Hyatt Regency Austin • Austin, Texas • September 12-14 ...€¦ · 11/9/2012 · Paul Wallace,...

ASTHO Annual Meeting 2012Hyatt Regency Austin • Austin, Texas • September 12-14

Public | Health | Care: Working Together for a Healthier Nation

2 Association of State and Territorial Health Officials • www.astho.org

CONfeReNCe ObjeCTiveS

The ASTHO Annual Meeting convenes state and ter-ritorial health officials and other senior leaders from state public health, the federal agencies, local public health, and other nonprofit public health organiza-tions to address strategic public health and leadership issues. The 2012 meeting focuses on the intersection of public health and healthcare and explores how leaders in these fields can work together, leverage limited resources, and capitalize on their unique expertise to make greater improvement in population health. Our objectives are to:

• Highlight current and proposed policies and prac-tices that are designed to improve health equity and health outcomes for all in our nation.

• Provide practitioners with effective tools and resources necessary to ensure performance man-agement, continuous quality improvement, and health system accountability.

• Strengthen the governmental public health enterprise.

• examine innovative approaches for integrating the public health and health care systems and making other long-term changes in health policy to prevent disease, protect and promote health, and transform the health system from an illness-oriented system to a wellness-oriented system.

Contents Welcome Remarks ...............................3education Committee ..........................4General information ............................5Meeting Sponsors ................................6ASTHO funders ....................................6Wednesday Program, Sept. 12 ............7Thursday Program, Sept. 13 ............ 8-9friday Program, Sept. 14 ...................10Corporate Alliance Partners ..............11vision Awards ....................................12Hyatt Regency floor Plan ...................13future Meetings ................................14At-a-Glance Program .........................16

Dear Colleagues,

Welcome to Austin, TX and to the ASTHO Annual Meeting 2012, “Public|Health|Care: Working Together for a Healthier Nation.”

President-elect josé Montero and the education Committee have assembled an out-standing agenda for you that explores the intersection of public health and healthcare and features discussion, tips, and practical tools for you to take home to your state or territory. Paul Wallace, MD, chair of the institute of Medicine Committee on the inte-gration of Primary Care and Public Health, will set the stage for our meeting with his opening keynote on how public health and healthcare professionals can work together to transform our health system and build a healthier nation.

We anticipate compelling addresses from several of your colleagues and prominent national and international leaders, such as Kevin Concannon, under secretary for food, nutrition, and consumer services, USDA; Shu-Ti Chiou, MD, PhD, MSc, director-general, bureau of Health Promotion, Taiwan; and james S. Marks, MD, MPH, senior vice president, Robert Wood johnson foundation, to name a few.

i am especially honored that jennifer Howse, PhD, president and CeO of the March of Dimes, and Michael Lu, MD, MS, MPH, associate administrator, HRSA, plan to join me to celebrate the tremendous success the states have made on my President’s Challenge this year and discuss how we can keep the momentum going to drive down preterm birth rates and reach our 2014 and 2020 goals.

Thursday’s luncheon features a dialogue with judith Monroe, MD, fAAfP, from CDC and NACCHO President john Wiesman, MPH, CPH, about the integration of public health and healthcare and the key opportunities federal, state, and local public health leaders must seize to engage leaders in clinical medicine.

Two esteemed ASTHO alumni—eduardo Sanchez, MD, fAAfP, MPH, and Reed Tuckson, MD, fACP—will help josé Montero launch his President’s Challenge in friday’s closing session and send you home reenergized and ready to use what you learned here to improve health in your state or territory.

in addition to educational sessions, we encourage you to take full advantage of the many networking opportuni-ties to get to know and learn from your colleagues during the meeting. We’ve planned an exciting social event that gives you a taste of Texas. We hope you’ll join us on Wednesday evening on Sixth Street at the iron Cactus for food and downtime with friends. Later in the evening, we will head over to esther’s follies for some good-humored political satire.

Thank you for sharing this time with us. We hope you leave Austin with new ideas as well as many new and re-newed friendships.

Again, welcome, and enjoy your stay in Austin!

