Most of the programs conduct training or various types of educational activities to provide information to the public about Bureau programs, teach people about prevention and management of chronic diseases and assist people engaging in behavior change. Some programs are open to the public, employers, medical providers or to community-based organizations; highest priority is given to areas determined by the NYCDOHMH to have high rates of chronic diseases, areas that each have a District Public Health Office (DPHO). The DPHO areas are East and Central Harlem, Central Brooklyn and the South Bronx. All classes are free. Click on the links provided in the list of programs for more information about each individual program.
ASTHMA
The primary target of the NYC Asthma Initiative is children 0-14 years old in communities with the highest asthma rates. However, the program scope also includes enhancement of clinical and self-management support for adults with asthma. With good control, almost all people with asthma can lead normal, active lives. To learn more about Asthma and the NYC Asthma Initiative go to: Asthma Initiative
THE ASTHMA TRAINING INSTITUTE (ATI)
ATI works to strengthen the delivery of asthma education in New York City by developing effective training strategies and respecting cultural and language diversity. Based on principles of adult learning, the ATI offers monthly courses on various topics including asthma basics, asthma self-management and skill building. Free educational materials including Asthma Action Plans, posters and brochures are provided to participants for wider distribution.
Asthma Basics: An Introduction to Asthma & Asthma Management
- What is asthma? What are common asthma triggers & how can they be controlled? How can asthma be effectively managed so that people will asthma can lead healthy, active lives? This is an interactive introductory workshop for community asthma educators who are new to asthma or want to refresh their knowledge.
What’s Your Plan? Strategies That Support Effective Use of an Asthma Action Plan for Providers and Clients
- A written Asthma Action Plan is one of the foundations of good asthma management, but there are many challenges involved in getting providers to fill out a plan, and helping clients understand what the plan is and how to use it to guide them. This skill-building workshop will strengthen participants’ understanding of the components of an effective Asthma Action Plan and how it can be used to promote good asthma management. Strategies for overcoming barriers and challenges will be explored and addressed.
What’s The Plan? A Closer Look at the Asthma Action Plan for Day Care and Head Start Staff
- The Asthma Training Institute coordinates this special training for the Managing Asthma in Day Care Project. Like the What’s Your Plan session, this skill-building workshop focuses on ways to support asthma self-management with families of preschoolers who have asthma. The workshop builds participants’ understanding of what makes for an effective and appropriate Asthma Action Plan and provides them with an opportunity to practice a communication technique with parents to help clarify and follow the AAP.
Taking Charge of a Chronic Disease: An Introduction to Self-Management
- This three session workshop will introduce participants to key concepts in chronic disease self management, provide practice in skills that help support effective self management and explore how participants can apply these skills in supporting people with a chronic disease.
Session 1: An Introduction to Chronic Disease Self-Management
What is "self-management" and how can we promote skills that contribute to effective self management?
Session 2: Skills to Support Chronic Disease Self-Management
How can we build a toolbox of skills that can support self management and apply them in the different settings in which we work? Participants will explore the importance of active listening, assessing readiness and goal setting and have opportunities to practice these skills.
Session 3: Applying What We've Learned
What are key skills needed for effective chronic disease self management and how can we help our clients build them?
Making the Transition: Helping Clients Learn About the Transition to HFA Inhalers
- In January, 2009, all asthma quick relief inhalers will come in a new format----changing from CFC propellants, which harm the environment, to HFA propellants. This workshop will provide some background on the transition and how HFA inhalers differ from the current CFC inhalers. A “hands on” session will help you develop and practice a teaching approach to help your clients make the transition.
Asthma Basics II: The Role of Asthma Medicines in Asthma Management
- Participants will classify asthma medications and have an opportunity to practice teaching and communicating key concepts about asthma medications in a clear and accurate way.
NYCAP Community Asthma Educators Committee Meetings
- The Asthma Training Institute provides support to the Community Asthma Education Committee (CAE) of the New York City Asthma Partnership. The CAE seeks to ensure that effective and consistent asthma education messages are delivered to New York City’s most affected communities and meets monthly to provide networking and professional development for community asthma educators.
Target Audience for all ATI classes: Community asthma educators, RN’s, case managers, health educators, clinical
and frontline staff of city agencies, hospital based clinics, neighborhood health centers, and community-based organizations providing services and information and community education about Asthma
Contact: Ivanna Lopez at mlopez3@health.nyc.gov
ASTHMA TRAINING FOR MEDICAL PROVIDERS (PACE)
- In conjunction with the NYC Asthma Partnership, the Asthma Initiative provides training for medical providers about the most current evidence and best practices for treating children with asthma. The training, referred to as Physician Asthma Care Education (PACE) is a two-part evidence-based, interactive training program emphasizing the managing of pediatric Asthma. An overview about adults with Asthma is also provided. Information about the content of the course can be found at: Physician Asthma Care Education.
