Prevention Agenda Year One
Implementation Progress Report
Office of Public Health
April 27, 2015
(n=30)
April 27, 2015
Prevention Agenda Year One Progress
• 181 responses (as of 3/2015)
– All 58 Local Health Departments
– 123 Hospital/hospital groups
– 362 interventions reported on (2 per survey response);
• Information on:
–
–
–
–
–
–
Interventions
Status of efforts
Disparities being addressed
Partners participating
Partnerships organizations require help developing
Successes and challenges
3
April 27, 2015
4
Percentage Of Local Health Departments, Hospitals Reporting On
At least One Intervention* By Priority Area, December 2014
100
94.9 95.9
Percent
80
60
41.3
40
24.1
20
10.3
26
27.6
9.8
3.4
7.3
0
Prevent Chronic Diseases
Chronic
Promote a Health and Safe
Environment
Environment
Promote Health Women, Infants
MCH
and Children
Promote Mental Health And
MH/SA
Prevent Substance Abuse
Prevent HIV/STDs.
ID/HIV/STD
VaccinePreventableDisease, and
HealthcareAssociatedInfections
Priority Area
LHDs N=58
Hospitals N=123
LHD
Hospitals
4
April 27, 2015
5
Chronic Disease Interventions Among
Local Health Departments, Hospitals, December 2014
50
45
44.3
46.5
40
Percent
35
30
25
20.0
20
22.6
14.3
15
12.0
10
5
8.6
5.7
5.7
2.5
0
Other
Other
Community
Increase participation of adult Create linkages with local
Increase the number
Support use of alternative
Chronic
Disease
Link
Patients
to
Healthy
Food
Deliver
Preventive
with chronic illness in a class
health care systems to
employers and service
locations
to deliver
preventive
toManagement
learn how to manage
their
connect patients Resources
to
providers
in your county to
services,
including
Classes
Community
Procurement
Services
in cancer
condition.
community preventative
adopt standards for Policies
healthy
screening.
Resources
resources.
food and beverage
procurement.
LHDs N=70 Hospitals N=159
LHDs
Hospitals
5
April 27, 2015
50
6
Mental Health And Substance Abuse Interventions Among
Local Health Departments, Hospitals, December 2014
45.8
45
40
32.4
Percent
35
30
25
20
12.5
15
14.7
11.8
8.3
10
4.2
5
2.9
0
Other
Other
LHDs N=24 Hospitals N=34
Build community coalitions that
Administer screening programs such Implement mental health promotion
Suicide
Prevention
SBIRT
andChecklist
Other90 etc. Mental
Health
and
advance the State's 'Suicide as a Never as SBIRT,
Symptom
and antistigma
campaigns
Event'
through promotion
and
Community
Coalitions
Screening Programs
Anti-stigma Campaigns
prevention activities
LHDs
Hospitals
6
April 27, 2015
250
200
7
Top Partner Types Among
Local Health Departments & Hospitals, December 2014
193
Number
169
150
132
98
100
95
93
90
84
83
75
50
0
Pre-existing local Other community Community health Government or
coalition (e.g.
based
center/Federally community-based
tobacco
organization
Qualified Health organization prevention)
Center
Social Services
Local
Coalition
Other
CBO
Media
CHC/FQHC Social Media
Service
Government or
community-based
organization Mental and
Behavioral Health
(including
Substance Abuse)
MH/BH
CBO
Partners Types
Faith-based
Business
Schools (K-12) College/University
Faith-based
Business School College/
organization
Organization
K-12 University
7
April 27, 2015
8
Hospitals Reporting PA Interventions as 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
8
April 27, 2015
9
PA Interventions Listed on Hospital’s
Schedule H Tax Form, 12/2014 (N=123)
45
39.0
40
35
Percent
30
25
22.8
23.6
No
None
Unsure
Not
sure
20
15
14.6
10
5
0
Just oneOne
on Schedule H
Yes both
on schedule H
Both
Interventions On Schedule H?
9
April 27, 2015
10
What’s Next?
