We take a look at the Local Initiatives for Multi-Sector Public Health Action (IMPACT) 6-months since P² was awarded the grant. IMPACT supports goals to improve population health, transform healthcare delivery and reduce health disparities in alignment with other state initiatives. Since January 2016, we have worked with invaluable input and knowledge from our community partners.
This update highlights the work of the four key strategies of the initiative: Environmental, Lifestyle Change, Health Systems, and Community-Clinical Linkages.
It has been 6-months since the grand opening celebration of the two corner stores, Food Plus Market and Buff City Exclusive Market, that have been working towards the Healthy Corner Store designation. P² and the Mobile Safety Net Team continue to monitor the progress of the stores and are planning to extend outreach efforts to other corner stores in the Western New York community. A consultant has been brought on to assist in furthering their work and to develop a model to use as potential stores are assessed. A survey to measure the satisfaction with the healthy options at the two corner stores has been disseminated out into the community. Further work is underway with the American Heart Association who is engaged to help establish sodium standards.
NDPP is an evidence-based lifestyle change program designed for people who have prediabetes and to prevent type 2 diabetes. According to www.cdc.gov/diabetes/prevention, prediabetes affects 1 out of 3
American adults and without any interventions, such as the National Diabetes Prevention Program (NDPP), 15% - 30% of people with prediabetes will develop type 2 diabetes within 5 years.
P² is working with the American Diabetes Association and the YMCA to increase referrals from health systems (including primary care, nurses, and hospitals) to the NDPP. To date, there have been increases in referrals and enrollment. In particular with one of the priority community areas, William Emslie Family YMCA, which had a full class enrolled. DPP classes are currently being offered in Allegany, Cattaraugus, Chautauqua, Erie, Niagara, Orleans, and Wyoming Counties.
As mentioned above, 1 out of 3 people have prediabetes, which would translate into over 500,000 Western New Yorkers. Many are unaware that they have prediabetes. P² has engaged two primary care practices in a New York Stage Department of Health quality improvement learning collaborative to increase the diagnosis and treatment of prediabetes and undiagnosed hypertension.
Two practices we're engaged with, UBMD Family Practice at Jefferson and Aspire of WNY, are participating in a learning collaborative to increase diagnosis and treatment management for prediabetes and undiagnosed hypertension. The learning collaborative works with practices to share new interventions that may be overlooked.
P² has engaged with local community pharmacies and the Community Health Worker Network of Buffalo to increase engagement of Community Health Workers to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes.
On June 3rd, our partner Community Health Worker Network of Buffalo held a stakeholder seminar for community and organizational leaders to learn more about the role of community health workers and how their role supports linkages between health systems and the community. You can view the seminar presentations here.
The infographic below shows how the four strategies work together to prevent complications associated with obesity, diabetes, heart disease, and stroke. By adding crosswalks and bike paths, a community can transform into a safer walkable environment for a person to navigate through the different components--such as seeing their primary care doctor, taking a NDPP class, and having access to a healthier environment to bike to work.