ASTHO's reports provide recent, in-depth research on topics of importance and interest to state and territorial health officials, and provide usable, actionable information for ASTHO state and territorial health officials and partners.

The Help End Addiction for Life Initiative

September 16, 2019

The Help End Addiction for Life (HEAL) initiative is a coalition of local providers and community stakeholders that formed in 2018 to address opioid addiction in Letcher County, Kentucky. This case study provides an in-depth examination of HEAL’s unique features and highlights the voices of local providers and stakeholders. The lessons learned by the HEAL coalition offer strategies for other communities to consider in their own collaborations to reduce opioid use.Read More »

Data-Driven Primary Prevention Strategies for Adverse Childhood Experiences

July 30, 2019

Preventing adverse childhood experiences (ACEs) is a critical place to start as states look to invest in upstream evidence-based prevention strategies to address the current opioid crisis. State health leaders play a critical role in promoting and facilitating ACEs data surveillance and monitoring. Surveilling and monitoring data is key to informing programmatic and policy work, documenting progress and impact, setting relevant ACEs-related state priorities, and influencing policy to address ACEs prevention. This report highlights ACEs-related data sources, provides examples of how states can use these data to inform their primary prevention work, offers resources for crafting data sharing agreements, and identifies challenges in collecting ACEs-related data.Read More »

Leading Public Health Practice Though Health Informatics and Technology

July 12, 2019

ASTHO’s guidebook, Leading Public Health Practice Through Health Informatics and Technology, provides additional information on achieving bidirectional data exchange and preparing for electronic case reporting adoption and implementation.Read More »

Leveraging Public Health Assets in Medicaid Managed Care

May 29, 2019

State and territorial health agencies and Medicaid agencies each serve at-risk populations and may seek to align their resources to efficiently meet their goals. However, the two types of agencies have differences in terminology, tools, and orientation that can present barriers to alignment and collaboration. This three-part report maps the public health capacities, assets, and resources onto the obligations and direction of Medicaid agencies and their managed care health plans.Read More »

Improving Influenza Immunization Uptake Through Community Partnerships

May 22, 2019

ASTHO, the National Hispanic Medical Association, and the Association of American Indian Physicians, led a capacity building initiative to improve influenza immunization uptake among American Indian and Hispanic communities in defined geographical locales. As part of this initiative, two community action teams were established and tasked to develop, execute, and evaluate action plans to improve influenza immunization uptake in their communities. This report summarizes the results of the initiative and the work of the community action teams.Read More »

Public Health Confronts the Mosquito: Developing Sustainable State and Local Mosquito Control Programs

May 21, 2019

Mosquito control has historically been and remains an important and basic public health function. Given the emergence of viruses such as dengue, chikungunya, and Zika in the United States and U.S. territories, the second edition of this report provides guidance to assist local, state, and territorial mosquito control programs in developing and maintaining an effective mosquito control infrastructure to meet the ongoing challenges surrounding vector-borne diseases.Read More »

National STD Trends: Key Information for Public Health Leadership

April 25, 2019

National STD Trends: Key Information for Public Health Leadership. This primer uses 2017 surveillance data to provide a quick snapshot of current STD trends and issues, and outlines steps health officials can take to articulate the need for robust STD prevention and treatment programs.Read More »

ASTHO/CDC Heart Disease and Stroke Prevention Learning Collaborative: Lessons Learned from the Payers Cohort

March 25, 2019

Through the ASTHO/CDC Heart Disease and Stroke Prevention Learning Collaborative, a six-state cohort (Arkansas, Florida, Nevada, Utah, Virginia, and Wisconsin), i.e., the "payers cohort," collaborated with public health departments and private payers to improve population-level blood pressure control through innovative, data-driven healthcare delivery and payment models. This report highlights how the six states convened cross-sector teams which included payer partners, local health agency staff, academic institutions, community health workers, and other state‐ or local‐level stakeholders to support efforts to improve cardiovascular health outcomes, focusing on blood pressure control and reducing healthcare costs.Read More »

