maternal and child health priority action plan - draft · web viewpilot centralized reminder/recall...

SHIP Implementation Plan

Year 3

June 2016 – July 2017

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SHIP Implementation PlanLast Updated Date: January 25, 2016

Categorical Priority: Diabetes Maine CDC Lead: Troy Fullmer

Goals: Increase prevention behaviors in persons with prediabetes; and increase the proportion of persons with diagnosed diabetes who receive formal diabetes education.

Objective 1: U.S. CDC Lifestyle Change Program: National Diabetes Prevention ProgramBy June 30, 2017, increase annually by 600 the number of people with pre-diabetes or at high risk for developing Type 2 diabetes who complete the National Diabetes Prevention Program (NDPP).

Measure: Number of adults completing the NDPP. Data Source: U.S. CDC, Diabetes Prevention Recognition Program

Strategy 1.1 Increase in the number sites delivering the National DPP. Measure: Number of fully recognized NDPP sites

Implementation Steps Timeline Responsible Party Anticipated OutcomesProvide information and technical assistance through email, phone calls, through the Rethinkdiabetes.org website, and/or in-person meetings.

Ongoing annually

Maine CDC, Diabetes Program Unit Supervisor, Administrative Assistant, Manager

Outcome: Increased # of agencies provided with information and resources to take next steps towards implementing the NDPP.

Facilitate connecting NDPP sites with pending recognition with NDPP sites that have full recognition status through referrals, conference calls, and webinars.

Ongoing Maine CDC, Diabetes Program Unit Supervisor,

Outcome: Increased connections between fully recognized NDPP sites and potentials sites

Strategy 1.2 Increase in the number of health care and community-based settings, businesses and health care payers that have policies/protocols in place that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.

Measure: number of known settings with policies and/or protocols in place for referral and navigation to NDPP in place

Implementation Steps Timeline Responsible Party Anticipated OutcomesProvide technical assistance, resources and tools to target settings so that they can establish a continuum of care and increase referrals to the NDPP as appropriate.

Ongoing Maine CDC, Diabetes Program Unit Supervisor

Outcomes: Increased use of the diabetes care algorithm; increased number of referrals to the NDPP

Develop and implement policies/protocols that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.

Ongoing Health care and community-based settings throughout Maine

Outcomes: Increased use of the diabetes care algorithm; increased number of referrals to the NDPP

Work through partners to increase the use of the Prediabetes Risk Quiz, helping guide businesses and consumers to NDPP services.

Ongoing District Coordinating Councils (DCC); Maine CDC, Healthy Maine Works.

Outcome: Increase the number of DCCs and business that promote the use of the Prediabetes Risk Quiz

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Strategy 1.2continued

Increase in the number of health care and community-based settings, businesses and health care payers that have policies/protocols in place that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites.

Measure: number of known settings with policies and or protocols in place for referral and navigation to NDPP in place

Implementation Steps Timeline Responsible Party Anticipated OutcomesIdentify new opportunities to engage with additional partners and provide education and resources that support increased awareness of and participation in the NDPP.

April 2016

Diabetes Action Alliance of Maine

Outcome: New partners engaged in promoting and deploying NDPP

Increase consumer awareness of prediabetes, promote the use of the Prediabetes Risk Quiz, and access to/participation in the NDPP though member communication.

Ongoing MaineCare, State of Maine Employee Health & Wellness, Maine CDC, Diabetes Program Unit Supervisor

Outcome: Targeted communication to consumers reached through MaineCare and SOM Health & Wellness

Strategy 1.3 Increase the number of payers and businesses that provide reimbursement for participation in the National DPP.

Measure: number of known business and payers that provide reimbursement for participation in the National DPP.

Implementation Steps Timeline Responsible Party Anticipated Outcomes & MeasuresProvide direct outreach and technical assistance to targeted payers and businesses.

Ongoing Maine CDC, Diabetes Program Unit Supervisor

Outcome: More businesses and payers have information, tools, and methods to make good businesses decisions to pay for NDPP.

Objective 2: Diabetes Self-Management TrainingBy June 30, 2017, increase annually by 6,755 the number of people with diagnosed diabetes who receive formal diabetes training known as DSMT (increase of 13,510 in the two-year period).

Measure: Number of adults with Diabetes who participate in DSMT. Data Source: U.S. CDC, Division of Diabetes Translation

Strategy 2.1 Increase the number of sites delivering nationally accredited DSMT programming.

Measure: number of sites delivering nationally accredited DSMT programming.

Implementation Steps Timeline Responsible Party Anticipated Outcomes & MeasuresProvide information and technical assistance to provider practices to implement or expand DSMT.


Outcome: Increased # of delivery sites for DSMT programming

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Strategy 2.2 Increase in the number of health care settings that have policies/protocols in place that facilitate referral and navigation to nationally accredited DSMT provider sites.

