New York State Prevention Agenda 2013-2018: Priorities, Focus Areas, Goals and Objectives, 1/25/2013 (revised March 16, 2015)

Priorities, Focus Areas, Goals and Objectives, - Complete printable version (PDF, 115KB)

A selected group of 58 Prevention Agenda objectives were chosen to be tracked annually for New York State. Data are available by county for 43 of these objectives, by healthcare plan for four objectives and by hospital for two objectives. Baseline and updated data will be published on the DOH Website.

Each priority-specific committee was charged with developing objectives for the general population, as well as objectives for reducing disparities for specific populations that are disproportionally impacted. The final set of measurable objectives was developed by reviewing indicators used in the National Prevention Strategy, County Health Rankings, America's Health Rankings, Healthy People 2020, and by the CDC and the New York State Department of Health. Committees selected indicators that were relevant to the priority-specific focus areas and goals; that represented process, short-term and long- term outcome indicators; and that can be measured with available data. Whenever possible, indicators with data available by county, race/ethnicity, disability and socioeconomic status were chosen. In many instances, disparity is measured by the ratio or the difference between the population of interest (e.g., Black, non-Hispanic, Hispanic, Medicaid) and the corresponding reference population (e.g., White non-Hispanic, non-Medicaid).

Objective targets were determined by reviewing historical data for each indicator. When the trend has been moving in a desirable direction, the committee projected an improvement of 5-10%, based on intervention strategies and resources. If, however, the trend has been moving in the wrong direction, the committee projected a smaller percent improvement (0-5%). When the indicator was a HP2020 objective, or other objective, committees tried to select the same target if, based on the committee's expertise, the target would be achievable within the five-year time frame.

Generally, an improvement of 10% was targeted for the majority of the five-year objectives. This amount is more ambitious than the HP2020 target setting method of 10% improvement over ten years.

Each Priority Committee Action Plan includes an extensive list of objectives. A subset of these objectives, shown below, was selected to track overall progress toward meeting plan objectives.

Improve Health Status and Reduce Health Disparities
Focus Area Goal Objective - By December 31, 2018
Improve Health Status and Reduce Health Disparities Improve the health status of all New Yorkers Reduce the percentage of premature deaths (before age 65 years) by 10% to 21.8%

(Baseline: 24.2%; Year 2010; Source: NYS Vital Statistics, Data Availability: state, county)

Reduce disparities* by 10%

Ratio of Hispanic to White non-Hispanic percentage of deaths that are premature (before age 65 years)

(Target: 1.87; Baseline: 2.08; Year 2010; Source: NYS Vital Statistics, Data Availability: state, county)

Ratio of Hispanic to White non-Hispanic percentage of premature death (before age 65 years)

(Target: 1.86; Baseline: 2.07; Year 2010; Source: NYS Vital Statistics, Data Availability: state, county)
Reduce the age-adjusted rate of preventable hospitalizations among adults by 10% to 133.3 per 10,000 adults. In 2015, a revised target of 122 per 10,000 adults was set for 2018

(Baseline: 135.8; Year 2012; Source: NYS Statewide Planning and Research Cooperative System (SPARCS); Data Availability: state, county)

Reduce disparities* by 10%

Ratio of Black Non-Hispanic to White non-Hispanic age-adjusted rate of preventable hospitalizations

(Target: 1.85; Baseline: 2.06; Year 2010; Source: NYS Statewide Planning and Research Cooperative System (SPARCS); Data Availability: state, county)

Ratio of Hispanic to White non-Hispanic age-adjusted rate of preventable hospitalizations

(Target: 1.38; Baseline: 1.53; Year 2010; Source: NYS Statewide Planning and Research Cooperative System (SPARCS); Data Availability: state, county)
Increase the percentage of adults (ages 18-64) with health insurance to the HP 2020 target at 100%

(Baseline: 83.1%; Year 2010; Source: U.S. Census Bureau, Small Area Health Insurance Estimates; Data Availability: state, county), HP 2020 (AHS-1.1) target: 100%)
Increase the age-adjusted percentage of adults who have a regular health care provider by 10% to 90.8%

