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OTC June 12, 2017
Off the Cuff: Domain 3/Health Systems Updates
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 69
June 12, 2017

From Your Colleagues

From Rebecca Cohen, Wisconsin Department of Health Services:
The Wisconsin Pharmacists Provide Medication Therapy Management Services success story has been added to the What’s Working Database

Since 2012, partnering with the Pharmacy Society of Wisconsin and the Wisconsin Division of Public Health, the Wisconsin Chronic Disease Prevention Program has provided more than 250,000 patients with medication therapy management services. An evaluation showed a short-term increase in Medicaid members’ pharmacy costs, however, inpatient hospital costs for MTM recipients were lower on average in the year after the intervention.

Webinars and Calls Worth Your Time

The CDC Health Systems Scorecard: A Quality Improvement Tool to Assess Health System-Level Policies for Managing Patients with Chronic Disease
Tuesday, June 13, 2017, 2:30 – 2:50 p.m., EDT
Sponsor: CDC's Division for Heart Disease and Stroke Prevention

Using a scorecard approach, CDC developed a voluntary quality improvement assessment tool called the Health Systems Scorecard to help CDC-funded state and local public health programs to better understand the implementation of evidence-based strategies to manage chronic diseases among partnering primary care practices. Presenters will provide a brief orientation to the electronic tool and its primary components. No need to register, simply click here to join this event. Audio information: 1-855-644-0229, Conference ID: 4937505#

Past presentations are available at the CDC's Coffee Breaks archive.

1305 Epidemiology and Evaluation Collaborative (EEC) Monthly Call
Wednesday, June 14, 2017, 2-3:00 p.m., EDT
Sponsor: NACDD CVH Team

EEC is a peer-led group of epidemiologists and evaluators who come together each month to work smarter and more effectively with 1305 and 1422 epidemiology, surveillance, evaluation and performance measures. States share what they are doing, resources, and questions and provide feedback to CDC. The group is led by Liz Gebhart (NE), Paul Meddaugh (VT), and Brittany Brown (UT). Come see what we are all about! NEW CALL IN LINE: 1 877 273 4202, room 793-903-441. To be added to the EEC distribution list and membership roster, please email MaryCatherine Jones at Click here to learn more about EEC.

Leveraging Utilization of Electronic Health Records

Thursday, June 15, 2017, 2–3:00 p.m., EDT

Sponsor: Training and Technical Assistance Support Center for CDC’s NCCDPHP

This month’s call will provide an opportunity to discuss leveraging utilization of electronic health records (EHRs). Click here to join the call.

How to participate on the call:

You will be able to hear the audio when you join Adobe Connect, but in order to actively participate you must deliberately join your phone line. You can either:

  • Have the system call you (preferred method): When you first enter the meeting room during the scheduled time, enter your phone number, and let the Adobe system call you. You will then be prompted to press a number to join the meeting.
  • Dial in to the audio conference manually: When you first enter the meeting room, you will see a menu box with an option to dial in to the audio conference via phone. Select that option and dial in using the number and code provided. You MUST enter an additional code after connecting with the passcode so that the system ties your computer to your audio line. You must scroll down to see your unique code. Your unique code will appear after the following statement: “Once joined to the audio, identify yourself.”
If you have any questions, email

Developing Strong Health Impact Statements
Wednesday, June 21, 2017, 2-3:00 p.m., EDT

Sponsor: Training and Technical Assistance Support Center for CDC’s NCCDPHP

As grantees report on their final results of 1305 and 1422 programs, it will be important for them to demonstrate the difference they are making in their states and communities. This webinar will explain what a health impact statement is, the key elements of a strong health impact statement, and how to use a health impact statement. This webinar will also outline CDC’s expectations for the final year of evaluation reporting.
Click here to register for the call. If you have any questions, email

Fireside Chat: Addressing Health Systems Change in Hypertension Control
Thursday, June 29, 2017, 2:30-3:30 p.m., EDT
Sponsors: NACDD CVH Team and CDC

NACDD, in coordination with CDC’s Division for Heart Disease and Stroke Prevention, is continuing the series of Fireside Chats in 2017. Fireside Chats provide an interactive format for state health agencies to hear from content experts on a number of issues pertaining to cardiovascular health and 1305/1422 priority areas.

