Pathways to Health

Pathways to Health:

Policy, Practices

and Partners

The 84thAnnual

Conference

Presented by the San Antonio Metropolitan Health District and Texas Public Health Association

The Radisson Hill Country Resort & Spa

March 5-7, 2008

San Antonio, Texas

Pathways to Health: Policy, Practices and Partners

WELCOME FROM THE PRESIDENT

I am very pleased to welcome you to the Texas Public Health Association 84th Annual Educational Conference. This year, we have developed the program for those of you in the “grass roots” areas by looking at federal, state and local policies which serve as the guide for all public health partners. We have excellent speakers who will update you on these policies and suggest practices which might be helpful to you as professionals in all areas of the state of Texas. You will notice our proposed vision and mission of the association posted in various areas. We want your feedback about these proposals to any executive board or governing council member. This association is for you and because it is for you, we would like to encourage you to share in the revision of the strategic plan by giving us your comments on the proposed vision and mission. Again, welcome! As an association, we are excited about our program, excited to see you here, and look forward to a good experience.

CONTINUING EDUCATION(Pick up your CEU paperwork at registration desk)

Physicians-CME: Texas Department of State Health Services is accredited by the Texas Medical Association to provide continuing medical education for physicians. TDSHS designates this educational event for a maximum of 14.00 category 1 credits toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit he/she actually spent in the educational event.

Nurses-CNE: The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the AmericanNursesCredentialingCenter’s Commission on Accreditation.

A maximum of 14.00 continuing nursing education contact hours has been awarded by the DSHS CE service. Each nurse should claim only those hours of credit that he/she actually spent in the educational event.

Health Educators-CHES: Application for Category I continuing education contact hours for CHES has been made to the Texas Department of State Health Services, CE Service which has been designated as a provider of continuing education contact hours by the National Commission for Health Education Credentialing, Inc. The TDSHS CE Service has awarded a maximum of 14.00 contact hours.

Social Workers-SW: The Texas Department of State Health Services, under sponsor number CS3065, has been approved by the Texas State Board of Social Work Examiners to offer continuing education units to social workers. The CE Service has awarded a maximum of 14.00 continuing education credits.

Registered Sanitarians-RS: Certificate of Registered Sanitarians: The Texas Department of State Health Services is considered a sponsor of Registered Sanitarians according to the Texas Administrative Code, Title 25, Part 1, Chapter 265, Subchapter K, Rule §265.147. The PHW CE Service has awarded a maximum of 14.00 hours.

Certificate of Attendance: This activity was awarded 14.00 contact hours.

EXHIBITORS-Commercial and educational exhibitors will be located in the Rotunda of the hotel.

Exhibits will be set up from Wednesday, March 5th12:00 noon until Thursday, March 6th6:30 p.m. Special events such as the grand opening “Wine and Cheese” and the President’s Reception will be held in the Exhibit area. Please visit the exhibits during these events!

PUBLIC HEALTH PRESENTATIONS-Abstracts on Public Health Education Materials (Projects designed to educate the public ona public health topic) Research Papers: (Original research of an empirical nature, conceptual ormethodological issues or innovative techniques in a public health area) and Poster Presentations: (Original research of an empirical nature, conceptual or methodological issues or innovative techniques in a public health area) will be presented and/or displayed.

EVALUATIONS-Your feedback helps us to make each subsequent conference a meaningful, educationaland fun experience for you. Please complete the evaluation and submit it prior to your departure.

PRESIDENT’S RECEPTION-The Reception will be held Thursday, March 6thfrom 4:45-6:15 p.m. The following awards and recognition will be presented during the President’s Reception: Recognition of Officers, Governing Council and Committees, New Fellow Recognition, Exhibitor Recognition, Media Awards, Recognition of Immediate Past President, Outstanding Service Award, President’s Award, Jessie A Yoas Memorial Award, Thinking Progressively for Health (TPHA) Award, Honorary Life Member Award and James E. Peavy Memorial Award.

