Prevention Agenda 2013-2018: New York State's Health Improvement Plan

Appendix 1: Preventing Chronic Diseases Action Plan Indicators

Indicator Data Source Frequency Geographic Granularity Sub-Populations Baseline (Year) Target for 2018 (Method)
Focus Area 1: Reduce obesity in children and adults
The percentage of WIC children (ages 2 through 4) who are obese
(Overarching Objective 1.0.1)
Data Source: NYS Pediatric and Pregnancy Nutrition Surveillance System [PedNSS] Annually Reported by county
Collected by WIC Provider
Race/ethnicity
% Poverty
13.1%
(2010)
12.4%
(5% reduction)
The percentage of public school children in New York State reported to the Student Weight Status Category Reporting who are obese
(Overarching Objective 1.0.1)
NYS Student Weight Status Category Reporting [SWSCR] Reported
Bi-Annually
Collected annually
Reported by school district and county
Collected by schools
NA 17.6%
(2010-12)
16.7%
(5% reduction)
The percentage of public school children in New York City represented in the NYC Fitnessgram who are obese
(Overarching Objective 1.0.1)
NYC Fitnessgram Annually Reported by borough
Collected by schools
Race/ethnicity
Participation in free/reduced meal program
20.7%
(2010-11)
19.7%
(5% reduction)
The percentage of adult New Yorkers ages 18 years and older who are obese (and among adults with income of <$25,000 and adults with disabilities)
(Overarching Objective 1.0.2)
NYS Behavioral Risk Factor Surveillance System [BRFSS] State - Annually
County – every 5 years
Statewide NYC/ROS
County
Race/ethnicity
Income
Education
Disability
All adults:
24.2%
Low income:
26.7%
Disabilities:
32.5%
(2011)
All adults: 23.0%
(5% reduction)
Low income: 25.4%
(5% reduction)
Disabilities: 29.3%
(10% reduction)
The percentage of adults who consume one or more sugary drinks per day (and among adults with income of <$25,000)
(Goal 1.1; Objective 1.1.1)
NYS Behavioral Risk Factor Surveillance System [BRFSS] State -
Bi-Annually
Statewide NYC/ROS
County
Race/ethnicity
Income
Education
Disability
All adults: 20.5%
Low income:
42.9%
(2009)
All adults: 19.5%
(5% reduction)
Low income: 38.6%
(10% reduction)
Indicator Data Source Frequency Geographic Granularity Sub-Populations Baseline (Year) Target for 2018 (Method)
than a high school education)
(Goal 1.1; Objective 1.1.2)
  5 years   Disability 59.0%
Disabilities:
49.9%
(2011)
(10% improvement)
Disabilities:
54.9%
(10% improvement)
The number of municipalities that have passed complete streets policies
(Goal 1.1; Objective 1.1.3)
Tri-States Transportation
Campaign
Updated Regularly Municipality
County
Statewide
NA 23
(2011)
46
(100% improvement)
Increase the number of school districts whose competitive food policies meet or exceed Institute of Medicine recommendations
(Goal 1.2; Objective 1.2.1)
Local Wellness Policy Database (NYSDOH/NYSED) To be updated Annually School District
County
Statewide
NA Not yet available
(2012)
TBD
The number of school districts that meet or exceed NYS regulations for Physical Education
(Goal 1.2; Objective 1.2.2)
Office of the New York State Comptroller;
New York State Department of Education
Periodic Audits (OSC)
Ongoing Collection (NYSED)
School District
County
Statewide
NA 5% compliance
(2008)
TBD
The percentage of children and adolescents ages 3 through 17 years who had an outpatient visit with a primary care provider or obstetrics/gynecology practitioner during the measurement year, receiving appropriate assessment for weight status
(Goal 1.3; Objective 1.3.1)
NYS Quality Assurance Reporting Requirements [eQARR] Bi-Annually Statewide
