Perceptions of Global Warming Among the Poorest Counties in the Southeastern United States
The geographic position and high level of poverty in the southeastern United States are significant risk factors that contribute to the region's high vulnerability to climate change. The goal of this study was to evaluate beliefs and perceptions of global warming among those living in poverty in the poorest counties in the southeastern United States. Results from this project may be used to support public health efforts to increase climate-related messaging to vulnerable and underserved communities. This was an ecological study that analyzed public opinion poll estimates from previously gathered national level survey data ...
Source: Journal of Public Health Management and Practice - February 8, 2019 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Choosing Stones, Moving Mountains: Performance Excellence, Primary Prevention, and Culture Change in a State Health Department
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 8, 2019 Category: Health Management Tags: Commentary Source Type: research

Combatting and Preventing Preemption: A Strategic Action Model
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 8, 2019 Category: Health Management Tags: Editorial Source Type: research

Unhealthy Behaviors, Prevention Measures, and Neighborhood Cardiovascular Health: A Machine Learning Approach
This study identifies and ranks predictors of cardiovascular health at the neighborhood level in the United States. We merged the 500 Cities Data and the 2011-2015 American Community Survey to create a new data set that includes sociodemographic characteristics, health behaviors, prevention measures, and cardiovascular health outcomes for more than 28 000 census tracts in the United States. We used random forest to rank predictors of coronary heart disease and stroke. For coronary heart disease, the top 5 ordered predictors were the prevalence of taking medicine for high blood pressure control, binge drinking, being aged 6...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Federal Weatherization and Health Education Team up: Process Evaluation of a New Strategy to Improve Health Equity for People With Asthma and Chronic Obstructive Pulmonary Disease
Unhealthy housing is a major cause of respiratory health inequity. In-home health education improves health equity for low-income and minority populations with asthma and chronic obstructive pulmonary disease. Yet, outcomes of educational interventions are limited by poor housing conditions. Federal weatherization programs represent a promising source of funding for home repairs. Innovative legislation in Washington State integrates the 2 interventions as “Weatherization Plus Health,” offering environmental health education in partnership with the Weatherization Assistance Program for low-income families with r...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Practice Brief Report Source Type: research

The Evolution of Trauma in Los Angeles County Over More Than a Decade
Objective: Explore trends in trauma incidence and mortality rates in Los Angeles County. Design: Data for patients treated at Los Angeles County trauma centers from 2000 to 2011 were analyzed for this study. Age-adjusted incidence and mortality rates were calculated by gender, race, injury type, injury severity, and mechanism of injury. Trends were assessed using linear regression to determine the annual percentage change (APC). Results: There were 223 773 patients included. The trauma incidence rate increased by 14.6% driven by an increase in blunt injury of 5.4% annually (P (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Electronic Health Record Implementation Findings at a Large, Suburban Health and Human Services Department
Objective: Evaluate an electronic health record (EHR) implementation across a large public health department to better understand and improve implementation effectiveness of EHRs in public health departments. Design: A survey based on Consolidated Framework for Implementation Research constructs was administered to staff before and after implementation of an EHR. Setting: Large suburban county department of health and human services that provides clinical, behavioral, social, and oral health services. Participants: Staff across 4 program areas completed the survey prior to EHR implementation (n = 331, June 2014)...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Just-in-Time Training of the Evidence-Based Public Health Framework, Oklahoma, 2016-2017
Training of practitioners on evidence-based public health has shown to be beneficial, yet overwhelming. Chunking information and proximate practical application are effective techniques to increase retention in adult learning. Evidence-based public health training for practitioners from African American and Hispanic/Latino community agencies and tribes/tribal nations incorporated these 2 techniques. The community-level practitioners alternated attending training and implementing the steps of the evidence-based public health framework as they planned state-funded programs. One year later, survey results showed that particip...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Practice Brief Report Source Type: research

The HEAAL Project: Applying Community-Based Participatory Research (CBPR) Methodology in a Health and Mental Health Needs Assessment With an African Immigrant and Refugee Faith Community in Lowell, Massachusetts
This article describes the use of community-based participatory research methodology in the HEAAL project (Health and Mental Health Education and Awareness for Africans in Lowell), a research collaboration between Christ Jubilee International Ministries—a nondenominational Christian church in Lowell, Massachusetts, that serves an African immigrant and refugee congregation—and the Massachusetts General Hospital Department of Psychiatry. The objective of the HEAAL project was to better understand the nature, characteristics, scope, and magnitude of health and mental health issues in this faith community. The expe...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Better Storytelling for the Public Health Workforce
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Getting Practical Source Type: research

The Medical Reserve Corps: Volunteers Augmenting Local Public Health Preparedness and Response
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: News From NACCHO Source Type: research

Taking Care of Business—Lessons Learned Through Collaborative Process Mapping in Pacific and Atlantic Jurisdictions
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: State of Public Health Source Type: research

Reflections on Public Health Leadership
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: The Management Moment Source Type: research

Points of Influence for Lethal Means Counseling and Safe Gun Storage Practices
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Commentary Source Type: research

