Recommended Strategies

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Adverse Childhood Experiences
  • Implement a trauma-informed approach in primary care settings.
  • Implement trauma-informed approaches in communities, including child care settings, schools, and law enforcement.
  • Ask the ACEs questions and use the information to inform treatment plans.
  • Encourage and support healthy living, including sleep, nutrition, and physical activity.
  • Incorporate self-care for healthcare providers and those in the helping professions, who often experience secondary trauma and compassion fatigue.
Diabetes

Six Strategies Identified in the State’s 2017 Diabetes Epidemic and Action Report (DEAR)
Below are the overarching strategies for action plans:

  • Prevent type 2 diabetes.
  • Support optimal self-management of diabetes.
  • Use diabetes-specific data and information to guide decisions.
  • Seek adequate funding for diabetes prevention and care.
  • Include people affected by diabetes in decisions.

Specific actions are identified in Agency Action Plans, page 6 of the 2017 DEAR.


Aligning with these strategies, the report included 13 recommendations for how the Legislature could support reducing the incidence of type 2 diabetes, and improving the lives of people with all forms of diabetes. These recommendations can be applied at state, regional, local, and organizational levels:

  • Maintain and further expand access to health care coverage.
  • Help make out-of-pocket costs more affordable for patients with diabetes.
  • Support the state’s movement toward value-based payment.
  • Continue efforts to integrate physical and behavioral health care services.
  • Encourage Accountable Communities of Heath to implement projects that impact diabetes.
  • Ensure all health plans provide optimal diabetes benefits.
  • Fund recommendations from the Governor’s Council for the Healthiest Next Generation.
  • Support students with chronic health conditions.
  • Expand staffing and coordination resources for evidence-based, community-based programs.
  • Increase use of diabetes self-management education.
  • Raise public awareness of diabetes prevention and management.
  • Train health care providers to screen for diabetes, and to deliver high-quality diabetes care in culturally and linguistically appropriate ways.
  • Support using data to drive decisions and improve linkages between health systems and community support services.
Obesity

Strategies for obesity include, but are not limited to:

Opioids

Strategies for opioids include, but are not limited to:

Resources and tools:


Frameworks and Strategies

Screening Tools

Prescribing Guidelines, Prescription Monitoring

Treatment Recommendations, Overdose Reversal

Trauma Informed Approaches

Strategies for Tribal, Rural, and Homeless Populations

Tobacco

Strategies for tobacco include, but are not limited to:

Strategies for health systems:

Strategies for providers:

Strategies for health insurance carriers:

Strategies for youth prevention:

  • Strong tobacco-free role models
  • Family expectations and communication
  • Media messages that counter tobacco advertising
  • Youth-friendly education and health promotion, like the Truth campaign
  • Laws and policies that reduce access to tobacco products

Strategies to address health equity:

  • Promote culturally appropriate tobacco education and cessation resources
  • Honor American Indian/Alaska Native traditional tobacco use as separate from commercial use
  • Create tailored prevention and intervention programs for identified populations with greater prevalence of tobacco use and/or tobacco related disease burden
  • Recruit, train and support community health workers from the identified population to deliver tobacco prevention and cessation services

Key resources:

Campaign for Tobacco Free Kids

Well Child Visits

Initial recommendations from interagency partners include:

Increase Access/Reduce System Delays

  • Adjust clinic hours to offer well visit appointment after school/work hours so children do not have to miss school and parents do not have to miss work.
  • Offer well visit appointments during weekend hours. This may be a consideration particularly for providers who operate walk-in clinics on weekends. Drop-in appointments are helpful for families whose circumstances make their schedules unpredictable.
  • Reducing wait time to schedule appointments
  • Reducing wait time during scheduled appointments

Send friendly reminders:

  • Parental scheduling reminder
    • birthday postcards
    • automated calls from provider’s office
  • Adolescence specific scheduling reminder
    • automated calls from provider’s office
    • birthday postcards

Incentives:

  • Gift cards certificates
    • Gift cards
    • Movie tickets
  • Drawings
    • Concert tickets
    • Sporting event tickets

Education:

  • Demonstrate importance and value of early detection and treatment

Tool for organizing strategies to increase Well Child Visits

A Population Health Driver Diagram is a visual tool developed collaboratively with partners, designed to identify a desired change and the activities that will drive that change.

Using a template provided by the Public Health Foundation, a small group of interagency and local partners developed a Well Child Driver Diagram. This diagram is intended as an example, and may be tailored to the issues and resources of unique populations and communities.

Conceptual Framework for increasing Health Access

The International Journal for Equity in Health provides a highly recommended resource: Patient Centered Access to Care. It is downloadable as a PDF, and includes a visual template for a conceptual framework (Figure 2.) that addresses both supply and demand.