In 1994, the Health Systems Agency designated Sunset Park a Priority One neighborhood because of its high hospitalization rates for asthma and chronic obstructive pulmonary disease. To address this problem, the Sunset Park Family Health Center Network (FHCN) of Lutheran Medical Center was awarded a two-year $500,000 Primary Care Initiative (PCI) grant from the New York State Department of Health.
Pacific Bell's Health Promotion continues providing the programs described in the 1995 award application on a voluntary, no-change basis. The program¿s objectives were expanded to include ergonomics, return-to-work, Work Hardening program expansion, flu shot trial, advance directives, prevention capabilities study of healthcare providers and pharmacy efficacy analysis.
The goal of the Better Prepared Comprehensive Case Management program is to control costs associated with individuals with any of nine chronic conditions (asthma, arthritis, cancer, cardiovascular disease, chronic obstructive lung disease, diabetes, hypertension, high cholesterol, and migraines) by developing appropriate self-management skills through ongoing telephonic intervention/education by registered nurse consultants and through written health education materials.
Union Pacific Railroad (UPRR) is a transportation company consisting of 57,000 employees distributed geographically throughout 27 states. Most employees are mobile, unionized, blue-collar workers. The Health Promotion Division (HPD) at Union Pacific Railroad (UPRR) has continued to expand by offering more programs and collected more outcome data since receiving the Koop Award in 1994. Our cardiovascular program highlighted in the 1994 application has been expanded throughout UPRR¿s system. Our data suggest that we are having a positive impact on health and related costs.
From 1981 to 1997, the Smoking Cessation and Reduction in Pregnancy Program (SCRIPP) has been conducted among Medicaid-eligible women in Alabama public health prenatal care clinics to reduce smoking prevalence rates and to significantly increase cessation and significant reduction rates. Two randomized clinical trials (1981-1991) conducted among this high-risk, disadvantaged population have evaluated a standardized program of cessation skills and risk counseling appropriate for use in routine prenatal care.