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.


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.

Texas Promotes Cessation by Increasing Smoking Footage Requirements Outside of Buildings
Texas’ state health agency expands on previous successes in reducing the use of tobacco products within its campuses.

Illinois Breast and Cervical Cancer Screening Program
The Illinois Department of Public Health (IDPH) collaborated with a community health network, churches, and community organizations to increase breast and cervical cancer screening and diagnosis rates in the greater Chicago area.

Tennessee Launches Safe Sleep Campaign
Tennessee is using data from its Child Fatality Review Team to focus state agencies, hospitals, and parents on reducing sleep-related infant deaths.

Tennessee Forms Joint Collaborative to Reduce Early Elective Deliveries
Tennessee has been working to curb early elective deliveries through a public/private stakeholder partnership.

Washington Uses Quality Improvement Measures to Reduces Elective Deliveries
Washington has seen a dramatic decline in its elective delivery rates thanks to a quality improvement campaign launched by a public/private partnership of stakeholders and Medicaid quality incentive payments.

Wyoming Nurtures Collaboration Between Infectious Disease Epidemiology and Patient Care
The Wyoming Department of Health (WDH) Public Health Division’s Infectious Disease Epidemiology Program (IDEpi) communicates and coordinates routinely with healthcare providers on recommended treatment, prophylaxis, and mitigation measures for conditions of public health interest.

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.

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.

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.

Nebraska Links HIV Positive Patients to Care Services
The goal of this integration effort was to actualize the concepts of the National HIV AIDS Strategy which emphasizes identifying new HIV Positive Persons, linking them to care services and monitoring retention in care through viral load measurements and use of the care systems.

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
Iowa’s Million Hearts Initiative is led by the Iowa Department of Public Health (IDPH) and leverages partnerships across sectors to support components of Million Hearts, particularly improving quality of care around the ABCS of heart health.

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.