NCCHW Statewide Approaches to Addressing Arthritis

This Scorecard reflects the North Carolina Center for Health and Wellness State Public Health Approaches to Addressing Arthritis Initiative, which is funded by the Centers for Disease Control and Prevention. 

This Scorecard is a web-based platform for tracking and communicating the following:

RESULTS—the conditions of health and wellbeing we envision and are collectively working to achieve;

INDICATORS—the Outcome Measures of population health and wellness we are contributing to "turning the curve" on through this work and with our network of partners;

STRATEGIES—the coherent collections of activities we take to achieve results; and

PERFORMANCE MEASURES—the Milestones or Target Measures of the quality and impact of our efforts, which answer the questions "how much" we did, "how well" we did it, and "is anyone better off?"

 

R
Time
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Actual
Value
Current
Target
Value
Next Period
Forecast
Value
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Trend
Baseline
% Change
Why Is This Important?

Currently, 53.8% of NC adults are limited in some way because of Arthritis or joint symptoms. Adults with Arthritis are often less active than adults without Arthritis and struggle with disease‐specific barriers to being physically active, such as episodic pain and fear of exacerbating their condition (Callahan, Shreffler, Altpeter et al., 2011).  In addition, Arthritis limits physical activity and complicates management of other chronic diseases such as heart disease, diabetes, and obesity. Systematically offering Arthritis-Appropriate Evidence-Based Interventions (AAEBIs), working with health care providers to counsel and refer patients to increased physical activity, promoting walking, and raising awareness about Arthritis can result in improved population health outcomes, self-efficacy, and cost-savings.

Description
S
Time
Period
Current
Actual
Value
Current
Target
Value
Next Period
Forecast
Value
Current
Trend
Baseline
% Change
What We Do
Action Plan

Strategy 1 Activities for selected AAEBIs

Activity 1.1

Train CPSMP by training 10 MTs and 40 leaders, provide materials and promotion

August 2018

June 2019

Attendance logs and class data in WW

Centralina AAA and NCCHW Project Coordinator

Activity 1.2

Support 10 CBOs to offer WWE by training 40 leaders

August 2018

June 2019

Attendance logs, class data in WW

NCCHW Project Coordinator

Activity 1.3

Expand capacity of 2 YMCAs to offer EF by training 20 leaders and providing weights

August 2018

June 2019

Attendance logs, class data in WW

YMCA of WNC

Activity 1.4

Offer cultural competence and disability inclusion training to leaders and MTs

August 2018

June 2019

Attendance logs, class data in WW

NCCHW Project Coordinator, YMCA & Centralina

Activity 1.5

Add WWE and EF into NC’s Continuum of Care Toolkit to support cross-referrals of program participants

November 2018

December 2019

Updated toolkit on the HANC website

NCCHW Project Coordinator

Activity 1.6

Offer AAEBIs through quarterly calls, quarterly newsletters, monthly webinars, data collection, reports, class lists, etc.

July 2018

June 2019

Mailchimp reports, Webinar recordings, Scorecards

NCCHW Project Coordinator

Activity 1.7

Connect CBOs with AAEBIs to foster collaboration by hosting six regional meetings

September 2018

June 2019

RBA agendas, attendance logs

NCCHW Project Coordinator

Activity 1.8

Identify at least  3 additional funding mechanisms

July 2018

By August 2018

Grant and/or funding requests

NCCHW Project Coordinator, Director

Additional Measures

Measures

1.Chronic Disease Self-Management Education:

6 regional meetings

Identify 3 sustainable funding mechanisms to support growth of AAEBIs

2.CPSMP:

CPSMP master training cross-training for 10 people

40 new CPSMP Lay Leaders

7 new orgs offer CPSMP

3.WWE:

10 new orgs offer WWE

40 new leaders of WWE

Promote self-directed version of WWE

4.EF

20 YMCA leaders trained in EF

S
Time
Period
Current
Actual
Value
Current
Target
Value
Next Period
Forecast
Value
Current
Trend
Baseline
% Change
What We Do
Action Plan

Strategy 2 Activities

Collaborate with agencies to build AAEBI referrals to HANC

July 2018

June 2019

New pathways cataloged; Scorecard

NCCHW Project Coordinator

 

Counsel patients on PA/walking; refer to an AAEBI; register on HANC

September 2018

June 2019

Intake, registration, referral logs

Health Coach/Outreach Specialist

 

Reach out to health care providers/systems, including health departments, FQHCs, LME/MCOs, rheumatologists, physical therapists, pharmacists, etc, to raise awareness and receive referrals

July 2018

June 2019

Scorecard

NCCHW Project Coordinator, Health coach/Outreach Specialist

 

