Otsego County Department of Health and Hospital(s) Prevention Agenda 2013-2018 Priority Selection and Partners

Otsego County Prevention Agenda 2013-2018 Tracking Indicator Dashboard

I. Local County Department of Health - Priorities, Partners, Goals and Interventions

Community Health Improvement Plan

Prevention Agenda Priorities:

Preventing Chronic Diseases: View the State Action Plan for this priority

  • Access to High-Quality Chronic Disease Preventive Care and Management in Clinical and Community Settings.

Promote Mental Health and Prevent Substance Abuse: View the State Action Plan for this priority

  • Promote Mental, Emotional and Behavioral Well-Being in Communities.

Partners:

  • Local Health Department
  • Hospital
  • Business Organizations/Corporations
  • Colleges/Universities
  • Faith-Based Organizations
  • Housing Organizations
  • Mental/Behavioral Agencies/Organizations
  • Social Services
  • Public/Private Transportation
  • Local Coalition

Goals:

  • Create community environments that promote and support healthy food and beverage choices and physical activity
  • Prevent childhood obesity through early child-care and schools
  • Expand the role of health care and health service providers and insurers in obesity prevention
  • Promote culturally relevant chronic disease self-management education
  • Promote mental, emotional and behavioral (MEB) well-being in communities
  • 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

Interventions:

  • Let's Go 5-2-1-0- program; "Get Fit"; reduce intake of SSB - social media; “Baby and Me”
  • County screening/suicide prevention; school-based mental health counseling
  • Opiod task force formed to address drug abuse in county

Local Health Department Contact

II. Hospitals - Priorities, Partners, Goals and Interventions

Bassett Healthcare Network: A.O. Fox Memorial Hospital

Community Service Plan

Prevention Agenda Priorities:

Preventing Chronic Diseases: View the State Action Plan for this priority

  • Access to High-Quality Chronic Disease Preventive Care and Management in Clinical and Community Settings.
  • Reduce Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke Exposure.

Promote Healthy Women, Infants and Children: View the State Action Plan for this priority

  • Maternal and Infant Health

Promote Mental Health and Prevent Substance Abuse: View the State Action Plan for this priority

  • Prevent Substance Abuse and other Mental Emotional Behavioral Disorders.

Partners:

  • Hospital
  • Community Health Centers
  • Business Organizations/Corporations
  • Colleges/Universities
  • Schools
  • Faith-Based Organizations
  • Media Organizations
  • Social Services

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
  • Increase percentage of adults whose Hemoglobin A1C is <8% and promote culturally relevant chronic disease self-management education
  • Increase the percentage of adults with access to a primary care provider
  • Increase the percentage of adults seeing dentist in the last year
  • Increase the number of babies that are breastfed in New York State
  • Promote mental, emotional and behavioral (MEB) well-being in communities

Interventions:

  • Certify and Maintain Diabetic Management Program at AO Fox Hospital and offer to all patients
  • Increase referrals to Diabetic Management Program through evaluating Hemoglobin A1C screening during primary care appointments and collaborating and educating Network affiliates about the program
  • Certify and Maintain half of the Primary Care Clinics through National Committee for Quality Assurance (NCQA) Diabetic Recognition Program
  • Recruitment and placement of additional Primary Care Providers in Oneonta and Sidney
  • Participation in Regional Primary Care Plan Development
  • AO Fox continues to support the Oneonta Community Health Center which is a free clinic for the uninsured and those residents who do not qualify for health care insurance by providing free lab and x-ray services
  • Achieve 100% attestation rate for meaningful use stage 2 measures for all primary and specialty care providers
  • Use media and health communication to build public awareness and demand
  • Build education for breast screening, colorectal screening, cardiovascular disease, and diabetes into every Primary Care Visit using evidence based guidelines to determine what population will receive which education during Primary Care Visits (ie, Wo men over 40 will automatically receive education pertaining to breast cancer screenings; All adults 50-75 will be offered colorectal cancer screenings)
  • Collaborate with the Network affiliates to support use of alternative locations to deliver preventative services and educate patients on those alternative options
  • Collaborate with Population Health Management vendors to provide reminder calls and letters to patients in the regarding overdue or upcoming screenings and appointments
  • Increase collaboration among dental health professionals in the Bassett Healthcare Network through participation in the Otsego County Oral Health Coalition and hosting annual Dental Network Retreats
  • Improve community awareness of the FoxCare Center Dental facility using a variety of advertising methods
  • Provide Dental Services to the uninsured and underinsure through partnering with Medicaid insurance plans and working with the Oneonta Community Health Center serving the uninsured population with dental care
  • Recruit and retain 1 full-time general dentist, 1 part-time periodontist, 1 full-time general/peds dentist
  • Develop and expand the dental health workforce through working with Columbia to explore a Dental Residency Program at AO Fox Hospital
  • Participate in New York State Breastfeeding Quality Improvement Hospital Initiative
  • Collaborate with MCAT – Mobile Crisis Assessment Team
  • Provide Primary Care Providers with training regarding use of MCAT in the primary care setting
  • Leverage EMR system to include assessment of MEB disorders and substance abuse during primary care visits