(Baseline: 82.5%; Year 2011; Source: Behavior Risk Factor Surveillance System; Data Availability: state, county), HP 2020 (AHS-3) target: 83.9%)
Promote a Healthy and Safe Environment
Focus Area Goal Objective - By December 31, 2018
Injuries, Violence and Occupational Health Reduce fall risks among the most vulnerable populations Reduce the rate of assault-related hospitalizations by 10% from 4.8 (2008-2010) to 4.3 per 10,000

(Data Source: NYS DOH, Statewide Planning and Research Cooperative System) (Data Availability: state, county)

Reduce disparities* by 10%:

Ratio of Black Non-Hispanic rate of assault-related hospitalizations to White non- Hispanic rate of assault-related hospitalizations

(Target: 6.69; Baseline: 7.43; Year: 2008-2010; Source: NYS SPARCS Data; Data Availability: state, county)

Ratio of Hispanic rate of assault-related hospitalizations to White non-Hispanic rate of assault-related hospitalizations

(Target: 2.75; Baseline: 3.06; Year: 2008-2010; Source: NYS SPARCS Data; Data Availability: state, county)

Ratio of assault-related hospitalization rate in low income ZIP codes to assault related hospitalization rate in non-low income ZIP codes

(Target: 2.92; Baseline: 3.25; Year: 2008-2010; Source: NYS SPARCS Data; Data Availability: state, county)
Outdoor Air Quality Reduce exposure to outdoor air pollutants, with a focus on burdened communities Reduce the annual number of days with unhealthy ozone as measured by the Air Quality Index (AQI)>100 to 0.
(Baseline: New York City: 5 days for ozone (2005-2009); Rest of State: 5 for ozone (2005-2009); Data Source: NYS DEC Ambient Air Monitoring Network) (Data Availability: state)
Built Environment Improve the design and maintenance of the built environment to promote healthy lifestyles, sustainability and adaptation to climate change Increase the percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge by 20% from 26.7% to 32.0%

(Year: 2012; Data Source: NYS DEC Program Tracking) (Data Availabilty: http://www.dec.ny.gov/energy/56876.html, state, county)
Increase the percentage of commuters who use alternate modes of transportation (e.g., public transportation, carpool, bike/walk, telecommute) by 10%, from 44.7% to 49.2% (2008-2010 3-yr. estimate)

(Data Source: U.S. Census, American Community Survey) (Data Availability: state, county)
Improve access to affordable fruits and vegetables among low-income NYS residents by decreasing the percentage who live greater than one mile from a supermarket or grocery store in urban areas, or greater than ten miles from a supermarket or grocery store in rural areas, by 10%, from 2.49% to 2.24%

(Year: 2010; Data Source: U.S. Department of Agriculture Food Environment Atlas) (Data Availability: State, county)
Improve the design and maintenance of home environments to promote health and reduce related illness Reduce the percentage of asthma triggers during Healthy Neighborhood Program home revisits by 41% to 25%

(Data Source: NYS DOH, Healthy Neighborhoods Program Tracking) (Target: 41.0; Baseline: 26.3;Years: 2008-2011; Data Availability: Selected counties)
Water Quality Increase the percentage of State residents that receive optimally fluoridated drinking water Increase the percentage of NYS residents served by community water systems that receive optimally fluoridated water by 10% from 71.4% (2012) to 78.5%

(Data Source: CDC Water Fluoridation Reporting System) (Data Availability: State, County), HP 2020 (OH-13) target: 79.6%
Reduce potential public health risks associated with drinking water and recreational water TBD
Prevent Chronic Diseases
Focus Area Goal Objective - By December 31, 2018
Reduce Obesity in Children and Adults Create community environments that promote and support healthy food and beverage choices and physical activity Reduce the percentage of adults who are obese by 5% so that the age-adjusted percentage of adults ages 18 years and older who are obese is reduced from 24.2% (2011) to 23.0%; (state; county), HP 2020 (NWS-9) target: 30.5%

Reduce disparities:

The age-adjusted percentage of adults ages 18 years and older with an annual household income less than $25,000 who are obese is reduced 5% from 26.7% (2011) to 25.4% (Data Availability: state)

The age-adjusted percentage of adults with disabilities ages 18 years and older who are obese is reduced 10% from 32.5% (2011) to 29.3%