Provide statewide summit with CEU training

July 2018

June 2019

Registration, CEUs provided

NCCHW, Centralina Training Academy

 

Reach out to health orgs to engage in regional meetings (Activity 1.7)

September 2018

June 2019

Log RBA notes, agenda, attendance

NCCHW, Centralina Training Academy

 

Explore lessons learned with engaging health care providers and providing health coaching

September 2018

June 2019

Logs of barriers and referrals

NCCHW Health Coach/Outreach Specialist

 

Submit abstracts and attend 1-2 health conferences/yr

July 2018

June 2019

Presentations submitted

NCCHW

 

Additional Measures

Measures

Health Coach protocol developed

10 new health care providers/systems, including health departments, FQHCs, LME/MCOs, rheumatologists, physical therapists, pharmacists, etc, provide referrals

Partnership with NC Department of Public Health

A statewide healthy aging summit focused on health care providers/systems and AAEBIs

Presentations at 1-2 conferences

S
Time
Period
Current
Actual
Value
Current
Target
Value
Next Period
Forecast
Value
Current
Trend
Baseline
% Change
What We Do
Action Plan

Strategy 3 Activities

Activity 3.1

Partner with NC OSHR to encourage state employee participation in MWWC

August 2018 &

Jan 2019

December 2018 &

June 2019

Promotional materials

Log of participants

NCCHW Project Coordinator

Activity 3.2

Refer MWWC completers with Arthritis to HANC for AAEBIs

September 2019

June 2019

Log of follow up emails and referrals in WW

NCCHW Project Coordinator, Health Coach/Outreach Specialist

Activity 3.3 (Same as activity 1.2)

Support WWE programs by providing books, sharing resources, identifying sites, connecting partners

August 2018

June 2019

Material distribution list, partner connections

NCCHW Project Coordinator

Activity 3.4

Add HANC and WWE information to NC’s Move More Walk Now statewide campaign

August 2018

June 2019

Monitor MMWN NC website for links to HANC/ WWE resources

NCCHW Project Coordinator, Director

Activity 3.5

(same as activity 1.7)

Connect CBOs with AAEBIs to foster collaboration by hosting six regional meetings

September 2018

June 2019

RBA agendas, attendance logs

NCCHW Project Coordinator

Additional Measures

Measures

  • 70,000 state employees reached through Miles for Wellness Walking Challenge announcements and education pieces
  • Expansion of Walk With Ease group-led and self-directed programs
  • Cross-promotion with Walk Now statewide campaign
  • 6 regional meetings
S
Time
Period
Current
Actual
Value
Current
Target
Value
Next Period
Forecast
Value
Current
Trend
Baseline
% Change
What We Do
Action Plan

Strategy 4 Activities

Activity 4.1 (Same as Activity 2.4)

Conduct Healthy Aging Summit

October 2018

April 2019

Summit agenda, promotion materials

Centralina AAA, NCCHW and other partners, NCCHW Project Coordinator, Health Coach/Outreach Specialist

Activity 4.2 (Same as activity 2.3)

Reach out to health care providers/systems, including health departments, FQHCs, LME/MCOs, rheumatologists, physical therapists, pharmacists, etc, to raise awareness and receive referrals;

Submit abstracts to 1-2 health conferences/yr; Offer CEU training with CGWEP

October 2018

June 2019

Abstracts and presentations maintained

NCCHW Project Coordinator, Health Coach/Outreach Specialist

Activity 4.3 (Same as activity 1.7)

Connect CBOs with AAEBIs to foster collaboration by hosting six regional meetings

September 2018

June 2019

RBA agendas, attendance logs

Centralina AAA, NCCHW

Activity 4.4

Develop and distribute rack cards, brochures, and toolkits for CBOs to connect patients with Arthritis to HANC for AAEBIs and coaching

October 2018

June 2019

Sample materials Logs of distributions

NCCHW

Activity 4.5

Develop Arthritis Scorecard to track and share results

January 2019

June 2019

Scorecard updated quarterly

NCCHW Evaluation Director

Activity 4.6

Disseminate AAEBI data reports to local and state partners to share reach, demographics and outcomes

October 2018

June 2019

Data reports generated quarterly

NCCHW Data Administrator

Additional Measures

Measures

  • NCCHW Arthritis Scorecard as dissemination plan platform/to track and share results
  • 70,000 state employees addressed through Miles for Wellness Walking Challenge announcements and education pieces
  • 6 regional meetings
  • One statewide healthy aging summit focused on health care providers/systems and AAEBIs
PM
2019
6,195
6,105
1
-25%
PM
2019
9,024
1
-22%
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy