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Oklahoma St. Dept. of Health's Chronic Disease Service Develops Evidence-based Trilogy Toolkit

Thursday, January 16, 2014   (0 Comments)
Posted by: Jon Lowry, Chronic Disease Director
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Each month, NACDD seeks to highlight the excellent work being done by State Health Departments across the country. This month's "I Count!" story comes to us from the Oklahoma State Department of Public Health.

The leading causes of death in Oklahoma include heart disease, cancer, chronic lung disease, stroke, diabetes, Alzheimer’s disease, and kidney disease. In an effort to quantify the issues and to present organized evidence-based strategies and prevention services based upon scientific literature, the Oklahoma State Department of Health’s (OSDH) Chronic Disease Service developed a toolkit which consists of three guides and is referred to as the Toolkit Trilogy (Trilogy).

Guide one called the MONAHRQTM Data Guide for Preventable Hospitalizations was developed based upon the agency’s interactive web-based system that converts health care data into user friendly information.  MONHARQ uses hospital discharge data from inpatient stays to generate maps and tables in four distinct ways: Hospital Quality, Hospital Utilizations, Avoidable Hospital Stays, and County Rates of Hospital Use. Specific to the MONAHRQTM Data Guide for Preventable Hospitalizations are quality reports on potentially avoidable hospitalizations to examine the burden and cost of chronic disease related preventable hospitalizations. Specific to the publication is the ability to identify indicators of potential problems with access to care, quality-of-care or self-management for use in planning specific interventions, implementing and evaluating them. MONAHRQ is targeted toward the medical community and is in its third printing.

The second guide Evidence-Based Strategies and Preventive Services presents recommended strategies from The Community Guide for Preventive Services and the Clinical Guide for Preventive Services for a broad array of chronic diseases including heart disease and stroke and promotes the Expanded Chronic Care Model.  This guide presents evidence-based strategies, clinical guidelines, and innovative practices proven to improve population health. Crucial to decision making within the context of local communities and health systems, the Evidence-Based Strategies and Preventive Services guide focuses on strategies built upon key elements of evidence based public health seeking to engage the community in assessment and decision making, the use of data to make decisions using the best peer-reviewed evidence and disseminating lessons learned.   

The third guide, Chronic Disease in Oklahoma Data Book, provides information and data about chronic disease in the context of access to care including a focus on improving community clinical linkages, health system interventions and the use of data. Designed to be utilized at the county level, this guide provides data in a clear and useable format outlined under the headings Barriers, Use of Services, Mediators, and Health Outcomes. Emphasis is placed on reducing the effect of chronic diseases, preventing or delaying complications, prolonging life and reducing deaths through timely and appropriate care and self-management. The Chronic Disease in Oklahoma Data Book was developed as a component of the Oklahoma State Plan for a Coordinated Approach to Chronic Disease Prevention and Health Promotion. The Toolkit Trilogy is available in hardcopy and electronically on the website (