Measure: number of known health care settings with policies and/or protocols in place for referral and navigation to nationally accredited DSMT in place

Implementation Steps Timeline Responsible Party Anticipated Outcomes & MeasuresProvide technical assistance, resources and tools to health care practice so that they can establish a continuum of care and increase consistent referrals to DSMT as appropriate.


Outcomes: Increased use of the diabetes care algorithm; increased number of referrals to DSMT

Support additional provider practices in enhanced use of EHRs to identify patients with diabetes, undiagnosed or uncontrolled, for referral to DSMT programming.

Ongoing Maine CDC, Diabetes Program Unit Supervisor, partner organizations

Outcomes: Increased/enhanced use of EHRs; increased number of referrals to DSMT

Strategy 2.4 Incorporate incentives and standards for evidence-based diabetes care and prevention into payment and delivery reforms.

Measure: percent of Maine Care members with diabetes who have had a HbA1c test within the past 12 months

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresMaintain inclusion of diabetes quality measures to monitor and improve clinical quality of diabetes care for primary care practices participating in MaineCare Health Homes initiative and Maine Patient Centered Medical Home Pilot (CY2015).

On-going Maine Quality Counts, MaineCare

Outcome: Patients receiving care from Health Home practices receive high-quality diabetes care.

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Categorical Priority: Immunizations Maine CDC Lead: Celeste Poulin

Goal: Increase immunization rates in Maine by an average of 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.) Baseline: 2011 MIP Quarterly Report Assessments.

Objective 1: Childhood and Adolescent Routine Immunization ScheduleBy June 30, 2017 Maine will increase routine childhood immunization rates in children 24-35 months of age, assessed as of 24 months of age, AND adolescent routine immunization rates in adolescents 13-18 years of age by 10- to be measured from 2011 baseline rates from the Maine Immunization Program (MIP) Quarterly Report Assessments.

Measures: Percentage of children assessed who are up to date. Data Source: Maine Immunization Program, Immunization Information System- ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on 4DTaP, 3Polio, 1MMR, 3HIB, 3HepB, 1Var, 4PCV – 4:3:1:3:3:1:4 – antigen series.)

Percentage of adolescents assessed who are up to date. Data Source: MIP ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on, 1meng, 3 HPV, 2var, 1Tdap – 3:1:2:3:1 antigen series)

Strategy 1.1 Increase the use of reminder/recall systems for VFC. Measure: The number of reminder/recalls sent from ImmPact

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide Assessment, Feedback, Incentives, and eXchange (AFIX) visits to 25% of our enrolled vaccine for children (VFC) providers with active agreements

Ongoing annually

MIP AFIX Coordinator/ Health Program Manager

Outcome: 25% of enrolled VFC providers get an AFIX visit

Pilot centralized reminder/recall system CY2015 MIP Outcome: All families in pilot stes receive reminder via MIP

Strategy 1.2 Encourage provider enrollment and use of state registry. Measure: The number of new providers in ImmPact per quarter

Implementation Steps Timeline Responsible Party Anticipated Outcome/ MeasuresWorking with Maine Care to enroll their providers in the VFC January -

June 2017MIP/MaineCare Outcome: Increased enrollment in VFC

MIP will provide training on use of state registry for all newly enrolled providers (in-person visit).

Ongoing MIP/ ImmPact staff Outcome: All newly enrolled providers receive training in use of the state registry

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Strategy 1.3 Provide quarterly assessment reports to health care providers that are fully integrated into the ImmPact system (Maine immunization information system).

Measure: The number of providers receiving quarterly report

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresGenerate quarterly reports and mail to all fully integrated providers statewide

Ongoing Quarterly

MIP/ Provider Relations Specialist

Outcome: Providers receive reports quarterly

Strategy 1.4 Conduct Assessment, Feedback, Incentives, eXchange of Information (AFIX) site visits to a minimum of 25% of Maine health care providers enrolled in the Vaccines for Children (VFC) program.

Measure: The number of AFIX visits

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresAFIX coordinator will choose a minimum of 25% of enrolled VFC providers who are eligible to receive an AFIX visit based on criteria established by Federal CDC (can change slightly from year to year)

Annually MIP AFIX Coordinator & Health Program Manager

Outcome: Minimum of 25% of eligible providers receive visits

Provide reminders to providers about the importance of keeping their client immunization history information up to date and identifying disassociating former patients through AFIX visits and monthly newsletter

Annually MIP AFIX Coordinator & Health Program Manager

Outcome: Providers will ID disassociated patients on a regular basis (i.e.; quarterly)

Objective 2: Adolescent Human Papillomavirus (HPV)By June 30, 2017 Maine will increase HPV immunization rates in females and males 13-18 years of age by 10%.

Measure: Percentage of female and male adolescents, 13-18 years of age, who received HPV vaccine. Data Source: MIP Immunization Information System -ImmPact system Quarterly Report Assessments.

