Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
Rensselaer County
Community Health Improvement Plan
2016-2018
0
Rensselaer County Department of Health
1600 7th Avenue
Troy, NY 12180
Phone: 518-270-2655
Fax: 518-270-2973
Mary Fran Wachunas, Director
1 Rensselaer County Community Health Improvement Plan 2016-2018
Summary The New York State Department of Health (NYSDOH) has required that each county develop a health assessment and improvement plan. A regional process was lead by the Healthy Capital District Initiative (HCDI) which includes Albany, Rensselaer, Saratoga, Schenectady, Columbia and Greene counties, in addition to input from Albany Medical Center, St. Peter’s Health Partners, Columbia Memorial Hospital, Ellis Medicine and Saratoga Hospital. Representatives from each county health department and each hospital worked collaboratively with HCDI to discuss health issues facing the Capital District, and commit to providing resources to achieve the goals of each identified health priority. The Rensselaer County Wellness Committee (RCWC) was formed in 2012 when the 2013-2018 Community Health Assessment and Community Health Improvement Plan were being developed. This committee continues to meet on the first Monday of each month to discuss emerging health issues in the community, in addition to highlighting the achievements of each participating organization to improve the health of Rensselaer County residents. The membership of the committee is continually reviewed to identify partners in Rensselaer County who could contribute to the goals of the RCWC. A positive consequence of our committee is increased awareness among agencies already working to address identified concerns. The formation of multiagency collaborations has given us the opportunity to build trust, cooperation and mutual respect among agencies. As a result, many new partnerships were borne, and continue to grow and develop. One of the accomplishments of the Rensselaer County Wellness Committee for 2016 was that the membership created a directory of sexual health resources that is now available to the RCWC member so that they may share that information with their clients. At each RCWC meeting, the larger group breaks into smaller groups to focus on the areas of need identified in the Community Health Improvement Plan, and other priorities that are of concern in Rensselaer County. Two new members of the RCWC for 2016 are Mom Starts Here and Capital District Physicians Health Plan, a large health insurance provider in the Capital District. Appendix B is a list of the Rensselaer County Wellness Committee Members.
The priorities for the 2013-2017 Rensselaer County Community Health Improvement Plan were mental health, obesity, tobacco use, teen pregnancy and sexually transmitted diseases. The priorities for the 2016-2018 Community Health Improvement Plan were narrowed to two priorities from a long list of potential health problems facing the Capital District. Although mental health, teen pregnancy and sexually transmitted diseases were not chosen as focus areas for this Community Health Improvement Plan, they remain in the forefront as health problems in Rensselaer County, and as a community, the Rensselaer County Department of Health and its partners in the Rensselaer County Wellness Committee will continue to address these health challenges to improve the health of Rensselaer County residents. The two priority areas that were identified by the Capital District partners are Chronic Disease (obesity, asthma) and Behavioral Health (substance abuse and other mental emotional behavioral disorders).
2 Rensselaer County Community Health Improvement Plan 2016-2018
MISSION STATEMENT: To enhance the health and well-being of Rensselaer County residents by
providing integrated health programs through the formation of partnerships and unified goals
among organizations in the community. We will collaboratively build awareness through
traditional and nontraditional promotion of wellness.
VISION
Rensselaer County, a healthy place to live.
Rensselaer County
Sociodemographic
Rensselaer County has a population of 159,565 and is the 3rd most rural county in the
Capital Region (245.0 pop. /sq. mile);
Rensselaer County has the 2nd lowest median age (39.9 years) in the Capital Region;
About 17% of Rensselaer County’s population was 14 years of age or younger, while
14% was 65+ years of age;
Approximately 12.3% of Rensselaer County’s population was non-White, and 4.0% was
Hispanic;
Troy/Lansingburgh neighborhood has the largest non-White population (21.3%) as well
as the largest Hispanic population (6.6%);
Rensselaer County’s poverty rate of 12.3% was lower than that of NYS (15.3%);
Troy/Lansingburgh neighborhood has the highest neighborhood poverty rate (21.6%).
Chronic Disease
Rensselaer County’s adult current asthma prevalence (13.5%), and asthma emergency
department visit rate (61.2/10,000), were higher or significantly higher than Rest of State
(10.5%, and 47.6); The Rensselaer County’s asthma ED visit rate decreased 4%, and asthma hospitalization rate
40% between 2009 and 2013;
Troy/Lansingburgh had 2.3 times the asthma ED visit rate and 1.5 times the asthma
hospitalization rate as Rest of State;
Troy/Lansingburgh had 2.6 times the chronic lower respiratory disease (CLRD) ED visit rate, and
1.7 times the CLRD hospitalization rate compared to Rest of State;
Rensselaer County’s adult diabetes prevalence rate of 10.0% was higher than Rest of State
(8.2%);
Rensselaer County’s diabetes hospitalization rate of 15.4/10,000 and mortality rate of
19.8/100,000 were higher or significantly higher than Rest of State (14.2, and 15.6);
3 Rensselaer County Community Health Improvement Plan 2016-2018
Rensselaer County’s diabetes short-term complication hospitalization rate (6.6/10,000) was
significantly higher than Rest of State (5.8) and increased 14% from 2009 to 2013;
Troy/Lansingburgh neighborhood had 2 times the diabetes ED rates, and 1.7 times the diabetes
hospitalization rates compared to Rest of State;
Rensselaer County’s colorectal screening rate of 68.8% was lower than Rest of State (70.0%),
while the county’s colorectal cancer incidence rate (45.0/100,000) and mortality rate
(14.5/100,000) were both higher than Rest of State (41.2 and 13.9);
Rensselaer County’s childhood obesity rate of 18.0% was higher than Rest of State (17.3%).
Mental Health and Substance Abuse
The National Survey of Drug Use and Health estimated 19% of Rensselaer residents with a
mental illness and 4% with a serious mental illness;
The National Survey of Drug Use and Health estimated 3% of Rensselaer residents with drug
dependence/abuse, and 2% needing, but not receiving, drug treatment;
While Rensselaer County’s residents had lower substance abuse (any diagnosis) ED visit rates
(194.7/10,000) than Rest of State (349.5), Rensselaer’s rate increased 25% from 2009 to 2014;
Similarly, Rensselaer County residents had a lower substance abuse mortality rate (4.8/100,000)
than Rest of State (9.3), but the rate increased 113% from 2009-11 to 2011-13;
Rensselaer County had an opiate-poisoning related ED visit rate (any diagnosis) of 13.4/10,000
that was slightly lower than the Rest of State (15.2), but showed a 26% increase from 2008-10 to
2011-13
Troy/Lansingburgh neighborhood had 2 times the substance abuse (any diagnosis) ED visit rate,
2 times the substance abuse hospitalization rate, 1.8 times the opiate-related ED visit rate and 2
times the opiate-related hospitalization rate than Rest of the State
4 Rensselaer County Community Health Improvement Plan 2016-2018
Profile of
Rensselaer County
Rensselaer County is located in the
Hudson-Mohawk Heritage area of
Upstate New York’s Capital Region.
