Public Health Detailing Action Kits

Detailing Action Kits contain clinical tools, resources for providers and patient education materials, promoting evidence-based best practices and chronic disease management. These materials are available for health care providers and their practices to help improve patient care related to key public health challenges. Clinical topics have been chosen largely because of their anticipated impact on morbidity and mortality. Click on the links below to view the contents of the Detailing Action Kits.

Public Health Detailing Action Kits reflect the latest scientific evidence and public health guidelines at the time of publication. However, guidelines and recommendations evolve frequently based on emerging evidence. Information and resources contained within the Action Kits may become outdated after publication.

Buprenorphine Action Kit (2018)

Health care providers can play a central role in reversing the epidemic of opioid overdose deaths. The Health Department is conducting a public health detailing campaign consisting of one-to-one educational outreach visits with providers on prescribing buprenorphine to treat opioid use disorder. During visits, Buprenorphine Action Kits are distributed that contain useful provider and patient resources. These resources are also available electronically below. We hope you will use the kit to help reduce drug use, prevent relapse and decrease the risk of opioid overdose among your patients.

Download the Buprenorphine Action Kit

Cocaine Action Kit (2020)

Health care providers can play a central role in reversing the epidemic of drug overdose deaths. The Health Department is conducting a public health detailing campaign, consisting of one-to-one educational outreach visits with providers on the risks associated with cocaine use. During visits, Cocaine Action Kits are distributed that contain useful provider and patient resources. You can also access them electronically below. Use this kit to help reduce drug use, prevent relapse and decrease the risk of overdose among your patients.

Download the Cocaine Action Kit

Criminal Justice Action Kit (2021)

More than one in three adult New Yorkers have experienced one or more types of criminal justice involvement. Such involvement can include incarceration, parole and probation. Justice-involved people have a higher risk for chronic conditions, such as cardiovascular disease, mental health conditions and diabetes.

Despite a need for quality health care, justice-involved people can face complex barriers to getting care, from financial burden to discrimination. You can foster an environment in which these people can regain agency over their health following their reentry into the community.

Download the Criminal Justice Action Kit

Depression Action Kit (2018)

According to recent estimates, more than half a million adults in New York City have depression and nearly 60 percent of these individuals do not receive treatment. Mental illness impacts New Yorkers of all ages, races, and ethnicities, but the distribution of mental illness varies greatly by income, with people living in poverty experiencing a disproportionate share of the burden. Depression can also contribute to and worsen the course of chronic disease. As a health care provider, you play a crucial role in helping your patients with depression. The clinical tools, provider resources, and patient education materials in this Depression Action Kit will support and amplify your efforts to help patients with depression.

Download the Depression Action Kit

Diabetes Action Kit (2017)

Since 2002, the prevalence of diabetes has increased by nearly 50 percent among New York City adults. Recent reports indicate that 740,000 New Yorkers have diabetes and an additional 1.3 million have prediabetes, with the burden of disease falling disproportionately on minority communities of color. Of those living with prediabetes, an estimated nine out of 10 people are unaware of their condition. As a health care provider, you play a crucial role in helping your patients prevent or delay the onset of type 2 diabetes. The clinical tools, provider resources, and patient education materials in this Diabetes Action Kit will support and amplify your efforts to help patients with prediabetes and diabetes.

Download the Diabetes Action Kit

Early Intervention Action Kit (2018)

One in four children under the age of 5 in the United States is at moderate or high risk of developmental delay. The NYC Early Intervention Program evaluates children from birth to age 3 who have suspected or confirmed developmental delays or disabilities. The program works with families to set meaningful goals for their child and create a plan to help them meet those goals.

Download the Early Intervention Action Kit

Health Insurance Action Kit (2024)

When New Yorkers have access to health insurance coverage, they get timely preventive care services and can better manage their chronic health conditions and improve their overall health. As a health care provider, you play a key role in linking your patients to health insurance, especially now, when access to health care services is crucial. This toolkit contains resources to help you and your patients understand and use our free health insurance enrollment services.