Strategy 3.1 Provide assessment and feedback information to health-care providers re: current HPV vaccination rates and suggestions for methods to improve clinical rates.

Measure: The number of AFIX visits and follow-ups per quarter

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresSpecifically address HPV in AFIX visits; Ongoing MIP Outcome: Providers know what their HPV coverage rates are

by genderProvide HPV specific immunization rates to provider in both AFIX visits and quarterly reports

Ongoing MIP Outcome: Providers know what their HPV coverage rates are by gender

Strategy 3.2 Disseminate best practice information to health care providers on HPV vaccinations

Measure: The number of HPV-related communications sent to providers per quarter.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresDisseminate new dosing information via conference calls and written communication, and via answering provider calls

Ongoing MIP Outcome: Provider with understand and implement new clinical recommendations for HPV vaccination

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Categorical Priority: ObesityMaine CDC Lead: Dawn Littlefield

Goal: Reduce adult obesity in Maine by 5% and youth obesity by 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.)

Objective 1: Decrease Sugar-Sweetened Beverage ConsumptionBy June 30, 2017, decrease the proportion of Maine adults and youth consuming one or more sugar-sweetened beverages a day by 10% for youth, grades k-12 (rate for adults will be established with baseline data). (NOTE: The definition of "sugar-sweetened beverage" is derived from the Maine Integrated Youth Health Survey (MYIHS).

Measure: Number of responses to questions about sugar-sweetened beverage consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS. NOTE: Questions about sugar-sweetened beverages should be added to Module 5 in BRFSS to collect adult data.Strategy 1.1 Increase outreach and education to the public and to partners, using currently

available resources to decrease consumption of sugar-sweetened beverages.Measure: The number of sites acting to reduce sugar sweetened beverages.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresCommunity and School-based education - Deliver nutrition education program to low-income youth and adults that includes information about sugar-sweetened beverages and healthier alternatives

Annually in October

SNAP-ED (UNE) Outcome: sessions that include education on sugar-sweetened beverages delivered

Number of schools, out-of-school programs, early childhood programs and healthcare practices engaged with Let’s Go! through the use of the 5-2-1-0 message

July 1, 2016 -June 30,2017

Let’s Go! Outcome: Sites use the 5-2-1-0 message

Adopt/implement worksite healthy meeting guidelines that include limiting access to sugar sweetened beverages

June 1, 2017 Maine CDC (Healthy Maine Works)

Outcome: worksites will develop healthy meeting guidelines that include increased access to healthy beverages.

Adopt/ Implement worksite healthy vending policies that include limiting access to sugar sweetened beverages

June 1, 2017 Maine CDC (Healthy Maine Works)

Outcome: worksites will develop guidelines that increase access to healthy beverages in vending machines and cafeterias

Strategy 1.2 Implement a media campaign to raise public awareness of the relationship between sugar-sweetened beverages and obesity.

Measure: The number of campaign “impressions”. Statewide survey results related to awareness of 5210 messaging.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresImplement a public education media campaign on radio, Facebook and Pandora to promote the 5-2-1-0 messages of Let’s Go!

Oct. 2016 – Sept. 2017

Let’sGo! Outcome: Media education on Let’s Go! Including reducing sugar-sweetened beverages

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Strategy 1.3 Encourage school departments to limit access to sugar-sweetened beverages in schools.

Measure: the number of schools adhering to the healthy hungry-free kids act.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresInforming schools on adhering to current Maine law restricting advertising of unhealthy foods including sugar-sweetened beverages on school property

Current/ Ongoing

Maine CDC PAC Outcome: Schools adherence to state law

Implementation of Let’s Go! Strategy # 2: Limit or eliminate sugary beverages and provide water in participating schools

July 1, 2016 – June 30, 2017

Let’s Go! Outcome: Implementation of strategy in all or most classrooms of registered schools

Strategy 1.4 Encourage providers to include screening and counseling on sugar-sweetened beverage consumption as part of routine medical care.

Measure: The number of healthcare practices recognized as Let’s Go! Healthcare Sites.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresHealthcare practices that conduct Well Child visits participate in the Let’s Go! Healthcare program

July 1, 2016 – June 30, 2017

Let’s Go! Outcome: Healthcare practices that conduct Well Child visits, register in the Let’s Go! Healthcare program

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Objective 2. Increase Fruit and Vegetable ConsumptionBy June 30, 2017, increase by 10% the proportion of the Maine population (adults and children) who consume five or more servings of fruits and vegetables a day.

Measure: Number of responses to questions about fruit and vegetable consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS as reported in the SHA.

Strategy 2.1 Increase outreach and education to the public and to partners, using currently available resources, to guide increased consumption of fruits and vegetables.

