Monday, September 16, 2024
9/16/2024
The Indiana State Department of Health (ISDH) Chronic Respiratory Disease Section (CRDS) will expand upon activities to increase the reach, quality, effectiveness, and sustainability of asthma control services by strengthening leadership and other essential infrastructure components. Providing comprehensive care at a population level requires a coordinated approach in high burden areas or population to accelerate progress toward goals including the CDC CCARE Initiative to improve outcomes and reduce hospitalizations and emergency department visits for children. The CRDS proposes to increase access to guidelines-based medical management through provision of regional trainings for Local Health Departments (LHDs) staff, including environmental health specialists and public health nurses, and school officials on asthma management and best-practice, strengthening systems supporting guidelines-based medical care through provision of evidence-based trainings utilizing first year medical students by the Indiana Clinical and Translational Science Institute Community Health Partnerships to support state-funded safety-net providers as Indiana moves toward a value-based payment system, expanding partnership with the Marion County Public Health Department to continue current home-based respiratory program to incorporate development of bi-directional referral process, cost analysis and development of value based proposition and to develop a model for spread and sustainability and provide mentorship for other local health departments in high burden areas, maintain partnership with the IDOE to promote statewide and local collaborative efforts addressing asthma health disparities particularly as related to the health of Indiana students and staff in the school setting including expansion of projects and develop a learning collaborative, based on the Institute for Health Innovation (IHI) Collaborative Model for Achieving Breakthrough Improvement, to accomplish t he goal of implementation of each of the 6 EXHALE components over the course of 5 years in the same geographically clustered areas, finally, the CRDS will work collaboratively with internal and external partners to ensure the goal outlined in the ISDH State Health Assessment and Improvement Plan (SHIP) plan to reduce emergency department visits for Indiana residents with the primary discharge diagnosis of asthma from 47.3 per 10,000 in 2015 to 44 per 10,000 by 2021 (HP2020 RD-3) is met. Strategies to accomplish this include 1) promote coordinated care for people with asthma, 2) expansion of access to and delivery of asthma self-management education (AS-ME), 3) expansion of home visits (as needed) for asthma trigger reduction and AS-ME, 4) strengthen systems supporting guidelines-based medical care, including appropriate prescribing and use of inhaled corticosteroids, and 5) facilitation of home energy efficiency, including referrals to home weatherization assistance programs and promotion of smoke free policies. Specific outcomes are detailed in the narrative and the CRDS work plan. Finally, the CRDS will partner with the Fairbanks School of Public Health (FSPH) to develop and implement a five year strategic evaluation plan, under the lead of the CRDS Epidemiologist/Evaluator (PE), to demonstrate efficiency and effectiveness of program and to expand evaluation capacity building. The SEP will be consistent with the CRDS data management plan (DMP) and will contain both process, and outcome evaluations. Specific details and outcomes are outlined in the project narrative.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
