcohol use. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Prevent suicides among youth and adults. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. 35 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Tompkins CHA-CHIP posted at: http://tompkinsc ountyny.gov/hea lth/pnc/cha Ulster CHA-CHIP posted at http://ulstercoun tyny.gov/health/ research-andreports Priorities Prevent Chronic Diseases Focus Areas Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Chronic Diseases Reduce obesity in children and adults. Goals Interventions Eliminate exposure to secondhand smoke. Adopting tobacco-free outdoor policies. Promote evidence-based care. Other: Promote living in homes where smoking is prohibited; decrease asthma risk factors in homes; Diabetes self-management; Promote culturally relevant chronic disease selfmanagement education. Identify community partners engaged in EBI Delivery, ID gaps, and promote benefits of EBIs. Promote mental, emotional and behavioral (MEB) well-being in communities. Support collaboration among leaders, professionals and community members working in MEB well-being. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Adopting tobacco-free outdoor policies. Promoting of policies and practices in support of breastfeeding. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Eliminate exposure to secondhand smoke. Promote Mental Health and Prevent Substance Abuse Prevent Substance Abuse and other Mental Emotional Behavioral Disorders Prevent suicides among youth and adults. Establish linkages with the OMH Early Recognition and Screening Initiative in the region including the creation and promotion of a suicide prevention mobile phone app.. Build community coalitions that advance the State's 'Suicide as a Never Event' through promotion and prevention activities. Other: Develop a public education campaign and ongoing online campaign on means restrictions centered on the safe and secure storage of firearms and the safe disposal of unwanted prescription medications. 36 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Warren CHA-CHIP posted at: www.warrencou ntyny.gov/health services/ Priorities Prevent Chronic Diseases Focus Areas Increase access to high quality chronic disease preventive care and management in both clinical and community settings Goals Create community environments that promote and support healthy food and beverage choices and physical activity. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among populations experiencing health disparities. Interventions Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Other: Worksite Wellness through "Creating Healthy Places to Live and Work and Play" Initiative. Promote culturally relevant chronic disease selfmanagement education. Washington CHA-CHIP posted at http://www.co.w ashington.ny.us/ 292/PublicHealth-Nursing Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent Chronic Diseases Reduce obesity in children and adults. Promote mental, emotional and behavioral (MEB) well-being in communities. Establish linkages with the OMH Early Recognition and Screening Initiative in the region. Prevent suicides among youth and adults. Other: Conducting suicide prevention education. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Create community environments that promote and support healthy food and beverage choices and physical activity. Increasing adoption and use of food standards. Prevent childhood obesity through early childcare and schools. Promoting smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. Expand the role of public and private employers in obesity prevention. Adopting tobacco-free outdoor policies. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Implementing of Complete Streets policies, plans, and practices. Other: Working with Glens Falls Hospital (GFH) in starting a Diabetes Prevention Program, Healthy Schools NY, "Creating Healthy Places to Live, Work and Play developing chronic disease messaging. Working with CCE in providing "Healthful Choices" in summer recreation programs. Working with GFH- Tobacco Cessation Program in Work Site Wellness, and Health Providers in better tobacco screening/intervention; and Southern Adirondack Tobacco Free Coalition in "strengthening policy and guidelines". Work with WIC program to increase breastfeeding and promote healthy nutrition. Eliminate exposure to secondhand smoke. Promote Mental Health and Prevent Substance Abuse Promote mental, emotional and behavioral (MEB) well-being in communities. Prevent underage drinking, non-medical use of prescription pain relievers drugs by youth, and excessive alcohol consumption by adults. Prevent Substance Abuse and other Mental Emotional Behavioral Disorders. Prevent and reduce occurrence of mental, emotional and behavioral disorders among youth and adults. Prevent suicides among youth and adults. 37 Establish linkages with the OMH Early Recognition and Screening Initiative in the region. Promote smoking cessation among people with mental health disabilities through partnerships with the NYS Office of Mental Health. Other: Promote healthy eating and physical activity in MH Group Living Centers and Jails; work with Council for Prevention Inc in offering MADD programs; "Yellow Ribbon-Suicide Prevention Programs:, and "Too Good for Drugs" Programs. Work with Hudson Falls School District to promote Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Reduce tobacco use among adults who report poor mental health. Support collaboration among leaders, professionals and community members working in MEB health promotion, substance abuse and other MEB disorders and chronic disease prevention, treatment and recovery. Wayne CHA-CHIP posted at http://www.co.w ayne.ny.us/depar tments/publichlt h/index.html Prevent Chronic Diseases Reduce obesity in children and 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. Create community environments that promote and support healthy food and beverage choices and physical activity. Prevent childhood obesity through early childcare and schools. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Interventions "Sources for Strength" suicide prevention program, enforce "Dignity to All Students Act", support implementation of Students against Destructive Decisions (SADD) program and Teen Awareness Group. Promoting of policies and practices in support of breastfeeding. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Other: Promote use of Farmers’ markets; hospital become "baby-friendly" for breastfeeding; support "The Good Life Program" and "Eat Smart NY program; implement "I'm moving, I’m Learning" and/or the CATCH curriculum in classrooms; develop list of free resources available to support worksite wellness efforts; reduce sodium content in all meals at N-W Comm. Hosp.; expand Chronic Disease Self-Management Program "Living Healthy". Eliminate exposure to secondhand smoke. Promote culturally relevant chronic disease selfmanagement education. Westchester CHA-CHIP posted at: http://health.wes tchestergov.com /images/stories/ DataStats/Communit y_Health_Asses sment201417.pdf Prevent Chronic Diseases Promote Healthy Women, Infants and Children Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Maternal and Infant Health. Other: Reduce Racial Disparities by Decreasing the Percentage of Blacks and Hispanics Dying Prematurely from Heart Related Diseases. Increasing the availability, accessibility and use of evidence-based interventions in self-care management and chronic disease prevention in clinical and community settings. Increase public awareness on the importance of healthy behaviors and chronic disease prevention. Expand the role of county programs and community leaders in linking Black and Hispanic residents to health insurance and primary. Increase the proportion of NYS babies who are breastfed. Provide structured, comprehensive breastfeeding education and professional lactation counseling and support during pregnancy, in the hospital and at home. Improve public awareness and decrease social stigma surrounding breastfeeding. Other: Expand the Role of Health Care Providers in Chronic Disease Prevention, Develop and implement a community-wide educational campaign on healthy behaviors Expand the role of health care providers in breastfeeding education and support. Link pregnant or postpartum women to community breastfeeding resources for breastfeeding education and support. Other: Educate Staff, Stakeholders, and the Public on the Benefits of Breastfeeding. Collaborate with Westchester County Employers to Establish 38 Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities Focus Areas Goals Interventions Worksite Lactation Support Programs. Conduct Outreach Activities that Promote/Support Breastfeeding in the Community. Wyoming CHA-CHIP posted at http://www.wyo mingco.net/healt h/main.html Prevent Chronic Diseases Reduce obesity in children and adults. Prevent childhood obesity through early childcare and schools. Reduce illness, disability and death related to tobacco use and secondhand smoke exposure. Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Increasing adoption and use of food standards. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Adopting tobacco-free outdoor policies. Promoting NYS Smokers' Quitline. Eliminate exposure to secondhand smoke. Promote evidence-based care. Promote culturally relevant chronic disease selfmanagement education. Yates CHA-CHIP posted at: http://www.yate scounty.org/disp lay_page.asp?pI D=84 Promote Mental Health and Prevent Substance Abuse Prevent Chronic Diseases Strengthen Infrastructure across Systems. Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Improve public awareness of mental health services available by creation of user friendly information portal focused on promoting MEB services. Reduce obesity in children and adults. Create community environments that promote and support healthy food and beverage choices and physical activity. Promoting of policies and practices in support of breastfeeding. Increase access to high quality chronic disease preventive care and management in both clinical and community settings. Prevent childhood obesity through early childcare and schools. Increasing the availability, accessibility and use of evidence-based interventions in self-care management in clinical and community settings. Other: reduce sodium in hospital and nursing home meals. Expand the role of health care and health service providers and insurers in obesity prevention. Expand the role of public and private employers in obesity prevention. Other: develop/implement community-led, placebased interventions targeted to address the social determinants of health in high-priority vulnerable populations. Promote a Healthy and Safe Environment 39 Injuries, Violence and Occupational Health Reduce fall risks among vulnerable populations. Promote community-based programs for fall prevention. Reduce occupational injuries and illnesses. Updated April 9, 2015 2014 New York State County Local Health Department’s Selected Prevention Agenda Priorities, Areas of Focus, Goals and Interventions County Health Dept. Priorities 40 April 9, 2015 Focus Areas Goals Interventions Updated
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