1) Local public health agencies in the St. Louis area discussed challenges accessing state health data needed for community assessments and national public health accreditation.
2) Representatives from several local health departments shared their experiences conducting community health needs assessments and preparing for accreditation.
3) The state health department acknowledged past barriers to data sharing and committed to investigating how other states provide data to local agencies and reviewing data request processes in Missouri.
Topics covered in this 10-26-2007 presentation to the TWG include background and brief updates of System
Transformation Initiative projects; a benefits package update, and a housing action plan update.
Presentation by Annette Gardner PhD, MPH
Assistant Professor, Department of Social and Behavioral Sciences,
and the Philip R. Lee Institute for Health Policy Studies, UCSF
Treating The Whole Person: Strategies for Integrating Care. Workshop for Physicians,
Mental Health Providers, ER nurses, Psychiatric Nurses, and Students
This study explored community site administrators' perspectives on pediatric resident training at their centers. Administrators from 16 community sites responded to a survey. They consistently indicated that resident rotations increased awareness of the services their sites provide. Administrators and families also benefited from the exchange of medical knowledge with residents. However, complex scheduling presented organizational challenges. Improving communication of schedules and establishing clear resident tasks at each site helped address these issues. The findings demonstrate that community sites value involvement of pediatric residents, while also identifying opportunities to enhance the experience for all parties.
The document summarizes New Mexico's broken behavioral health care system and provides recommendations for reform. Key issues include a long-standing provider shortage, lack of access to care, and no performance incentives for quality. The dominant governing body, the Behavioral Health Collaborative, has led to bureaucracy that does not empower patients or providers. Reforms proposed include expanding evidence-based practices, implementing mental health courts more widely, utilizing telehealth, and increasing the roles of care coordinators and peer support specialists to improve both the quality and availability of care.
The document summarizes recommendations from thought leaders on how the Health Care for the Homeless Network (HCHN) can better align with community initiatives related to healthcare reform and homeless services planning. It identifies three main themes for HCHN: [1] Increase collaboration with organizations leading homeless services and housing planning like All Home. [2] Strengthen HCHN's role in healthcare reform efforts to demonstrate how its models of care align with the state's goals. [3] Enhance HCHN's ability to encourage adoption of best practices for serving homeless patients across the healthcare safety net. The recommendations are organized in a matrix to guide HCHN's actions around improving data/outcomes, partnerships, and addressing health and housing needs together.
The Langley Division of Family Practice had a successful first year of operation, focusing on strategic governance and operational development. Key accomplishments included engaging 98 physician members, establishing priority populations and workgroups, negotiating practice deals, and hosting continuing education events. The executive director report outlines the vision, mission, and four strategic priorities going forward. The financial statements show the Division ended the year with a surplus and net assets of $24,801.
Global Medical Cures™ | Community Strategies for Preventing CHRONIC DISEASESGlobal Medical Cures™
Global Medical Cures™ | Community Strategies for Preventing CHRONIC DISEASES
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Topics covered in this 10-26-2007 presentation to the TWG include background and brief updates of System
Transformation Initiative projects; a benefits package update, and a housing action plan update.
Presentation by Annette Gardner PhD, MPH
Assistant Professor, Department of Social and Behavioral Sciences,
and the Philip R. Lee Institute for Health Policy Studies, UCSF
Treating The Whole Person: Strategies for Integrating Care. Workshop for Physicians,
Mental Health Providers, ER nurses, Psychiatric Nurses, and Students
This study explored community site administrators' perspectives on pediatric resident training at their centers. Administrators from 16 community sites responded to a survey. They consistently indicated that resident rotations increased awareness of the services their sites provide. Administrators and families also benefited from the exchange of medical knowledge with residents. However, complex scheduling presented organizational challenges. Improving communication of schedules and establishing clear resident tasks at each site helped address these issues. The findings demonstrate that community sites value involvement of pediatric residents, while also identifying opportunities to enhance the experience for all parties.
The document summarizes New Mexico's broken behavioral health care system and provides recommendations for reform. Key issues include a long-standing provider shortage, lack of access to care, and no performance incentives for quality. The dominant governing body, the Behavioral Health Collaborative, has led to bureaucracy that does not empower patients or providers. Reforms proposed include expanding evidence-based practices, implementing mental health courts more widely, utilizing telehealth, and increasing the roles of care coordinators and peer support specialists to improve both the quality and availability of care.
The document summarizes recommendations from thought leaders on how the Health Care for the Homeless Network (HCHN) can better align with community initiatives related to healthcare reform and homeless services planning. It identifies three main themes for HCHN: [1] Increase collaboration with organizations leading homeless services and housing planning like All Home. [2] Strengthen HCHN's role in healthcare reform efforts to demonstrate how its models of care align with the state's goals. [3] Enhance HCHN's ability to encourage adoption of best practices for serving homeless patients across the healthcare safety net. The recommendations are organized in a matrix to guide HCHN's actions around improving data/outcomes, partnerships, and addressing health and housing needs together.
The Langley Division of Family Practice had a successful first year of operation, focusing on strategic governance and operational development. Key accomplishments included engaging 98 physician members, establishing priority populations and workgroups, negotiating practice deals, and hosting continuing education events. The executive director report outlines the vision, mission, and four strategic priorities going forward. The financial statements show the Division ended the year with a surplus and net assets of $24,801.
Global Medical Cures™ | Community Strategies for Preventing CHRONIC DISEASESGlobal Medical Cures™
Global Medical Cures™ | Community Strategies for Preventing CHRONIC DISEASES
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...Gerrit Lensink
This paper is the first installment in my undergraduate thesis on physician expectations and their effect on primary care shortages in the United States. Over following semesters I will be strengthening my research with econometric models and further analysis. Updates will follow as completed.
This presentation describes the findings from The California Endowment Clinic Consortia Policy and Advocacy Program Evaluation, including: activities to increase clinic consortia advocacy capacity; expanded decision maker support for key policies benefiting clinics and their target populations; and expanded access to health care care for vulnerable populations. Summary findings and lessons for evaluators are included.
Diversion First Stakeholders Meeting Sept. 22, 2020Fairfax County
The document summarizes the agenda and discussions from the Diversion First Stakeholders Group meeting on September 22, 2020. The meeting included welcome remarks, program updates from various diversion and justice-related programs in Fairfax County, discussions around trends in diversion and steps being taken in response to COVID-19, and plans for future initiatives. Key areas covered included updates on the community response team, jail behavioral health services, specialty court programs, reentry services, and housing support for justice-involved individuals with behavioral health needs.
Diversion First Stakeholders Meeting: May 16, 2019Fairfax County
The stakeholder meeting covered several topics:
1) Peer recovery supports and the co-responder model were discussed to connect individuals to services and support recovery.
2) 2018 jail population data found a decrease in the behavioral health population and those with misdemeanors, and an increase in referrals to community services.
3) Demographic data on the 2018 jail behavioral health population showed most were male, white, and between 18-39 years old, with the most common mental health diagnosis being depression.
Healthcare & Insurance: Health Professionals Prepare Amidst The UncertaintyGary W. Stanton
Gary Stanton and other area healthcare and insurance leaders meet to discuss the present and future of healthcare in the Kansas City area. This healthcare industry outlook was orchestrated by Ingram's Magazine and sponsored by BlueCross BlueShield KC and Lockton Insurance. The event took place in May 2012.
Fasd canadian news trump administration freezes database of addiction and men...BARRY STANLEY 2 fasd
This is a tread on Faslink about the freezing of The National Registry of Evidence-based Programs and Practices data base. Elspeth Ross found only one reference to FASD in the data.
Meggan Christman Schilkie has over 15 years of experience in health care management, policy, and strategic consulting. She has held leadership roles at the New York City Department of Health and Mental Hygiene, managing over $200 million in behavioral health programs. Currently, she is a Principal at Health Management Associates, where she provides strategic consulting services to health care organizations. She has expertise in areas such as financing, delivery system reform, and healthcare policy.
The document summarizes initiatives by several states to implement patient-centered medical homes (PCMHs) and shared care teams through Medicaid programs. It discusses how states like Alabama, Maine, Vermont, and New York have established networks, teams, or "pods" to provide support to primary care practices in order to help them function as medical homes. These support systems receive per-member-per-month payments from Medicaid and other payers. The document also covers initiatives to implement health homes for high-need patients and use of health information technology.
This study assessed health care costs and utilization among union members from 2008-2010, comparing those who received primary care from providers participating in a public health initiative (PCIP) versus non-participating providers. Members accessing PCIP providers saw a 16% decrease in hospitalizations for chronic conditions, whereas non-PCIP members saw a 15% increase. PCIP access was associated with lower inpatient utilization and costs. Specialty care increased more for PCIP members with diabetes and hypertension. Overall, the results suggest population health initiatives incorporating electronic health records can reduce health care costs by decreasing hospitalizations for better chronic disease management.
Strengthening Community Capacity for Effective Advocacy: A Strategy Developme...Humentum
Robert Musoke, PATH Uganda; Bernard Byagageire, PATH Uganda; Jennifer Gaberu, PATH Uganda. Presentation made during Humentum's Capacity for Humanity conference, February 2018.
NR 443 Enhance teaching - snaptutorial.comDavisMurphyA58
For more classes visit
www.snaptutorial.com
Healthy People 2020
The federal government developed Healthy People as a set of national health objectives that are periodically evaluated to measure progress in the nation’s
Innovators appreciate the role that non-medical factors play.
Care management and business improvement programs can benefit by looking beyond claims or medical records to capture factors that influence health.
