Hydrocodone Combination Products Moving to Schedule II?
Poisoning (including alcohol and prescription drugs) causes more deaths than car crashes in AZ. Committed folks across the state are taking action on this issue. We’re part of the Arizona Prescription Drug Misuse and Abuse Initiative, a multi-agency, multi-systemic approach to addressing the epidemic. As part of this initiative, new guidelines have been issued for prescribing controlled substances in Emergency Departments [...]
Trauma System Performance- Act 4
Over the past month we have been looking at some different ways to measure and describe how a trauma system is performing. In the world of performance improvement the general belief is that you have to look at a number of different measures in order to be able to describe how the system is performing. Here goes: Over-Triage - In [...]
Bringing Primary Care to Rural AZ
Getting enough primary care providers into rural areas is a struggle everywhere- and AZ is no exception. Each state needs to have a coordinated and creative strategy to the get these critical access to care resources to the right places. We have a few strategies. One is the J1 Visa Program. Each year, we provide (through the J1 Visa Waiver Program) a [...]
Integrating Environmental Health & Prevention into Home Visiting
This month we wrapped up an 18-month quality improvement pilot project to better integrate environmental health and chronic disease information and referrals into our state home visiting programs. A cross-divisional team made up of folks from Women's & Children's Health, environmental Health, chronic disease, workforce development, and performance management worked together to standardize and pilot a new Healthy@Home assessment tool, gather [...]
Challenge Accepted – and Met
We did it… and by we, I mean ADHS and partners around the state. We accepted the Association of Territorial and State Health Officers (ASTHO) challenge to reduce the rate of babies born too early by 8% by 2014. On Friday, ADHS and the March of Dimes Arizona Chapter received the Virginia Apgar award. The Arizona Perinatal Trust was recognized [...]
Disease Follows Conflict
Throughout human history, war and political unrest have been associated with the spread of disease, often called the “third army”. During the Napoleonic wars, 8 times more people in the British army died from disease than from battle wounds. In our Civil War, 66% of the 660,000 deaths among soldiers were caused by pneumonia, typhoid, dysentery, and malaria. Up to [...]