Stories in Public Health
ASTHO’s “Have You Shared” initiative systematically collects and disseminates stories that highlight promising and useful practices and implementation strategies developed by state and territorial health agencies. ASTHO created the Have You Shared campaign to solicit state stories and is working with our members to capture stories from across all ASTHO content areas.
Stories collected by the Have You Shared initiative are archived below, but are also shared through other parts of the ASTHO website as well as through the State Public Health Weekly, other ASTHO newsletters, communications with affiliate organizations and partners, and ASTHO meetings.
If your state has a project or program that may be of interest to other states, let us know! Complete this brief web form
describing the story you would like to share, and an ASTHO staff member will follow up with you for more information.
Texas Department of State Health Services Responds to an Explosion in West
Plans and surge capacities are put to the test as responders provide medical and behavioral health support to the community” or something along those lines as the metadata description.
Colorado Addresses Diabetes Disparities Through Partnerships and a New Reimbursement Program
Colorado addressed low socioeconomic and racial and ethnic disparities in diabetes outcomes by partnering with the American Association of Diabetes Educators and University of Colorado at Denver School of Pharmacy.
Rhode Island: Incorporating Performance Measures at a State Health Agency
Using Plan-Do-Study-Act and a root cause analysis, a Rhode Island quality improvement team increased the number of programs in their agency that had submitted performance measures to a centralized system.
Kansas Develops Prenatal Classes through Public Health and Primary Care Collaborations
The Salina-Saline County Health Department in Kansas collaborated with the local March of Dimes (MOD), Salina’s Child Advocacy & Parenting Services (CAPS), and the Salina Family Healthcare Center (SFHC), along with local pediatricians, obstetricians, and neonatologists to improve infant mortality rates in Kansas.
New York Redesigns Maternal and Child Health Programs
New York state’s Department of Health restructured their community-based maternal and infant public health programs to maximize resources, support innovation, build the evidence base for public health interventions, and improve health outcomes and reduce disparities.
New Jersey Prioritizes Newborn Screening Program in the Face of Hurricane Sandy
In spite of the destruction caused by Hurricane Sandy in October 2012, New Jersey’s only designated newborn screening lab teamed up with state and local partners, as well as other stakeholder groups, to ensure that not a single newborn screen was missed in the days after the storm.
Quality Improvement in Kentucky: Streamlining the Grant Process
By using quality improvement tools to focus on the challenges agency staff faced when applying for grant funding, the Kentucky Department for Public Health was able to standardize and improve the process.
Putting on AIRS (Asthma Indoor Risk Strategies): An In-Home Asthma Education and Environmental Assessment Program in Connecticut
The Connecticut Department of Public Health (CDPH) collaborated with local health departments, multiple healthcare organizations, and health insurance providers to establish an evidence-based home visitation program focused on indoor asthma triggers and education about asthma as a chronic illness.
Tennessee’s Upper Cumberland Primary Care Project
Tennessee’s Upper Cumberland area health departments have successfully collaborated with primary care and state and local governments in an effort to improve the region’s primary care services and population health.
Delaware Healthy Weight Collaborative
The Delaware Division of Public Health (DPH) leveraged resources from a grant through the National Initiative for Children’s Healthcare Quality (NICHQ) Collaborate for Healthy Weight project to partner with primary care organizations and community organizations to address obesity in select populations.
New Jersey: Creating Collaboration Throught the Hospital Community Benefit Planning Process
The New Jersey Health Initiatives forged partnerships and collaboration among area hospitals and local public health departments to improve primary and specialty care.
Missouri’s Time Critical Diagnosis System for Trauma, Stroke, and STEMI
In 2008, Missouri enacted laws to establish the Time Critical Diagnosis (TCD) System, which brings together the 911 response system, ambulance services, and hospitals in an integrated approach to help more people survive and recover from trauma, strokes, and heart attacks.
Kentucky Partnership Explores Health Impact of Worksite Wellness Tax Credit
Health impact assessment points the way to using a worksite wellness tax credit to improve Kentucky's obesity rates, social cohesion, and job creation in the state.
Washington Primary Care Health Homes
The Washington State Department of Health (WSDOH) is working with multiple partners to improve the health of its local communities through developing and expanding patient-centered health and medical homes that improve patient care coordination.
Iowa Promotes Provider-Pharmacist Team Management of Hypertension
The goal of this pilot integration project was to improve blood pressure management by fostering physician-pharmacist teams in 11 small communities across Iowa. The pilot initiative used a proven physician-pharmacist team management within-clinic model and translated to the community where the team members were not working within a clinic for the same employer.