Continuing Medical Education (CME) and Continuing Nursing Education (CEU) credits are available for this course.
Target Audience: Primary Care practice teams involved in pediatrics, family medicine or internal medicine
and/or team members such as physicians, physician assistants, nurse practitioners, and nurses
Contact: Jean Sale-Shaw at jsale@health.nyc.gov
COMMUNITY INTEGRATED PEST MANAGEMENT PROGRAM (IPM)
- DOHMH works with pest control agencies, and community partners to eliminate cockroaches and mice, common asthma triggers in low-income apartments where people with asthma reside.
Target Audience: Community-based organizations or health institutions representing low income families with asthma
Contact: Call 311 for information
OPEN AIRWAYS FOR SCHOOLS
- In collaboration with several partners, the Asthma Initiative conducts an educational curriculum for children diagnosed with asthma. The curriculum is taught to school nurses and public health educators who then teach it to third, fourth and fifth graders in public and non-public schools throughout New York City. The curriculum, comprised of six 40-minute lessons taught during the school day, teaches children with asthma basic information that will help them control their own asthma more effectively, make hospital visits less likely, and reduce absences. For more information about Open Airways for Schools go to: Open Airways For Schools.
Target Audience: Schools in New York City
Contact: Call 311 for more information about the program.
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CARDIOVASCULAR DISEASE
Heart disease and stroke are two of the most common diseases that make up cardiovascular disease. In New York City, heart disease is the #1 cause of death regardless of race or ethnicity and for both men and women; stroke is the 4th leading cause of death. For more information about the Cardiovascular Disease Program go to: Cardiovascular Disease Program.
PRIMARY CARE NUTRITION TRAINING
- Taught by a Registered Dietician, and for all members of the care team, this training, discusses key nutrition messages that can be given to patients during the primary care visit. Training participants have reported significant increases in nutrition knowledge, and have indicated they are more likely to speak to their patients about nutrition and feel more confident in doing so. This training offers hands-on experience and tools which can be used right in the exam room.
Target Audience: Currently available for physicians, nurse practitioners, physician assistants, nurses, medical assistants, social workers working in HHC facilities. Registration is being accepted for non-HHC applicants for classes starting July 2009. (Continuing Education credit is available.)
Length: Three parts totaling three hours… May be scheduled as three one-hour sessions or as two sessions, with parts one and two concurrent. Part three takes place at least 90 days later.
Contact: Saimone Walker, MPA (212) 676-2044 or swalker4@health.nyc.gov.
PRIMARY CARE NUTRITION TRAIN-THE-TRAINER
- Taught by a Registered Dietician, this training is designed for nutritionists, registered dietitians, health educators, or other members of the care team to learn how to communicate key nutrition messages, and in turn, become mentors at their respective sites. They will then train their colleagues about communicating with patients about nutrition.
Target Audience: Whoever will train providers and other care team members at their site (preferably nutritionists, registered dieticians, health educators) Train-the-Trainer is currently available for HHC facilities; registration is being accepted for non-HHC applicants for classes starting July 2009.
Length: Varying lengths available
Contact: Saimone Walker, MPA (212) 676-2044 or swalker4@health.nyc.gov.
MEDICATION ADHERENCE PROJECT (MAP): TOOLS FOR IMPROVING SELF-MANAGEMENT
- Self-Management Support (SMS) is an essential component of chronic disease care. However, implementing SMS programs in urban ambulatory care practices is challenging due to lack of time, resources and training for clinical staff. The Medication Adherence Project (MAP) is an innovative provider training program that addresses these challenges, focusing on the issue of medication adherence. A “Clinician’s Toolbox”, comprised of practical tools to assist overloaded practice teams to work collaboratively with patients accompanies the training.
Target Audience: MDs, PAs, NPs, RNs, Nutritionists, and Pharmacists (Continuing Education credits and stipends are available)
Course Descriptions:
- Basic course (6 weeks) includes one in-person, group training session (4.5 hours) followed by four weekly webexes (on-line communications) (one hour each).
Training and support will be provided by NYCDOHMH staff and content experts from various NYC health care institutions. Content-based and interactive training sessions will address self-management support and how to assess and address barriers to adherence. Other related topics, such as health literacy, reimbursement and the “business case” for self-management support in the primary care setting, will also be addressed.
- In-depth course (6 months) includes two in-person, group training sessions (one day and one-half day) followed by five monthly webexes (one hour each). Participants will be accepted based on their commitment to coaching one or more colleagues at their sites and will receive additional training on how to develop a short training session of their own.
Contact: Bronwyn Starr, MPH (212) 676-2083 or bstarr1@health.nyc.gov.
SELF-MANAGEMENT SUPPORT THROUGH GOAL SETTING
- The goal of this training is to teach providers and support staff to provide multi-disciplinary self- management support to patients with chronic diseases. Important aspects of self management which this course teaches providers to both experience and help patients with includes: goal setting, enhancing self-efficacy and effective communication skills.