The County has a total area of 665
square miles. The cities of Rensselaer
and Troy, which are comprised of
fourteen square miles, house
approximately forty percent of the
county’s population.
Rensselaer County is also bordered by
five counties which include Albany,
Columbia, Greene, Saratoga and
Washington, and the states of
Massachusetts and Vermont.
The Prevention Agenda Workgroup
(PAWG) is comprised of six county
health departments, (Albany,
Rensselaer, Schenectady, Saratoga,
Columbia and Greene Counties) as well as the local hospitals for each county. The partners
worked with Healthy Capital District Initiative (HCDI) in developing the scope and content for a
Capital Region Community Health Needs Assessment.
Data Sources and Indicator Selection
The health indicators selected for this report were based on a review of available public
health data and New York State priorities promulgated through the Prevention Agenda
for a Healthier New York. Upon examination of these key resources, identification of
additional indicators of importance with data available, and discussion with public
health as well as health care professionals in the Capital Region, it was decided that
building upon the 2013-2017 Prevention Agenda would provide the most
comprehensive analysis of available public health needs and behaviors for the Region.
The collection and management of this data has been supported by the state for an
5 Rensselaer County Community Health Improvement Plan 2016-2018
extended period, and are very likely to continue to be supported. This provides reliable
and comparable data over time and across the state. These measures, when
complemented by the recent Expanded Behavioral Risk Factor Surveillance System and
Prevention Quality Indicators, provide health indicators that can be potentially impacted
in the short-term. This is a distinct step forward from mortality data leading public
health efforts in the past.
HCDI has completed previous Capital District Community Health Assessments in the
past. HCDI was contracted to complete the 2016 CHNA and prevention agenda
indicators.
The Finger Lakes Health Systems Agency provided SPARCS (hospitalizations and ED
visits) and Vital Statistics Data Portals that were utilized to generate county and ZIP code
level analyses of mortality, hospitalizations, and emergency room utilization, for all
residents, by gender, race and ethnicity. The time frames used for the Zip code analyses
were 2009-2013 Vital Statistics and 2010-2014 Statewide Planning and Research
Cooperative System (SPARCS) data. The 5-year period establishes more reliable rates
when looking at small geographic areas or minority populations.
The Healthy Capital District Initiative had access to the Finger Lakes Health System
Agency portals and developed the 2016 Capital Region Community Health Needs
Assessment which enabled a comprehensive set of population health indicators for the
6 Capital Region counties.
Additional data was examined from a wide variety of sources:
• Prevention Agenda 2013-18 indicators
• Community Health Indicator Reports (2011-2013)
• County Health Assessment Indicators (2011-2013)
• County Health Indicators by Race/Ethnicity (2011-2013)
• County Perinatal Profiles (2011-2013)
• Behavioral Risk Factor Surveillance System (BRFSS) and Expanded BRFSS (2013-
14)
• Cancer Registry, New York State (2010-2012)
• Prevention Quality Indicators (2011-2013)
• Communicable Disease Annual Reports (2011-2013)
• The Pediatric Nutrition Surveillance System (PedNSS) (2010-2012)
• Student Weight Status Category Reporting System (2010-2014)
6 Rensselaer County Community Health Improvement Plan 2016-2018
• New York State Office of Alcoholism and Substance Abuse Services Data
Warehouse (2007-2014)
• New York State Conference of Local Mental Hygiene Directors Behavioral Health
Information Portal (2013)
• Hospital-Acquired Infection Reporting System (2010-2013)
• NYS Child Health Lead Poisoning Prevention Program ( 2010 birth cohort; 2011-
2013)
• NYS Kids’ Well-being Indicator Clearinghouse (KWIC) (2011, 2014)
• County Health Rankings (2016)
• American Fact Finder (factfinder2.census.gov) (2009-2013)
• Bureau of Census, American Community Survey (2009-2013)
These data sources were supplemented by a Siena College Research Institute
Community Health Survey. The 2016 Community Health Survey was conducted from
February to March 2016 by the Siena College Research Institute. The survey was a
random digit dial telephone survey of adult (18+ years) residents for each of the six
counties (n= 400 per county; 2,400 for Capital Region). Cell phones and landlines were
utilized for the survey. This consumer survey was conducted to learn about the health
needs and concerns of residents in the Capital Region. The Appendix B (2016 Capital
Region Community Health Survey) contains a detailed summary of the findings and the
questionnaire used.
Local data were compiled from these data sources and draft reports were prepared by
health condition for inclusion in this community health needs assessment. Drafts were
reviewed for accuracy and thoroughness by two staff with specialized health
knowledge: Kevin Jobin-Davis, Ph.D. who has over 15 years of public health data analysis
experience in the Capital Region; and Michael Medvesky, M.P.H. who has over 35 years
of experience working with public health data in the New York State Department of
Health in many roles including Director of the Public Health Information Group. Drafts of
the sections were sent to local subject matter experts for review in the health
departments of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene
Counties and in St. Peter’s Health Partners, Albany Medical Center, Ellis Hospital,
Saratoga Hospital and Columbia Memorial Hospital. Comments were addressed and
changes were incorporated into the final document.
The 2016 Rensselaer County Community Health Needs Assessment, prepared by the
Healthy Capital District Initiative of which the Rensselaer County Department of Health
is a member, provides more detailed information and data regarding health issues of
7 Rensselaer County Community Health Improvement Plan 2016-2018
concern in Rensselaer County. The Rensselaer County Community Health Improvement
Plan and the Capital District Community Health Assessment Plan can be found at the
Rensselaer County web site: www.rensco.com.
SELECTION OF PREVENTION AGENDA PRIORITIES
Selection of the top health priorities for Rensselaer County were based on a multi-year
process building on existing knowledge from present Community Health Improvement
Plan/Community Service Plan implementation efforts, as well as the 2015 Medicaid
Delivery System Reform Incentive Payment (DSRIP) Needs Assessment. A Capital Region
Prevention Agenda Steering Committee was formed to guide the 2016 Public Health
Prioritization process and Plan development. Meetings were held during Fall/Winter
2015-2016 with participation from local health departments of Albany, Columbia,
Greene, Rensselaer, Saratoga and Schenectady counties, St. Peter’s Health Partners, Ellis
Medicine, Albany Medical Center, Saratoga Hospital, Columbia Memorial Hospital and
Healthy Capital District Initiative, to ensure that health needs analysis, prioritization, and
community health plans were timely, and of high quality. Members of these
organizations worked to identify individuals to participate in the Capital Region Public
Health Prioritization Workgroups.