Arizona's Recovery Through Whole Health Initiative
(ADHS) is expanding its integration efforts to deliver coordinated behavioral and physical healthcare to Medicaid-eligible adults with serious mental illnesses (SMI) under a model known as “Recovery Through Whole Health”—an approach that focuses care on the person’s life goals instead of his or her diagnosis—to generate greater efficiencies and improve the sustainability of Arizona’s health system for the benefit of all Arizonans.
Arkansas' Grassroots Effort to Reduce Infant Mortality Among African-Americans
Two Arkansas Department of Health offices and the Arkansas Children’s Hospital call on four African American sororities’ state graduate chapters to become public health educators and champions in an effort to reduce infant mortality.
California Smokers' Helpline Electronic Medical Records Project
The goal of this project was to integrate the 5As (ask, advise, assess, assist and arrange) known as Ask, Advise and Refer in California-to increase tobacco treatment interventions in health care settings. By operationalizing an Electronic Medical Record System (EMR), the California Smokers' Helpline allows clinicians at University of Davis Medical Center to electronically refer their patients who smoke to the Helpline for evidence-based tobacco cessation counseling services.
Massachusetts School Nutrition Standards for Competitive Foods and Beverages
After eight years of legislative effort, new evidence-based nutrition standards for “competitive foods" are now in place.
Montana Telehealth Diabetes Prevention Program
The Montana Department of Public Health and Human Services (MDPHHS) partnered with a community hospital in the state to implement a group-based diabetes prevention program lifestyle intervention for adults at high risk for developing type 2 diabetes and cardiovascular disease (CVD). The program is available both at the hospital and via telehealth.
North Carolina Joint Use Agreements for Schools and Communities
Well-executed joint use agreements have the potential to expand opportunities for physical activity to improve the health of children and adults.
Florida Colorectal Cancer Screening Project
The State of Florida, Department of Health, (DOH), partnered with the Health Foundation of South Florida (HFSF) to support increased patient adherence to colorectal cancer screening through conversion to the Fecal Immunochemical Test (a newer improved stool test) and/or patient reminders via postal mailings and telephone follow-up among Federally Qualified Health Centers in south Florida.
Texas Reduces Premature Births by Restricting Non-Medically Necessary Inductions
In 2011, Texas Governor Rick Perry signed into law House Bill 1983, in an effort to reduce the number of elective or non‐medically‐indicated induced deliveries and Cesarean sections prior to 39 weeks of gestation.
INdicators Data Tool: An Indiana Health Department and Hospital Association Collaboration
The Indiana State Department of Health (ISDH) partnered with the Indiana Hospital Association (IHA) and other partners to create an online central hub for state- and county-level data.
Arkansas Partnership to Address Healthcare Access for Marshallese Community
The Arkansas Department of Health (ADOH) partnered with various public and private organizations to address the healthcare needs of Republic of Marshall Islands (RMI) migrants to the United States, specifically those with Hansen’s disease and other infectious diseases.
North Dakota Tri-County Chronic Disease Management Program &and Spirit Lake Nation Public-Private Partnership
These two case studies provide examples of how North Dakota has taken significant steps toward primary care and public health integration and demonstrate the benefits and impact this integration has had on communities in North Dakota.
Million Hearts Case Study: Maryland’s Million Hearts Initiative
The Maryland Million Hearts Initiative is a broad state-level effort led by the Maryland Department of Health and Mental Hygiene (DHMH) that leverages existing initiatives and engages many partners across sectors.
Idaho Medical Home Project for Children with Special Healthcare Needs
Two local Idaho public health districts are collaborating with the Division of Medicaid and the Division of Public Health within the Idaho Department of Health and Welfare to introduce a patient-centered medical home model to providers of pediatric and family care serving children with special healthcare needs in rural parts of Idaho.
Virginia Plan First: Reducing Unintended Pregnancy While Increasing Revenue
Through a coordinated multi-agency effort involving Health Commissioner Karen Remley, Governor Bob McDonnell, the Virginia Department of Health, and the Department of Social Services, Virginia has made strides towards reducing unintended pregnancy rates across the state by dramatically increasing enrollment in its Medicaid-funded comprehensive family planning program.
The Utah Asthma Program
The Utah Department of Health (UDH), convened multiple stakeholders from public health, primary care, and community organizations to address the burden of asthma in Utah.
Nevada Immunization Cocooning Program
The Nevada State Immunization Program worked with state birthing hospitals and OB/GYN providers to develop a vaccination program against pertussis.
Prenatal Smoking Cessation in Oklahoma
SoonerQuit, a tobacco cessation initiative of Oklahoma’s Medicaid agency and state department of health, trained 48 prenatal care providers to effectively incorporate tobacco cessation into routine patient care, potentially resulting in long-term behavior changes among providers.
Maine’s Snuggle ME Guidelines
Snuggle ME is a practitioner’s comprehensive guide to caring for drug-affected babies and their families from the prenatal period through the first year of life, and includes a screening tool, and resource and practice guidelines. It is the product of a workgroup of volunteer stakeholders, who came together to try to standardize care and ease frustrations.
Georgia Partnerships to Improve Infant Mortality Rates
The Georgia Department of Health collaborated with local public health departments, birthing hospitals, the OB/GYN society, pediatric community, and various area non-profits to decrease infant mortality rates in six identified regions with the highest infant mortality rates in the state.
Million Hearts Case Study: Ohio Million Hearts Toolkit
The “Check It, Change it, Control It: Your Heart Depends on It” toolkit was produced through a collaboration between the Ohio Department of Health (ODH) and the Ohio Academy of Family Physicians (OAFP). It was designed to increase screening among African-American males for hypertension and high cholesterol and improve their preventive behaviors and treatment by focusing on both patient education and physician training in care management and cultural sensitivity.
Million Hearts Case Study: New York Cardiac Population Health Initiative
The New York Cardiac Population Health Initiative (NY CPHI) is a collaboration between the New York State Department of Health (NYSDOH) and IPRO (formerly the Island Peer Review Organization), New York’s designated quality improvement organization (QIO). CPHI is designed to achieve system-wide practice change and healthcare improvement by providing technical assistance and practice support to primary care practices statewide to improve performance and health outcomes around Million Hearts metrics, including the ABCS of heart health (appropriate aspirin therapy, blood pressure control, cholesterol management, and smoking cessation).
New Mexico's Integrated Health Commons
Rural Northern New Mexico's Rio Arriba County Department of Health and Human Services, the Espanola Public Health Office, and a federally qualified health center (FQHC) partnered to integrate services into one building to provide seamless healthcare services for the community.
Living Well Hawaii Project: Innovative Healthcare for Adults with Serious Mental Illness
The Living Well Hawaii project, a new partnership between a Federally Qualified Health Center (FQHC) and the Hawaii Department of Health, will utilize a patient-centered healthcare model to improve health outcomes for adults with severe mental illness.
Michigan Smoke-Free Law Implementation
Michigan's implementation plan maximized resources and used evidence-based strategies to create a successful model for smoke-free law implementation, evaluation, and enforcement that improved air quality in workplaces and food service establishments.
Michigan: Encouraging Physical Activity Among Older Adults with EnhanceFitness
The Michigan Department of Community Health (MDCH) Arthritis Program partners with multiple community-based organizations to increase physical activity among adults with arthritis—most of whom are older adults—through EnhanceFitness, an evidence-based group physical activity program for mature adults designed to improve functional fitness and well-being.
Wisconsin Early Childhood Obesity Prevention Initiative
Active Early, Wisconsin Department of Health Services’ flagship program for obesity prevention in early childhood education, has demonstrated that implementing 120 minutes of physical activity each day in early childhood education settings is both feasible and sustainable.
WI ABC's for Healthy Families
By taking the life course approach, Wisconsin’s ABCs for Healthy Families created a holistic and multi-pronged strategy to reduce African-American disparities in infant mortality outcomes.
North Carolina CHNA Case Study
North Carolina Public Health/Hospital Collaborative members work to promote effective community collaboration.
Georgia SHAPE Initiative
The Georgia Student Health and Physical Education (SHAPE) initiative includes strategies for addressing obesity from birth through age 18 and involves statewide, coordinated efforts with targeted communication strategies and multiple partnerships with other state government agencies, private foundations, healthcare providers, professional athletic teams, and private companies.
Prenatal Smoking Cessation in Oklahoma
SoonerCare trained 48 prenatal care providers to effectively incorporate tobacco cessation into routine patient care, potentially resulting in long-term behavior changes among providers.
West Virginia: Building a Statewide Plan for Physically Active Lifestyles
The ActiveWV 2015: The WV Physical Activity Plan provides a strategic direction for physical activity promotion within the state and is expected to increase the physical activity levels of children and adults in West Virginia to meet or exceed the recommendations in the Physical Activity Guidelines for Americans.
The Wisconsin Screening Hearts in NEwborns (SHINE) Project was created to evaluate the costs and effectiveness of pulse oximetry (POX) screening for CCHD in newborns.
North Dakota’s Oil Boom Results in Population Growth Across the State and Public Health Challenges
North Dakota’s Oil Boom Results in Population Growth Across the State and Public Health Challenges HYS Have You Shared Infectious Disease Success Stories
New Hampshire’s Reconciliation Process for Vaccine Accountability
New Hampshire finds unique ways to meet the CDC Vaccines for Children Program's accountability standards and maintain high vaccination rates.
Rhode Island’s Immunize for Life Program
Rhode Island's multiple immunization and follow-up programs have ensured the state's high vaccination rates for vaccine-preventable diseases and influenza.