Synonym-Based Word Frequency Analysis to Support the Development and Presentation of a Public Health Quality Improvement Taxonomy
Conclusion: Feedback about the elements in the taxonomy and presentation of elements in our search environment from users has been positive. When relevant data are available, the word frequency analysis method may be useful in other taxonomy development efforts for public health. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Practice Full Report Source Type: research

How Have States Used Executive Orders to Address Public Health?
Gubernatorial executive orders (GEOs) are important, yet poorly understood, public health tools. We analyzed health-related GEOs nationwide using a modified legal mapping approach. We searched Westlaw's Netscan Executive Orders database for orders issued between 2008 and 2014. Search terms were generated from the Healthy People 2020 Leading Health Indicators (LHIs). GEOs were screened with data abstracted and analyzed on the basis of LHIs, states, years, and characteristics identified in previous literature. We found differences in GEOs issued per LHI. Of the 303 unique orders, they ranged from 32 to 53 issued per year and...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Refugee Children's Participation in the Women, Infants, and Children Supplemental Nutrition (WIC) Program in Massachusetts, 1998-2010
Conclusions: Although many refugee children under age 5 experience growth or nutrition problems, one-third of refugee children in Massachusetts were not enrolled in WIC for nutrition assistance, representing a failure of the system. Agencies providing services at the local level should be supported to facilitate enrollment and participation for shared clients. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Why Don't Hospitals Prioritize Substance Abuse in Their Community Benefit Programming?
The goal of this study was to understand whether Appalachian Ohio hospitals prioritized substance abuse in their IRS-mandated community health needs assessments (CHNAs) and if not, what factors were important in this decision. Analysis of CHNA reports from all 28 hospitals in the region supplemented interview data from in-depth phone interviews, with 17 participants tasked with overseeing CHNAs at 21 hospitals. The CHNA reports show that hospitals in this region prioritize substance abuse and mental health less often than access to care and obesity. Interviews suggest 4 reasons: lack of resources, risk aversion, concern ab...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Assessment of Child Lead Exposure in a Philadelphia Community, 2014
Conclusion: Entryway floor dust lead levels were strongly associated with blood lead levels in participants. Results underscore the importance to make housing lead safe by addressing all lead hazards in and around the home. Reduction of child lead exposure is crucial, and continued blood lead surveillance, testing, and inspection of homes of children with BLLs of 5 μg/dL or more to identify and control lead sources are recommended. Pediatric health care providers can be especially vigilant screening Medicaid-eligible/enrolled children and children living in very old housing. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Metabolic Syndrome Among Asian Indians in the United States
Conclusion: Our study confirmed the high prevalence of MetS in the immigrant AI population in the United States. Our results showed that AIs with MetS did not exhibit an increased level of engagement in health promotion behaviors. We recommend continued refining of criteria for diagnosis and culturally suitable, age-appropriate strategies to increase engagement in healthier lifestyles among this high-risk population. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Which US States Pose the Greatest Threats to Military Readiness and Public Health? Public Health Policy Implications for a Cross-sectional Investigation of Cardiorespiratory Fitness, Body Mass Index, and Injuries Among US Army Recruits
Objective: Many states in the southern region of the United States are recognized for higher rates of obesity, physical inactivity, and chronic disease. These states are therefore recognized for their disproportionate public health burden. The purpose of this study was to investigate state-level distributions of cardiorespiratory fitness, body mass index (BMI), and injuries among US Army recruits in order to determine whether or not certain states may also pose disproportionate threats to military readiness and national security. Methods: Sex-specific state-level values for injuries and fitness among 165 584 Army recr...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Dissemination and Implementation: The Final Frontier
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

The Academic Health Department: Aging Gracefully?
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Promoting Physical Activity Across the Life Span: Progress and Promise
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Publishing on Topics in Public Health Informatics for a Quarter Century
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Celebrating 25 Years of Publishing Peer-Reviewed Articles on Infectious Diseases
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

JPHMP 25th Anniversary on Environmental Health
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Preparedness for Public Health: A Long Story, Short
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Public Health Finance: Contributions From the Journal of Public Health Management & Practice
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

In Need of Strategic Skills and National Alignment
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Paving the Way for the Road Taken: Accreditation and Quality Improvement
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

State Public Health Departments: Reflections on the Last 25 Years and Future Challenges
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

A Renewed Framework for Local Health Departments
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: 25 Years of Publication: Twelve Major Themes: Commentary Source Type: research

Public Health in the 21st Century: A View From the Front Lines
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Editorials Source Type: research

25th Anniversary
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Editorials Source Type: research

Transforming Government Health Data Into All-Star Open Data: Benchmarking Data Quality
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Commentary Source Type: research