The Capital Region Public Health Prioritization Workgroups were formed to review data
analyses prepared by HCDI and to select the top priorities with one health disparity to
be addressed. Data presentations were given at the meetings to provide summarized
available data on the leading problems in each of the Workgroup’s service areas. Health
indicators were included in the Prioritization data presentations if:
At least one of the county rates were significantly higher than the New York
State, excluding New York City data; or
At least one of the county rates were in the highest risk quartile in the
state; or
Rates for the health condition worsened over the past decade for one of the
counties; or
The health condition was a leading cause of death in one of the counties; or
Disparity between rates was clearly evident in sub-populations; or
There were a high absolute number of cases in the counties.
Health indicators that met the criteria were included in the data presentations for each
of the five Prevention Agenda Priority Areas: Prevent Chronic Diseases, Promote a
8 Rensselaer County Community Health Improvement Plan 2016-2018
Healthy and Safe Environment, Promote Healthy Women, Infants, and Children,
Promote Mental Health and Prevent Substance Abuse, and Prevent HIV/STDs, Vaccine
Preventable Diseases and Healthcare-Associated Infections.
Ninety (90) health indicators across the five Prevention Agenda Priority Areas were
presented. Available data on prevalence, emergency department visits, hospitalizations,
mortality and trends were included for each indicator. Equity data for gender, age,
race/ethnicity, and neighborhood groupings were presented as available. Each topic
was presented in summary form in a Power Point presentation using graphs and maps
to visually depict the information.
After the presentation of each set of health indicators, a discussion was held to answer
any questions, or for individuals to share their experiences with the health condition in
the population. Participants did a preliminary vote on the importance of the condition in
the community based on three qualitative dimensions: the impact of the condition on
quality of life and cost of health care; if there was community awareness and concern
about the condition; and the opportunity to prevent or reduce the burden of this health
issue on the community. Participants were provided with a Prioritization Tracking Tool
to record their own comments and measure their thoughts on the severity, community
values, and opportunity regarding each health indicator.
Upon completion of the data summaries, Capital Region Public Health Prioritization
Workgroup members were given an opportunity to advocate for the priority they
believed was most meritorious, and the group voted on the top two Prevention Agenda
categories. Behavioral health and chronic disease categories received the greatest
amount of votes by far, because they impacted the largest number of people in the
most significant ways, both directly and indirectly, through their influence on other
health conditions. They also contributed most significantly to the cost of health care. A
summary of the Albany-Rensselaer Public Health Priority Workgroup follows.
Albany-Rensselaer Public Health Priority Workgroup
The Albany Rensselaer Public Health Priority Workgroup was spearheaded by the Albany
County Department of Health, the Rensselaer County Department of Health, Albany Medical
Center, and St. Peters Health Partners. Because the hospitals catchment areas covered both
counties, it was felt a joint-county Albany-Rensselaer Public Health Priority Workgroup was
appropriate. Three meetings were held on February 10, February 24, and March 18, 2016.
During these meetings, HCDI presented heath indicators for each of the 5 Prevention agenda
Priority Areas, and facilitated Albany-Rensselaer Public Health Priority Workgroup discussions.
The Power Point data presentations used during these meetings were made available to the
9 Rensselaer County Community Health Improvement Plan 2016-2018
Albany-Rensselaer Public Health Priority Workgroup members and the public on the HCDI
Website:
http://www.hcdiny.org/index.php?module=Tiles&controller=index&action=display&id=663866
80430034968
The Albany-Rensselaer Public Health Priority Workgroup chose their priorities at the
last Workgroup meeting. Organizations participating in the Albany-Rensselaer Public
Health Priority Workgroup include:
- Albany County Department of Health
- Albany County Department of Mental Health
- Albany County Department of Social Services
- Albany Medical Center
- Albany Medical Center: DSRIP
- Albany Rensselaer Cancer Program
- Alzheimer’s Association
- Belvedere Health Services, LLC
- Berkshire Farm Center & Youth Services
- Capital District Childcare Coordinating Council
- Capital District Physicans’ Health Plan (CDPHP)
- Capital District Psychiatric Center- Office of Mental Health
- Capital District Tobacco-Free Coalition
- Capital District Transportation Committee
- Capital District YMCA
- Capitol Region BOCES
- Care Coordination Services
- Catholic Charities
- Catholic Charities: Commuity Maternity Services
- Center for Disability Services
- City of Albany Police Department
- Colonie Senior Services Centers
- Commission for Economic Opportunity
- Community Care Behavioral Health Organization
- Conifer Park
- Fidelis Care Network
- Hometown Health Centers
- Hospitatlity House
- Independent Living Center of the Hudson Valley
- Interfaith Partnership
- Jewish Family Services of Northeastern NY
- LaSalle School
10 Rensselaer County Community Health Improvement Plan 2016-2018
- Mental Health Empowerment Project
- National Association of Social Workers
- National Grid
- Next Wave
- Rehabilitation Support Services
- Rensselaer County Department of Health
- Rensselaer County Department of Mental Health
- Rensselaer Park Elementary school
- Samaritan Radiation Oncology
- Senator Neil Breslin
- Senior Hope
- Senior Servics of Albany and Cohoes Multi-Service Senior Citizen Center, Inc.
- St. Catherine’s Center for Children
- St. Mary’s Hospital
- St. Peter’s Health Partenrs
- The Community Hospice
- The Food Pantries for the Capital District
- The Sage Colleges
- United Way of the Greater Capital Region
- Unity House
- University at Albany School of Public Health
- Upper Hudson Planned Parenthood
- Van Rensselaer Manor
- Village of Colonie Outreach
- Visiting Nurses Association of Albany
- Xerox State Healthcare
Albany and Rensselaer counties completed the Community Health Prioritization
Meetings together between February and March 2016. Attendance during these
meetings ranged between 40-60 participants representing many health care,
community based, and public service providers. Participants were engaged in the data
presentations, raised many questions, and provided what services look like day to day.
The two priority areas being focused on in Rensselaer County are Chronic Disease
(obesity, asthma) and Behavioral Health (substance abuse and other mental emotional
behavioral disorders).