Data from summary will be made available to help Local Health
Departments and Hospital/Hospital Systems understand:
•
•
•
•
•
•
•
Intervention progress
Measures used to track progress
Target populations
Disparities being addressed
Partners engaged
Successes and challenges
Collecting Stories to Showcase Local Efforts
10
New York State Health Initiatives
PREVENTION AGENDA
Priority Areas:
- Prevent chronic diseases
- Promote a healthy and safe environment
- Promote healthy women, infants, and children
- Promote mental health and prevent substance abuse
- Prevent HIV, sexually transmitted diseases, vaccinepreventable diseases, and healthcare-associated infections
STATE HEALTH INNOVATION PLAN (SHIP)
Pillars and Enablers:
- Improve access to care for all New Yorkers
- Integrate care to address patient needs seamlessly
- Make the cost and quality of care transparent
- Pay for healthcare value, not volume
- Promote population health
- Develop workforce strategy
- Maximize health information technology
- Performance measurement & evaluation
ALIGNMENT:
Improve Population Health
Transform Health Care Delivery
Eliminate Health Disparities
MEDICAID DELIVERY SYSTEM REFORM
INCENTIVE PAYMENT (DSRIP) PROGRAM
Key Themes:
- Integrate delivery – create Performing Provider Systems
- Performance-based payments
- Statewide performance matters
- Regulatory relief and capital funding
- Long-term transformation & health system sustainability
POPULATION HEALTH IMPROVEMENT
PROGRAM (PHIP)
PHIP Regional Contractors:
- Identify, share, disseminate, and help implement best
practices and strategies to promote population health
- Support and advance the Prevention Agenda
- Support and advance the SHIP
- Serve as resources to DSRIP Performing Provider Systems
April 27, 2015
12
Population-wide Projects from
Prevention Agenda (Domain 4)
• Tobacco cessation
• Access to preventive care and management of chronic
diseases in clinical and community settings
• Decrease HIV morbidity; increase access to, and
retention in, HIV care
• Reduce premature births
April 27, 2015
13
Project 4.b.i - Promote tobacco use cessation, especially among
low SES populations and those with poor mental health
• Objective
– decrease the prevalence of
cigarette smoking by adults
18 and older; increase use of
tobacco cessation services
including NYS Smokers’
Quitline and nicotine
replacement products.
• Target population includes:
– Communities where smoking rates
are high
– Those with low socio-economic
status
– Those with serious mental illness
– Young adults
– Tobacco users who have been to the
ED at least once in a year
April 27, 2015
14
Tobacco Use Cessation
Region
Capital District
Capital District
Mohawk Valley
Western NY
Long Island
Mid-Hudson
Mid-Hudson
Mid-Hudson
New York City
New York City
New York City
PPS
Albany Medical Center Hospital
Ellis Hospital
Mohawk Valley (Bassett)
Catholic Medical Partners
Nassau County PPS
Refuah Health Center
Montefiore Medical Center
Westchester Medical Center
Lutheran Medical Center
Advocate Community Partners (AW)
The NY and Presbyterian Hospital
April 27, 2015
15
Project 4.b.ii - Increase Access to High Quality Chronic Disease
Preventive Care and Management in Both Clinical and Community
Settings - targets chronic diseases that are not included in Domain
3, such as cancer
• Objective – increase the
numbers of New Yorkers
who receive evidence
based preventive care
and management for
chronic diseases.
