Overall 694 652 MDPH HIV/AIDS Surveillance Program 2012 New HIV among men who have sex with men 317 285 MDPH HIV/AIDS Surveillance Program 2012 Relative rate of new HIV infections among Black, non-Hispanic vs. White, 10.0x white 8.0x white MDPH BID HIV/AIDS Surveillance Program 2012 Relative rate of new HIV infections among Hispanic vs. White, Non-Hispanic 8.0x white 6.4x white MDPH BID HIV/AIDS Surveillance Program 2012 Numerator: (1) Number of reported cases. (2) Age-adjusted incidence rate for population Denominator: (1) N/A. (2) Age-adjusted incidence rate for white non-Hispanic Exclusions: None Timeframe: Annual How will this be measured? Routine disease surveillance Monitor Health to Identify and Solve Community Health Problems 3.4.1 Sustain targeted testing for HIV among high-risk populations. Inform, Educate, and Empower People About Health Issues 3.4.2 Increase culturally- and linguistically-appropriate education, prevention counseling, and screening for HIV in high risk populations. 3.4.3 Promote utilization of partner referral services for HIV+ individuals. 3.4.4 Promote condom use and availability sexually active youth and adults. Mobilize Community Partnerships And Action 3.4.5 Implement syringe exchange, drug treatment and other harm reduction measures. Link People to Needed Personal Health Services and Health Care 3.4.6 Reinforce routine screening for HIV in clinical settings (e.g., in substance abuse programs). 3.4.7 Ensure sustained health insurance coverage and medication co-payment support for lower income persons with HIV infection to support adherence to medical care and medication regimens to reduce viral load. Assure a Competent Public and Personal Healthcare Workforce 3.4.8 Educate providers CDC guidelines regarding testing and early treatment, referrals to prevention and treatment services and culturally appropriate prevention, treatment and follow-up interventions, including strategies for HIV viral suppression. 3.4.9 Continue to utilize community health workers to reach populations at high-risk for HIV+. Standard 3E: Reduce mortality related to viral hepatitis. Hispanic
BSAS-funded substance abuse prevention coalitions using the Strategic Prevention Framework (SPF) 100% 100% MDPH/BSAS Required Reports from contracted coalitions and MDPH contract management reports Numerator: Number of MDPH/BSAS-funded substance abuse prevention coalitions using the SPF Denominator: Total number of funded substance abuse prevention coalitions Exclusions: Non MDPH/BSAS-funded substance abuse prevention coalitions Timeframe: Quarterly Measure How will this be measured? Providers’ yearly strategic plans, site visit and semi-annual reports Mobilize Community Partnerships to Identify and Solve Health Problems 4.5.1 Increase community and statewide capacity to implement and sustain a Strategic Prevention Framework based, comprehensive prevention approach that includes evidence-based policies, programs and strategies and/or environmental strategies to prevent substance abuse. 4.5.2 Ensure that MDPH/BSAS funded substance prevention coalitions include community partners who represent populations disproportionately impacted by substance abuse. Assure a Competent Public and Personal Healthcare Workforce 4.5.3 Provide technical assistance to coalitions on evidence-based practices including the Strategic Prevention Framework (SPF). Evaluate Effectiveness, Accessibility, and Quality of Health Services 4.5.4 Provide assistance to coalitions to evaluate implemented strategies. Standard 4C: Improve diversity among individuals served. Measure 4.6: Increase the relative percentage of non-white opioid addicted individuals enrolled in MDPH/BSAS-funded medication assisted treatment programs by 5%. Outcome Indicator Baseline 2020 Target Data Source Number of non-whites enrolled in medication assisted treatment in MDPH/BSAS-funded programs 15.8% 16.6% DPH/BSAS enrollment data Numerator: Number of non-whites enrolled in medication assisted treatment in MDPH/BSAS-funded programs Denominator: Total number of individuals enrolled in medication assisted treatment in DPH/BSAS-funded programs Exclusions: Individuals served in medication assisted treatment programs not funded by MDPH/BSAS.