Measures: Number of partner organization, number of participants reached

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresDeliver nutrition education program to low-income youth and adults about the importance of fruit and vegetable consumption and ways to shop for and prepare fruits and vegetables on a limited budget

Ongoing SNAP-ED Outcome: Increased fruit and vegetable intake

Implementation of Let’s Go! Strategy # 1: Limit unhealthy food choices for snacks and celebrations and provide healthy choices.

July 1, 2016 – June 30, 2017

Let’s Go! Outcome: Implementation of strategy in sites program/organization wide

K-12: Adopt and implement model wellness policies that include student access to fruits and vegetables, limit sugary snacks

Ongoing Maine CDC, Let’s Go

Outcome: Youth eat more fruits and vegetables

Adopt/ Implement foodservice guidelines that include encouraging healthy snacks such as fruits and vegetables in worksite cafeterias.

June 1, 2017 Maine CDC PAC, Outcome: Guidelines to increase access to healthy foods developed by worksites

Provide vouchers and/or eWIC benefits for fresh frozen and canned fruits and vegetables on a monthly basis. This effort targets women and children age 1-5.

Ongoing WIC Outcome: WIC women and children receive and redeem monthly benefit for fruits and/or vegetables

Issue Farmers Market benefits in the summer time May-October 2017

WIC Outcome: WIC participants receive and redeem WIC Farmers’ Market benefits during the summer season

Provide infant fruits and vegetables (jarred) monthly to infants age 6-11 months.

Ongoing WIC Outcome: WIC infants, age 6-11 months, receive and redeem benefits for infant fruits and/or vegetables

Provide educational materials to Senior FarmShare Program participants on the benefits of eating fruits and vegetables daily

Ongoing Maine Senior FarmShare Program

Outcome: More seniors eat fruits and vegetables

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Strategy 2.2 Increase or expand fruit and vegetable market outlets such as farm to institution, farm to school, farmers' markets.

Measure: The number of new fruit and vegetable market outlets

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresHost farmers at WIC offices for farmers market events Summer

2017WIC Outcome: WIC Local Agency Farmers’ Market season outreach

plans will include Farmers’ Market events when possible

Work with Good Shepherd to increase the number of farm stands or farmers’ markets in underserved areas for lower income people

Ongoing Maine CDC PAC, Cultivating Community

Outcome: Increased access to fresh produce

Provide outreach and technical assistance to farms and schools to increase the number of Farm to School (F2S) programs providing local foods to schools..

Ongoing F2S NetworkFoodCorps

Outcome: Increased consumption of healthy local foods among youth

Farm to college: increasing the # of colleges and hospitals using local food

Ongoing Farm to Institute New England (FINE)

Outcome: Increased purchase and sales of local (healthy) food at colleges and hospitals

Strategy 2.3 Increase participation in the Fresh Fruit and Vegetable Program (FFVP) by maximizing the use of federal funds so that more schools can join.

Measure: All available funding to Maine is spent

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresInform eligible schools serving pre-K – Grade 8 about fresh fruit and vegetable application to ensure all eligible schools apply

2016-17 School Year

DOE, Stephanie Stambach

Outcome: More youth eat fruits and vegetables and know their nutritional value

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Objective 3: Increase Physical Activity3a: By June 30, 2017, increase by 10% the proportion of Maine adults who engage in some leisure-time physical activity.

Measure: Number of responses to physical activity questions in BRFSS. Data Source: BRFSS

Strategy 3a.1 Work with municipalities to increase opportunities for active transportation and access to indoor and outdoor recreational facilities.

Measure: The number of additional ACETs, Bike/Ped Committees

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresEncourage/ support municipalities in the creation of local planning groups i.e.; Bike/Ped Committees, Active Community Environment Teams (ACETs)

Ongoing Maine CDC, The Bicycle Coalition of Maine

Outcome: Increased local level capacity to implement policy and environmental change to support physical activity

3b: By June 30, 2017, increase by 10% the proportion of Maine youth (grades k-12) who engage in vigorous physical activity that promotes cardio-respiratory fitness three or more days per week for 20 minutes or more each time.

Measure: Number of responses to physical activity questions in MYIHS. Data Source: MYIHS

Strategy 3b.1 Work with childcare centers and K-5 schools to increase the number using evidence-based approaches to implement policies and create environments that support physical activity and meet safety guidelines.

Measure: The number of sites statewide implementing the PA strategy

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresAges Birth -5: 5-2-1-0 Goes to Child Care: work on implementing policy and environmental change at childcare sites to support PA

July 1, 2015 – June 30, 2016

Let’s Go! Outcome: Increase in number of policies and environmental changes supporting physical activity in birth to 5 childcare settings

K – 5: 5-2-1-0 Goes to School: work on developing and implementing policy and environmental change at K-5 schools to support PA

July 1, 2015 – June 30, 2016

Let’s Go Outcome: Increase in number of policies and environmental changes supporting physical activity in K-5 schools

Increase the number of ECEs that develop and implement standards to increase physical activity

Ongoing Maine CDC PAC Outcome: Increase in development and implementation of ECE standards increasing PA

Strategy 3b.2 Work with schools to increase quality physical education classes and physical activity throughout the school day.

