CAI’S HIV CBA CENTER MARKS WORLD AIDS DAY WITH A CALL TO ACTION TO HEALTH CARE PROVIDERS

Now is the Time to Act

New York, NY – For World AIDS Day CAI’s HIV CBA Center is calling on all health care providers to make the prevention and treatment of HIV/AIDS a priority.

“It is of the utmost importance that providers join the national efforts to end the epidemic by increasing HIV testing aimed at early detection, ensuring linkage to and retention in care for those living with HIV, and increasing preventative care for those at high risk,” said Dr. Tony Jimenez, Director of CAI’s HIV CBA Center. Approximately 1.2 million people in the U.S. and Puerto Rico are living with the HIV infection 1  and nearly 50,000 people become infected with HIV every year 2  making World AIDS Day an opportune time to remind health care providers and health care organizations about their key roles in ending the epidemic. 

CAI’s HIV CBA Center assists in these efforts by providing resources, training, and technical assistance to improve the health outcomes of people living with HIV/AIDS and those at risk. To request free capacity building assistance click here and to access our training menu, click here.

The CAI HIV CBA Center also invites health care providers and organizations to the upcoming webinar “Testing Together for HIV: Improving Health Outcomes & Care Across the Continuum” on December 2 at 3:00 p.m. EST. To register, click here.

About CAI: CAI is a global nonprofit organization dedicated to improving the health and well-being of underserved populations worldwide. For 36 years CAI has provided customized capacity building services to health and human service organizations in more than 27 countries and in all 50 states. Offering more than 1,500 training programs annually, CAI’s passionate staff works to fulfill its mission: to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more information, visit our website: caiglobal.org.
 
About the HIV CBA Center: CAI has been selected by the Centers for Disease Control and Prevention (CDC) to serve as a Capacity Building Assistance (CBA) provider to health care organizations nationwide. CAI’s HIV CBA Center concentrates on strengthening the capacity of the HIV prevention workforce to implement High-Impact HIV Prevention interventions -- scalable, scientifically proven approaches tailored to specific populations -- with a new focus on treatment as a critical component of prevention. Through partnerships with expert healthcare faculty and a national consortium of organizations that have pioneered effective implementation of High Impact Prevention, CAI delivers tailored, evidence-based capacity building services to healthcare organizations and staff in clinical settings across the US. For more information, visit hivcbacenter.org.

1 CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2013. HIV surveillance supplemental report; 2015:20(2). Available at http://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillancereport_vol20_no2.pdf
2 Estimated HIV incidence in the United States, 2007–2010. HIV surveillance supplemental report; 2012:17(4). Available at http://www.cdc.gov/hiv/pdf/statistics_hssr_vol_17_no_4.pdf

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HEALTHCARE PROVIDERS COULD MAKE EVERY DAY THE GREAT AMERICAN SMOKEOUT

Offering Cessation Resources to Tobacco Users Is Critical at Each Visit

New York, NY – The annual Great American Smokeout (GASO) is November 19th, and encourages tobacco users to quit, even just for one day.  Healthcare providers have an opportunity to help their patients quit every day.  Encouraging patients to quit tobacco is an important first step to improving their overall health. In New York, tobacco use remains the leading cause of preventive death, leading to more than 25,000 deaths annually. 1

GASO creates an opportunity to focus the nation’s attention on the need for increased access to treatment among tobacco users and the need to decrease barriers to treatment in health care settings. GASO highlights the necessity of ensuring that all tobacco users are screened and offered treatment by providing patients a combination of counseling and pharmacology to increase the likelihood of successfully quitting.

The Center of Excellence for Health Systems Improvement for a Tobacco-Free New York (COE for HSI) is working across New York State with regional contractors to engage health care providers and work with them to implement sustainable systems changes that ensure tobacco dependence screening and treatment are continuously integrated into all patient visits, minimizing missed opportunities for lifesaving tobacco cessation treatment. In fact, more than 70 percent of tobacco users visit a health care provider each year, and each of these visits is an opportunity for intervention. 2

“The Great American Smokeout has been encouraging people to quit since 1977. Health systems can continue this great work every day by putting systems in place whereby all patients are offered high-quality evidence-based nicotine dependence treatment, including pharmacology,” said Marcy Hager, Director of the COE for HSI.