(Data Source: NYS BRFSS; Data Availability: state)
Prevent childhood obesity through early child care and schools Reduce the percentage of children and adolescents who are obese by 5% so that the percentage of public school children in New York State (outside NYC) who are obese is reduced from 17.6% (2010-12) to 16.7%

(Data Source: Student Weight Status Category Reporting) and the percentage of public school children in New York City who are obese is reduced from 20.7% (2010-11) to 19.7%

(Data Source: NYC Fitnessgram; Data Availability: upstate (outside NYC), NYC, borough/county)
Expand the role of health care and health service providers and insurers in obesity prevention Increase the percentage of children and adolescents ages 3 through 17 years with an outpatient visit with a primary care provider or obstetrics/gynecology practitioner during the measurement year who received appropriate assessment for weight status during the measurement year by:

29% from 58% (2011) to 75% among residents enrolled in commercial managed care health insurance
5% from 72% (2011) to 75% among residents enrolled in NYS government sponsored # managed care health insurance


(Data Source: NYS QARR; Data year 2011; Data Availability: statewide and by plan)
Expand the role of public and private employers in obesity prevention See the "Prevent Chronic Diseases Action Plan"
Reduce illness, disability and death related to tobacco use and secondhand smoke exposure Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations Decrease the prevalence of any tobacco use (cigarettes, cigars, smokeless tobacco) by high school age students by 30% from 21.2% in 2010 to 15.0%.

(Data source: NY Youth Tobacco Survey) (Data Availability: state)
Promote tobacco use cessation, especially among low SES populations and those with poor mental health Decrease the prevalence of cigarette smoking by adults by 18% from 18.1% in 2011 to 15.0%. In November 2015, a revised target of 12.3% was set for 2018.

(Data source: NYS BRFSS; Data Availability: state; county), HP 2020 (TU-1.1) target: 12%

Reduce disparity:

Decrease the prevalence of cigarette smoking among adults with income less than $25,000 by 30% from 28.5% (2011) to 20%.

(Data Source: NYS BRFSS Data Availability: state)
Increase the utilization of smoking cessation benefits among smokers who are enrolled in Medicaid Managed Care by 141% from 17% (2011) to 41%.

(Data source: Medicaid) (Data Availability: state)
Eliminate exposure to secondhand smoke. See the "Prevent Chronic Diseases Action Plan"
Increase access to high quality chronic disease preventive care and management in both clinical and community settings Increase screening rates for cardiovascular disease, diabetes and breast/cervical/colorectal cancer, especially among disparate populations Increase the percentage of adults (50-75 years) who receive a colorectal cancer screening based on the most recent guidelines (blood stool test in the past year or a sigmoidoscopy in the past 5 years and a blood stool test in the past 3 years or a colonoscopy in the past 10 years) by 5% from 68.0% (2010) to 71.4%. In November 2015, a revised target of 80% was set for 2018.

(Data Source: NYS BRFSS) (Data Availability: state, county), HP 2020 (C-16) target: 70.5% (all adults)

Reduce disparity:

Increase the percentage of adults (50-75 years) with an income of less than $25,000 who receive a colorectal cancer screening based on the most recent guidelines by 10% from 59.4% (2010) to 65.4%.

(Data Source: NYS BRFSS) (Data Availability: state)
Promote use of evidence-based care to manage chronic diseases
Reduce the asthma emergency department visit rate by 10% from 83.4 per 10,000 residents (2007-09) to 75.1 per 10,000 residents all ages
(Data Source: SPARCS) (Data Availability: state, county, ZIP code)

Reduce disparity:

Reduce the asthma emergency department visit rate by 10% from 218.3 per 10,000 (2007-2009) to 196.5 per 10,000 for residents ages 0-4 years

(Data Source: SPARCS) (Data Availability: state, county, ZIP code)
Increase the percentage of health plan members, ages 18 to 85 years, with hypertension who have adequately controlled their blood pressure (below 140/90) by 10% from 63% (2011) to 69.3% for residents enrolled in commercial managed care health insurance, and by 7% from 67% (2011) to 72% for residents enrolled in Medicaid Managed Care

In May 2016, the target for residents enrolled in commercial managed care health insurance was revised to 70% by the Department's Chronic Health Division so that it would be aligned with the National Million Hearts clinical measures.