Measure: The number of SAUs out of the total # of SAUs receiving professional development and TA on strategies to increase physical education and physical activity before, during and after the school day.

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide training and technical assistance to Maine SAUs on strategies to develop and implement policies and practices to increase quality physical education and physical activity in K-12 schools.

Ongoing Maine CDC, Let’s Go

Outcome: Increase in the number of SAUs receiving professional development and TA on increasing quality physical education and physical activity before, during and after the school day.

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Categorical Priority: Substance Abuse and Mental HealthMaine DHHS Leads: Christine Theriault

Goal: Reduce substance abuse and improve mental health in Maine by 5% by June 2017 (This goal encompasses a number of specific Healthy Maine 2020 objectives and approximately 50% toward the Healthy Maine 2020 goals.)

Objective 1: Physician Drug Prescribing PracticesBy June 30, 2017, decrease the number of threshold reports from the Prescription Monitoring Program (PMP). Measure: Annual number of narcotic prescriptions dispensed per capita. Data Sources: PMP

Strategy 1.1 Train health care providers in the state drug-prescribing law. Measure: The number of providers trained, measured annuallyImplementation Steps Timeline Responsible Party Anticipated Outcomes/ Measures

Provide training to providers in drug- prescribing rules June 30, 2017 SAMHS, MCDC Outcome: Completed assessment of drug prescribing protocols

Strategy 1.2 Enroll health care providers in the prescription Drug Monitoring Program (PMP)

Measure: The number of providers using the Prescription Monitoring Program

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide training to providers in the PMP June 30, 2017 SAMHS, MCDC Outcome: Providers are trained to use the PMP

Provider support to providers in enrollment in and the use of the PMP

Ongoing SAMHS Outcome: Providers are using the PMP to reduce over-prescribing of prescription drugs

Strategy 1.3 Develop capacity to identify drug overdoses via electronic reporting from hospitals, EMS, and death certificates

Measure: The number of drug overdoses identified via syndromic surveillance

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresDevelop a syndrome for drug overdoses the Maine CDC’s syndromic surveillance

June 30, 2017 MCDC Outcome: Maine CDC and partners track drug overdoses via Syndromic surveillance

Develop a data feed from Vital Records EDRS to Syndromic Surveillance

June 30, 2017 MCDC Outcome: Maine CDC can track deaths in the syndromic surveillance system

Update the data feed from Emergency Medical Services to Syndromic Surveillance

June 30, 2017 MCDC Outcome: Maine CDC can track EMS in the syndromic surveillance system

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Objective 2: Coordination of Care2a. By June 30, 2017, the number of patients receiving Screening, Brief Intervention, Referral and Treatment (SBIRT) services in Maine will increase by50% above 2013 baseline data.

Measure: Number of times SBIRT billing code appears in MaineCare. Data Sources: MaineCare billing data

Strategy 2a.1 Educate physician practices in the use of SBIRT tools and billing codes. Measure: The number of physician practices using SBIRT codes

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide SBIRT training for primary care physicians and community organizations

June 30, 2017 SAMHS Outcome: Completed trainings provided

Education and reminders on SBIRT and the available billing codes for Primary care providers

June 30, 2017 MaineCare Outcome: Increased use of SBIRT

2b: By June 30, 2017, increase the number of eligible MaineCare members who participate in a behavioral health home (BHH).

Measure: Number of MaineCare members with a behavioral health home. Data Source: Office of MaineCare Services

Strategy 2b.1 Increase the number of MaineCare BHH Measure: The number of BHHImplementation Steps Timeline Responsible Party Anticipated Outcomes

Open application for enrollment for new providers December 2016

Maine Care, Value-Base Purchasing

Additional providers have an opportunity enrolled into the BHH program.

Approve providers based on criteria December 2016


Enrolled providers meet criteria for BHH.

Revise rates for BHH December 2016


Increased incentive for provider enrollment.

Strategy 2b.2 Increase the number of MaineCare members who are participating in each BHH Measure: The number of MaineCare members enrolled in BHH

Implementation Steps Timeline Responsible Party Anticipated OutcomesRevise Section 17 (Community Integration Services) rules and enroll MaineCare members who previously were eligible for Section 17 into BHH

Ongoing Maine Care, Value-Base Purchasing

These members still are provided with BHH services, regardless of changed Section 17 eligibility

Provide training to BHH providers, including bimonthly BHH working groups and regional meetings

Ongoing Maine Care, Value-Base Purchasing

BHH providers are better informed of the benefits of the BHH model and Maine Care members are better served in the BHH

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2c: By June 30, 2017, increase the number of medical and behavioral health providers and schools implementing evidence-based suicide-safer care practices, including suicide risk screening, assessment, referral, and follow-up.