Focus areas were chosen based on statistical data gathered for the Community Health
Needs Assessment. Rensselaer County’s adult diabetes prevalence rate of 10% was
higher than the rest of the state (8.2%). Rensselaer County’s diabetes hospitalization
rate of 15.4/10,000 and mortality rate of 19.8/100,000 was higher and significantly
11 Rensselaer County Community Health Improvement Plan 2016-2018
higher than the rest of the state (14.2 and 15.6). Rensselaer County’s diabetes short-
term complication hospitalization rate (6.6/100,000) was significantly higher than the
rest of the state (5.8) and increased 14% from 2009-2013. The Troy/Lansingburgh
neighborhood had 2 times the diabetes emergency department visit rates, and 1.7 times
the diabetes hospitalization rates compared to the rest of the state.
Rensselaer County’s adult current asthma prevalence (13.5%) and asthma emergency
department visit rate (61.2/100,000) were higher or significantly higher than the rest of
the state (10.5% and 47.6). The Troy/Lansingburgh area had 2.3 times the asthma
emergency department visit rate and 1.5 times the asthma hospitalization rate as the
rest of the state. There is a disparity among Troy/Lansingburgh area residents with
regard to asthma related hospitalizations and ED visits.
The Troy/Lansingburgh area of Rensselaer County has the largest non-white population
(21.3%) as well as the largest Hispanic population (6.6%). The Troy/Lansingburgh
neighborhood has the highest neighborhood poverty rate in Rensselaer County (21.6%).
Health disparities are often seen in poor and non white populations. Higher asthma
emergency department visits and asthma hospitalization rates in the Troy/Lansingburgh
area are most likely linked to the socioeconomic status of it’s’ residents.
Behavioral health was chosen as a focus area from the results of the National Survey of
Drug Use and Health, which estimated 19% of Rensselaer County residents with a
mental illness, 4% with a serious mental illness. This same survey estimated that 3% of
Rensselaer County residents with drug dependence/abuse, and 2% needing, but not
receiving drug treatment. It is estimated that 7% of Rensselaer County residents live
with alcohol dependence/abuse, and 7% of that population needs, but does not receive
alcohol treatment. While Rensselaer County residents had a lower substance abuse
(any diagnosis) ED visit rate (194.7/100,000) than the Rest of State (349.5), Rensselaer
County’s rate increased 25% from 2009-2014. Similarly, Rensselaer County residents
had a lower substance abuse mortality rate (4.8/100,000) than the Rest of State (9.3),
but the rate increased 113% from 2009-2011 to 2011-2013. Rensselaer County had an
opiate poising related ED visit rate (any diagnosis) of 13.4/10,000 that was slightly lower
than the Rest of the State, (15.2), but this rate increased 26% from 2008-2010 to 2011-
2013. Of the autopsy reports completed for 2015 as of this date, the Rensselaer County
Medical Examiner has confirmed that there have been 21 deaths due to heroin/opioid
abuse. As in many parts of the country, Rensselaer County has not been immune to the
opioid epidemic that is affecting many areas across the state and the country.
Rensselaer County established a heroin coalition in March of 2016 to address the
growing heroin abuse and heroin deaths in Rensselaer County. The goal of the coalition
is to take back our community from the affliction of opioid addiction by educating and
raising public awareness through multiple means and venues, forming a multi-layers
12 Rensselaer County Community Health Improvement Plan 2016-2018
shield for the purpose of prevention, treatment and recovery. The coalition is
comprised of four subgroups: Community Education, Harm Reduction, Law
Enforcement and Medical interventions. The Rensselaer County Heroin Coalition aims
to reach out to educate the public and enhance communication between our
community members and partners. The Rensselaer County Heroin Coalition is
comprised of over 200 community organizations. It is co-chaired by the Rensselaer
County Department of Health Director and the Rensselaer County Sheriff.
Summary of Rensselaer County Accomplishments in 2016:
Continued to be an associate member of the Food Pantries of the Capital Region
Continued to distribute Diabetes Resource Guides to school nurses, Wellness
Committee members, and consumers in our county.
Continued to distribute the Breastfeeding Resource Guide to professionals and
consumers.
Continued to distribute Asthma Action Plans to the school nurses to disseminate to
their asthmatic students.
Promoted two “Take Back Drug Initiatives”
Continued collaborating with Upper Hudson Planned Parenthood and the Alliance
for Positive Health on shared communication and information points for consistent
messaging.
Created and printed 500 packets of low literacy nutrition information on proper
portion size showing each food group.
Engaged children in physical activity with the The Schaghticoke Fair.
Became a registered NYSDOH Opioid Overdose Prevention Program Trainer,
completing trainings throughout the community.
Continued to hold monthly Rensselaer County Wellness Committee meetings,
adding two new members in 2016.
Trained a Public Health Educator to conduct NDPP trainings.
13 Rensselaer County Community Health Improvement Plan 2016-2018
Prevent Chronic Diseases Action Plan
Focus Area 1- Reduce Obesity in Children and Adults
Goal Outcome Objective Intervention/
Strategies, Activities
Partner Resources Partner roles Process Measures By When Will Action
Address
Disparity?
Prevention Agenda
Goal 1.1
Create Community environments that
promote and support
healthy food and
beverage choices and
physical activity.
Prevention Agenda
Overarching Objective
1.0.1: Reduce the percentage
of youth and adults who
are obese from 28.5% in
2013-14 to 27.1% in
2018 (adults) and 18.0% in 2012-14 to 17.1% in
2018 (children).
Implement nutrition
and beverage standards
in public institutions, worksites, school
districts, and childcare
centers.
Rensselaer County
Department of Health Serves residents in Rensselaer County through physical health
and mental health activities.
Albany Medical Center
Adopted a robust, multi-
faceted wellness program, which includes health and
wellness policies that
positively impact patients, visitors and employees.
Healthy Capital District
Initiative Provides access to coverage and care, health planning
expertise and supports health
prevention programs across the Capital Region. Facilitates the
Albany-Rensselaer Diabetes
Task Force.
St. Peter’s Health Partners:
Adopted a Health and Wellness policy that impacts patients and
employees. SPHP was awarded
Rensselaer County
Department of Health Provide technical assistance to area worksites implementing
healthy workplace strategies.
Albany Medical Center Promote healthy living and
wellness through Albany Med’s “Wellness: Healthy Choices,
Healthy You” program; Sodium
Reduction in Communities grant.
Healthy Capital District
Initiative
Promote worksite wellness, and
health and wellness policies.
Review policies, and evidenced based practices.
St. Peter’s Health Partners
Encourage healthy living through St. Peter’s Wellness
Committee.
Number of organizations
that adopt and implement
nutrition and beverage standards (e.g. healthy
meeting and events policies,
healthy vending policies,
applicable worksite wellness
programs) including number of persons impacted by
standards.
Number of participants
involved in Move, Learn,
Heal and Eat initiatives.
