ࡱ>  #& !" kbjbj n(Scl DDDDD$hhhPT  h'''''((($h +D(((((+DD''@333(jD'D'3(33B '0E%5/fV0&$#0$ $D ((3(((((++1r((((((($((((((((( :   2013-2017 State Health Improvement Plan 2015 Implementation Plan December 23, 2014 Categorical Priority 1: Immunizations Maine CDC Lead: Celeste Poulin Goal: Increase immunization rates in Maine by an average of 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.) Baseline: 2011 MIP Quarterly Report Assessments. Objective 1: Childhood Routine Immunization Schedule By June 30, 2017 Maine will increase routine childhood vaccination rates in children 24-35 months of age, assessed as of 24 months of age, by 10% - to be measured from 2011 baseline rates from the Maine Immunization Program (MIP) Quarterly Report Assessments. Measure: Percentage of children assessed who are up to date. Data Source: Maine Immunization Program, Immunization Information System- ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on 4DTaP, 3Polio, 1MMR, 3HIB, 3HepB, 1Var, 4PCV 4:3:1:3:3:1:4 antigen series.) Strategy 1.1 Educate health care providers on use of reminder/recall system.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide Assessment, Feedback, Incentives, and eXchange (AFIX) visits to 25% of our enrolled vaccine for children (VFC) providers with active agreementsOngoing annuallyMIP AFIX Coordinator/ Health Program ManagerOutcome: 25% of enrolled VFC providers get an AFIX visit Measure: AFIX visit reportProvide targeted resources to facilitate use of reminder/recall options CY2014MIPOutcome: Increased # of provider offices using reminder/recall system Measure: # of onsite visits conducted, # of postcards provided to officesStrategy 1.2 Encourage provider enrollment and use of state registry.Implementation StepsTimelineResponsible PartyAnticipated Outcome/ MeasuresUpon initial contact with provider, refer to MIP to enroll in VFC programOngoingMaineHealth, Bangor Public HealthOutcome: Increased enrollment in VFC Measure: # of newly enrolled providers in 2014MIP will provide training on use of state registry for all newly enrolled providers (in-person visit).OngoingMIP/ ImmPact staffOutcome: All newly enrolled providers receive training in use of the state registry Measure: # of visits completed list/ log Strategy 1.3 Educate health care providers who are fully integrated in the state registry on the importance of keeping their client immunization history information up to date and identifying, and disassociating, former clients who have moved or gone elsewhere.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ Measures Provide reminders to providers about the importance of disassociating former patients through AFIX visits and monthly newsletterOngoingMIPOutcome: Providers will ID disassociated patients on a regular basis (i.e.; quarterly) Measure: # of AFIX visits, # of newsletter mentionsStrategy 1.4 Provide quarterly assessment reports to health care providers that are fully integrated into the ImmPact system (Maine immunization information system).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresGenerate quarterly reports and mail to all fully integrated providers statewideOngoing QuarterlyMIP/ Provider Relations SpecialistOutcome: Providers receive reports quarterly Measure: # of providers receiving quarterly reportStrategy 1.5 Conduct Assessment, Feedback, Incentives, eXchange of Information (AFIX) site visits to a minimum of 25% of Maine health care providers enrolled in the Vaccines for Children (VFC) program.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAFIX coordinator will choose a minimum of 25% of enrolled VFC providers who are eligible to receive an AFIX visit based on criteria established by Federal CDC (can change slightly from year to year)AnnuallyMIP AFIX Coordinator & Health Program ManagerOutcome: Minimum of 25% of eligible providers receive visits Measure: # of visits provided, measured at mid-year and annual report Objective 2: Adolescent Routine Immunization Schedule By June 30, 2017 Maine will increase routine immunization rates in adolescents 13-18 years of age by 10% - to be measured from 2011 baseline rates from the MIP Quarterly Report Assessments. Measure: Percentage of adolescents assessed who are up to date. Data Source: MIP ImmPact system Quarterly Report Assessments. (NOTE: assessment is based on 3HepB, 1meng, 2MMR, 2var, 1Tdap 3:1:2:2:1 antigen series) Strategy 2.1 Educate health care providers on use of reminder/recall system.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide AFIX visits to 25% of our enrolled VFC providers with active agreementsOngoing annuallyMIP AFIX Coordinator/ Health Program ManagerOutcome: 25% of enrolled VFC providers get an AFIX visit Measure: AFIX visit reportProvide targeted resources to facilitate use of reminder/recall options CY 2014MIPOutcome: Increased # of provider offices using reminder/recall system Measure: # of onsite visits conducted, # of postcards provided to officesStrategy 2.2 Encourage provider enrollment and use of state registry.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresUpon initial contact with provider, refer to MIP to enroll in VFC programOngoingMaineHealth, Bangor Public HealthOutcome: Increased enrollment in VFC Measure: # of newly enrolled providers in 2014MIP will provide training on use of state registry for all newly enrolled providers (in-person visit).OngoingMIP/ ImmPact staffOutcome: All newly enrolled providers receive training in use of the state registry Measure: # of visits completed list/ logStrategy 2.3 Educate health care providers who are fully integrated in the state registry on the importance of keeping their client immunization history information up to date and identifying, and disassociating, former clients who have moved or gone elsewhere.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide reminders to providers about the importance of disassociating former patients through AFIX visits and monthly newsletterOngoingMIPOutcome: Providers will ID disassociated patients on a regular basis (i.e.; quarterly) Measure: # of AFIX visits, # newsletter mentions Strategy 2.4 Provide quarterly assessment reports to health care providers that are fully integrated into the ImmPact system (Maine immunization information system).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresGenerate quarterly reports and mail to all fully integrated providers statewideOngoing QuarterlyMIP/ Provider Relations SpecialistOutcome: Providers receive reports quarterly Measure: # of providers receiving quarterly reportStrategy 2.5 Conduct AFIX site visits to a minimum of 25% of Maine health-care providers enrolled in the VFC program.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAFIX coordinator will choose a minimum of 25% of enrolled VFC providers who are eligible to receive an AFIX visit based on criteria established by Federal CDC (can change slightly from year to year)AnnuallyMIP AFIX Coordinator and Health Program ManagerOutcome: Minimum of 25% of eligible providers receive visits Measure: # of visits provided, measured at mid-year and annual report Objective 3: Adolescent Human Papillomavirus (HPV) By June 30, 2017 Maine will increase HPV immunization rates in females and males 13-18 years of age by 10%. Measure: Percentage of female and male adolescents, 13-18 years of age, who received HPV vaccine. Data Source: MIP Immunization Information System -ImmPact system Quarterly Report Assessments. Strategy 3.1 Provide assessment and feedback information to health-care providers re: current HPV vaccination rates and suggestions for methods to improve clinical rates.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresSpecifically address HPV in AFIX visits; provide HPV specific immunization rates to provider in both AFIX visits and quarterly reportsOngoingMIPOutcome: Providers know what their HPV coverage rates are by gender Measure: # of quarterly reports sent containing HPV informationUpdate provider reference manual to include HPV information and strategies for improving rates. Oct 1, 2014MIP, Maine Immunization Coalition (MIC)Outcome: Updated provider manual Measure: Provider manual with HPV included (yes/no)Disseminate HPV- updated provider reference manual to providersOct 1, 2014- OngoingMIPOutcome: Providers receive manuals with updated HPV information Measure: # of manuals handed out to providersStrategy 3.2 Educate health-care providers who are fully integrated in the state registry on the importance of keeping their client immunization history information up to date and identifying, and disassociating, former clients who have moved or gone elsewhere.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide reminders to providers that give the HPV vaccine about the importance of disassociating former patients through AFIX visits and monthly newsletterOngoingMIPOutcome: Providers will ID disassociated patients on a regular basis (i.e.; quarterly) Measure: # of AFIX visits, # of newsletter mentions Strategy 3.3 Provide quarterly assessment reports to health-care providers that are fully integrated into the ImmPact system.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresGenerate quarterly reports on HPV coverage rates and mail to all fully integrated providers statewideOngoing QuarterlyMIP/ Provider Relations SpecialistOutcome: Providers receive reports quarterly Measure: # of providers receiving quarterly reportStrategy 3.4 The Maine Immunization Coalition will disseminate best practice information to health care providers and school based health centers on HPV vaccinationsImplementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInclude on Maine Immunization Council (MIC) December meeting HPV discussionDecember 2014Maine CDC, MIC Caroline ZimmermanOutcome: Information selected to disseminate Measure: # of members/providers information sent to Objective 4: Seasonal Flu By June 30, 2017, increase the number of public school students in Maine who have access to a flu vaccine at their school by 10%. Measure: Enrollment count of schools registered in ImmPact and Department of Education (DOE). Data Source: MIP ImmPact System and DOE record. Strategy 4.1 Identify underserved areas of need and work with School Administrative Units (SAUs) to increase the number of SAUs offering seasonal influenza vaccine.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresCollect data from ImmPact of SAUs enrolled, utilize DOE enrollment figures to determine access. Map school nurse or public health district to identify underserved areas, penetration rate. Present to Community Health Partners, School Nurse Conferences, Maine Superintendents Association Exec Directors and Executive Committee and FQHCs to engage additional school and community engagement. 