8:30 am-4:30 pmConference RegistrationHOTEL LOBBY

8:30 -11:30 am Pre-Conference Workshop OFF SITE

Evidence-Based Public Health Practice: Using Research and Data to Improve Your Programs, Helena M. VonVille, Library Director, University of Texas School of Public Health, Houston, TX

9:30 – 11:30 amPre-Conference Workshop AGARITA

Making the Connection between Housing and Health

Sponsored by the TexasPublicHealthTrainingCenter

Speakers: Nancy M. Crider, MS, RN, University of Texas School of Public Health,Houston and Brenda Reyes, MD, MPH, City of Houston Health and Human Services, Childhood Environmental Health

This training activity will discuss the increasing scientific evidence that links housing conditions to health and identify the root causes of housing related health problems such as asthma & allergies, lead poisoning, cancer and common preventable injuries. A holistic approach to identifying and resolving housing problems that are harmful to the health and well-being of children and families will be discussed. The “Seven Principles of Healthy Housing”, based on the NationalCenter for Healthy Housing (NCHH), Essentials for Healthy Homes Practitioner Course, will be introduced.

1 – 3 pmOpening Assembly WESTOVER ASSEMBLY AUDITORIUM

1 – 1:45 pmWelcome by TPHA President Sandra Strickland, RN, DrPH, Mayor &

Fernando A. Guerra, MD, MPH, FAAP, Director, San Antonio Metropolitan Health District

1:45 – 2:45 pmKeynote Address- Forging an Enduring Partnership Between Public Health Academics and Practice in Texas, David L. Lakey, MD, Commissioner of Health, Texas Department of State Health Services, Austin

2:45 - 3 pm2008 Texas Cardiovascular Health Promotion Awards Presentations by the Texas Council on CVD and Stroke

3-3:15 pmStretch break

3:15 – 4:45 pmPublic Health PresentationsWESTOVER ASSEMBLY AUDITORIUM

Moderator, Patricia Diana Brooks, MEd, MS

Intentional Poisoning Exposures Reported to the Texas Poison ControlCenter, Marcia Becker, MPH,Texas Department of State Health Services

Inpatient Admissions for Infection in Cancer Patients: Impact of an Aging Population, Catherine Cooksley, DrPH, University of Texas M. D. AndersonCancerCenter

Public Health Presentations (Continued)WESTOVER ASSEMBLY AUDITORIUM

Following the Roadmap to Preparedness Data: Creating a Public Health Preparedness Dashboard, Catherine Pepper, MLIS, MPH, Centers for Disease Control & Prevention

Assessment of Evidence-based Prevention Practices within a Residency Based Family Practice Center, Linda Hook, RN, MSN, Bexar County Hospital District dba University Health System

Hispanic Ethnicity & Foreign Nativity as Predictive Factors of Community Health Center Utilization as a Regular Source of Care, Erin K. Carlson, MPH
Graduate Research Assistant, University of North Texas Health Science Center
School of Public Health, Department of Health Management and Policy

4:45 – 6:00 pmOpening of Exhibits & Posters (Wine & Cheese) SUNSPOT/FOYER AREA

6:45 – 7:30 pmTPHA Governing Council MeetingAGARITA

6:30 – 7:30amHealth Walk (meet in hotel lobby)HOTEL LOBBY

7 am-4 pmRegistrationHOTEL LOBBY

8 – 9 amGENERAL SESSIONWESTOVER ASSEMBLY AUDITORIUM

Health Policy Case Study on Tobacco

Steven R. Shelton, MBA, PA-C, Moderator, Assistant Vice President, Division of Community Outreach, UTMB; Executive Director, East Texas AHEC.

He will present the case study on tobacco and will discuss health policy changes from the clinical perspective, and changes in health measures and outcomes.

William M. Sage, MD, JD,University of Texas, School of Law, Vice Provost, Health Affairs, James R. Dougherty Chair for Faculty Excellence in Law. To discuss a few historical aspects of tobacco, agents of change, cite a few landmark policy changes, and identify medical/social ‘tipping points’ that influenced those changes.

Roger D. Barker, MBA, RS, Director/Administrator, City of Waco-McLennan County Public Health District. To discuss how policy changes affected PHD mgmt & staff activities, operations, services, programming, enforcement, etc., and how PHD staff implemented policy changes at the community / public health level.

9:15 – 10:15 amGENERAL SESSIONWESTOVER ASSEMBLY AUDITORIUM

Presidential Politics, Taxes and Wellness (Panel Discussion)

Eduardo Sanchez, MD, MPH, Moderator, Professor, and Director, Institute for Health Policy, School of Public Health, University of Texas Health Science Center at Houston

Paul B. Handel, MD, Chief Medical Officer, Health Care Service Corporation

William M. Sage, MD, JD, University of Texas, School of Law, Vice Provost, Health Affairs, James R. Dougherty Chair for Faculty Excellence in Law.