Health Plan Provider
Region
Race/ethnicity
Participation in Medicaid or Child Health Plus
Commercial MC: 58%
MMC or CHP: 72% (2011)
Commercial MC: 75%
(29% improvement)
MMC or CHP: 75%
(5% improvement)
The percentage of infants born in NYS hospitals who are exclusively breastfed during the birth hospitalization
(Goal 1.3; Objective 1.3.2)
Electronic Birth Certificate
Bureau of Biometrics and Biostatistics, NYSDOH;
NYC Office of Vital Records, NYC DOHMH
Annually Statewide
County
Hospital Specific
Race/Ethnicity
Participation in Medicaid or Child Health Plus
WIC Participation
43.7%
(2011)
48.1%
(10% improvement)
The percent of small to medium worksites that offer a comprehensive worksite wellness program for all employees and that is fully accessible to people with disabilities
(Goal 1.4; Objective 1.4.1)
NYSDOH Healthy Heart Program Worksite Survey Every 5 years Statewide;
Criteria for determining comprehensive can be applied to individual worksites
NA Not yet available TBD
(10% improvement)
The percent of employers with supports for breastfeeding at the worksite
(Goal 1.4; Objective 1.4.2)
NYSDOH Healthy Heart Program Worksite Survey Every 5 years Statewide;
Criteria for determining comprehensive can be applied to individual worksites
NA Not yet available TBD
(10% improvement)
Focus Area 2: Reduce illness, disability and death related to tobacco use and secondhand smoke exposure
The prevalence of any tobacco use by high school age students
(Goal 2.1; Objective 2.1.1)
NYS Youth Tobacco Survey Collected Bi-Annually
(even years)
Statewide
New York City (NYC includes the 5 counties of Bronx, Kings, New York, Queens, and Richmond) and Rest of State (ROS)
Gender
Race/ethnicity
Grade (6-8 & 9-12)
21.2%
(2010)
15.0%
(30% reduction)
The prevalence of any cigarette smoking by adults ages 18 to 24 years
(Goal 2.1; Objective 2.1.2)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Annually Statewide NYC/ROS
County
Gender
Race/ethnicity
Income
Education
Disability
21.6%
(2011)
18.0%
(17% reduction)
Increase the number of municipalities that restrict tobacco marketing (including display bans, density and proximity to schools)
(Goal 2.1; Objective 2.1.3)
Community Activity Tracking, CAT Collected continually; reported Annually Statewide N/A 0
(2011)
10
(Improvement)
The number of unique callers to the NYS Smokers' Quitline
(Goal 2.2; Objective 2.2.1)
NYS Smokers' Quitline Annual Report Collected Annually Counties Gender
Race/ethnicity
Age group
Income
Education
Insurance
Disability
163,428
(2011)
200,000
(22% improvement)
The prevalence of cigarette smoking among all adults
(and among adults with income less than $25,000 and adults with poor mental health)
(Goal 2.2; Objective 2.2.2)
NYS Behavioral Risk Factor Surveillance System [BRFSS]; NY Adult Tobacco Survey Collected Annually Statewide NYC/ROS
County
Gender
Race/ethnicity
Age group
Income
Education
Disability
All adults:
18.4%
Low income:
27.8%
Poor mental health: 31.2%
(2011)
All adults: 15.0%
(18% reduction)
Low income: 20%
(30% reduction)
Poor mental health: 26.5%
(15% reduction)
The utilization of smoking cessation benefits among smokers who are members of Medicaid Managed Care plans
(Goal 2.2; Objective 2.2.3)
Medicaid Collected continually;
Reported Annually
Counties Race/ethnicity
Income
17%
(2011)
41%
(141% improvement)
The percentage of adults who report being exposed to secondhand smoke during the past 7 days
(Goal 2.2; Objective 2.3.1)
NYS Adult Tobacco Survey Fielded Quarterly;
Reported Annually
Statewide
NYC/ROS
Gender
Race/ethnicity
Age group