14-15 School Year, ongoingSLVC Project StaffOutcome: 60% of school systems participate and 75% of enrolled school children have access Measure: Data from ImmPact and DOE Reach out to SAUs not participating and discuss potential participation. Phone calls, emails (school boards, superintendents, principals, school nurses varies by school system). Provide tools, resources and where applicable encourage community partnership.14-15 School Year, ongoingSLVC Project StaffOutcome: Increase in school systems participating Measure: Data on participation rates, # of school systems contactedPartner with Community Health Partners (CHP) such as VNA, Home Health and Hospice, MaineGeneral, and Bangor Public Health to develop CHP mentors who will be available to mentor community health organizations who may be interested in school located vaccine clinics. Summer 2014SLVC Project StaffOutcome: Increase in # of school nurse mentors to support school located vaccine clinics Measure: # /increase of school nurse mentors engagedStrategy 4.2 Identify and recruit community partners to support and assist with school located vaccine clinics (SLVC).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPartner with Community Health Partners (CHP) such as VNA, Home Health and Hospice, MaineGeneral, and Bangor Public Health to develop CHP mentors who will be available to mentor community health organizations who may be interested in school located vaccine clinics Summer 2014SLVC Project StaffOutcome: Increase in # of CHP to support school located vaccine clinics Measure: # of CHPs engagedEngage other Community Health Partners, FQHCs, Community Health Clinics, home health agencies, hospitals by calling, meeting with, encouraging school nurses to deliver messaging to increase buy-in for school-located vaccine clinics across the stateOngoingSLVC Project StaffOutcome: Increased awareness and engagement of community partners Measure: # of meetings held Partner with School Nurse mentors (currently 9 mentors) who will be available to mentor other school nursesSY2014-15SLVC Project StaffOutcome: Increase in # of SNs mentored to support school located vaccine clinics Measure: # of SNs engaged Strategy 4.3 Build a sustainable billing structure to cover vaccine administration costs associated with conducting SLVCs in Maine schools to include private health insurance reimbursement.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify and engage a billing partner who will develop relationships with commercial insurers, school systems, and CHPs conducting vaccine clinicsSummer 2014SLVCOutcome: Billing partner agrees (Commonwealth Medicine) Measure: Billing partner in place Engage insurers to agree to contract with the billing partner SY14-15SLVC, billing partnerOutcome: 2-5 commercial insurer contracts in place Measure: # of contracts in placeEngage school systems to contract with billing partnerFall 2014SLVC, billing partnerOutcome: 5 school systems enter into a contract Measure: # of contracts in placeEngage Community Health Partners to contract with billing partner Fall 2014SLVC, billing partnerOutcome: 2 CHPs enter into a contract Measure: # of contracts in place  Objective 5: Adult Pertussis By June 30, 2017, 80% of all medical providers who perform obstetric services in Maine will receive information and tools to follow Advisory Committee on Immunization Practices (ACIP) tetanus, diphtheria, and pertussis (Tdap) guidance. Measure: Number of OB/GYN providers who receive educational/outreach materials regarding Tdap recommendations. Strategy 5.1 Develop a packet of information for obstetric providers to include: the need and rationale for pertussis vaccine in pregnancy, recommended guidelines for administering pertussis vaccine, and reminder/recall systems.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresObtain list of all OB/GYN practices/ practitioners in state to send contact letter and/or email, re: availability of Tdap vaccine for pregnant women and their partners through MIP2015MIPOutcome: Information sent to 80% of OB/GYN practitioners Measure: # of contacts madeIncorporate development of packet into VFC 2015 work plan2015MIPOutcome: Information sent to 80% of OB/GYN practitioners Measure: # of contacts madeStrategy 5.2 MIP will send information packet to all enrolled providers.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInclude information in adult section of revised provider resource manualMarch 2014-ongoingMIPOutcome: Information is available in the manual going forward Measure: # of updated manuals distributedStrategy 5.3 Work with provider organizations to establish a baseline of providers who have new Tdap guidelines.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDisseminate Tdap guidelines through PCMH and HH Learning Collaborative structure. December, 2014Maine Quality Counts -Anne ConnersOutcome: List of providers who have the new guidelines Measure: # of new specialty (OB/GYN) providers enrolled to provide specialty Tdap for uninsured pregnant women and their partnersIncrease number of dissemination points for new guidelines provided, via letter from MIP (if cost associated, build into 2015 work plan)Fall 2014- Spring 2015MIP, Professional Medical AssociationsOutcome: Increased awareness of Tdap guidelines for pregnant women Measure: # of professional associations that received updated guidelines Objective 6: Pneumococcal Vaccination Among Seniors By June 30, 2017, increase the percentage of Maine adults over age 65 who have received a pneumococcal vaccination from 71.8% in 2010 to 79% in 2016 (a 10% increase). Measure: Number of responses in Behavioral Risk Factor Surveillance Survey (BRFSS). Data Source: BRFSS as reported in Maine State Health Assessment (SHA) Strategy 6.1 Explore possibilities for accessing, aggregating and analyzing relevant population-level data for pneumococcal vaccinations in order to identify pockets of need and facilitate strategic targeting of vaccinations and tracking of progress toward this objective.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresContact BRFSS to obtain aggregate pneumococcal vaccine data, by county.Fall 2014/ Winter 2015MIP Celeste PoulinOutcome: Baseline data obtained Measure: # of vaccinated seniorsReach out to Health InfoNet to determine if they have aggregate pneumococcal vaccine data, by countyFall 2014/ Winter 2015MIP Celeste PoulinOutcome: Baseline data obtained Measure: # of vaccinated seniorsStrategy 6.2 Increase public and provider awareness of the recommendations for pneumococcal vaccination, and execute proven communication strategies to engage both primary care providers and community partners/organizations who serve seniors in promoting pneumococcal vaccination.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresCollect/ develop messaging information for dissemination (i.e. federal CDC-patient friendly fact sheet) across the state via community organizations Jan 1, 2015MIPOutcome: Information disseminated to community organizations Measure: # of organizations contactedDissemination of messaging via websites, newsletters, targeted email blasts, social media re: pneumococcal vaccination Jan 1, 2015AAAs Ted Trainer, MaineHealth Gloria Neault, Maine Community Health Options (Tentative)Outcome: Providers and public get information Measure: Report or list re: reach from organizations Categorical Priority: Obesity Maine CDC Lead: David Pied Goal: Reduce adult obesity in Maine by 5% and youth obesity by 10% by June 2017. (This is approximately 50% toward the Healthy Maine 2020 goals.) Objective 1: Decrease Sugar-Sweetened Beverage Consumption By June 30, 2017, decrease the proportion of Maine adults and youth consuming one or more sugar-sweetened beverages a day by 10% for youth, grades k-12 (rate for adults will be established with baseline data). (NOTE: The definition of "sugar-sweetened beverage" is derived from the Maine Integrated Youth Health Survey (MYIHS). Measure: Number of responses to questions about sugar-sweetened beverage consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS. NOTE: Questions about sugar-sweetened beverages should be added to Module 5 in BRFSS to collect adult data. Strategy 1.1 Increase outreach and education to the public and to partners, using currently available resources to decrease consumption of sugar-sweetened beverages.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresCommunity and School-based education - Deliver nutrition education program to low-income youth and adults about sugar-sweetened beverages and healthier alternativesOngoingSNAP-ED (UNE) and UMaine Extension Joan and KateOutcome: education sessions on sugar-sweetened beverages delivered Measure: # of educational sessions conducted, # of individuals reachedNumber of schools, out-of-school programs, early childhood programs and healthcare practices engaged with Lets Go! through the use of the 5-2-1-0 messageJuly 1, 2014-June 30,2015Lets Go! Outcome: Sites use the 5-2-1-0 message Measure: # of sites registered with Lets Go! (results available September 2015)Research outreach and education campaigns designed for the general publicSeptember 2014Maine Public Health Association (MPHA) Outcome: A social marketing plan will be researched, created and approved by MPHA Obesity Policy Committee Measure: One plan createdK-12: Adopt and implement model wellness policies that include student access to water, limit access to sugar sweetened beveragesOngoingHMP Outcome: Policies adopted and implemented Measure: # of policies adopted and implementedMunicipalities and Worksites: Adopt and implement model wellness policies that include access to water, limit access to sugar sweetened beveragesOngoingHMPOutcome: Increased access to healthy foods at municipal-owned or managed sites Measure: # municipalities reachedAdopt/ Implement worksite healthy meeting guidelines that include limiting access to sugar sweetened beveragesJune 1, 2015Maine CDC PAC Outcome: worksites will develop guidelines that increase access to healthy beverages in vending machines and cafeterias Measure: # of worksites that implement guidelines to increase access to water and unsweetened beverages Strategy 1.2 Implement a media campaign to raise public awareness of the relationship between sugar-sweetened beverages and obesity.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresResearch outreach and education campaigns designed for the general publicSeptember 2014MPHAOutcome: A social marketing plan will be researched, created and approved by MPHA Obesity Policy Committee Measure: One plan createdStrategy 1.3 Encourage school departments to limit access to sugar-sweetened beverages in schools.