5.5.13 Promote evidence based and best practice strategies for suicide prevention that are culturally and linguistically appropriate. 5.5.14 Assess gatekeeper training effectiveness through evaluation of trainings. Engagement with Governing Entities 5.5.15 Promote suicide prevention activities by other state agencies. 5.5.16 Provide resources to Department of Veterans Services and Executive Office of Affairs for suicide prevention activities specific to veterans and elders. Standard 5C: Reduce work-related injury and violence. Measure 5.6: Reduce rates of work-related injuries among public and private sector employees, particularly those at greatest risk, to meet multiple specified targets. Outcome Indicator Baseline 2020 Target Data Source Non-fatal work-related injuries resulting in medical treatment or restricted time, private sector workers 3.0 injuries/100 FTEs 2.7/100 FTEs BLS Annual Survey of Occupational Injuries and Illnesses Work-related injuries resulting in paid workers compensation claims among employees of Executive Office Agencies 3.2 per 100 FTEs 3.0 per100 FTEs MA Human Resource Division, 2013 Emergency department visits for work-related injuries by workers ages < 24 3.0 per 100 FTEs 2.9 per 100 FTE MA Emergency Department Database, Center for Health Information and Analysis Disparity in rates of hospitalization for work-related injuries for Hispanics and Whites 1.50x 1.40x (ratio) MA Inpatient Hospital Discharge Database, Center for Health Information and Analysis Numerator: Estimated annual number of injuries resulting in medical treatment and/or lost or restricted time among private sector workers, as reported by employers Denominator: Estimated number of full time equivalent employees (FTEs) in private sector industries as reported by employers, for the same calendar year. (An FTE is computed on a 40 hour work week for 50 weeks per year, or 2,000 hours per year.) Exclusions: None Timeframe: Annual How will this be measured? Annual Occupational Health Indicator report that includes assessment of trends of last five years Numerator: Annual number of workers’ compensation (WC) claims incurring costs to the Commonwealth among employees of Executive Office Agencies Hispanic
Maintain Administrative Management Capacity 5.8.14 Assess hospital management expertise related to trauma-informed care. Standard 5E: Reduce health care facility serious reportable events. Measure 5.9 Reduce the hospital-acquired pressure ulcer prevalence in acute and care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source Stage +2 hospital acquired pressure ulcers 88 79 SRE Annual Report: In the general hospitalized population the rate of Stage 2 or greater pressure ulcer is between 2-3% Numerator: Number of reported hospital-acquired Stage III, IV or Unstageable Pressure Ulcers Denominator: Number of patient discharges at acute & non-acute hospitals Exclusions: None Timeframe: Yearly How will this be measured? Annual SRE report (Calculation: 20% reduction of 2%; the lower bound of Stage 2+ hospital-acquired pressure ulcers) Monitor Health to Identify and Solve Community Health Problems 5.9.1 Collect SRE data from all hospital facilities (acute and non-acute). 5.9.2 Track trends of SRE data to determine common themes. Inform, Educate, and Empower People About Health Issues 5.9.3 Support efforts for education SRE prevalence, sharing lessons learned, the importance of transparency and collaboration. Mobilize Community Partnerships to Identify and Solve Health Problems 5.9.4 Sustain and enhance collaborations among MDPH partners (injury prevention, health care facilities licensure and certification, policy and quality, as well as health professions licensure) and non-governmental partners/stakeholders to reduce the prevalence of serious reportable events. 5.9.5 Support coalitions and partnerships to enhance and increase reporting of SREs and building joint efforts to minimize the impact of SREs. Measure 5.10 Reduce the prevalence of falls with serious injury or death in acute and care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source with serious injury or death 404 361 Annual SRE Report Numerator: Number of reported falls with serious injury or death while a patient is being cared for in a hospital facility Denominator: Number of patient days at acute & non-acute hospitals Exclusions: None Timeframe: Yearly
