Military Health System Conference

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "2010 2011 Military Health System Conference"

Transcription

1 Military Health System Conference Population Health Management The Missing Element of PCMH Sharing The Quadruple Knowledge: Aim: Working Achieving Together, Breakthrough Achieving Performance Success Kevin A. Dorrance, MD FACP 24 January 2011 Walter Reed National Military Medical Center

2 Report Documentation Page Form Approved OMB No Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 24 JAN REPORT TYPE 3. DATES COVERED to TITLE AND SUBTITLE Population Health Management: The Missing Element of PCMH 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Walter Reed National Military Medicine Center,8901 Rockville Pike,Bethesda,MD, PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 11. SPONSOR/MONITOR S REPORT NUMBER(S) 13. SUPPLEMENTARY NOTES presented at the 2011 Military Health System Conference, January 24-27, National Harbor, Maryland 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Same as Report (SAR) 18. NUMBER OF PAGES 23 19a. NAME OF RESPONSIBLE PERSON Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18

3 The Model Team-Based Healthcare Delivery Access to Care Population Health Advanced IT Systems Patient the Center of Med Home Patient- Centered Care Decision Support Tools Patient & Physician Feedback Refocused Medical Training

4 The Model Team-Based Healthcare Delivery Access to Care Advanced IT Systems Decision Support Tools Medical Home Pop Health Patient & Physician Feedback Patient- Centered Care Refocused Medical Training

5

6 The Background US Life Expectancy at Birth, by Sex, If trends in chronic disease continue, we may live longer but sicker lives.

7 The Background From 2007 to 2008, life expectancy for Americans in general declined by a little more than one month, from 77.9 to 77.8 years. CDC National Center for Health Statistics, Division of Vital Statistics, Mortality Statistics Branch, 12/9/10

8 The Background So Young and So Many Pills Prescriptions for antihypertensives in people age 19 and younger could hit 5.5 million this year if the trend through September continues, according to IMS. That would be up 17% from 2007, the earliest year available. Still, a growing number of studies have been done under a Food and Drug Administration program that rewards drug companies for testing medications in children. Wall Street Journal 28 Dec 2010

9 The Background Figure 6 Trends in cigarette smoking anytime in the past 30 days by grade in school United States, Source: Institute for Social Research, University of Michigan, Monitoring the Future Surveys

10 The Background Top 10 US Public Health Achievements, Vaccination Motor vehicle safety Safer workplaces Control of infectious diseases Decline in deaths from coronary heart disease and strokes Safer and healthier foods Healthier mothers and babies Family planning Fluoridated drinking water Recognition of tobacco as a health hazard Health care has had little to do with increased life expectancy over time.

11 The Crisis Leading Causes of Deaths in the United States Pneumonia 11.8% Tuberculosis 11.3% Diarrhea/Enteritis 8.3% Heart Disease 6.2% Liver Disease 5.2% Injuries 4.2% Cancer 3.7% Heart Disease 31.4% Cancer 23.3% Stroke 6.9% COPD 4.7% Injuries 4.1% Pneumonia/Influenza 3.7% Diabetes 2.7%

12 The Crisis... 0, Leading Causes of Death, United States, 1990 Cerebrovascular Injuries COPD Q) Pneurm nia/lnfluenza :J ~ Diabetes Suicide Chronic Liver HIV,..., ~... I'll Q) Cl I:... ::::l.c 'I:... I: 0 u u I'll LL. Actual Causes of Death, United States, 1990 Tobacco Diet/Inac tivity Alcohol Microbial Agents Toxic Agents p Fi rearms CJ Sexual Behavior p Mot or Vehicles p Illicit Drug Use p I I I I I 0% 10% 20% 30% Percent of All Deaths 40% 0% 5% 10% 15% Percent of All Deaths 20% We are helping people lead unhealthier lives.

13 The Consequences Population Health Management We are experiencing a public health crisis today but with a different set of problems that require a different set of solutions, tailored to the 21st century Taking one chocolate at a time off the conveyor belt of health care will not solve the health care crisis we need a paradigm shift that will transform our entire concept of health.

14 The Consequences Episodic disease model of care A growing prevalence of preventable chronic diseases 75% of direct health care costs Our continuing failure to proactively monitor and improve the overall health of our population has facilitated the growth of our current disease model of care.

