Essential Service 2 – Diagnose and Investigate

Diagnose and investigate health problems and health hazards in the community

Development of Communication Networks and Emergency Preparedness Procedures

Development of Communication Networks and Emergency Preparedness Procedures Community Health Institute/JSI (CHI/JSI)assisted in the development of state and local communication networks and emergency preparedness procedures for the New Hampshire Department of Health and Human Services, Office of Community & Public Health. CHI/JSI also organized continuing education programs for local public health officials on bioterrorism and provided assistance to grantees of The New Hampshire Health Alert Network (NH-HAN). NH-HAN is an integrated information and communications system serving as a tool for distribution of health alerts, prevention guidelines and surveillance and is a vital component to strengthen our public health infrastructure.

Health Professional Shortage Area (HPSA) Analysis – Massachusetts

Health Professional Shortage Area (HPSA) Analysis Community Health Institute/JSI (CHI/JSI) was contracted by the University of Massachusetts AHEC and Department of Public Health to develop an integrated system to analyze primary care, mental health, and dental capacity statewide, and assess the potential of creating or expanding areas covered by federal shortage designations. The goals of the project were to maximize the possibility for federal benefits pertaining to HPSA designations by identifying geographic areas and special populations that may be eligible or high scoring, and to create a model for processing and submitting federal shortage designations. The project was also intended to identify obstacles and data gaps or inaccuracies that impede accurate assessment of need at the community level and as related to federal designations. The successful implementation and installation of the resulting system has permitted the state to move forward with its shortage assessment and designation planning, and a subsequent contract was awarded to CHI/JSI to assist in this process. Lastly, the release of the new federal Proposed Rule for shortage designation during the project permitted this underlying approach to be applied in assessing the potential impact of the new regulations at a detailed level across the state.

Nashua Regional Pandemic Influenza Planning

Nashua Regional Pandemic Influenza Planning Community Health Institute/JSI (CHI/JSI) developed a Regional All Hazards Plan and a Pandemic Influenza Annex. The CHI/JSI facilitated a process with the Nashua NH Division of Public Health and Community Services, Nashua officials, and 11 surrounding communities to develop a plan of procedures for isolation and quarantine, set up of acute care centers in the event of community surge, risk communications plans for public health emergencies, and identification of and planning for Points of Dispensing (PODs), locations which could be used to provide mass prophylaxis to the region’s population. In addition, CHI/JSI assisted the Division to provide schools with emergency planning guidelines and municipal governments with information on the development of plans for continuity of governmental operations.

Human Biomonitoring

Human Biomonitoring Community Health Institute/JSI (CHI/JSI) facilitated the development of a plan for a human biomonitoring (defined as the assessment of individual human exposure by measuring environmental chemicals directly in human body fluids and tissues) program for the New Hampshire Department of Health & Human Services, Office of Community and Public Health (OCPH), Public Health Laboratories (PHL). CHI/JSI facilitated meetings of the Biomonitoring Council, a statewide planning group of experts, to identify priorities for human biomonitoring and subgroup discussions on selected topics such as Heavy Metals, Persistent Organics and Air Toxics to establish an action plan. The results of the study served as the basis for New Hampshire’s successful implementation grant application to CDC.

Colorado Health Professional Shortage Area (HPSA)/Medically Underserved Area (MUA) Application Development

Health Professional Shortage Area (HPSA)/Medically Underserved Area (MUA) Application DevelopmentCommunity Health Institute/JSI (CHI/JSI) developed electronic data support capabilities for compiling Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) applications for the Colorado Department of Public Health and Environment’s Primary Care Office (PCO). CHI/JSI constructed a relational database that provided the necessary data for completing HPSA/MUA applications and developed electronic templates for Colorado’s HPSA and MUA applications. Once the database was built, it was incorporated into a mapping package that enabled the PCO to query the database by varying geographies down to the census tract level.

New Hampshire Health Professional Shortage Area (HPSA) Analysis

New Hampshire Health Professional Shortage Area (HPSA) Analysis The NH Office of Rural Health and Primary Care has, for many years, contracted with the Community Health Institute/JSI (CHI/JSI), to conduct health care capacity shortage designations and to provide technical support covering all aspects of HPSA/MUA/P designations. This includes the tracking and processing of designation renewals, assessing and preparing new designations, working with providers and community members interested in programs accessed through various designations, interfacing with the federal Office of Shortage Designation (OSD) staff, and developing/maintaining a GIS (mapping) enabled database of all pertinent information related to designations and the designation process. The CHI was responsible for implementing the new GIS-based approach to reviewing the shortage designations which resulted in a more strategic approach to preparing applications. As a result, the designations submitted achieved a significant expansion of designated areas of the state, as well as higher designation ratios. It also provided the ability to rapidly assess designation potential, thus avoiding the costly and resource intensive survey process for designations that would not prove fruitful. The CHI also served as a central resource for communities and providers seeking information on shortage designations, including current designation status, requests for new designations, statistics for existing designations, questions regarding the designation process, and assistance with understanding what programs were accessed via the various designations and how to make use of them. In 2009, the CHI worked with the NH DHHS, the Board of Medicine, and the Governor’s office to develop and field the state’s first comprehensive physician capacity survey, covering all licensed doctors in the state. The survey was fielded using a secure on-line survey tool and the results will fulfill several key functions, including the statewide workforce planning process.

Geo-mapping Data for the Colorado Community Health Network (CCHN)

Geo-mapping Data for the Colorado Community Health Network (CCHN) Community Health Institute/JSI (CHI/JSI) created a relational database consisting of current safety net dental and physical health provider locations, patient population demographics, and potential dental and physical health marketplaces for the initial phase of a geo-mapping project for Colorado Community Health Network (CCHN). Recognizing CCHN’s need for data, CHI/JSI spanned the spectrum of more sophisticated uses of geo-technologies to easily update maps of continually changing clinic sites. CHI/JSI fulfilled CCHN’s diverse goals of primary health and oral health analysis which included designation datasets, safety-net providers, service delivery sites, provider service area, population and demographic data.

New Hampshire Environmental Health Tracking Program Support

New Hampshire Environmental Health Tracking Program SupportCommunity Health Institute/JSI (CHI/JSI) provided support to the New Hampshire Department of Health and Human Services for the planning of the Environmental Health Tracking Program (EHTP). This collaborative effort between Departments of Health and Human Services and Environmental Services, which have joined forces to develop an improved system for data collection and sharing, promotes environmental public health for the State of New Hampshire. CHI/JSI assisted the New Hampshire Environmental Health Tracking Program in developing a strong coalition of committed environmental health stakeholders and an integrated network of resources that will facilitate communication and information sharing.