Socio economic differentials in health care seeking behaviour and out-of-pock...Alexander Decker
This study examined health care utilization patterns and out-of-pocket expenditures for outpatient services in Madina Township, Ghana. The study found that only 27.5% of households were enrolled in Ghana's National Health Insurance Scheme. Insured patients experienced longer wait times at facilities compared to non-insured patients. Despite the financial protection of insurance, poorer households still incurred significant costs for health care. Household characteristics such as perceived quality, illness severity, and proximity influenced choice of health services used. Socioeconomic status continued to impact health care choices even with the introduction of health insurance. Efforts are needed to improve enrollment in insurance as well as address other barriers to access in order to maximize the benefits of Ghana's health insurance
CHIC is a nonprofit collaborative in Northeastern Minnesota that provides regional access to health care information through technology and partnerships. Its mission is to help members improve care and save costs. CHIC programs include emergency preparedness coordination, a health information exchange called HIE-Bridge that allows quick access to patient records, an immunization registry, and helping providers apply for telehealth funding. CHIC aims to build bridges to quality health care through these collaborative programs.
This document summarizes a conference on successful coalitions in Appalachia. It describes how coalitions in the region worked to build relationships with key stakeholders like healthcare professionals, community members, law enforcement, youth and schools, and local businesses. Through these partnerships, coalitions were able to grow their membership, enhance their capacity, and make progress addressing substance abuse issues in their communities. The conference highlighted best practices for coalition effectiveness through stakeholder engagement.
This document summarizes several grants related to children's health, including grants to:
1) Fund eight community coalitions through the Children's Health Care Allies Against Asthma Program to improve asthma care for children.
2) Support surveys of how managed care initiatives affect child welfare services.
3) Fund three studies examining health care financing and delivery problems affecting adolescents.
4) Create a new fellowship program in environmental pediatrics.
This report summarizes the findings from the first year of a study evaluating 14 tribes that received grants to coordinate their Tribal Temporary Assistance for Needy Families (TANF) and child welfare services programs. Key findings include:
1) Tribes implemented diverse service models and activities informed by their unique cultural practices to meet the needs of at-risk families in their communities.
2) Common services addressed family needs like violence prevention, substance abuse treatment, and parenting education. Supportive services included childcare and meeting basic needs.
3) Tribes worked with partners like family violence programs and improved coordination between programs through information sharing and cross-training staff.
4) Significant progress was made implementing system
NR 443 EXceptional Education/snaptutorial.COMMcdonaldRyan24
The federal government developed Healthy People as a set of national health objectives that are periodically evaluated to measure progress in the nation’s health goals and healthcare services. HP 2020 has a renewed focus on identifying
Case study: Zambia Integrated Systems Strengthening Program (ZISSP)HFG Project
The Zambia Integrated Systems Strengthening Program (ZISSP) was a USAID-funded health systems strengthening project implemented from 2010-2014 in Zambia. ZISSP worked closely with the Ministry of Health and other partners to improve access and utilization of key health services. It used a whole-systems approach, focusing on strengthening specific program areas like HIV/AIDS, family planning, malaria, and maternal and child health. At the national level, ZISSP worked through technical working groups and with subcontractors to build capacity. It also decentralized training and seconded staff to provincial and district levels. In targeted districts, ZISSP improved community involvement through behavior change communication, small grants, and working
This document summarizes an accreditation meeting held on October 23, 2012 with representatives from various local public health agencies and DHSS. The agenda included presentations from several local health departments on their approaches to conducting community health needs assessments. Discussion focused on tools and best practices for gathering data, engaging stakeholders, and developing improvement plans as required for public health accreditation. Attendees also shared lessons learned and plans for collaborating to strengthen accreditation applications. The next meeting was scheduled for January 2013 to review a site visit by the Kansas City Health Department.
The DHSS/LPHA National Accreditation Exchange Meeting focused on preparing for national public health accreditation. Attendees discussed their experiences with accreditation prerequisites like community health assessments and identified common challenges. They saw benefits like improved quality and accountability but were concerned about the time and data required. The group agreed to meet quarterly to share lessons learned and prioritize next steps, starting with analyzing community health assessment standards to identify common elements between state and local agencies.
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...Gerrit Lensink
This paper is the first installment in my undergraduate thesis on physician expectations and their effect on primary care shortages in the United States. Over following semesters I will be strengthening my research with econometric models and further analysis. Updates will follow as completed.
This presentation describes the findings from The California Endowment Clinic Consortia Policy and Advocacy Program Evaluation, including: activities to increase clinic consortia advocacy capacity; expanded decision maker support for key policies benefiting clinics and their target populations; and expanded access to health care care for vulnerable populations. Summary findings and lessons for evaluators are included.
Diversion First Stakeholders Meeting Sept. 22, 2020Fairfax County
The document summarizes the agenda and discussions from the Diversion First Stakeholders Group meeting on September 22, 2020. The meeting included welcome remarks, program updates from various diversion and justice-related programs in Fairfax County, discussions around trends in diversion and steps being taken in response to COVID-19, and plans for future initiatives. Key areas covered included updates on the community response team, jail behavioral health services, specialty court programs, reentry services, and housing support for justice-involved individuals with behavioral health needs.
