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Improve access to care
Passaic County Access to Care Workgroup
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Impact Statement
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We will work to increase access to heath care among underserved and migrant populations in Passaic County via increased access to primary care.
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Strategies & Performance Measures
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STRATEGY 1 [Data development/Information for action]: Engage underserved populations to understand their unique challenges to accessing healthcare.
How much did we do?
- # of stakeholders engaged (245 click here to see trend over time)
How well did we do it?
- # opportunities for stakeholder engagement (9 click here to see trend over time)
- % of ideas that provide new information (previously unknown to workgroup (30% click here to see trend over time)
Is anyone better off?
- #/% ideas that generate new strategies OR # of new strategies developed (not reported click here to see trend over time)
STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Identify and establish collaborative relationships with existing healthcare resources in the local community.
How much did we do?
- # resources/services reviewed or contacted (500 click here to see trend over time)
- # of workgroup hours spent assessing current systems (if applicable) (440 click here to see trend over time)
How well did we do it?
- # of new leverage points identified to improve access/capacity/systems (previously unknown to workgroup) (2 click here to see trend over time)
- # of number of new resources identified and newly added (resource guide strategies only) (500 click here to see trend over time)
Is anyone better off?
- #/% of identified leverage points acted upon (may even generate new strategies) (0 click here to see trend over time)
- #/% number of resources maintained in database (resource guide strategies only) (500/100% click here to see trend over time)
STRATEGY 3 [Referral Pathway/connect to RESOURCES or services]: Connect existing screening programs to free clinics in underserved communities to establish a continuum of care.
How much did we do?
- # individuals referred/exposed to resources (150 click here to see trend over time)
- # of resources/agencies connected in referral pathway (25 click here to see trend over time)
How well did we do it?
- % who use resource/service (random sample if needed) (not reported click here to see trend over time)
- % of resources/agencies actively making referrals through new pathways (random sample if needed) (not reported click here to see trend over time)
Is anyone better off?
- #/% reporting service/resource met their need (random sample if needed) (not reported click here to see trend over time)
STRATEGY 4 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase the capacity of existing free healthcare providers to reach more people in the communities they serve.
How much did we do?
- # resources/services reviewed or contacted (not reported click here to see trend over time)
- # of workgroup hours spent assessing current systems (if applicable) (not reported click here to see trend over time)
How well did we do it?
- # of new leverage points identified to improve access/capacity/systems (previously unknown to workgroup) (not reported click here to see trend over time)
- # of number of new resources identified and newly added (resource guide strategies only) (not reported click here to see trend over time)
Is anyone better off?
- #/% of identified leverage points acted upon (may even generate new strategies) (not reported click here to see trend over time)
- #/% number of resources maintained in database (resource guide strategies only) (not reported click here to see trend over time)
STRATEGY 5 [Provide Tailored Information to Targeted Groups (non-professionals)]: Work with existing health resource databases to offer information in languages other than English and Spanish.
How much did we do?
- # individuals reached/touched (not reported click here to see trend over time)
How well did we do it?
- % participant satisfaction (not reported click here to see trend over time)
- % in target geographies/populations (not reported click here to see trend over time)
Is anyone better off?
- #/% of individuals reporting improvements in health status/literacy/behaviors (not reported click here to see trend over time)
- %/# of individuals reporting relevant knowledge gain* (not reported click here to see trend over time)
*measured by pre/post-test on content area, if one is available -
Stories
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Tools & Resources
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Workgroup Participants
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Lead:
Workgroup Participants:
Atlantic Health SystemChilton Medical CenterCenter for Family ResourcesChristian Health Care CenterPassaic County Department of HealthPassaicCounty Human Services - Addiction and Mental HealthRingwood Health Dept.Wayne Health Dept.West Milford Health Dept. -
Meeting Notes & Progress Reports
Ensure access to diabetes and cardiovascular risk education
Indicators
Passaic County CV/Diabetes Workgroup
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Impact Statement
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We will increase participation and engagement with diabetes education programs for Medicare beneficiaries and underserved minority populations with the aim of impacting associated cardiovascular risk factors via geographically targeted evidence-based education, partnerships, and advocacy, while encouraging primary prevention efforts that address the built environment in support of healthy eating and active living.