Standard 6A: Reduce teen births in communities with the highest rates. Measure 6.1: Reduce the teen birth rate in the highest need communities by 10%. Outcome Indicator Baseline 2020 Target Data Source MA Women 15-19 14.0 births per 1,000 women 15-19 12.6 births per 1,000 women 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Holyoke, MA Women 15-19 57.1 births per 1,000 women 15-19 51.4 births per 1,000 women 15-19 MDPH Statistics. Data for 2012. Population estimates from DMOA Springfield, MA Women 15-19 46.7 births per 1,000 women 15-19 42.0 births per 1,000 women 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Lawrence, MA Women 15-19 51.3 births per 1,000 women 15-19 46.2 births per 1,000 women 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA New Bedford, MA Women 15-19 42.5 births per 1,000 15-19 38.3 births per 1,000 women 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Worcester, MA Women 15-19 24.1 births per 1,000 women 15-19 21.7 births per 1,000 women 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Numerator: Number of births to females ages 15-19 Denominator: Number of females ages 15-19 in the population Exclusions: Births without the mother’s age recorded Timeframe: Annual How will this be measured? Registry of Vital Records and Statistics (RVRS) Numerator: Number of births to females ages 15-19 Holyoke Denominator: Number of females ages 15-19 in the population Exclusions: Births without the mother’s age recorded Timeframe: Annual How will this be measured? RVRS Numerator: Number of births to females ages 15-19 in Springfield Denominator: Number of females ages 15-19 in the population Exclusions: Births without the mother’s age recorded Timeframe: Annual How will this be measured? RVRS Numerator: Number of births to females ages 15-19 in Lawrence Denominator: Number of females ages 15-19 in the population
Appendices Appendix A: Process Partner Engagement Accountable and effective public health practice depends upon comprehensive and strategic health improvement planning that engages a wide range of partners. The Massachusetts SHIP development was led by the Massachusetts Department of Public Health (MDPH) in collaboration with many partners from across the Commonwealth, as detailed below. Health Resources in Action (HRiA), a non-profit public health organization based out of Boston, MA, provided technical assistance, strategic guidance, and facilitation throughout all aspects of the process, from assessment to planning. Massachusetts SHIP Advisory Group The Massachusetts SHIP Advisory made up of 27 Massachusetts leaders across all non-profits, business and industry, health care, education, community services, and complementary services -- met 6 times over the months of May-August, 2013 and April-June, 2014. This group was responsible for guiding MDPH in the development of the SHIP, advising on key stakeholders, framing the assessment and plan, designing the planning process, making recommendations about SHIP structure, and reviewing and approving work group output. SHIP Advisory Members Heidi Behforouz, Global Health Equity Institute/Brigham and Women's Hospital Vic DiGravio, Association for Behavioral Healthcare Deborah Dickerson, Children's Hospital Patricia Edraos, MA League of Community Health Centers Ralph Fuccillo, Dentaquest Foundation Marcy Goldstein-Gelb, MA Coalition for Occupational Safety and Health Judith Kurland, Boston Monica Lowell, UMass Memorial Health Care Monika Mitra, UMass Medical School, Center for Health Policy and Research Sean Palfrey, Boston Medical Center, MA Chapter, American Academy of Pediatrics Frank Robinson, Partners for a Healthier Community/Springfield Cheryl Sbarra, MA Association of Health Boards Nancy Turnbull, Harvard School of Public Health Karen Voci, Harvard Pilgrim Healthcare Foundation Clara Savage, Common Pathways Somers, Environmental Protection Agency, Region 1 Alan Woodward, MA Medical Society MDPH Staff Designees Elizabeth Barry Robert Carr Michael Coughlin Letitia Davis Kerin Milesky Martha Steele Ultimo Georgia Simpson May Geoff Wilkinson
Objectives Essential Services and Related Strategies 1. Monitor Health to Identify and Solve Community Health Problems 2. Diagnose and Investigate Health Problems and Hazards in the Community 3. Inform, Educate, and Empower People About Health Issues 4. Mobilize Community Partnershipsto Identify and Health Problems 5. Develop Policies and Plans That Support I Health Efforts 6. Enforce Laws and Regulations That Protect Health and Ensure Safety 7. Link People to Needed Personal Health Services and Health Care 8. Assure a Competent Public and Personal Healthcare Workforce 9. Evaluate Effectiveness, Accessibility, and Quality of Health Services 10. Research for New Insights and Innovative Solutions to Health Problems 11. Governance (Maintain Administrative Management Capacity) 12. Governance (Engagement with Governing Entities ) Health Systems