(Data Source: NYS QARR; Data Availability: state and by plan)
Reduce disparity:

Increase the percentage of health plan members, ages 18 to 85 years, with hypertension who have adequately controlled their blood pressure (below 140/90) by 15% among black adults enrolled in Medicaid Managed Care from 58% (2011) to 66.7%.

In May 2016, the target for residents enrolled in Medicaid Managed Care was revised to 70% by the Department's Chronic Health Division so that it would be aligned with the National Million Hearts clinical measures.

(Data Source: NYS QARR) (Data Availability: state)
By December 31, 2018, increase the Percentage of Black health plan members with hypertension who have controlled their blood pressure - Aged 18-85 years (Medicaid Managed Care) (66.7 to 70.0)
In May 2016, the target for residents enrolled in Medicaid Managed Care was revised to 70% by the Department's Chronic Health Division so that it would be aligned with the National Million Hearts clinical measures.
(Data Source: NYS QARR) (Data Availability: state)
Increase the percentage of adult health plan members with diabetes whose blood glucose is in good control (hemoglobin A1C less than 8%) by 7% from 58% (2011) to 62% for residents enrolled in Medicaid Managed Care; and by 10% from 55% (2011) to 60.5% for residents enrolled in commercial managed care insurance

(Data Source: NYS QARR; Data Availability: state and by plan)

Reduce disparity:

Increase the percentage of adult health plan members with diabetes whose blood glucose is in good control (hemoglobin A1C less than 8%) by 10% from 56% (2011) to 62% for black adults enrolled in Medicaid Managed Care

(Data Source: NYS QARR) (Data Availability: state)
Reduce the rate of hospitalizations for short-term complications of diabetes by 10% from 3.40 per 10,000 (2007-09) to 3.06 per 10,000 for residents ages 6-17 years and from 5.40 per 10,000 (2007-09) to 4.86 per 10,000 for residents ages 18+ years

(Data Source: SPARCS; Data availability, state, county)
Reduce the age-adjusted hospitalization rate for heart attack by 10% from 15.5 per 10,000 residents (2010) to 14.0 per 10,000 residents of all ages

(Data Source: SPARCS; Data Availability: state, county)
Promote culturally relevant chronic disease self-management education See the "Prevent Chronic Diseases Action Plan"
Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections
Focus Area Goal Objective - By December 31, 2018
Vaccine-Preventable Diseases
Improve childhood and adolescent immunization rates Increase the rates of 19-35 month-olds with the 4:3:1:3:3:1:4 series (4 DTaP, 3 polio, 1 MMR, 3 hep B, 3 Hib, 1 varicella, 4 PCV13) by 23% to 80% or higher

(Baseline: 65.1%, Year: 2011, Source: NIS) (Data Availability: state excluding NYC, county (NYSIIS)), HP 2020 (IID-8) target: 80%
Educate all parents about importance of immunizations Increase the 3-dose HPV immunization rate among adolescent females, ages 13-17 years, by 45% to 50%

(Baseline: 34.2%, Year: 2011, Source: NIS) (Data Availability: state excluding NYC, county (NYSIIS))
Decrease the burden of pertussis disease See above
Decrease the burdenn of influenza disease Increase flu immunization rates of adults aged 65 years and older by 10% to 66.2%. In November 2015, a revised target of 70% was set for 2018.

(Baseline: 60.2%; Year 2011; Data Source: BRFSS and Expanded BRFSS; Data Availability: state, county), HP 2020 (IID-12.7) target: 90%
Decrease the burden of disease caused by humanpapillomavirus See above
Human Immunodeficiency Virus (HIV)
Decrease HIV morbidity Reduce the newly diagnosed HIV case rate by 25% to no more than 14.7 new diagnoses per 100,000.

(Baseline: 21.5/100,000; Year 2010; Data Source: HIV Surveillance System; Data Availability: state, county), HP 2020 (HIV-1) target: 13/100,000. In July 2015, indicator baseline and trend data were updated and a revised target of 16.1 new diagnoses per 100,000 population was set for 2018.

(Baseline: 21.5/100,000; Year: 2010)
Reduce disparity:

Decrease the gap in rates of new HIV diagnoses (per 100,000 population) by 25% between whites and blacks to 45.7 and between whites and Hispanics to 22.3.