Rurality, Quality Improvement Maturity, and Accreditation Readiness: A Comparison Study of Colorado, Kansas, and Nebraska Local Health Departments
Conclusions: Small LHDs and rural LHDs have QI maturity levels that are comparable to larger, less rural LHDs, but their AR is much lower. As accreditation has been found to have positive benefits, it is important that all LHDs have the capacity and resources to meet the performance standards required of accredited LHDs. Small, rural LHDs may need additional resources and support in order to improve their ability to be accredited and/or certain accreditation requirements may need modification to make accreditation more accessible to small LHDs. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Monitoring Depression Rates in an Urban Community: Use of Electronic Health Records
Conclusions: Electronic health record–based depression prevalence varied by CT, gender, race/ethnicity, age, and living status. Electronic health record–based surveillance complements traditional methods with greater timeliness and granularity. Validation through subcounty-level qualitative or survey approaches should assess accuracy and address concerns about EHR selection bias. Public health agencies should consider the opportunity and evaluate EHR system data as a surveillance tool to estimate subcounty chronic disease prevalence. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Facilitated Look-Back Analysis of Public Health Emergencies to Enhance Preparedness: A Brief Report of a Chemical Spill in Charleston, West Virginia
To demonstrate how public health emergency systems can use health systems tools to analyze and learn from critical incidents, we employed a facilitated look-back approach to review the public response to a chemical spill in Charleston, West Virginia. We reviewed official reports, news articles, and other documents; conducted in-person interviews with key public health and emergency response officials and local community stakeholders; and organized a facilitated look-back meeting to identify root causes of the problems that were encountered. The primary response challenges were (1) public distrust stemming from scientific u...
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Practice Brief Report Source Type: research

Practical Solutions for a Healthier Workforce
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Getting Practical Source Type: research

Local Health Department Response to Opioid Use and Abuse: Findings From the 2018 Forces of Change Survey
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: News From NACCHO Source Type: research

Starting Out Right: What Are the Essential Elements of New State and Territorial Health Official Onboarding and Transition?
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: State of Public Health Source Type: research

The Information Imperative for Public Health: A Call to Action to Become Informatics-Savvy
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: The Management Moment Source Type: research

Core Metrics Pilot Project: A Case Study
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Case Study Source Type: research

A Review of Public Health Training Needs Assessment Approaches: Opportunities to Move Forward
This study identified the types of training questions being asked to public health practitioners in the various assessment surveys implemented by RPHTCs and national membership organizations. Although the surveys measured similar overarching constructs, multiple approaches with limited consistency were used to measure training needs. Discussion: Although successful in responding to the needs of their targeted constituents, the limited consistency among survey types makes generalization of findings difficult. Disseminating common metrics and aggregate survey findings would increase efficiency in determining workforce tra...
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Practice Full Report Source Type: research

A National Survey on the Use of Electronic Directly Observed Therapy for Treatment of Tuberculosis
Conclusions: Results from this survey indicate that eDOT is a promising tool that can be utilized to efficiently and effectively manage TB treatment. Findings will inform other TB programs interested in implementing eDOT. However, further evaluation is needed to assess eDOT acceptability to understand barriers to eDOT implementation from the patient and provider perspectives. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Billing and Volunteers Substantially Reduced School-Located Influenza Vaccination Costs, 2 Oregon Counties, 2010-2011
Conclusions: Reimbursements reduced cost per dose by 48% across SLV clinics across both Oregon counties. Local health departments can bill local health insurers to offset costs for implementing school-based vaccination clinics. Efforts to set up billing processes require dedicated billing staff who can effectively manage claims submission processes with multiple health insurers. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Public Health Opportunities to Improve Late-Adolescent Immunization
Seven state/local immunization program managers were convened to discuss how public health immunization programs could enhance their efforts to promote adolescent vaccination, with an emphasis on late adolescence (ages 16-18 years). The Centers for Disease Control and Prevention's revised childhood immunization schedule for 2017 and a recently proposed preventive care platform at 16 years of age provide a unique opportunity to focus on increasing adolescent immunization rates in this population. Public health officials discussed challenges to immunizing this population and suggested key strategies for supporting late-adole...
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Practice Brief Report Source Type: research

An Assessment of Information Exchange Practices, Challenges, and Opportunities to Support US Disease Surveillance in 3 States
Conclusions: Through this structured assessment, the Centers for Disease Control and Prevention (CDC) has a better understanding of the complexities for surveillance of using commercial off-the-shelf data systems (California and Massachusetts), and CDC-developed National Electronic Disease Surveillance System Base System. More efficient data exchange and use of data will help facilitate interoperability between National Notifiable Diseases Surveillance Systems. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Root-Cause Analysis for Enhancing Public Health Emergency Preparedness: A Brief Report of a Salmonella Outbreak in the Alamosa, Colorado, Water Supply
To demonstrate how public health systems can use root-cause analysis (RCA) to improve learning from critical incidents, the research team utilized a facilitated look-back meeting to examine the public health systems' response to a Salmonella outbreak in the water supply in Alamosa, Colorado. We worked with public health, emergency management agencies, and other stakeholders to identify response challenges related to public health emergency preparedness capabilities, root causes, and lessons learned. The results demonstrate that RCA can help identify systems issues that, if addressed, can improve future responses. Furthermo...
Source: Journal of Public Health Management and Practice - October 5, 2018 Category: Health Management Tags: Research Reports: Practice Brief Report Source Type: research