Center of Excellence for Health Systems Improvement Working to Earn New York a Higher Grade for Tobacco Cessation

New York State Receives "D" in new ALA Report

(New York, NY) -- The American Lung Association's (ALA) State of Tobacco Control 2015 gave New York mixed grades for current tobacco control efforts. While the report awarded the state an "A" for state smoking restrictions, and a "B" for tobacco taxes, the ALA graded the state an "F" for tobacco prevention spending and a "D" for access to cessation services. The mixed review illustrates the state's success with policies on clean air and taxes but highlights a need to advance prevention and cessation programs. Citing limitations around access to cessation services, the report recommends improving statewide tobacco control funding to ensure all New Yorkers who need these resources can access them.

Launched in July, the Center of Excellence for Health System Improvement (COE for HSI) is already working to improve New Yorkers' access to cessation resources and ultimately reducing the smoking rate in the state. A project of CAI, the COE for HSI works closely with 10 regional contractors to provide health systems, including Federally Qualified Health Centers and other health care organizations serving low-income New Yorkers, with resources and support to make operational changes that ensure tobacco dependence treatment is integrated into every patient visit. Facilities that treat New Yorkers with serious mental illness are also a high priority for the project since this population has higher rates of tobacco use, and tobacco-related morbidity and mortality.

"The ALA report emphasizes the important barriers to access to tobacco dependence treatment that the COE for HSI seeks to address," said Elizabeth Jones, Director of the COE for HSI. "Supporting systematic changes to these health care systems will ensure that all New Yorkers are offered and have access to the resources they need to quit smoking."

To see the ALA report, click here. For more information on the COE for HSI, click here to visit the project website.

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 NY. 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 contractors throughout New York State working regionally with health care systems and organizations that serve those populations for which smoking prevalence rates have not decreased in recent years - adults with low income, less than a high school diploma and/or poor mental health. 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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New Report Confirms Tobacco Epidemic Won't End Without Comprehensive Tobacco Control Programs and Policy Change

Physicians, Health Care Systems Play Critical Role in Ensuring All New Yorkers Have Access to Tobacco Dependence Treatment

(New York, NY) -- More than 82 percent of adults in the U.S. have contact with a health care professional every year, resulting in one billion physician office visits and opportunities to deliver tobacco dependence treatment.2 Physicians can greatly improve the likelihood a patient will quit smoking. In fact, the Centers for Disease Control and Prevention (CDC) says that a doctor's advice and assistance more than double the odds that a tobacco user will quit successfully.

Launched six months ago by CAI, the Center of Excellence for Health Systems Improvement for a Tobacco-Free New York is setting an aggressive course of action for work with regional contractors across New York State to support health systems changes that will ensure every tobacco user is offered and receives timely tobacco dependence treatment. The project prioritizes health systems and organizations that serve populations for which smoking prevalence rates have not decreased in recent years.

"If we can reduce tobacco use in a systematic way as part of regular physician visits, New York State will see outcomes like better management of conditions, specifically diabetes and hypertension, and, ultimately, decreased prevalence of cancer, heart disease, and respiratory illness," said Elizabeth Jones, Director of the Center of Excellence. "Tobacco is often at the root of chronic illness and serious medical conditions. Every encounter a patient is not screened for tobacco use and assisted in accessing treatment, if desired, represents a missed opportunity."

In a December report released by the CDC, researchers verified the importance of comprehensive tobacco control programs and systems that promote tobacco use cessation. The study, which found that 8.7 percent of annual U.S. health care spending in 2010 could be linked to tobacco use, also confirmed that the majority of these health care costs are paid for by public programs, including Medicare and Medicaid. Highlighting the enormous and growing health care costs related to the tobacco epidemic, the report also confirmed that coordinated interventions and policy change are critical to end the tobacco epidemic nationwide.3

According to an American Cancer Society estimate, 30 percent of cancers could be avoided if people stopped using tobacco.4 Claiming the lives of 28,000 New Yorkers every year,5 tobacco use is still the leading cause of preventable disease and death in New York State, afflicting nearly 600,000 residents with serious disease directly attributable to their smoking.6

Projects like the Center of Excellence are designed to create systematic changes that impact entire populations. Over the next five years, the Center of Excellence will provide resources and support so that health systems, including Federally Qualified Health Centers and other health care organizations serving low-income New Yorkers, will make changes to their operations and integrate tobacco dependence treatment into every patient visit. Facilities that treat New Yorkers with serious mental illness are also a high priority for the project since individuals with serious mental conditions have higher rates of tobacco dependence and lower quit rates than the general population.

"As more New Yorkers gain access to health care services through the Affordable Care Act and the redesigning of the Medicaid program, we hope health care systems will embrace the opportunity to be part of the solution to end the tobacco epidemic and create a healthier New York," said Jones.

According to the CDC, the health care costs attributable to tobacco are as much as $170 billion per year.

For more information about the Center of Excellence for Health Systems Improvement for a Tobacco-Free New York, click here to visit the website.