Number of schools that
adopt and implement comprehensive and strong
Local School Wellness
December 31, 2018
14 Rensselaer County Community Health Improvement Plan 2016-2018
the Creating Healthy Places
contract from the NYS Department of Health that
seeks to: increase opportunities
for physical activity, and improve access to nutritious
foods both in the community
and in schools.
Creating Healthy Schools:
Provides technical assistance in
developing implementing strategies for health and wellness
policies within school districts.
Polices.
Promote Physical
Activity in childcare
centers, school
districts, community
venues, and worksites.
Rensselaer County
Department of Health: Serves residents in Rensselaer County through physical health
and mental health activities.
Albany Medical Center
Adopted a robust, multi-
faceted wellness program,
which includes health and
wellness policies that
positively impact patients,
visitors and employees.
Healthy Capital District
Initiative Provides access to coverage and care, health planning
expertise and supports health
prevention programs across the Capital Region. Facilitates the
Albany-Rensselaer Diabetes
Task Force.
St. Peter’s Health Partners
Awarded the Creating Healthy Places contract from the NYS
Department of Health that
seeks to: increase opportunities
Rensselaer County
Promote physical activity and
wellness through Community Outreach.
Albany Medical Center Promote healthy living as part of
Albany Med’s Wellness
Program’s “Move, Learn, Heal and Eat” initiatives – Fitness
Center, Fitness Classes, and
Fitness App, walking groups, etc.; exercise prescriptions given
to patient populations.
Healthy Capital District
Initiative
Promote and provide support to
outreach activities throughout
both counties.
St. Peter’s Health Partners
Encourage healthy living
through Wellness Committee,
evidenced based Community Soccer Program, and Creating
Number of plans adopted or
opportunities available
promoting physical activity (e.g. Complete Streets
policies, joint use
agreements, applicable
worksite wellness
initiatives).
Number of school districts that implement
Comprehensive School
Physical Activity Programs(CSPAP)
15 Rensselaer County Community Health Improvement Plan 2016-2018
for physical activity, and
improve access to nutritious foods both in the community
and in schools.
Healthy Schools and
Communities grant program.
Number of children
participating in the evidenced based Soccer for
Success program that
promotes healthy lifestyle through: physical activity,
nutrition, mentorship and
family engagement.
Focus Area 2- Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings.
Goal Outcome Objective Intervention
Strategies, Activities
Partner Resources Partner roles Process Measures By When Will Action
Address
Disparity?
Prevention Agenda
Goal 1.1
Promote asthma activities in the
community by
providing in home support to adults and
children who have
asthma.
Reduce age adjusted
asthma hospitalizations
age 5-64 years of age per 10,000 from
6.5/10,000 (2012-2014)
by 10% to 5.9/10,000.
Reduce age-adjusted
asthma Emergency Department visits per
10,000 from
Implement evidenced
based asthma
management guidelines between
primary care
practitioners, specialists and
community based
asthma programs to ensure regional
population-based
Rensselaer County Health
Department
In collaboration with community based
organizations Rensselaer
County provides the Healthy Neighborhoods Program.
Trained Healthy
Neighborhoods Program educators schedule a home
visit and identify
Rensselaer County Health
Department
Provide, coordinate, or link clients to resources for
evidenced based trigger
reduction home-based interventions (i.e. change indoor
environment to reduce exposure
to asthma triggers such as pests, mold, and second hand smoke)
via Healthy Neighborhood
Number of Healthy
Neighborhood home visits
conducted.
Number of certified asthma
educator follow up home visits conducted.
Number of homes with appropriate modifications.
December 31, 2018 Yes
Reduce asthma
related hospitalizations
and ED visits in
the Troy/Lansingbu
rgh
neighborhood by 5%
16 Rensselaer County Community Health Improvement Plan 2016-2018
26.4/10,000 (2012-
2014) by 10% to 23.8/10,000. (Data
Source: NYS BRFSS)
approach to asthma
management by supporting DSRIP
Project 3.d.ii.
DSRIP Project 3.d.i.i.
Description: Ensure
implementation of asthma self-
management skills
including home environmental trigger
reduction, self-
monitoring,
medication use and
medical follow-up to
reduce avoidable emergency department
and hospital care. A
special focus will be on children for whom
asthma is a major driver of avoidable
hospital use.
environmental hazards by
asking residents questions from a standardized assessment
form. Residents are educated
about these concerns and provided referrals and follow
up resources. Free cleaning,
safety, and health products are also distributed to improve the
home living environment.
Healthy Capital District
Initiative (HCDI)
Provides access to coverage
and care, health planning
expertise and supports health
prevention programs across the Capital Region. Facilitates the
Asthma Coalition that
encompasses asthma providers from within the capital region.
HCDI reviews and provides evidenced based practices and
professional development
opportunities for this workforce.
Alliance for Better
Healthcare
(St. Peter’s Health Partners)
The Alliance for Better Health
Care is governed by a five
member Board. The Alliance Members are: Ellis Medicine;
Samaritan Hospital, which
Program.
For residents identified at risk for uncontrolled asthma, provide
in-home certified asthma
educator services. Rensselaer County is a member of the
Capital Region Asthma
Coalition.
Healthy Capital District
Initiative Asthma Coalition:
Promote bi-directional referral to
regional Healthy Neighborhood
Programs and smoking cessation
programs.
Provide continuing education
and asthma training opportunities to Certified
Asthma Educators (AE-C) and medical professionals.
Provide financial assistance to AE-C examination candidates.
Provide durable medical goods, environmental remediation
products, and educational
materials to home-based service providers.
Alliance for Better Healthcare
(St. Peter’s Health Partners)
Development of a Home Based Asthma program that will
arrange for patient visits in their
homes by a Respiratory Therapist, Registered Nurse and
Community Health Worker to
Track utilization of the
Home Based Asthma Program.
Track hospital and ED visits by diagnosis
17 Rensselaer County Community Health Improvement Plan 2016-2018
represents St. Peter’s Health
Partners; St. Mary’s Healthcare Amsterdam; Hometown
Health; and Whitney M.
Young, Jr. Health Center. The Alliance was formed in
response to a New York State
Department of Health initiative called the Delivery System
Reform Incentive Payment.
provide appropriate asthma
education. . Home-based self-management programs to
include home environmental
trigger reduction, self-monitoring, medication use and
medication follow up.
Educate health care providers about the Home Based Asthma
program
Prevention Agenda Goal 3.1
Increase screening rates
for cardiovascular
disease, diabetes and
breast, cervical and
colorectal cancers, economically among
disparate populations
Prevention Agenda overarching objective
3.1.4:
Increase the percentage
of adults 18 years and
older who had a test for
high blood sugar or diabetes within the past
three years by 17% from
58.8% (2011) to 61.7%. (Data Source: NYS
BRFSS)
Promote prediabetes screenings and
education through the
use of evidence based
tools.