Hospital Contact

Bassett Healthcare Network: Bassett Medical Center

Community Service Plan

Prevention Agenda Priorities:

Preventing Chronic Diseases: View the State Action Plan for this priority

  • Access to High-Quality Chronic Disease Preventive Care and Management in Clinical and Community Settings.
  • Reduce Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke Exposure.

Promote Healthy Women, Infants and Children: View the State Action Plan for this priority

  • Child Health

Promote Mental Health and Prevent Substance Abuse: View the State Action Plan for this priority

  • Prevent Substance Abuse and other Mental Emotional Behavioral Disorders.
  • Strengthen Infrastructure across Systems.

Partners:

  • Hospital
  • Community Health Centers
  • Business Organizations/Corporations
  • Colleges/Universities
  • Schools
  • Faith-Based Organizations
  • Media Organizations
  • Social Services

Goals:

  • Create community environments that promote and support healthy food and beverage choices and physical activity
  • Prevent childhood obesity through early child-care 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
  • Promote evidence-based care
  • Promote culturally relevant chronic disease self-management education
  • Reduce the prevalence of dental caries among NYS children
  • Prevent and reduce occurrence of mental emotional and behavioral disorders among youth and adults Facilitate and strengthen MEB health promotion and MEB disorder prevention

Interventions:

  • Adequately invest in proven community-based programs that result in increased levels of physical activity and improved nutrition - “5-2-1-0 Everyday”, an evidence-based approach to promoting community health and reducing childhood obesity that engages scho ols, worksites, health care providers, and community, preschool and after-school programs
  • Increase retail availability of affordable healthy foods that meet the needs of communities, especially those with limited access to nutritious foods – Pathfinder Produce Market established in food desert, Community Gardens
  • Increase the number of schools that establish strong nutritional standards for all foods and beverages sold and provided through schools – Comprehensive School Wellness Policy
  • Incorporate time into the school day so that students have adequate time to eat a nutritious lunch/snacks and engage in physical activity - Comprehensive School Wellness Policy
  • Adopt healthy meal and beverage standards for meals sold and served in hospitals
  • Support school-based health centers in obesity prevention interventions – 5-2-1-0; train staff in motivational interviewing techniques
  • Set example for community through breastfeeding-friendly hospitals and practices - NYS BQIH
  • Conduct Continuing Medical Education (CME) programs for health professionals, including programs on diet, exercise, stress, coping, obesity and disabilities
  • Support use of alternative locations to deliver preventive services, including cancer screening – Mobile Coach
  • Implement policy, systems or environmental approaches (eg, paid time off for cancer screening) to increase access to colorectal cancer screening services – Use of sick pay for cancer screenings
  • Use media and health communication to build public awareness and demand
  • Facilitate co-location of medical and dental programs and development of effective referral networks
  • Access to screening for MIEB disorders – PHQ9, RAAPS
  • Integration of mental health and substance abuse services with primary care to ensure coordination of care for both services

Hospital Contact