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 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 NY. The Center promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment services. HSI aims to support 10 contractors throughout New York State working regionally with health care systems and organizations that serve those populations for which smoking prevalence rates have not decreased in recent years - adults with low income, less than a high school diploma and/or poor mental health. 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, HSI also will offer materials and resources to support contractors in their regional work. For more information, click here to visit the project website.


 1. Annual Healthcare Spending Attributable to Cigarette Smoking, American Journal of Preventive Medicine, published online on December 9, 2014, http://www.ajpmonline.org/article/S0749-3797%2814%2900616-3/abstract
2. National Ambulatory Medical Care Survey: 2010, Summary Tables, Table 1, 9, 13, http://www.cdc.gov/nchs/data/ahcd/namcs_summary/2010_namcs_web_tables.pdf
3. Annual Healthcare Spending Attributable to Cigarette Smoking, American Journal of Preventive Medicine, published online on December 9, 2014, http://www.ajpmonline.org/article/S0749-3797%2814%2900616-3/abstract
4. 2012-2017 New York State Comprehensive Cancer Control Plan, NYS DOH, http://www.nyscancerconsortium.org/cancer/cancer_index.aspx
5. Best Practices for Comprehensive Tobacco Control Programs, 2014, Section C: Recommended Funding Levels, by State New York,Centers for Disease Control and Prevention, http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm?s_cid=cs_3281
6. U.S. Department of Health and Human Services, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General., 2010, http://www.cdc.gov/tobacco/data_statistics/sgr/2010/index.htm

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Tablets Revolutionizing Healthcare Data Collection and Improving Quality of Breast Cancer Screenings for Women

Research finds mobile devices improve efficiency, quality and completeness of clinical information

(New York, NY) -- New research on patients' utilization of tablets to provide important demographic and healthcare information confirms that mobile devices greatly improve patient data, which in turn results in improved screening and treatment for women. Using data collected from women obtaining breast health education and outreach services across 21 states, this research was presented last week at the San Antonio Breast Cancer Symposium, a conference that brings together the leading breast health physicians and researchers in the world.

The research, conducted by CAI of New York, NY on behalf of the Avon Foundation for Women Breast Health Outreach Program (Avon BHOP) found that transitioning away from paper-based surveys to tablet-based versions reduced the amount of missing information, increased patient response rates, and reduced survey completion time for the patient. The research has numerous benefits for healthcare providers as well, including reduction of data entry errors and cost associated with data entering.

"Collection of patient information through tablets could quickly become the standard in healthcare settings once providers realize the myriad of data quality and cost benefits" said Lindsay Senter, lead researcher and Director of Research and Evaluation at CAI. "Tablets are also well received among patients. Patients feel that entering personal information on tablets is more private and confidential than doing so on paper. This results in higher data quality and increased opportunities for better health outcomes."

The findings are based on a study of Avon BHOP clients who represent a low-income and highly diverse patient population in the U.S. More than 8,000 health intake forms were analyzed from March to December 2013, and 84 percent of the forms submitted on tablets had complete information compared to just 47 percent on paper.

According to the researchers, given the significantly lower rates of missing data when tablets are used, and the relatively low implementation cost, there are important implications for healthcare organizations to adopt and utilize electronic tablet-based collection of patient health data.

Additional information about the Avon Breast Health Outreach Program can be found at www.avonbhop.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 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 Avon BHOP: The Avon Breast Health Outreach Program (BHOP) supports community-based organizations nationwide to provide education, outreach and navigation services for breast cancer screening and treatment to underserved women. Since 2000, CAI has provided capacity building services to these organizations, awarding over $74 million through more than 1700 grants to community-based agencies nationwide. Through 2013, Avon BHOP grantees facilitated more than 1.3 million mammograms and breast examinations nationwide and educated over 12 million people on breast cancer awareness. Avon BHOP is funded by the Avon Foundation for Women. For more information, visit www.avonbhop.org.

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Critical Need in U.S. to Improve Prevention & Treatment of HIV/AIDS Among Key Affected Populations

New Nationwide Effort Funded by CDC Offers Free Services to Healthcare Organizations and Clinicians

(New York, NY) As the international HIV/AIDS community commemorates World AIDS Day today, there remains a critical need to improve treatment and prevention efforts of HIV/AIDS across the U.S. Focused on achieving the goals of the National HIV/AIDS Strategy, CAI's HIV/AIDS capacity building projects aim to reduce HIV incidence, increase access to care, and optimize health outcomes among key populations.

In the U.S., more than 1.2 million people are currently living with HIV infection and gay, bisexual, and other men who have sex with men (MSM) remain the most seriously affected by HIV. To help healthcare providers improve detection, linkage and retention efforts among key affected populations, CAI's CBA Center offers free training, technical assistance and web-based resources to healthcare organizations nationwide. Designed to support the implementation of High-Impact HIV Prevention -- scalable, scientifically proven approaches tailored to specific populations--the Center supports nationwide efforts to decrease new infection rates by 25 percent.