(Baseline:60.9 for black/white and 29.8 for Hispanic/white; Year: 2006-2010; Data Source: HIV Surveillance System; Data Availability: state, county)

In July 2015, indicator baseline and trend data were updated. A revised target of 46.8 new diagnoses per 100,000 population for the rate difference between whites and blacks was set for 2018

(Baseline: 62.4 for black/white; Year: 2006-2010). A revised target of 26.6 new diagnoses per 100,000 population for the rate difference between whites and Hispanics was set for 2018

(Baseline: 35.5 for Hispanic/white; Year: 2006-2010).
Increase early access to and retention in HIV care Increase the percentage of HIV-infected persons with a known diagnosis who are in care by 9% to 72%

(Baseline: 66%; Year: 2010; Data Source: HIV Surveillance System; Data Availability: state)
Sexually Transmitted Diseases (STDs) Decrease STD morbidity Reduce the gonorrhea case rate among persons aged 15-44 years by 10% to no more than 183.1 cases per 100,000 women and 199.5 per 100,000 men.

(Baseline: 203.4/100,000 women and 222/100,000 men; Year 2010; Data Source: STD surveillance system; Data Availability: state, county), HP 2020 (STD-6.1 and 6.2) targets: 198/100,000 women and 257/100,000 men
Reduce the Chlamydia case rate among females aged 15-44 years by 10% to no more than 1,458 cases per 100,000.

(Baseline 1,620/100,000; Year 2010; Data Source: STD surveillance system; Data Availability: state, county)
Reduce the case rate of primary and secondary syphilis by 10% to no more than 10.1 cases per 100,000 men and 0.4 cases per 100,000 women.

(Baseline 11.2/100,000 men and 0.5/100,000 for women; Year 2010; Data Source: STD surveillance system; Data Availability: state, county), HP 2020 (STD-7.1 and 7.2) targets: 6.8/100,000 men and 1.4/100,000 women
Hepatitis C Virus (HCV) Increase and coordinate HCV prevention and treatment capacity TBD
Healthcare-Associated Infections Reduce Clostridium difficile (C. difficile) infections Reduce hospital-onset CDIs by 30% to 5.94 new cases/10,000 patient days (Baseline:
8.48 new cases/10,000 patient days; Year: 2011;

(Data Source: National Healthcare Safety Network (NHSN)(Data availability: state, hospital)
Reduce community-onset healthcare facility-associated CDIs by 15% to 2.05 new cases/10,000 patient days

(Baseline: 2.41 new cases/10,000 patient days; Year: 2011; Source: NHSN)
Reduce infections caused by multidrug resistant organisms TBD
Reduce device-associated infections TBD
Promote Healthy Women, Infants, and Children
Focus Area Goal Objective - By December 31, 2018
Maternal and Infant Health Reduce premature births in New York State Reduce the percentage of preterm births (less than 37 weeks gestation) by 12% to 10.2%
(Baseline: 11.6%; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county), HP 2020 (MICH-9) target: 11.4%
Reduce disparities* by 10%:

Ratio of Black Non-Hispanic preterm birth rate to White non-Hispanic preterm birth rate (

Target: 1.42; Baseline: 1.58; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)

Ratio of Hispanic preterm birth rate to White non-Hispanic preterm birth rate

(Target: 1.12; Baseline: 1.24; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)

Ratio of Medicaid preterm birth rate to non-Medicaid preterm birth rate

(Target: 1.00; Baseline: 1.10; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)
Increase the proportion of NYS babies who are breastfed Increase the percentage of infants exclusively breastfed in the hospital by 10% to 48.1%
(Baseline: 43.7%; Year: 2010; Source: NYSDOH Vital Records; Data Availability: state, county)

Reduce disparities* by 10%:

Ratio of Black Non-Hispanic to White non-Hispanic percentage of infants exclusively breastfed in the hospital

(Target: 0.57; Baseline: 0.52; Year: 2010; Source: NYS Vital Records; Data Availability: state, county)

Ratio of Hispanic to White non-Hispanic percentage of infants exclusively breastfed in the hospital

(Target: 0.64; Baseline: 0.58; Year: 2010; Source: NYS Vital Records; Data Availability: state, county)

