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Impact Briefs
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The Impact Brief is the official newsletter for the National Association of Chronic Disease Directors. It is distributed monthly to approximately 4,800 NACDD members, partners, and stakeholders. You can view NACDD's Impact Brief archive here: http://www.chronicdisease.org/members/group_content_view.asp?group=101928&id=160757

 

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March Impact Brief CEO Message

Posted By Administration, Friday, March 20, 2020
Connecting You to What's Important for COVID-19 and Chronic Disease Work

We appreciate and understand there may be a lot going on in your departments in these unprecedented times, and below, we have pulled together some resources we have created and some we have gathered to assist and inform your work.  
  
As a reminder, NACDD has a 30-year record of effective action to meet the needs of our Members in State and Territorial Health Departments as you work to reduce the burden of chronic diseases. And we stand ready to assist you as your work becomes more important than ever during this crisis that significantly threatens people with chronic diseases.
 
Please reach out to us if we can be of specific assistance to you and your teams.
   
Chronic disease and public health crises resources:
READ The Connector newsletter special edition on crises plans for management of populations with chronic diseases (2018)
 
Communicating to the public in crisis (2019):
PODCAST Whitney Hammond, Chronic Disease Director at the New Hampshire Department of Health and Human Services, discusses lessons learned in public relations while investigations continued into a cluster of pediatric cancer cases in her state. 
 
Supporting population health during crisis (2019):
PODCAST Dr. Jean O’Connor speaks with Dr. Judy Monroe, President and CEO of the CDC Foundation, on how the CDC Foundation focuses on emergency response, and supports population health during events such as the Zika outbreak. 
 
Lessons learned on multi-sector/collective impact approaches during crisis (2019):
PODCAST Dr. Jean O’Connor speaks with John Auerbach, President and CEO of Trust for America’s Health, on opioid use in the United States, and how it affects population health and public health. Auerbach also touches on topics such as importance of keeping people healthy and resilient, and how it has a positive effect on population health.

In Good Health and Good Hand Hygiene…

 

John W. Robitscher, MPH

CEO

National Association of Chronic Disease Directors

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Health Equity Council Webinar: Moving Upstream - What Does that Mean?

Posted By Administration, Friday, March 20, 2020
Updated: Thursday, March 19, 2020

April is National Minority Health Month. The month is recognized as an opportunity to increase discussion and take action to address the health disparities and inequities that continue to affect racial and ethnic minorities. Everyone in America should live in circumstances that allow them to live a healthy life, regardless of who they are, where they are from, or where they live. In honor of Minority Health Month, the NACDD Health Equity Council will host a webinar, ‘Moving Upstream - What Does that Mean?’ at 2 p.m. on Tuesday, April 14. The webinar will feature Dr. Renée Branch Canady, Chief Executive Officer (CEO) of the Michigan Public Health Institute, a nationally engaged Michigan-based, nonprofit, public health institute dedicated to advancing population health through public health innovation and collaboration.

 

Moving Upstream is a focus on improving the fundamental social, structural, and economic structures in order to decrease barriers and improve supports that allow people to achieve their full health potential. Many often have asked, "How can public health play a role in addressing upstream factors?" Dr. Canady has been recognized as a national thought leader in the areas of health inequities and disparities, cultural competence, and social justice. She has published and presented broadly on these topics, and her passion for this work is evident in her personal, academic, and professional life. Dr. Canady has been highly influential in broadening the discussion of health equity, health inequities, and social justice while serving on numerous national boards, review panels, and advisory groups. Dr. Canady has led numerous workshops and discussions about what it means to Move Upstream.

 

Join us on April 14 at https://chronicdisease.zoom.us/j/6526497551. For more information, email Robyn Taylor.

