Maternal and Child Health Priority Action Plan - DRAFT



SHIP Implementation PlanYear 3 June 2016 – July 2017Categorical Priority: Diabetes Maine CDC Lead: Troy FullmerGoals: Increase prevention behaviors in persons with prediabetes; and increase the proportion of persons with diagnosed diabetes who receive formal diabetes education. Objective 1: U.S. CDC Lifestyle Change Program: National Diabetes Prevention ProgramBy June 30, 2017, increase annually by 600 the number of people with pre-diabetes or at high risk for developing Type 2 diabetes who complete the National Diabetes Prevention Program (NDPP).Measure: Number of adults completing the NDPP. Data Source: U.S. CDC, Diabetes Prevention Recognition Program Strategy 1.1Increase in the number sites delivering the National DPP.Measure: Number of fully recognized NDPP sitesImplementation StepsTimelineResponsible Party Anticipated OutcomesProvide information and technical assistance through email, phone calls, through the website, and/or in-person meetings.Ongoing annuallyMaine CDC, Diabetes Program Unit Supervisor, Administrative Assistant, ManagerOutcome: Increased # of agencies provided with information and resources to take next steps towards implementing the NDPP.Facilitate connecting NDPP sites with pending recognition with NDPP sites that have full recognition status through referrals, conference calls, and webinars.OngoingMaine CDC, Diabetes Program Unit Supervisor, Outcome: Increased connections between fully recognized NDPP sites and potentials sitesStrategy 1.2 Increase in the number of health care and community-based settings, businesses and health care payers that have policies/protocols in place that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.Measure: number of known settings with policies and/or protocols in place for referral and navigation to NDPP in place Implementation StepsTimelineResponsible PartyAnticipated OutcomesProvide technical assistance, resources and tools to target settings so that they can establish a continuum of care and increase referrals to the NDPP as appropriate.OngoingMaine CDC, Diabetes Program Unit SupervisorOutcomes: Increased use of the diabetes care algorithm; increased number of referrals to the NDPPDevelop and implement policies/protocols that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.OngoingHealth care and community-based settings throughout MaineOutcomes: Increased use of the diabetes care algorithm; increased number of referrals to the NDPPWork through partners to increase the use of the Prediabetes Risk Quiz, helping guide businesses and consumers to NDPP services. OngoingDistrict Coordinating Councils (DCC); Maine CDC, Healthy Maine Works.Outcome: Increase the number of DCCs and business that promote the use of the Prediabetes Risk Quiz Strategy 1.2 continuedIncrease in the number of health care and community-based settings, businesses and health care payers that have policies/protocols in place that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.Measure: number of known settings with policies and or protocols in place for referral and navigation to NDPP in place Implementation StepsTimelineResponsible PartyAnticipated OutcomesIdentify new opportunities to engage with additional partners and provide education and resources that support increased awareness of and participation in the NDPP.April 2016Diabetes Action Alliance of Maine Outcome: New partners engaged in promoting and deploying NDPP Increase consumer awareness of prediabetes, promote the use of the Prediabetes Risk Quiz, and access to/participation in the NDPP though member communication.OngoingMaineCare, State of Maine Employee Health & Wellness, Maine CDC, Diabetes Program Unit SupervisorOutcome: Targeted communication to consumers reached through MaineCare and SOM Health & WellnessStrategy 1.3 Increase the number of payers and businesses that provide reimbursement for participation in the National DPP.Measure: number of known business and payers that provide reimbursement for participation in the National DPP.Implementation StepsTimelineResponsible PartyAnticipated Outcomes & MeasuresProvide direct outreach and technical assistance to targeted payers and businesses.OngoingMaine CDC, Diabetes Program Unit Supervisor Outcome: More businesses and payers have information, tools, and methods to make good businesses decisions to pay for NDPP.Objective 2: Diabetes Self-Management TrainingBy June 30, 2017, increase annually by 6,755 the number of people with diagnosed diabetes who receive formal diabetes training known as DSMT (increase of 13,510 in the two-year period).Measure: Number of adults with Diabetes who participate in DSMT. Data Source: U.S. CDC, Division of Diabetes TranslationStrategy 2.1 Increase the number of sites delivering nationally accredited DSMT programming.Measure: number of sites delivering nationally accredited DSMT programming.Implementation StepsTimelineResponsible Party Anticipated Outcomes & MeasuresProvide information and technical assistance to provider practices to implement or expand DSMT.OngoingMaine CDC, Diabetes Program Unit Supervisor, Outcome: Increased # of delivery sites for DSMT programmingStrategy 2.2 Increase in the number of health care settings that have policies/protocols in place that facilitate referral and navigation to nationally accredited DSMT provider sites.Measure: number of known health care settings with policies and/or protocols in place for referral and navigation to nationally accredited DSMT in placeImplementation StepsTimelineResponsible PartyAnticipated