North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces

March 25, 2019

Through the ASTHO/CDC Heart Disease and Stroke Prevention Learning Collaborative, funded by CDC’s Division for Heart Disease and Stroke Prevention, the North Dakota Department of Health partnered with a diverse set of stakeholders, including local health units, emergency medical services professionals, payers, and health systems. This report highlights how the health department and its partners tested health information technology approaches to improve blood pressure measurement and referral systems in eight local health units and one tribal jurisdiction.Read More »

Cross-Agency Approaches to Substance Use Disorder Prevention and Treatment: National Recommendations

March 20, 2019

States across the country are aligning policies, funding, staffing, and data across agencies to more effectively an efficiently utilize resources to meet the needs of people living with or at risk of developing substance use disorder (SUD). In 2018, ASTHO and the National Academy for State Health Policy convened a group of Medicaid and public health leaders to showcase strategies they have pursued to work more effectively across agencies, as well as develop recommendations for other interested states. This report highlights recommendations for structuring and advancing cross-agency approaches to SUD prevention and treatment.Read More »

State of Water Preparedness: A 2018 Scan of Water Preparedness and Response Infrastructure in State and Territorial Health Agencies

January 17, 2019

ASTHO conducted a survey of state and territorial directors of public health preparedness and environmental health to learn more about the protocols, tools, resources, infrastructure, and gaps related to drinking water emergency preparedness and response infrastructure. The data provided in this report is one effort to identify strengths and understand the complexities of water preparedness, but also to examine opportunities for improvement in the future.Read More »

Public Health and Medical Preparedness and Response Activities at the 2017 Route 91 Harvest Music Festival

December 21, 2018

The findings in this report focus on the initial 24‐36 hours after the shooting at the Route 91 Harvest Music Festival and present information about current and long-term recovery efforts and recommendations for other communities and the nation. This report also highlights challenges and successes concerning activities carried out through the Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) program.Read More »

The Role of State Health Leaders in Addressing Substance Use Disorders Among Women, Infants, and Families

December 20, 2018

This report highlights six public health approaches for addressing the rising incidence of SUD and NAS and draws out the critical role that state health leaders play in each.Read More »

Sexual Violence Prevention: Legislation Scan

December 09, 2018

This report examines adverse childhood experiences (ACEs) and housing stability legislation during the 2018 session. While not expressly focused on sexual violence, innovative solutions to address ACEs and housing stability may strengthen primary prevention of sexual violence because they target risk and protective factors that are common across these issues.Read More »

Behavioral and Public Health Interconnection

December 06, 2018

Interconnecting behavioral and public health systems is essential to addressing the upstream factors of behavioral health issues including substance misuse and mental health. This meeting report outlines recommendations from public health leaders in connecting behavioral and public health systems through partnerships, financing, data and policy.Read More »

Health Equity and Public Health Department Accreditation

November 07, 2018

Health departments play an essential role in providing services to the community to address health inequities. Through the lens of the Public Health Accreditation Board's standards and measures, this report explores innovative programs and policies implemented by health departments in an effort to adopt systemwide approaches to achieving health equity.Read More »

Perinatal Quality Collaboratives Support Breastfeeding

November 02, 2018

This report describes how state perinatal quality collaboratives have focused on improving maternal and child health outcomes by supporting efforts to increase breastfeeding initiation and duration.Read More »

Effectively Communicating About Mosquito Control: A Guide for Mosquito Control Partners

October 30, 2018

The updated second edition of this guide is intended to help public health and vector control professionals advance mosquito control efforts. It provides factsheet templates and tools that can be used to educate others about the need for adequate mosquito protection in communitiesRead More »

Cross-Sector Partnerships to Improve Health and Housing Outcomes: Resource Guide

October 24, 2018

This report synthesizes partnership, financing, and data-sharing approaches that healthcare, housing providers, and other sectors can undertake to improve health and housing outcomes.Read More »

Analysis of Express Legal Authorities for Mosquito Control in the United States, Washington, D.C., and Puerto Rico

October 12, 2018

This report presents findings from an analysis of ASTHO’s 2017 research on legal authorities for mosquito control, including the types of legal authority for mosquito control activities, a set of considerations for better understanding the legal authority, a summary of the findings on the express legal authorities for mosquito control found in state law, and a state-by-state summary of the express legal authority for mosquito control in the United States, Washington, D.C., and Puerto Rico.Read More »

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