This Fireside Chat will focus on addressing health systems change in hypertension control. The session will be moderated by CDC Medical Epidemiologist Sallyann Coleman King, MD, MSC. It will feature Anita Christie,
RN MHA CPHQ, Director of the Office of Clinical Preventative Services from the Massachusetts Department of Public Health, and Diana Erani, MBA, Health Center Controlled Network Director for the Massachusetts League of Community Health Centers (MLCHC). Ms. Christie will share her experience designing Massachusetts’ 1422 approach through a detailed capacity assessment process as well as their ongoing quality improvement work with sites. Ms. Erani will provide an overview of the Data Reporting and Visualization System (DRVS) used to deliver feedback to 1422 clinical sites in collaboration with the Massachusetts Department of Public Health and will share her perspective on institutionalizing data-driven technical assistance.

Click here to register.

We highlight events we think are especially worth your time, but there is a lot going on! Keep up using the Chronic Disease Events Calendar. The webinars in darker type are more directly related to Domain 3/Health Systems.

News and Resources from CDC, NACDD, and National Partners

From CDC, Division for Heart Disease and Stroke Prevention, National Alliance of State Pharmacy Associations (NASPA), American Pharmacists Association (APhA), American Medical Association (AMA), the American Association of Nurse Practitioners (AANP), the Network for Public Health Law – Eastern Region, and University of Maryland Francis King Carey School of Law
New Toolkit: Advancing Team-Based Care Through Collaborative Practice Agreements: A Resource and Implementation Guide for Adding Pharmacists to the Care Team

Collaborative practice agreements increase the efficiencies of team-based care and formalize practice relationships between pharmacists and collaborating prescribers. The guide is a resource for pharmacists to use in developing and executing collaborative practice agreements in the spirit of advancing team-based care. It provides a customizable template that can be used as a starting point to developing a collaborative practice agreement.

From NACDD CVH Team and CDC
Update on Advancing Team-Based Care through the Pharmacists’ Patient Care Process to Manage High Blood Pressure Project

NACDD and CDC’s Division for Heart Disease and Stroke Prevention are working with state teams from Arizona, Georgia, Iowa, Utah, Virginia, West Virginia, and Wyoming. States teams are participating in a program that is designed to accelerate team-based care using the pharmacists’ patient care process (PPCP) and collaborative practice agreements (CPA) designed to manage high blood pressure.

To kick off the project, state health departments and their pharmacy partners attended a two-day workshop on May 24-25, 2017 in Atlanta, Georgia. The teams are developing a project plan and timeline for disseminating and supporting pharmacists with implementing the PPCP and are partnering with their state pharmacy association, school of pharmacy and other partners to then host and facilitate an in-state workshop. Teams are using the following resources developed by CDC and pharmacy partners:
The six states will be sharing their processes and lessons learned with all states next fall. For more information and additional resources, click here.

From NACDD Diabetes and CVH Teams
Recruiting Guides for the Peg Adams Peer-to-Peer Program from the Cardiovascular Health (CVH) Network and Diabetes Council

The CVH Network and Diabetes Council are recruiting guides to participate in the next cohort of the Peg Adams Peer-to-Peer Program, which will begin September 2017. The mission of the Program is to provide support, encouragement, and orientation to new Diabetes and CVH state staff. The program will be from September 2017 to June 2018. The level of engagement may vary, however, we anticipate this to be at least a 2-3 hour/month commitment.

The Peg Adams Peer-to-Peer Program is designed to complement orientation and technical assistance provided by the CDC Division of Diabetes Translation, the CDC Division of Heart Disease and Stroke Prevention, and the new state staff’s employing agency by:
  • helping new state staff navigate the nuances of the state program/CDC relationship,
  • linking new staff to the Diabetes and CVH Councils, and
  • reducing feelings of isolation.
Who qualifies to be a guide?
Guide are state staff working on diabetes and CVH strategies with 3 years or more experience working in their position. Since some of the strategies are new, guides do not need to be experts in the strategies. We highly encourage all state staff, including epidemiologists and evaluators, with 3 or more years experience to consider serving as a guide.

If you are interested in the opportunity to connect with a peer, please fill out the 2017-2018 Peg Adams Peer to Peer Program Participation Form: Guides by July 17, 2017. If you have any questions, please e-mail Tiffany Pertillar at

From the National Forum, American Heart Association, and the Million Hearts Collaboration
June is Men's Health Month. For this month, Million Hearts® is encouraging all men to step up their game by participating in heart healthy behaviors. This month's
June Messaging Campaign offers
  • June’s Focus and Fast Facts
  • Monthly Calendar
  • Social Media Messages
  • Sample Newsletter Article
  • Million Hearts® Partner Resources
FYI - All messaging campaigns can be found at this link.

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