Public Health Detailing Program : Clinical System Improvement : NYC DOHMH

The New York City Department of Health and Mental Hygiene

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	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, Smoking Cessation to Mental Health Providers, Intimate Partner Violence, Colon Cancer, Breastfeeding, Obesity in Children, Influenza and Pneumococcal Vaccination 2009-2010. Topics of future campaigns include Medical Adherence. 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

Click here to Download the Obesity in Children Action Kit

Influenza and Pneumococcal Vaccination 2009-2010 Action Kit
Every year influenza-related illness, including pneumonia, causes 36,000 deaths nationwide. Here in New York City, influenza causes an estimated 1,100 deaths per year, and respiratory infections as a whole cause more than 2,000. Health care practices should ensure that at-risk patients – and all staff – receive both the seasonal vaccine and the novel H1N1 vaccine this fall. For more information, please also go to www.nyc.gov/flu throughout the entire flu season for updates and surveillance data.
Download the Influenza and Pneumococcal Vaccination 2009-2010 Action Kit

Obesity in Children Action Kit
In New York City (NYC), 43% of elementary school children are at an unhealthy weight; more than half of these children are obese. This is a much larger proportion than expected based on the national rate. In our public high schools, 28% of the students are either overweight or obese . Overweight children have many risks, including hyperlipidemia, hypertension, type 2 diabetes, social stigmatization, and psychosocial difficulties. Providers should monitor weight status and consistently offer counseling on healthy eating and exercise to all children and adolescents, even those who are at a healthy weight.
Download the Obesity in Children Action Kit

Click here to Download the Breastfeeding Action Kit

Breastfeeding Action Kit
Exclusive breastfeeding for the first 6 months of an infant's life has many short- and long-term health benefits for babies and mothers, including a reduction in infectious diseases and mortality during infancy, improved bonding, and maternal postpartum weight loss. Despite these benefits, relatively few women breastfeed for the recommended time period. In NewYork City (NYC), nearly 85% of postpartum women initiate breastfeeding, but at 2 months only 32% are still exclusively feeding their infant breast milk. This is far below the Healthy People 2010 goal for 60% of women to breastfeed their babies exclusively for the first 3 months.9
Download the Breastfeeding Action Kit

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

Colon Cancer Action Kit
In New York City almost 1500 people die each year from colon cancer. The best way to test for – and prevent – colon cancer is colonoscopy. Many more people are getting colonoscopies; however 4 in 10 eligible patients are still not optimally screened for this largely preventable cancer.
Download the Colon Cnacer Action Kit

Click here to Download the Intimate Partner Violence (IPV) Kit

Intimate Partner Violence (IPV)
Intimate Partner Violence (IPV) refers to a pattern of physical, psychological, sexual and/or economic abuse by a current or former partner. Also known as domestic violence, IPV is a serious public health problem. Every year, approximately 4,000 women and 900 men are treated in NewYork City emergency rooms for IPV. Almost half (44%) of women killed in NYC each year are killed by their intimate partners. Pregnancy may be a time of increased risk for IPV. In a survey of 2,000 NYC women who gave birth in the past year, approximately 4% reported experiencing physical IPV during pregnancy. Aside from the risk of injury and death, IPV significantly increases the risk of other mental and physical health problems, including cardiovascular disease, diabetes, depression, stroke and asthma. If undetected, IPV can result in misdiagnoses and inappropriate treatment or management of these health conditions.

Download the Intimate Partner Violence (IPV) Kit

Smoking Cessation to Mental Health Providers
Smoking is the leading preventable cause of death in the United States (US). Up to one half of life-long smokers, depending on age, are expected to die of tobacco-related diseases. Smokers who die of tobacco-related diseases lose an average of 14 years of life. In New York City (NYC), smoking kills about 8,000 people a year, a third of them before age 65. Quitting at any age reduces the risk of tobacco-related diseases and prolongs life.

Download the Smoking Cessation to Mental Health Providers Kit

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

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.

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

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

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

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

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

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)