Have You Shared?

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.

Have You Shared map image

Use our map to view stories from a state or territory of your choosing.
Or, see the complete list of stories below.



Ohio Supports Local Health Departments Third Party Billing for Immunization Services
Third party billing helps sustain programs and allows for more comprehensive services.

Indiana State Department of Health Boosts Immunization Rates through Partnerships and Legislation
In the last five years, Indiana used key partnerships to pass three bills to improve immunization rates, vaccine access, and data collection.

First US Case of MERS CoV Identified in Indiana
Strong interdepartmental and federal partnerships and practiced emergency procedures allowed the Indiana State Department of Health to quickly identify and contain a novel case of MERS-CoV.

By Targeting Obstetrical Providers, Massachusetts Initiative Increases Influenza Vaccinations Among Pregnant Women
After observing that pregnant women had higher hospitalization rates during the 2009 H1N1 outbreak, the Massachusetts health department partnered with the Massachusetts chapter of the American College of Obstetrician Gynecologists to increase influenza vaccinations among this at-risk population.

Massachusetts Health Department Collaborates with Community Organizations to Increase Influenza Vaccinations Among Minority Populations
After finding that minority populations were hit hard by 2009’s H1N1 outbreak, Massachusetts launched an initiative and collaborative to increase flu vaccination among these at-risk groups.

Multiple-Serotype Salmonella Outbreaks in Two Arkansas State Prisons
Arkansas Department of Health collaborated with federal health organizations to tackle the state’s largest ever multiple-serotype salmonella outbreak that affected two Arkansas state prisons.

Louisiana Expands Access to Flu Vaccines and Creates Robust Response Capability Through Emergency Preparedness and Immunization Collaboration
Louisiana Department of Health and Hospitals is expanding access to flu and other vaccines through pharmacies, allowing for real-time information on vaccine use across communities and flexible response systems to health emergencies.

Arkansas Implements Healthy Employee Lifestyle Program
The Arkansas Department of Health launched a comprehensive worksite wellness program intervention supported by policy that rewards regular exercise, good nutrition, and other healthy lifestyle choices.

Wisconsin Promotes Hepatitis C Testing Among Baby Boomers
Wisconsin’s Division of Public Health has educated stakeholders and engaged partners in implementing the baby boomer testing recommendation.

Arkansas Promotes Hepatitis C Testing among Baby Boomers
The Arkansas Department of Health developed innovative strategies to implement CDC’s recommendations to test baby boomers for hepatitis C.

Alabama Third Time's the Charm
Alabama Department of Public Health’s Comprehensive Cancer Control Program and Breast and Cervical Cancer Early Detection Program partnered to create the CDC-funded Third Time’s the Charm campaign to educate parents, providers, and young adults about the HPV vaccine.

Arizona Partners to Increase HPV Vaccination Rates
The Arizona Immunization Program collaborated with The Arizona Partnership for Immunization (TAPI) and used TAPI’s Teen award as an incentive for providers to administer the HPV vaccine to teen patients.

Rhode Island Community Health Network Case Study
Rhode Island’s Community Health Network partners multiple chronic disease management programs to provide a single access point for patient referrals. Patient navigators have facilitated more than 879 referrals to evidence‐based programs around the state.

North Carolina Healthy People 2020 Case Study
The North Carolina Division of Public Health (NCDPH) is working to meet Healthy People 2020 targets in the state by disseminating information on evidence‐based strategies, requiring local health agencies to address Healthy People 2020 objectives, and convening health professionals to develop the North Carolina Healthy People 2020 plan.

Iowa Healthy People 2020 Case Study
The Iowa Department of Health used Healthy People 2020 resources and objectives to design a state health plan that facilitates engagement across organizations and agencies to address the state’s most urgent health needs.

Massachusetts Promotes Health Equity and Reduces Costs with the Prevention and Wellness Trust Fund
Through policy and administrative means, the Commonwealth of Massachusetts established the Prevention and Wellness Trust Fund, a significant component of a comprehensive healthcare cost containment bill. The fund supports community-based and clinical partners to address health disparities and reduce the rates of some of the most prevalent, expensive, and preventable health conditions.

Minnesota Department of Health Changes the Narrative on Health with the Healthy Minnesota Partnership
The Minnesota Department of Health worked with its Healthy Minnesota Partnership to change the narrative around health and develop a health in all policies approach for eliminating health disparities and achieving health equity.

Ohio Department of Health Collaborates with Partners to Address Health Disparities Using Meaningful Use Data
The Ohio Department of Health worked with the largest Medicaid health plan in Ohio and academic institution on a meaningful use initiative to combine datasets and expertise for the purpose of creating interventions to address the social determinants of health for high-user and high-cost communities.

Maryland Fights Health Disparities with Health Enterprise Zones Legislation
By using policy and administrative levers, Maryland Department of Health and Mental Hygiene’s Office of Minority Health and Health Disparities supported the efforts of the Maryland Health Quality and Cost Council’s Health Disparities Workgroup and the governor’s office to develop the innovative Health Enterprise Zone Initiative.

Utah Department of Health Promotes Healthy Eating Options at Catered Events
The Utah Department of Health incorporates HHS and USDA’s Dietary Guidelines for Americans in its workplace through a healthy food policy for catered events.

Virginia and Walgreens Collaborate to Provide Free HIV Testing in the Commonwealth
After establishing that they share a commitment to addressing HIV, the Virginia Department of Health and Walgreens created a program that provides free, pharmacist-led HIV testing at select Walgreens sites.

Alaska Infant Safe Sleep Initiative Develops Toolkit for Birthing Hospitals
The Alaska Division of Public Health engaged providers, parents, and other key stakeholders to develop a toolkit about safe infant sleep that reaches across cultural barriers and sets a model for state standards.