Rensselaer County
Department of Health:
Serves residents in Rensselaer
County through physical health
and mental health activities.
St. Peter’s Health Partners Primary Care, Urgent Care,
Behavioral Health,
Endocrinology, Outpatient Nutrition Counseling, CDE
Services and Hospital
Providers
Burdett Care Center
Birthing Center located in Rensselaer County. Provides
labor and birthing care;
prenatal and childbirth education classes and
breastfeeding education classes
and support groups.
Rensselaer County
Department of Health
Educating and providing
technical assistance to primary
care offices (Public Health
Detailing). Outreach within the
community, and producing marketing material that will
include, but not limited to
referral resources for nutrition counseling, and dietitian.
St. Peter’s Health Partners Provide access to St. Peter's
Hospital professionals to
become trained on the Prediabetes Screening and
resources available within the
Rensselaer County community.
Burdett Care Center
Pre-natal providers will provide information/refer patients as
appropriate. All patients with
gestational diabetes are referred to nutritional counseling.
Promote NDPP programs to
appropriate patients. Implementing Baby Friendly
Initiative; Strongly encourage all
new mothers to breastfeed; Provide breastfeeding education
Number of Healthcare Professionals educated on
the Evidenced Based
Screening tool.
{http://www.cdc.gov/diabet
es/prevention/pdf/prediabete
stest.pdf}
Number of primary care
offices receiving visits, materials.
Number of community members educated on
prediabetes through
outreach activities.
Number of marketing
materials developed and
distributed and locations.
Number of gestational diabetes referrals and
receivers of nutritional
counseling.
December 31, 2018
18 Rensselaer County Community Health Improvement Plan 2016-2018
Healthy Capital District
Initiative
Provides access to coverage and care, health planning
expertise and supports health
prevention programs across the Capital Region. Facilitates the
Asthma Coalition that
encompasses asthma providers
from within the capital region.
HCDI reviews and provides
evidenced based practices and professional development
opportunities for this
workforce.
Albany Medical Center Hospital which includes
primary care, and
comprehensive endocrinology services, serving Albany and
Rensselaer Counties.
Affiliation with Northeastern Diabetes Educators
Association.
and support groups. Attend
community outreach events to encourage breast feeding.
Healthy Capital District
Initiative
The Diabetes/Obesity Task Force will assist in the
development of the marketing
materials and provide support for outreach programming.
Albany Medical Center:
Provide professional diabetes
education summit; provide
assistance in development of educational materials; educate
Albany Med primary care
physicians.
Number of participants who attend the annual Diabetes
Educators Summit.
Number of Albany Medical
Center primary care
physicians educated on Prediabetes.
Prevention Agenda
Goal #3.3: Promote culturally
relevant chronic disease
self-management education.
Prevention Agenda
overarching objective 3.3.1: Reduce use of
hospital for short-term
complications of diabetes 18+ years by
3% {7.7/10,000 (2012-
14) to 7.4/10,000 (2018)}.
Participation of adults
in self-management programs.
Rensselaer County
Department of Health:
Has certified National Diabetes
Prevention Program (NDPP)
Lifestyle coaches who will provide training in Rensselaer
County.
St. Peter’s Health Partners
Primary Care, Urgent Care,
Behavioral Health, Endocrinology, Outpatient
Rensselaer County
Promote and provide NDPP Training. Strengthen Referral
Systems to NDPP and other
Evidenced Based Self-Management Programs.
St Peter’s Health Partners
Provide funding for two
professionals to be trained in NDPP to expand existing NDPP
Number of new sites
providing Prediabetes NDPP and YDPP.
Number of participants enrolled in the NDPP and
YDPP.
Number of participants in
other (i.e. non-YDPP/NDPP
chronic disease self-management programs that
December 31, 2018
19 Rensselaer County Community Health Improvement Plan 2016-2018
Nutrition Counseling, CDE
Services and Hospital Providers.
Healthy Capital District
Initiative Provides access to
coverage and care, health
planning expertise and supports health prevention programs
across the Capital Region.
Facilitates the Diabetes Task
Force.
Albany Medical Center Hospital which includes
primary care, and
comprehensive endocrinology services, serving Albany and
Rensselaer Counties. Affiliation with Northeastern
Diabetes Educators
Association.
programs within Rensselaer
County. Offer NDPP to employees, encourage patients to
participate in NDPP.
Healthy Capital District
Initiative
Promote NDPP, Review and
update Diabetes Resource Guide, Review Alternative
Lifestyle Change programs.
Albany Medical Center
Promote lifestyle changes and
prediabetes education; diabetes
prevention and education sessions and brochures; increase
# of CDEs.
support Lifestyle Change,
nutrition, exercise counseling).
Number of Resource Guides circulated.
20 Rensselaer County Community Health Improvement Plan 2016-2018
Promote Mental Health and Prevent Substance Abuse Action Plan
Focus Area 2- Substance Abuse and other Mental Emotional Behavioral Disorders
Goal Outcome Objective Intervention/
Strategies,
Activities
Partner Resources Partner Role Process Measures By When Will Action
Address
Disparity? Prevention Agenda
Goal #2.1: Prevent underage
drinking, excessive
alcohol consumption by youth and adults, and
reduce non-medical use
of prescription pain medication, by youth
and adults.
Reduce ED Visits by
10% from 2013-15 to
2018.
23.3% to
21.0/100,000.
Reduce Number of
Overdose Deaths by
20% from 2016 to
2018.
Rensselaer County
from 25 deaths in
2015 to 20 deaths in
2018 (Data Source:
Rensselaer County
Medical Examiner)
Provider Education of
Addiction & Pain Management
Prescribing Guidelines
Community Resources
(Prevention, Addiction Treatment & Recovery
Support)
Information to provide
to patients regarding risk of harm and
misuse.
Rensselaer County
Department of Health: Serves residents in Rensselaer
County through physical health
and mental health activities.
Albany Medical Center Hospital with primary care behavioral health, pain
management and physician
education services
St. Peter’s Health Partners
Primary Care, Urgent Care, Behavioral Health,
Endocrinology, Outpatient
Nutrition Counseling, CDE Services and Hospital
Providers.
Healthy Capital District
Initiative Provides access to coverage and care, health
planning expertise and supports
health prevention programs across the Capital Region.
Facilitates the Behavioral
Health Task Force.
Rensselaer County
Department of Health
Promote prescriber training
opportunities.