Income
Education
Insurance
27.8%
(2009)
20.0%
(28% reduction)
The number of Local Housing Authorities that adopt a tobacco-free policy for all housing units
(Goal 2.3; Objective 2.3.2)
Community Activity Tracking, CAT Collected continually; Reported Annually Statewide N/A 3
(2012)
12
(400% improvement)
Focus Area 3: Increase access to high quality chronic disease preventive care and management
The percentage of women aged 50 to 74 with an income of <$25,000 who receive breast cancer screening based on the most recent clinical guidelines (mammography within past 2 years)
(Goal 3.1; Objective 3.1.1)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Bi-Annually
(even years)
Statewide Race/ethnicity
Income
Education
Disability
76.7%
(2010)
80.5%
(5% improvement)
The percentage of women aged 21 to 65 years with an income of <$25,000 who receive a cervical cancer screening based on the most recent clinical guidelines (Pap test within the past 3 years)
(Goal 3.1; Objective 3.1.2)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Bi-Annually
(even years)
Statewide Race/ethnicity
Income
Education
Disability
83.8%
(2010)
88.0%
(5% improvement)
The percentage of all adults (50-75 years) and those with an income of <$25,000, who receive a colorectal cancer screening based on the most recent clinical guidelines (blood stool test in the past year or sigmoidoscopy in the past 5 years and a blood stool test in the past years or a colonoscopy in the past 10 years)
(Goal 3.1; Objective 3.1.3)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Bi-Annually
(even years)
Statewide Gender
Race/ethnicity
Income
Education
Disability
All >50 adults: 68.0%
Low income: 59.4%
(2010)
71.4%
(5% improvement)
65.4%
(10% improvement)
The percentage of adults 18 years of age and older who had a test for high blood sugar or diabetes within the past three years
(Goal 3.1; Objective 3.1.4)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Annually Statewide Age group
Race/ethnicity
Income
Education
Disability
58.8%
(2011)
61.7%
(5% improvement)
The rate of asthma emergency department visits among NYS residents ages 0-4; 5-64; and 65+ years (and all residents))
(Goal 3.2; Objective 3.2.1)
New York Statewide Planning & Research Cooperative System [SPARCS] Rolling data collection;
Rates calculated Annually
(As 3-year moving averages)
Statewide
Region
County
Age group
Gender
Race/ethnicity
0-4y: 218.3 per 10,000
5-64y: 81.6 per 10,000
65+y: 31.4 per 10,000
(2007-09)
all ages: 83.4 per 10,000 (2007-09)
0-4y: 156.9 per 10,000
(28% reduction)
5-64y: 65.4 per 10,000
(20% reduction)
65+y: 22.3 per 10,000
(29% reduction)
all ages: 75.1 per 10,000
(10% reduction)
The rate of asthma hospital discharges among NYS residents ages 0-4; 5-64; 65+ years
(Goal 3.2; Objective 3.2.2)
New York Statewide Planning & Research Cooperative System [SPARCS] Rolling data collection;
Rates calculated Annually
(As 3-year moving averages)
Statewide
Region
County
Age group
Gender
Race/ethnicity
0-4y: 58.8 per 10,000
5-64y: 15.5 per 10,000
65+y: 31.2 per 10,000
(2007-09)
0-4y: 38.5 per 10,000
(35% reduction)
5-64y: 11.9 per 10,000
(23% reduction)
65+y: per 25.8 10,000
(17% reduction)
The percentage of health plan members, ages 5 to 64 years, with persistent asthma who were dispensed appropriate asthma controller medication for at least 50% of the treatment period
(Goal 3.2; Objective 3.2.3)
NYS Electronic Quality Assurance Reporting Requirements [eQARR] Reported Bi-Annually
(Odd years)
Statewide
Region
Plan type (Medicaid vs. Commercial managed care)
