Public Health Detailing Program : Clinical System Improvement : NYC DOHMH

The New York City Department of Health and Mental Hygiene


	Public Health Detailing Program The Public Health Detailing Program works with primary health care providers to improve patient care around key public health challenges. Department of Health and Mental Hygiene (DOHMH) representatives promote clinical preventive services and chronic disease management through the delivery of brief, targeted messages to doctors, physician assistants, nurse practitioners, nurses, and administrators at their practice sites. “Detailing Action Kits” – containing clinical tools, resources for providers and patient education materials to promote evidence-based best practices – are distributed during visits. Modeled after the pharmaceutical sales approach, the Public Health Detailing Program builds on the DOHMH's extensive experience in medical provider education, health care quality improvement and community-based health promotion. The Public Health Detailing Program is organized around specific clinical topics, chosen largely because of their anticipated impact on morbidity and mortality. To date, detailing campaigns have focused on the following health issues: influenza vaccination, colon cancer screening, smoking cessation, asthma, diabetes, contraception, hypertension, depression screening, cholesterol, alcohol screening and brief intervention, HIV testing, Electronic Health Records (EHRs), Identifying & Reporting Child Abuse & Neglect and Nurse-Family Partnership, Obesity,Medical Reserve Corps, and Tobacco Retailing. Topics of future campaigns include domestic violence. The Public Health Detailing Program targets three communities burdened by poor health: East and Central Harlem, North and Central Brooklyn, and the South Bronx. District Public Health Offices (DPHOs) established in each of these neighborhoods serve as the home of the Public Health Detailing Program. Occasionally, detailing campaigns are conducted citywide, as was the case with the tobacco cessation campaign, diabetes campaign, and the HIV testing campaign. This program is funded in part with private support from The Mayor's Fund to Advance New York City. The Mayor's Fund is a not-for-profit organization established to strengthen public programs with support from individuals, corporations, and foundations. For more information, email detailing@health.nyc.gov. Click on the images below to view the contents of the Public Health Detailing Action Kits. Public Health Detailing Kits

Tobacco Retailing Kit
Under the New York State (NYS) Adolescent Tobacco Use Prevention Act (ATUPA) and the New York City (NYC) Tobacco Product Regulation Act, retailers who sell tobacco to persons under 18 years old can lose their New York State license to sell tobacco, have their New York State lottery license suspended for 6 months and/or be fined $4,000. This kit will help tobacco retailers and their employees follow these laws.

Download the Tobacco Retailing Kit

Medical Reserve Corps Kit
As part of its mission to safeguard the health of all New Yorkers, the New York City Department of Health and Mental Hygiene is focused on emergency preparedness. The New York City Medical Reserve Corps (NYC MRC) is a key component in that effort. The NYC MRC bolsters the city’s emergency preparedness by training a group of volunteer health professionals who are ready to respond to health emergencies.

For more information, please visit the Medical Reserve Corps website at medicalreserve.org.

Download the Medical Reserve Corps Kit

Obesity-Action Kit
Overweight and obesity are epidemic in New York City (NYC) and across the country. About two thirds of the US population are overweight or obese, including more than half (3,000,000) of the adults in NYC. Fortunately, obesity is preventable and as obesity rates decrease, so will chronic disease and associated mortality. In fact, even modest weight loss of 5%-7% (about 10 pounds) can improve health and decrease disease risk.

Download the Obesity-Action Kit

Nurse-Family Partnership Kit
The Nurse-Family Partnership is a national nurse home visiting program for low-income, first-time mothers, their infants and families.

Download the Nurse-Family Partnership Kit

Identifying & Reporting Child Abuse & Neglect Kit
In 2006, the Administration for Children’s Services (ACS) investigated 63,000 reports of child abuse and neglect. Mandated reporters are those professionals legally required to report all suspected child abuse and neglect to the State Central Register (SCR). All health care professionals are mandated reporters. For more information on reporting a suspected case of child abuse and neglect, please visit the Administration for Children’s Services Web site at www.nyc.gov/acs.

Download the Identifying & Reporting Child Abuse & Neglect Action Kit

Electronic Health Records (EHRs) Action Kit
Electronic Health Records (EHRs) are computer systems that medical practices use instead of paper charts. All components of clinical practice are integrated into EHRs—from assessing a patient’s chief complaint to developing a treatment plan. Everything that used to be handwritten by health care providers and staff is now entered into a computer, directly into the EHRs.