For more information about the work of the COE for HSI, visit www.tobaccofreeny.org.

About CAI: CAI is a global nonprofit organization dedicated to improving the health and well-being of underserved populations worldwide. For 36 years CAI has provided customized capacity building services to health and human service organizations in more than 27 countries and in all 50 states. Offering more than 1,500 training programs annually, CAI’s passionate staff works to fulfill its mission: to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more information about CAI, visit our website: www.caiglobal.org.

About the Center of Excellence for Health Systems Improvement: With funding from the New York State Department of Health, Bureau of Tobacco Control, CAI serves as the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York. The COE for HSI promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment services. The COE for HSI aims to support 10 regional contractors throughout New York State working with health care systems and organizations that serve those populations for which tobacco use prevalence rates have not decreased in recent years - adults with low incomes, less than a high school diploma, and/or serious mental illness. Focused on providing capacity-building assistance services around topics like how to engage and obtain buy-in from leadership to implement the kinds of systems-level changes that will result in identification and intervention with every tobacco user who seeks care, the COE for HSI also will offer materials and resources to support contractors in their regional work. For more information, click here to visit the project website.

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1 New York State Department of Health, “Focus Area 2: Reduce illness, Disability and Death Related to Tobacco use and Secondhand Smoke Exposure.” https://www.health.ny.gov/prevention/prevention_agenda/2013-2017/plan/chronic_diseases/focus_area_2.htm (Accessed November 17, 2015).

2 Fiore et al. Treating Tobacco Use and Dependence: 2008 Update. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, 2008.

NEW YORK AIMS FOR TOBACCO RATE BELOW TEN PERCENT BY 2020

Transforming Health Systems Key to Success

New York, NY – New York State is determined to reduce tobacco use below ten percent by 2020.  The State’s current rate stands at 14.5 percent. 1 To accomplish this, improvements are being made to health care delivery, assuring those New Yorkers still using tobacco at high rates are connected to the resources they need. The goal is for every health care visit to be seen as an opportunity to provide tobacco dependence treatment.

The only way that New York State will achieve its vision for 2020 is by decreasing tobacco use among those populations disproportionately impacted. Public health specialists from Buffalo to Long Island, with funding from the New York State Department of Health Bureau of Tobacco Control, are partnering with community health centers and mental health treatment facilities serving populations for which tobacco prevalence rates have not declined. Supporting these regional contractors in their work is the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York.

 “We’re working very hard to engage health systems that deliver care to the most vulnerable New Yorkers, helping them implement sustainable systems that promote tobacco dependence screening and treatment as part of every patient appointment,” said Elizabeth Jones, Director of the COE for HSI, a project of CAI.  “Transforming the health care system is the key that will get us closer to eliminating tobacco-related illness and death.”

According to the Bureau of Tobacco Control, 27.5 percent of New York adults with less than a high school education and 26.8 percent of those with an income less than $15,000 per year use tobacco. Tobacco prevalence is even higher among New York adults who report poor mental health, with one-third (33.7 percent) of this population using tobacco, a rate more than double that of the general adult population. 2

For more information about the work of the COE for HSI, visit www.tobaccofreeny.org.

About CAI: CAI is a global nonprofit organization dedicated to improving the health and well-being of underserved populations worldwide. For 36 years CAI has provided customized capacity building services to health and human service organizations in over 27 countries and in all 50 states. Offering over 1,500 training programs annually, CAI’s passionate staff works to fulfill its mission: to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more information about CAI, visit our website: www.caiglobal.org.

About the Center of Excellence for Health Systems Improvement: With funding from the New York State Department of Health, Bureau of Tobacco Control, CAI serves as the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York. The COE for HSI promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment services. The COE for HSI aims to support 10 regional contractors throughout New York State working with health care systems and organizations that serve those populations for which tobacco use prevalence rates have not decreased in recent years - adults with low incomes, less than a high school diploma, and/or serious mental illness. Focused on providing capacity-building assistance services around topics like how to engage and obtain buy-in from leadership to implement the kinds of systems-level changes that will result in identification and intervention with every tobacco user who seeks care, the COE for HSI also will offer materials and resources to support contractors in their regional work. For more information, click here to visit the project website.