Diversion First Stakeholders Meeting: May 16, 2019Fairfax County
The stakeholder meeting covered several topics:
1) Peer recovery supports and the co-responder model were discussed to connect individuals to services and support recovery.
2) 2018 jail population data found a decrease in the behavioral health population and those with misdemeanors, and an increase in referrals to community services.
3) Demographic data on the 2018 jail behavioral health population showed most were male, white, and between 18-39 years old, with the most common mental health diagnosis being depression.
Healthcare & Insurance: Health Professionals Prepare Amidst The UncertaintyGary W. Stanton
Gary Stanton and other area healthcare and insurance leaders meet to discuss the present and future of healthcare in the Kansas City area. This healthcare industry outlook was orchestrated by Ingram's Magazine and sponsored by BlueCross BlueShield KC and Lockton Insurance. The event took place in May 2012.
Fasd canadian news trump administration freezes database of addiction and men...BARRY STANLEY 2 fasd
This is a tread on Faslink about the freezing of The National Registry of Evidence-based Programs and Practices data base. Elspeth Ross found only one reference to FASD in the data.
Meggan Christman Schilkie has over 15 years of experience in health care management, policy, and strategic consulting. She has held leadership roles at the New York City Department of Health and Mental Hygiene, managing over $200 million in behavioral health programs. Currently, she is a Principal at Health Management Associates, where she provides strategic consulting services to health care organizations. She has expertise in areas such as financing, delivery system reform, and healthcare policy.
The document summarizes initiatives by several states to implement patient-centered medical homes (PCMHs) and shared care teams through Medicaid programs. It discusses how states like Alabama, Maine, Vermont, and New York have established networks, teams, or "pods" to provide support to primary care practices in order to help them function as medical homes. These support systems receive per-member-per-month payments from Medicaid and other payers. The document also covers initiatives to implement health homes for high-need patients and use of health information technology.
This study assessed health care costs and utilization among union members from 2008-2010, comparing those who received primary care from providers participating in a public health initiative (PCIP) versus non-participating providers. Members accessing PCIP providers saw a 16% decrease in hospitalizations for chronic conditions, whereas non-PCIP members saw a 15% increase. PCIP access was associated with lower inpatient utilization and costs. Specialty care increased more for PCIP members with diabetes and hypertension. Overall, the results suggest population health initiatives incorporating electronic health records can reduce health care costs by decreasing hospitalizations for better chronic disease management.
Strengthening Community Capacity for Effective Advocacy: A Strategy Developme...Humentum
Robert Musoke, PATH Uganda; Bernard Byagageire, PATH Uganda; Jennifer Gaberu, PATH Uganda. Presentation made during Humentum's Capacity for Humanity conference, February 2018.
NR 443 Enhance teaching - snaptutorial.comDavisMurphyA58
For more classes visit
www.snaptutorial.com
Healthy People 2020
The federal government developed Healthy People as a set of national health objectives that are periodically evaluated to measure progress in the nation’s
Innovators appreciate the role that non-medical factors play.
Care management and business improvement programs can benefit by looking beyond claims or medical records to capture factors that influence health.
Socio economic differentials in health care seeking behaviour and out-of-pock...Alexander Decker
This study examined health care utilization patterns and out-of-pocket expenditures for outpatient services in Madina Township, Ghana. The study found that only 27.5% of households were enrolled in Ghana's National Health Insurance Scheme. Insured patients experienced longer wait times at facilities compared to non-insured patients. Despite the financial protection of insurance, poorer households still incurred significant costs for health care. Household characteristics such as perceived quality, illness severity, and proximity influenced choice of health services used. Socioeconomic status continued to impact health care choices even with the introduction of health insurance. Efforts are needed to improve enrollment in insurance as well as address other barriers to access in order to maximize the benefits of Ghana's health insurance
CHIC is a nonprofit collaborative in Northeastern Minnesota that provides regional access to health care information through technology and partnerships. Its mission is to help members improve care and save costs. CHIC programs include emergency preparedness coordination, a health information exchange called HIE-Bridge that allows quick access to patient records, an immunization registry, and helping providers apply for telehealth funding. CHIC aims to build bridges to quality health care through these collaborative programs.
This document summarizes a conference on successful coalitions in Appalachia. It describes how coalitions in the region worked to build relationships with key stakeholders like healthcare professionals, community members, law enforcement, youth and schools, and local businesses. Through these partnerships, coalitions were able to grow their membership, enhance their capacity, and make progress addressing substance abuse issues in their communities. The conference highlighted best practices for coalition effectiveness through stakeholder engagement.
This document summarizes several grants related to children's health, including grants to:
1) Fund eight community coalitions through the Children's Health Care Allies Against Asthma Program to improve asthma care for children.
2) Support surveys of how managed care initiatives affect child welfare services.
3) Fund three studies examining health care financing and delivery problems affecting adolescents.
4) Create a new fellowship program in environmental pediatrics.