Infrastructure Systems Measure 1: By December 31, 2015, create a Public Health Data Warehouse to maintain and improve surveillance capacity; and increase the accessibility of data for and local public health activities, for evaluation of key public health initiatives, and for the SHIP objectives S.1.1 S.1.2 S.1.3 S.1.4 S.1.5 S.1.6 S.1.7 S.1.8 S.1.9 S.1.10 S.1.11 S.1.12 S.1.13 S.1.14 S.1.15 S.1.16 S.1.17 S.1.18 S.1.19 S.1.20 S.1.21 S.1.22 S.1.23 S.1.24 Systems Measure 2: By December 31, 2015, enhance the capacity of local health departments to respond to public health needs. S.2.1 S.2.2 S.2.3 S.2.4 S.2.5 Systems Measure 3: By December 31, 2015, establish and maintain a system to support and provide technical assistance to a network of community based collaborative partnerships across Massachusetts to promote public health. S.3.1 S.3.2 S.3.3 S.3.4 S.3.5 S.3.6
4.3: Reduce a specified multiple provider episode (MPE) rate in the by 20% (i.e., the number of individuals who receive at least one Schedule II and/or III prescription opioid from 4 or more different prescribers and 4 or more different pharmacies during the calendar year divided by the state population). 4.3.1 4.3.2 4.3.3 4.3.4 4.3.5 4.3.6 4.4: Reduce the number of individuals identified per year with combined opioid prescriptions for an average morphine milligram equivalent (MME) greater than 100 mg per day by 10%. 4.4.1 4.4.2 4.4.3 4.4.4 4.4.5 4.4.6 4.5 Ensure that 100% of BSAS-funded prevention coalitions and the integrated communities and municipalities use the Strategic Prevention Framework (SPF). 4.5.1 4.5.2 4.5.3 4.5.4 4.6 Increase the relative percentage of non-white opioid addicted individuals enrolled in MDPH/BSAS-funded medication assisted treatment programs by 5%. 4.6.1 4.6.2 4.6.3 4.6.4 4.6.5 4.6.6 4.6.7 Domain 5: Injury, Suicide and Violence Prevention 5.1: Stabilize the rate of poisonings, with particular focus on opioid related poisonings. 5.1.1 5.1.2 5.1.3 5.1.4 5.2: Prevent an increase in the rate of unintentional fall deaths among residents ages 65+ years. 5.2.1 5.2.2 5.2.3 5.2.4 5.2.5 5.2.6 5.2.7 5.2.8 5.2.9 5.2.10
Domain 7. Environmental Risk Factors and Health 7.1: Increase blood level screening rates in high-risk communities (as defined by low socioeconomic status, percent old housing stock, and other factors) by 10% (relative). 7.1.1 7.1.2 7.1.3 7.1.4 7.1.5 7.1.6 7.1.7 7.2: Reduce the prevalence rate of blood lead levels of > 25 µg/dL in persons 16 years or older by 5% (relative). (Consistent with HP 2020 objective OSH-7) 7.2.1 7.2.2 7.2.3 7.2.4 7.2.5 7.2.6 7.3: Implement steps to improve indoor environmental quality by providing Division of Capital Asset Management and Maintenance (DCAMM) assessments within an average of two weeks of inspection. 7.3.1 7.3.2 7.3.3 7.3.4 7.3.5 7.3.6 7.3.7 7.3.8 7.4: Reduce the number of avoidable complaints of poor housing conditions by increasing the number of inspectors trained by 10%. 7.4.1 7.4.2 7.4.3 7.4.4 7.4.5 7.4.6 7.4.7 7.4.8 7.4.9 7.4.10 7.5: Reduce the number of foodborne illness outbreaks by increasing the number of mandatory local health inspections of retail food establishments. 7.5.1 7.5.2 7.5.3 7.5.4 7.5.5 7.5.6 7.5.7 7.5.8 7.5.9 7.5.10 7.5.11 7.5.12 7.5.13 7.5.14 7.5.15 7.5.16 7.5.17 7.5.18 7.5.19 7.5.20 7.6: Enhance local and state capacity for climate change/adaptation by increasing the number of local health officials trained by 10% annually. 7.6.1 7.6.2 7.6.3 7.6.4 7.6.5 7.6.6 7.6.7 7.6.8 7.6.9
7.7: Enhance capacity to respond to environmental health inquiries by use of the Environmental Public Health Tracking (EPHT) network by 10%. 7.7.1 7.7.2 7.7.3 7.7.4 7.7.5 7.7.6 7.7.7 7.7.8 7.7.9 7.7.10 7.7.11 7.7.12 7.7.13 7.7.14 7.7.15 7.7.16 7.7.17
Appendix C: Overview Data Matrix on Health Behaviors and Outcomes Overview Data Matrix on Heath Behaviors and Outcomes Massachusetts State Health Assessment and Improvement Plan – For September 26, 2013 Planning Session Mortality Rate or Years of Potential Life Lost (YPLL) Incidence, Prevalence, or Hospitalization Related Costs Disparities and At-Risk Populations Key Trends Alignment with State or Nat’l Frameworks* Maternal, Child, and Family Health Promotion Teen pregnancy 14.0 births per 1,000 females aged 15-19 Teen childbirth in MA cost taxpayers $178 million Highest rate among Hispanics (47.2 births per 1,000 females aged 15-19) followed by Black teens (rate of 24.5) ↓ over last 10 years among all racial/ethnic groups by 40-50% WB HP2020 Infant mortality 4.3 deaths per 1,000 live births Death rates per 1,000 live births: 8.2 Black, non-Hispanic; 5.4 Hispanic; 2.6 Asian; 3.5 White, non-Hispanic ↓among Blacks in