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresK-12: Adopt and implement model wellness policies that include student access to water, limit access to sugar sweetened beverages (SSB) beyond the half hour after the end of the school dayOngoingHMPs, DOE Gail Lombardi and Stephanie StambachOutcome: Schools limit SSB access after the school day, same as during the school day Measure: Policies adopted and implementedProvide training to school groups such as sports teams, concession groups, principals, and teachers to implement rules that encourage limiting access to SSBs beyond the school dayCurrent/ OngoingMaine CDC PAC, DOE Gail Lombardi and Stephanie StambachOutcome: More schools limit sugar-sweetened beverages Measure: # schools trained on implementing policies to limit sugar-sweetened beverages beyond the school dayInforming schools on adhering to current Maine law regarding advertising Sugar-sweetened beverages on school propertyCurrent/ OngoingMaine CDC PACOutcome: Schools adherence to state law Measure: # of schools informed of lawImplementation of Lets Go! Strategy # 2: Provide water and low fat milk; limit or eliminate sugary beverages in participating schoolsJuly 1, 2014 June 30, 2015Lets Go! Outcome: Implementation of strategy in all or most classrooms of participating schools Measure: % of schools reporting they are implementing this strategy in all or most classrooms (Results available September 2015)Research outreach and education campaigns designed for the general publicSeptember 2014MPHA Outcome: A social marketing plan will be researched, created and approved by MPHA Obesity Policy Committee Measure: One plan created Strategy 1.4 Encourage providers to include screening and counseling on sugar-sweetened beverage consumption as part of routine medical care.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHealthcare practices that conduct Well Child visits participate in the Lets Go! Healthcare programJuly 1, 2014 June 30, 2015Lets Go!Outcome: Healthcare practices that conduct Well Child visits, participate in the Lets Go! Healthcare program Measure: # of healthcare practices that participate in the Lets Go! Healthcare program. (Results available September 2015)Strategy 1.5 Discourage the consumption of sugar-sweetened beverages by seeking a waiver from the federal government to disallow the use of Supplemental Nutrition Assistance Program (SNAP) benefits for purchase of sugar-sweetened beverages.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresMonitor progress of DHHS Commissioners Office in seeking and receiving a federal waiverOngoingDHHS Commissioners OfficeOutcome: Waiver explored with USDA Measure: Existence of policy that disallows purchase of sugar sweetened beverages with SNAP benefits Objective 2. Increase Fruit and Vegetable Consumption By June 30, 2017, increase by 10% the proportion of the Maine population (adults and children) who consume five or more servings of fruits and vegetables a day. Measure: Number of responses to questions about fruit and vegetable consumption in BRFSS and MYIHS. Data Source: BRFSS and MYIHS as reported in the SHA. Strategy 2.1 Increase outreach and education to the public and to partners, using currently available resources, to guide increased consumption of fruits and vegetables.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDeliver nutrition education program to low-income youth and adults about the importance of fruit and vegetable consumption and ways to shop for and prepare fruits and vegetables on a limited budgetOngoingSNAP-ED and UMaine ExtensionOutcome: UMaine Extension self-reported fruit and vegetable intake Measure: # of educational sessions conducted, # of individuals reachedImplementation of Lets Go! Strategy # 1: Provide healthy choices for snacks and celebrations; limit unhealthy choices in participating schools, early childhood and out-of-school programsJuly 1, 2014 June 30, 2015Lets Go! Outcome: Implementation of strategy in sites program/organization wide Measure: % of sites reporting they are implementing this strategy program/organization wide. (Results available September 2015)K-12: Adopt and implement model wellness policies that include student access to fruits and vegetables, limit sugary snacksOngoingHMPOutcome: Youth eat more fruits and vegetables Measure: # of schools adopting model policy that increases access to fruits and vegetablesMunicipalities and Worksites: Adopt and implement model wellness policies that include access to fruits and vegetablesOngoingHMPOutcome: Increased access to healthy foods at municipal-owned sites Measure: # municipalities reachedAdopt/ Implement foodservice guidelines that include encouraging healthy snacks such as fruits and vegetables in worksite cafeterias and vending machinesJune 1, 2015Maine CDC PAC Outcome: Guidelines to increase access to healthy foods developed by worksites Measure: # worksites that develop and adopt guidelinesProvide vouchers and/or eWIC benefits for fresh frozen and canned fruits and vegetables on a monthly basisOngoingWIC Outcome: WIC women and children receive and redeem monthly benefit for fruits and/or vegetables Measure: # of and % of WIC participants redeeming fruit and/or vegetable benefit each month Issue Farmers Market benefits in the summer timeMay-October 2015WIC Outcome: WIC participants receive and redeem WIC Farmers Market benefits during the summer season Measure: # of redemptions/ redemption %Provide infant fruits and vegetables (jarred)OngoingWIC Outcome: WIC infants, age 6-11 months, receive and redeem benefits for infant fruits and/or vegetables Measure: # of redemptions/ redemption %Provide educational materials to Senior FarmShare Program participants on the benefits of eating fruits and vegetables dailyOngoingMaine Senior FarmShare Program - Julie Waller Outcome: More seniors eat fruits and vegetables Measure: # of seniors in program reached with educational materials Strategy 2.2 Promote Food Policy Councils as a way to increase access to affordable healthy foods for all Maine people.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresWork with municipalities to form or participate on Food Policy CouncilsOngoing12 HMPsOutcome: More Food Policy Councils have municipal representation/involvement Measure: # municipalities participating on Food Policy Councils, # of Food Policy CouncilsLead educational events to support the Maine Network of Food Councils to improve local food systems and increase access to local healthy foods and beveragesOngoingMaine Network of Food Councils - Ken Morse Outcome: Increased capacity of food councils to improve access to local healthy foods Measure: # of food council meetings and educational events heldStrategy 2.3 Increase or expand fruit and vegetable market outlets such as farm to institution, farm to school, farmers' markets.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHost farmers at WIC offices for farmers market eventsSummer 2014- possibly ongoingWIC Outcome: WIC Local Agency Farmers Market season outreach plans will include Farmers Market events when possible Measure: # of offices holding Farmers Market eventsWork with Good Shepherd to increase the number of farm stands or farmers markets in underserved areas for lower income peopleOngoingMaine CDC PAC, Cultivating Community Outcome: Increased access to fresh produce Measure: # of markets in underserved areasProvide outreach and technical assistance to farms and schools to increase local foods in schools or Farm to School (F2S) programs.OngoingF2S Network- Ellie Libby, FoodCorps Outcome: Increased consumption of healthy local foods among youth Measure: # of F2S programsProvide technical assistance to farmers OngoingExtension, MOFGA Heather Omand (Tentative)Outcome: More Maine farmers know how to market and sell their products to schools Measure: # farmers reachedFarm to college and hospital: increasing the # of colleges and hospitals using local foodOngoingFarm to Institute New England (FINE) - Ken MorseOutcome: Increased purchase and sales of local (healthy) food at colleges and hospitals Measure: # of colleges and hospitals using X amount of local food (TBD)Strategy 2.4 Increase participation in the Fresh Fruit and Vegetable Program (FFVP) by maximizing the use of federal funds so that more schools can join.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInform eligible schools serving pre-K Grade 8 about fresh fruit and vegetable application to ensure all eligible schools apply2015 School YearDOE, Stephanie StambachOutcome: More youth eat fruits and vegetables and know their nutritional value Measure: All available funding to Maine is used Objective 3: Increase Physical Activity 3a: By June 30, 2017, increase by 10% the proportion of Maine adults who engage in some leisure-time physical activity. Measure: Number of responses to physical activity questions in BRFSS. Data Source: BRFSS Strategy 3a.1 Work with municipalities to increase opportunities for active transportation and access to indoor and outdoor recreational facilities. This includes, for example, increased sidewalks, bike path trails for public use and complete street components, and would be done in compliance with Americans with Disabilities Act Accessibility Guidelines (ADAAG).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEncourage/ support municipalities in the creation of local advocacy groups i.e.; Bike/Ped Committees, Active Community Environment Teams (ACETs) OngoingHMPs, The Bicycle Coalition of MaineOutcome: Increased local level capacity to implement policy and environmental change to support physical activity Measure: # of additional ACETs, Bike/Ped CommitteesComplete Rural Active Living assessments (RALAs) for every city and town with whom HMPs workOngoingHMPOutcome: Increased awareness of relative activity friendly built environment Measure: # of completed RALAs 3b: By June 30, 2017, increase by 10% the proportion of Maine youth (grades k-12) who engage in vigorous physical activity that promotes cardio-respiratory fitness three or more days per week for 20 minutes or more each time. Measure: Number of responses to physical activity questions in MYIHS. Data Source: MYIHS Strategy 3b.1 Work with school departments to increase the number of schools that provide public access to indoor and outdoor school facilities for out-of-school physical activity.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide technical assistance to school administrations to adopt and implement policies that provide public access to indoor and outdoor facilities for after school physical activitiesOngoingHMP- optional objectiveOutcome: Increased access to places for physical activity Measure: # of school open use policiesProvide technical assistance to school administrations to adopt and implement Collaborative use agreements to provide public access to indoor and outdoor facilities for after school physical activities.OngoingHMP- optional objectiveOutcome: Increased space for public access on school grounds and in schools Measure: # of spaces available to the public Strategy 3b.2 Work with childcare centers to increase the number of centers using evidence-based approaches (e.g. Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), Lets Move!) to implement policies and create environments that support physical activity and meet safety guidelines.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAges Birth -5: 5-2-1-0 Goes to Child Care: work on implementing policy and environmental change at childcare sites to support PAJuly 1, 2014 June 30, 2015Lets Go!Outcome: Increase in number of policies and environmental changes supporting physical activity in birth to 5 childcare settings Measure: # sites statewide implementing the PA strategyK 5: 5-2-1-0 Goes to School: work on developing and implementing policy and environmental change at K-5 schools to support PA July 1, 2014 June 30, 2015Lets GoOutcome: Increase in number of policies and environmental changes supporting physical activity in K-5 schools Measure: # sites statewide implementing strategy re: physical activityPAC Strategy 5: Implement physical education and physical activity in early care and education (ECE) Implement comprehensive ECE standards Increase the number of ECEs that develop and implement standards to increase physical activity Increase the percent of schools within local education agencies that have established, implemented and/or evaluated comprehensive school physical activity programs (CSPAP)OngoingMaine CDC PACOutcome: Increase in development and implementation of ECE standards increasing PA Measure: # of ECEs that develop and implement standards to increase physical activity Measure: # of children who attend ECEs that adopt and implement guidelines to increase physical activity Strategy 3b.3 Work with schools to increase the proportion of middle and high school students who attend daily physical education classes, including increasing school offerings of daily physical education classes and student participation in them.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPAC Strategy 6: Implement quality physical education and physical activity in K-12 schools Develop, implement and evaluate CSPAP Assess targeted Local Education Agencies (LEAs) physical education and physical activity environment and create action plans for policy, systems and environmental (PSE) change. Provide professional development and capacity building to Lets Go! Coordinators on CSPAP and strategies for implementation Collaborate with Lets Go!, state and local partners to provide professional development to targeted LEAs on developing and implementing CSPAP Partner with Lets Go! to provide training and technical assistance (TA) to targeted LEAs to assist them in implementing strategies to increase physical activity throughout the school day Work with the Maine CDC, Division of Population Health OA Coordinator to provide ongoing content expertise to Lets Go! Coordinators and other local partners on strategies to increase physical activity in LEAsOngoingMaine CDC PAC, Sheila Nelson/Joe Boucher Doug BeckOutcome: Increase in the number of LEAs receiving professional development and TA on implementing CSPAP Measure: # of LEAs receiving professional development and TA to establish, implement and evaluate CSPAP % of schools within LEA that have established, implemented and/or evaluated CSPAP Objective 4: Breastfeeding By June 30, 2017, increase the percentage of infants in Maine who are ever breastfed to 80% and who are breastfeeding at six months of age to 45%. Measure: Number of responses to breastfeeding questions. Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS); National Immunization Survey (NIS) Strategy 4.1 Educate employers on how to comply with Maine Workplaces Support Nursing Moms law in order to support employees who are breastfeeding (including a private location to pump, flextime and breast milk storage space).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide technical assistance to those employers choosing this strategy from the Healthy Maine Works (HMW) toolOngoingHMP- optional objectiveOutcome: More employers have private clean space for employees to breastfeed Measure: # of employers working on the HMW strategyStrategy 4.2 Educate mothers about Maine Workplaces Support Nursing Moms law along with other applicable laws and resources for lactation support.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInclude law in WIC participant handbook so all those enrolling in the program have the information OngoingWIC Outcome: WIC pregnant and breastfeeding women will be aware of the Maine Workplace law Measure: # of participants receiving handbookDisseminate information on law via website, wallet card, near future: bus boards. Cumberland, Androscoggin and York counties, and City of Bangor Public Health.OngoingHMP/Opportunity AllianceOutcome: More mothers aware of Maines Workplace (lactation) law Measure: # wallet cards out/ estimateStrategy 4.3 Educate child-care centers on how to create and implement policies and environments that support breastfeeding.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresNumber of early childhood programs that participate in the 5-2-1-0 Goes to Child Care Program. Resources available include: toolkit handouts, online module and statewide trainingsJuly 1, 2014 June 30, 2015Lets Go!Outcome: Early childhood programs participate in 5-2-1-0 Goes to Child Care Program Measure: # of early childhood programs registered with Lets Go! (Results available September 2015)Strategy 4.4 Educate birthing facilities in Maine on the Baby-Friendly Hospital Initiatives 10 Steps to Successful Breastfeeding in order to increase the percentage of infants ever breastfed (including infants in a Maine neonatal intensive care unit (NICU) setting).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHost breastfeeding learning collaborative for Maine hospitals focused on 6 of the 10 StepsBy June 2015Maine CDC/ Lets Go!, MaineHealth Outcome: More mothers are assisted and supported to exclusively breastfeed at 3 and 6 months Measure: # participantsConduct up to 12 webinars on perinatal breastfeeding and best practicesBy June 2015Maine CDC/ Lets Go!, MaineHealth Outcome: All perinatal providers are familiar with perinatal breastfeeding best practice Measure: # of webinar participantsCollaborate to offer skills training for hospital perinatal staffBy March 2015Lets Go! Outcome: Hospital perinatal staff are trained in hospital breastfeeding best practice Measure: # of participants trained Categorical Priority: Substance Abuse and Mental Health Maine DHHS Leads: Katharyn Zwicker, Geoff Miller Goal: Reduce substance abuse and improve mental health in Maine by 5% by June 2017 (This goal encompasses a number of specific Healthy Maine 2020 objectives and approximately 50% toward the Healthy Maine 2020 goals.) Objective 1: Early Intervention By June 30, 2017, increase the use of standardized screening tools in MaineCare health home practices for all children birth to three years of age. Measure: Number of MaineCare claims using CPT code 96110 for general developmental screening. (Childrens Health Insurance Program Reauthorization Act (CHIPRA) Initial Core Set of Childrens Health Care Quality Measure #8 and CPT codes 96110HI and 96111HK for autism-specific screening IHOC Measure #9. Data Source: MaineCare claims data. Strategy 1.1 Continue education of MaineCare health home practices in the use of developmental screening tools and in the submission of claims for the screenings through Improving Health Outcomes for Children (IHOC), the Patient Centered Medical Home (PCMH) Learning Collaborative administered by Maine Quality Counts, and the training being developed and implemented under the State Innovation Model (SIM) grant for primary care practices serving children with developmental disabilities.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresThrough IHOC, Maine Quality Counts will train primary care practices on developmental screening and autism screeningOngoing- ends Sept 30, 2014MaineCare Amy DixOutcome: Completed training for at least 43 practices Measure: # of practices trained Assess the extent to which children at various ages from 0-36 months were screened for social and emotional development with a standardized tool or set of toolsDecember 31, 2014MaineCare Amy DixOutcome: Annual claims analysis of data results on MaineCare Code 96110 Measure: Report results for the developmental screening of children who turn 1, 2, and 3 years of age during the measurement year (using code 96110) with recommendations to MaineCare Objective 2: Physician Drug Protocols By June 30, 2017, at least 80% of all hospitals, health systems and Federally Qualified Health Centers (FQHC) will have controlled drug-prescribing protocols in place. Measure: Number of hospitals, health systems and FQHCs with drug prescribing protocols. Data Sources: MMA, Substance Abuse and Mental Health Services (SAMHS), Maine Hospital Association (MHA), Maine Association of School Psychology (MASP), MOA Strategy 2.1 Develop and distribute a fact sheet with key elements for drug prescribing protocols and resources. Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresAssess what currently exists for fact sheets and/or drug prescribing protocols within SAMHS and statewide partners (Licensing Boards)Jan 1, 2015SAMHSOutcome: Completed assessment of drug prescribing protocols Measure: # of electronic factsheets/protocols collectedConduct a scan of hospital policies and protocols that are currently in place and request copiesJan 1, 2015MMA, MHA, FQHCs, MPCA, SAMHSOutcome: Completed scan of policies and protocols Measure: # of electronic copies collectedStrategy 2.2 Identify Continuing Medical Education (CME) opportunities that are quality and user-friendly; obtain approval and buy-in from Maine Medical Association (MMA), Maine Osteopathic Association (MOA), Nurse Practitioner and Physician Assistant Associations, and Maine Primary Care Association (MPCA).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInvestigate what is currently available online for Continuing Medical Education (CME) opportunities January, 2015SAMHSOutcome: Complete scan of online CME opportunities Measure: List of opportunities and #Strategy 2.3 Identify a method to assess the status of drug-prescribing protocols within a system of care.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConduct a scan of hospital policies and protocols that are currently in placeJan 1, 2015MMA, MHA, FQHCs, MPCA, SAMHSOutcome: Completed scan of protocols in place Measure: Completed list and copies of protocols that are in place in MaineStrategy 2.4 Investigate how to integrate drug-prescribing protocols into electronic medical records.