Performance Measures Objectives Data Source Frequency

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1 Behaviral Health Hw can we ensure access t behaviral health services and imprve behaviral health utcmes in Pinellas Cunty? Gal BH : Increase access t behaviral health services Plicy Cmpnent (Y/N): N Perfrmance Measures Objectives Data Surce Frequency Objective..: By Dec 3, 206, increase the percentage f Pinellas adults wh always r usually receive the scial and emtinal BRFSS 3 Years supprt they need frm 8.3% (200) t 89.4%. Objective.2.: By Dec 3, 207, reduce the rate f nn-fatal hspitalizatins fr selfinflicted injuries frm 82.0 per 00,000 ( ) t 65.6 per 00,000 amng Pinellas yuth 2-8. Flrida CHARTS Annually Objective.3.: By Dec 3, 207, decrease the suicide age-adjusted death rate in Pinellas frm 7.7 per 00,000 ( ) t 6.2 per 00,000. Outcmes Flrida CHARTS Annually Increased number f referrals t behaviral healthcare prviders. 200 dctrs educated n trauma-infrmed care principles. 4 new rganizatins distributing Trauma-Infrmed Care materials. Identify gaps in behaviral healthcare access. Alignment with Lcal, State, and Natinal Pririties Obj..3. Healthy Peple 2020 MHMD- P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 44

2 Strategy.: Strengthen the integratin f behaviral and primary health care service delivery. Objective..: By Dec 3, 206, increase the percentage f Pinellas adults wh always r usually receive the scial and emtinal supprt they need frm 8.3% (200) t 89.4%. Prpsed Prcess Measure Imprve the integratin f primary and behaviral healthcare prviders in Pinellas Cunty. BayCare Behaviral Health TBD July 204 June 205. Identify a list f behaviral health prviders wh see lwincme/uninsured patients and share resurces with ther lcal primary care dctrs as needed. 2. Cntact these prviders t see whether they have relatinships with lcal primary care dctrs Activities C-lcate primary care prviders in behaviral health care settings C-lcate behaviral health care prviders in primary care settings Imprve cmmunicatin and crdinatin f care amng prviders thugh health infrmatin exchange Develp crss training prgrams fr allied staff in primary and behaviral health care settings Develp an integrated system with the jails and linkage t cmmunity services upn release Page 45 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n

3 Strategy.2: Integrate trauma-infrmed care practices acrss care settings with emphasis n Adverse Childhd Experiences (ACEs). Objective.2.: By Dec 3, 207, reduce the rate f nn-fatal hspitalizatins fr selfinflicted injuries frm 82.0 per 00,000 ( ) t 65.6 per 00,000 amng Pinellas yuth Prmte prvider and agency educatin n trauma-infrmed appraches and practices via Pediatric Grand Runds Peace4Tarpn Health & Wellness Cmmittee, DOH-Pinellas, and Directins fr Living will cllabrate t distribute educatinal materials fr prviders in Pinellas Cunty Peace4Tarpn Directins fr Living Prpsed Natinal Center fr Trauma- Infrmed Care, DOH-Pinellas DOH-Pinellas, Peace4Tarpn July 204 June 205 July 204 June 205 Prcess Measure Hld tw trainings fr prviders at All Children's Hspital and/r ther lcal pediatric care centers in Pinellas. 300 TIC brchures distributed and 4 new distributin partners created Activities Pilt risk assessment and screening in Pinellas Cunty Schls Develp crss training prgrams fr allied staff in primary and behaviral health care settings P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 46