15 The Consequences 84% of the time the 14 most common physical complaints have no identifiable organic etiology. Kroenke & Mangelsdorf, Am J Med. 1989; 86:

16 The Consequences Premature Deaths in the United States Behavioral Factors 40 /o Genetic Predispositions 30 /o Social Circumstances 15 /o Inadequacies in Medical Care 1 0 /o Environmental Exposures 5 /o We are helping people lead unhealthier lives. Analysis of Causes of Morbidity and Mortality in the United States, J. Michael McGinnis, 2004

17 The Value Proposition Good Health Poor Health Birth Death

18 The Value Proposition Good Health Poor Health Chronic Disease Birth Death

19 The Value Proposition Good Health Poor Health Chronic Disease Cost Birth Death

20 The Missing Element Population Health Management An integrative set of health delivery programs that proactively monitors and improves the fundamental health of a given population We have more personal control over what we are dying from than ever before.

21 The Missing Element The Population Health Management Model Preventive Care Acute Care At Risk Chronic Care The Population

22 Pop Health Management How to Manage the Health of a Population Medical home team ownership of entire population A set of IT tools and key preventive measures to monitor outcomes and help patients take ownership for their own health Provide patients with opportunities and support to improve their health and keep them healthy

23 Pop Health Management Where to Start IT requirements Begin with staff healthy role models for patients Re-align health promotion efforts with medical home Self-management program Behavioral health Dietician Health education Mind-body medicine Pharmacy

24 Discussion

Report Documentation Page

Report Documentation Page (c)2002 American Institute Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the

More information

Overview Presented by: Boyd L. Summers

Overview Presented by: Boyd L. Summers Overview Presented by: Boyd L. Summers Systems & Software Technology Conference SSTC May 19 th, 2011 1 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection

More information

Asset Management- Acquisitions

Asset Management- Acquisitions Indefinite Delivery, Indefinite Quantity (IDIQ) contracts used for these services: al, Activity & Master Plans; Land Use Analysis; Anti- Terrorism, Circulation & Space Management Studies; Encroachment

More information

DEFENSE CONTRACT AUDIT AGENCY

DEFENSE CONTRACT AUDIT AGENCY DEFENSE CONTRACT AUDIT AGENCY Fundamental Building Blocks for an Acceptable Accounting System Presented by Sue Reynaga DCAA Branch Manager San Diego Branch Office August 24, 2011 Report Documentation Page

More information

Security Threats in the 21st Century

Security Threats in the 21st Century Security Threats in the 21st Century Professor Colin S. Gray University of Reading, UK November 2006 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection

More information

DCAA and the Small Business Innovative Research (SBIR) Program

DCAA and the Small Business Innovative Research (SBIR) Program Defense Contract Audit Agency (DCAA) DCAA and the Small Business Innovative Research (SBIR) Program Judice Smith and Chang Ford DCAA/Financial Liaison Advisors NAVAIR 2010 Small Business Aviation Technology

More information

Introduction to Public Health: Explaining Its Role in Disasters

Introduction to Public Health: Explaining Its Role in Disasters Introduction to Public Health: Explaining Its Role in Disasters Objectives By the end of this section, the participant should be able to: State the mission of public health Describe the role of public

More information

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Order Code RS22449 Updated September 2, 27 U.S. Forces in Iraq JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Summary Varying media estimates of military

More information

Mr. Steve Mayer, PMP, P.E. McClellan Remediation Program Manger Air Force Real Property Agency. May 11, 2011

Mr. Steve Mayer, PMP, P.E. McClellan Remediation Program Manger Air Force Real Property Agency. May 11, 2011 Mr. Steve Mayer, PMP, P.E. McClellan Remediation Program Manger Air Force Real Property Agency May 11, 2011 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection

More information

CONTACTIN 4 AS A POSSIBLE AUTISM SUSCEPTIBILITY LOCUS

CONTACTIN 4 AS A POSSIBLE AUTISM SUSCEPTIBILITY LOCUS 2010 2011 Military Health System Conference CONTACTIN 4 AS A POSSIBLE AUTISM SUSCEPTIBILITY LOCUS The Quadruple Aim: Working Together, Achieving Success Sharing Knowledge: Achieving Breakthrough Performance

More information

Using the Advancement Degree of Difficulty (AD 2 ) as an input to Risk Management

Using the Advancement Degree of Difficulty (AD 2 ) as an input to Risk Management Using the Advancement Degree of Difficulty (AD 2 ) as an input to Risk Management James W. Bilbro JB Consulting International Huntsville, AL Multi-dimensional Assessment of Technology Maturity Technology

More information

DEFENSE LOGISTICS AGENCY AMERICA S COMBAT LOGISTICS SUPPORT AGENCY. DoD DMSMS Certificate Program: Establishing a Qualified DMSMS Workforce