Download the Health Insurance Action Tool Kit

HPV Vaccine Action Kit (2023)

Each year in the U.S., 27,000 men and women get cancer caused by human papillomavirus (HPV). HPV vaccination is the most effective way to prevent these painful or deadly illnesses. HPV vaccine is recommended for boys and girls at 11-12 years of age, when HPV acquisition is low and the immune response to the vaccine is more robust. Unfortunately, New York City’s HPV vaccination rates fall dramatically short of the 2020 national goal of 80 percent three-dose coverage. Health care providers play a critical role in increasing HPV vaccination rates, and this toolkit offers helpful strategies and tools.

Download the HPV Vaccine Action Kit

Hypertension Action Kit (2017)

Hypertension is a leading risk factor for heart disease and stroke, which together account for more than 18,000 deaths in New York City. Local data suggest the rate of controlled blood pressure among patients diagnosed with hypertension is lowest among Black adults (59%), compared to White (73%), Asian (73%) and Latino adults (69%).* As a health care provider, you play a critical role in identifying hypertension, promoting self-management and supporting medication adherence to help your patients achieve blood pressure control.

*Among a subset of 300-400 New York City primary care practices that serve ~1,000,000 patients age 18-85 that had at least one visit for health care in the past year (2016). Blood pressure control is defined as <140/90 mmHg.

Download the Hypertension Action Kit

Immediate Initiation of Antiretroviral Treatment (iART) Action Kit (2021)

The recommended standard of HIV care in New York is to start antiretroviral treatment (ART) on the day of diagnosis, at the first clinic visit, or on the day that a client returns to care. The Immediate Initiation of Antiretroviral Treatment (iART) Action Kit includes provider and client resources. The kit is structured around these core HIV treatment practices:

  • Offering HIV testing to all clients at least once a year, and more frequently to clients who may benefit from testing every three to six months
  • Initiating ART as soon as possible, preferably on the same day of diagnosis
  • Performing genotype resistance testing on all clients with HIV, but not waiting for genotype testing results to initiate eligible clients on iART
  • Establishing an iART clinic workflow

Download the Immediate Initiation of Antiretroviral Treatment (iART) Action Kit

Latent Tuberculosis Infection Action Kit (2023)

Tuberculosis (TB) remains a significant public health challenge because of global inequities in access to diagnosis and treatment. New York City’s rate of tuberculosis disease is more than twice as high as the U.S. national rate. Health inequities contribute to disparate rates of tuberculosis infection in NYC. New Yorkers who are born outside the U.S., non-Hispanic Black, Hispanic or Latino/a are most affected.

A previous study demonstrated that the majority of cases of tuberculosis disease in NYC were avoidable. Missed screening opportunities and failure to treat latent tuberculosis infection (LTBI) frequently contribute to the progression to active tuberculosis disease. This toolkit contains provider and patient resources to help health care providers identify, test for and treat latent tuberculosis infection and prevent active tuberculosis disease.

Download the Latent Tuberculosis Infection Action Kit

Maternal Health Action Kit (2023)

There is an ongoing maternal health crisis in New York City, particularly among communities of color. Recent reports indicate that Black women were nine times more likely to die from a pregnancy-related cause and three times more likely to experience severe maternal morbidity than White women. Latina women also experienced severe maternal morbidity and pregnancy-related death at nearly twice the rate of White non-Latina women. These inequities persist due to structural racism that deny women of color the opportunity to pursue their optimal health across the life course — before, during and after pregnancy.

Download the Maternal Health Action Kit

Naloxone for Pharmacists Action Kit (2018)

Pharmacists can play a central role in reversing the epidemic of opioid overdose deaths. Because of this, the Health Department is conducting a public health detailing campaign, consisting of office-to-office educational outreach visits with pharmacists on dispensing naloxone to at-risk patients and to their friends and family. During visits, Naloxone Action Kits are distributed that contain useful provider and patient resources, and are also available electronically. We hope you will use the kit to help decrease the risk of opioid overdose among your patients.