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“Leading the Way for Tobacco Control:  New York’s 2020 Vision”, Dr. Harlan Juster, New York State Department of Health, Bureau of Tobacco Control, Contractor Webinar, August 27, 2015

2 New York State Department of Health. (2015). Bureau of Tobacco Control StatShot, Vol. 8, No. 2/Feb 2015. Retrieved from https://www.health.ny.gov/prevention/tobacco_control/reports/statshots/volume8/n2_adult_smoking_prevalence_in_2013.pdf.


THE CENTER OF EXCELLENCE FOR HEALTH SYSTEMS IMPROVEMENT MARKS WORLD HEART DAY WITH APPEAL TO NEW YORK HEALTH CARE PROVIDERS

New York, NY – The Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York is marking World Heart Day on September 29 with an appeal to all New York State health care providers to make the screening and treatment of tobacco dependence a primary strategy for reducing cardiovascular disease, the leading cause of death in New York State and the U.S. Diseases of the heart were the underlying cause of 30 percent of deaths in New York State in 2012. 1

World Heart Day is an opportune time to remind New York’s physicians, nurses, and other health care providers that tobacco use and secondhand smoke are major contributors to heart disease. Quitting tobacco use is a key step that individuals can take to improve their heart health.  

The COE for HSI encourages health care providers to ask, assist, and advise their patients about tobacco use and utilize counseling and medication—proven tools to support patients with quitting. The way to assure this takes place is through systems that standardize tobacco dependence screening and treatment into care delivery, regardless of the reason for the patient’s visit.

“There is such focus on preventing and treating cardiovascular disease, and a definite way to protect New Yorkers from diseases of the heart is by addressing tobacco use,” said Elizabeth Jones, Director of the COE for HSI, a project of CAI.  “We strongly encourage health care providers and the systems in which they work to make tobacco cessation a priority.” 

For more information about the work of the COE for HSI, visit www.tobaccofreeny.org.

About CAI: CAI is a global nonprofit organization dedicated to improving the health and well-being of underserved populations worldwide. For 36 years CAI has provided customized capacity building services to health and human service organizations in over 27 countries and in all 50 states. Offering over 1,500 training programs annually, CAI’s passionate staff works to fulfill its mission: to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more information about CAI, visit our website: www.caiglobal.org.

About the Center of Excellence for Health Systems Improvement: With funding from the New York State Department of Health, Bureau of Tobacco Control, CAI serves as the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York. The COE for HSI promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment services. The COE for HSI aims to support 10 regional contractors throughout New York State working with health care systems and organizations that serve those populations for which tobacco use prevalence rates have not decreased in recent years - adults with low incomes, less than a high school diploma, and/or serious mental illness. Focused on providing capacity-building assistance services around topics like how to engage and obtain buy-in from leadership to implement the kinds of systems-level changes that will result in identification and intervention with every tobacco user who seeks care, the COE for HSI also will offer materials and resources to support contractors in their regional work. For more information, click here to visit the project website.

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Sharp MJ, Schoen LD, Wang T, Melnik TA. Leading causes of death, New York State, 2012. New York State Department of Health, Office of Quality and Patient Safety, Bureau of Vital Statistics. Accessed 24 September 2015 at: https://www.health.ny.gov/statistics/vital_statistics/docs/leading_causes_of_death_nys_2012.pdf

 

Tobacco Is Not An Equal Opportunity Killer

Income Level, Educational Attainment, and Mental Health Status Impact Disparities in Tobacco Use1

New York, NY – Governor Andrew Cuomo recently announced historically low tobacco use rates in New York State, with 14.5 percent of adults and 7.3 percent of high school students using tobacco.2  While these numbers are a cause for recognition, they do not tell the complete story. Tobacco continues to be the single largest preventable cause of disease and premature death, killing more than 28,000 individuals in New York State every year.3 Furthermore, significant disparities in tobacco use prevalence rates persist. Those New York adults with low incomes, less than a high school education, and serious mental illness continue to use tobacco at rates well above the general population, exacerbating disparities in health-related outcomes among these populations.1

