us department of health and human services region ix update 57 th meeting of the pacific islands...
TRANSCRIPT
US Department of Health and Human ServicesREGION IX update
57th Meeting of the Pacific Islands Health Officers’ Association
March 9th – 12th, 2015Koror, Palau
HHS Region 9 Update Topics• Organizational update• Health Resources and Services Administration activity• Office of the Assistant Secretary for Health/Regional Health
Administrator– Office of Pacific Health– Office of Population Affairs/Office of Family Planning– Office of Minority Health– Office on Women’s Health– Let’s Move Initiative
• Office of the Assistant Secretary for Preparedness– Regional Medical Reserve Corps
Sylvia Burwell
Secretary
Office of the Assistant Secretary for Health
Assistant Secretary for Health (Acting)
Karen B. DeSalvo. MD, MPH, MSc
Principal Deputy Assistant Secretary for Health Wanda K. Jones, DrPH
Executive OfficerMichon Kretschmaier
ACA
National Vaccine Program Office
Deputy Assistant SecretaryBruce Gellin, MD, MPH
ACP
Office of the Surgeon General
Surgeon General Vivek H. Murthy, MD, MBA
VADM, USPHSACM
Office of Disease Prevention and Health Promotion
Deputy Assistant Secretary Don Wright, MD, MPH
ACL
Office of Population Affairs
Director (Acting)Susan Moskosky, MS, RNC
ACG
Office on Women’s HealthDeputy Assistant Secretary
Nancy Lee, MDACB
President’s Council on Fitness, Sports and Nutrition
Executive DirectorShellie Y. Pfohl, MS
ACE
Office of Research Integrity
Director (Acting)Donald Wright, MD, MPH
ACF
Office of HIV/AIDS and Infectious Disease Policy
Deputy Assistant SecretaryRonald Valdiserri, MD, MPH
ACJ
Office of Minority Health
Deputy Assistant Secretary J. Nadine Gracia, MD, MSCE
ACC
Deputy Assistant Secretary for Health(Science and Medicine)
Anand Parekh, MD, MPHACA
Presidential Commission for the Study of Bioethical IssuesExecutive Director
Lisa Lee, PhD, MS ACA
Office of Adolescent HealthDirector
Evelyn Kappeler
ACR
Office for Human Research
ProtectionsDirector
Jerry Menikoff, MD, JDACN
Regional Health Administrators
Regions I-XACD
Office of CommunicationsDirector
Jonathan Beeton ACA
HHS Leadership Updates
5
Acting Assistant Secretary for HealthKaren B. DeSalvo, MD, MPH, MSc
Surgeon GeneralVADM Vivek H. Murthy, M.D., M.B.A.
U.S. Department of Health & Human ServicesOffice of the Assistant Secretary for Health, Region IX
90 7th Street, Suite 5-100San Francisco, CA 94103
Tele: (415) 437-8096; (415) 437-8004
RADM Nadine Simons, MS, RNRegional Health Administrator
(415) 437-8102
CAPT Betsy Thompson, MD, DrPHDeputy Regional Health Administrator
(415) 437-8070
Denise FarrAdministrative Assistant
(415) 437-8096
Office of Minority Health
Christina Perez, MN, WHC-FNPRegional Minority Health
Consultant (415) 437-8124
__________________________
Ray MoralesProgram Assistant
(415) 437-8124
Office of Population Affairs/ Office of Family Planning
LCDR Rebecca McTall, PA-C, MPAS
Regional Program Consultant (415) 437-8403
_____________________________
David A. MillerPublic Health Advisor
(415) 437-8403_____________________________
Kellee RunnelsProgram Assistant
(415) 437-8074
Medical Reserve Corps
Jill Littlefield, BSRegional Coordinator
(415) 437-8071
Office of Pacific Health (OPH)
San Francisco
Subroto BanerjiSenior Advisor(415) 437-8114
________________________
OPH-Honolulu CAPT Cathy Wasem, MN, RN Senior Program Management
Officer300 Ala Moana Blvd, Rm 6-247
Honolulu, HI 96850(808) 541-2015
HIV/AIDS Regional Resource Network Program
Adriann McCall, MNARegional Coordinator
(415) 437-8071
Office on Women’s Health
Kay Strawder, JD, MSWRegional Women’s Health
Coordinator(415) 437-8119
_________________________
Sheila JamesPublic Health Advisor
(415) 437-8075
Emily ClaymoreORISE Fellow(415) 437-8651
Health Resources & Services Administration (HRSA)Select Programs in the USAPI
• Community Health Centers (Clifford’s update) (BPHC)• Primary Care Office (PIHOA) (BHW)• Maternal and Child Health (MCHB)
– MCHB• 5 year assessment – (tie-in with NPHII - 1 Community Assessment) • CoIIN: Collaborative Improvement and Innovation Network (process)
– EMSC: Emergency Medical Services for Children• PIER [Pacific Island Emergency Management]
• Health workforce grants (BHW)– AHEC program: [decrease funding]
• Hawaii Pacific AHEC – Palau, Yap, CNMI, AS• Guam Micronesia AHEC – Guam, RMI, FSM-Pohnpei, Chuuk, Kosrae
– USAPI HRSA/DOI nursing – covered all 6 jurisdictions [end report out]
– Public Health Training Center: University of Arizona (Pacific-PIHOA)– Primary Care / Behavioral Health Integration – PBHCC Center of Excellence
HRSA Infant Mortality Collaborative Improvement and Innovation Network (CoIIN)
Common Agenda:More first birthdays.