Hawaii Restricts Youth E-Cigarette Sales
The Hawaii State Department of Health helps implement a new law banning the sale of e-cigarettes to minors.

Arkansas Implements a Healthy Employee Lifestyle Program
The Arkansas Department of Health launched a comprehensive worksite wellness program intervention supported by policy that rewards regular exercise, good nutrition, and other healthy lifestyle choices.

Hawaii Department of Health Applies the Principles of the National Prevention Strategy to Multi-Agency Worksite Wellness Programming
Hawaii develops a comprehensive worksite wellness initiative for all state agency employees.

Delaware Division of Public Health Applies the Principles of the National Prevention Strategy to Community-Based Multi-Sector Programming
Delaware builds faith-based and community relationships to increase opportunities for health promotion in public facilities.

Alaska Empowers Youth to Develop Healthy Relationships through the Fourth R Curriculum
Alaska takes a collaborative approach to address high rates of dating violence, substance abuse, and risky sexual behavior among youth.

Idaho: Using Quality Improvement Tools to Streamline Contracting Process
Through a quality improvement process, the Idaho Division of Public Health streamlined and accelerated its contracting process with local health departments.

Kansas’s Immunize and Win a Prize Project Offers Practical Prizes to Promote Child Vaccination
The Kansas Department of Health and Environment Immunization Program partners with Vaccines for Children providers to promote childhood vaccination, particularly in low-income areas.

Mississippi Applies National Prevention Strategy Principles to Community-Based Multisector Programming
The Mississippi State Department of Health uses Mayors’ Health Councils to create infrastructure supporting multisector collaboration to improve health and increase health equity.

Maryland’s Safe Sleep Program Bans Crib Bumpers and Fights Health Disparities
As the first state to ban crib bumpers, Maryland fights Sudden Infant Death Syndrome and infant mortality disparities with partnerships and legislation.

Minnesota Increases Tobacco Taxes to Reduce Smoking
Minnesota Department of Health and Raise It for Health Coalition collaborate to prevent tobacco use.

South Carolina Website for Teen Health Benefits from Stakeholder Collaboration
Website provides information to teens in a cost-effective, culturally relevant manner.

Oregon Project Trains Students to Vaccinate and Provides No-cost Vaccinations to At-risk and Underserved Populations
The Free, Local, and Underserved project increases the number of trained vaccinators in the state while connecting surplus vaccine supply to at-risk and underserved populations.

Minnesota’s FluSafe Program Recognizes Healthcare Facilities’ Healthcare Personnel Influenza Vaccination Coverage
The program aims to increase vaccination rates by recognizing facilities with a white, red, or blue ribbon.

New York Develops Clinical Pathways for Hypertension Control
Through the ASTHO Million Hearts State Learning Collaborative, one local clinic is working with the New York State Department of Health and other state and local partners to develop and implement a standardized clinical pathway to identify and manage patients with uncontrolled and undiagnosed hypertension.

DC Identifies Patients with Hypertension
Through the ASTHO Million Hearts State Learning Collaborative, the District of Columbia Department of Health and healthcare partner sites across DC are establishing baseline rates of undiagnosed and uncontrolled hypertension among patients from an at-risk population to target intervention efforts.

Guam Addresses Rising E-Cigarette Use with Leadership from Health Director
Facing high levels of e-cigarette use among middle and high school students, the Guam Department of Public Health and Social Services is working with partners to address the issue on the island.

Maine Uses New Return on Investment Tool to Inform Decisionmaking
Looking for ways to reduce staff travel time and expenses, Maine applied ASTHO’s new ROI tool prospectively to build a business case for the proposal.

Use of Customer Surveys in Minnesota
Through a coordinated partnership between the state and local governments, Minnesota is measuring customer satisfaction at both levels.

Connecticut: Using ROI to Improve Health Equity
Connecticut standardizes sociodemographic measures across several public health databases to more efficiently monitor health trends among target populations and improve health equity outcomes.

Colorado Committee Convenes Stakeholders to Address Prenatal Substance Exposure
The Colorado Substance Exposed Newborns Steering Committee brought together key stakeholders to improve identification and treatment of substance use during pregnancy and the postnatal period.

Washington State Guidelines and Programs Reduce the Number of Alcohol and Drug-Exposed Babies
The Washington State Department of Health has developed policy, practice, and resource materials to promote early and consistent prenatal and postnatal substance abuse screening.

Stand-Up Insurance Coverage of Tobacco Cessation Programs Starts with Oregon
Oregon has provided 100 percent coverage and barrier-free tobacco cessation support for its state and university employees and their dependents since 2008.

Virginia Department of Health Creates a Shared Agenda to Advance the National Prevention Strategy
Thirty-five sites received funds for projects aimed at reducing the burden of chronic disease in Virginia.

Kansas BioSense 2.0 Onboarding Experience with Health Information Organization
The Kansas Health Information Network shares anonymous patient data with BioSense 2.0, allowing public health partners to assess potential health threats.

Iowa EAP Improves State Employees’ Emotional and Mental Health
The Iowa state government’s employee assistance program has promoted a positive, healthy work environment for 25 years.

North Dakota Health Department Embraces Healthy Maternity Policies in Workplace
Comprehensive maternity policies at the North Dakota Department of Health set high standards to promote wellness for mothers returning to the workplace.

Maine CDC Releases New Guidelines to Help Practitioners Care for Drug-Affected Babies
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.

Mississippi Trauma Care System
The Mississippi Trauma Care System enhances community health through an organized system of injury prevention, acute care, and rehabilitation services that is fully integrated within communities’ public health systems.