For MMC enrollees only: By gender, age, race/ethnicity
MMC or CHP: 58%
Commercial MC: 65%
(2012)
MMC or CHP: 65%
(12% improvement)
Commercial MC: 71.5%
(10% improvement)
The percentage of health plan members, ages 18 to 85 years, with hypertension who have controlled their blood pressure (below 140/90)
(Goal 3.2; Objective 3.2.4)
NYS Electronic Quality Assurance Reporting Requirements [eQARR] Reported Bi-Annually
(Odd years)
Statewide
Region
Plan type (Medicaid vs. Commercial managed care)
For MMC enrollees only: By gender, age, race/ethnicity
Commercial MC: 63%
MMC: 67%
Black adults among MMC: 58%
(2011)
Commercial MC: 69.3%
(10% improvement)
MMC: 72%
(7% improvement)
MMC among black adults: 66.7%
(15% improvement)
The age-adjusted rate of hospitalization for heart attack among NYS residents
(Goal 3.2; Objective 3.2.5)
New York Statewide Planning & Research Cooperative System [SPARCS] Rolling data collection;
Rates calculated Annually
(As single year rates)
Statewide
Region
County
Age group
Gender
Race/ethnicity
16.0 per 10,000
(2010)
14.4 per 10,000
(10% reduction)
The percentage of health plan members with diabetes whose blood glucose is in good control (hemoglobin A1C less than 8.0%)
(Goal 3.2; Objective 3.2.6)
NYS Electronic Quality Assurance Reporting Requirements [eQARR] Reported Bi-Annually
(Odd years)
Statewide
Health Plan Provider
Region
Plan type (Medicaid vs. Commercial managed care)
For MMC enrollees only: By gender, age, race/ethnicity
MMC: 58%
Commercial MC: 55% Black adults among MMC: 56%
(2009)
MMC: 62%
(7% improvement)
Commercial MC: 60.5%
(10% improvement)
Black adults among MMC: 62%
(10% improvement)
The percentage of Medicaid Managed Care plan members who received all four screening tests for diabetes (HbA1c testing, lipid profile, dilated eye exam and nephropathy monitoring)
(Goal 3.2; Objective 3.2.7)
NYS Electronic Quality Assurance Reporting Requirements [eQARR] Reported Bi-Annually
(Odd years)
Statewide
Health Plan Provider
Region
Plan type (Medicaid vs. Commercial managed care)
For MMC enrollees only: By gender, age, race/ethnicity
All adults w/ diabetes: 50%
Black adults w/ diabetes: 45% Non-Hispanic white adults w/ diabetes: 46%
All adults with diabetes: 52.5%
(5% improvement)
Black adults with diabetes: 49.5%
(10% improvement)
Non-Hispanic white adults with diabetes: 50.6%
(10% improvement)
Reduce the rate of hospitalizations for short-term complications of diabetes
(Goal 3.2; Objective 3.2.8)
New York Statewide Planning & Research Cooperative System [SPARCS] Rolling data collection;
Rates calculated Annually
(As single-year rates)
Statewide
Region
County
Age group
Gender
Race/ethnicity
6-17y: 3.4 per 10,000
18+y: 5.4 per 10,000
(2007-09)
6-17y: 3.06 per 10,000
(10% reduction)
18+y: 4.86 per 10,000
(10% reduction)
The percentage of adults with arthritis, asthma, cardiovascular disease, and/or diabetes who have taken a course or class to learn how to manage their condition
(Goal 3.3; Objective 3.3.1)
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Annually
(beginning in 2013)
Statewide NYC/ROS
County
Type of chronic condition
Age group
Race/ethnicity
Income
Education
Disability
Not yet available
(2013)
TBD
(5% improvement)
The percentage of adults with current asthma who have received a written asthma action plan from their health care provider
(Goal 3.3; Objective 3.3.2
NYS Behavioral Risk Factor Surveillance System [BRFSS] Collected Annually Statewide Age group
Race/ethnicity
Income
Education
Disability
29%
(2010)
40%
(38% improvement)

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