Measure: Number of providers and school staff who report increased confidence in their ability to recognize and respond to suicidal behavior, as measured by pre-post test immediately following training. Data Source: Maine CDC contractor quarterly reports (National Alliance on Mental Illness)

Strategy 2c.1 Provide education and training to medical and behavioral health providers on suicide-safer care practices, including the integration and use of nationally recognized evidence-based suicide prevention screening and assessment tools.

Measure: The number of medical and behavioral health providers receiving training or TA on suicide-safer care practices

Implementation Steps Timeline Responsible Party Anticipated OutcomesPartner with NAMI and MMA to deliver training to clinicians on strategies for suicide risk screening (such as use of the Columbia Suicide Severity Rating Scale [C-SSRS])

Ongoing Maine CDC, NAMI Maine Outcome: Clinicians are trained on suicide risk screening

Support medical and behavioral health systems in creating suicide-prevention protocols and policies

Ongoing Maine CDC, NAMI Maine Outcome: Clinical practices receive assistance in developing suicide prevention protocol

Develop statewide Towards Zero Suicide: Implementing Suicide-Safer Care steering committee

Summer 2016

Maine CDC Outcome: an on-going structure for promoting suicide prevention in health care settings is developed

Strategy 2c.2 Provide evidence-based suicide-prevention Gatekeeper training to public school staff

Measure: The number of trainings offered, number of school staff receiving Gatekeeper training

Implementation Steps Timeline Responsible Party Anticipated OutcomesProvide Gatekeeping training statewide to school staff throughout the year

Ongoing Maine CDC, NAMI Maine Outcome: Schools have trained Gatekeepers on staff

Provide Gatekeeper Training-of-Trainers at various locations around the state, throughout the year.

Ongoing Maine CDC, NAMI Maine Outcome: More trainers are available to train gatekeepers

Provide Advanced Gatekeeper training to school staff who need recertification as Gatekeepers under provisions of LD 609

Spring 2017 Maine CDC, NAMI Maine Outcome: Schools have trained Gatekeepers on staff

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Categorical Priority: Tobacco UseMaine CDC Lead: Kristen McAuley

Goal: Reduce adult and adolescent tobacco use in Maine by 5% by June 2017. (This is approximately 50% toward the healthy Maine 2020 goals.)

Objective 1: TreatmentBy June 30, 2017, increase access and utilization of state tobacco treatment programs by 5%.

Measure: Number of registered tobacco users using Maine Tobacco HelpLine (MTHL) services. Data sources: CTI

Strategy 1.1 Increase brief tobacco interventions and referrals in clinical settings. Measure: The number of fax referrals to Maine Tobacco Help Line (MTHL)

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide clinical outreach sessions Quarterly CTI Outcome: More healthcare providers are aware of the

MHTL servicesProvide Basic tobacco treatment training to healthcare providers in order to increase screening and referrals

Quarterly CTI Outcome: more healthcare providers are trained to provided screening and referrals for treatment for tobacco users

Assist health systems in embedding the MTHL Fax Referral into their EMRs.

Quarterly CTI Outcome: more healthcare providers are trained to provided screening and referrals for treatment for tobacco users

Provide continuing education , including webinars, conferences and ad hoc trainings

Quarterly CTI Outcome: Healthcare providers remain current with their knowledge of evidence-based tobacco treatment

Strategy 1.2 Increase the number of Maine Certified Tobacco Treatment Specialists who provide tobacco treatment

Measure: The number of Maine Certified Tobacco Treatment Specialists (measured annually only)

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide Tobacco Intervention: Intensive Skills Trainings to health care providers and others.

Quarterly CTI Outcome: delivery of trainings

Provide continuing education , including webinars, conferences and ad hoc trainings

Quarterly CTI Outcome: Maine Certified Tobacco Treatment Specialists remain current with their knowledge of evidence-based tobacco treatment

Strategy 1.3 Increase the use of Nicotine Replacement Therapy (NRT) for eligible tobacco users.

Measure: The number of medication vouchers provided to eligible tobacco users

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresScreen for NRT (nicotine patches, nicotine gum or nicotine lozenges) for eligible tobacco users.

Quarterly CTI Outcome: Tobacco users who are eligible receive NRT to assist with quitting.

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Objective 2: Policy and Environmental ChangeBy June 30, 2017, increase the number of evidence-based ordinances and policies that provide greater access to smoke-free environments.

