HealthyHearts NYC (HHNYC) will evaluate the effectiveness of practice facilitation as a quality improvement strategy for implementing Million Hearts' ABCS treatment guidelines reducing cardiovascular disease (CVD) among high-risk patients who receive care in primary practices New York City. refers to (A) aspirin individuals; (B) blood pressure control; (C) cholesterol management; and (S) smoking cessation. The long-term goal is create robust infrastructure disseminating evidence-based (EBPG)...

<h3>Importance</h3> Secondhand smoke (SHS) exposure is associated with many health conditions in children and adults. Millions of individuals the US are currently exposed to SHS their homes. <h3>Objective</h3> To investigate whether a federal ban on smoking public housing settings was decrease indoor levels New York City developments 12 months after policy's implementation. <h3>Design, Setting, Participants</h3> This cohort study tracked air quality longitudinally from April 2018 September...

Although many public health initiatives have been implemented through collaborations with faith-based institutions, little is known about best practices for developing such programs. Using a community-based participatory approach, this case study examines the implementation of an initiative in Bronx, New York, that designed to educate community members promotion and disease management mobilize church seek equal access care services. The used qualitative methods, including collaborative...

This study seeks to understand the perspective of Black and Hispanic/Latino residents South Bronx, New York, on causes persistent racial ethnic disparities in health outcomes. In particular, it focuses how people who live this community perceive interact with care system. Findings from 9 focus groups 110 participants revealed a deep pervasive distrust system sense being disrespected, exacerbated by difficulties that patients experience communicating their providers. The paper suggests...

This case study provides a mid-course assessment of the Bronx Health REACH faith-based initiative four years into its implementation. The uses qualitative methods to identify lessons learned and reflect on benefits challenges using community-based participatory approach for development evaluation program designed address health disparities. Key findings concern role pastoral leadership, importance providing religious context promotion equality messages, creating bilingual/bi-cultural...

Abstract Introduction Effective July 2018, the U.S. Department of Housing and Urban Development issued a rule requiring all public housing authorities to implement smoke-free (SFH) policies in their developments. We examined differential impacts SFH policy on hospitalizations for myocardial infarction (MI) stroke among adults aged ≥50 years old living New York City (NYC) Authority (NYCHA) versus matched-comparison population NYC. Aims Methods identified census block groups (CBGs) comprised...

Background: To assess residents’ attitudes towards the United States (U.S.) Department of Housing and Urban Development’s new smoke-free public housing policy, perceptions about barriers to policy implementation, suggestions for optimizing implementation. Methods: In 2017, we conducted 10 focus groups among 91 residents (smokers nonsmokers) living in New York City housing. Results: Smokers nonsmokers expressed skepticism authority’s capacity enforce due widespread violations current common...

In 2018, the U.S. Department of Housing and Urban Development required public housing authorities to implement a smoke-free (SFH) policy that included individual apartments. We analyzed implementation process in New York City Public Authority (NYCHA). From June-November 2019, we conducted 9 focus groups with 64 NYCHA residents (smokers nonsmokers), 8 key informant interviews staff resident association leaders, repeated surveys cohort 130 nonsmoking households pre- 12-month post policy. One...

Tobacco remains a leading cause of preventable death in the U.S., responsible for more than 440,000 deaths each year. Approximately 10% these are attributable to exposure non-smokers secondhand smoke (SHS). Residents living public multi-unit housing (MUH) at excess risk SHS compared general population. On November 30, 2016, U.S. Department Housing and Urban Development (HUD) passed rule requiring all agencies implement smoke-free (SFH) policies their developments by July 2018.

Small independent primary care practices (SIPs) often lack the resources to implement system changes. HealthyHearts NYC, funded through EvidenceNOW initiative of Agency for Healthcare Research and Quality, studied effectiveness practice facilitation improve cardiovascular disease- related in 257 SIPs. We sought understand SIP clinicians' perspectives on benefits facilitation.We conducted in-depth interviews with 19 clinicians enrolled NYC. Interviews were transcribed coded using deductive...

Abstract Objectives The current descriptive study aimed to: (i) quantify the number and type of advertisements (ads) located in a Chinese-American neighbourhood large, urban city; (ii) catalogue targeted marketing themes used food/beverage ads. Design Ten pairs trained research assistants photographed all outdoor ads 0·6 mile 2 (1·6 km ) area where more than 60·0 % residents identify as Chinese American. We content analysis to assess ads, including references Asian cultures; health; various...

As the Internal Revenue Service strengthens public health focus of community benefit regulations, and many states do same with their tax codes, hospitals are being asked to look beyond patients in delivery system understand address needs geographic areas. With opportunities this affords come challenges be addressed. The regulations' on population is not limited a defined clinical -- resulting emphasis upstream determinants engagement unfamiliar territory for healthcare systems. At time,...

The purpose of this paper is to examine the feasibility collecting standardized, patient reported race and ethnicity (RE) data in hospitals, assess impact on quality utility.Part a larger evaluation that included comprehensive assessment. Sites documented RE collection procedures before after program implementation. Primary collected through qualitative interviewing with key respondents ten hospitals Nine provided same patients implementation new were implemented impact.Implementation went...

From April 2016 to June 2017, the Health + Housing Project employed four community health workers who engaged residents of two subsidized housing buildings in New York City address individuals' broadly defined needs, including social and economic risk factors. Following intervention, we observed significant improvements residents' food security, ability pay rent, connection primary care. No immediate change was seen acute care use or more narrowly outcomes.

Program funders and managers are increasingly interested in fostering changes the policies, practices, procedures of organizations participating community-based initiatives. But little is known about what factors contribute to institutionalization change. In this study, authors assess whether organizational members Bronx Health REACH Coalition have begun change their functioning role with regard clients staff broader community, apart from implementation funded programs for which they...

Although many public health initiatives have been implemented through collaborations with faith-based institutions, little is known about best practices for developing such programs. Using a community-based participatory approach, this case study examines the implementation of an initiative in Bronx, New York, that designed to educate community members promotion and disease management mobilize church seek equal access care services. The used qualitative methods, including collaborative...