last 20 years. Very slight ↓ among Whites and Asians; rates vary (both ↓and ↑) among Hispanics HP2020 Negative birth outcomes (preterm and low birth weight) 8.6% preterm births (<37 weeks) r 7.6% low birthweight Preterm costs the US $26 billion annually Blacks have highest by far for both. For preterm birth, Black experience 10.1% preterm births per 1 followed by Hispanics (9.2%). ↑ in preterm and LBW births in last decade, even when adjusting for plurality HP2020 Chronic Disease Prevention and Control Tobacco use Over 7,700 deaths annually in MA attributed to smoking 16.4% of adults 32% of high school students have ever smoked and 11% currently smoke $4.3 billion in MA healthcare costs due to smoking ($1.5 billion in ambulatory costs; $972 million in hospital costs) Groups with highest smoking rates include: LGBT (21.8%), less than high school education (25.0%), people with disabilities (23%), those with poor mental health (36.3%) and those on MassHealth (32.3%) Overall ↓ in last 10 among MA adult and youth smoking; ↑ in youth e-cigarette use from 2011 to 2013 MDPH SP PrevTrust WB NPS HP2020
Alcohol Use In 2011, 68% of high school students reported lifetime alcohol use, 40% reported past 30 day use (current use) and 22% reported current binge drinking. 15% reported alcohol use before age 13 $98 million in MA in ED visit costs for alcohol/ substance use In 2011, percentages of high school students of different race/ethnicity groups who reported lifetime alcohol use were: 68% of Non-Hispanic White, 67% of Non-Hispanic Black, 73% of Hispanic, 53% of other Non-Hispanic students and 69% of Non-Hispanic Multiracial students. 69% of female high school students reported lifetime alcohol use vs 67% of males. ↓in lifetime alcohol use high school students. ↓First alcohol use before age 13. Current alcohol use is stable. SPF Illicit and Prescription Drugs In 2011, 43% of high school students reported lifetime marijuana use, 28% reported current marijuana use and 7% reported marijuana use before age 13. In 2011, % of high school students reported use of: Cocaine 5%, Ecstasy 6%, Methamphetamines 3%, Heroin 2%, Steroids 3%. MA state spending for substance abuse estimated at $5.87 billion In 2011 among high school students, 52% of Non-Hispanic White reported use of illicit drugs**, vs. 49% of Black, 56% of Hispanics, 38% of Other Non-Hispanics and 60% of Non-Hispanic Multi-racial students. ** Illicit drugs include marijuana, inhalants, over-the-counter medicines, prescription drugs that were not their own and other illicit drugs. No overall change in lifetime, current and first time marijuana use before age 13 by high school students. SPF Injury, Suicide, and Violence Prevention Unintentional Fall Injuries in Older Adults 55.6 deaths by unintentional per 100,000 residents ages 65+ 2227.2 hospital stays and 5116.2 ED visits per 100,000 residents 65+ for unintentional fall injury. $497.5 million in inpatient hospital charges associated with unintentional injuries (all dispositions) among MA residents 65+ years Death and hospital stay rates related to unintentional fall injury are highest among residents ages 85+ years(203.8and 6309.7 per 100,000 persons) ↑ in death rate by falls for adults 65+ over the last 10 years. NPS HP2020
Child/Youth Injuries (ages 0-19 years) 4.3 unintentional injury deaths per 100,000 children/youth aged 0-19 years (Source: Massachusetts Deaths, 2012, Registry of Vital Records and Statistics, MDPH. Data prepared by the Injury Prevention and Control Program, MDPH. 2012 Crude Rate.) 274.5 hospital stays and 10,774.4 ED visits per 100,000 children/youth associated with unintentional injury (Sources: MA Inpatient Hospital, Observation Stay and Emergency Department Discharge Databases, Center for Health Information and Analysis. Data prepared by the Injury Prevention and Control Program, MDPH. FY2012 Crude Rates.) $279 million in acute care hospital charges in FY12. (Sources: MA Inpatient Hospital, Observation Stay and Emergency Department Discharge Databases, Center for Health Information and Analysis. Data prepared by the Injury Prevention and Control Program, MDPH. FY2012 Crude Rates.) Hospital stays and ED visit rates are highest among black non-Hispanic children/youth (278.6 and 11,062 per 100,000 persons). (Sources: MA Inpatient Hospital, Observation Stay and Emergency Department Discharge Databases, Center for Health Information and Analysis. Data prepared by the Injury Prevention and Control Program, MDPH. FY2012 Crude Rates.) No statistically significant trends in unintentional injury deaths, hospital stays or ED visits among children 0-19 years during the past five years.