Outcomes & MeasuresProvide technical assistance, resources and tools to health care practice so that they can establish a continuum of care and increase consistent referrals to DSMT as appropriate.OngoingMaine CDC, Diabetes Program Unit Supervisor, Outcomes: Increased use of the diabetes care algorithm; increased number of referrals to DSMTSupport additional provider practices in enhanced use of EHRs to identify patients with diabetes, undiagnosed or uncontrolled, for referral to DSMT programming.OngoingMaine CDC, Diabetes Program Unit Supervisor, partner organizationsOutcomes: Increased/enhanced use of EHRs; increased number of referrals to DSMTStrategy 2.4 Incorporate incentives and standards for evidence-based diabetes care and prevention into payment and delivery reforms. Measure: percent of Maine Care members with diabetes who have had a HbA1c test within the past 12 monthsImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresMaintain inclusion of diabetes quality measures to monitor and improve clinical quality of diabetes care for primary care practices participating in MaineCare Health Homes initiative and Maine Patient Centered Medical Home Pilot (CY2015).On-goingMaine Quality Counts, MaineCareOutcome: Patients receiving care from Health Home practices receive high-quality diabetes care. Categorical Priority: Immunizations Maine CDC Lead: Celeste PoulinGoal: Increase immunization rates in Maine by an average of 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.) Baseline: 2011 MIP Quarterly Report Assessments.Objective 1: Childhood and Adolescent Routine Immunization ScheduleBy June 30, 2017 Maine will increase routine childhood immunization rates in children 24-35 months of age, assessed as of 24 months of age, AND adolescent routine immunization rates in adolescents 13-18 years of age by 10- to be measured from 2011 baseline rates from the Maine Immunization Program (MIP) Quarterly Report Assessments.Measures: Percentage of children assessed who are up to date. Data Source: Maine Immunization Program, Immunization Information System- ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on 4DTaP, 3Polio, 1MMR, 3HIB, 3HepB, 1Var, 4PCV – 4:3:1:3:3:1:4 – antigen series.)Percentage of adolescents assessed who are up to date. Data Source: MIP ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on, 1meng, 3 HPV, 2var, 1Tdap – 3:1:2:3:1 antigen series)Strategy 1.1 Increase the use of reminder/recall systems for VFC.Measure: The number of reminder/recalls sent from ImmPact Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide Assessment, Feedback, Incentives, and eXchange (AFIX) visits to 25% of our enrolled vaccine for children (VFC) providers with active agreementsOngoing annuallyMIP AFIX Coordinator/ Health Program ManagerOutcome: 25% of enrolled VFC providers get an AFIX visitPilot centralized reminder/recall systemCY2015MIPOutcome: All families in pilot stes receive reminder via MIPStrategy 1.2 Encourage provider enrollment and use of state registry.Measure: The number of new providers in ImmPact per quarterImplementation StepsTimelineResponsible PartyAnticipated Outcome/ MeasuresWorking with Maine Care to enroll their providers in the VFCJanuary -June 2017MIP/MaineCareOutcome: Increased enrollment in VFCMIP will provide training on use of state registry for all newly enrolled providers (in-person visit).OngoingMIP/ ImmPact staffOutcome: All newly enrolled providers receive training in use of the state registryStrategy 1.3 Provide quarterly assessment reports to health care providers that are fully integrated into the ImmPact system (Maine immunization information system).Measure: The number of providers receiving quarterly reportImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresGenerate quarterly reports and mail to all fully integrated providers statewideOngoing QuarterlyMIP/ Provider Relations SpecialistOutcome: Providers receive reports quarterlyStrategy 1.4 Conduct Assessment, Feedback, Incentives, eXchange of Information (AFIX) site visits to a minimum of 25% of Maine health care providers enrolled in the Vaccines for Children (VFC) program.Measure: The number of AFIX visitsImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAFIX coordinator will choose a minimum of 25% of enrolled VFC providers who are eligible to receive an AFIX visit based on criteria established by Federal CDC (can change slightly from year to year)AnnuallyMIP AFIX Coordinator & Health Program ManagerOutcome: Minimum of 25% of eligible providers receive visitsProvide reminders to providers about the importance of keeping their client immunization history information up to date and identifying disassociating former patients through AFIX visits and monthly newsletterAnnuallyMIP AFIX Coordinator & Health Program ManagerOutcome: Providers will ID disassociated patients on a regular basis (i.e.; quarterly) Objective 2: Adolescent Human Papillomavirus (HPV)By June 30, 2017 Maine will increase HPV immunization rates in females and males 13-18 years of age by 10%.Measure: Percentage of female and male adolescents, 13-18 years of age, who received HPV vaccine. Data Source: MIP Immunization Information System -ImmPact system Quarterly Report Assessments.Strategy 3.1 Provide assessment and feedback information to health-care providers re: current HPV vaccination rates and suggestions for methods to improve clinical rates.Measure: The number of AFIX visits and follow-ups per quarterImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresSpecifically address HPV in AFIX visits; OngoingMIPOutcome: Providers know what their HPV coverage rates are by genderProvide HPV specific immunization rates to provider in both AFIX visits and quarterly reportsOngoingMIPOutcome: Providers know what their HPV coverage rates are by genderStrategy 3.2 Disseminate best practice information to health care providers on HPV vaccinationsMeasure: The number of HPV-related communications sent to providers per quarter.