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConduct a scan of hospital/medical practices for policies and protocols in placeJan 1, 2015MMA, MHA, FQHCs, MPCA, SAMHSOutcome: Completed scan Measure: Listing of hospitals, health care systems, or providers in Maine that have such integration Objective 3: Coordination of Care 3a. By June 30, 2017, the number of patients receiving Screening, Brief Intervention, Referral and Treatment (SBIRT) services in Maine will increase by 50% above 2013 baseline data. Measure: Number of times SBIRT billing code appears in MaineCare and Maine Health Data Organization (MHDO). Data Sources: MaineCare billing data; MHDO billing data Strategy 3a.1 Educate physician practices in the use of SBIRT tools and billing codes.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide SBIRT training for primary care physicians and community organizationsOngoingHMPs participating- (10 or so)Outcome: Completed trainings provided Measure: # of trainings provided and locations by HMPsInitiate discussions with MaineCare on billing code issues By Jan 1, 2015SAMHS Outcome: Schedule and hold meetings with MaineCare Measure: Clarifying information on billing codes sent to providers Develop and implement 1-year Learning Collaborative for Patient Centered Medical Home/Health Homes (PCMH/HH) to include SBIRT tools.October 2014- October 2015CCSME- Kate ChichesterOutcome: Completed training on SBIRT for nine (9) participating primary care practices Measure: # of practices who complete training, # of staff who attendStrategy 3a.2 Explore and learn more about the use of SBIRT in electronic medical records developed by Eastern Maine Healthcare Systems (EMHS).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresSchedule meeting with EMHS for site visit to review their processes January 1, 2015SAMHSOutcome: Schedule meeting and review of electronic SBIRT Measure: Outline of ESBIRT processMeet with EMHS to learn about the outcomes of moving to this modelMarch 1, 2015SAMHS, Scott Gagnon/ Healthy AndroscogginOutcome: Meet with EMHS to discuss model Measure: Summary of strengths, weaknesses, opportunities and threats of this system/processSchedule meeting with stakeholders to investigate webinar/ education opportunities related to the EMHS systemApril 1, 2015SAMHSOutcome: Meet with stakeholders Measure: # of stakeholders attended 3b: Increase the number of MaineCare health home practices that perform depression and substance abuse screening using nationally recognized, evidence-based standard tools. Measure: Number of times screening billing codes appear in MaineCare. Data Sources: MaineCare billing data Strategy 3b.1 3b.1. Educate MaineCare health home practices in the use of depression and substance abuse screening tools through the Patient Centered Medical Home Learning Collaborative.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide education/training to MaineCare Health Homes practices in the use of depression and substance abuse screening tools October 2014- October 2015Quality Counts- Anne Conners, CCSME- Kate ChichesterOutcome: Use of tools by participating practices Measure: # of dissemination opportunities through webinars and Learning Sessions and Quality Counts outreach such as newsletters 3c: By June 30, 2017, increase the number of primary care practices and schools implementing evidence-based suicide prevention screening and assessment as a standard model of care. Measure: Number of primary care practices implementing evidence based suicide prevention screening and assessment as standard care. Data Source: Maine CDC contractor quarterly reports (National Alliance on Mental Illness) Strategy 3c.1 Provide education and training to primary care providers, including staff of school-based health centers, on the integration and use of nationally recognized evidence-based suicide prevention screening and assessment tools.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPartner with MMA on delivering training to primary care providers on the use of the Columbia Assessment ToolSpring 2015Maine CDC, NAMI MaineOutcome: Training on use of Columbia Assessment Tool delivered Measure: # of primary care providers trainedDevelop and pilot a webinar for primary care providers on using the Columbia assessment toolFall 2014Maine CDC, NAMI MaineOutcome: Webinar developed Measure: Video piloted and feedback obtainedProvide trainings to school-based health center staff on the Columbia assessment toolFall 2014Maine CDC- Maine Suicide Prevention Program, NAMI MaineOutcome: Training on use of Columbia Assessment Tool held Measure: # SBHC that use/ implement toolProvide staff training to larger employers of primary care providers to help them implement the assessment toolsWinter 2015Maine CDC/ NAMI MaineOutcome: Trainings held Measure: # of primary care provider staff trainedProvide training to several community partners i.e.; National Guard, Universities, etc. on the Columbia assessment toolFall 2014Maine CDC- Maine Suicide Prevention Program, NAMI MaineOutcome: Trainings held Measure: # of community partners trained on the Columbia Assessment Tool Strategy 3c.2 Provide Maines Gatekeeper training to all public school staff: a one day program that includes skills practice and been shown to significantly increase a respondents knowledge of warning signs and risk factors for suicide as well as enhanced confidence in the ability to intervene.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide awareness training or workshop to public school staff. Spring 2015Maine CDC, NAMI MaineOutcome: Awareness training/workshop held Measure: # of trainings offered, # persons trainedProvide Gatekeeping training statewide to various audiences throughout the yearSpring 2015Maine CDC, NAMI MaineOutcome: Gatekeeper trainings held Measure: # of trainings offered, # persons trainedCreate 2 hour awareness video that will be made available on the NAMI, Maine website or on a video/ flash drive to train school personnel. OngoingMaine CDC, NAMI MaineOutcome: Awareness video developed and made available to school personnel Measure: # of trainings offered, # persons trainedProvide train-the-trainer at various locations around the state, throughout the year. Spring 2015Maine CDC, NAMI MaineOutcome: Train-the-Trainer trainings held Measure: # of trainings offered, # persons trainedAssist school districts in protocol developmentOngoingMaine CDC, NAMI MaineOutcome: schools assisted with protocol development Measure: # of school with protocols Objective 4: Access to Care By June 30, 2017, increase access to substance abuse and mental health services via primary care provider settings by 10%. Measure: Number of times the billing code appears. Data Sources: MaineCare, MHDO billing data. Treatment Data System (TDS) at SAMHS website Strategy 4.1 Develop a train-the-trainer program based on Substance Abuse and Mental Health Services Administrations (SAMHSA) Mental Health First Aid program.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide Adult Mental Health First Aid (MHFA) trainings statewide to include 10 specifically targeted by DHHSOngoingNAMI MaineOutcome: 80 trainings held Measure: # of persons nationally certifiedProvide Youth Models of Mental Health First Aid trainings to entities around the stateOngoingNAMI MaineOutcome: 3 trainings held Measure: # of persons nationally certifiedIdentify and reach out to primary care associations to provide the Mental Health First Aid training to their membersFall 2014 (outreach), Spring 2015 (provide training)SAMHS, NAMI MaineOutcome: Trainings held Measure: # of primary care practices that have had staff certifiedStrategy 4.2 Promote public service announcements using messages already developed (bringchangetomind.org).Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDevelop and implement media campaign to include radio PSAs and dissemination of RAC cardsOngoingSAMHSOutcome: Development of media campaign and materials Measure: Website hits, # RAC cards output, catchment area for radio ad: reachStrategy 4.3 Engage physician practices in a learning collaborative to adopt NIATx (Network for Improvement of Addiction Treatment Services) principles that have been shown to consistently influence efforts to overcome barriers to process improvement. ( HYPERLINK "http://www.niatx.net/Content/ContentPage.aspx?NID=131" http://www.niatx.net/Content/ContentPage.aspx?NID=131)Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify and reach out to primary care agencies that are willing to receive training and participate in the NIATx Learning CollaborativeJan 1, 2015SAMHS, Linda Frazier Outcome: Nucleus of practices willing to engage in a collaborative to look at access Measure: # practices/ agencies reached, # agencies willing to collaborate Strategy 4.4 Explore resources to expand Telehealth to areas in Maine with few mental health resources.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify providers already providing or have infrastructure to provide Telehealth servicesJan. 1, 2015SAMHS- Linda FrazierOutcome: Providers identified Measure: List of providers and systems using TelehealthReach out to Maine Association of Psychiatric Physicians to learn more about their grant to provide psychiatric consultation to rural primary care practices (Jeff Barkin/David Moltz)Jan. 1, 2015Linda Frazier (SAMHS)Outcome: Meet with or have conversations regarding this opportunity Measure: Summary of this opportunity and the # of former/current granteesAssess and map infrastructure needs in Washington County (This could possibly be a template for others to use)OngoingWashington County and One Community (Eleody Libby)Outcome: Infrastructure needs for stationary telehealth units identified Measure: 90% of telehealth units assessedStrategy 4.5 Explore resources for education for primary care providers to reduce stigma-related barriers to care via the SIM grant and behavioral health home training initiative.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresWork to reduce stigma-related barriers to integrated care for people with serious mental illness (SMI) and children with serious emotional disorders (SED) by promoting cross-training and collaboration through the Behavioral Health Home Learning Collaborative (BHH LC)April 1, 2015Quality CountsOutcome: Enhanced access and improved health outcomes for people with SMI and SED Measure: # of partnership opportunities offered through webinars, Learning Sessions, warm handoffs from quality improvement specialists and BHH staff at Maine Quality CountsShare best practices on integrated care (Tri-County Mental Health), possibly present at provider conferences (i.e.; MPCA, MMA, MHMC)Fall 2014Tri-County Mental Health Services Deanne Ochoa-Durrell, Melissa Tremblay, Catherine RyderOutcome: Increased number of primary care practices who understand how to embed behavioral health clinicians in their practices to provide integrated services Measure: # of trainings delivered/# of practices with embedded clinicians Categorical Priority: Tobacco Use Maine CDC Lead: Kristen McAuley Goal: Reduce adult and adolescent tobacco use in Maine by 5% by June 2017. (This is approximately 50% toward the healthy Maine 2020 goals.) Objective 1: Treatment By June 30, 2017, increase access and utilization of state tobacco treatment programs by 5%. Measure: Number of referrals to Maine Tobacco Help Line (MTHL); # of MTHL callers; # of Maine Certified Tobacco Treatment Specialists; # of providers trained. Data sources: MTHL, PTM Strategy 1.1 Promote Maine CDC Partnership for a Tobacco-Free Maine (PTM) clinical outreach sessions to increase brief tobacco interventions in clinical settings.