David Lakey, MD President, ASTHO Commissioner of the Texas Department of State Health Services

WeLCOMe ReMARKS

Association of State and Territorial Health Officials • www.astho.org 3


eDUCATiON COMMiTTee

josé Montero, MD, MPHASTHO President-electDirector, New Hampshire Division of Public Health Services

Loretta Deliana fuddy, ACSW, MPHDirector, Hawaii Depart-ment of Health

Mary SeleckySecretary, Washington State Department of Health

Gus birkhead, MD, MPHDeputy Commissioner,New York State Department of Health

Mary Currier, MD, MPHState Health Officer, Mississippi Department of Health

Karen Remley, MD, MbAHealth Commissioner, virginia Department of Health

Chris Atchison, MPAAssociate Dean for Public Health Practice, University of iowa (Alumnus - iA)

Michael fraser, PhD, CAeCeO, Association of Maternal and Child Health Programs

Statement on Disclosures

The Association of State and Territorial Health Officials strives to ensure balance, independence, objectivity, and scientific rigor in all of its educational programs. All plan-ners, faculty members, moderators, discussants, panelists, and presenters participating in this program have been required to disclose any real or apparent conflicts of inter-est that may have a direct bearing on the subject matter of this program. This includes relationships with pharma-ceutical companies, biomedical device manufacturers, or

other corporations whose products or services are re-lated to the subject matter of the presentation topic.The intent of this policy is to identify openly any con-flict of interest so that attendees may form their own judgments about the presentation with full disclosure of the facts. in addition, faculty are expected to openly disclose any off-label, experimental, or investigational uses of drugs or devices in their presentation. Written disclosures are available upon request.

Staff committee members: Lacy fehrenbach, MPH, CPH; Sharon Moffat, RN.


GeNeRAL iNfORMATiON

HotelHyatt Regency Austin208 barton Springs RoadAustin, TX 78704512-477-1234Check-in: 4 p.m.Check-out: 11 a.m.

RegistrationTexas ballroom foyerGuests must wear badges for entry into all sessions, meetings, and events. if you lose your badge, please visit the registration desk to obtain a new one.HoursTuesday, Sept. 11: 7 a.m. - 7 p.m.Wednesday, Sept. 12: 7 a.m. - 5 p.m.Thursday, Sept. 13: 7 a.m. - 5 p.m.friday, Sept. 14: 8 - 11 a.m.

Conference Dressbusiness casual attire is appropriate for the 2012 annual meeting sessions. Rooms are air conditioned, so please dress in layers to ensure comfort. for the evening social events, dress is casual.

RecordingNo audio or video recording of the presentations at the conference may be made without the prior written per-mission of ASTHO. ASTHO reserves the right to prohibit recording of presentations, even if it is intended for personal use.

Conference OfficePadre islandLocated on the second floor, the office serves as a room where participants can take conference calls. Stop by with any conference questions or if you need assistance.HoursTuesday-Thursday 8 a.m. - 5 p.m.friday 8 a.m. - Noon

Speaker Loungebig ThicketConference presenters and moderators may use the speaker lounge as a hold room or to prepare for their ses-sions. A laptop with wireless internet access is available in the lounge.HoursWednesday-Thursday 8 a.m. - 5 p.m.friday 8 a.m. - Noon

Hospitality SuiteRoom 1531The Hospitality Suite is a private venue for casual net-working among state and territorial health officials only. Wireless internet will be available. Daytime use can be arranged at the Conference Office.HoursTuesday 6 p.m. - MidnightWedndesday 9 p.m. - MidnightThursday 6 p.m. - Midnight

Conference WellnessMeals and snacks provided at the 2012 ASTHO Annual Meeting comply with ASTHO’s Healthy foods Policy and meet diverse dietary restrictions. Please see any ASTHO staff member or visit the Conference Office with dietary needs.

The Hyatt Regency Austin’s 24-hour fitness facility is on the first floor. The hotel also features an outdoor pool and a 4-mile loop trail that begins just out the back door. in addition, ASTHO staff will lead Wellness Walks to the Wednesday social function and on friday morning, as well as an indoor activity Thursday afternoon.