Measure: Number of tobacco-related ordinances and policies. Data Source: MaineHealth/ Maine CDC Strategy 2.1 Increase the number of tobacco-related municipal ordinances (including, tobacco or

smoke-free spaces)Measure: The number of new municipality ordinances

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresEngage municipalities around smoke free events and settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies best practice for adopting/revising/enforcing smoke and tobacco free

policies

Quarterly MaineHealth Outcome: municipalities that adopted tobacco free ordinances

Strategy 2.2 Increase the number of tobacco-related worksite policies Measure: The number of worksites using Healthy US Scorecards to implement smoke free policies that exceed current Maine state laws (available annually)

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresEngage worksites on smoke free environments around smoke free settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies best practice for adopting/revising/enforcing smoke and tobacco free

policies Healthy US Scorecard

Annual Maine CDC Outcome: worksites implement smoke-free policies using the Healthy US Scorecard (evidence-based)

Strategy 2.3 Increase the number of tobacco-related school policies Measure: The number of new and revised policies implemented

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresEngage public schools on smoke free settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies best practice for adopting/revising/enforcing smoke and tobacco free

policies

Annual MaineHealth Outcome: policies implemented/revised by organization re: smoke free/ tobacco free policies

Strategy 2.4 Increase the number of landlords and property managers of subsidized housing, such as those accepting Section 8 vouchers, that have adopted smoke-free policies.

Measure: The number of outreach contacts delivered (proxy for smoke-free policies)

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresProvide targeted outreach to landlords, managers and owners of subsidized housing.

Quarterly MaineHealth Outcome: Subsidized property owners/ managers received outreach

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Strategy 2.5 Promote the development of comprehensive tobacco-free policies that target disparate populations.

Measure: The number of tobacco-free hospitals; Number of tobacco-free behavioral health sites

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresPromote the adoption of comprehensive, best practice tobacco policies for health care and behavioral health settings

Quarterly MaineHealth Outcome: Increased tobacco policy change in behavioral health and health care settingsMeasure: # of tobacco-free hospitals; # of tobacco-free behavioral health sites

Strategy 2.6 Increase the percent of Maine lodging options that have smoke-free policies Measure: The percent of Maine lodging that have smoke-free policies

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresPromote the adoption of comprehensive, best practice tobacco policies for the lodging sector in Maine

Quarterly MaineHealth Outcome: Smoke-free lodging in Maine

Objective 3: Second Hand SmokeBy June 30, 2017, decrease the number of children and adults exposed to environmental tobacco smoke in the home by 10 %.

Measure: Percent of middle and high school youth who were in the same room with someone who smokes at least once in the past 7 days.Percent of adults who reported that someone (including themselves) had smoked cigarettes, cigars, pipes anywhere inside their home in the past 30. days. Data Source: MIYHS/BRFSS

Strategy 3.1 Increase the number of families who reduce exposure to secondhand smoke. Measure: The number of families who have taken the smoke-free homes pledge

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresWork with partners (such as childcare providers, home visitors and health care providers) to encourage families to implement smoke free homes pledge.

Quarterly MaineHealth Outcome: Partners reached with messages to encourage families to take the pledge

Increase the percent of non-clinical settings that provide tobacco education, and a path to treatment (i.e., embed the availability of tobacco information, and the promotion of treatment, in all messaging and in more non-clinical settings).

Quarterly MaineHealth Outcome: Family members reducing tobacco use, in order to reduce second-hand smoke

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Objective 4: YouthBy June 30, 2017, increase by 15% the number of organizations that promote and/or implement programs that involve youth in anti-tobacco initiatives.

Measure: Number of organizations that work with the Opportunity Alliance. Data Sources: The Opportunity Alliance (TOB) Strategy 4.1 Support organizations that provide leadership training to youth around

tobacco cessation.Measure: The number of youth who attend leadership training

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresTrain and provide resources and technical support and resources to adults who can provide education, and leadership training to youth

Quarterly The Opportunity Alliance (TOB)

Outcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects.

Train and provide resources and technical support and resources to youth who can create awareness among their peers.


Outcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects.

Strategy 4.2 Engage youth in supporting the development and implementation of evidence-based tobacco prevention policy changes.

Measure: The number of tobacco policy change projects completed by youth

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresTrain and provide resources and technical support to adults who can engage youth in policy change efforts.


Outcome: increased awareness of how youth can engage in tobacco policy change projects.

Train and provide resources and technical support to youth who can engage in policy change efforts.

Quarterly The Opportunity Alliance

Outcome: increased awareness of how youth can engage in tobacco policy change projects.

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Infrastructure Priority: Inform, Educate and Empower the PublicMaine CDC Lead: David Pied, Nancy Birkhimer

Goal: Increase Maine’s capacity to inform, educate and empower Maine people about health issues by June 2017.

Objective 1: Improve Maine CDC’s data-driven communications and plain language reporting.By June 30, 2017,

Measure: Identified policies and procedures, identified channels, identified evaluation process. Data Source: Maine CDC administration

Strategy 1.1: Coordinate Maine CDC communication across programs and divisions. Measure: percentage of communication initiatives that are included in formal communication plans

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresPilot the implementation of a division communication plan and process in the Division of Disease Prevention.

June 30, 2017

MCDC, DDP Outcome: communications across the Division will be coordinated and more easily approved.