DEFENSE LOGISTICS AGENCY AMERICA S COMBAT LOGISTICS SUPPORT AGENCY. DoD DMSMS Certificate Program: Establishing a Qualified DMSMS Workforce DEFENSE LOGISTICS AGENCY AMERICA S COMBAT LOGISTICS SUPPORT AGENCY DoD DMSMS Certificate Program: Establishing a Qualified DMSMS Workforce Mr. Mitchell Canty 2011 DMSMS and Standardization Conference WARFIGHTER

More information

How healthy are we? ISBN

How healthy are we? ISBN Framework for a Healthy Alberta HEALTH AND WELLNESS How healthy are we? verall, Albertans enjoy long and healthy lives. We want to live as long as possible in good health and prevent deaths and injuries

More information

Award Number: MIPR 3GD3DJ3078. TITLE: Outcome Analysis Tool for Army Refractive Surgery Program. PRINCIPAL INVESTIGATOR: Kraig S. Bower, M.D.

Award Number: MIPR 3GD3DJ3078. TITLE: Outcome Analysis Tool for Army Refractive Surgery Program. PRINCIPAL INVESTIGATOR: Kraig S. Bower, M.D. AD Award Number: MIPR 3GD3DJ3078 TITLE: Outcome Analysis Tool for Army Refractive Surgery Program PRINCIPAL INVESTIGATOR: Kraig S. Bower, M.D. CONTRACTING ORGANIZATION: Walter Reed Army Medical Center

More information

EAD Expected Annual Flood Damage Computation

EAD Expected Annual Flood Damage Computation US Army Corps of Engineers Hydrologic Engineering Center Generalized Computer Program EAD Expected Annual Flood Damage Computation User's Manual March 1989 Original: June 1977 Revised: August 1979, February

More information

RT 24 - Architecture, Modeling & Simulation, and Software Design

RT 24 - Architecture, Modeling & Simulation, and Software Design RT 24 - Architecture, Modeling & Simulation, and Software Design Dennis Barnabe, Department of Defense Michael zur Muehlen & Anne Carrigy, Stevens Institute of Technology Drew Hamilton, Auburn University

More information

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Order Code RS22449 Updated July 2, 27 U.S. Forces in Iraq JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Summary Varying media estimates of military forces

More information

Headquarters U.S. Air Force

Headquarters U.S. Air Force Headquarters U.S. Air Force I n t e g r i t y - S e r v i c e - E x c e l l e n c e Air Force Technology Readiness Assessment (TRA) Process for Major Defense Acquisition Programs LtCol Ed Masterson Mr

More information

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group

U.S. Forces in Iraq. JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Order Code RS22449 Updated April 13, 27 U.S. Forces in Iraq JoAnne O Bryant and Michael Waterhouse Information Research Specialists Knowledge Services Group Summary Varying media estimates of military

More information

73rd MORSS CD Cover Page UNCLASSIFIED DISCLOSURE FORM CD Presentation

73rd MORSS CD Cover Page UNCLASSIFIED DISCLOSURE FORM CD Presentation 73rd MORSS CD Cover Page UNCLASSIFIED DISCLOSURE FORM CD Presentation 21-23 June 2005, at US Military Academy, West Point, NY 712CD For office use only 41205 Please complete this form 712CD as your cover

More information

Pima Community College Planning Grant For Autonomous Intelligent Network of Systems (AINS) Science, Mathematics & Engineering Education Center

Pima Community College Planning Grant For Autonomous Intelligent Network of Systems (AINS) Science, Mathematics & Engineering Education Center Pima Community College Planning Grant For Autonomous Intelligent Network of Systems (AINS) Science, Mathematics & Engineering Education Center Technical Report - Final Award Number N00014-03-1-0844 Mod.

More information

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH State Health Assessment Health Priority Status Report Update June 29, 2015 Presented by UIC SPH and IDPH 1 Health Priority Presentation Objectives 1. Explain context of how this discussion fits into our

More information

Suzanne Bennett Johnson 2012 APA President sbjohnson@apa.org

Suzanne Bennett Johnson 2012 APA President sbjohnson@apa.org Medicine s Paradigm Shift: The Case for Integrated Care Suzanne Bennett Johnson 2012 APA President sbjohnson@apa.org Presentation Overview The biomedical model and its legacy Increased life expectancy

More information

John Mathieson US Air Force (WR ALC) Systems & Software Technology Conference Salt Lake City, Utah 19 May 2011

John Mathieson US Air Force (WR ALC) Systems & Software Technology Conference Salt Lake City, Utah 19 May 2011 John Mathieson US Air Force (WR ALC) Systems & Software Technology Conference Salt Lake City, Utah 19 May 2011 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the

More information

"Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority.

Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority. Encouraging Tobacco Cessation Through the Five A s: Ask, Advise, Assess, Assist, Arrange Mary Clare Champion, Ph.D. Tennessee Primary Care Clinical Conference April 14-15, 2011 Franklin, TN "Starting today,

More information

IISUP-. NAVAL SUPPLY SVSTE:MS COMMAND. Ready. Resourceful. Responsive!

IISUP-. NAVAL SUPPLY SVSTE:MS COMMAND. Ready. Resourceful. Responsive! ~ IISUP-. NAVAL SUPPLY SVSTE:MS COMMAND Ready. Resourceful. Responsive! Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated

More information

Guide to Using DoD PKI Certificates in Outlook 2000

Guide to Using DoD PKI Certificates in Outlook 2000 Report Number: C4-017R-01 Guide to Using DoD PKI Certificates in Outlook 2000 Security Evaluation Group Author: Margaret Salter Updated: April 6, 2001 Version 1.0 National Security Agency 9800 Savage Rd.

More information

Cancellation of Nongroup Health Insurance Policies

Cancellation of Nongroup Health Insurance Policies Cancellation of Nongroup Health Insurance Policies Bernadette Fernandez Specialist in Health Care Financing Annie L. Mach Analyst in Health Care Financing November 19, 2013 Congressional Research Service

More information

Adolescent Mortality. Alaska s adolescent mortality rate is 29% higher than the national rate and almost 1.6 times the Healthy People 2010 target.

Adolescent Mortality. Alaska s adolescent mortality rate is 29% higher than the national rate and almost 1.6 times the Healthy People 2010 target. Alaska Maternal and Child Health Data Book 23 15 Adolescent Mortality Nationally, unintentional injury, assault and suicide account for 51% of deaths among adolescents ages 1-14 years in 2. Over the last

More information

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS Co-Principal Investigator www.robertandamd.com Death Early Death Disease, Disability and Social Problems Adoption of Health-risk

More information

Nursing and midwifery actions at the three levels of public health practice

Nursing and midwifery actions at the three levels of public health practice Nursing and midwifery actions at the three levels of public health practice Improving health and wellbeing at individual, community and population levels June 2013 You may re-use the text of this document

More information

What are the PH interventions the NHS should adopt?

What are the PH interventions the NHS should adopt? What are the PH interventions the NHS should adopt? South West Clinical Senate 15 th January, 2015 Debbie Stark, PHE Healthcare Public Health Consultant Kevin Elliston: PHE Consultant in Health Improvement

More information

Report Documentation Page

Report Documentation Page Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions,

More information

DEFENSE BUSINESS PRACTICE IMPLEMENTATION BOARD

DEFENSE BUSINESS PRACTICE IMPLEMENTATION BOARD Defense Business Practice Implementation Board DEFENSE BUSINESS PRACTICE IMPLEMENTATION BOARD Report to the Senior Executive Council, Department of Defense MANAGEMENT INFORMATION TASK GROUP Report FY02-3

More information

Issue Paper. Wargaming Homeland Security and Army Reserve Component Issues. By Professor Michael Pasquarett

Issue Paper. Wargaming Homeland Security and Army Reserve Component Issues. By Professor Michael Pasquarett Issue Paper Center for Strategic Leadership, U.S. Army War College May 2003 Volume 04-03 Wargaming Homeland Security and Army Reserve Component Issues By Professor Michael Pasquarett Background The President

More information

NAVSUP FLC NORFOLK PHILADELPHIA OFFICE

NAVSUP FLC NORFOLK PHILADELPHIA OFFICE NAVSUP FLC NORFOLK PHILADELPHIA OFFICE Gerald Furey Deputy for Small Business Ready. Resourceful. Responsive! 1 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the

More information

ELECTRONIC HEALTH RECORDS. Fiscal Year 2013 Expenditure Plan Lacks Key Information Needed to Inform Future Funding Decisions

ELECTRONIC HEALTH RECORDS. Fiscal Year 2013 Expenditure Plan Lacks Key Information Needed to Inform Future Funding Decisions United States Government Accountability Office Report to Congressional July 2014 ELECTRONIC HEALTH RECORDS Fiscal Year 2013 Expenditure Plan Lacks Key Information Needed to Inform Future Funding Decisions

More information

Alabama s Rural and Urban Counties

Alabama s Rural and Urban Counties Selected Indicators of Health Status in Alabama Alabama s Rural and Urban Counties Jointly produced to assist those seeking to improve health care in rural Alabama by The Office of Primary Care and Rural

More information

Highlights of the Prince Edward Island Report on

Highlights of the Prince Edward Island Report on Highlights of the Prince Edward Island Report on Common Health Indicators September 22 Health Status Health Outcomes Service Quality Health and Social Services Health Indicators This document provides