Goal:Reduce infant mortality and improve birth outcomes through collective Impact.
Pacific IM CoIIN: Common Agenda
• Pacific Basin Provisional Aim Statement
By July 2016, we will improve the integrity, quality, availability, and usefulness of infant mortality data within the Pacific Basin through focused action on implementing the policies, standards, structures and processes, and/or appropriate staffing and training within each jurisdiction and the region overall.
9
Improve Safe Sleep Practices(n = 36)
Reduce smoking before, during and/or after
pregnancy(n = 22)
Pre & Interconception Care
(n = 33)
Social Determinants of Health (n = 25)
Reducing EED and increasing
progestogen use(n = 21)
Risk Appropriate Perinatal Care (Perinatal Regionalization)
(n = 14)
National Infant Mortality CoIIN Strategies & State Selections
10
CDR Maria BenkeMCHB/HRSA [email protected]
Vanessa LeeMCHB/HRSA [email protected]
Piia HansonAMCHP [email protected]
Pacific Basin Infant Mortality CoIIN Points of Contact
Grants to the Outer Pacific ReportFY 2014 federal funding to Pacific jurisdictions
AS
CNMI
Guam
FSM
RMI
ROP
$0 $200,000,000 $400,000,000 $600,000,000
$151,094,515(15.2%)
$132,440,974(13.3%)
$474,493,898(47.8%)
$124,918,058(12.6%)
$82,616,708(8.3%)
$27,747,267(2.8%)
Federal Funding
Paci
fic Ju
risd
ictio
nsN = $995,294,267
HHS Region 9Office of Pacific Health
Grants to the Outer Pacific ReportFY 2014 federal funding to Pacific jurisdictions by U.S. Department
N = $995,294,267
USDA DOC/EDA
ED HHS DHS/FEMA
HUD DOI/OIA
DOL DOT/FTA
EPA SBA$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
$300,000,000
$350,000,000
$400,000,000
$450,000,000
$184,729,829(18.6%)
$2,481,884(0.2%)
$110,537,637(11.1%)
$198,840,755(20.0%)
$6,305,504(0.6%)
$55,088,569(5.5%)
$393,208,000(39.5%)
$8,361,121(0.8%) $2,589,450
(0.3%)
$32,153,000(3.2%)
$998,518(0.1%)
U.S. Departments
Fede
ral F
undi
ng
HHS Region 9Office of Pacific Health
Grants to the Outer Pacific ReportFY 2014 Health and Human Services
SUMMARY OF HHS FUNDS AWARDEDDepartment/
AS CNMI Guam FSM RMI ROPAgencyTotal
HHS/ACF $8,477,643 $5,964,850 $19,886,974 $297,492 - $1,503,522 $36,130,481 HHS/ACL $1,314,511 $796,568 $4,352,224 - - - $6,463,303 HHS/ASPR $642,671 $630,079 $840,020 $700,206 $646,595 $579,667 $4,039,238 HHS/CDC $2,399,831 $2,820,782 $5,363,361 $3,977,727 $2,617,355 $2,316,005 $19,495,061 HHS/CMS $17,552,795 $25,296,920 $50,949,480 - - - $93,799,195 HHS/HRSA $5,170,433 $3,542,352 $4,629,767 $2,785,836 $1,913,940 $1,773,170 $19,815,498 HHS/OASH/OFP $247,000 $179,800 $284,000 $324,300 $125,960 $136,300 $1,297,360 HHS/SAMHSA $2,490,569 $2,427,494 $5,419,009 $2,220,136 $1,470,302 $1,790,262 $15,817,772 Total $38,295,453 $41,658,845 $91,724,835 $10,305,697 $6,774,152 $8,098,926
N=$196,857,908
HHS Region 9Office of Pacific Health
Grants to the Outer Pacific ReportDiscussion points
• Opportunities for use of this data– Sharing data files with jurisdictions– Posting report to the PIHOA site
• FY15 report – Program effective measures– Awareness of additional funding data
• Impact to include into the current process
HHS Region 9Office of Pacific Health
HHS-PIHOA Communication Proposal
• Background of the proposal• Updated document for Board review and resolution• HHS insular policy group changes
HHS Region 9Office of Pacific Health
Veterans living in the Territories & FAS • Assessment by VA contractor of Veteran access to health services - last