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Bending the Trend: Engaging Employers to Prevent Type 2 Diabetes

Posted By Administration, Thursday, March 19, 2020

NACDD’s Diabetes Technical Assistance and Support Team is partnering with Centers for Disease Control and Prevention to take a new approach to preventing type 2 diabetes. The Employer Learning Collaborative (ELC) was launched to assist select states in engaging large employers to cover the National Diabetes Prevention Program (National DPP) lifestyle change program for their employees. States were selected based on the interest and readiness of both the State Health Department and employers. The first cohort of six states is scheduled to end in June this year. In February, two new cohorts started up: one for six new states and another for five national partners. An additional cohort is being planned for 2021. The collaborative intends to:

  • Accelerate employer coverage of the National DPP lifestyle change program
  • Capture employer perspectives on the road to coverage
  • Develop a replicable model for employers to use while considering offering the program as a covered benefit
  • Provide technical assistance to states, national organizations, and employers

Sara Hanlon, NACDD’s lead of the ELC said, “The results of this program will include development of a clear and replicable model for employers to use as they decide if offering the National DPP as a covered benefit is a fit for their organization. In addition, we are building an Employer Network committed to cost-effective prevention of type 2 diabetes.” This project was made available and in collaboration with the Centers for Disease Control and Prevention. Watch for more details about this project in the next issue of The Connector newsletter. For more information, contact Sara Hanlon.

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House of Representatives Passes E-cigarette Legislation

Posted By Administration, Thursday, March 19, 2020

GOVERNMENT AFFAIRS UPDATE

On Feb. 28, 2020, the U.S. House of Representatives passed the Protecting American Lungs and Reversing the Youth Tobacco Epidemic Act (H.R. 2339) by a vote of 213-195. Sponsored by Congressman Frank Pallone (D-NJ) who serves as the chairman of the House Energy and Commerce Committee, the bill prohibits all flavored tobacco products (including menthol). Additional provisions address non-face-to-face sales, limiting marketing and advertising, and providing additional resources to the Food and Drug Administration.

 

The passage of the legislation comes on the heels of a flurry of activity at the federal and state level to address the youth vaping epidemic that is driven by the availability of flavored products. In December 2019, President Trump signed a federal law banning the sale of tobacco products and e-cigarettes to anyone under 21. In addition, on January 2, 2020, the Trump Administration announced a partial ban on flavored e-cigarettes that excluded some e-cigarette products as well as menthol and tobacco flavored products.

 

Many state legislatures are also considering legislation to curb youth use of e-cigarettes. Several states have introduced their own state-level Tobacco 21 legislation that updates existing state laws and ensures that their state statutes will be consistent with the enforcement of the federal Tobacco 21 law. Some states are taking the opportunity to introduce or amend tobacco licensure and penalties for selling to underage individuals. Other state-level legislation includes banning all flavored e-cigarettes, providing additional education in school health programs about the dangers of e-cigarettes, including e-cigarettes in existing smoke-free laws, and taxing e-cigarette products.

 

To learn more about state legislation, check out NACDD’s State Legislative Tracker.

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CEO Message - February Impact Brief

Posted By Stacey Evans, Saturday, February 29, 2020
Updated: Friday, February 28, 2020

NACDD has been a proud national partner of Million Hearts® since 2012, supporting efforts to improve outcomes for people with or at risk for cardiovascular diseases, which account for one in every three deaths in the United States.

 

This month, American Heart Month, we are excited to help launch the Million Hearts® Hospitals & Health System Recognition Program, which acknowledges institutions working to systematically improve the cardiovascular health of the population and the communities they serve.

 

NACDD has been working collaboratively with CDC to develop this program, and we invite our Members to help spread the word to hospitals and health systems in their communities, encouraging them to apply and join us in promoting their commitments and outcomes in cardiovascular health. You can learn more about this program at hospitals.millionhearts.hhs.gov.

 

In addition to our work with Million Hearts®, our Cardiovascular Health (CVH) team has a robust portfolio that supports implementing evidence-based, population health improvement strategies and capacity-building opportunities for health departments. Here are a few other ways we are helping promote heart health:

 

EHR-based Surveillance Learning Community: This monthly series for health departments and their potential data partners helps build chronic disease surveillance capabilities. The March session will highlight governance policies and procedures to consider when engaging in EHR-based surveillance. Register>>

 

GIS Capacity Building Project: This project includes GIS training, ongoing support from expert GIS analysts, development of tools to support mapping at the local level, and networking. Four county health departments in Maryland—Calvert, Charles, Prince George’s and St. Mary’s—were selected for the 2020 GIS Training for the Surveillance of Heart Disease, Stroke and Other Chronic Diseases in Local Health Departments program. State Health Departments participating in the 2019-2020 state training are Connecticut, Louisiana, Rhode Island, and Utah. Learn more >>

 

Pharmacy Learning Collaborative: The Advancing Pharmacy-Related Interventions to Control Hypertension and Manage Cholesterol Learning Collaborative focuses on innovative team-based approaches to hypertension control and cholesterol management. Staff from the State Health Departments of Colorado, Georgia, Missouri, Texas, and Virginia were selected to participate. The results will be disseminated through a fireside chat in September 2020. Learn more >>

 

SMBP PROJECT: NACDD and CDC commissioned a national analysis of self-measured blood pressure monitoring (SMBP) coverage and reimbursement policies within public and private payer insurance across the United States. Read the reports attached below.