Download the EHRs Action Kit

Alcohol Screening and Brief Intervention Action Kit
Some 25,000 New Yorkers are hospitalized for alcohol-related illness and injury each year, and more than 1,500 die. An estimated 15% of adult New Yorkers—nearly 900,000 people—report excessive drinking.

Download the Alcohol Screening and Brief Intervention Action Kit

Click here to Download the Cholesterol Action Kit

Cholesterol Action Kit
Cardiovascular disease is a leading cause of preventable illness and death in New York City, causing more than 25,000 deaths and more than 130,000 hospitalizations each year. Elevated low-density lipoprotein (LDL) cholesterol is a major—but modifiable—risk factor for cardiovascular disease.

Download the Cholesterol Action Kit

Click here to Download the Influenza Vaccination Action Kit (2006)

Influenza Vaccination Action Kit (2006)
Each year, thousands of New Yorkers get the flu and as many as 2,600 die from it. Most of these deaths are preventable. Receiving your flu shot every year is the best way to prevent the most severe complications of influenza.

Download the Influenza Vaccination Action Kit (2006)

Click here to Download the HIV Testing Action Kit (2005)

HIV Testing Action Kit
More than 100,000 New Yorkers are living with HIV. As many as 1 in 4 do not know they are infected. Patients may not want to admit certain risk behaviors. Risk-based HIV testing misses many people who should be tested.

Download the HIV Testing Action Kit

Click here to Download the Depression Action Kit

Depression Screening Action Kit
Serious depression is an important public health problem. More than 19 million adults in the United States will suffer from a depressive illness this year, and many will be unnecessarily incapacitated for weeks or months, because their illness goes untreated.

Download the Depression Action Kit

Click here to Download the Hypertension Action Kit

Hypertension Action Kit
High blood pressure (hypertension) is a leading cause of heart disease and stroke. 1 in 4 New Yorkers has been diagnosed with high blood pressure. Hundreds of thousands more have it but don’t know it. Blood pressure tends to rise with age.

Download the Hypertension Action Kit

Click here to Download the Influenza Vaccination Action Kit (2005)

Influenza Vaccination Action Kit (2005)
Each year, thousands of New Yorkers get the flu and as many as 2,600 die from it. Most of these deaths are preventable. Receiving your flu shot every year is the best way to prevent the most severe complications of influenza.

Download the Influenza Vaccination Action Kit (2005)

Contraception Action Kit
Unintended pregnancy can have serious adverse effects on the health of women and children. Half of all pregnancies and more than 3 in 4 adolescent pregnancies in the United States are unintended.

Download the Contraception Action Kit

Download the Emergency Contraception Pharmacy Kit

Emergency Contraception Pharmacy Kit
Emergency contraception (EC) can safely prevent pregnancy. EC can be used when no birth control method was used, a birth control method fails, or a woman is a victim of forced sex or rape.

Download the Emergency Contraception Pharmacy Kit

Diabetes Action Kit
Diabetes is a serious illness that is increasing rapidly in New York City and around the country. In just the past 8 years, the number of New Yorkers with diabetes has doubled.

Download the Diabetes Action Kit

Asthma Action Kit
Asthma is a common disease among New York City's children and adults. People with asthma have chronic lung inflammation and episodes of airway tightening that cause symptoms such as wheezing, coughing, and shortness of breath.

Download the Asthma Action Kit

Tobacco Quit Kit
Smoking doubles the risk of death in every age group, killing 10,000 New Yorkers every year. More than two thirds of smokers want to quit, and more than half try to stop every year; however, fewer than 10% are successful over the long term without assistance. Quitting smoking is the single most important thing New Yorkers can do for their health.

Download the Tobacco Quit Kit

Download the Colon Cancer Screening Action Kit

Colon Cancer Screening Action Kit
Colon cancer kills over 1,500 NYC residents annually. It is the leading cause of cancer death in NYC after lung cancer. The good news is that colon cancer screening can save your life and even prevent colon cancer.

Download the Colon Cancer Screening Action Kit

Click here to Download the Influenza Vaccination Action Kit (2003)

Influenza Vaccination Action Kit (2003)
Each year, thousands of New Yorkers get the flu and as many as 2,600 die from it. Most of these deaths are preventable. Receiving your flu shot every year is the best way to prevent the most severe complications of influenza.

Download the Influenza Vaccination Action Kit (2003)