4 Strategy.3: Engage targeted at-risk ppulatins t better understand behaviral health care needs and prevent barriers t access Objective.3.: By Dec 3, 207, decrease the suicide age-adjusted death rate in Pinellas frm 7.7 per 00,000 ( ) t 6.2 per 00,000. Prpsed Prcess Measure Cllect suicide and behaviral health data fr identified at-risk ppulatins in Pinellas Cunty. Pinellas Cunty Health & Cmmunity Suncast Health Cuncil, DOH- Pinellas, Hmeless Leadership Bard, PEMHS, Operatin PAR, LiveFree!, Data Cllabrative s July 204 June 205 Cmpleted reprt n suicide and behaviral health data. 2 Analyze data cllected in and create actin plans t address any areas f need. Pinellas Cunty Health & Cmmunity Suncast Health Cuncil, DOH- Pinellas, Hmeless Leadership Bard, PEMHS, Operatin PAR, LiveFree! July 204 June 205 Cmplete analysis and determine whether an actin plan is needed. Page 47 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n

5 Behaviral Health Hw can we ensure access t behaviral health services and imprve behaviral health utcmes in Pinellas Cunty? Gal BH 2: Reduce substance abuse amng children and adults Plicy Cmpnent (Y/N): Yes Perfrmance Measures Objectives Data Surce Frequency Objective 2..: By Dec 3, 207, reduce the number f accidental drug r txin related deaths in Pinellas frm 20 (202) t 8. District 6 Medical Examiner Annual Reprt Annually Objective 2.2.: By Dec 3, 206, reduce the number f Pinellas yuth wh reprt lifetime drug use frm 3.% (202) t 27.9%. Flrida Yuth Substance Abuse Survey Biennially Objective 2.3.: By Dec 3, 207, reduce the rate f Nenatal Abstinence Syndrme in Pinellas frm 27. per,000 births ( ) t 24.4 per,000 births. Outcmes Flrida fr Healthcare Administratin (AHCA) Annually Increased use f the Prescriptin Drug Mnitring Prgram (PDMP). Alignment with Lcal, State, and Natinal Pririties Obj Healthy Peple 2020 SA- 2.4 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 48

6 Strategy 2.: Advcate fr changes in plicy and practices related t substance abuse, including mre stringent regulatins fr prescriptin drugs classified as cntrlled substances. Objective 2..: By Dec 3, 207, reduce the number f accidental drug r txin related deaths in Pinellas frm 20 (202) t Actin Plan Prcess Measure Crdinate a legislative agenda and spnsr legislatin that requires physicians t use the PDMP. LiveFree!/Pinellas Cunty Justice & Cnsumer FADAA Sheriff s Assciatin FAC League f Cities FMA July 204 June 205 Cmpse amendment and seek legislative spnsr. 2 Cnvene a single substance abuse advisry grup/versight cmmittee fr Pinellas Cunty. LiveFree!/Pinellas Cunty Justice & Cnsumer PDAB Paraphernalia wrk grup Pinellas Cunty Medical Assciatin July 204 June 205 Hld at least ne meeting f the new versight grup. Page 49 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n

7 Strategy 2.2: Raise awareness amng prviders, parents, yuth, and businesses n emerging substance abuse trends t imprve and infrm practices. Objective 2.2.: By Dec 3, 206, reduce the number f Pinellas yuth wh reprt lifetime drug use frm 3.% (202) t 27.9%. Prcess Measure. Develp and implement a campaign t educate parents, businesses, and yuth n medical marijuana and the dangers f emerging designer drugs and prescriptin drugs Pinellas Cunty Justice and Cnsumer LiveFree! Calitin, Drug Free America Fundatin (DFAF) July 204 December 204. Educatinal materials distributed/parents educated. 2. Number f businesses educated. 3. Number f yuth led grups wh receive campaign materials. P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 50

8 Strategy 2.3: Increase access t substance abuse services fr prenatal and pstpartum wmen. Objective 2.3.: By Dec 3, 207, reduce the rate f Nenatal Abstinence Syndrme in Pinellas frm 27. per,000 births ( ) t per 24.4 per,000 births. Prcess Measure Wrk with OB-GYNs t prvide warnings t their patients n the dangers f substance use/abuse while pregnant and prvide supprts t address underlying issues. Healthy Start Calitin Operatin PAR, Healthy Start Calitin, Birth Hspitals, BayCare, DOH- Pinellas, Mtivating New Mms July 204 June 205 Increase number f prviders reached (Baseline TBD). 2 Cllect current data n drugs t which newbrns are mst frequently expsed. Substance Expsed Newbrns task frce DOH-Pinellas Healthy Families July 204 June 205 Create a reprt with results and analysis f data Activities Prmte the use f evidence-based screening practices fr prenatal substance abuse by OB/GYNs and ther prenatal and pstpartum prviders Prmte pregnancy testing by prviders prir t prescribing prescriptin drugs classified as cntrlled substances Page 5 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n