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDisseminate new dosing information via conference calls and written communication, and via answering provider callsOngoingMIPOutcome: Provider with understand and implement new clinical recommendations for HPV vaccinationCategorical Priority: ObesityMaine CDC Lead: Dawn LittlefieldGoal: Reduce adult obesity in Maine by 5% and youth obesity by 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.)Objective 1: Decrease Sugar-Sweetened Beverage ConsumptionBy June 30, 2017, decrease the proportion of Maine adults and youth consuming one or more sugar-sweetened beverages a day by 10% for youth, grades k-12 (rate for adults will be established with baseline data). (NOTE: The definition of "sugar-sweetened beverage" is derived from the Maine Integrated Youth Health Survey (MYIHS).Measure: Number of responses to questions about sugar-sweetened beverage consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS. NOTE: Questions about sugar-sweetened beverages should be added to Module 5 in BRFSS to collect adult data.Strategy 1.1 Increase outreach and education to the public and to partners, using currently available resources to decrease consumption of sugar-sweetened beverages.Measure: The number of sites acting to reduce sugar sweetened beverages.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresCommunity and School-based education - Deliver nutrition education program to low-income youth and adults that includes information about sugar-sweetened beverages and healthier alternativesAnnually in OctoberSNAP-ED (UNE) Outcome: sessions that include education on sugar-sweetened beverages deliveredNumber of schools, out-of-school programs, early childhood programs and healthcare practices engaged with Let’s Go! through the use of the 5-2-1-0 messageJuly 1, 2016 -June 30,2017Let’s Go! Outcome: Sites use the 5-2-1-0 messageAdopt/implement worksite healthy meeting guidelines that include limiting access to sugar sweetened beveragesJune 1, 2017Maine CDC (Healthy Maine Works)Outcome: worksites will develop healthy meeting guidelines that include increased access to healthy beverages. Adopt/ Implement worksite healthy vending policies that include limiting access to sugar sweetened beveragesJune 1, 2017Maine CDC (Healthy Maine Works)Outcome: worksites will develop guidelines that increase access to healthy beverages in vending machines and cafeteriasStrategy 1.2 Implement a media campaign to raise public awareness of the relationship between sugar-sweetened beverages and obesity.Measure: The number of campaign “impressions”. Statewide survey results related to awareness of 5210 messaging.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresImplement a public education media campaign on radio, Facebook and Pandora to promote the 5-2-1-0 messages of Let’s Go!Oct. 2016 – Sept. 2017Let’sGo!Outcome: Media education on Let’s Go! Including reducing sugar-sweetened beveragesStrategy 1.3 Encourage school departments to limit access to sugar-sweetened beverages in schools.Measure: the number of schools adhering to the healthy hungry-free kids act.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInforming schools on adhering to current Maine law restricting advertising of unhealthy foods including sugar-sweetened beverages on school propertyCurrent/ OngoingMaine CDC PACOutcome: Schools adherence to state lawImplementation of Let’s Go! Strategy # 2: Limit or eliminate sugary beverages and provide water in participating schoolsJuly 1, 2016 – June 30, 2017Let’s Go! Outcome: Implementation of strategy in all or most classrooms of registered schoolsStrategy 1.4 Encourage providers to include screening and counseling on sugar-sweetened beverage consumption as part of routine medical care.Measure: The number of healthcare practices recognized as Let’s Go! Healthcare Sites.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHealthcare practices that conduct Well Child visits participate in the Let’s Go! Healthcare programJuly 1, 2016 – June 30, 2017Let’s Go!Outcome: Healthcare practices that conduct Well Child visits, register in the Let’s Go! Healthcare programObjective 2. Increase Fruit and Vegetable ConsumptionBy June 30, 2017, increase by 10% the proportion of the Maine population (adults and children) who consume five or more servings of fruits and vegetables a day.Measure: Number of responses to questions about fruit and vegetable consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS as reported in the SHA.Strategy 2.1 Increase outreach and education to the public and to partners, using currently available resources, to guide increased consumption of fruits and vegetables.Measures: Number of partner organization, number of participants reachedImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDeliver nutrition education program to low-income youth and adults about the importance of fruit and vegetable consumption and ways to shop for and prepare fruits and vegetables on a limited budgetOngoingSNAP-EDOutcome: Increased fruit and vegetable intakeImplementation of Let’s Go! Strategy # 1: Limit unhealthy food choices for snacks and celebrations and