Occupational injuries 1.7 deaths per 100,000 over 16 for work related injuries 3,200 injury/illness per 100,000 fulltime workers 1.6 cases of injury per 100 fulltime workers that resulted in lost workdays Estimated $67 billion in U.S. in direct medical costs due to occupational injury /illness and $183 billion in indirect costs Work related injuries resulting in death highest among Hispanics (3.9 deaths per 100,000 fulltime workers) Workplace injuries among teens resulting in ED visits are highest among Hispanics (2.9 per 100 fulltime workers) ↓ in nonfatal work related injuries to teens and adults from 2000-2007 ↓ in cases of injury that resulted in lost workdays from HP2020 Environmental Risk Factors and Health Outdoor air quality Ozone air quality standard was exceeded 49 times in one year Highest rates are in Worcester and Hampshire Counties Overall↑ in number of days standard was exceeded with very high rates specifically in 2001 and 2002 HP2020 tobacco smoke 37.9% of adults exposed to environmental tobacco Exposure to ETS highest among Blacks (46.5%) Exposure to secondhand smoke among nonsmokers dramatically ↓ from 2002-2008 HP2020 Childhood lead poisoning In 2013, 6,826 Massachusetts children had blood lead levels above the CDC reference value of 5 μg/dL. $972 million in lost future earnings in MA due to lead-induced damage for a cohort of five year olds Twenty-five communities in MA meet the definition of high-risk based on age of housing stock, income, and number of children with elevated blood lead levels. Over the 2008-2013 period, the number of children 9-48 months in Massachusetts with elevated blood lead levels has been decreasing. HP 2020 Screening for childhood blood lead levels The average screening rate in the 25 Massachusetts high-risk communities for elevated lead levels was 80% in 2013. Twenty-five communities in MA meet the definition of high-risk based on age of housing stock, income, and number of children with elevated blood lead levels. Over the 2003-2008 period, the screening rate in Massachusetts high-risk communities has remained unchanged at 80%. HP 2020 Health Care Access
Health care access 1.9% of residents uninsured 4.4% of residents report not having health insurance 88.3% of adults report having a personal health care provider Percent of residents who report not having health insurance highest among Hispanics (10.6%) Adults with a personal health care provider are lowest among Hispanics (75.7%) and those in the Boston regions (81.5%) ↓ in percent of residents without health insurance ↓ in percent of adults without a PHCP MDPH SP HP2020 *State and National Focus Abbreviations: PrevTrust = Prevention and Wellness Trust, MDPH SP= Massachusetts Department of Public Health, 2012 Strategic Plan,WB = CDC’s Winnable Battles, NPS = National Prevention Strategy, HP2020 = Healthy People 2020
Rate of complete HPV vaccination among MA females 13-17 years old CDC National Immunization Survey 2012 Flu vaccine rates among healthcare workers National Healthcare Safety Network (NHSN) 3.2 Lyme disease Lyme disease reported among children under the age of 19 MDPH BID Epidemiology Program 2012 3.3 Sexually transmitted infections Chlamydia incidence adults and adolescents MDPH BID STD Surveillance Program 2011. Gonorrhea incidence MDPH BID STD Surveillance Program 2011. Gonorrhea incidence among Blacks - MDPH BID STD Surveillance Program 2011. Gonorrhea incidence among Hispanics/Latinos MDPH BID STD Surveillance Program 2011. Syphilis incidence among men who have sex with men (MSM) MDPH BID STD Surveillance Program 2011. 