1 / Prevention Agenda Annual Progress Report - Update COMPLETE. PAGE 2: Prevention Agenda Updates

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1 #1 COMPLETE Collector: PA Update 2015 (Web Link) Started: Wednesday December :18:16 PM Last Modified: Wednesday December :18:51 PM Time Spent: 01:00:34 IP Address: PAGE 2: Prevention Agenda Updates Q1: Please refer to the you received about reporting on Prevention Agenda Interventions 1 & 2. The interventions that are furthest along in implementation that are reported on in this update are: The same two interventions reported on in PAGE 3: First Prevention Agenda Priority Area Q2: What is the first Prevention Agenda Priority Area you are reporting on: Select only one Prevent Chronic Diseases PAGE 4: Intervention 1 - Prevent Chronic Diseases Q3: Within this Prevention Agenda priority area which Focus Area are you reporting on? Select only one Q4: Please select your Intervention 1 (from this list of Increase Access to High Quality Chronic Disease Preventive Care and Management in Clinical and Community Settings Other (please specify): Promote use of evidence based care to manage chronic diseases PAGE 5: Other Intervention 1 - Prevent Chronic Disease Q5: Is this 'other' intervention evidence-based? (Public Yes please provide the web-link for your source of evidence for Intervention 1: HEDIS%202016%20List%20of%20Measures.pdf PAGE 6: Process Measures for Intervention 1- Prevent Chronic Disease 1 / 11

2 Q6: Please select all process measures being used to Plans). Choose all that apply. Other (please specify): Number of Niagara Falls Memorial Medical Center/Niagara County Health Home members diagnosed with both schizophrenia and diabetes whose blood glucose is in good control PAGE 7: Intervention 1 - Promote a Healthy and Safe Environment Q7: Within this Prevention Agenda priority area which Focus Area are you reporting on? Select only one Q8: Please select your Intervention 1 (from this list of PAGE 8: Other Intervention 1 - (Promote a Healthy and Safe Environment) Q9: Is this 'other' intervention evidence-based? (Public PAGE 9: Process Measures for Intervention 1- Promote and Healthy and Safe Environment Q10: Please select all process measures being used to Plans).Choose all that apply. PAGE 10: Intervention 1 - Promote Healthy Women Infants and Children Q11: Within this Prevention Agenda priority area which Focus Area are you reporting on? Select only one Q12: Please select your Intervention 1 (from this list of PAGE 11: Other Intervention 1 - Promote Healthy Infants Women and Children 2 / 11

3 Q13: Is this 'other' intervention evidence-based? (Public PAGE 12: Process Measures for Intervention 1 - Promote Healthy Infants Women and Children Q14: Please select all process measures being used to Plans). Choose all that apply PAGE 13: Intervention 1 - Promote Mental Health and Prevent Substance Abuse Q15: Within this Prevention Agenda priority area which Focus Area are you reporting on?select only one Q16: Please select your Intervention 1 (from this list of PAGE 14: Other Intervention 1 - Promote Mental Health and Prevent Substance Abuse Q17: Is this 'other' intervention evidence-based? (Public PAGE 15: Process Measures for Intervention 1 - Promote Mental Health and Prevent Substance Abuse Q18: Please select all process measures being used to Plans). Choose all that apply PAGE 16: Intervention 1 - HIV STDs Vaccine-Preventable Diseases and Healthcare Associated Infections Q19: Within this Prevention Agenda priority area which Focus Area are you reporting on?select only one 3 / 11

4 Q20: Please select your Intervention 1 (from this list of PAGE 17: Other Intervention 1-Prevent HIV/STD Vaccine-Preventable Diseases Health Care-Associated Infection Q21: Is this 'other' intervention evidence-based? (Public PAGE 18: Process Measures for Intervention 1 - Prevent HIV/STDs/ Vaccine-Preventable/ Health Care-Associated Q22: Please select all process measures being used to Plans). Check all that apply PAGE 19: Data collection for Intervention 1 Q23: How have you used the process measures data that you have collected to make improvements to intervention implementation? Check all that apply To track progress of intervention implementation (i.e. reaching target population) To engage stakeholders To make improvements to implementation of interventions PAGE 20: Disparities for Intervention 1 Q24: Are you addressing a disparity with this intervention? Yes PAGE 21: Disparities Detail for Intervention 1 Q25: Which of the following types of disparities are you addressing? Check all that apply Income/SES Disability 4 / 11

5 Q26: Please describe the activities that you are doing to address disparities: The NFMMC Health Home is located in the hospital's Medical Office Building and connected to primary care for better collaboration of cases with the primary care providers. The Health Home also has a kiosk station embedded within the Niagara Wellness Connection Center to meet with behavioral health and primary care clients before and after appointments to assist with coordination of care between the client and primary care provider. In addition the Health Home has opened an office in Lockport to improve accessibility for clients in the eastern end of Niagara County. Weekly case rounds are held to discuss cases with medical professional staff and care managers for better coordination of care. Non-NFMMC providers are contacted face to face and by phone letter and fax to obtain medical orders related to the client. Medical treatment plans are electronically embedded in the clients' individualized care plans. A paper copy is shared with the client. The care manager plays a pivotal role in ensuring the client receives education and supportive services to promote healthy outcomes. PAGE 22: Status of Implementation Efforts for Intervention 1 Q27: What is the current status of your implementation efforts related to this intervention? Select only one On track with implementation schedule PAGE 23: Overall Successes and Challenges of Implementing Intervention 1 Strategies Q28: What have been the successes in implementing Intervention 1?Check all that apply Identifying burden/problem to be addressed Defining target population Developing data collection methods Establishing clear implementation timelines/milestones Q29: What challenges are you facing in the implementation of Intervention 1?Check all that apply Educating the community about the problem Reviewing and monitoring progress with partners Maintaining involvement of the majority of stakeholders at all stages throughout intervention implementation PAGE 24: Second Prevention Agenda Priority Area Q30: What is the second Prevention Agenda Priority Area you are reporting on? Select only one Promote a Healthy and Safe Environment PAGE 25: Intervention 2 - Prevent Chronic Diseases 5 / 11

6 Q31: Within this Prevention Agenda priority area which Focus Area are you reporting on?select only one Q32: Please select your Intervention 2 (from this list of PAGE 26: Other Intervention 2 - Prevent Chronic Disease Q33: Is this 'other' intervention evidence-based? (Public PAGE 27: Process Measures for Intervention 2 - Prevent Chronic Disease Q34: Please select all process measures being used to Plans). Choose all that apply. PAGE 28: Intervention 2 - Promote a Healthy and Safe Environment Q35: Within this Prevention Agenda priority area which Focus Area are you reporting on? Select only one Q36: Please select your Intervention 2 (from this list of Built Environment Promote community based programs for fall prevention. PAGE 29: Other Intervention 2 - Promote a Healthy and Safe Environment Q37: Is this 'other' intervention evidence-based? (Public PAGE 30: Process Measures for Intervention 2 - Promote a Healthy and Safe Environment 6 / 11

7 Q38: Please select all process measures being used to Plans). Choose all that apply. Number of evidence-based community fall prevention programs offered Number of people participating in evidence-based community fall prevention programs Other (please specify): Number of emergency department visits due to falls among patients age 65 and older Number of hospitalizations (admissions) due to falls among patients age 65 and older PAGE 31: Intervention 2 - Promote Healthy Women Infants and Children Q39: Within this Prevention Agenda priority area which Focus Area are you reporting on? Select only one Q40: Please select your Intervention 2 (from this list of most recommended evidence-based interventions PAGE 32: Other Intervention 2 - Promote Healthy Women Infants and Children Q41: Is this 'other' intervention evidence-based? (Public PAGE 33: Process Measures for Intervention 2 - Promote Healthy Women Infants and Children Q42: Please select all process measures being used to Plans). Choose all that apply PAGE 34: Intervention 2 - Promote Mental Health and Prevent Substance Abuse Q43: Within this Prevention Agenda priority area which Focus Area are you reporting on?select only one 7 / 11