Coordinate Maine CDC’s Public Health Update with division and program communication plans.

Ongoing MCDC Outcome: communications across the MCDC will be coordinated and regularly disseminated.

Publish key public health data using sound communication science and plain language principles.

Ongoing MCDC Outcome: data will be accessible to the general public.

Strategy 1.2: Revise the Maine CDC website to more effectively deliver public health messages. Measure: Number of hits and click-throughs on the MCDC website

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresDevelop guidance for Maine CDC Division and Program information on the Maine CDC website.

Maine CDC, InforME

Outcome: programs will be able to revise website information efficiently.

Revamp Division and program information on the Maine CDC website

Maine CDC, InforME

Outcome: programs with up-to-date information that reflects the current organizational structure on Maine CDC’s website.

Revamp data section of the Maine CDC website Maine CDC, InforME

Outcome: up-to-date, easy to access health data on the Maine CDC website.

Strategy 1.3: Improve communication at the Public Health District level. Measure: The number of Districts with a communications plan that addresses members, partners and the public

Implementation Steps Timeline Responsible Party Anticipated Outcomes/ MeasuresDevelop District communications plans June 30,

2017DCCs, DCC fiscal agent

Outcome: DCC members, partners and the public have more information about DCC actions and public health issues.

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Infrastructure Priority: Mobilize Community Partnerships Maine CDC Lead: Andy Finch

Goal: Increase Maine’s capacity to mobilize community partnerships and action to identify and solve health problems by June 2017.

Objective 1: Maintain or increase Community PartnershipsBy June 30, 2017, increase the number of individuals and organizations mobilized in public health planning, securing of resources, and action via District Coordinating Committees (DCCs).

Measure: Number of organizations and # of sectors mobilized at the district level (DCC), including DCC meetings and commitments within the District Public Health Improvement Plans. Data Sources: DCCs

Strategy 1.1 Implement the District Coordinating Councils (DCCs) contracts to support community collaboration on public health issues

Measure: The number of major District contract deliverables that are complete

Implementation Steps Timeline Responsible Party

Anticipated Outcomes/ Measures

Contract for a fiscal agent for each DCC to increase District capacity

October, 2016 Maine CDC Outcome: DCCs have a mechanism to accept funds to support District activities

DCCs work with the District fiscal agent to implement contract strategies

Ongoing DCCs, DCC fiscal agents

Outcome: DCCs have increased public health capacity

DCCs work with the District fiscal agent to implement strategies addressing DPHIP priorities

Ongoing DCCs, DCC fiscal agents

Outcome: DCC priorities receive resources and action.

Provide support, guidance and technical assistance to DCCs Ongoing Maine CDC Outcome: DCCs receive resources to implement District level public health strategies

Strategy 1.2 Each DCC will engage local partners in the DCC strategies. Measure: The number of partners who have committed to actions within District Public Health Improvement Plans (DPHIP); the number of sectors reflected in the DPHIP



DCCs will recruit a diverse set of organizations to participate in local public health efforts

Ongoing DCC Outcome: DCCs will represent a diverse set of partners.

Engage a diverse set of partners in the DPHIP development December 31, 2017 DL/DCC Members

Outcome: The DPHIPs will have a greater impact through the contributions of multiple partners.

Engage a diverse set of partners in the DPHIP implementation

Ongoing DL/DCC Members

Outcome: The DPHIPs will have a greater impact through the contributions of multiple partners.

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Objective 2: Increase community engagement in the identification of public health priorities and needs.

Measure: Number of people participating in (data source: SHNAPP Community Engagement data forms)

Strategy 2.2 Engage Communities in Shared Health Needs Assessment and Planning Process (SHNAPP)

Measure: The number of organizations engaged in the SHNAPP sub-committee



Recruit stakeholders to participate in the SHNAPP sub-committees June 30, 2016 Maine CDC, SHNAPP partners

Outcome: Stakeholders and community members provide input and feedback.

Strategy 2.1 Engage partners in a new State Health Improvement Plan (SHIP) Measure: The number of organizations who have committed to actions within the DPHIPS and the SHIP



Support hospitals in developing their implementation strategies based on the Shared Health Needs Assessment Planning Process (SHNAPP).

June 30, 2016 Maine CDC and SHNAPP partners

Outcome: Maine CDC assists in organizing Community Engagement in each district.

Support District Coordinating Councils in developing District Public Health Improvement Plans (DPHIPs) and incorporating hospital contributions.

December 31, 2016

Maine CDC and SHNAPP partners

Outcome: Hospitals are active participants in the DPHIPs

Support local and tribal health departments, as requested, in the development of their Public Health Improvement Plans.

June 30, 2017 Maine CDC Outcome:Measure: Number of tribal and local health departments actively engaged in the SHNAPP.

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maternal and child health priority action plan - draft · web viewpilot centralized reminder/recall...

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