More information

The Health and Well-being of the Aboriginal Population in British Columbia

The Health and Well-being of the Aboriginal Population in British Columbia The Health and Well-being of the Aboriginal Population in British Columbia Interim Update February 27 Table of Contents Terminology...1 Health Status of Aboriginal People in BC... 2 Challenges in Vital

More information

AUSTRALIAN INNOVATIONS

AUSTRALIAN INNOVATIONS AUSTRALIAN INNOVATIONS Recent Developments in Australian EVM Practices Jim Muir & Kirsty McLean October 1998 REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burder for this collection

More information

FIRST IMPRESSION EXPERIMENT REPORT (FIER)

FIRST IMPRESSION EXPERIMENT REPORT (FIER) THE MNE7 OBJECTIVE 3.4 CYBER SITUATIONAL AWARENESS LOE FIRST IMPRESSION EXPERIMENT REPORT (FIER) 1. Introduction The Finnish Defence Forces Concept Development & Experimentation Centre (FDF CD&E Centre)

More information

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama Selected Health Status Indicators DALLAS COUNTY Jointly produced to assist those seeking to improve health care in rural Alabama By The Office of Primary Care and Rural Health, Alabama Department of Public

More information

Boeing When Agile Software Development and Software Architecture Collide

Boeing When Agile Software Development and Software Architecture Collide Boeing When Agile Software Development and Software Architecture Collide Don O Connell BOEING is a trademark of Boeing Management Company. 1 Report Documentation Page Form Approved OMB No. 0704-0188 Public

More information

Substance Abuse. Health Equity Highlight: Adolescents

Substance Abuse. Health Equity Highlight: Adolescents Substance Abuse 108 Background The deliberate use and overuse of harmful substances has a serious impact on the quality of life of Maine people. As a result of substance abuse, the lives of Maine residents

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House The Effects of Domestic Violence on Children: Picking Up The Pieces Kristy Nelson & Andrea Link Legacy House Overview of the Adverse Childhood Experiences (ACE) Study PowerPoint & Research Adapted from

More information

The Environmental Impacts of Airport Deicing - Water Quality. William Swietlik US EPA Office of Water / Office of Science and Technology

The Environmental Impacts of Airport Deicing - Water Quality. William Swietlik US EPA Office of Water / Office of Science and Technology The Environmental Impacts of Airport Deicing - Water Quality William Swietlik US EPA Office of Water / Office of Science and Technology Report Documentation Page Form Approved OMB No. 0704-0188 Public

More information

Rooting an Android Device

Rooting an Android Device ARL-TN-0706 SEP 2015 US Army Research Laboratory Rooting an Android Device by Ken F Yu Approved for public release; distribution unlimited. NOTICES Disclaimers The findings in this report are not to be

More information

Executive Summary. Healthy Lifestyles

Executive Summary. Healthy Lifestyles Executive Summary The is a major initiative of The Health Collaborative. The mission of the organization is to improve the health status of the community through collaborative means. Partners include the

More information

TITLE: The Impact Of Prostate Cancer Treatment-Related Symptoms On Low-Income Latino Couples

TITLE: The Impact Of Prostate Cancer Treatment-Related Symptoms On Low-Income Latino Couples AD Award Number: W81WH-07-1-0069 TITLE: The Impact Of Prostate Cancer Treatment-Related Symptoms On Low-Income Latino Couples PRINCIPAL INVESTIGATOR: Sally L. Maliski, Ph.D., R.N. CONTRACTING ORGANIZATION:

More information

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland AWARD NUMBER: W81XWH-13-1-0479 TITLE: Sleep-Disordered Breathing in Chronic SCI: A Randomized Controlled Trial of Treatment Impact on Cognition, Quality of Life, and Cardiovascular Disease PRINCIPAL INVESTIGATOR:

More information

AFRL-RX-WP-TP-2008-4023

AFRL-RX-WP-TP-2008-4023 AFRL-RX-WP-TP-2008-4023 HOW KILLDEER MOUNTAIN MANUFACTURING IS OPTIMIZING AEROSPACE SUPPLY CHAIN VISIBILITY USING RFID (Postprint) Jeanne Duckett Killdeer Mountain Manufacturing, Inc. FEBRUARY 2008 Final

More information

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs 9. pg 166-169: Self-reported alcohol consumption pg 170-171: Childhood experience of living with someone who used drugs pg 172-173: Hospitalizations related to alcohol and substance abuse pg 174-179: Accidental