spring– Focus – Scaled back to territory only assessment – Report – anticipate release in late spring – Opportunity to work with VA to identify site visits – connected them to
CHCs in Guam and AS • Outcome – following assessment, added CHC in Guam and AS to list
of providers through which veterans can access specialty care• Recent – allow access to primary care through CHCs – VA reimburse
CHCs for services • Data on veterans residing in territories and FAS [data points]
– VA data bases – Census data – US Census does include question on veterans
• FSM census has question • Palau and RMI don’t
– Health Facilities Systems Data [Hospital, OPD, CHC] HHS Region 9Office of Pacific Health
Veterans living in the Territories & FAS
• Next Steps–Data - workgroup –Meetings with VA (VA-Pacific Island Health Care System) & VISN
• San Francisco VISN –Subroto Banerji• Honolulu Tripler and VA-PIHCS – Cathy Wasem
–PTSD • Clinician education on PTSD for FAS
–Dr. Hirsch, Traumatic Stress Disorders Program, VAPIHCS –COL Diebold, MD, Tripler Behavioral Health Department
–Take advantage of release of support • Advocacy for FAS
HHS Region 9Office of Pacific Health
Capacity Building in USAPI Nursing Education • RWJ Partners Investing in Nursing’s (PIN) Future grants –Partner approach
– Director, faculty, preceptor development, overall program capacity building, quality improvement activities (formation PINNED)
• DOI/HRSA AHEC Supplemental Grant (PINNED work) – all 6 jurisdictions– Simulation training, Faculty Development, Preceptor Training, Resource
educational materials including testing materials, strategic planning • Access to BSN education by distance / Lacking distance-based program in
Pacific/UOG – University of Maine Ft. Kent – RMI: Marshall Islands Nurses – Summer Immersion* at UMFK
• 1st cohort – 14 started in SU’12; 12 graduated in Dec. 2013• 2nd cohort – Started in SU’14; 15 on-track to graduate Dec. 2015
– AS: American Samoa Nurses –UMFK instructor to PCC –intro session (8wk) 1st cohort – 19 started Oct. 2013; (10 lost /scholarship); 7 – complete May 15.
– FSM: FSM Nurses – UMFK instructor to Pohnpei for intro session• 1st cohort – 14 started in Oct. 2014 (8 wk. session); 11 on-track to date by Dec.
2015 – CNMI: Discussions HHS Region 9
Office of Pacific Health
Capacity Building in Nursing Education
• Continued Activities – Guam-Micronesian AHEC - FSM preceptor training
• Next steps – Last PIHOA meeting, Mrs. Terry Ngirmang, director of PCC Nursing Program updated PIHOA – PIHOA asked PINNED to come back with specific request – Nursing program directors wish to do so at next PIHOA Board meeting– Approach
• Integrated Education-Service Approach • Creative ways – tapping into all Regional resources
HHS Region 9Office of Pacific Health
REGION IX OFFICE OF FAMILY PLANNING
2157th Annual PIHOA Meeting
LCDR Rebecca McTall, PA-C, MPASRegional Program ConsultantOffice: (415) 437-8403Email: [email protected] A. Miller, MPH Public Health AdvisorOffice: (415) 437-7984Email: [email protected]
FY2015 ANNOUNCEMENT OF ANTICIPATED AVAILABILITY OF FUNDS FOR FAMILY PLANNING SERVICES
22
FOA# JURISDICTION DUE DATE
PA-FPH-15-028Commonwealth of the Northern Mariana Islands (CNMI) April 13 2015
PA-FPH-15-027Republic of the Marshall Islands (RMI) April 1 2015
PA-FPH-15-026 Guam April 1 2015
• www.Grants.gov, search on CFDA #93.217 • Eligibility: Governmental or non-profit entity organizations • Applicants do not have to provide services to entire service area (e.g.,
Ebeye CHC could apply under RMI to only provide services in Ebeye).
