Prevention Agenda Update
Office of Public Health Practice, NYSDOH
July 24, 2015
Prevention Agenda Update:
• Summary Findings from First Year Survey
• Progress on Meeting Health Objectives
• Links with Health Reform
• Next Steps, including Next Cycle of Local Planning
• Next Meeting of Ad Hoc Committee: September 24
2
Lessons Learned, First Year Survey
• LHDs and Hospitals are on track with implementation
• LHDs and hospitals implementing a mix of evidence-based and “other”
interventions and strategies
• Identifying and tracking process is challenging
• Collaboration in communities is strong, but some partners remain a
challenge to involve, including health insurance plans, faith based
organizations, schools, business and media.
• Health Disparities continues to be focus, but hard to measure progress.
• Hospitals are often but not always connecting PA work with other health
reform efforts.
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(n=30)
Percentage Of Local Health Departments, Hospitals Reporting On At least One Intervention* By
Priority Area, December 2014
100
94.9
95.9
80
Percent
60
41.3
40
24.1
26
27.6
20
10.3
9.8
7.3
3.4
0
Prevent Chronic Diseases
Promote a Health and Safe Environment
Promote Health Women, Infants and
Children
Promote Mental Health And Prevent
Substance Abuse
Prevent HIV/STDs.
VaccinePreventableDisease, and
HealthcareAssociatedInfections
Priority Area
LHDs N=58
Hospitals N=123
LHD
Hospitals
5
Chronic Disease Interventions Among Local Health Departments, Hospitals, December 2014
50.0
46.5
45.0
44.3
40.0
35.0
Percent
30.0
25.0
22.6
20.0
20.0
14.3
15.0
12.0
10.0
8.6
5.7
5.0
5.7
2.5
0.0
Other
Increase participation of adult with chronic
Create linkages with local health care Increase the number employers and service
illness in a class to learn how to manage systems to connect patients to community providers in your county to adopt standards
their condition.
preventative resources.
for healthy food and beverage
procurement.
LHDs
Hospitals
Support use of alternative locations to
deliver preventive services, including
cancer screening.
LHDs N=70 Hospitals N=159
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Healthy Women, Infants And Children Interventions Among Local Health Departments, Hospitals
December 2014
60
57.1
56.4
50
Percent
40
37.5
28.6
30
20
12.5
9.1
10
7.1
3.1
0
Promote Breastfeeding
Other
LHDs N=12 Hospitals N=32
Provide timely, continuous and
Provide education to health care providers
Integrate preconception and
comprehensive prenatal care services to
to reduce preterm birth.
interconception care into routine primary
pregnant women
care for women
LHDs
Hospitals
7
Mental Health And Substance Abuse Interventions Among Local Health Departments, Hospitals,
December 2014
50
45.8
45
40
35
32.4
Percent
30
25
20
14.7
15
12.5
11.8
10
8.3
4.2
5
2.9
0
Other
LHDs N=24 Hospitals N=34
Build community coalitions that advance the State's 'Suicide
as a Never Event' through promotion and prevention
activities
Administer screening programs such as SBIRT, Symptom
Checklist 90 etc.
Implement mental health promotion and antistigma
campaigns
Mental Health Interventions
LHDs
Hospitals
8
Percent Of Interventions Addressing A Disparity Among Local Health Departments, Hospitals, December 2014
100
90
80
76.7
73.2
70
Percent
60
50
40
30
20
10
0
Addressing A Disparity
LHDs
Hospitals
LHDs N=116
Hospitals N=246
9
Number Of Interventions Addressing Each Type Of Disparity, By Local Health Departments, Hospitals,
December 2014
160
140
120
Number
100
80
60
40
20
0
Income/SES
Race/ethnicity
Geography
Age
Other
Disability
Gender
Disparity Type Intervention Addresses
LHDs
Hospitals
10
Top Partner Types Among Local Health Departments & Hospitals, December 2014
250
200
193
169
150
Number
132
98
100
95
93
90
84
83
75
50
0
Pre-existing local
coalition (e.g.
tobacco prevention)
Other community
based organization
Community health
center/Federally
Qualified Health
Center
Government or
community-based
organization - Social
Services
Media
Government or
community-based
organization - Mental
and Behavioral
Health (including
Substance Abuse)
Faith-based
organization
Business
Schools (K-12)
College/University
Partners Types
11
Top Partnerships Local Health Departments And Hospitals Require Help To Develop, December 2014
25
22
21
20
18
16
16
Business
Media
Number
15
10
5
0
Health Insurance Plan
Faith-based organization
Schools (K-12)
Partnerships
12
Hospitals Reporting Interventions Part Of DSRIP Application, December 2014 (N=123 Hospitals/Groups)
60
50
48.0
Percent
40
29.3
30
20
13.8
8.9
10
0
Yes
No
Unsure
Interventions Part of DSRIP Application
No DSRIP application
13
Schedule H Community Benefit Reporting By New York State Hospitals, 2010
Source: New York Academy of Medicine, Achieving the Triple Aim in New York State: the Potential Role of Hospital Community Benefit (Issue Brief June 2014)
14
Interventions On Hospital’s Schedule H Tax Form, December 2014 (N=123 Hospitals/Groups)
45
39.0
40
35
30
Percent
25
22.8
23.6
20
15
14.6
10
5
0
Just one on Schedule H
Yes both on schedule H
Interventions On Schedule H
No
Unsure
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July 24, 2015
24
What’s Next?
• Alignment with Health Reform:
– Reviewing 1st Quarter Reports from DSRIP to
assess conformity with PA
– Participating in SIM to incorporate PA goals into
processes to transform primary care
• Minority Health Data Report – goal is to
stimulate attention to health disparities
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July 24, 2015
25
What’s Next?
• Next Cycle of Community Health Improvement Planning
– IRS Deadline: December 2016
– Aligning IRS, PHAB and NYS requirements into one guidance
– Goal is to ask for one report by county with contributions from
LHD and hospitals clearly articulated
– Can be update from most recent completed CHNA for DSRIP
– Role for PHIPs
• Next Ad Hoc Committee Meeting: September 24
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July 24, 2015
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QUESTIONS
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