The burden of chronic disease is growing. 75% of medical care costs are attributable to chronic disease care. The medical model of care in the doctor’s office is but one piece of that process. Healthcare costs and health insurance areother pieces. The wellness model of individual-and community-based health literacy and education, prevention and self- management is a vital component. Is the current healthcare system well designed to deal with these issues? Are thepresidential candidates talking about these issues? Are they thinking aboutanything other than insurance packages and benefits designs? Have any of themconsidered the overall scheme, the big picture regarding health policy? What are their positions on health and the national mission for healthcare? This session will present a comparison of the presidential candidates’ positions on health/ wellness, and the implications for health policy. The panelists will also discuss the concept of wellness at the state and national level, as a continuation of last year’s session on Unhealthy Behaviors and Chronic Diseases, a True Threat to the Health of Texans

10:15 – 10:45 am BreakWESTOVER ASSEMBLY AUDITORIUM

10:45 – 11:45 am GENERAL SESSIONWESTOVER ASSEMBLY AUDITORIUM

Texas Mental Health Transformation Initiative

SamShore, Texas Department of State Health Services and Camille D. Miller, MSSW, President/CEO, Texas Health Institute

11:45 -12:45 pmLunch on your own

Past Presidents’ Lunch (meet in hotel restaurant)

Public Health Nursing Luncheon WESTOVER ASSEMBLY AUDITORIUM

Workforce Issues, Kathi Light, EdD,MSN, RN, Professor and Dean, University of the Incarnate Word (Pre-registration required)

1 – 3 pmCONCURRENT SESSIONS

Chronic DiseaseMEDIA ROOM

Facilitator-Jennifer Smith, MSHP

Using What Works: Adapting Evidence-Based Programs to Fit Your Needs, Ginny Thompson, MPH, CHES, National Cancer Institute’s Cancer Information Service, MD Anderson Cancer Center.

Implementing Evidence-Based Programs in the Prevention & Control of Arthritis, Jeff Savage, BS, Director of Programs, Arthritis Foundation, Texas Chapter

The presentation will present information on the latest research to reduce pain and increase mobility for persons with arthritis and the current evidence-based programs developed that use physical activity and self-management as means to achieve those results that can be implemented in the community setting.

Objectives: Name evidence-based practices for major chronic disease conditions, and; Name one evidence-based practice that the participant will commit to introduce into their community or work program practices.

Environmental & Consumer HealthNANDINA

Facilitator-Janice Hartman, RS

Food Imports Along the Texas-Mexico Border & DSHS Manufactured Foods Inspections, Seri Essary, BS, RS, Manager, Foods Inspection South, Division for Regulatory Services, Texas Department of State Health Services, Austin

Zoonotic Diseases in Texas (Dengue and Scrapie), Catherine Tull, DVM, Region 8, Texas Department of State Health Services, San Antonio

EpidemiologyAGARITA

Moderator, Patricia Diana Brooks, MEd, MS

2007: Disasters in Review

Scott R. Lillibridge, MD, Texas A & M Health Science Center, School of Rural Public Healthand Dennis M. Perrotta, PhD CIC, Texas A&M School of Rural Public Health, Houston, Texas, and Mary des Vignes-Kendrick, MD, MPH, Texas A & M School of Rural Public Health

The top 5 disasters of 2007 will be reviewed. The panel will discuss key public health system elements of these disasters such as communication, information sharing, collaboration, response effectiveness and crisis leadership. The perspectives of these three distinguished public health practitioners, whose practice span the federal, state and local levels, will serve as the starting point for a facilitated and interactive discussion with audience participants. How did public health fare in preparing and responding to these disasters in 2007? This session will consider the critical public health preparedness competencies and how they were depicted in deciding the outcome of these disasters.

What do Epidemiologists Do? Competencies for Applied Public Health Epidemiology Practice, Dennis M. Perrotta, PhD CIC, TexasA&MSchool of Rural Public Health, Houston, Texas

In order to improve the practice of epidemiology among public health agencies, a comprehensive list of competencies was created that defines the discipline of applied epidemiology and describes what skills four different levels of practicing epidemiologists working in government public health agencies should have to accomplish required tasks. The process and the competencies will be reviewed.