3.4 HIV Infections Overall MDPH HIV/AIDS Surveillance Program 2012. New HIV cases among men who have sex with men MDPH HIV/AIDS Surveillance Program 2012 Relative rate of new HIV infections among Black, non-Hispanic vs. White, Non-Hispanic MDPH BID HIV/AIDS Surveillance Program 2012 Relative rate of new HIV infections Hispanic vs. White, Non-Hispanic MDPH BID HIV/AIDS Surveillance Program 2012 3.5 Hepatitis C virus (HCV) Average time from diagnosis with HCV infection to death: MDPH BID Epidemiology Program 3.6 Standard infection ratios (SIR) for CLABSI’s, CAUTI’s, SSI’s, Clostridium Difficile infections, and MRSA bacteremia Central line associated bloodstream infections (CLABSI) SIR National Healthcare Safety Network (NHSN), 2012 Vaginal hysterectomy surgical site infection SIR National Healthcare Safety Network (NHSN), 2012 Catheter-associated urinary tract infections (CAUTI) National Healthcare Safety Network (NHSN), 2012 3.7 Salmonella and Campylobacter Incidence of campylobacteriosis MDPH BID Epidemiology Program 2012 Incidence of salmonellosis MDPH BID Epidemiology Program2012 Domain 4: Substance Abuse Prevention, Intervention, Treatment and Recovery 4.1 Alcohol High school youth who have tried alcohol for the first time before age 13 years CDC MMWR YRBS 2012. Data for 2011 4.2 DPH/BSAS training for healthcare providers to incorporate screening and intervention for unhealthy substance use Number of Health Care Providers trained annually MDPH/BSAS Quarterly reports from contracted training vendor
Holyoke, MA Women ages 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Springfield, MA Women ages 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Lawrence, MA Women ages 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA New Bedford, MA Women ages 15-19 MDPH Vital Statistics. Data for 2012. Population estimates from DMOA Worcester, MA Women ages 15-19 MDPH Statistics. Data for 2012. Population estimates from DMOA 6.2 Low weight Percentage of infants born weighing less than 2,500 grams from RVRS data MDPH Vital Statistics. Data for 2012. Percentage of infants born prematurely MDPH Vital Statistics. Data for 2012 Black, non-Hispanic Infants born weighing less than 2,500 grams. MDPH Vital Statistics. Data for 2012. 6.3 Breast feeding Breastfed at 8 weeks MA PRAMS Surveillance Report 2013. Data for 2009/2010. Exclusive breastfeeding at hospital discharge MDPH Vital Statistics. Data for 2012. Number of Baby-Friendly Hospitals Baby-Friendly USA data 6.4 Teeth cleaning before and during pregnancy Women who received teeth cleaning in the 12 months prior to pregnancy MA Surveillance Report 2013. Data for 2009/2010. Women who received teeth cleaning during pregnancy MA PRAMS Surveillance Report 2013. Data for 2009/2010. 6.5 Children with medical home Children & aged 0 – 17 National Survey of Children’s Health (NSCH) / 2011/2012 Children & youth with special health care needs National Survey of Children’s Health (NSCH).(2011/12) 6.6 Measuring positive childhood health and development Development of robust measure or measures To be Identified and / or developed Domain 7: Environmental Risk Factors and Health 7.1 Blood lead level screening Children 9-48 months who received screening? Childhood Lead Poisoning Prevention database, (2013) 7.2 Blood lead level Persons 16 + with blood lead levels of > 25 ug/dL Numerator Source: Massachusetts Occupational Lead Poisoning Registry Denominator Source: BLS Current Population Survey 7.3 Indoor environmental quality Average time between Division of Capital Management and Maintenance (DCAMM) assessment and inspection BEH IAQ database 7.4 Poor housing condition complaints/increase number of trained inspectors Trained inspectors Local Public Health Institute of Massachusetts (average number trained 2011-2013)