Ratio of Medicaid to non-Medicaid percentage of infants exclusively breastfed in the hospital

(Target: 0.66; Baseline: 0.60; Year: 2010; Source: NYS Vital Records; Data Availability: state, county)
Reduce the rate of maternal deaths in New York State Reduce the rate of maternal mortality in NYS by at least 10% to 21.0 per 100,000 live births

(Baseline: 23.3; Year: 2008-2010; Source: NYS Vital Records; Data Availability: state, county), HP 2020 (MICH-5) target: 11.4/100,000

Reduce disparity* by 10%:

Ratio of Black non-Hispanic to White non-Hispanic maternal mortality rate.

(Target: 4.76; Baseline: 5.29; Year: 2008-2010; Source: NYS Records; Data Availability: state)
Child Health Increase the proportion of NYS children who receive comprehensive well child care in accordance with AAP guidelines Increase the percentage of children ages 0-15 months, 3-6 years and 12-21 years who have had the recommended number of well child visits among NYS government-sponsored # managed care health insurance programs by 10% to 76.9%

(Baseline: 69.9%; Year: 2011; Source: NYSDOH Office of Patient Quality and Safety; Data Availability: state, county)

Increase the percentage of children ages 0-15 months who have had the recommended number of well child visits among NYS government sponsored # managed care health insurance programs by 10% from 82.8% to 91.3%.

Increase the percentage of children ages 3-6 years who have had the recommended number of well child visits among NYS government sponsored # managed care health insurance programs by 10% from 82.8% to 91.3%.

Increase the percentage of children ages 12-21 years who have had the recommended number of well child visits among NYS Government sponsored # managed care health insurance programs by 10% from 61.0% to 67.1%
Increase the percentage of children ages less than 19 years with any kind of health insurance to 100%

(Baseline: 94.9%, Year: 2010, Source: U.S. Census Bureau, Small Area Health Insurance Estimates; Data Availability: state, county)
Reduce the prevalence of dental caries among NYS children Reduce the percentage of third-grade children with evidence of untreated tooth decay by 10% to 21.6%

(Baseline: 24%; Year: 2009-2011; Source: NYSDOH Oral Health Survey of Third Grade Children; Data Availability: state excluding NYC, county), HP 2020 (OH-2.2) target: 25.9%
Reduce disparity (ratio) by 10%:

Ratio of percentage of untreated tooth decay among low-income children to percentage among high-income children

(Target: 2.21; Baseline: 2.46; Year: 2009-2011; Source: NYSDOH Oral Health Survey of Third Grade Children; Data Availability: state excluding NYC, county)
Preconception and Reproductive Health Reduce the rate of adolescent and unplanned pregnancies in NYS Reduce the adolescent pregnancy rate by 10% to 25.6 per 1,000 females (15-17 years)

(Baseline: 28.5; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county), HP 2020 (FP-8.1) target: 36.2/1,000 Reduce disparity* by 10%:

Ratio of rates of pregnancies among females age 15-17 for Black non-Hispanics to White non-Hispanics.

(Target: 4.90; Baseline: 5.47; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)

Ratio of rates of pregnancies among females age 15-17 for Hispanics to White non-Hispanics.

(Target: 4.10; Baseline: 4.58; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)
Reduce the percentage of live births resulting from a pregnancy that was unintended by 10% to 23.8%

(Baseline: 26.4%; Year: 2011; Source: NYS Vital Statistics Data; Data Availability: state, county)

Reduce disparity* by 10%:

Ratio of unintended pregnancy rates among live births for Black non-Hispanics to White non-Hispanics

(Target: 1.90, Baseline: 2.11; Year: 2011; Source: NYS Vital Statistics Data; Data Availability: state, county)

Ratio of unintended pregnancy rates among live births for Hispanics to White non-Hispanics

(Target: 1.43; Baseline: 1.59; Year: 2011; Source: NYS Vital Statistics Data; Data Availability: state, county)

Ratio of unintended pregnancy rates among live births for Medicaid to non-Medicaid