provide healthy choices.July 1, 2016 – June 30, 2017Let’s Go! Outcome: Implementation of strategy in sites program/organization wideK-12: Adopt and implement model wellness policies that include student access to fruits and vegetables, limit sugary snacksOngoingMaine CDC, Let’s GoOutcome: Youth eat more fruits and vegetablesAdopt/ Implement foodservice guidelines that include encouraging healthy snacks such as fruits and vegetables in worksite cafeterias. June 1, 2017Maine CDC PAC,Outcome: Guidelines to increase access to healthy foods developed by worksitesProvide vouchers and/or eWIC benefits for fresh frozen and canned fruits and vegetables on a monthly basis. This effort targets women and children age 1-5.OngoingWIC Outcome: WIC women and children receive and redeem monthly benefit for fruits and/or vegetablesIssue Farmers Market benefits in the summer timeMay-October 2017WIC Outcome: WIC participants receive and redeem WIC Farmers’ Market benefits during the summer seasonProvide infant fruits and vegetables (jarred) monthly to infants age 6-11 months.OngoingWIC Outcome: WIC infants, age 6-11 months, receive and redeem benefits for infant fruits and/or vegetablesProvide educational materials to Senior FarmShare Program participants on the benefits of eating fruits and vegetables dailyOngoingMaine Senior FarmShare Program Outcome: More seniors eat fruits and vegetablesStrategy 2.2Increase or expand fruit and vegetable market outlets such as farm to institution, farm to school, farmers' markets.Measure: The number of new fruit and vegetable market outletsImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHost farmers at WIC offices for farmers market eventsSummer 2017WIC Outcome: WIC Local Agency Farmers’ Market season outreach plans will include Farmers’ Market events when possibleWork with Good Shepherd to increase the number of farm stands or farmers’ markets in underserved areas for lower income peopleOngoingMaine CDC PAC, Cultivating Community Outcome: Increased access to fresh produceProvide outreach and technical assistance to farms and schools to increase the number of Farm to School (F2S) programs providing local foods to schools..OngoingF2S NetworkFoodCorps Outcome: Increased consumption of healthy local foods among youthFarm to college: increasing the # of colleges and hospitals using local foodOngoingFarm to Institute New England (FINE)Outcome: Increased purchase and sales of local (healthy) food at colleges and hospitalsStrategy 2.3Increase participation in the Fresh Fruit and Vegetable Program (FFVP) by maximizing the use of federal funds so that more schools can join.Measure: All available funding to Maine is spentImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInform eligible schools serving pre-K – Grade 8 about fresh fruit and vegetable application to ensure all eligible schools apply2016-17 School YearDOE, Stephanie StambachOutcome: More youth eat fruits and vegetables and know their nutritional valueObjective 3: Increase Physical Activity3a: By June 30, 2017, increase by 10% the proportion of Maine adults who engage in some leisure-time physical activity.Measure: Number of responses to physical activity questions in BRFSS. Data Source: BRFSSStrategy 3a.1 Work with municipalities to increase opportunities for active transportation and access to indoor and outdoor recreational facilities. Measure: The number of additional ACETs, Bike/Ped CommitteesImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEncourage/ support municipalities in the creation of local planning groups i.e.; Bike/Ped Committees, Active Community Environment Teams (ACETs) OngoingMaine CDC, The Bicycle Coalition of MaineOutcome: Increased local level capacity to implement policy and environmental change to support physical activity3b: By June 30, 2017, increase by 10% the proportion of Maine youth (grades k-12) who engage in vigorous physical activity that promotes cardio-respiratory fitness three or more days per week for 20 minutes or more each time.Measure: Number of responses to physical activity questions in MYIHS. Data Source: MYIHSStrategy 3b.1 Work with childcare centers and K-5 schools to increase the number using evidence-based approaches to implement policies and create environments that support physical activity and meet safety guidelines.Measure: The number of sites statewide implementing the PA strategyImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAges Birth -5: 5-2-1-0 Goes to Child Care: work on implementing policy and environmental change at childcare sites to support PAJuly 1, 2015 – June 30, 2016Let’s Go!Outcome: Increase in number of policies and environmental changes supporting physical activity in birth to 5 childcare settingsK – 5: 5-2-1-0 Goes to School: work on developing and implementing policy and environmental change at K-5 schools to support PAJuly 1, 2015 – June 30, 2016Let’s GoOutcome: Increase in number of policies and environmental changes supporting physical activity in K-5 schoolsIncrease the number of ECEs that develop and implement standards to increase physical activityOngoingMaine CDC PACOutcome: Increase in development and implementation of ECE standards increasing PAStrategy 3b.2Work with schools to increase quality physical education classes and physical activity throughout the school day.Measure: The number of SAUs out of the total # of SAUs receiving professional development and TA on strategies to increase physical education and physical activity before, during and after the school day.