 

PARTNERSHIP: NACDD has joined the National Hypertension Control Roundtable® (NHCR) as a founding member. The NHCR is a public, private and nonprofit partnership dedicated to improving national hypertension control rates from ~50% to 80% and reducing disparities in hypertension control by 2025. Learn more >>

 

Learn more about our programs and how we can support your work in cardiovascular health at chronicdisease.org. I encourage you to also sign up for Off the Cuff, a weekly informative newsletter for health department staff working on cardiovascular health-related strategies. Email healthsystems@chronicdisease.org to get on the list.

 

Together, we can help prevent heart attacks and strokes, and improve the health of the population through the use of cost-effective, proven strategies. 

 Attached Files:

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New Toolkit to Enhance Vision and Eye Health

Posted By Carol McPhillips-Tangum, Tuesday, February 25, 2020
Updated: Friday, February 21, 2020

Vision health is critically important for all aspects of a person’s life, including physical health, social engagement, education, employment, and socioeconomic position. Reduced vision affects a person’s ability to perform daily activities and increases a person’s risk for developing other health problems and premature death. It can also cause economic stress on individuals and society from direct medical expenses and indirect expenses related to loss of mobility and productivity. Vision health is rarely included in public health programs designed to prevent or manage chronic diseases because of limited resources and competing priorities and, as a result, most public health agencies lack the framework or guidelines they need to appropriately address vision and eye health as a public health issue.

 

A new toolkit is available to build the capacity of public health agencies and their partners to assess the burden of vision impairment, develop effective partnerships, implement appropriate interventions, and evaluate the impact of their efforts.

 

cdc.gov/visionhealth

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NEI’s New Website Puts Eye Health Info at Your Fingertips

Posted By Administration, Tuesday, February 25, 2020
Updated: Friday, February 21, 2020

The National Eye Institute’s (NEI) new website makes it easier than ever to find eye health information you can trust. The updated NEI site features easy-to-read information about chronic eye conditions and accessible resources that health directors can use to promote healthy vision.

 

NEI’s redesigned website is your one-stop shop for clear, accessible eye health information. Take a look at NEI’s A to Z index of eye conditions and diseases! It includes information on chronic eye conditions such as diabetic retinopathy, glaucoma, and dry eye.

 

NEI also has helpful resources for health educators, including toolkits that you can use to teach people in your community about topics like:

·  Diabetic eye disease

·  Vision and Aging

·  Low vision

 

 

You can also find materials that will help patients better understand their eye health in NEI’s outreach materials library. This includes materials on topics that may be particularly helpful to chronic disease directors, like:

·  Talk With Your Doctor About Glaucoma

·  Vision Rehabilitation: Helping People with Low Vision

·  The Aging Eye: Age-Related Diseases and Conditions

 

You can filter outreach materials by health topic, language, audience, or type of material — and best of all, it’s free!

 

NEI also has toolkits you can use to reach out to groups that have a high risk of eye diseases — like Hispanic/Latino communities. NEI’s ¡Ojo con su vision! program provides culturally-appropriate materials about eye health for Spanish-speaking communities — including eye health tips, questions to ask the eye doctor, and information on specific eye diseases.

 

African Americans are also at a higher risk of developing some eye conditions. NEI’s Write the Vision program provides materials you can use to promote healthy vision in African American communities such as infographics, articles, slides, and fact sheets.

 

Take a moment to explore these resources on the new and improved NEI site — and use them to help the public learn how to keep their eyes healthy!

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New 2020 Physical Activity and Nutrition (PAN) State Engagement Model (StEM) States Selected

Posted By Ann Forburger, Tuesday, February 25, 2020
Updated: Friday, February 21, 2020

Congratulations to the states of Hawai’i, Iowa, Vermont, and Wisconsin who successfully competed for the 2020 Physical Activity and Nutrition State Engagement Model (PAN StEM) request for technical assistance.