8 Q44: Please select your Intervention 2 (from this list of PAGE 35: Other Intervention 2 - Promote Mental Health and Prevent Substance Abuse Q45: Is this 'other' intervention evidence-based? (Public PAGE 36: Process Measures for Intervention 2 - Promote Mental Health and Prevent Substance Abuse Q46: Please select all process measures being used to Plans). Select all that apply PAGE 37: Intervention 2 - HIV STDs Vaccine-Preventable Diseases and Healthcare Associated Infection Q47: Within this Prevention Agenda priority area which Focus Area are you reporting on?select only one Q48: Please select your Intervention 2 (from this list of PAGE 38: Other Intervention 2 - Prevent HIV/STD Vaccine-Preventable Diseases Health Care-Associated Infect. Q49: Is this 'other' intervention evidence-based? (Public PAGE 39: Process Measures for Intervention 2 - Prevent HIV/STD/Vaccine Prevent. Dis./ Hospital-Assoc. Infect. Q50: Please select all process measures being used to Plans). Check all that apply 8 / 11

9 PAGE 40: Data collection for Intervention 2 Q51: How have you used the process measures data that you have collected to make improvements to intervention implementation? Check all that apply To track progress of intervention implementation (i.e. reaching target population) To make improvements to implementation of interventions PAGE 41: Disparities for Intervention 2 Q52: Are you addressing a disparity with this intervention? Yes PAGE 42: Disparities Detail for Intervention 2 Q53: Which of the following types of disparities are you addressing? Check all that apply Disability Age Q54: Please describe the activities that you are doing to address disparities: NIH Senior Health information on Fall Proofing Your Home provided to ER patients who present with injuries due to falls. Information on Fall Proofing Your Home provided to acute care patients upon discharge when appropriate. Fall risk profiles performed on all subacute and skilled nursing admissions. Written material on fall prevention provided upon discharge. Community outreach education programs on preventing falls presented to senior residence independent living and assisted care communities. PAGE 43: Status of Implementation Effort for Intervention 2 Q55: What is the current status of your implementation efforts related to this intervention? Select only one On track with implementation schedule PAGE 44: Overall Successes and Challenges of Implementing Intervention 2 Strategies Q56: What have been the successes in implementing Intervention 2?Check all that apply Identifying burden/problem to be addressed Defining target population Establishing clear goals Identifying process and outcome measures to monitor progress toward reaching goals Developing data collection methods 9 / 11

10 Q57: What challenges are you facing in the implementation of Intervention 2?Check all that apply Engaging community leaders to address problem Reviewing and monitoring progress with partners Making adjustments to implementation plan/timeline based on progress PAGE 45: Location Q58: In what county is your hospital or local health department (LHD) located? Q59: Are you reporting from a LHD or hospital?select one Niagara County Hospital PAGE 46: LHD Contact Information Verification Q60: Please review contact information for your LHD liaison at: contact_list.htm and provide correction if needed. PAGE 47: LHD Liasion Q61: LHD liaisonplease provide the name title phone (with area code) and contact of your CHA-CHIP liaison. PAGE 48: Hospital Name Q62: Please select hospital(s) that you are reporting on: (Choose all that apply) Niagara Falls Memorial Medical Center Q63: Hospital liaisonplease provide the name title phone (with area code) and contact of your CSP liaison. Name of Hospital CSP Liaison Title Patrick J. Bradley Phone (with area code) (716) Contact Director Marketing & Public Relations pat.bradley@nfmmc.org 10 / 11

11 Q64: Are the two interventions you provided detail on this report described as a community benefit in the Schedule H tax form? Select only one No neither intervention is described as a community benefit Additional Comments: Our community health programs and strategies are referenced in the 2014 Schedule H but these two interventions are not specifically cited. Q65: If reporting for a hospital are any of your Prevention Agenda activities incorporated in your DSRIP projects?select only one No PAGE 49: DSRIP Activities Q66: Please list the DSRIP projects you are working on by DSRIP Project Number. For example 3.b.ii: implementation of evidence based strategies to address chronic disease or 4.b.i. Promote tobacco use cessation. A complete list of DSRIP project numbers is available here: n/docs/dsrip_project_toolkit.pdf PAGE 50: Review Summary of Plan Q67: Please review the summary of your CHIP/CSP at /implementation/chip_csp/index.htm by clicking the name of the county on the map where your LHD or Hospital is located. Is this description up to date? Yes this description is up to date. PAGE 51: Needs and Comments Q68: Is there anything else you would like us to know or any other information you would like to share? No thank you. PAGE 52: Final Page Q69: Are you ready to submit your survey? Changes can no longer be made after you click done. Yes 11 / 11