This report summarizes the findings from the first year of a study evaluating 14 tribes that received grants to coordinate their Tribal Temporary Assistance for Needy Families (TANF) and child welfare services programs. Key findings include:
1) Tribes implemented diverse service models and activities informed by their unique cultural practices to meet the needs of at-risk families in their communities.
2) Common services addressed family needs like violence prevention, substance abuse treatment, and parenting education. Supportive services included childcare and meeting basic needs.
3) Tribes worked with partners like family violence programs and improved coordination between programs through information sharing and cross-training staff.
4) Significant progress was made implementing system
NR 443 EXceptional Education/snaptutorial.COMMcdonaldRyan24
The federal government developed Healthy People as a set of national health objectives that are periodically evaluated to measure progress in the nation’s health goals and healthcare services. HP 2020 has a renewed focus on identifying
Case study: Zambia Integrated Systems Strengthening Program (ZISSP)HFG Project
The Zambia Integrated Systems Strengthening Program (ZISSP) was a USAID-funded health systems strengthening project implemented from 2010-2014 in Zambia. ZISSP worked closely with the Ministry of Health and other partners to improve access and utilization of key health services. It used a whole-systems approach, focusing on strengthening specific program areas like HIV/AIDS, family planning, malaria, and maternal and child health. At the national level, ZISSP worked through technical working groups and with subcontractors to build capacity. It also decentralized training and seconded staff to provincial and district levels. In targeted districts, ZISSP improved community involvement through behavior change communication, small grants, and working
This document summarizes an accreditation meeting held on October 23, 2012 with representatives from various local public health agencies and DHSS. The agenda included presentations from several local health departments on their approaches to conducting community health needs assessments. Discussion focused on tools and best practices for gathering data, engaging stakeholders, and developing improvement plans as required for public health accreditation. Attendees also shared lessons learned and plans for collaborating to strengthen accreditation applications. The next meeting was scheduled for January 2013 to review a site visit by the Kansas City Health Department.
The DHSS/LPHA National Accreditation Exchange Meeting focused on preparing for national public health accreditation. Attendees discussed their experiences with accreditation prerequisites like community health assessments and identified common challenges. They saw benefits like improved quality and accountability but were concerned about the time and data required. The group agreed to meet quarterly to share lessons learned and prioritize next steps, starting with analyzing community health assessment standards to identify common elements between state and local agencies.
This document contains a list of 41 people who are part of the PHAB Accreditation Sharing Workgroup in Missouri. It includes their name, agency, and email address. The workgroup members represent various local and state public health agencies across Missouri, including the City of St. Louis Health Department, Kansas City Health Department, Springfield-Green County Health Department, DHSS (Department of Health and Senior Services), and others.
This document summarizes a local health department's experience with the national public health accreditation process. It discusses why the department applied for accreditation, the importance of accreditation, and their fast-paced and decentralized approach to the application and documentation submission. It then describes the site visit process and identifies areas for improvement that were recognized before and after the visit. Lessons learned are provided around taking more time, using a team approach, improving documentation, and aligning processes with accreditation standards. The importance of accreditation in identifying successes, promoting quality initiatives, and delivering results is also restated.
The document provides instructions for logging into the PHAB Exchange SlideShare account using the username "PHABexchange" and password "PHAB2013", viewing already uploaded presentations by clicking "My Uploads", and uploading new presentations by clicking "Upload", browsing for the file, and waiting for it to finish uploading at 100%. It also explains how to logout and notes that Word and Excel files should be converted to PDF first. Contact information is provided at the end.
This document outlines the Taney County Health Department's Continuous Quality Improvement (CQI) plan. It discusses what CQI is and why the department adopted the Plan-Do-Check-Act (PDCA) model. The PDCA model involves planning improvements, implementing them, analyzing results, and acting on lessons learned. Key factors for successful CQI include visionary leadership, employee participation, and adopting outcomes indicators. The goal of CQI is continuous learning and improvement through testing changes on a small scale.
This document summarizes a study analyzing reasons why residents of Berwyn Township, Illinois do not utilize preventative medical services. The study uses data from a 2011-2014 community health needs assessment survey of 441 township residents. The study finds that while most residents received checkups, 20.9% did not within the past year. Females and non-Hispanic residents were more likely to receive services. The most common reasons for not receiving services were feeling fine, inability to pay, and that services were unnecessary. The study aims to identify barriers to inform recommendations to increase preventative care utilization.
The Community Health Assessment provides an overview of community health issues in Jackson County, Oregon based on a review of data from 2013. It finds that while Jackson County saw population growth from 2002-2008, it experienced an outmigration of younger residents from 2008-2010 due to job losses. At the same time, the elderly population increased, with 18.8% of residents over 65 years old in 2012. The assessment identifies chronic diseases, mental health, addictions, and access to care as key health issues. It incorporates input from community focus groups and interviews to understand resident perspectives on local health priorities and strengths of the healthcare system.
This quality improvement project aimed to enhance clinical data sharing between an emergency department and community health center treating homeless patients. An assessment found the organizations currently shared some electronic health data but the health center lacked access to patient summary data from the hospital. A clinical data integration plan was then developed to modify their electronic medical record systems and improve access to accurate medical information across sites of care for homeless individuals.
