Links to proven best practices for community health improvement are provided so that we may work toward solutions to Miami-Dade County's top ten most pressing concerns regarding health. 1. UNINSURED
Goal: decrease the rate of persons under 65 who are uninsured/without health insurance - Health Coverage for Low-Income Americans: An Evidence-Based Approach to Public Policy, Kaiser Family Foundation
http://www.kff.org/uninsured/7476a.cfm - The Role of Consumer Copayments for Health Care: Lessons from the RAND Health Insurance Experiment and Beyond, Kaiser Family Foundation
http://www.kff.org/insurance/upload/7566.pdf - State Coverage Initiatives for Children, Kaiser Family Foundation (includes state-by-state summaries)
http://www.kff.org/uninsured/kcmu051607oth.cfm - Beneath the Surface: Barriers Threaten to Slow Progress on Expanding Health Coverage of Children and Families: A 50 State Update on Eligibility, Enrollment, Renewal, and Cost-Sharing Practices in Medicaid and SCHIP, Kaiser Commission on Medicaid and the Uninsured http://www.kff.org/medicaid/upload/Beneath-the-Surface-Barriers-Threaten-to-Slow-Progress-on-Expanding-Health-Coverage-of-Children-and-Families-pdf.pdf
- Health Coverage and Access to Care for Hispanics in “New Growth Communities” and “Major
Hispanic Centers” Kaiser Commission on Medicaid and the Uninsured
http://www.kff.org/uninsured/upload/7551.pdf - Improving Access to Health Care: Building A Community-Based Program: A Manual Based on Experiences from the Robert Wood Johnson Foundation’s Communities In Charge Initiative,
Robert Wood Johnson Foundation
http://www.communitiesincharge.org/manual.pdf - JAXCARE (community-supported health benefits for the working uninsured; former Communities in Charge Initiative)
http://www.communitiesincharge.org/Documents/PhaseII%20PressRelease/Jacksonville.htm - Community-Based Health Coverage Programs: Models and Lessons, A Series of Community Voices Publications, W.K. Kellogg Foundation
http://www.wkkf.org/Pubs/Health/CommunityBasedCoverageFINAL_00250_03763.pdf - Evaluation of Community Voices Miami: Affecting Health Policy for the Uninsured, RAND Corporation
http://www.rand.org/pubs/technical_reports/2004/RAND_TR177.sum.pdf - The Miami Action Plan (MAP) for Access to Health Care, Community Voices of Miami
http://www.communityvoicesmiami.org/map/Miami_Action_Plan.pdf - Community Access Program of Miami-Dade, Community Voices of Miami (used health navigators, disease managers, and community outreach to link people to care)
http://app.communityvoicesmiami.org/Community/Communit.nsf/Featured_pub%20lications/359F4C6BBFE673B803257020004F1F87/$file/CAP%20FACT6-13-2005.pdf - Community Health Centers in Florida: A Guide to Understanding Florida’s Federally Qualified Health Centers and 330 Expansion Opportunities, Florida Association of Community Health Centers and State of Florida, Department of Health
http://www.fachc.org/ - Communicare: Statewide Volunteer Network of Care Providers (Columbia, SC), Best Practice Initiative, U.S. Department of Health and Human Services
http://phs.os.dhhs.gov/ophs/BestPractice/communicare.htm - CareNet, Health Choices (discount medical plan created by Community Health Centers,
community-based, consumer-governed corporations that operate in areas of high medical need) promising practice
http://www.mycarenet.com/us/ - Neighborhood Health Clinic, Naples, Honorable Mention, Blue Cross Blue Shield Sapphire Award promising practice
http://www.bcbsfl.com/DocumentLibrary/AboutOurCompany/SapphireAward2006Profile.pdf#
page=10 - AIDS Insurance Continuation Program (AICP), Health Council of South Florida
http://www.healthcouncil.org/publications/CBA2007.pdf
2. CHRONIC DISEASES
Goal: decrease 1) hospital admission rates and 2) long-term complication rates for people with chronic conditions, e.g., asthma, diabetes - Chronic Disease Self-Management Program, Stanford University
http://patienteducation.stanford.edu/programs/cdsmp.html - Promising Practices in Chronic Disease Prevention and Control: A Public Health Framework for Action, Centers for Disease Control and Prevention (includes state- and community-based examples) http://www.cdc.gov/nccdphp/
- Improving Chronic Illness Care, Robert Wood Johnson Foundation (includes Evidence for Better
Care for Asthma, Diabetes, and Hypertension, and a Framework for Creating a Regional Health
Care System)
http://www.improvingchroniccare.org/ - Building Peer Support Programs to Manage Chronic Disease: Seven Models for Success, California Health Care Foundation