“Our goal is to provide tailored, data-driven services that help organizations improve their prevention efforts with individuals who are both HIV negative and HIV positive," said Dr. Robert Cohen, CAI's Medical Director. "By implementing behavioral, structural and/or biomedical interventions, including pre and post-exposure prophylaxis (PrEP and PEP) and ensuring HIV Continuum of Care standards are met, we believe we can make significant progress towards ending this epidemic."

According to researchers at New York University, the services being offered by the CBA Center come at a critical time in HIV prevention and aid in increasing access to care and new technologies now available, particularly in states with the highest rates of HIV infection.

"The efforts of CAI to work with healthcare providers to maximize the effectiveness of technologies like PrEp and PEP is both timely and important," said Dr. Perry Halkitis, Director of the Center for Health, Identity, Behavior & Prevention Studies (CHIBPS) at New York University.

Dr. Perry, who is currently conducting a study of young sexually active minority men, has found that an estimated 25percent of young gay and bisexual men in their early 20s have no awareness of PrEP, and of those that do only some 4 percent have used PrEP.

With funding from the Center for Disease Control (CDC), the CBA Center is led by Dr. Tony Jimenez. Organizations interested in requesting services or accessing online resources can visit www.hivcbacenter.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 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.


25 U.S. Cities with Highest Rates of HIV Infection

1. Miami, FL
2. New Orleans-Metairie-Kenner, LA
3. Jackson, MS
4. Baton Rouge, LA
5. Atlanta-Sandy Springs-Marietta, GA
6. Washington, DC (includes VA, MD and WV suburbs)
7. Memphis, TN
8. Baltimore-Towson, MD
9. Orlando, FL
10. New York City, NY (includes NY, NJ and PA suburbs)
11. Houston-Baytown-Sugar Land, TX
12. Dallas, TX
13. Jacksonville, FL
14. Charlotte-Gastonia-Concord, NC, SC
15. Columbia, SC
16. Los Angeles, CA
17. San Juan-Caguas-Guaynabo, Puerto Rico
18. Birmingham-Hoover, AL
19. San Antonio, TX
20. San Francisco, CA
21. Greensboro-High Point, NC
22. Austin-Round Rock, TX
23. Tampa-St. Petersburg-Clearwater, FL
24. Richmond, VA
25. San Diego-Carlsbad-San Marcos, CA

Source: http://www.cdc.gov/hiv/pdf/HSSR_MSA_2013_REVISED-PDF04.pdf

 

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New Program Designed to Help Healthcare Teams Improve Birth Outcomes and Reduce Unintended Pregnancy Now Accepting Applications

Latest Science Finds LARC Most Effective, But Underutilized Contraception[1]

(New York, NY) In the U.S. approximately 50 percent of all pregnancies are unintended.[2] While unintended pregnancy and closely-spaced births have been associated with adverse pregnancy outcomes, current research suggests that highly effective forms of contraception, like IUDs and Implants, leads to a reduction in unintended pregnancies and improved birth outcomes.[3,4,5]

CAI, a leading training and capacity building organization, has teamed up with the Contraceptive CHOICE Project at Washington University in St. Louis (CHOICE) to create the "Contraceptive Action Plan" (CAP), with funding support from the Centers for Disease Control and Prevention (CDC).

Providing healthcare teams with practical, user-friendly tools and web-based training, the CAP offers healthcare organizations an opportunity to help increase client access to the most effective forms of contraception, including IUDs and implants, within their community.

From November 12, 2014 to December 10, 2014, CAI and CHOICE are seeking applications from highly motivated Federally Qualified Health Centers (FQHCs) to participate in the nine month CAP Pilot Program.

The Program, which begins in early 2015, translates the research findings from a four year study of over 9,000 young women who were provided no-cost contraception in an effort to reduce rates of unintended pregnancies. After receiving standardized, contraceptive counseling about all reversible contraceptive options, including their effectiveness, advantages, and disadvantages, 73 percent of women chose a LARC method (IUD or subdermal implant).[6]

Open to healthcare teams nationwide, participating organizations will have access to free professional development and training for all staff levels including continuing medical and nursing education (CME/CNE) credits.To learn more about the CAP, program eligibility, and participation stipends, visit www.contraceptiveactionplan.org.

 

[2] http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6205a1.htm
[3] A. Chandra, G.M. Martinez, W.D. Mosher et al., “Fertility, Family Planning, and Reproductive Health of U.S. Women: Data from the 2002 National Survey of Family Growth,” Vital and Health Statistics 23, Dec. 2005 (25):1-174
[4] J. Chor, K. Rankin, B. Harwood et al., “Unintended Pregnancy and Postpartum Contraceptive Use in Women With and Without Chronic Medical Disease Who Experienced a Live Birth,” Contraception, July 2011:84(1)57-63
[5
] M. Whiteman, K. Curtis, S. Hillis et al., “contraceptive Use Among Postpartum Women – 12 States and New York City, 2004-2006, “Morbidity and Mortality Weekly Report, Aug. 7, 2009 58(30):821-26
[6] O’Neil-Callahan M, Peipert JF, Zhao Q, Madden T, Secura G. Twenty-four-month continuation of reversible contraception.Obstetrics and Gynecology. 2013;0:1-9.

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 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.

 

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