This document summarizes Donald Hayes' presentation on the use of geographic information systems (GIS) technology and community level data visualization to inform planning efforts in Hawaii. Some key points:
- The Hawaii Department of Health uses a variety of health and socioeconomic datasets to identify needs, support grant applications, research, legislation and program evaluation.
- Data is compiled into a Primary Care Data Book which provides indicators by community on health outcomes, risk factors and socioeconomics using data sources like the census and vital records.
- The Data Book is used to assess primary care needs, highlight differences between communities, and facilitate data-driven decision making. It has supported funding and policy decisions and is utilized by various organizations.
The document summarizes a webinar series from the Center for Connected Health Policy on Medicaid telehealth policies during the COVID-19 pandemic. It discusses four webinars that covered topics like access and equity, policies for children and youth, policies for seniors, and tele-mental health. The webinars featured representatives from 9 state Medicaid programs discussing their telehealth policy changes and lessons learned. Data from states like Minnesota, New York, and Washington showed disparities in telehealth access along racial lines and barriers like lack of technology/internet access. The series aimed to help states learn from each other's innovative telehealth policies and experiences during the pandemic.
This document provides information about a qualitative community health assessment conducted in Galveston County, Texas as part of a larger assessment of the 16 counties in Region 2. Key findings from interviews and surveys with community members and leaders in Galveston County include: barriers to health mentioned were lack of access to affordable healthcare resources and transportation, as well as economic factors; access to primary care was considered fair to good for those with insurance but limited for the uninsured, and access to specialty care was difficult even for the insured; and while the quality of services was noted to be improving, the healthcare system was seen as provider-centered rather than patient-centered.
1. The document describes a community health needs assessment (CHNA) conducted for a rural hospital in Georgia through a partnership between the hospital, local communities, and the University of Georgia.
2. A team of students and faculty used a 5-step process recommended by Georgia Watch to define the community, collect secondary health data, gather primary data through surveys, focus groups and interviews, prioritize health issues, and develop an implementation strategy.
3. The CHNA identified four priority health issues in the community through analysis of primary and secondary data and prioritization by community stakeholders. An implementation strategy was developed to address the priorities.
A Public Health Information System For Conducting Community Health Needs Asse...Andrew Parish
This document describes the development of a Public Health Information System (PHIS) to facilitate community health needs assessments for students. The PHIS integrated demographic, housing, morbidity and mortality data for Los Angeles County into a database organized by zip code. Software was created to allow users to analyze and map the data to rank health needs. The PHIS aimed to make needs assessment data readily available to students and allow spatial analysis of health issues. It was implemented for community health education classes and is being tested for broader applications.
ABOUT PRACTICE-BASED RESEARCH NETWORKSSupporting Better Sc.docxransayo
ABOUT PRACTICE-BASED RESEARCH NETWORKS
Supporting Better Science in Primary Care: A
Description of Practice-based Research Networks
(PBRNs) in 2011
Kevin A. Peterson, MD, MPH, Paula Darby Lipman, PhD, Carol J. Lange, MPH,
Rachel A. Cohen, MPH, and Steve Durako, BA
Background: Bound by a shared commitment to improving medical care through systematic inquiry,
practice-based research networks (PBRNs) provide a basic laboratory for primary care research and
dissemination.
Methods: Data from US primary care PBRNs were collected as part of the 2011 Agency for Healthcare
Research and Quality PBRN registration process. Data addressed PBRN characteristics, research activi-
ties, and perceived strengths and weaknesses.
Results: One hundred forty-three primary care PBRNs were registered with the resource center in
2011, including 131 that were identified as either eligible for Agency for Healthcare Research and Qual-
ity recognition (n � 121) or as developing (n � 10). These PBRNs included 12,981 practices with more
than 63,000 individual members providing care to approximately 47.5 million people. PBRNs had an
average of 482 individual members (median, 170) from 101 practices (median, 32).
Conclusions: PBRNs are growing in experience and research capacity. With member practices serving
approximately 15% of the US population, PBRNs are adopting more advanced study designs, disseminat-
ing and implementing practice change, and participating in clinical trials. PBRNs provide valuable ca-
pacity for investigating questions of importance to clinical practice, disseminating results, and imple-
menting evidence-based strategies. PBRNs are well positioned to support the emerging public health
role of primary care providers and provide an essential component of a learning health care system.
( J Am Board Fam Med 2012;25:565–571.)