Special AssistanceGuests requiring special assistance may contact any ASTHO staff member or visit the conference office.


THANK YOU 2012 ANNUAL MeeTiNG SPONSORS

ASTHO fUNDeRS

TSI CONSULTING PARTNERS, INC.

U.S. Centers for Disease Control and PreventionU.S. Health Resources and Services AdministrationU.S. food and Drug AdministrationU.S. Substance Abuse and Mental Health Services AdministrationU.S. Office of the Assistant Secretary for Preparedness and ResponseNational initiative for Children’s Healthcare Quality, inc.National Association of County and City Health OfficialsNational Governors AssociationNational Conference of State Legislaturesde beaumont foundationThe Robert Wood johnson foundationUnited Health foundation

ASTHO thanks the following organizations for their ongoing support of ASTHO’s work and support of our members.


WeDNeSDAY, SePT. 127:00 a.m. - 5:00 p.m. RegistrationTexas ballroom foyer

12:30 - 2:00 p.m. Opening Keynote Session: integration of Public Health and Primary CareTexas ballroom i-iiiSponsored by TSI ConsultingWelcome RemarksPaul Jarris, MD, MBAexecutive Director, ASTHO

David Lakey, MDPresident, ASTHO and Commissioner, Texas Department of State Health Services

Paul Wallace, MDChair, iOM Committee on the integration of Primary Care and Public Health and Senior vice President, The Lewin Group

Moderator: David Lakey, MD

The opening session looks at how the integration of public health and primary care can transform our health system from one focused on sickness and treatment to one focused on wellness and prevention.

Presentation of ASTHO National and State Excellence in Public Health Awards

2:00 - 2:20 p.m. Networking break

2:20 - 3:40 p.m. Working With Hospitals to improve PreventionTexas ballroom i-iiiSister Carol KeehanPresident & CeO, Catholic Health Associa-tion of the United States

Nirav Shah, MD, MPHCommissioner, New York State Department of Health

Shu-Ti Chiou, MD, PhD, MScDirector-General, bureau of Health Promo-tion, Department of Health, Taiwan, and Chair of Governance board, international Network of Health Promoting Hospitals and Health Services

Moderator: Karen Remley, MD, MBACommissioner, virginia Department of Health

This session features success stories and tools from hos-pitals and health departments, demonstrating how they can work together on downstream prevention efforts and share information and expertise—for example, in con-ducting a community health needs assessment.


4:10 - 5:30 p.m. Making the Case for PreventionTexas ballroom i-iiiJames S. Marks, MD, MPHSenior vice President, Robert Wood johnson foundation

Mel Kohn, MD, MPHDirector and State Health Officer, Oregon Public Health Division

Mary Currier, MD, MPHState Health Officer, Mississippi Department of Health

Moderator: John AuerbachCommissioner, Massachusetts Department of Public Health

The latest research findings show community prevention efforts limit healthcare treatment costs, improve quality of life, and increase productivity. Learn how to frame the value of prevention in a manner that resonates with the private sector, the public, and policymakers.

6:00 - 9:00 p.m. Networking Reception and esther’s folliesiron Cactus, esther’s follies

Reconnect with your colleagues at the annual networking reception, featuring drinks and appetizers at iron Cactus, followed at 7:30 p.m. by a private show at esther’s follies, Texas’s premier comedy and magic show. The iron Cactus (606 Trinity St.) is an easy 1-mile walk from the Hyatt, or shuttles will depart from the lobby area. esther’s follies (525 e. 6th St.) is two blocks from iron Cactus. Shuttles will be available for the return trip to the Hyatt.


THURSDAY, SePT. 137:00 - 8:45 a.m. SHO-Alumni breakfastfoothills i, 17th floorSponsored by Blue Cross Blue Shield of Texasfor current and former state and territorial health officials only.