Health PolicyLANTANA

Facilitator-Douglas H. Fabio, MHA

Putting the “Force” Into the Public Health Workforce

Part A-Changes and Challenges in the Public Health Workforce,

Rick Danko, DrPH, Texas Department of State Health Services

Objective: Describe the composition of the Texas public health workforce, including gaps between needed and existing competencies.

Part B-Making Public Health an Exciting and Lasting Profession

Joan Hutton, BA, RN, CPC, The Hutton Group, Inc., Vero Beach, FL

Objective: Relate how your organization can adapt creative strategies to recruit and retain critically needed professionals.

Part C-Assuring the Next Generation of Leaders

Joan Hutton, BA, RN, CPC, The Hutton Group, Inc., Vero Beach, FL

Objective: Explain how to identify and energize future public health leaders through succession planning.

Reactor Panel for Parts A-C above followed by questions and answers

Moderator: Douglas H. Fabio, MHA

Panelists: Larry Johnson, MS, MBA, Abilene-Taylor County Public Health District, Stephen Williams, MEd, MPA, City of Houston Department of Health and Human Services, Rick Danko, DrPH, Texas Department of State Health Services

Public Health NursingWESTOVER ASSEMBLY AUDITORIUM

Facilitator- Alexandra Garcia, PhD, RN

Best Practices in Health Promotion Programs for Kids

Lead Safe in San Antonio, Linda Kaufman, MSN, RN, CS, Environmental Health Nursing Program Manager, San Antonio Childhood Lead Poisoning Prevention Program, San Antonio Metropolitan Health District AND Myrna Esquivel, MS, Construction Specialist Supervisor, Lead-Based Paint Hazard Control Program, Neighborhood Services Department

School Health Practice: Treatment versus Prevention, A Cry for Help, Susan Franzetti, MSN, RN, Pflugerville Independent School District, Student Health Coordinator, After the presentation, participants will be able to describe the practice of school health in Texas, list 5 state-mandated areas of school health requirements andcontrast differences between the traditional medical model of school health and the integration of public health concepts into school health practice.

A Statewide QA Children’s Immunization Program, Sandra Benavides-Vaello, BSN, MPAff, PhD(c), Director of Clinical Affairs, Texas Association of Community Health CentersThis session addresses quality assurance in immunization programs.

3 - 3:15 pmBreak and Visit Exhibits and PostersSUNSPOT/FOYER

Chronic DiseaseMEDIA ROOM

Facilitator-Jennifer Smith, MSHP

Pediatric Asthma: Bridging the Gap Between Acute and Chronic Care,

Charles G. Macias, MD, MPH, Associate Professor of Pediatrics, Director, Pediatric, Emergency Medicine Fellowship, Research Director, Section of Emergency Medicine, Baylor College of Medicine, This session will explore the gaps in the health care system that serve as barriers to improving the public health for children with asthma. Solutions through system changes will be addressed and best practices described to define ways to improve care for families with asthmatics while decreasing health care resource utilization.

Reducing High Blood Pressure in the Hispanic Population through Clinical and Worksite Programs, Eva Dunn and Lourdes Rangel, GatewayCommunityHealthCenter

Pediatric Asthma: Bridging the Gap Between Acute and Chronic Care,

Reducing High Blood Pressure in the Hispanic Population through Clinical and Worksite Programs, Eva Dunn and Lourdes Rangel, GatewayCommunityHealthCenter

3:15 – 4:45 pmConcurrent Sessions continued

Environmental & Consumer HealthNANDINA

Facilitator-Janice Hartman, RS

Public Health Considerations of Methicillin-Resistant Staphylococcus Aureus (MRSA), Bryan J. Alsip, MD, MPH, FACPM, San Antonio Metropolitan Health District

Environmental and Consumer Health Section Meeting-Janice Hartman, RS

EpidemiologyAGARITA

Moderator, Patricia Diana Brooks, MEd, MS

Climbing the Money Tree: Locating Grants and Funding, Michelle Malizia, MA National Library of Medicine at HAM/TMC Library

Health PolicyLANTANA

Facilitator- Hardy Loe, Jr., MD, MPH

Workforce Implications of National Voluntary Accreditation of State and Local Health Departments; CurrentState of Implementation of the National Accreditation Program