More information

King County City Health Profile Vashon Island

King County City Health Profile Vashon Island King County City Health Profile Vashon Island West Seattle North Highline Burien SeaTac/Tukwila Vashon Island Des Moines/Normandy Park Kent-West East Federal Way Fed Way-Dash Point/Woodmont December, 212

More information

Macomb County Office of Substance Abuse MCOSA. Executive Summary

Macomb County Office of Substance Abuse MCOSA. Executive Summary Macomb County Office of Substance Abuse MCOSA Executive Summary This report marks the second data profile of alcohol and illicit drugs burden in Macomb County. The first report produced in 2007 detailed

More information

TITLE: Caring Letters for Military Suicide Prevention: A Randomized Controlled Trial. PRINCIPAL INVESTIGATOR: Dr. David Luxton, Ph.D.

TITLE: Caring Letters for Military Suicide Prevention: A Randomized Controlled Trial. PRINCIPAL INVESTIGATOR: Dr. David Luxton, Ph.D. AD Award Number: W81XWH-11-2-0123 TITLE: Caring Letters for Military Suicide Prevention: A Randomized Controlled Trial PRINCIPAL INVESTIGATOR: Dr. David Luxton, Ph.D., PI CONTRACTING ORGANIZATION: The

More information

Advanced Micro Ring Resonator Filter Technology

Advanced Micro Ring Resonator Filter Technology Advanced Micro Ring Resonator Filter Technology G. Lenz and C. K. Madsen Lucent Technologies, Bell Labs Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection

More information

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE www.gethealthysmc.org Contact us: 650-573-2398 hpp@smcgov.org HEALTH BEGINS WHERE PEOPLE LIVE Over the last century, there have been dramatic increases

More information

Health risk assessment: a standardized framework

Health risk assessment: a standardized framework Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention Leading causes of death in the U.S. The 5 leading causes

More information

Huron County Community Health Profile

Huron County Community Health Profile 2014 Huron County Community Health Profile ` Prepared by: Eileen Unruh RN, MSN Samantha Fackler RN, MSN 11/1/2014 1 HURON COUNTY COMMUNITY HEALTH PROFILE TABLE OF CONTENTS INTRODUCTION.... 4 DEMOGRAPHICS...

More information

Basic Health Statistics. Porcupine Health Unit

Basic Health Statistics. Porcupine Health Unit Basic Health Statistics Porcupine Health Unit 2012 . Basic Health Statistics Porcupine Health Unit 2012 . Table of Contents Demographics...7 a. Population Size...7 Figure 1: Percentage change in the Population

More information

Doctor visits and exams

Doctor visits and exams UnitedHealthcare Community Plan wants you to take care of yourself. While the guidelines in this section apply to most women, you should discuss them with your doctor because you may need more - or less

More information

GLONASS STATUS UPDATE

GLONASS STATUS UPDATE GLONASS STATUS UPDATE Y. Urlichich, G. Stupak, V. Dvorkin, and S. Karutin Federal Space Agency 53 Aviamotornay str. Moscow, 111250, Russia Tel: + 7 495 673 97 29, Fax: +7 495 673 28 15, E-mail: sergey.karutin@rniikp.ru

More information

MDHHS Winnable Battles

MDHHS Winnable Battles Michigan Department of Health & Human Services MDHHS Winnable Battles Social Determinants of Health Eden V. Wells, MD, MPH, FACPM Michigan Department of Health and Human Services Putting people first,

More information

CERT Virtual Flow Collection and Analysis

CERT Virtual Flow Collection and Analysis CERT Virtual Flow Collection and Analysis For Training and Simulation George Warnagiris 2011 Carnegie Mellon University Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden

More information

Environmental Scenario Generator (ESG) IPR 5-17-00

Environmental Scenario Generator (ESG) IPR 5-17-00 http://www.aesmry.com/esg/ Environmental Scenario Generator (ESG) IPR 5-17-00 Richard Siquig Naval Research Laboratory siquig@nrlmry.navy.mil REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public

More information

Medical Management Plan Philippines

Medical Management Plan Philippines Medical Management Plan Philippines OVERVIEW Company Mission Our mission is to encourage young people to volunteer for worthwhile work in developing countries. We expect that doing this kind of voluntary

More information

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease By John W. Walsh, Co-Founder and President of the COPD Foundation Breathing Easier In

More information

September 17, 2010. Dear Secretary Sebelius:

September 17, 2010. Dear Secretary Sebelius: September 17, 2010 Secretary Kathleen Sebelius Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 RE: Comments on OCIIO- 9992- IFC, Interim