CERVICAL CANCER
23
• ACOG Committee (Handout) / LCDR Rebecca Meese on committee
• RECOMMENDATIONS: The following are acceptable alternative cervical cancer screening methodologies where cytology-based screening is not feasible or practical:
o Human Papillomavirus (HPV) testing with subsequent treatment for women with positive test results, with or without intermediate triage using visual inspection with acetic acid.
o Where HPV testing is not available, visual inspection with acetic acid followed by treatment with cryotherapy.
o Effect: Family Planning funds can be used to for VI-Acetic Acid screening
57th Annual PIHOA Meeting
REGION IX OFFICE OF MINORITY HEALTH
Christina L. Perez, MN, NP, RNRegional Minority Health Consultant
Office: (415) 437-8124Email: [email protected]
Website: http://www.minorityhealth.hhs.gov Data Website: Data.gov/AAPI
24
25
• Represent health interests of American Indians/Alaska Natives and Asian Americans, Native Hawaiians, and Pacific Islanders
• 12 voting members, four-year term• Advise the Office of the Secretary, Assistant Secretary for Heath on:
– improving the health of racial and ethnic minority groups– activities to improve the health status and outcomes of racial and ethnic
minorities
• Nominations close April 15, 2015, 5pm EST• www.minorityhealth.hhs.gov or
https://www.federalregister.gov/articles/2015/01/15/2015-00522/solicitation-of-nominations-for-appointment-to-the-advisory-committee-on-minority-health
CALL FOR NOMINATIONS: FEDERAL ADVISORY COMMITTEE ON MINORITY HEALTH
26
REGION IX OFFICE ON WOMEN’S HEALTH
Kay A. Strawder, JD, MSWRegional Women’s Health
CoordinatorOffice: (415) 437-8119
Email: [email protected]
57th Annual PIHOA Meeting
27
Region IX Office on Women’s HealthPacific Activities FY 2014:
– Catalogue of Promising Practices which Address Non-Communicable Diseases in the USAPI – 308 promising practices addressing binge drinking, physical inactivity, tobacco use and unhealthy eating.
– Women’s Health Leadership Institute training in Guam • 25 Pacific community health workers trained- public
health systems approach to health disparities.
http://www.pihoa.org/library/index.php
28
Region IX Office on Women’s HealthPacific Activities
FY 2015:– Region IX Prevention Strategy Summit, Asian American,
Native Hawaiian and Pacific Islander Women & Their Families: Healthy Eating, Active Living and Tobacco-Free, held August 27-28, 2014, Honolulu, HI.
• Second catalogue of about 90 NCD promising practices submitted by participants
REGION IX Let’s Move Initiative
Sheila James, BSPublic Health AdvisorOffice: (415) 437-8075
Email: [email protected]
57th Annual PIHOA Meeting 29
Sub - initiative of First Lady’s Let’s Move! Initiative.
CNMI is the only Pacific Island participating in Let’s Move Cities, Towns and Counties.
Governor Inos signed up to participate in LMCTC-July 2013.
CNMI created Let’s Move Marianas Alliance-30+ partners.
◦ CNMI created 3 additional goals to benefit the entire society:1. Village to village outreach. 2. Focus on natural environmental strategies.3. Building education and capacity within the
community.
Governor Inos created and signed a NCD directive.All government sectors, statuary bodies & Civil
Society assist efforts to address NCD crisis through Let’s Move Marianas
30
31
Accomplishments:Mayors of Rota and Tinian creating local
wellness plans.Developing a healthy restaurants policy.Community Health Assessment to gage
community habits, behaviors and perception of diabetes.
“Healthy Food Stores” - provide healthier produce and place in high traffic areas.
Working with local home farmers to teach community members how to garden.
Working on implementing island-wide sugar and salt reduction campaign
NEXT STEPS – If interested, contact Sheila James
32
REGION IXMEDICAL RESERVE CORPS
57th Annual PIHOA Meeting
Jill Littlefield, BSRegional CoordinatorOffice: (415) 437-8071
Email: [email protected]
33
medical reserve corps
34
• The Medical Reserve Corps (MRC) national network of volunteers, organized locally to improve the health and safety of their communities.
• MRC volunteers - medical and public health professionals, as well as other community members without healthcare backgrounds. MRC units - engage volunteers to strengthen public health, improve emergency response capabilities and build community resiliency, promote healthy habits.
• Goals of the regional MRC office: • Support the growth and maintenance of MRC units.• Strengthen the internal capacity to support MRC
units
• As of February 2015, there are MRC units in Guam, American Samoa, CNMI, FSM and the Republic of Palau
Pacific islandsmedical reserve corps
35
Unit Contact MRC Direct Email
American Samoa Benjamin Sili [email protected]
Commonwealth of the Northern Mariana Islands Warren Villagomez
Federated States of Micronesia Arthy Nena [email protected]
GuamPatrick Lujan
PalauMelinda Lawrence [email protected]