Target Audience: Medical providers and other staff members who have contact with a patient during a visit.
Length: Two sessions held over two weeks (90 minutes week one, 60 minutes week two) Note: Practices may request additional sessions to support the integration of goal-setting into their delivery system.
Contact: Saimone Walker, MPA (212) 676-2044 or swalker4@health.nyc.gov
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DIABETES
The Diabetes Prevention and Control Program (DPCP) strives to prevent the occurrence of diabetes and improve the quality of care and quality of life for New Yorkers with diabetes.
The DPCP has five key areas of work: Prevention of diabetes, improvement of quality of care for diabetics, education, policy and advocacy, and surveillance and evaluation. For more information about the Diabetes Program, go to: Diabetes Prevention and Control Program (DPCP).
COMMUNITY WORKSHOPS
- The DPCP regularly conducts workshops of varying lengths throughout the City responding to community requests for information about diabetes and its related conditions (hypertension and high cholesterol), as well as information on topics related to potential complications from diabetes.
Target Audience: Community-based organizations, health care clinics, hospitals, faith-based organizations
Contact: Vesnier Lugo at vlugo1@health.nyc.gov
STANFORD CHRONIC DISEASE SELF-MANAGEMENT TRAINING PROGRAM (CDSMP)
- The Stanford CDSMP is an evidence-based training workshop whose main goal is to provide people with a “tool box” of healthy behavioral patterns that can help them manage their diabetes more effectively, thus avoiding its complications and achieving better outcomes, less hospital stays, fewer doctor visits and a better quality of life. Workshops are facilitated by two leaders, preferably people affected by chronic diseases themselves.
Target Audience: A pilot is being developed at the present time in partnership with a healthcare facility located in the South Bronx.
Contact: Rosa Rosen at rrosen@health.nyc.gov
BEAT DIABETES LIFESTYLE PROGRAM
- This is a community-based self-management program modeled after the Diabetes Prevention Program. The curriculum will focus on improving and maintaining regular physical activity, a heart healthy diet, and healthy weight through self-management goal setting. Participants of the program will meet once a week for 16 weeks and engage in the following activities:
- A 90-minute group session focusing on healthy eating, physical activity, self-management goal setting, and social support facilitated by a Lifestyle coach, and
- A 30-minute physical activity session of light-to-moderate intensity led by a physical activity instructor.
At the end of 16 weeks, participants will have the option to continue to meet and exercise as active members of a maintenance group. The pilot program will commence in the South Bronx during early 2009 and will specifically assess change in key diabetes health indicators over a one year period.
Target Audience: Participants for the program will be recruited through the New York City A1C Registry.
Contact: Vesnier A. Lugo at vlugo1@health.nyc.gov
BEAT DIABETES: COACHING NURSES ABOUT DIABETES IN YOUTH-CANDY TRAINING
- The BEAT Diabetes Map is an interactive learning experience about taking care of students with diabetes at school. This approach incorporates visual, auditory, and kinesthetic styles of learning. The facilitators will engage the nurses in dialogue about a child named Sammy in a safe and inclusive setting. Topics discussed will be relevant to the day-to-day management of diabetes in the school. What the nurses learn today can be used as soon as they have a child with diabetes in their school. This experience can be a fun, entertaining way to coach nurses on diabetes in youth.
Target Audience: NYC school nurses
Contact: Diana Berger, MD, MSc at dberger@health.nyc.gov or 212-227-4879
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PUBLIC HEALTH DETAILING PROGRAM
The Public Health Detailing Program delivers up to date, evidence-based, information, clinical tools and patient resources to health care providers within NYC. The goal of the program is to improve patient care and outcomes in disease states that have high morbidity and mortality, especially in our target NYC neighborhoods. Program Representatives, who are specially trained, effect positive changes by engaging doctors, physician assistants, nurse practitioners, nurses, and administrators in discussions with concise key messages and a call to action. The representatives also explain and encourage the use of Action Kits. The kits contain clinical tools, resources for providers and patient educational materials which promote evidence-based best practices.
The Public Health Detailing Program, modeled after pharmaceutical industry sales techniques designed to engage medical practitioners, also effectively highlights and builds upon the DOHMH's extensive experience in medical provider education, health care quality improvement and community-based health promotion. The program has created much interest across the country from other cities, and other public health related agencies. The NYC DOHMH program is considered a model of innovation and high return for reducing health care disparities within our target neighborhoods as well as their related medical, employer and societal costs.
Target Audience: Primary care teams in DPHO neighborhoods (East and Central Harlem, North and Central Brooklyn, and the South Bronx). For more information about Public Health Detailing and to see the range of Detailing Action Kits, go to: Public Health Detailing Program.
Contact: Michelle Dresser at mdresser@health.nyc.gov
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