The New York eHealth Collaborative and FLHSA have partnered to bring team-based care and transform a network of more than 11,000 primary care and specialty providers, and extend to other practices the lessons learned through the $26.6 million Center for Medicare and Medicaid Innovation grant.
High Blood Pressure
Today, 71.3 percent of individuals 18 and older in Rochester diagnosed with hypertension have their blood pressure under control – compared to the national average of 52 percent as reported by the Centers for Disease Control and Prevention (CDC). Community-wide initiatives that have contributed to the area’s high blood pressure success include programs in medical practices, churches, worksites, hair salons and barbershops.
Monroe County and the City of Rochester are making significant progress in the campaign to end childhood lead poisoning. The most recent testing data for children under the age of six shows that the number of children reported with elevated blood lead levels above 10μg/dL (micrograms per deciliter) has decreased from 900 in 2004 to 139 in 2014.
Using the $26.6 million grant from the Centers for Medicare and Medicaid Innovation, FLHSA has been able to provide 65 medical practices with practice-embedded care managers, assistance with implementing patient-centered medical home (PCMH) care approaches, financial support; and inclusion in an outcome-based payment model.
The Community Technology Assessment Advisory Board independently reviews new or expanded health care technology, services and capital spending. Its non-binding advisory decisions help payers formulate reimbursement policies.
Healthier Corner Stores
FLHSA helped revamp two corner stores’ selections and helped them obtain WIC/EBT certification so that people receiving assistance can have access to healthier options. The agency also played a key role in branding, marketing and community inclusion for the two converted stores.
Safer City Streets
FLHSA’s Healthi Kids program advocated for Rochester's Complete Streets policy and organized advocacy training for residents living in Rochester's poorest neighborhoods. The new policy, which was unanimously passed, ensures that active transportation is at the forefront of planning and design of Rochester’s streets.
The agency’s 2014 Community Needs Assessment identified areas of greatest need and best opportunities for improving care for Medicaid and uninsured patients. The high mark from the State Department of Health provided support for our region’s bid for Delivery System Reform Incentive Payment project funding.
To help make area worksites healthy places, a registered dietitian worked with companies to expand their wellness offerings. In addition to the 20 who were directly assisted, more than a hundred other employers have been able to take advantage of online tools and resources to guide them in making their worksites healthier.
No Junk Food
FLHSA’s Healthi Kids program worked with the Rochester City School District’s Wellness Task Force to change the district’s vending practices and moved an amendment to the existing Wellness Regulation. This change provides strict guidelines for district buildings, so that all foods sold outside of the school meal program are healthy.
Health Care Planning
FLHSA has worked hard to include underserved populations in the health planning process. These focus groups, along with key informant interviews, helped the agency to better understand the barriers faced by communities of color, individuals without health insurance and the rural and urban poor from across the region.
School Lunch & Food Waste
Healthi Kids works in 13 schools in the Rochester City School District to ask kids whether they are happy with the food served and what could make it better. Teams also observe how much food is being wasted and thrown away. Healthi Kids and its partners work to develop lunchtime best practices, and lunchroom staff have been trained on how to better engage students at lunchtime.
Healthi Kids, alongside parents and the Rochester City School District’s Wellness Task Force, successfully advocated for a 20 minute active daily recess policy in the district’s wellness policy; and a policy ensuring recess cannot be taken away as a form of punishment. These policies ensure every child in the district has the opportunity for active recess every day. Currently only 20% of districts across the country have a mandated daily recess policy.