Keywords: Family Medicine Research, Practice-based Research, Practice-based Research Networks
Primary care practice-based research networks
(PBRNs) enhance the performance of clinical re-
search in community settings and speed the dissem-
ination of new knowledge into practice.1,2 Bound
by a shared commitment to improving medical care
through systematic inquiry, PBRNs provide a basic
laboratory for primary care research and dissemi-
nation involving every state and territory in the
United States.3,4 The ability of PBRNs to involve
“real-world” practices in clinical research provides
new opportunities to engage understudied popula-
tions, to study a range of health problems, and to
accelerate community adoption of new knowledge
and best practices.5,6
The Agency for Healthcare Research and Qual-
ity (AHRQ) has a long history of supporting pri-
mary care research networks. In 2002, the AHRQ
created the National PBRN Resource Center to
identify existing networks and promote growth in
their capacity for clinical research. Led initially by
the University of Indiana and National Opinion
Research Center at the University of Chicago, i.
This document provides a summary of the key findings from a 2011 community health needs assessment of Osceola and Lake Counties in Michigan. It finds that while the counties have some strengths like low crime rates and coordination of care, there are also many challenges. These include high unemployment, poverty, and lower educational attainment. Health indicators like mortality rates are worse than state averages. Risk behaviors like smoking and obesity are prevalent. Access to care is an issue, especially for specialty and primary care. The assessment gathered data from surveys, interviews, and secondary sources to develop a comprehensive view of the health landscape and identify priority areas for improvement.
This document summarizes the findings of a community health needs assessment conducted in Osceola and Lake Counties in Michigan. It identifies several health challenges facing residents, including higher rates of chronic conditions like diabetes and heart disease compared to the state. Social issues like poverty and lack of education negatively impact health. Access to specialty care is limited and transportation presents a barrier. However, the community benefits from strong emergency services, care coordination, and programs to address needs. Addressing issues like access to primary care, transportation, prevention/wellness, and underserved groups were prioritized for improvement.
ODF III - 3.15.16 - Day Two Morning SessionsMichael Kerr
Slide presentations delivered during morning sessions of Day Two of the California Statewide Health and Human Services Open DataFest - March 14 - 15, 2016, Sacramento, CA
BUILDing Multi-Sector Collaborations to Advance Community HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Why Electronic Health Records are Ill Suited for Population Health 012616infomc
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform functions like enrollment tracking, provider networking, utilization review, claims processing, and quality reporting that are beyond the scope of most EHRs. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems designed for the specific demands of population health management.
Why Electronic Health Records are Ill Suited for Population Healthinfomc
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform tasks like enrollment tracking, provider networking, utilization review, and claims adjudication across different clinical systems. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems with greater functionality for care coordination, quality monitoring, and financial reporting at a population level.
The document outlines a 6 step process for conducting a Community Health Needs Assessment and developing an implementation plan as required by the Affordable Care Act, including establishing parameters, collecting and analyzing data, obtaining community input, documenting results, prioritizing needs, and creating a written implementation strategy. It provides details on each step and notes that the process helps hospitals identify and address the health needs of the communities they serve.
Qualitative Research on Health as a Human Right in Lewis & Clark County, MontanaPurvi P. Patel
The findings and final work product [abridged] of my Applied Learning Experience Presentation (ALE), the thesis requirement for my Masters of Public Health degree. The National Economic and Social Rights Initiative (NESRI) served as the host organization for my project.
HIV Tracking System in Forsyth County, NCwebbmother
This document summarizes a research study examining the HIV/AIDS data tracking system in Forsyth County, North Carolina. The study aims to determine the effectiveness of the current system and whether reforms are needed. It will analyze how case information is reported to agencies, potential delays, and issues with patient privacy. Secondary data from 2003-2007 will be collected and examined to address the research questions. The document outlines the study's methodology, assumptions, limitations and organization into multiple chapters.
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
The twelfth meeting of the Secretary's Advisory Committee on Genetic Testing discussed several key topics:
1) Agency representatives updated the committee on efforts to advance knowledge of clinical validity and utility of genetic tests.
2) The committee discussed case studies to highlight coordination between agencies on translating genetic tests into healthcare.
3) Experts presented on informed consent, third parties in research, the economics of genetic testing, and ensuring compliance with clinical laboratory standards.
4) The committee made plans to provide recommendations to the Secretary on the department's strategic approach to genetics and genetic technologies.
1. Division of Community and Public Health
LPHA ACCREDITATION AND DATA MEETING/CONFERENCE CALL
April 25, 2012
Attendees: Jamie Opsal and Karen Zeff, St. Louis County Department of Health; Pam Walker,
Janine Arrighi, and Meghan Terle, City of St. Louis Department of Health; Bert Malone, Kansas
City Health Department; Dennis Diehl, Doug Dodson, and Kelley Guertzgen, Jefferson County
Health Department; Gary Zaborac and Jodee Fredrick, Clay County Health Department; Les
Hancock, Susan Thomas, Nancy Hoffman, Craig Ward, Becca Mickels, and Jo Anderson, DHSS
Topic Discussion Action
Agency Sharing St. Louis County contracted with University of New England (UNE) After discussion
Related to Data to conduct community assessment and gather data. They are regarding process,
and Community utilizing the MAPP process and the community assessment is the DHSS agreed to
Assessments for first of four assessments. NACCHO is very interested in utilizing work with St. Louis
them as model for other local health departments. This is the first County individually
Accreditation
time they’ve ever done community assessment at the sub-county to resolve the
level; did 4 regions. Presented their community assessment in current request(s).