Albany Medical Center Educate physicians regarding prescribing guidelines;
participate in prescription drug
monitoring program; host provider addiction/pain medicine
conference.
St. Peter’s Health Partners
Educate both St. Peter’s Health Partners, and community
prescribers regarding prescribing
consistent with State & Federal guidelines.
Healthy Capital District
Initiative Behavioral Health Task Force
will develop community
resource materials.
Number of prescriber
trainings offered.
Number of prescribers
trained.
Number of prescribing
guidelines developed and distributed.
Number of community
resource materials developed.
December 31,
2018
Promote safe storage
& proper disposal of
unused prescription
Rensselaer County
Department of Health
Serves residents in Rensselaer
Rensselaer County
Department of Health
Promote Drug Take Backs and
Number of proper disposal education activities.
December 31, 2018
21 Rensselaer County Community Health Improvement Plan 2016-2018
medications.
Community
Education
Increase Disposal
opportunities
County through physical health
and mental health activities.
Albany Medical Center Hospital with primary care behavioral health, pain
management and physician
education services.
St. Peter’s Health Partners
Primary Care, Urgent Care,
Behavioral Health, Endocrinology, Outpatient
Nutrition Counseling, CDE
Services and Hospital
Providers.
Healthy Capital District
Initiative Brings community
based organizations together
serving the behavioral health community. Facilitators of the
Behavioral Health Task Force.
Proper Storage.
Albany Medical Center
Provide community with a mechanism for proper disposal
of unused medications; promote
proper storage.
St. Peter’s Health Partners
Promote Drug Take Backs and
proper storage materials.
Healthy Capital District
Initiative
Behavioral Health Task Force
will promote Drug Take Backs and Proper Storage
Number of new permanent
and temporary sites for Rx collection.
Total pounds of prescriptions collected.
New York State Opioid Overdose Prevention
Training
Rensselaer County
Department of Health
In collaboration with both the
health department and mental health department. Educators
from both departments are
certified to facilitate NYS
Opioid Overdose Prevention
Training.
Rensselaer County
Department of Mental Health
Maintain responsibility and a commitment to the mental
hygiene needs of our residents
by monitoring and continuously improving the
system of behavioral healthcare
services delivered in the county.
Rensselaer County
Department of Health and
Mental Health
Host, and provide Narcan Training.
Number of trainings provided.
Number of persons participating in Naloxone
trainings.
Number of Narcan
administrations by provider.
December 31, 2018
22 Rensselaer County Community Health Improvement Plan 2016-2018
Albany Medical Center Hospital with primary care behavioral health, pain
management and physician
education services
St. Peter’s Health Partners
Primary Care, Urgent Care, Behavioral Health,
Endocrinology, Outpatient
Nutrition Counseling, CDE Services and Hospital
Providers.
Healthy Capital District
Initiative Health planning expertise and supports health prevention
programs across the Capital
Region. Facilitates the Behavioral Health Task Force.
Albany Medical Center
Educate and train law enforcement and emergency
medical professionals on Narcan
distribution.
St. Peter’s Health Partners
Host and Publicize community Narcan Trainings.
Healthy Capital District
Initiative Behavioral Health Task Force will design patient education
materials about community
resources.
Number of patient education materials developed.
Promote DSRIP
Project 3aiv.
Project Description:
Development of Withdrawal
Management (e.g.
ambulatory
detoxification,
ancillary withdrawal
services) capabilities and appropriate
enhanced abstinence
services within community-based
addiction treatment
programs.
Establish Ambulatory Detox Programs
Rensselaer County
Department of Health
Maintain responsibility and a
commitment to the mental
hygiene needs of our residents by monitoring and
continuously improving the
system of behavioral healthcare
services delivered in the count.
St. Peter’s Health Partners
The Alliance for Better Health
Care is governed by a five
member Board. The Alliance Members are: Ellis Medicine;
Samaritan Hospital, which
represents St. Peter’s Health Partners; St. Mary’s
Healthcare Amsterdam;
Hometown Health; and Whitney M. Young, Jr. Health
Rensselaer County
Department of Health
Refer patients and promote
programs.
St. Peter’s Health Partners
Establish four ambulatory
withdrawal programs. Increase
the number of X licensed primary care physicians.
Number of programs
established.
Number of additional physicians with X license
Number of patients served by new programs.
December 31,
2018
23 Rensselaer County Community Health Improvement Plan 2016-2018
Center. The Alliance was
formed in response to a New York State Department of
Health initiative called the
Delivery System Reform Incentive Payment Program
(DSRIP).
St. Peter’s Health Partners,
St. Peter’s Medical
Associates, Catholic
Charities, Whitney Young Will develop withdrawal
management services for
substance use disorders (SUD)
within community-based
addiction treatment programs that provide medical
supervision and allow
simultaneous or rapid transfer of stabilized patients into the
associated SUD services and provide/link with care
management services that will
assist the stabilizing patient to address the life disruption
related to the prior substance
use.
St. Peter’s Health Partners, St.
Peter’s Medical Associates,
and Whitney Young Expand medication assisted
treatment in primary care
practices.
St. Peter’s Health Partners,
Project Safe Point, Catholic
Charities, and Project Lead
Develop care coordination
services for patients receiving ancillary withdrawal services.
24 Rensselaer County Community Health Improvement Plan 2016-2018
COMMUNITY HEALTH IMPROVEMENT PLAN ENGAGEMENT AND EVALUATION
Engaging the community in the health needs assessment process was a priority of Rensselaer
County Department of Health, HCDI and stakeholders. Broad community engagement began
with participation in the community health survey. The surveys offered multiple choice and
open-ended questions to learn about residents’ health needs, health behaviors and barriers to
care. Demographic information collected by the survey allowed review of information by age,
gender, race/ethnicity and income.
Survey results were incorporated into the examination of health needs by the members of the
four Capital Region Public Health Prioritization Workgroups (Albany-Rensselaer, Columbia-
Greene, Saratoga and Schenectady). The Workgroups included community voices through
representatives from consumers, community based organizations that serve low-income
residents, the homeless, those with HIV/AIDS, advocacy groups, employers, public health
departments, providers and health insurers. Participants were encouraged to share data of
their own and to advocate for the needs of their constituents. While all health institutions serve
high need individuals, the two federally qualified health centers, Food Pantries of the Capital
District, United Way of the Capital Region, Interfaith Partnership for the Homeless, and our
consumer community representatives have unique access to medically underserved residents.
The Rensselaer County Wellness Committee will continue to meet on a monthly basis, in a
continuing effort to engage community partners.