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify clinical sites to deliver clinical outreach sessionsOngoingCTI, PTMOutcome: delivery of sessions to sites Measure: # of sessions delivered (aggregate) and # of sites that participatedEngage organizations who will promote CTI clinical outreach sessionsOngoingCTIOutcome: delivery of sessions to sites Measure: # of organizations engagedStrategy 1.2 Promote Maine CDC PTM Basic Skills Training to increase brief tobacco interventions in clinical settings.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify healthcare workers and other potential participants to attend PTMs Tobacco Intervention: Basic Skills Trainings.OngoingCTIOutcome: delivery of trainings Measure: # of trainings delivered (aggregate) and # of participants attended Engage organizations who will promote PTMs Tobacco Intervention: Basic Skills Trainings.OngoingCTIOutcome: delivery of trainings Measure: # of organizations engaged Strategy 1.3 Promote Intensive Tobacco Cessation Training.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify potential participants to attend the PTM Tobacco Intervention: Intensive Skills Trainings and the Tobacco Treatment ConferenceOngoingCTIOutcome: delivery of trainings and conference Measure: # of trainings delivered (aggregate), conference delivered, and # of participants attended each Engage organizations who will promote PTM Tobacco Intervention: Intensive Skills Trainings and the Tobacco Treatment ConferenceOngoingCTIOutcome: delivery of trainings and conference Measure: # of organizations engaged  Objective 2: Policy and Environmental Change By June 30, 2017, increase the number of evidence-based laws, ordinances and policies that provide greater access to smoke-free environments. Measure: Number of new laws, ordinances and policies; # of organizations and communities with smoke-free tobacco or tobacco-free policies. Data Source: Maine CDC HMP Evaluation Strategy 2.1 Increase the number of organizations and local communities that have voluntarily adopted smoke-free or tobacco-free policies and maintain current strong protections from secondhand smoke under Maine law.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresEngage municipalities around smoke free settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies what is best practice for adopting/revising/enforcing smoke and tobacco free policiesOngoingHMPOutcome: policies implemented/revised by municipalities re: smoke free/ tobacco free policies Measure: # new policies implementedEngage worksites on smoke free environments around smoke free settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies what is best practice for adopting/revising/enforcing smoke and tobacco free policiesOngoing HMPOutcome: policies implemented/revised by worksites re: smoke free/ tobacco free policies Measure: # new policies implementedEngage other organizations, which might include public schools on smoke free settings, which may include education on: current Maine law on secondhand smoke/ smoke free/tobacco free policies what is best practice for adopting/revising/enforcing smoke and tobacco free policiesOngoingPTM, HMP, Breathe Easy Coalition (BEC), Maine Youth Action NetworkOutcome: policies implemented/revised by organization re: smoke free/ tobacco free policies Measure: # new policies implemented, # revised policies Objective 3: Second Hand Smoke By June 30, 2017, decrease the number of children and adults exposed to environmental tobacco smoke in the home by 10 %. Measure: Responses to BRFSS/ MIYHS questions about secondhand smoke exposure in the home. Data Sources: BRFSS/ MIYHS Strategy 3.1 Implement a statewide public awareness campaign about environmental tobacco smoke exposure and the effects on children in the home.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIn 3rd quarter of FY15, identify whether this strategy is in alignment with PTMs communications and education plan as well as overall FY16 work plan. April 2015PTMOutcome: inclusion in FY16 work plan Measure: inclusion in FY16 work plan (yes/no)Strategy 3.2 Work with partners to increase the number of families who have rules against smoking in their home by adopting the smoke-free homes pledge.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresWork with partners (i.e.; childcare providers) to encourage families to implement smoke free homes pledge.OngoingBEC, HMP, PTMOutcome: Partners reached with messages to encourage families to take the pledge Measure: # families who have taken the pledgeStrategy 3.3 Work with partners to increase the number of landlords and property managers of subsidized housing, such as those accepting Section 8 vouchers, that have adopted smoke-free policies.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProvide targeted outreach to landlords, managers and owners of subsidized housing. OngoingHMP, BECOutcome: Subsidized property owners/ managers received outreach Measure: # outreach contacts deliveredStrategy 3.4 Train child care and head start staff on messaging about the dangers of environmental tobacco smoke exposure and tobacco treatment resources available through the Maine Helpers Training Program.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresContinue to make available webinar and pertinent resources for child care providers on Breathe Easy Coalition (BEC) website at: Breatheeasymaine.org/childcareOngoingBECOutcome: childcare providers receive information and training on smoke exposure, tobacco treatment Measure: # BEC webinar views, # downloads of childcare toolkit from BEC website Objective 4: Disparities By June 30, 2017, increase engagement with partner organizations by a minimum of 10 to promote or increase awareness of tobacco treatment, prevention and control resources. Measure: Number of clinical outreach engagements to Federally Qualified Health Centers, Indian Health Centers, behavioral health agencies, OB-GYN providers, identified providers to LGBT persons; # of comprehensive tobacco free policies among behavioral health provider agencies and organizations Data Sources: PTM Clinical Outreach Program reports; Breathe Easy Coalition. Strategy 4.1 Promote clinical outreach and attendance at Maine CDC PTM basic skills training among providers that currently serve populations with health disparities. These partner organizations include Federally Qualified Health Centers, Indian Health Centers, behavioral health agencies, OB-GYN providers, and providers to Lesbian, Gay, Bi-sexual, Transgender (LGBT) individuals that currently serve populations with health disparities. These populations include: individuals with a behavioral health diagnosis, LGBT individuals, refugees and immigrants, pregnant women insured through MaineCare, Native Americans, and low socio-economic populations.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIdentify clinical sites to deliver clinical outreach sessions, and/or promote training to providers that care for populations with health disparities (OB/GYNs; FQHCs; Behavioral Health agencies; Indian Health Centers; Sites that primarily serve LGBT population specifically)Delivery is OngoingPTM, CTIOutcome: Clinical sites caring for populations in the 5 listed categories receive clinical outreach Measure: # of clinical outreach sessions delivered to providers in the 5 listed categories Identify partners that can help promote PTM tobacco intervention trainings and conference to providers that care for populations with health disparities (OB/GYNs; FQHCs; Behavioral Health agencies; Indian Health Centers; Sites that primarily serve LGBT population specifically)OngoingProject Integrate, PTMOutcome: Partners are currently promoting PTM trainings Measure: # of partners identifiedStrategy 4.2 Promote the development of comprehensive tobacco-free policies for all provider sites: refer to Breathe Easy Coalition standards. Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresPromote the adoption of comprehensive, best practice tobacco policies for health care and behavioral health settingsOngoingBECOutcome: Increased tobacco policy change in behavioral health and health care settings Measure: # of tobacco-free hospitals and behavioral health sitesStrategy 4.3 Promote electronic communication such as websites, listserves, Twitter, Facebook and newsletters that are specific to the population such as Project Integrate for Behavioral Health populations.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresIn 3rd Quarter of FY15, identify whether this strategy is in alignment with PTMs communications and education plan as well as overall FY16 work planApril 2015PTMOutcome: Inclusion in FY16 Workplan Measure: Inclusion in FY16 WorkplanStrategy 4.4 Promote the Maine Helpers trainings to organizations that currently serve populations with health disparities.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDevelop plan for the revision and, if appropriate, implementation of the Helpers and Confident Conversations trainings OngoingPTM, CTIOutcome: Revision plan developed Measure: TBD Objective 5: Youth By June 30, 2017, increase by 15% the number of organizations that promote and/or implement programs that involve youth in anti-tobacco initiatives. Measure: Number of organizations that work with Maine Youth Action Network (MYAN), # of Drug-Free Community Coalitions that integrate tobacco prevention into their substance abuse prevention efforts. Data Sources: MYAN, SAMHS Strategy 5.1 Support organizations that provide leadership training to youth around tobacco cessation.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresTrain and provide resources and tech support and resources to adults who can provide education, and leadership training to youthOngoingPTM, MYAN, HMPsOutcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects Measure: # of trainings, # of Youth Leadership Summits, # of completed tobacco awareness projectsTrain and provide resources and tech support and resources to youth who can create awareness among their peers OngoingMYAN, HMPsOutcome: increased awareness of tobacco, increased awareness of how youth can engage in tobacco awareness building projects Measure: # of trainings, # of Youth Leadership Summits, # of completed tobacco awareness projectsStrategy 5.2 Implement evidence-based tobacco prevention curricula in schools.