December at a health summit; have been working with hospitals as Additionally, Nancy
they are also interested due to provisions of the Affordable Care Hoffman committed
Act (ACA). Hospitals are now required to utilize community health to work with Cherri
needs assessment data in order to comply with the Patient Baysinger for
Protection and Affordable Care Act (PPACA). To maintain their tax- compilation of
exempt status, non-profit hospitals must conduct a community information to
health assessment every three years. The health department is request Office of
piloting MyStrategicPlan and anticipates it will be used county General Counsel
wide. Jamie shared concerns regarding their inability to get data legal review as well
that UNE had received as well as a request for ongoing data. Jamie as review of internal
shared concerns regarding the process put in place by the state for processes for data
the county to obtain the data that UNE received. Concerns about requests from local
inability of St Louis County to obtain vital statistics and hospital public health
discharge data since 2005 were also expressed. agencies. Bert
volunteered to draft
A broader discussion among participating LPHAs voiced frustration a letter to Margaret
with the difficulty of large health departments accessing data for Donnelly from the
community health assessments as they look to meet the national participating health
accreditation standards. A question about whether forms were departments to
more focused toward researcher requests than public health request an
requests was raised. DHSS staff indicated past barriers due to expedited review of
communication, staff turnover, change in agreement and data statutory limitations
sharing processes over time and legal processes. It was suggested and restrictions for
that DHSS might investigate how other states are sharing data on release of data for
ongoing basis with local health departments. use by local health
departments.
Kansas City Health Department submitted their application to
the Public Health Accreditation Board (PHAB) in March. Bert
Malone provided an overview of previous work of a data
subcommittee of DHSS and LPHAs. Suggested that clear
information needed to be shared about the process for LPHAs
to obtain data.
St. Louis City is taking a slow, deliberate approach. Pam Walker
shared, from her involvement with PHAB in development of the
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2. PHAB standards and beta testing, the community based
assessment will have to be broad-based and involve multiple
stakeholders. She pointed out that the standards require
demonstration of collaboration between state and local health
agencies to produce reports/profiles that inform and support
multiple partners with health improvement efforts. She also
indicated that the accreditation standards’ documentation
requirements are specific and advised that those preparing
need to carefully review and followed. Janine shared a process
of meeting with community members by ward (suggestions
were solicited from aldermen); conducting 7 focus groups to
determine health concerns of community. Also have forum of
other health groups (hospitals, police, fire, etc) who have
committed to an intensive 4 hour meeting twice per month for
4 months to develop community health improvement plan with
input from focus groups.
Gary Zaborac reported that Clay County began a community
wide needs assessment process 2 ½ years ago that included
economic development, transportation, schools, healthcare,
etc. The National Civic League was hired as the convener and
they looked at the public health system. As a result of
preparing for accreditation, the health department hired a
quality improvement coordinator about 1 year ago and created
a data analysis section to be able to provide the data needed
for ongoing reporting/work with community partners. They
identified 5 priority areas and continue to refine processes.
Clay County has submitted their letter of intent to PHAB; need
to develop community health improvement plan.
Les Hancock shared that the Association of State and Territorial
Health Officials (ASTHO) is providing consultants for DHSS as
the department begins its preparation. They are providing
feedback how data needs to be shared at the community level.
A June 21 management meeting is scheduled to begin
addressing the domains.
Jefferson County’s current Missouri Institute for Community
Health Accreditation expires in September. They will be
working on a two year extension with MICH. They have met
with their hospital and are working on strategic planning.
Dennis expressed a need for sub-county data, and cited
hospital data as an example. In working with hospital on
community health assessment process, the hospital indicated
MHA provides them with data on admissions, address of
patient, and other demographic data. The hospital is allowed
to use for internal purposes but not for competitive purposes;
the expressed concern about staff doing analysis. The
availability of census track and/or zip code level data is needed
to work effectively with hospital partner. Kelly has met with St.
Louis County to explore use of their phone survey tool for
possible primary data collection, but Dennis indicated this
approach may or may not be feasible due to cost.
Update on MICA Nancy and Becca shared that currently consultants are LPHAs to provide
and analyzing the MICA and EPHT data systems to move these specific requests by
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3. Environmental to a common platform. There is an opportunity within the May 25 to
Public Health next few weeks to provide end user input if there are Andy.Hunter@health.
Tracking Database functionalities or different type of data that LPHAs need mo.gov or
(eg census tract level data, different mapping features, Becca.Mickels@health
ways to display, etc.). .mo.gov .
Next Steps Discussion determined that group felt it would be helpful Jo will arrange future
to continue calls on quarterly basis to share experiences call
related to accreditation preparation. It was noted that
there may be other smaller agencies also interested in an
opportunity to share their work toward accreditation.
LPHAs indicated they would express the importance of
review of data sharing procedures to the department
director.
Next Meeting
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