COMMUNICATIONS STRATEGY
Strategies for disseminating and educating professional organizations, governmental agencies,
stakeholders and the community on the Community Health Improvement Plan as outlined
below:
A press release announcing publication of the 2016-2018 Community Health
improvement Plan will be provided to local print media including a link to the Rensselaer
County Department of Health website.
Printed hard copies of the document(s) will be provided to (CHIP) stakeholders
County, town, and village governments will be provided with both hard and
electronic copies.
New York State senators and assemblypersons representing Rensselaer County will
be send a letter and link to access the document(s) on the Rensselaer County
Department of Health website.
25 Rensselaer County Community Health Improvement Plan 2016-2018
APPENDIX A
PROFILE OF COMMUNITY RESOURCES
AVAILABLE TO MEET HEALTH-RELATED NEEDS OF
RENSSELAER COUNTY
Rensselaer County Wellness Committee Member Organizations • 15 Love Program • AIDS Council of Northeastern New York • American Cancer Society • Asthma Coalition of the Capital Region • Burdett Care Center • Cancer Services Program • Capital District Community Gardens • Capital District Physicians Health Plan • Capital District Tobacco-Free Coalition • Capital District YMCA • Center for Smoking Cessation • City of Troy • City of Troy Mayor's Office • Commission on Economic Opportunities (CEO) • CONSERNS-U • Cornell Cooperative Extension • Empowerment Exchange • Grace United Methodist Church • Hannaford Supermarkets • Health Homes • Healthy Capital District Initiative • Healthy Families Rensselaer County • Healthy School NY • Heroes At Home, services to veterans • Hillside North Neighborhood Group • Hoosick Area Church Association • Hope 7 Community Center • Hudson Valley Community College (HVCC) • HVCC Counseling Center • HVCC Health Services • Independent Living Center of the Hudson Valley • Lansingburgh Boys and Girls Club • Literacy Volunteers of Rensselaer County • Mom Starts Here • NYS Department of Health
26 Rensselaer County Community Health Improvement Plan 2016-2018
• Pediatric Obesity Prevention • Questar III • Reality Check • Rensselaer Adult Rehabilitation Center (ARC) • Rensselaer Boys and Girls Club • Rensselaer Cares Prescription Assistance Program • Rensselaer County Aging Department • Rensselaer County Department of Health • Rensselaer County Department of Health Board Members • Rensselaer County Department of Mental Health • Rensselaer County Department of Social Services • Rensselaer County Department of Youth • Rensselaer County Executive's Office • Rensselaer County Legislature • Rensselaer County Probation • Rensselaer Polytechnic Institute (RPI) • RPI-Gallagher Student Health Center • Sexual Assault and Crime Victim Assistance Program • St. John's/St. Joseph's • St. Jude's-Troy • St. Jude's-Wynantskill • St. Peter’s Health Partners/Samaritan Hospital/Northeast Health • St. Peter’s Health Partners/Seton Health/St. Mary’s Hospital • St. Peter's Health Partners • St. Peters Health Partners MOMS Program • St. Peter's Partners Faith Community Nurse Program • St. Timothy's Lutheran • The Arc of Rensselaer County • The Sage Colleges • Transfiguration Parish • Troy Area United Ministries • Troy Boys and Girls Club • Troy City Council • Troy Housing Authority • United Way of the Greater Capital Region • Upper Hudson Planned Parenthood • Uptown Initiative • Van Rensselaer Manor • Whitney Young Jr. Health Services Troy • YMCA-Greenbush Center • YMCA – Troy
27 Rensselaer County Community Health Improvement Plan 2016-2018
(This page intentionally left blank)
Appendix B - 2016 Capital Region Community Health Survey
28 Rensselaer County Community Health Improvement Plan 2016-2018
29 Rensselaer County Community Health Improvement Plan 2016-2018
30 Rensselaer County Community Health Improvement Plan 2016-2018
31 Rensselaer County Community Health Improvement Plan 2016-2018
32 Rensselaer County Community Health Improvement Plan 2016-2018
33 Rensselaer County Community Health Improvement Plan 2016-2018
34 Rensselaer County Community Health Improvement Plan 2016-2018
35 Rensselaer County Community Health Improvement Plan 2016-2018
36 Rensselaer County Community Health Improvement Plan 2016-2018
37 Rensselaer County Community Health Improvement Plan 2016-2018
38 Rensselaer County Community Health Improvement Plan 2016-2018
39 Rensselaer County Community Health Improvement Plan 2016-2018
Appendix C Capital District Task Force Members
Asthma Coalition Albany College of Pharmacy Albany County Department of Health Albany Medical Center Alliance for Better Health Care Ballston Spa School District Bassett Healthcare Network Capital District Child Care Coordination Capital District Community Garden Capital District Tobacco-Free Communities Catholic Charities of Fulton & Montgomery Counties Capital District Physicians Health Plan- CDPHP Cornell Cooperative Extension Ellis Medicine Emblem Health Fidelis Care Future of Education in Mayfield Healthy Capital District Initiative Healthy Policy Matters Hometown Health Center Hudson Valley Community College- HVCC Montgomery County Nathan Littauer Hospital & Nursing Home Next Wave NYS Department of Health Price Chopper Rensselaer County Rensselaer County Public Health Department Schenectady County Public Health Services Scotia Glenville City School District Seton Health St. Mary's Healthcare St. Peters Hospital Unity House Visiting Nurses Association Visiting Nurses Association Whitney M Young Health Center
40 Rensselaer County Community Health Improvement Plan 2016-2018
Obesity-Diabetes Task Force
Albany County Department of Health Albany Medical Center American Diabetes Association Capital District Physicians' Health Plan, Inc. Capital District YMCA Capital Region Diabetes and Endocrine Care Capital Roots Childcare Coordinating Council Cornell Cooperative Extension Creating Healthy Schools and Communities/SPHP Golub Corp- Price Chopper Healthy Capital District Initiative Healthy Capital District Initiative Healthy Schools NY/ SPHP Northeast NY Diabetes Educators Rensselaer County Health Department Samaritan Hospital Shoprite St. Peter’s Health Partners St. Peter's Health Partners, Center for Health Programs and Promotion Stratton VAMC/AADE/ Northeastern NY Diabetes Educators (NENYDE) University at Albany Behavioral Health Task Force
Albany County Department of Health Albany County Department of Mental Health Albany Medical Center Camino Nuevo Catholic Charities Care Coordination Services Capital District Physicians Health Plan (CDPHP) Albany Medical Center - Center for Health Systems Transformation Northeast Health Catholic Charities- Project Safe Point Rensselaer County Health Department Rensselaer Department of Mental Health St. Peter’ Hospital (Samaritan & St. Mary’s) St. Peter’s Health Partners The Addictions Care Center