According to the New York State Bureau of Tobacco Control, 27.5 percent of New York adults with less than a high school education and 26.8 percent of those with an income less than $15,000 per year use tobacco. Tobacco use prevalence rates are even higher among New York adults who report poor mental health, with one-third (33.7 percent) of this population using tobacco, a rate more than double of that among the general adult population.1

In an effort to decrease tobacco use rates among these populations, the New York State Department of Health Bureau of Tobacco Control funds 10 regional contractors to work with health systems and mental health treatment facilities that specifically serve these populations. Through the Health Systems Improvement for a Tobacco-Free New York program, these regional contractors support health care and mental health settings to integrate evidence-based tobacco dependence screening and treatment into standard delivery of care. The Bureau of Tobacco Control also funds CAI to serve as the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York. In this role, CAI supports the efforts of the 10 regional contractors by providing technical assistance, develops tools and resources for use by regional contractors and their partnering health systems, and works on the State-level to promote policies that will facilitate the integration of evidence-based tobacco dependence treatment into care. The ultimate goal of the Health Systems Improvement for a Tobacco-Free New York program is to assure that every tobacco user who visits a health care provider is assessed for tobacco use and offered tobacco dependence treatment, including no cost or low-cost cessation medication, at every visit.

“Health systems that serve the most vulnerable populations are critical players in reducing the unacceptably high tobacco use prevalence rates that persist among individuals with low incomes, less than a high school education, and serious mental illness,” said Elizabeth Jones, Director of the COE for HSI. “It’s a logical course of action to work with the health and mental health settings that serve these individuals to implement systems that will assure that every patient is asked about his or her tobacco use at every clinical encounter and that all tobacco users who want to quit are connected to the services and support they need to be successful. This systems-level approach has the potential to decrease disparities in tobacco use and, ultimately, disparities in health outcomes.”

For more information about the work of the COE for HSI, visit www.tobaccofreeny.org.

About CAI: CAI is a global nonprofit organization dedicated to improving the health and well-being of underserved populations worldwide. For 35 years, CAI has provided customized capacity building services to health and human service organizations in over 23 countries and in all 50 states. Offering over 1,500 training programs annually, CAI's passionate staff works to fulfill its mission: to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more information about CAI, visit www.caiglobal.org.

About the Center of Excellence for Health System Improvement: With funding from the New York State Department of Health Bureau of Tobacco Control, CAI serves as the Center of Excellence for Health Systems Improvement (COE for HSI) for a Tobacco-Free New York. The COE for HSI promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment services. The COE for HSI aims to support 10 Regional Contractors throughout New York State working regionally with health care systems and organizations that serve those populations for which tobacco use prevalence rates have not decreased in recent years - adults with low income, less than a high school education, and/or serious mental illness. Focused on providing capacity-building assistance services around topics like how to engage and obtain buy-in from leadership to implement the kinds of systems-level changes that will result in identification and intervention with every tobacco user who seeks care, the COE for HSI also will offer materials and resources to support contractors in their regional work. For more information about the COE for HSI, visit www.tobaccofreeny.org.

 


[1] New York State Department of Health. (2015). Bureau of Tobacco Control StatShot, Vol. 8, No. 2/Feb 2015. Retrieved from https://www.health.ny.gov/prevention/tobacco_control/reports/statshots/volume8/n2_adult_smoking_prevalence_in_2013.pdf.

[2] New York State Governor’s Office. (2015). Governor Cuomo Announces New York's Smoking Rates Reduced to Lowest Levels in Recorded State History [Press Release]. Retrieved from https://www.governor.ny.gov/news/governor-cuomo-announces-new-yorks-smoking-rates-reduced-lowest-levels-recorded-state-history.

[3] Centers for Disease Control and Prevention. (2014). Best Practices for Comprehensive Tobacco Control Programs—2014. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Retrieved from http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm?s_cid=cs_3281.

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