Download the Naloxone for Pharmacists Action Kit

Naloxone for Providers Action Kit (2018)

Health care providers can play a central role in reversing the epidemic of opioid overdose deaths. Because of this, the Health Department is conducting a public health detailing campaign, consisting of one-to-one educational outreach visits with providers on offering naloxone to at-risk patients and to their friends and family. During visits, Naloxone Action Kits are distributed that contain useful provider and patient resources, and are also available electronically below. We hope you will use the kit to help decrease the risk of opioid overdose among your patients.

Download the Naloxone for Providers Action Kit

Opioid Analgesic Action Kit (2017)

The rate of opioid analgesic overdose deaths among New Yorkers increased by 65% between 2005 and 2011. More than one overdose death involving an opioid analgesic occurred every other day on average in New York City in 2011. Health care providers can play a central role in reversing the epidemic of opioid analgesic misuse and overdose deaths. Because of this, the Health Department is conducting door-to-door outreach to physicians, nurse practitioners and physician assistants on the safe and judicious prescribing of opioid analgesics.

Download the Opioid Analgesic Action Kit

Oral Health and Smoking Action Kit (2016)

Tobacco use kills an estimated 12,000 New Yorkers a year—and many more suffer daily from tobacco-related illnesses. More than two-thirds of New York City smokers try to quit every year. Smokers experience higher rates of oral conditions that can complicate dental care, including periodontal disease and oral cancer. Quitting can decrease the risk of these complications, as well as prevent other debilitations and life-threatening diseases. The clinical tools, provider resources, and patient education materials in this Smoking and Oral Health Quit Kit will support and amplify your efforts to help patients quit smoking for good.

Download the Oral Health and Smoking Quit Kit

Pediatric Obesity Action Kit (2019)

Maintaining a healthy weight in childhood is an important component of building a healthy future. The prevalence of obesity among children in the U.S. remains high, and recent findings show that nearly 40% of NYC public school children are overweight or obese. A lack of affordable and healthy food options, limited opportunities for safe physical activity outdoors and advertisements for junk foods and sugary drinks targeted at children can make it challenging for children and their families to maintain healthy diets and weights. As a primary care provider, addressing these social and environmental factors can help your patients and their families. The clinical tools, provider resources, and patient education materials in this Pediatric Obesity Action Kit will support and amplify your efforts to promote nutrition and healthy weight in your patients and their families.

Download the Pediatric Obesity Action Kit

PrEP and PEP Action Kit (2019)

The PrEP and PEP Action Kit includes provider and patient resources. It is structured around these core HIV prevention practices:

  • Taking a thorough sexual history
  • Screening and treating sexually active patients
  • Talking about PrEP and PEP
  • Prescribing PrEP and PEP

Download the PrEP and PEP Action Kit

Tobacco Treatment Action Kit (2024)

Nearly two-thirds of New Yorkers who smoke try to quit each year, but many do so without resources or support. Some New Yorkers may not be ready or interested in quitting but may care about protecting those around them, saving money or participating in activities that are meaningful to them. Although tobacco use treatment has traditionally been framed as only appropriate for patients who are ready to quit, tobacco treatment medications can help all patients avoid uncomfortable withdrawal symptoms, whether they want to quit, reduce their use or avoid smoking in specific situations (such as at home, at work or in public spaces).

As a health care provider, you can support all your patients who smoke or vape with tobacco use treatment, including medications, to help them reach their goals. This Action Kit contains tools and resources to aid in your treatment of patients who smoke or vape, regardless of their readiness to quit.

Download the Tobacco Treatment Action Kit

Youth Tobacco and E-Cigarette Prevention Action Kit (2022)

“The popularity of e-cigarettes and alternative products among youth is alarming. In 2021, more than five times as many New York City (NYC) high school students used e-cigarettes than smoked cigarettes. Additionally, about one in nine NYC public high school students regularly uses cannabis (marijuana). E-cigarettes can expose young New Yorkers to large amounts of nicotine, as well as harmful and cancer-causing chemicals. Both nicotine and cannabis can affect a young person’s developing brain, including memory, concentration, learning ability, and mental health. Also, more than 100,000 NYC children ages 12 and younger are exposed to secondhand smoke at home.

As a health care provider, you are critical to preventing and treating tobacco, e-cigarette and alternative product use.

Download the Youth Tobacco and E-Cigarette Prevention Action Kit