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Strategies & Performance Measures
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STRATEGY 1 [Engage stakeholders]: Engage and collaborate with stakeholders from targeted populations representing underserved and high diabetes prevalence areas of Passaic County to be part of this workgroup.
How much did we do?
- # of (new) residents/ organizations active in workgroup (not reported click here to see trend over time)
- # of months with an engagement opportunity for stakeholders (not reported click here to see trend over time)
How well did we do it?
- % of months with an engagement opportunity for stakeholders (not reported click here to see trend over time)
- % of participants that are stakeholders from target group(s) (not reported click here to see trend over time)
Is anyone better off?
- # of new strategies developed by workgroup as a result of stakeholder engagement (will have own performance metrics, once identified) (not reported click here to see trend over time)
STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase use of and participation in diabetes education programs that offer standards of care and evidence based practice to improve management of diabetes and associated complications.
How much did we do?
- # resources/services reviewed or contacted (6 click here to see trend over time)
- # of workgroup hours spent assessing current systems (if applicable) (41 click here to see trend over time)
How well did we do it?
- # of new leverage points identified to improve access/capacity/systems (previously unknown to workgroup) (1 click here to see trend over time)
- # of number of resources identified and newly added (resource guide strategies only) (8 click here to see trend over time)
Is anyone better off?
- #/% of identified leverage points acted upon (may even generate new strategies) (not reported click here to see trend)
- #/% number of resources maintained in database (resource guide strategies only) (5 click here to see trend over time)
STRATEGY 3 [Referral Pathway/connect to resources or services]: Work to develop a referral network of DSME and prevention programs including lower or no cost options as well as organizations that offer people with diabetes access to affordable supplies/medications with the goal of expanding access to these services.
How much did we do?
- # individuals referred/exposed to resources (2 click here to see trend over time)
- # of resources/agencies connected in referral pathway (6 click here to see trend over time)
How well did we do it?
- % who use resource/service (random sample if needed) (not reported click here to see trend over time)
- % of resources/agencies actively making referrals through new pathways (random sample if needed) (not reported click here to see trend over time)
Is anyone better off?
- #/% reporting service/resource met their need (random sample if needed) (not reported click here to see trend over time)
STRATEGY 4 [Environment/policy/systems change]: Look for opportunities to improve the built environment in support of healthy eating/active living in Passaic County neighborhoods, especially those where residents are at high risk for diabetes and cardiovascular disease.
How much did we do?
- # of opportunities for improving environment/policy/systems taken on by group (0 click here to see trend over time)
How well did we do it?
- % of opportunities that are within target geography or serve target population (0 click here to see trend over time)
Is anyone better off?
- # of environment/policy/system changes implemented by group (0 click here to see trend over time)
- Dollar amount of new funding/resources dedicated to implemented environment/policy/system changes (0 click here to see trend over time)
- # of individuals in target geography/population who are potentially impacted by environment/policy/system changes (0 click here to see trend over time)
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Stories
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Tools & Resources
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The Diabetes and Cardiovascular workgroup was inspired by the Joint Position statement of the American Diabetes Association, the American Association of Diabetes Educators and the Academy of Nutrition and Dietetics. Diabetes Self-Management Education and Support in Type 2 Diabetes published in 2015.
The position stated the following:
Evidence has shown the benefits and cost-effectiveness of diabetes self-management education and support. However, less than 7% of patients with type 2 diabetes are referred to diabetes educators.
Our group decided to produce this tool, Northern Passaic County Diabetes and Cardiovascular Resources Card, that could be easily used to assist physician practices to refer all of their patients with diabetes to appropriate education as well as groups that provide assistance with diabetes medications and supplies. It is our way to improve access to much needed care to combat the growing epidemic of diabetes now effecting 904,861 people or 12% of our adult population here in New Jersey.
We are sharing this card with physician offices with the hope that they will leave the card in its frame on a tabletop space for patients to see and/or provide copies to patients when referring for diabetes related services or support.