• Target population includes:
– People living in poverty or in rural areas
– Immigrants, migrants, people for whom
English is not a primary language
– People in communities identified as
“hotspots”
– Low- or non-utilizers of health care
– High risk populations such as those who are
obese or smokers
April 27, 2015
16
Chronic Disease 4.b.ii Project
Increase access to high quality preventive care and management in both clinical and community settings
Region
North Country
New York City
Finger Lakes
PPS
Adirondack Health Institute
Advocate Community
Partners (AW)
Albany Medical Center
Hospital
Finger Lakes PPS
Mid-Hudson
New York City
Montefiore Medical Center
Mt. Sinai Hospital Group
New York City
Richmond Univ. Med Ctr &
Staten Island Univ. Hospital
Samaritan Medical Center
Stony Brook University
Hospital
United Health Services
Hospitals
Westchester Medical Center
Capital District
Tug Hill Seaway
Long Island
Southern Tier
Mid-Hudson
Focus of 4.b.ii
COPD
Cancer and hepatitis screening;
HPV vaccines
Cancer screening
Obesity and Tobacco in high risk
populations, especially low SES
Cancer screening and prevention
Cancer, Hep C, Chlamydia
screening; increase well child visits
Cancer, COPD and hypertension
COPD and Cancer
Cancer screening; tobacco
cessation; obesity
COPD
Cancer screening
April 27, 2015
17
Project 4.c.i - Decrease HIV morbidity
• Objective – reduce the
newly diagnosed HIV
case rate in New York by
25% to no more than
14.7 new diagnoses per
100,000.
• Target population includes:
– People living with HIV/AIDS in 5
boroughs
– Those who have fallen out of care or
were never in care;
– Those with co-morbid conditions,
especially mental illness or
substance abuse
April 27, 2015
18
Project 4.c.ii - Increase early access to, and retention in, HIV care
• Objectives
– Increase the percentage
of HIV-infected persons
with a known diagnosis
who are in care by 9% to
72%
– Increase the percentage
of HIV-infected persons
with known diagnoses
who are virally
suppressed to 45%.
•
Target population includes:
– HIV-infected individuals (diagnosed and
undiagnosed) and those at high-risk of
becoming infected (i.e., individuals
eligible for PrEP)
– Persons with co-occurring diagnoses
such as mental health or SA disorders
– People with social factors such as
homelessness, and persons identified as
being high risk such as foreign born
individuals, Black or Hispanic individuals,
and MSMs.
April 27, 2015
19
Governor Cuomo Announces
Task Force to Develop Plan to
End AIDS Epidemic
Task Force Charged with
Implementing Three-point Plan to
Decrease New HIV Infections to 750
per Year by 2020
April 27, 2015
20
HIV and STD Projects
Region
New York City
New York City
New York City
New York City
New York City
New York City
New York City
New York City
PPS
Bronx-Lebanon Medical Center
HHC Facilities
Lutheran Medical Center
Maimonides Medical Center
Mount Sinai Hospitals Group
St. Barnabas Hospital
The NY and Presbyterian Hospital
The NY Hospital of Queens
April 27, 2015
21
Project 4.d.i - Reduce premature births
• Objective
– reduce the rate of
preterm birth in NYS
by at least 12% to
10.2%.
• Target population includes:
– Women of child-bearing age (14–44
years), infants, and children (0–18 years)
– Those who are homeless, abusing drugs
or alcohol, experiencing domestic
violence, and/or lacking a regular
healthcare provider
– Racial, ethnic, and linguistic minorities;
refugees; teenagers
– individuals and families experiencing
multiple social and/or economic
stressors
April 27, 2015
22
Women, Infants and Children Projects
Region
Central NY
Western NY
PPS
Central NY PPS
Millennium Collaborative Care (ECMC)
April 27, 2015
23
Mental Health and Substance Abuse Projects
4.a.i – Promote mental, emotional and behavioral well-being in communities
Region
PPS
Western NY
Catholic Medical Partners
Millennium Collaborative Care (ECMC)
4.a.ii – Prevent substance abuse and other mental, emotional and behavioral disorders
Long Island
Stony Brook University Hospital
4.a.iii – Strengthen mental health and substance abuse infrastructure across systems
Capital District
Ellis Hospital
Central NY
Finger Lakes
Central NY PPS
Finger Lakes PPS
Mohawk Valley
Mohawk Valley (Bassett)
New York City
Richmond Univ. Med Ctr & Staten Island Univ. Hospital
HHC Facilities
Bronx-Lebanon Hospital Center
Maimonides Medical Center
St. Barnabas Hospital
Tug Hill Seaway
Long Island
Samaritan Medical Center
Nassau County PPS
Southern Tier
North Country
United Health Services Hospitals
Adirondack Health Institute
April 27, 2015
24
QUESTIONS
24