8:00 a.m. - 5:00 p.m. RegistrationTexas ballroom foyer

8:00 - 8:45 a.m. breakfastTexas ballroom foyer

9:00 - 10:30 a.m. 2012 President’s Challenge: Strides Toward Healthier babiesTexas ballroom i-iiiDavid Lakey, MDPresident, ASTHO and Commissioner, Texas Department of State Health Services

Jennifer Howse, PhDPresident & CeO, March of Dimes

Michael Lu, MD, MS, MPHAssociate Administrator, Maternal and Child Health bureau, HRSA

Jewel Mullen, MD, MPH, MPACommissioner, Connecticut Department of Public Health

Terry Cline, PhDCommissioner, Oklahoma State Department of Health

Top leadership from the March of Dimes, the head of HRSA’s MCH bureau, and state health officials from Connecticut and Oklahoma will share their achievements and insights and celebrate the success of ASTHO President David Lakey’s (TX) President’s Challenge.

10:30 - 11:00 a.m. Networking break

11:00 - 11:40 a.m. improving Child NutritionTexas ballroom i-iiiKevin ConcannonUnder Secretary, food, Nutrition, and Consumer Services, USDA

Moderator: Loretta Fuddy, ACSW, MPHDirector, Hawaii Department of Health

Significant savings can be realized in terms of life, health, and healthcare costs if we commit to address obesity, in particular among children. in this session, we will discuss how federal and state leaders can work together to im-prove child nutrition through reforms to the school lunch and breakfast programs, SNAP, and WiC as the nation implements the Healthy Hunger-free Kids Act.

11:40 a.m. - 12:00 p.m. Networking break

12:00 - 2:00 p.m. Luncheon Session: Strengthening the Public Health enterpriseTexas ballroom i-iiiJudith Monroe, MD, FAAFPDirector, Office of State, Tribal, Local, and Territorial Support, CDC

John M. Wiesman, MPH, CPHPresident, National Association of County and City Health Officials, and Director, Clark County Public Health

Moderator: José Montero, MD, MPHPresident-elect, ASTHO, and Director, New Hampshire Division of Public Health

following a networking lunch, top leaders from the governmental public health enterprise will discuss challenges facing the federal, state, and local public health system and how together we can navigate the changing landscape for public health.

Presentation of Alumni, Swearingen, and McCormack Awards

2:00 - 2:30 p.m. Networking break and Wellness ActivityTexas ballroom ivGet moving during this break at the Preparedness Trivia Game.


THURSDAY, SePT. 132:30 - 4:00 p.m. Medicaid and Public Health Partnerships: Achieving better Health OutcomesTexas ballroom i-iiiCarol BackstromSenior Policy Advisor, Center for Medicaid and CHiP Services

Kathleen Nolan, MPHDirector of State Policy and Programs, National Associa-tion of Medicaid Directors

Doug Porterformer Director, Washington State Health Care Authority

Mary SeleckyDirector, Washington State Health Care Authority

Moderator: Karyl Rattay, MD, MSDirector, Delaware Division of Public Health

Medicaid programs face significant challenges and oppor-tunities as health reform is implemented, many of which hold potential to improve population health. This session will explore how public health can support Medicaid and features remarks from national leaders in Medicaid as well as practical examples from Washington state about Medicaid-public health partnerships that make a differ-ence in health outcomes.


4:30 - 6:30 p.m. ASTHO Assembly of Members business MeetingHill Country Rooms C&D, first floorCurrent state and territorial health officials only.

4:30 - 6:30 p.m. ASTHO Alumni Society business MeetingHill Country Room b, first floorformer state and territorial health officials only.

7:00 - 9:00 p.m. Corporate Alliance Reception and Dinnerfoothills i, 17th floorCurrent state and territorial health officials and Corporate Alliance Members only.


fRiDAY, SePT. 148:00 - 11:00 a.m. RegistrationTexas ballroom foyer

8:00 - 9:00 a.m. vision Awards breakfastTexas ballroom foyerAward presentation begins at 8:30.

9:00 - 10:00 a.m. Prescription Drug Overdose, Misuse, and DiversionTexas ballroom iTheodore E. Wymyslo, MDDirector, Ohio Department of Health

John J. Dreyzehner, MD, MPH, FACOEMCommissioner, Tennessee Department of Health

Moderator: Terry Cline, PhDCommissioner, Oklahoma State Department of Health

in 2008, more than 36,000 people died of overdoses. A significant portion of overdose deaths were caused by prescription drugs. States play a key role as healthcare regulators and guardians of public health in bending the curve of this epidemic. This session will feature presen-tations from leaders who take a broad approach that integrates both prevention and treatment aspects of substance abuse so that fewer people lose their health or lives to prescription drug overdose, misuse, or diversion.