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide training and technical assistance to Maine SAUs on strategies to develop and implement policies and practices to increase quality physical education and physical activity in K-12 schools.OngoingMaine CDC, Let’s GoOutcome: Increase in the number of SAUs receiving professional development and TA on increasing quality physical education and physical activity before, during and after the school day. Categorical Priority: Substance Abuse and Mental HealthMaine DHHS Leads: Christine TheriaultGoal: Reduce substance abuse and improve mental health in Maine by 5% by June 2017 (This goal encompasses a number of specific Healthy Maine 2020 objectives and approximately 50% toward the Healthy Maine 2020 goals.)Objective 1: Physician Drug Prescribing PracticesBy June 30, 2017, decrease the number of threshold reports from the Prescription Monitoring Program (PMP). Measure: Annual number of narcotic prescriptions dispensed per capita. Data Sources: PMPStrategy 1.1 Train health care providers in the state drug-prescribing law.Measure: The number of providers trained, measured annuallyImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide training to providers in drug- prescribing rulesJune 30, 2017SAMHS, MCDCOutcome: Completed assessment of drug prescribing protocolsStrategy 1.2 Enroll health care providers in the prescription Drug Monitoring Program (PMP)Measure: The number of providers using the Prescription Monitoring ProgramImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide training to providers in the PMPJune 30, 2017SAMHS, MCDCOutcome: Providers are trained to use the PMPProvider support to providers in enrollment in and the use of the PMP OngoingSAMHSOutcome: Providers are using the PMP to reduce over-prescribing of prescription drugsStrategy 1.3 Develop capacity to identify drug overdoses via electronic reporting from hospitals, EMS, and death certificatesMeasure: The number of drug overdoses identified via syndromic surveillanceImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDevelop a syndrome for drug overdoses the Maine CDC’s syndromic surveillance June 30, 2017MCDCOutcome: Maine CDC and partners track drug overdoses via Syndromic surveillanceDevelop a data feed from Vital Records EDRS to Syndromic SurveillanceJune 30, 2017MCDCOutcome: Maine CDC can track deaths in the syndromic surveillance systemUpdate the data feed from Emergency Medical Services to Syndromic SurveillanceJune 30, 2017MCDCOutcome: Maine CDC can track EMS in the syndromic surveillance systemObjective 2: Coordination of Care2a. By June 30, 2017, the number of patients receiving Screening, Brief Intervention, Referral and Treatment (SBIRT) services in Maine will increase by50% above 2013 baseline data.Measure: Number of times SBIRT billing code appears in MaineCare. Data Sources: MaineCare billing dataStrategy 2a.1 Educate physician practices in the use of SBIRT tools and billing codes.Measure: The number of physician practices using SBIRT codesImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide SBIRT training for primary care physicians and community organizationsJune 30, 2017SAMHSOutcome: Completed trainings providedEducation and reminders on SBIRT and the available billing codes for Primary care providers June 30, 2017MaineCareOutcome: Increased use of SBIRT 2b: By June 30, 2017, increase the number of eligible MaineCare members who participate in a behavioral health home (BHH). Measure: Number of MaineCare members with a behavioral health home. Data Source: Office of MaineCare ServicesStrategy 2b.1 Increase the number of MaineCare BHHMeasure: The number of BHHImplementation StepsTimelineResponsible PartyAnticipated OutcomesOpen application for enrollment for new providersDecember 2016Maine Care, Value-Base PurchasingAdditional providers have an opportunity enrolled into the BHH program.Approve providers based on criteriaDecember 2016Maine Care, Value-Base PurchasingEnrolled providers meet criteria for BHH.Revise rates for BHHDecember 2016Maine Care, Value-Base PurchasingIncreased incentive for provider enrollment.Strategy 2b.2 Increase the number of MaineCare members who are participating in each BHHMeasure: The number of MaineCare members enrolled in BHHImplementation StepsTimelineResponsible PartyAnticipated OutcomesRevise Section 17 (Community Integration Services) rules and enroll MaineCare members who previously were eligible for Section 17 into BHH OngoingMaine Care, Value-Base PurchasingThese members still are provided with BHH services, regardless of changed Section 17 eligibilityProvide training to BHH providers, including bimonthly BHH working groups and regional meetingsOngoingMaine Care, Value-Base PurchasingBHH providers are better informed of the benefits of the BHH model and Maine Care members are better served in the BHH 2c: By June 30, 2017, increase the number of medical and behavioral health providers and schools implementing evidence-based suicide-safer care practices, including suicide risk screening, assessment, referral, and follow-up.Measure: Number of providers and school staff who report increased confidence in their ability to recognize and respond to suicidal behavior, as measured by pre-post test immediately following training. Data Source: Maine CDC contractor quarterly reports (National Alliance on Mental Illness)Strategy 2c.1 Provide education and training to medical and behavioral health providers on suicide-safer care practices, including the integration and use of nationally recognized evidence-based suicide prevention screening and assessment tools. Measure: The number of medical and behavioral health providers receiving training or TA on suicide-safer care practicesImplementation StepsTimelineResponsible PartyAnticipated OutcomesPartner with NAMI and MMA to deliver training to clinicians on strategies for suicide risk screening (such as use of the Columbia Suicide Severity Rating Scale [C-SSRS])OngoingMaine CDC, NAMI MaineOutcome: Clinicians are trained on suicide risk screeningSupport medical and behavioral health systems in creating suicide-prevention protocols and policiesOngoingMaine CDC, NAMI MaineOutcome: Clinical practices receive assistance in developing suicide prevention protocolDevelop statewide Towards Zero Suicide: Implementing Suicide-Safer Care steering committee Summer 2016Maine CDCOutcome: an on-going structure for promoting suicide prevention in health care settings is developedStrategy 2c.2 Provide evidence-based suicide-prevention Gatekeeper training to public school staff Measure: The number of trainings offered, number of school staff receiving Gatekeeper trainingImplementation StepsTimelineResponsible PartyAnticipated OutcomesProvide Gatekeeping training statewide to school staff throughout the yearOngoingMaine CDC, NAMI MaineOutcome: Schools have trained Gatekeepers on staffProvide Gatekeeper Training-of-Trainers at various locations around the state, throughout the year. OngoingMaine CDC, NAMI MaineOutcome: More trainers are available to train gatekeepers Provide Advanced Gatekeeper training to school staff who need recertification as Gatekeepers under provisions of LD 609Spring 2017Maine CDC, NAMI MaineOutcome: Schools have trained Gatekeepers on staffCategorical Priority: Tobacco UseMaine CDC Lead: Kristen McAuley Goal: Reduce adult and adolescent tobacco use in Maine by 5% by June 2017. (This is approximately 50% toward the healthy Maine 2020 goals.)Objective 1: TreatmentBy June 30, 2017, increase access and utilization of state tobacco treatment programs by 5%.Measure: Number of registered tobacco users using Maine Tobacco HelpLine (MTHL) services. Data sources: CTIStrategy 1.1 Increase brief tobacco interventions and referrals in clinical settings.Measure: The number of fax referrals to Maine Tobacco Help Line (MTHL)Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide clinical outreach sessionsQuarterlyCTIOutcome: More healthcare providers are aware of the MHTL servicesProvide Basic tobacco treatment training to healthcare providers in order to increase screening and referralsQuarterlyCTIOutcome: more healthcare providers are trained to provided screening and referrals for treatment for tobacco usersAssist health systems in embedding the MTHL Fax Referral into their EMRs.QuarterlyCTIOutcome: more healthcare providers are trained to provided screening and referrals for treatment for tobacco usersProvide continuing education , including webinars, conferences and ad hoc trainingsQuarterlyCTIOutcome: Healthcare providers remain current with their knowledge of evidence-based tobacco treatment Strategy 1.2 Increase the number of Maine Certified Tobacco Treatment Specialists who provide tobacco treatment Measure: The number of Maine Certified Tobacco Treatment Specialists (measured annually only)Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide Tobacco Intervention: Intensive Skills Trainings to health care providers and others.QuarterlyCTIOutcome: delivery of trainings Provide continuing education , including webinars, conferences and ad hoc trainingsQuarterlyCTIOutcome: Maine Certified Tobacco Treatment Specialists remain current with their knowledge of evidence-based tobacco treatmentStrategy 1.3 Increase the use of Nicotine Replacement Therapy (NRT) for eligible tobacco users.Measure: The number of medication vouchers provided to eligible tobacco usersImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresScreen for NRT (nicotine patches, nicotine gum or nicotine lozenges) for eligible tobacco users.QuarterlyCTIOutcome: Tobacco users who are eligible receive NRT to assist with quitting.Objective 2: Policy and Environmental ChangeBy June 30, 2017, increase the number of evidence-based ordinances and policies that provide greater access to smoke-free environments.Measure: Number of tobacco-related ordinances and policies. Data Source: MaineHealth/ Maine CDC Strategy 2.1 Increase the number of tobacco-related municipal ordinances (including, tobacco or smoke-free spaces) Measure: The number of new municipality ordinancesImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEngage municipalities around smoke free events and settings, which may include education on:current Maine law on secondhand smoke/ smoke free/tobacco free policiesbest practice for adopting/revising/enforcing smoke and tobacco free policiesQuarterlyMaineHealthOutcome: municipalities that adopted tobacco free ordinances Strategy 2.2 Increase the number of tobacco-related worksite policiesMeasure: The number of worksites using Healthy US Scorecards to implement smoke free policies that exceed current Maine state laws (available annually)Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEngage worksites on smoke free environments around smoke free settings, which may include education on:current Maine law on secondhand smoke/ smoke free/tobacco free policiesbest practice for adopting/revising/enforcing smoke and tobacco free policiesHealthy US ScorecardAnnualMaine CDCOutcome: worksites implement smoke-free policies using the Healthy US Scorecard (evidence-based)Strategy 2.3 Increase the number of tobacco-related school policiesMeasure: The number of new and revised policies implementedImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEngage public schools on smoke free settings, which may include education on:current Maine law on secondhand smoke/ smoke free/tobacco free policiesbest practice for adopting/revising/enforcing smoke and tobacco free policiesAnnualMaineHealthOutcome: policies implemented/revised by organization re: smoke free/ tobacco free policiesStrategy 2.4Increase the number of landlords and property managers of subsidized housing, such as those accepting Section 8 vouchers, that have adopted smoke-free policies.Measure: The number of outreach contacts delivered (proxy for smoke-free policies)Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide targeted outreach to landlords, managers and owners of subsidized housing. QuarterlyMaineHealthOutcome: Subsidized property owners/ managers received outreachStrategy 2.5 Promote the development of comprehensive tobacco-free policies that target disparate populations. Measure: The number of tobacco-free hospitals; Number of tobacco-free behavioral health sitesImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPromote the adoption of comprehensive, best practice tobacco policies for health care and behavioral health settingsQuarterlyMaineHealthOutcome: Increased tobacco policy change in behavioral health and health care settingsMeasure: # of tobacco-free hospitals; # of tobacco-free behavioral health sitesStrategy 2.6 Increase the percent of Maine lodging options that have smoke-free policies Measure: The percent of Maine lodging that have smoke-free policies Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPromote the adoption of comprehensive, best practice tobacco policies for the lodging sector in Maine QuarterlyMaineHealthOutcome: Smoke-free lodging in Maine Objective 3: Second Hand SmokeBy June 30, 2017, decrease the number of children and adults exposed to environmental tobacco smoke in the home by 10 %.Measure: Percent of middle and high school youth who were in the same room with someone who smokes at least once in the past 7 days.Percent of adults who reported that someone (including themselves) had smoked cigarettes, cigars, pipes anywhere inside their home in the past 30. days. Data Source: MIYHS/BRFSSStrategy 3.1 Increase the number of families who reduce exposure to secondhand smoke.Measure: The number of families who have taken the smoke-free homes pledgeImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresWork with partners (such as childcare providers, home visitors and health care providers) to encourage families to implement smoke free homes pledge.QuarterlyMaineHealthOutcome: Partners reached with messages to encourage families to take the pledgeIncrease the percent of non-clinical settings that provide tobacco education, and a path to treatment (i.e., embed the availability of tobacco information, and the promotion of treatment, in all messaging and in more non-clinical settings). QuarterlyMaineHealthOutcome: Family members reducing tobacco use, in order to reduce second-hand smoke Objective 4: YouthBy June 30, 2017, increase by 15% the number of organizations that promote and/or implement programs that involve youth in anti-tobacco initiatives.Measure: Number of organizations that work with the Opportunity Alliance. Data Sources: The Opportunity Alliance (TOB) Strategy 4.1 Support organizations that provide leadership training to youth around tobacco cessation.Measure: The number of youth who attend leadership trainingImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresTrain and provide resources and technical support and resources to adults who can provide education, and leadership training to youthQuarterly The Opportunity Alliance (TOB)Outcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects.Train and provide resources and technical support and resources to youth who can create awareness among their peers. QuarterlyThe Opportunity Alliance (TOB)Outcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects.Strategy 4.2 Engage youth in supporting the development and implementation of evidence-based tobacco prevention policy changes.Measure: The number of tobacco policy change projects completed by youthImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresTrain and provide resources and technical support to adults who can engage youth in policy change efforts.QuarterlyThe Opportunity Alliance (TOB)Outcome: increased awareness of how youth can engage in tobacco policy change projects.Train and provide resources and technical support to youth who can engage in policy change efforts. QuarterlyThe Opportunity AllianceOutcome: increased awareness of how youth can engage in tobacco policy change projects.Infrastructure Priority: Inform, Educate and Empower the PublicMaine CDC Lead: David Pied, Nancy BirkhimerGoal: Increase Maine’s capacity to inform, educate and empower Maine people about health issues by June 2017.Objective 1: Improve Maine CDC’s data-driven communications and plain language reporting.By June 30, 2017, Measure: Identified policies and procedures, identified channels, identified evaluation process. Data Source: Maine CDC administrationStrategy 1.1: Coordinate Maine CDC communication across programs and divisions.Measure: percentage of communication initiatives that are included in formal communication plansImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPilot the implementation of a division communication plan and process in the Division of Disease Prevention.June 30, 2017MCDC, DDPOutcome: communications across the Division will be coordinated and more easily approved.Coordinate Maine CDC’s Public Health Update with division and program communication plans.OngoingMCDCOutcome: communications across the MCDC will be coordinated and regularly disseminated.Publish key public health data using sound communication science and plain language principles. OngoingMCDCOutcome: data will be accessible to the general public.Strategy 1.2: Revise the Maine CDC website to more effectively deliver public health messages.Measure: Number of hits and click-throughs on the MCDC websiteImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDevelop guidance for Maine CDC Division and Program information on the Maine CDC website.Maine CDC, InforMEOutcome: programs will be able to revise website information efficiently.Revamp Division and program information on the Maine CDC websiteMaine CDC, InforMEOutcome: programs with up-to-date information that reflects the current organizational structure on Maine CDC’s website.Revamp data section of the Maine CDC websiteMaine CDC, InforMEOutcome: up-to-date, easy to access health data on the Maine CDC website.Strategy 1.3: Improve communication at the Public Health District level.Measure: The number of Districts with a communications plan that addresses members, partners and the publicImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDevelop District communications plansJune 30, 2017DCCs, DCC fiscal agentOutcome: DCC members, partners and the public have more information about DCC actions and public health issues.Infrastructure Priority: Mobilize Community Partnerships Maine CDC Lead: Andy FinchGoal: Increase Maine’s capacity to mobilize community partnerships and action to identify and solve health problems by June 2017. Objective 1: Maintain or increase Community PartnershipsBy June 30, 2017, increase the number of individuals and organizations mobilized in public health planning, securing of resources, and action via District Coordinating Committees (DCCs).Measure: Number of organizations and # of sectors mobilized at the district level (DCC), including DCC meetings and commitments within the District Public Health Improvement Plans. Data Sources: DCCsStrategy 1.1 Implement the District Coordinating Councils (DCCs) contracts to support community collaboration on public health issuesMeasure: The number of major District contract deliverables that are completeImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresContract for a fiscal agent for each DCC to increase District capacityOctober, 2016Maine CDCOutcome: DCCs have a mechanism to accept funds to support District activitiesDCCs work with the District fiscal agent to implement contract strategiesOngoingDCCs, DCC fiscal agentsOutcome: DCCs have increased public health capacityDCCs work with the District fiscal agent to implement strategies addressing DPHIP prioritiesOngoingDCCs, DCC fiscal agentsOutcome: DCC priorities receive resources and action.Provide support, guidance and technical assistance to DCCsOngoingMaine CDCOutcome: DCCs receive resources to implement District level public health strategiesStrategy 1.2 Each DCC will engage local partners in the DCC strategies.Measure: The number of partners who have committed to actions within District Public Health Improvement Plans (DPHIP); the number of sectors reflected in the DPHIPImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDCCs will recruit a diverse set of organizations to participate in local public health effortsOngoingDCCOutcome: DCCs will represent a diverse set of partners.Engage a diverse set of partners in the DPHIP development December 31, 2017DL/DCC MembersOutcome: The DPHIPs will have a greater impact through the contributions of multiple partners. Engage a diverse set of partners in the DPHIP implementationOngoingDL/DCC MembersOutcome: The DPHIPs will have a greater impact through the contributions of multiple partners. Objective 2: Increase community engagement in the identification of public health priorities and needs.Measure: Number of people participating in (data source: SHNAPP Community Engagement data forms)Strategy 2.2Engage Communities in Shared Health Needs Assessment and Planning Process (SHNAPP)Measure: The number of organizations engaged in the SHNAPP sub-committeeImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresRecruit stakeholders to participate in the SHNAPP sub-committeesJune 30, 2016Maine CDC, SHNAPP partnersOutcome: Stakeholders and community members provide input and feedback.Strategy 2.1Engage partners in a new State Health Improvement Plan (SHIP)Measure: The number of organizations who have committed to actions within the DPHIPS and the SHIPImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresSupport hospitals in developing their implementation strategies based on the Shared Health Needs Assessment Planning Process (SHNAPP).June 30, 2016Maine CDC and SHNAPP partnersOutcome: Maine CDC assists in organizing Community Engagement in each district.Support District Coordinating Councils in developing District Public Health Improvement Plans (DPHIPs) and incorporating hospital contributions.December 31, 2016Maine CDC and SHNAPP partnersOutcome: Hospitals are active participants in the DPHIPsSupport local and tribal health departments, as requested, in the development of their Public Health Improvement Plans.June 30, 2017Maine CDCOutcome: Measure: Number of tribal and local health departments actively engaged in the SHNAPP. ................
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