Please contact us if you want to learn more about the Diabetes workgroup, how to use this card, or if you have a program or resource that you think should be included.
Beverly Herman-Rivera RD, CDE
Karen Donovan RN MSN CDE
karen.donovan@atlantichealth.org
Heather Shasa MS, RD
To download the Referral card click on this link: Northern Passaic County Diabetes and Cardiovascular Resources Card
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Workgroup Participants
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Lead:
Heather Shasa, ShopRite of Little Fallsheather.shasa@wakefern.comWorkgroup Participants:
American Lung AssociationAtlantic Health SystemChilton Medical CenterClifton Health DeptDiabetes Foundation Inc.HQSIInserra Supermarkets, Inc.Montclair State University PHDNovoNordiskRingwood Health Dept.ShopRite Little FallsSt. Joseph's Medical CenterSt. Joseph's Wayne HospitalUnited Way of Passaic CountyWayne YMCAWilliam Paterson University -
Meeting Notes & Progress Reports
Reduce heroin overdoses
Indicators
Passaic County Heroin Workgroup
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Impact Statement
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We will reduce the impact of heroin in Passaic County for impacted persons via education in schools, engagement with physician networks, increased information on the dangers of heroin and dissemination of available resources through collaborative relationships with community agencies and local law enforcement.
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Strategies & Performance Measures
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STRATEGY 1 [Provide programs/resources to schools/youth]: Engage Schools on developing and deploying a comprehensive sustainable substance abuse curriculum.
How much did we do?
- # sites involved (not reported click here to see trend over time)
- # of youth impacted/touched (not reported click here to see trend over time)
How well did we do it?
- % participant satisfaction (not reported click here to see trend over time)
- % of sites implementing with fidelity (not reported click here to see trend over time)
Is anyone better off?
- #/% reporting improvements/gains/usefulness (not reported click here to see trend over time)
STRATEGY 2 [Provide training to professionals/providers/Trained volunteers]: Engage Physicians and prescribers with educational opportunities and access to referral resources to reduce over prescription of opioids.
How much did we do?
- # of individuals educated (not reported click here to see trend over time)
How well did we do it?
- % satisfied with process (not reported click here to see trend over time)
Is anyone better off?
- %/# of professionals who gained knowledge from training* (not reported click here to see trend over time)
- %/# self-reported behavior change (not reported click here to see trend over time)
*measured by pre/post-test on content area, if one is availableSTRATEGY 3 [Referral Pathway/connect to RESOURCES or services]: Work to establish a referral network for Substance Use Disorders among Community Partners.
How much did we do?
- # individuals referred/exposed to resources (not reported click here to see trend over time)
- # of resources/agencies connected in referral pathway (not reported click here to see trend over time)
How well did we do it?
- % who use resource/service (random sample if needed) (not reported click here to see trend over time)
- % of resources/agencies actively making referrals through new pathways (random sample if needed) (not reported click here to see trend over time)
Is anyone better off?
- #/% reporting service/resource met their need (random sample if needed) (not reported click here to see trend over time)
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Stories
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Tools & Resources
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Workgroup Participants
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Lead:
Mary Egan, Chilton Medical CenterWorkgroup Participants:
Parent Advocate/St. Mary's Support GroupA Change for NickChilton Medical CenterChilton Medical Center Crisis InterventionCircle of CareCounty Alliance CoordinatorEva's VillageLiasion PCSNANJ State School Nurses AssnPequannock Health DeptPompton Lakes Prevention CoalitionRetired PhysicianSeabrook HouseUnited for Prevention Action TeamUnited for Prevention PCWayne Alliance for Prevention of Substance AbuseWayne Police DeptWayne SchoolsWilliam Paterson University -
Meeting Notes & Progress Reports
Healthy Caregivers
Indicators
Passaic County Caregivers Workgroup
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Impact Statement
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We will improve the health status of unpaid caregivers in Passaic County via increased awareness and support, facilitated by the creation of a local caregiver advisory council.
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Strategies & Performance Measures
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STRATEGY 1 [Environment/policy/systems change]: Advocate for self and external awareness of unpaid caregivers.