10:00 - 10:40 a.m. Progress and Opportunity: A Tobacco UpdateTexas ballroom iLawrence Deyton, MD, MSPHDirector, Center for Tobacco Products, U.S. food and Drug Administration

Moderator: Ed Ehlinger, MD, MSPHCommissioner, Minnesota Department of Health

Despite significant progress, tobacco remains the lead-ing cause of preventable disease and death in the United States. in addition, tobacco costs us $96 billion in health-care costs and $97 billion in lost productivity each year. This session will include an update on implementation of the family Smoking Prevention and Tobacco Control Act and address how states and the federal government can prevent youth from using tobacco, help users quit, and reduce the burden of tobacco use.


11:00 a.m. - 12:30 p.m. Closing Session: Launch of President’s ChallengeTexas ballroom iJosé Montero, MD, MPHPresident-elect, ASTHO, and Director, New Hampshire Division of Public Health

Eduardo Sanchez, MD, FAAFP, MPHvice President and Chief Medical Officer, blue Cross blue Shield of Texas

Reed Tuckson, MD, FACPexecutive vice President, UnitedHealth Group

This final session includes thought- provoking presentations that will send participants home reenergized and ready to implement the various strategies discussed at the Annual Meeting 2012. in addition, President-elect josé Montero will launch the 2013 ASTHO President’s Chal-lenge.

12:30 p.m. Meeting Adjourns


ASTHO CORPORATe ALLiANCe PARTNeRSASTHO thanks the following companies who support ASTHO through the Corporate Alliance program.


viSiON AWARDSThe vision Awards recognize outstanding state and territorial health agency programs and initiatives that use a creative approach to address public health needs or problems.

Category APrograms with budget of $250,000 or more

first PlaceOhio Department of HealthOhio Perinatal Quality Collaborative

The Ohio Perinatal Collaborative to improve birth Data and Prematurity Outcomes is a creative approach to using public health surveillance data (birth certificates) as a supplement to data collected from medical records to serve as the metrics that can inform and accelerate perinatal quality improvement initiatives. The Ohio Peri-natal Quality Collaborative (OPQC), Ohio’s public/private partnership focused on improving health outcomes using quality improvement science, has documented early successes in reducing late preterm scheduled deliver-ies without medical indication in 20 delivery hospitals in Ohio. Spreading what works will be essential in reducing prematurity and having a measurable impact on popula-tion health.

Second PlaceTexas Department of State Health ServicesSurviving Disaster: How Texans Prepare

Using real survival stories, the “Surviving Disaster: How Texans Prepare” toolkit is a replicable and sustainable multipronged approach to helping residents prepare for, respond to, and recover from disasters. The toolkit’s videos have attracted attention nationally and been screened at hospitals, businesses, conferences, and county departments and on cable channels.

Category bPrograms with budget less than $250,000

first Placeflorida Department of Healthflorida Multidrug-Resistant Tuberculosis Screening Program

in order to foster the most rapid detection of multidrug-resistant tuberculosis (MDR Tb) patients, florida imple-mented a universal screening process for highly infectious Tb patients for MDR Tb from sputum sediment in july 2009. This universal screening process rapidly validates an initial treatment regimen or indicates the definite need to change a treatment regimen before the patient experi-ences treatment failure. As a result of implementing this protocol, 31 florida Tb patients were more accurately diagnosed, ensuring appropriate treatment, minimizing transmission, and providing the patient the best chance of being cured.

Second PlaceOklahoma State Department of Healthevery Week Counts Collaborative

The project used government, nonprofit, and community collaborations to support hospital administration, medi-cal, and nursing staff in all Oklahoma birthing hospitals to implement policies and evidence-based practices to eliminate inductions and scheduled cesarean sections before 39 weeks gestation without a medical indication. When comparing the first quarter of 2011 with the first quarter of 2012, there has been a 66 percent decrease in elective scheduled deliveries before 39 weeks.