More information

Dr. Gary S. E. Lagerloef Earth and Space Research, 1910 Fairview Ave E

Dr. Gary S. E. Lagerloef Earth and Space Research, 1910 Fairview Ave E Establishing a NOAA Operational Data Center for Surface Currents Derived from Satellite Altimeters and Scatterometers; Pilot Study for the Tropical Pacific Including the Hawaiian Islands and US Territorial

More information

Graduate Level Credit for Resident EWS Students. Natasha McEachin CG 1

Graduate Level Credit for Resident EWS Students. Natasha McEachin CG 1 Graduate Level Credit for Resident EWS Students Natasha McEachin CG 1 February 20, 2009 1 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

The cost of physical inactivity

The cost of physical inactivity The cost of physical inactivity October 2008 The cost of physical inactivity to the Australian economy is estimated to be $13.8 billion. It is estimated that 16,178 Australians die prematurely each year

More information

Testimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment

Testimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment Testimony of Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment New York City Department of Health and Mental Hygiene before the New York City

More information

Overview of Vital Records and Public Health Informatics in CDPH

Overview of Vital Records and Public Health Informatics in CDPH Overview of Vital Records and Public Health Informatics in CDPH Este Geraghty, MD, MS, MPH/CPH, FACP, GISP Deputy Director, Center for Health Statistics and Informatics California Department of Public

More information

Night Vision Goggle Plate Machine vs. Cast Study

Night Vision Goggle Plate Machine vs. Cast Study Night Vision Goggle Plate Machine vs. Cast Study Project Number #NP06012111 Final Report 22 December 2006 Letterkenny Army Depot Chambersburg, PA Submitted by National Center for Defense Manufacturing

More information

Modeling Tunnel Magazine QD Arcs Using GIS

Modeling Tunnel Magazine QD Arcs Using GIS Modeling Tunnel Magazine QD Arcs Using GIS Ed Falconer, GISP Tyler Ross, PhD, PE NAVFAC ESC, 1100 23rd Ave, Port Hueneme, CA 93043-4370 Abstract The Naval Facilities Command (NAVFAC) Engineering Service

More information

A Population-Based Study of Dietary Acrylamide and Prostate Cancer Risk

A Population-Based Study of Dietary Acrylamide and Prostate Cancer Risk AD Award Number: W81XWH-04-1-0288 TITLE: A Population-Based Study of Dietary Acrylamide and Prostate Cancer Risk PRINCIPLE INVESTIGATOR: Hans-Olov Adami, M.D., Ph.D. CONTRACTING ORGANIZATION: Karolinska

More information

CAPTURE-THE-FLAG: LEARNING COMPUTER SECURITY UNDER FIRE

CAPTURE-THE-FLAG: LEARNING COMPUTER SECURITY UNDER FIRE CAPTURE-THE-FLAG: LEARNING COMPUTER SECURITY UNDER FIRE LCDR Chris Eagle, and John L. Clark Naval Postgraduate School Abstract: Key words: In this paper, we describe the Capture-the-Flag (CTF) activity

More information

CREATING A POPULATION HEALTH PLAN FOR VIRGINIA

CREATING A POPULATION HEALTH PLAN FOR VIRGINIA CREATING A POPULATION HEALTH PLAN FOR VIRGINIA Life Expectancy 1900, 2013 1900 50.6 years old 2013 78.8 years old 0 20 40 60 80 100 Age (Years) Source: http://ucatlas.ucsc.edu/health.php Year - 2000 Source:

More information

Achieving Agility at Scale Improving Software Economics

Achieving Agility at Scale Improving Software Economics IBM Software Group Achieving Agility at Scale Improving Software Economics Walker Royce Vice President, Chief Software Economist 2009 IBM Corporation Report Documentation Page Form Approved OMB No. 0704-0188

More information

NDCEE. Demonstration of Biodiesel in Non-deployed Ground Tactical Vehicles/Equipment. Dave Chavez, NAVFAC/ESC

NDCEE. Demonstration of Biodiesel in Non-deployed Ground Tactical Vehicles/Equipment. Dave Chavez, NAVFAC/ESC NDCEE Demonstration of Biodiesel in Non-deployed Ground Tactical Vehicles/Equipment DoD Executive Agent Office Office of the of the Assistant Assistant Secretary of the of Army the Army (Installations

More information

Integrated Force Method Solution to Indeterminate Structural Mechanics Problems

Integrated Force Method Solution to Indeterminate Structural Mechanics Problems NASA/TP 2004-207430 Integrated Force Method Solution to Indeterminate Structural Mechanics Problems Surya N. Patnaik Ohio Aerospace Institute, Brook Park, Ohio Dale A. Hopkins and Gary R. Halford Glenn

More information

Do you drink or use other drugs? You could be harming more than just your health.