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresMonitor developments in evidence-based strategiesOngoingMaine CDC PTMMeasure: # of school-based curricula added to US CDC recommended list of strategiesStrategy 5.3 Engage youth in supporting the development and implementation of evidence-based tobacco prevention policy changes.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresTrain and provide resources and tech support to adults who can engage youth in policy change effortsOngoingPTM, MYAN, HMPsOutcome: increased awareness of how youth can engage in tobacco policy change projects Measure: # of trainings, # of Youth Leadership Summits, # of completed tobacco policy change projectsTrain and provide resources and tech support to youth who can engage in policy change efforts OngoingMYAN, HMPsOutcome: increased awareness of how youth can engage in tobacco policy change projects Measure: # of trainings, # of Youth Leadership Summits, # of completed tobacco policy change projects Infrastructure Priority: Inform, Educate and Empower the Public Maine CDC Lead: Chris Lyman Goal: Increase Maines capacity to inform, educate and empower Maine people about health issues by June 2017. Objective 1: Message Delivery System By June 30, 2017, implement a coordinated system at the Maine CDC to deliver messages that include policies and procedures for distribution, channels for distribution, and a quality assurance or evaluation process for public health communications. Measure: Identified policies and procedures, identified channels, identified evaluation process. Data Source: Maine CDC administration Strategy 1.1 Map the public health information, health education and health promotion delivery system to identify and address gaps including message accessibility.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConvene 2nd face-to-face meeting of SHIP Educate Implementation Team to review approved implementation plan, incorporate additional members, complete team formation tasks, e.g., SOW, roles, data, schedule, communications, orientation manual. Establish Maine CDC Communications Systems Team to address deliverables identified in Objective 1. Establish Health Equity Communications Consortium to meet the deliverables in Objective 2.Fall 2014Strategies 1.1-1.4 Maine CDC Outcome: Team charters for all 3 groups. Establishes ongoing communication methods Measure: Charters developed Hold a training for Maine CDC senior staff and selected staff on strategic communications planning for state public health departments conducted by the Public Health Foundation. Winter 2015Maine CDC Outcome: Maine CDC senior staff and communications staff have a shared understanding of Communications Measure: 100% training slots filled and evaluations returnedDevelop, plan, and implement a Maine CDC Internal Environmental Scan/Inventory of communication policies/ procedures and channels for distribution and existing quality assurance/ evaluation processes.  Maine CDC Chris Lyman, Al May, Melissa Fochesato, others as identifiedOutcome: Internal environmental scan completed Measure: Categories of data needed identified and compiledObtain existing data on internet/ access for Mainers. Spring 2015Maine CDC, State Library Linda LordOutcome: Scan/ Inventory completed Measure: Findings identified and compiledDevelop strengths/ gaps report of environmental scan/ inventory findings.Spring 2015Maine CDC - Chris Lyman, Al May, John Spier, HMP - Melissa Fochesato , others as identifiedOutcome: Draft report and recommendations completed Measure: Maine CDC SMT receives draft report for reviewYear 1 Progress Review Summary and Year 2 Objective 1 Action Plan pre-planning for Year 2 action plan based on final approvals.Summer 2015Maine CDC Outcome: Year 2 planning completed Measure: Written plan for next steps finalizedStrategy 1.2 Develop a customer usage survey to understand and improve the reach of current messaging delivery system to identify accessibility, understanding and applicability. The survey is intended to be used by Maine CDC, HMPs, hospital systems, FQHCs, Tribal Health Departments and others.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresProject team established to develop a Customer Reach/Use/Usability SurveyFall 2014Maine CDC Chris Lyman, Karyn Butts, HMP Dana Leeper, City of Portland Kalawole Bankole, and others as identifiedOutcome: Clarification of charge and team charter with a clear scope of work and roles defined Measure: Written charter completedConduct environmental scan of current Maine CDC surveys and surveillance systems and evaluations for questions related to communication. Conduct research on best practices in survey design to meet the purpose of the survey and identify audiences.Winter 2015Maine CDC Chris Lyman, Karyn Butts, HMP Dana Leeper, City of Portland Kalawole Bankole, and others as identifiedOutcome: Environmental scan compiled and survey audiences defined Measure: Scan completed, survey audience list compiled Develop and pilot surveySpring 2015Maine CDC Chris Lyman, Karyn Butts, HMP Dana Leeper, City of Portland Kalawole Bankole, and others as identifiedOutcome: Survey developed Measure: Pilot implemented yes/noStrategy 1.3 Convene quarterly Maine CDC meetings for health educators and other health education staff for knowledge sharing and skill building on public health communication.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresInventory Maine CDCs internal health educators and health communications in all categories of roles/practice. Fall 2014Maine CDC - Chris Lyman, Jessica Loney, John Spier, David Pied, Outcome: Complete inventory of health educators and health communications Measure: Completed list of Maine CDC staffConvene first Maine CDC Public Health Educators Meeting and develop team charter.Karyn Butts, Tara Thomas, others as identifiedOutcome: Group convened, list refined; members updated on competencies Measure: # of participantsConvene 2nd Maine CDC Public Health Educators meeting. Group leadership and roles clarified. Consider opening group to external health communications experts.Winter 2015Maine CDC - Chris Lyman, John Spier, David Pied, Karyn Butts, Tara Thomas, others as identifiedOutcome: Group develops shared purpose Measure: Team charter completedConvene 3rd Maine CDC Public Health Educators meeting. Propose a skills self-assessment for members. Updates: activities, resources, tools, learning opportunities; meeting evaluation.Spring 2015Maine CDC - Chris Lyman, John Spier, David Pied, Karyn Butts, Tara Thomas, others as identifiedOutcome: Self-assessment findings drive learning plan development Measure: Self-assessment completedConvene 4th Maine CDC Public Health Educators meeting. Report on self-assessment results. Updates: activities, resources, tools, learning opportunities; meeting evaluation.Summer 2015Maine CDC - Chris Lyman, John Spier, David Pied, Karyn Butts, Tara Thomas, others as identifiedOutcome: Draft learning objectives and draft exploratory workforce development plan. Measure: Learning objectives and workforce development plan completed yes/no Strategy 1.4 Develop a Memorandum of Understanding between DCCs and partner organizations for dissemination of Maine CDC health messages.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresDistrict Communications Project Team Review all DCC membership agreements and bylaws, including HMP contracts, to identify expectations related to communications and dissemination of Maine CDC messages. Clarify if all DCCs require signed MOUs of members.Fall 2014Maine CDC Chris Lyman, Al May Tribal Representative, others as identifiedOutcome: All documents reviewed Measure: Review findings documentedConvene 2nd meeting of District Communications Project Based on findings, identify barriers and root causes to disseminating Maine CDC communications which all DCCs share, including Tribal DCCs.Winter 2015Maine CDC Chris Lyman, Al May, Tribal Representative, others as identifiedOutcome: Written QI Project Plan Measure: QI plan completedConvene 3rd meeting of District Communications Project Develop an intervention proposal to address at least one of the shared barriers and a pilot plan for it, and send to SMT for approval.Spring 2015Maine CDC Chris Lyman, Al May, Tribal Representative, others as identifiedOutcome: Intervention proposal developed Measure: Proposal developed and submitted to SMT for approvalConvene 4th meeting of District Communications Project Evaluate the intervention and identify next steps for statewide dissemination.Summer 2015Maine CDC Chris Lyman, Al May, Tribal Representative, others as identifiedOutcome: Results identified and implementation options clarified Measure: Implementation ready for statewide dissemination yes/noConvene 5th meeting of District Communications Project Develop a statewide evaluation plan for the intervention across all DCCs.September 2015Maine CDC Chris LymanOutcome: Evaluation plan developed Measure: Evaluation plan completed Objective 2: Cross-cultural, plain language communication By June 30, 2017, increase coordination and partnerships in Maine to improve the development and sharing of plain language resources that are appropriate across different cultures within Maine. Measure: Number of cross-cultural, plain language documents available on Maine CDC website, # of organizations represented in consortium, documentation of statewide dissemination plan. Data Source: Maine CDC Office of Health Equity. Strategy 2.1 Identify and convene stakeholders from different public and private sectors who are willing to collaborate on developing and sharing plain language resources that are appropriate across different cultures within Maine.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConvene a Health Equity Communications Consortium of public/private membership from state and local levels. Build from invited SHIP Educate Implementation Team membership. Inventory sources of content expertise in health literacy, plain language and language translation and training on CLAS standards. Internal and external member activity updates. Establish a team charter, including how the group will communicate over time.Fall 2014Strategies 2.1 2.4 Maine, David Pied, Jane Coolidge, Gail Senese, Karyn Butts, Tribal District Representative, UNE Sue Stableford, DHHS Catherine Yomoah, City of Portland - Kalawole Bankole, HMPs Dana Leeper, Melissa Focheschato, State Library Linda LordOutcome: Official Consortium convened and defined based on SHIP guidelines Measure: Meeting held, # of participantsConvene 2nd meeting of Health Equity Communications Consortium Member participation in design of environmental scan and customer survey projects. Members update activities, opportunities for collaboration re: health literacy, plain language and language translation and training on CLAS standards.Winter 2015Maine CDCOutcome: Consortium convenes Measure: Meeting held, # of participantsConvene 3rd meeting/conference call/Adobe Connect meeting of Health Equity Communications Consortium Identify key resources and opportunities for leveraging resources to support health literacy, plain language and language translation and training on CLAS standards activities.Spring 2015Maine CDC Outcome: Consortium convenes Measure: Meeting held, # of participants Strategy 2.2 The Maine CDC will develop procedures for development and review of plain-language and culturally and linguistically appropriate communications.