HYATT ReGeNCY AUSTiN MAPS

first floor

Second floor

Seventeenth floor


jOiN US AT NeXT YeAR’S ANNUAL MeeTiNG

fOLLOW THe ANNUAL MeeTiNG ON SOCiAL MeDiA

2013 Policy Summit and Annual MeetingOrlando Renaissance SeaWorld

September 17-20, 2013

On Twitter@ASTHO

@RWjf_PubHealth

Meeting Hashtag#ASTHO12

Writers from the Robert Wood johnson foundation’s NewPublicHealth.org blog are back again this year to highlight some of the amazing content and conversations that occur at the ASTHO Annual Meeting. extend those conversations by sharing your thoughts and ideas in the comments section. NewPublicHealth.org is an online resource designed to inform and spark conversations around the latest happenings in public health.

Stay Connected with Center for Tobacco Products

Our mission is to protect Americans from tobacco-related death and disease by regulating tobacco products and educating the public about the dangers of their

use. Everything we do is designed to reduce the impact of tobacco on public health, with specific goals to encourage cessation and prevent youth initiation.

Center for Tobacco Products

Connect with us:

Follow us on Twitter @FDATobacco

Visit www.fda.gov/tobacco to sign up for text messages and email updates on tobacco products

1-877-CTP-1373 | [email protected] | www.fda.gov/tobacco


PROGRAM AT A GLANCeWeDNeSDAY, SePT. 12

12:30 - 2:00 p.m. Opening Session: integration of Public Health and Primary CareTexas ballroom i-iiiSponsored by TSI Consulting

Presentation of ASTHO National and State Excellence in Public Health Awards


fRiDAY, SePT. 14

8:00 - 11:00 a.m. RegistrationTexas ballroom foyer

8:00 - 9:00 a.m. vision Awards breakfastTexas ballroom foyer

9:00 - 10:00 a.m. Prescription Drug Overdose, Misuse, and DiversionTexas ballroom i

THURSDAY, SePT. 13

7:00 - 8:45 a.m. SHO-Alumni breakfastfoothills i, 17th floorSponsored by Blue Cross Blue Shield of Texas

8:00 - 8:45 a.m. breakfastTexas ballroom foyer

9:00 - 10:30 a.m. 2012 President’s Challenge: Strides Toward Healthier babiesTexas ballroom i-iii


11:00 a.m. - 11:40 p.m. improving Child NutritionTexas ballroom i-iii


12:00 - 2:00 p.m. Luncheon Session: Strengthening the Public Health enterpriseTexas ballroom i-iii

Presentation of McCormack and Swearingen AwardsPresentation of Alumni Award

2:00 - 2:30 p.m. Networking break and Wellness ActivityTexas ballroom iv

2:30 - 4:00 p.m. Medicaid and Public Health Partnerships: Achieving better Health OutcomesTexas ballroom i-iii


4:30 - 6:30 p.m. ASTHO Assembly of Members business MeetingHill Country Rooms C&D, first floorCurrent state and territorial health officials only.

4:30 - 6:30 p.m. ASTHO Alumni Society business MeetingHill Country Rooms b, first floorformer state and territorial health officials only.

7:00 - 9:00 p.m. Corporate Alliance Reception and Dinnerfoothills i, 17th floor

2:20 - 3:40 p.m. Working With Hospitals to improve PreventionTexas ballroom i-iii


4:10 - 5:30 p.m. Making the Case for PreventionTexas ballroom i-iii

6:00 - 9:00 p.m. Networking Reception and esther’s folliesiron Cactus, esther’s follies

10:00 - 10:40 a.m. Progress and Opportunity: A Tobacco UpdateTexas ballroom i


11:00 a.m. - 12:30 p.m. Closing Session: Launch of Presi-dent’s ChallengeTexas ballroom i

Hyatt Regency Austin • Austin, Texas • September 12-14 ...€¦ · 11/9/2012 · Paul Wallace,...

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