Do you drink or use other drugs? You could be harming more than just your health. Do you drink or use other drugs? You could be harming more than just your health. Simple questions. Straight answers about the risks of alcohol and drugs for women. 1 Why is my health care provider asking

More information

C2ing the C2: Improving the Staff of the Corps Support Signal Battalion

C2ing the C2: Improving the Staff of the Corps Support Signal Battalion C2ing the C2: Improving the Staff of the Corps Support Signal Battalion Subject Area Electronic Warfare (EW) EWS 2006 C2ing the C2: Improving the Staff of the Corps Support Signal Battalion Submitted by

More information

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health Disparities in Health in the United States A conceptual framework for a multi-disciplinary approach to understanding health disparities and proposing policy solutions towards their elimination First Draft

More information

Utilizing Public Data to Successfully Target Population for Prevention

Utilizing Public Data to Successfully Target Population for Prevention AACOM 2012 Annual Meeting Building Healthy Behaviors Utilizing Public Data to Successfully Target Population for Prevention Ann K. Peton Director National Center for the Analysis of Healthcare Data (NCAHD)

More information

ASNE. Mr. Chris Deegan Executive Director PEO IWS. 10 February DISTRIBUTION STATEMENT A: Approved for Public Release: Distribution is Unlimited.

ASNE. Mr. Chris Deegan Executive Director PEO IWS. 10 February DISTRIBUTION STATEMENT A: Approved for Public Release: Distribution is Unlimited. ASNE Mr. Chris Deegan Executive Director PEO IWS 10 February 2012 1 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average

More information

Preventable Causes of Death in Wisconsin, 2004

Preventable Causes of Death in Wisconsin, 2004 Preventable Causes of Death in Wisconsin, 2004 Peter M. Vila, BS; Bridget C. Booske, PhD; Mark V. Wegner, MD, MPH; Patrick L. Remington, MD, MPH ABSTRACT Introduction: While heart disease, cancer, and

More information

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Marcia Nielsen, Ph.D., MPH Executive Director July Advisory Council Meetings Objectives To explore evidence regarding rising

More information

THE MIMOSA OPEN SOLUTION COLLABORATIVE ENGINEERING AND IT ENVIRONMENTS WORKSHOP

THE MIMOSA OPEN SOLUTION COLLABORATIVE ENGINEERING AND IT ENVIRONMENTS WORKSHOP THE MIMOSA OPEN SOLUTION COLLABORATIVE ENGINEERING AND IT ENVIRONMENTS WORKSHOP By Dr. Carl M. Powe, Jr. 2-3 March 2005 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden

More information

THE USE OF ZINC-LEAD COMPOSITES TO PREVENT THE CORROSION OF LEAD

THE USE OF ZINC-LEAD COMPOSITES TO PREVENT THE CORROSION OF LEAD THE USE OF ZINC-LEAD COMPOSITES TO PREVENT THE CORROSION OF LEAD Sean W. Morefield Construction Engineering Research Laboratory Charles A. Weiss, Jr., Ph.D. Philip G. Malone, Ph.D. Geotechnical and Structures

More information

In June 1998 the Joint Military Intelligence. Intelligence Education for Joint Warfighting A. DENIS CLIFT

In June 1998 the Joint Military Intelligence. Intelligence Education for Joint Warfighting A. DENIS CLIFT Defense Intelligence Analysis Center, home of JMIC. Intelligence Education for Joint Warfighting Courtesy Joint Military Intelligence College By A. DENIS CLIFT In June 1998 the Joint Military Intelligence

More information

Attending Physician s Report

Attending Physician s Report Attending Physician s Report t for use in the United Kingdom Doctor s name Doctor s address XIM/APR Doctor s fax number Doctor s email Application reference Please return to: Patient Name of Birth Address

More information

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 AD Award Number: W81XWH-10-1-0957 TITLE: PRINCIPAL INVESTIGATOR: Andrea L. Behrman, Ph.D., P.T. CONTRACTING ORGANIZATION: University of Florida Gainesville, FL 32611 REPORT DATE: October 2011 TYPE OF REPORT:

More information

United States Public Health 101

United States Public Health 101 United States Public Health 101 [Individuals and organizations may customize and use the following slides for their own informational and educational purposes] Office for State, Tribal, Local and Territorial

More information

Health System Strategies to Improve Chronic Disease Management and Prevention: What Works?

Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Michele Heisler, MD, MPA VA Center for Clinical Practice Management Research University of Michigan Department

More information

NHS outcomes framework and CCG outcomes indicators: Data availability table

NHS outcomes framework and CCG outcomes indicators: Data availability table NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential

More information