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresReview best practices in policies/stand operating procedures for design, production, funding and evaluation of non-urgent/urgent communications in terms of plain language and culturally and linguistically appropriate communications and materials. Review categories of resources for potential training and engagement to address development, production and review of existing and future written and visual products.Winter 2015Maine CDC David Pied, Gail Senese, Karyn Butts, Chris Lyman, UNE Sue Stableford, DHHS Catherine Yomoah, Tribal District Representative, City of Portland - Kalawole Bankole, HMPs Dana Leeper, Melissa FocheschatoOutcome: Consortium members have a shared understanding of the options for developing a sustainable infrastructure and SOPs for health communications Measure: List generated of resources consulted Identify options for threshold population language translation formulas for population health and personal care services. Explore options for a Maine CDC-linked system of review or production, building on lessons learned from Maine CDC programs. Roles of state offices with a similar function, state contractors, and external stakeholders inventoried, and how Maine CDC contractors and core agency partners address the issues.Spring 2015Maine CDC David Pied, Gail Senese, Karyn Butts, Chris Lyman, UNE Sue Stableford, DHHS Catherine Yomoah, Tribal District Representative, City of Portland - Kalawole Bankole, HMPs Dana Leeper, Melissa FocheschatoOutcome: Shared knowledge among Consortium members Measure: # people participating in reviews and inventoriesTraining on Health Literacy 101, Strategic Communication Planning, and related communications topics offered as resources permit.Fall 2014 Summer 2015Maine CDC Chris Lyman, UNE Sue Stableford, Others as identifiedOutcome: Maine CDC staff trained on health literacy Measure: # people trained, # trainings heldStrategy 2.3 Identify and/or create measures to determine who is accessing cross-cultural, plain language materials and how.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConsortium lists methods for surveillance and evaluation methods to see who is accessing plain language and linguistically appropriate health communication materials, and from where, and on what, based on potential production system choices.Spring 2015Maine CDC - Chris Lyman, Consortium membersOutcome: List of options generated in document Measure: List completed yes/noProposal options listed for monitoring and evaluation of system performance, may include state, district programs and contractors delivering direct services.Summer 2015Maine CDC Chris Lyman, John Spier, others as identifiedOutcome: Options identified Measure: Draft proposal completed Strategy 2.4 Develop a statewide process for dissemination of cross-cultural, plain language resources.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresConsortium reviews work to date on Objective 1 and Objective 2. Draft system infrastructure and management options for dissemination of Maine CDC approved for disseminating health communications materials. Set criteria for which materials should be translated first. Maine CDC staff will explore potential use of the Maine CDC website and use of Maine CDCs social media platforms.Spring 2015Maine CDC Chris Lyman, John Spier, Tribal representative, et alOutcome: Consortium review conducted Measure: Consortium review documented yes/noDevelop a decision-making process and draft a proposal with several options and alternative associated costs (materials, personnel, maintenance) for review by SHIP administrators and the Maine CDC senior administration. Summer 2015Maine CDC Chris Lyman, John Spier, Tribal representativeOutcome: Develop draft report Measure: Report submitted for review  Infrastructure Priority: Mobilize Community Partnerships Maine CDC Leads: Jamie Paul, Andy Finch Goal: Increase Maines capacity to mobilize community partnerships and action to identify and solve health problems by June 2017. Objective 1: Increase Community Partnerships By June 30, 2017, increase the number of individuals and organizations mobilized in public health planning, securing of resources, and action via local coalitions, DCCs and SCC for public health. Measure: Number of individuals and # of sectors mobilized at the local level (coalition, health department boards, etc.), at the district level (DCC) and at the state level (SCC). Data Sources: HMP, DCC and SCC memberships. Strategy 1.1 Local coalitions and health departments will identify gaps in representation and recruit to ensure all target populations are being adequately represented in our efforts.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresImplement HMP mid-course assessment of Board composition: Through KIT Solutions and primary data collection9/30/14Maine CDC - Andy FinchOutcome: establish baseline of representation. Measure: # sectors represented on HMP Boards.Implement HMP mid-course assessment of populations with health disparity representation: Through KIT Solutions and primary data collection9/30/14Maine CDC - Andy FinchOutcome: Gap Analysis report Measure: % of HMPs within contract compliance. HMPs use data collected from assessments to address identified gaps in representation10/1/14-6/30/15Maine CDC - Andy Finch and HMPsOutcome: 100% of HMPs that address gaps Measure: actual % of HMPs gaps fillOHE to conduct an analysis of HMP reports on disparities related board representation; works with Andy Finch and HMPs to provide technical assistance in identifying and engaging disparate populations, including those HMPs whose service area abut Tribal reservations. 9/15/14Maine CDC Office of Health Equity - Chris Lyman Maine CDC - Andy Finch and HMPsOutcome: 100% of HMP Boards have representatives from disparate populations or those serving these populations Measure: % of HMP Boards within contract complianceScan and analyze projects/ groups Portland Public Health has led and/or partnered with, for compliance with its newly written policy on inclusion of disparate populations.6/30/15Portland Public Health/ Shane GallagherOutcome: Projects/ groups that comply with policy Measure: List of projects with % complianceDevelop and implement a policy to ensure that disparate populations are represented on all Bangor Public Health and Community Services (BPHCS) boards and committees6/30/15BPHCS Patty Hamilton/Jamie ComstockOutcome: A policy is in place Measure: # of policies Strategy 1.2 Each DCC will review representation annually, identify gaps in representation, and seek to fill those gaps.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresReview DCC core sector list and compare to DCC representation list to ensure match/ compliance. OHE to provide technical assistance to DCCs in identifying and engaging disparate populations.1/1/15DL/DCC MembersOutcome: baseline Measure: report on list match/ summary sheetStrategy 1.3 The SCC will review representation annually, identify gaps and seek to fill those gaps.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresReview SCC By-law sector list and compare to SCC representation list to ensure match/ compliance. (Tribal included)1/1/15SCC - Shawn YardleyOutcome: baseline Measure: report on list match/ summary sheet Objective 2: Increase awareness of public health to increase visibility and encourage engagement By June 30, 2017, implement/ use common messaging that promotes the awareness of the value of public health for 100% of local, district, and state public health mobilization and implementation activities. Measure: Number of times common messaging appears. Data source: annual audit or sample of local, district and state posters, websites, maine.gov, etc. Strategy 2.1 Identify resources such as This is Public Health stickers, use of national public health logo, posters, etc.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/MeasuresAssemble work group to identify best practices for common messaging that promotes awareness of the value of public health at the local, district and state levels. 10/1/14 to 9/30/15Maine CDC - Andy Finch and Jamie Paul, SCC, DCC, local health departments, HMPsOutcome: Meeting between work group and partners. Measure: Meeting agenda, notes, attendance sheet. List of ideas on how to message effectively.Assess existing and any missing resources that can be utilized and potential partners and/or costs associated with them. 10/1/14 to 9/30/15Maine CDC - Andy Finch and Jamie Paul, SCC, DCC, local health departments, HMPsOutcome: Identify best practice public health messaging used throughout the country and what will best suit Maines needs. Measure: # of best practice messaging models identified and assessment of existing resources to implement these models.Communicate with Maine CDC Senior Management team regarding these ongoing meetings and findings via meeting minutes.10/1/14 to 9/30/15Maine CDC - Jamie Paul and Andy FinchOutcome: Keep Maine CDC, Senior Management Team (SMT) apprised of resources being considered. Measure: # of meeting minutes emailed to SMT.Strategy 2.2 Distribute resources to community public health partners.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/MeasuresExplore available resources and based on findings address this strategy in years 2 and 3 Strategy 2.3 Initiate discussions at Maine CDC administration about strategies to raise awareness of what public health is and its value.Implementation StepsTimelineResponsible PartyAnticipated Outcomes/ MeasuresHave discussion with MECDC Senior Management team to determine if there is a single contact person or if the entire senior management team is to receive meeting minutes from Strategy 2.1.10/01/14Maine CDC - Andy Finch and Jamie Paul, Nancy BirkhimerOutcome: Clear direction on who should be contacted with this information. Measure: Andy and Jamie to email work Maine CDC SMT with work group meeting minutes.      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