How much did we do?
- # of opportunities for improving environment/policy/systems taken on by group (2 click here to see trend over time)
How well did we do it?
- % of opportunities that are within target geographies or serve target population (100% click here to see trend over time)
Is anyone better off?
- # of environment/policy/systems changes implemented by group (not reported click here to see trend over time)
- Dollar amount of new funding/resources dedicated to implemented environment/policy/system changes (not reported click here to see trend over time)
- # of individuals in target geography/population who are potentially impacted by environment/policy/system changes (not reported click here to see trend over time)
STRATEGY 2 [Engage stakeholders]: Establish Caregivers Advisory Council to guide workgroup plans and ensure that the voice of the caregiver is always at the table.
How much did we do?
- # of (new) residents/stakeholders/organizations active (29 click here to see trend over time)
- # of months with an engagement opportunity for stakeholders (8 click here to see trend over time)
How well did we do it?
- % of months with an engagement opportunity for stakeholders (100% click here to see trend over time)
- % of participants that are stakeholders from target group(s) (35% click here to see trend over time)
Is anyone better off?
- # of new strategies developed by workgroup as a result of stakeholder engagement (will have own performance metrics, once identified) (1 click here to see trend over time)
STRATEGY 3 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Look at current system of caregiver support and identify gaps in order to create action.
How much did we do?
- # resources/services reviewed or contacted (9 click here to see trend over time)
- # of workgroup hours spent assessing current systems (if applicable) (10 click here to see trend over time)
How well did we do it?
- # of new leverage points identified to improve access/capacity/systems (previously unknown to workgroup) (not reported click here to see trend over time)
- # of number of new resources identified and newly added (resource guide strategies only) (40 click here to see trend over time)
Is anyone better off?
- #/% of identified leverage points acted upon (may even generate new strategies) (not reported click here to see trend over time)
- #/% number of resources maintained in database (resource guide strategies only) (not reported click here to see trend over time)
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Stories
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Tools & Resources
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New Resource For Area Family Caregivers
There are an estimated 1.1 million unpaid family caregivers in New Jersey. Of these, 21.7% reported poor or fair health, 20.0% of caregivers reported no physical activity in past month and 22.9% of caregivers reported moderate to severe depression. The Caregiver Coalition of Greater Passaic County is looking to create Healthy Caregivers. The group does so through Advocacy, Community Education and Resource Connections. They meet on the second Wednesday of each month at the Wayne Y – 1 Pike Drive, Wayne, NJ from 5:30 – 6:30. Are You a Caregiver or know someone who is? Have them give us a call. We would love to invite them to our next meeting. Call to RSVP or for more information – 973-970-9250.
Caregiver Resources
Area Government Leaders – for Advocacy
Senator Kevin J. O'Toole Republican Votes by Bill Votes by Subject
District Office: 155 Route 46 West, Suite 108, Wayne, NJ 07470 (973) 237-1360
Senator Joseph Pennacchio Republican Votes by Bill Votes by Subject
District Office: 170 Changebridge Rd., Unit A1, Montville, NJ 07045 (973) 227-4012
Senator Nellie Pou Democrat Votes by Bill Votes by Subject
District Office: 100 Hamilton Plaza, Suite1405, Paterson, NJ 07505 (973) 247-1555
Assemblyman Robert Auth Republican Votes by Bill Votes by Subject
District Office: 1069 Ringwood Ave., Suite 312, Haskell, NJ 07420 (862) 248-0491
District Office: 350 Madison Ave., Cresskill, NJ 07626 (201) 567-2324
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Workgroup Participants
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Lead:
Robyn Kohn, Alzheimer's AssociationCarnette Smith, Atlantic Health SystemWorkgroup Participants:
Alzheimer's AssociationAmerican Cancer SocietyCedar CrestChilton Medical CenterCommunity Access UnlimitedCommunity Volunteers/Family CaregiversHome Care Options VNSNew Bridge Services Inc.NORWESCAPPush to WalkSiena Village -
Meeting Notes & Progress Reports