http://www.chcf.org/documents/chronicdisease/BuildingPeerSupportPrograms.pdf - It Takes a Region: Creating a Framework to Improve Chronic Disease Care, California Health Care Foundation
http://www.chcf.org/documents/chronicdisease/CreatingAFrameworkToImproveChronicDisease
Care.pdf - State Programs in Action: Exemplary Work to Prevent Chronic Disease and Promote Health: Racial and Ethnic Approaches to Community Health, Centers for Disease Control and Prevention (includes cancer, diabetes, HIV, and cardiovascular disease)
http://www.cdc.gov/nccdphp/publications/aag/pdf/reach.pdf - Chronic Disease Program Integration: Putting the Pieces Together, Florida Department of Health, Bureau of Chronic Disease Prevention and Health Promotion
http://www.doh.state.fl.us/Family/chronicdisease/integration.zip - The Road to Performance Excellence: Transforming a County Health Department “Tips on Getting Started and Staying Focused,” Miami-Dade County Health Department (Governor’s Sterling Award)
http://www.floridasterling.com/pdf/MDCHDPresentation.pdf - Farmworker Case Management Across Borders, Putnam County Health Department, Palatka, Florida promising practice
http://www.raconline.org/success/success_details.php?success_id=12 - Design of Enhanced Primary Care Case Management Programs Operating in Rural Communities: Lessons Learned from Three States, The Shep Center for Health Services Research, University of North Carolina (one of the three states is Florida)
http://www.shepscenter.unc.edu/research_programs/rural_program/fb_77.pdf
Asthma
Diabetes
- Diabetes: A National Plan for Action, U.S. Department of Health and Human Services (2004, includes a list of federal diabetes activities/highlights)
http://aspe.hhs.gov/health/NDAP/NDAP04.pdf - The Diabetes Initiative: Stories and Descriptions of 14 Programs to Improve Self Management, Robert Wood Johnson Foundation (includes Open Door Health Center in Homestead, FL) http://diabetesnpo.im.wustl.edu/programs/documents/GranteeBooklet-ALLPAGES_000.pdf
- Best Practices from the Special Diabetes Program for Indians, Indian Health Service (a consensus model based on scientific research and outcome studies)
http://www.ihs.gov/MedicalPrograms/Diabetes/ - Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Vol. 2: Diabetes Mellitus Care, Stanford-UCSF Evidence-Based Practice Center and the Agency for Healthcare Research and Quality
http://fsi.stanford.edu/publications/closing_the_quality_gap_a_critical_analysis_of_quality_
improvement_strategies_vol_2_diabetes_mellitus_care/ - Diabetes, Guide to Community Preventive Services, Centers for Disease Control and Prevention (assesses effectiveness of population based interventions to manage diabetes)
http://www.thecommunityguide.org/diabetes/default.htm - State Programs in Action: Exemplary Work to Prevent Chronic Disease and Promote Health: Diabetes, Centers for Disease Control and Prevention
http://www.cdc.gov/nccdphp/publications/aag/ddt.htm - Comprehensive Diabetes Control Program: Michigan Department of Community Health
http://www.healthierus.gov/steps/summit/prevportfolio/programs/diabetes.htm - Closing the Gap Diabetes Education Program, Manatee County, Florida (dubbed a promising program by the National Association of County and State Health Officials)
http://archive.naccho.org/modelpractices/Result.asp?PracticeID=330
3. PREVENTABLE HOSPITALIZATIONS
Goal: decrease preventable hospital admission rates, e.g. hypertension Hypertension
4. HIV/AIDS
Goal: decrease newly reported HIV case rate 5. MATERNAL AND CHILD HEALTH
Goal: decrease rate of low birth weight babies 6. PHYSICAL ACTIVITY AND NUTRITION
Goal: decrease rate of adults with no physical activity in past month, and decrease rate of adults who consumed less than 5 fruits and vegetables per day - Physical Activity, Guide to Community Preventive Services, Centers for Disease Control and Prevention
www.thecommunityguide.org/pa/default.htm - Physical Activity for Everyone, Centers for Disease Control and Prevention
http://www.cdc.gov/nccdphp/dnpa/physical/everyone.htm - Weight Management Research to Practice Series, Centers for Disease Control and Prevention
http://www.cdc.gov/nccdphp/dnpa/nutrition/health_professionals/practice/index.htm - State Programs in Action: Exemplary Work to Prevent Chronic Disease and Promote Health: Nutrition and Physical Activity, Centers for Disease Control and Prevention
http://apps.nccd.cdc.gov/DNPAProg/ - Research-Tested Intervention Programs: Individually-Adapted Physical Activity Intervention Programs, National Cancer Institute
http://rtips.cancer.gov/rtips/index.do - My Bright Future: Physical Activity and Healthy Eating (target population young women), Health Resources and Services Administration, Maternal Child Health Bureau
http://www.hrsa.gov/WomensHealth/mybrightfuture/menu.html - National Blueprint: Increasing Physical Activity Among Adults Age 50 and Older, Robert Wood Johnson Foundation
http://www.activeforlife.info/about_the_program/files/blueprint.pdf - Commit 2 B Fit! School Board of Broward County and the Commit 2 B Fit Foundation, Inc. (target population: youth, parents, and teachers)
www.commit2bfit.org - Family Health Self-Empowerment Project, University of Florida promising pilot program
http://www.clas.ufl.edu/events/news/articles/20060829_pepsi.pdf - Improving Access to Healthy Food: A Community Planning Tool, Columbus [OH] Health
Department (includes case studies of programs in other states)
http://www.publichealth.columbus.gov/Asset/iu_files/Planning_and_Preparedness/Improving_
Access_to_Healthy_Foods.pdf - Start Living Healthy, Hawaii Department of Health (includes Start Walking and Eating Healthy)
http://www.healthyhawaii.com/about/about_start_living_healthy/about_start_living_
healthy.htm - Healthy Hispanic Foods Resource Kit, Florida Department of Health (currently being implemented with evaluation requirements)
http://doh.state.fl.us/Family/DCP/hispanic/index.html - WIC/Farmers Market Nutrition Program, Florida Department of Agriculture and Consumer Services
http://www.florida-agriculture.com/pubs/pubform/pdf/WIC_FMNP_Brochure.pdf - Elder Farmers Market Nutrition Program Evaluation, Florida Department of Agriculture and Consumer Services
http://elderaffairs.state.fl.us/english/nutrition_farmersmarket.php
7. CANCER SCREENING
Goals: 1) increase rate of women age 18+ who had a pap test in the past 3 years; 2) increase the rate of women 40+ who had a mammogram in the past 2 years; and 3) increase the rate of men 50+ who have ever had a sigmoidoscopy or colonoscopy PAP Tests and Nammograms
Sigmoidoscopy/Colonoscopy
8. HEALTH AND SAFETY
Goals: decrease 1) the motor vehicle traffic crash death rate and 2) the falls death rate 9. DENTAL HEALTH
Goal: increase the rate of residents who visited a Dentist or dental clinic in the past year 10. ELDER ACCESS TO CARE
Goal: increase the rate of adults 65+ who had a flu shot in the past year - Vaccines, Guide to Community Preventive Services, Centers for Disease Control and Prevention (assesses effectiveness of evidence based interventions to increase vaccination rates)
http://www.thecommunityguide.org/vaccine/default.htm - Adult Immunization Programs in Nontraditional Settings: Quality Standards and Guidance for Program Evaluation, MMWR 1993;42[No. RR-5], Centers for Disease Control and Prevention
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4901a1.htm - Racial and Ethnic Adult Disparities in Immunization Initiative (READII), Centers for Disease Control and Prevention
http://www.cdc.gov/omhd/AMH/factsheets/immunization.htm - Public Health Communications Response to the Influenza Vaccine Shortage, Nebraska, Best Practice Initiative, U.S. Department of Health and Human Services
http://emergency.cdc.gov/cerc/pdf/BP-VaxShortage.pdf - Promising practice: Two articles discussing vaccination of children as a strategy to prevent community-level transmission and reduce flu mortality among the elderly:
- Long-standing influenza vaccination policy is in accord with individual self-interest but not with the utilitarian optimum, Galvani AP, Reluga TC, and Chapman GB. (Department of Epidemiology and Public Health, Yale University School of Medicine), Proceedings of the National Academy of Sciences, 2007 Mar 27;104(13):5692-7. Epub 2007 Mar 16. (abstract)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=17369367&query_hl=8&itool=
pubmed_docsum - Strategy for distribution of influenza vaccine to high-risk groups and children, Longini IM Jr, Halloran ME. (Department of Biostatistics, The Rollins School of Public Health, Emory University), American Journal of Epidemiology, 2005 Feb 15;161(4):303-6. (full text article)
http://aje.oxfordjournals.org/cgi/content/full/161/4/303
Related Links:
Miami-Dade County Community Health Report Card: Full Report
Miami-Dade County Living Healthy, Living Longer Survey: Full Report |
