Implications of Health Literacy for Public Health Workshop Summary (2014) / Chapter Skim
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3 Current Health Department Efforts in Health Literacy
3 Current Health Department Efforts in Health Literacy
Pages 31-48
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From page 31... ...
The LPHI's mission is to promote and improve health and quality of life through diverse public–private partnerships with government, health care delivery systems, foundations, academia, community groups, the media, and private businesses at the community, parish, and state levels. Through these partnerships, LPHI fosters innovation and leverages resources to address current and emerging health issues by providing expertise in the following areas: • Fiscal and administrative management • Population-based health program delivery • Community health • Mental health • School health and wellness • Health policy development, implementation, and evaluation • Training and technical assistance • Research and evaluation 31
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From page 32... ...
Patientcentered approaches used within this program include assessing clients for basic health literacy and for their knowledge of HIV/AIDS, medication management, and other aspects of care. One project in the community health division is Fit NOLA, an initiative to tackle obesity and the lack of physical activity in New Orleans.
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From page 33... ...
Health literacy and community asset mapping is included to help the health departments with their public health improvement plans, community health assessments, and obtaining accreditation from the Public Health Accreditation Board. Another program is the Louisiana Campaign for Tobacco-Free Living, which is a statewide tobacco control program funded by the cigarette excise tax.
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From page 34... ...
PHIs are also able to meet with decision makers to educate and inform them on community health issues that may affect their constituents. NEBRASKA Susan Bockrath, M.P.H., CHES Nebraska Association of Local Health Directors Outreach Partnership to Improve Health Literacy Bockrath said that Nebraska is large -- about half the size of California with one-tenth of California's population density; about 14 percent of the population is elderly (a somewhat higher percentage than the national average)
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From page 35... ...
is to improve literacy at the local level in all of Nebraska's 93 counties. These counties are served by 21 local health departments.
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From page 36... ...
Improvements have been made to the Nebraska Association of Local Health Departments website and an internal listserv was created to facilitate direct communication with staff, directors, and partners. The project also purchased GoToWebinarTM software that is being used to enable web-based collaborative document review.
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From page 37... ...
Leadership within Nebraska's local health departments has embraced health literacy because it is viewed as providing great returns on investment for clients, Bockrath said. Efforts continue at the local level to connect health literacy to ongoing work in the area of quality improvement and to create policies on health literacy.
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From page 38... ...
Arkansas Department of Health Dillaha described the Arkansas Department of Health as a unified health department, with its main office in Little Rock overseeing 94 local health units in Arkansas' 75 counties. All staff in local health departments are employees of the state of Arkansas Department of Health.
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From page 39... ...
Since 2009, Dillaha has given a number of talks to interested parties, including the Governor's Roundtable on Healthcare, health care providers through the HRSA-funded Arkansas Geriatric Education Center, staff of the University of Arkansas for Medical Sciences Area Health Education Centers, Federally Qualified Community Health Centers, geriatric clinics that are part of the Arkansas Aging Initiative, and additional talks at public health grand rounds. Dillaha said PHLA has implemented health literacy interventions aimed at improving health outcomes in three domains: culture and society; the health system; and the education system.
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40 IMPLICATIONS OF HEALTH LITERACY FOR PUBLIC HEALTH Arkansas Department of Health Arkansas Department of Health Strategic Map: FY 2012-2015 Strategic Map: FY 2012-2015 Effective Effective July 1,2011 July 1,2011 Achieve Health Improvements and Greater Health Equity in the Face of Increasing Challenges A A B B C C D D E E Strengthen and Strengthen Strengthen Strengthen the Expand Statewide Focus on High Organizational Resource Statewide Public Clinical and Other Burden Issues Effectiveness and Acquisition and Health System Services Infrastructure Utilization Improve Improve Optimize Hypertension Strengthen Community Develop a Dedicated Organizational Agility 1 HIV/STD Prevention, Diagnosis, Engagement and Health and Reduce Capability to Secure Services Treatment and Partnerships New Funding Bureaucracy Control Advance Policies to Lead Policy Changes to Expand Third Party Strengthen and Strengthen Internal Support Healthy Improve Health Care Billing to Insurance 2 Expand the STAR Eating and Active Transparency, Quality Departmental Companies and Other Health Initiative Relationships Living and Access Payors Build and Maintain Strengthen Workforce Pursue New Revenue Reduce Teen Birth Reduce Infant Legislative/ Recruiting, Opportunities to 3 Rates Mortality Governmental Development and Partner with CHCs, Relationships Retention AHECs and Others Develop and Build HIE and Registry Implement Electronic Increase Childhood Implement a Plan to Increase Collections 4 Health Records Immunization Rates Capacity and Ensure Improve Facilities and for Services Provided Effective Access and Use Technology Emphasize Agency Develop opportunities Strengthen and Integrate Health wide Quality 5 for Applied Public Literacy Strategies Health Education Improvement and Secure Accreditation F Capitalize on Health Care Reform Opportunities to Improve Health G Establish a Dashboard to Monitor and Measure Impact FIGURE 3-1 Arkansas Department of Health strategic map. SOURCE: Arkansas Department of Health, 2013.
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From page 41... ...
The Family Health Branch of the health department has implemented home visiting as a strategy that supports health literacy, Dillaha said. With funding available through the Patient Protection and Affordable Care Act, a Nurse-Family Partnership program was initiated following the David Olds model,3 which Dillaha described as being primarily a health literacy intervention.
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From page 42... ...
; clinics participating in the Arkansas Chronic Illness Collaborative; 69 primary care clinics participating in CMS' Comprehensive Primary Care Initiative; and some clinics and staff at the University of Arkansas for Medical Sciences. Plans call for training to be made available to the Arkansas Department of Health's local health units, as well as to the state's Federally Qualified Community Health Centers.
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From page 43... ...
Merely increasing awareness of the problem of low health literacy is insufficient to improve it, Dillaha said. She pointed out that greater capacity is needed within health departments to address health literacy.
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Most public health departments have access to this webinar. Harris added that to implement such a policy, it is important to encourage decision makers and work with human resources entities.
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From page 45... ...
Scholten observed that although the Nebraska health department started its health literacy project in 2008, the case study illustrates how Nebraska remains in an early stage of public health development in terms of its local health departments. She noted that only 22 of the state's 96 counties had health departments prior to 2001.
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From page 46... ...
Bockrath agreed and said the term "model" seemed more appropriate in this context than "template." Brach asked Dillaha why the Arkansas Department of Health decided to prioritize training in universal precautions. Dillaha replied that the focus on universal precautions came about because the department needed to overcome the perspective held by many public health professionals and health care providers that health literacy is a deficit of the person rather than the system in which they operate.
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From page 47... ...
Bockrath reiterated her concern that the attributes that are related to communications with health plans and health insurance coverage issues are often not directly relevant to public health departments. In Nebraska, for example, she noted that there is no reimbursement for public health services.
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From page 48... ...
48 IMPLICATIONS OF HEALTH LITERACY FOR PUBLIC HEALTH IOM (Institute of Medicine)
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