 

Through technical assistance support, NACDD and a team of subject matter experts will assist state teams in activating and sustaining multi-sector collaboration to address a priority public health issue around physical activity, nutrition, or obesity. 

 

NACDD provides peer networking and leadership opportunities to state contacts, which culminates in a strategic meeting with multi-sector state partners. States work through a collective impact approach, including discussions on a common agenda, shared measurement, mutually reinforcing activities, continuous communications, and backbone support.

 

·      Hawai’i will focus on solidifying the infrastructure in their state to support the wide-ranging needs of early childhood education (ECE) providers to implement the ECE Wellness Guidelines and provide a safe and healthy future for children.

·      Iowa will strengthen its strategies targeting school and youth programs.

·      Vermont will continue to support PAN health equity initiatives by focusing on Vermont residents with disabilities and maintain working with people of color, LGBTQ+, and low-income residents.

·      Wisconsin will leverage other initiatives and programs to support PAN activities, specifically SNAP-Ed, Tobacco Prevention, and the new Governor’s Healthy Communities Initiative.

 

For more information, contact Ann M. Forburger at AForburger@chronicdisease.org

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State Health Departments Selected to Participate in 2020 NACDD Pharmacy Learning Collaborative

Posted By MaryCatherine Jones, Tuesday, February 25, 2020
Updated: Friday, February 21, 2020

NACDD congratulates staff from the health departments of Colorado, Georgia, Missouri, Texas, and Virginia for their selection as participants in the Advancing Pharmacy-Related Interventions to Control Hypertension and Manage Cholesterol Learning Collaborative. The intent for this unique learning opportunity is to support the priorities of 1817 by focusing on innovative team-based approaches to hypertension control and cholesterol management. These approaches include medication therapy management, the appointment-based model, and other tools and resources to increase medication adherence.

 

One cardiovascular disease prevention staff person from each health department will participate with up to two pharmacy partners to participate in expert-led virtual meetings and peer exchange. Participating pharmacy partners include those working in local colleges of pharmacy, state pharmacy associations, and quality improvement organizations.

 

The Learning Collaborative is designed to designed to accelerate team-based care by applying the Identify-Assess-Act Framework. This framework aims to identify and engage with payers, pharmacies, and/or the community to increase pharmacy-based interventions for hypertension control and cholesterol management. The teams participated in a kickoff call Feb. 4, 2020 and will continue work on the project through July 2020, with an in-person meeting in May/June 2020. The results and lessons learned from this project will be disseminated through a fireside chat in September 2020.

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Million Hearts® Hospitals & Health Systems Recognition Program Now Accepting Applications

Posted By Administration, Tuesday, February 25, 2020
Updated: Friday, February 21, 2020

Heart disease, stroke, and other cardiovascular diseases (CVDs) kill more than 800,000 Americans each year, accounting for 1 in every 3 deaths. CVD is the nation’s number one killer among both men and women and the leading cause of health disparities across the population.

Fortunately, we know that improving outcomes for people with or at risk for CVD is achievable. Million Hearts® is pleased to announce the Million Hearts® Hospitals & Health Systems Recognition Program, a program that recognizes institutions working to systematically improve the cardiovascular health of the population and communities they serve through the priority areas of (1) keeping people healthy, (2) optimizing care, (3) improving outcomes for priority populations, and (4) innovating for health. 

Eligible applicants include health systems with multiple hospitals, hospitals with and without ambulatory medical practices, and medical practices not affiliated with hospitals.

The Million Hearts® Hospitals & Health Systems Recognition Program is now open. Applications received by April 30, 2020, will be among the first to be considered and to be eligible for this designation. Applications will be reviewed and considered on a quarterly basis.

 

NACDD has been working collaboratively with CDC in the development of this program. Using recognition as a tool, chronic disease public health professionals will be better informed of the small set of high impact strategies needed to prevent heart attacks and strokes. We are excited about this launch and encourage our Members to help spread the word to hospitals and health systems in their communities, encourage them to apply, and to join us in promoting their commitments and outcomes.

 

For more information about the program, or to apply, visit hospitals.millionhearts.hhs.gov. Questions about the program should be directed to millionhearts@cdc.gov, with “Million Hearts® Hospitals & Health Systems” in the subject line.

 

Together, we can improve the cardiovascular health of the population, preventing heart attacks and strokes, through the use of cost-effective, proven strategies. 

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