9 Behaviral Health Hw can we ensure access t behaviral health services and imprve behaviral health utcmes in Pinellas Cunty? Gal BH3: Reduce vilence amng children and families Plicy Cmpnent (Y/N): Yes Perfrmance Measures Objectives Data Surce Frequency Objective 3..: By Dec 3, 207, reduce the rate f Pinellas children under 8 experiencing child abuse frm 24.0 per,000 (202) t 6.9 per,000. Flrida Department f Children and Families Quarterly Objective 3.2.: By Dec 3, 207, reduce the dmestic vilence rate in Pinellas frm per 00,000 ( ) t per 00,000. Outcmes Flrida CHARTS Annually Greater number f DOH-Pinellas staff educated n DV preventin and preventive practices.; cmmn screening plicies/practices fr vilence and trauma Alignment with Lcal, State, and Natinal Pririties Obj. 3.. Healthy Peple 2020 IVP 37; IVP 38 Obj Healthy Peple 2020 IVP 39.; IVP 39.2; IVP 39.3; IVP 39.4 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 52

10 Strategy 3.: Prmte cmmunity prgrams that maximize healthy develpment and interactin amng children, families, schls, and cmmunities. Objective 3..: By Dec 3, 207, reduce the rate f Pinellas children under 8 experiencing child abuse frm 24.0 per,000 (202) t 6.9 per,000. Prcess Measure Distribute Child Safety Bklets t the cmmunity, including OB ffices, child care prviders, CHCs, hme visiting prgrams, and health departments. JWB DOA Department f Children & Families Suncast Center Dmestic Vilence Task Frce July 204 June 205 Distribute plan t lcal birthing hspitals (St. Pete General; Bayfrnt Baby Place; Mrtn Plant Hspital - CLW; & Mease Cuntryside) and at least ten daycare prviders. 2 Cntinue t hld vilence/abuse respnse training fr schl health staff DOH-Pinellas -Juvenile Welfare Bard -Child Prtective Investigative Divisin (f the Pinellas Cunty Sheriff s Office) -Haven f Religius Cmmunity July 204 June 205 Hld a minimum f ne vilence/abuse respnse training fr schl health staff. 3 Research vilence screening tls that target families f children 0-5. Family Study Center at USFSP -ELC, Healthy Start, Early childhd mental health cmmittee f FAIMH, JWB, CASA, Haven f RCS, FAIMH July 204 June 205 Identify a vilence screening tl as well as rganizatins trained in its administratin, and create a plan fr its implementatin. Page 53 P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n

11 Strategy 3.2: Prmte awareness, training, and advcacy t imprve and infrm practices related t dmestic vilence. Objective 3.2.: By Dec 3, 207, reduce the dmestic vilence rate in Pinellas frm per 00,000 ( ) t per 00,000. Prcess Measure Educate cmmunity healthcare prviders n dmestic vilence plicies and preventive practices. Dmestic Vilence Task Frce (DVTF) DVTF Members DOH-Pinellas July 204 June 205 Hld at least ne Being a Better Bystander training at a Pinellas health department lcatin Activities Implement and expand plan develped between Operatin PAR and the Dmestic Vilence Task Frce fr use in substance abuse treatment and utpatient settings, t include training staff abut effective interventins Reinvest in the Elementary/Middle Peacemaker prgram mdel via Haven/CASA. P i n e l l a s C u n t y C m m u n i t y H e a l t h I m p r v e m e n t P l a n Page 54