(Target: 1.54, Baseline: 1.71; Year: 2011; Source: NYS Vital Statistics Data; Data Availability: state, county)
Increase utilization of preventive health services among women of reproductive age to improve wellness, pregnancy outcomes and reduce recurrence of adverse birth outcomes Reduce the percentage of all live births that occur within 24 months of a previous pregnancy by 10% to 17.0%

(Baseline: 18.9%; Year: 2010; Source: NYS Vital Statistics Data; Data Availability: state, county)
Promote Mental Health and Prevention Substance Abuse
Focus Area Goal Objective - By December 31, 2018
Promote Mental, Emotional and Behavioral Health (MEB) Promote mental, emotional and behavioral well-being in communities TBD
Prevent Substance Abuse and Other MEB Disorders Prevent underage drinking, nonmedical use of prescription drugs by youth, and excessive use of alcohol consumption by adults Reduce the percentage of adolescents (youth in grades 9 - 12) reporting use of alcohol on at least one day for the past 30 days by 10% from 38.4% to no more than 34.6%

(Baseline: 38.4%, Year: 2011; Data Source: Youth Risk Behavior Survey; Data Availability: state)
Reduce the percentage of adolescents (youth ages 12 to 17 years) reporting the use of non-medical use of painkillers by 10% to no more than 4.73%

(Baseline: 5.26%; Year: 2009-2010; Data Source: National Survey on Drug Use and Health (NSDUH), Data Availability: state)
Reduce the percentage of adults (age 18 and older) reporting binge drinking (5 drinks or more for men on one occasion, and 4 or more drinks for women on one occasion) during the past month by 10% to no more than 18.4%

(Baseline: 20.4%; Year: 2011; Data Source: Behavioral Risk Factor Surveillance System (BRFSS) and Expanded BRFSS; Data Availability: state, county), HP 2020 (SA-14.3) target: 24.4%
Prevent and reduce occurrences of mental, emotional and behavioral disorders among youth and adults Reduce the age-adjusted percentage of adults with poor mental health (14 or more days) in the last month by 10% to no more than 10.1%.

(Baseline: 11.2%; Year: 2011; Data Source: Behavioral Risk Factor Surveillance System (BRFSS) and Expanded BRFSS; Data Availability: state, county)
Reduce the percentage of adolescents (youth grades 9 to 12) who felt sad or hopeless (almost every day for 2 or more weeks in a row so that they stopped doing some usual activities during the past 12 months) by 10% to no more than 22.4%.

(Baseline: 24.9 %; Year: 2011; Data Source: Youth Risk Behavior Survey; Data Availability: state)
Prevent suicides among youth and adults Reduce the percentage of adolescents (youth grades 9 - 12) who attempted suicide one or more times in the past year by 10% to no more than 6.4%

(Baseline: 7.1%; Year: 2011; Data Source: Youth Risk Behavior Survey; Data Availability: state), HP 2020 (MHMD-2) target: 1.7%
Reduce the age-adjusted suicide rate by 10% to 5.9 per 100,000

(Baseline: 6.6 per 100,000,Year: 2007-2009; Data Source: Bureau of Biometrics; Data Availability: state, county ), HP 2020 (MHMD-1) target: 10.2/100,000
Reduce tobacco use among adults who report poor mental health Reduce the age-adjusted percentage of cigarette smoking among adults who report poor mental health by 15% from 32.5% in 2011 to 26
In November 2015 a crude rate was substituted for an age-adjusted rate, for this indicator listed below. The crude rate aligned better with the method used to calculate the adult smoking rate and with the targets the Bureau of Tobacco Control is using with their statewide contractors. Therefore, baseline data, trend data, and 2018 objective of the indicator listed below was revised and updated in March 2016. The prevalence of cigarette smoking among adults with poor mental health (26.5 to 27.6)
(Data source: NY Adult Tobacco Survey; Data Availability: state)
Strengthen Infrastructure Across Systems Support collaboration among professionals working in fields of mental, emotional, behavioral health promotion and chronic disease prevention, treatment and recovery TBD
Strengthen infrastructure for mental, emotional behavioral health promotion, and mental, emotional behavioral disorder prevention TBD

*: Ratio=1 means no disparity

#: Medicaid Managed Care or Child Health Plus programs

Note: The Prevention Agenda 2013-2017 has been extended to 2018 to align its timeline with other state and federal health care reform initiatives.