This Conference is an annual event planned by the major public health organizations in the state, the Utah Public Health Association, Health

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This Conference is an annual event planned by the major public health organizations in the state, the Utah Public Health Association, Health Education Association of Utah and Utah Environmental Health

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Conference Rooms

Back Cover

Conference Overview

Welcome to the 2012 Utah Public Health

Conference! This year’s theme is “Public Health:

No One Does It Alone”. To satisfy diverse

professional interests, this conference offers

nearly 50 different presentations and workshops

relating to this collaborative theme.

Member associations and conference sponsors

have recruited dozens of outstanding presenters

to make this conference a valuable experience.

Our theme focuses on an undeniable truth: that

the well-‐being of individuals and our communities

is not dependent upon any one person or entity;

rather, optimal public health is only possible

when working synergistically with all partners.

We invite you to understand more completely the

meaning of “Public Health: No One Does It Alone”.

NEW THIS YEAR

TeleHealth Broadcasts To Rural Health Sites

For the Tirst time in Utah Public Health Conference history,

select sessions will be broadcast to

rural health centers in the state via the Utah TeleHealth Network.

All keynote speakers and

selected breakout sessions will be interactive at the following three local health department

locations -‐

Vernal, Price and Rich\ield

.

Individual TeleHealth attendees must register for the conference by making an online

TeleHealth reservation

, and need to indicate which location he or she will be attending. Note:

There will be no charge for those individuals who reside in Tri-‐County, Southeast, or Central

health departments and choose to view the conference via TeleHealth. Instead, these local health

departments will pay a site registration fee in order to participate.

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MASTER SCHEDULE -‐ TUESDAY APRIL 10

7:00 AM

REGISTRATION

Lobby

Registration, Exhibitor Setup Lobby

Breakfast Concession Area

7:00 AM

SUNRISE SESSIONS

Session Session # Room Title -‐ Presenter(s) and Co Presenters

Sunrise A 211 400 Mission Impossible: Communicating Health to Teens Sarah Dahl -‐ Sarah Simons, Marla Brannum, Toni Carpenter

Sunrise B 212 300 D mHealth – Engaging Patients and Consumers, One

Application at a Time

Ryan P. Brown, MPH/MHA

Sunrise C 213 300 A Social Media for Public Health Messaging

Christy Porucznik, PhD, MSPH -‐ Vanna Livaditis, Jessica Greenwood

Sunrise D 214 200 D Partnering for Recovery

Marci Nelson, BS -‐ Noreen Heid, MPA , Dave Felt, LCSW , Rick Hendy, LCSW

Sunrise E 215 200 C Measles Outbreak in an Industrial setting: Working with

Community Partners

Valoree Vernon, MPH -‐ Louise Saw

8:45 AM

GENERAL SESSION

300 A-‐D

Welcome Darrin Sluga, MPH, Eric Edwards, MPH, CHES, Bruce Costa, PhD Via Telehealth Remarks W. David Patton, MPA, PhD

Keynote Speakers:

Lexie and Lindsay Kite, MS

(Session 226)

Beauty Rede\ined: Strategies for Recognizing and Rejecting Harmful Media Ideals

10:15 AM

EXHIBIT & POSTER BREAK

Lobby

10:45 AM

CONCURRENT SESSIONS

Session # Room Title -‐ Presenter(s) and Co Presenters

241 400 Framing the Public Health Message Cathy Chambless, PhD, MPA, CRC

242 300 D Why Proper Disposal of Household Hazardous Waste (HHW) Needs Community and Leadership Support

John Hoggan, BS, MST -‐ Dan Moore

243 300 BC Chronic Disease Coordination: What's in It for You? Kathy Paras

244 300 A Analysis of Sexually Transmitted Infection data using geomapping and social determinants of health in Utah

Matthew Mietchen, Epidemiologist -‐ Eri Prendergast, Erin Hellstrom

245 200 D Obstetrical Complications of African Born Women Birthing in Utah -‐ A Five Year Review

Jane M. Dyer, CNM, MBA, PhD -‐ Laurie Baksh, MS

246 200 C Quality Improvement in Action in Local Public Health

Anna Dillingham, MPH -‐ Claudia Price, Sally Kershisnik, Toni Carpenter

12:00 PM

LUNCH & ENTERTAINMENT

Hallway/ 300 A-‐D

Improv Comedy Show -‐

The Fun Guys

(Session 251)

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MASTER SCHEDULE -‐ TUESDAY APRIL 10

(Continued)

1:30 PM

CONCURRENT SESSIONS

261 400 For Me, For Us: Overcoming the Tower of Babel in Public Health Dulce A. Diez, MPH, MCHES

262 300 D Redesigning Public Health Surveillance in an e-‐Health World Susan Mottice, PhD

263 300 BC Public Speaking: Presenting in the 21st Century James Bemel, PhD, MSPH/HSA

264 300 A The Community Health Assessment Journey

Anna Dillingham, MPH -‐ Jeff Coombs, Julie Parker, Brian Bennion, Toni Carpenter

265 200 D Living Well with Chronic Conditions -‐ A Group Model Sustained by a Network of Partners Rebecca Castleton, BS

Christine Weiss

266 200 C Collaborating with Animal Control: the forgotten public health agency, Part I Tug Gettling

2:30 PM

CONCURRENT SESSIONS

Session # Room Title -‐ Presenter(s) and Co Presenters 271 400 Welcome Baby

Marianne C Lindsey, RN -‐ Margaret Warner

272 300 D SELFLESS SYNERGY: The Community Faces of Utah as a Model for Harnessing the Energy of Diversity for Improving the Health of All People and Creating

Healthier Communities

Community Faces of Utah -‐ Heather Aiono, Pastor France A. Davis, Doriena Lee, Valentine Mukundente, Sylvia Rickard, Ed Napia, Fahina Tavake-‐Pasi, Brenda Ralls, Grant Sunada, Louisa Stark, Steve Alder

273 300 BC Cancer Screening Clinics in the Community Setting Gina M Clay, RN, BSN

274 300 A Neighborhood Characteristics and Geographic Access to Prenatal Care: Their Relationship to Poor Perinatal Outcomes in Salt Lake County Mark Israel Taylor, MS, MPA

275 200 D Collaborating with Animal Control: the forgotten public health agency, Part II Tug Gettling

276 200 C Assessment of Prenatal Care Knowledge and Utilization by Resettled African Refugee Women in Utah

Jessica Lynn Lowe, BS, MPH Candidate -‐ Dr. Gene Cole

3:30 PM

REFRESHMENTS

Concession Area

3:30 PM

EXHIBIT & POSTER BREAK

Lobby

3:45 PM

GENERAL SESSION

Keynote Speaker:

Eugene Cole, MSPH, DrPH

(Session 281)

A Clean Standard for Schools -‐ An Approach to Improving Health, Performance, and Pandemic Preparedness

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MASTER SCHEDULE -‐ Wednesday APRIL 11

7:00 AM

REGISTRATION

Registration Lobby

Continental Breakfast Concession Area

8:00 AM

UPHA BUSINESS MEETING

300 A-‐D

Eric Edwards, MPH, CHES

9:00 AM

GENERAL SESSION

300 A-‐D

Keynote Speaker:

Melvin D. Shipp, OD, MPH, DrPH

(Session 321)

A Better Tomorrow Through Collaboration

10:00 AM

EXHIBIT & POSTER BREAK

Lobby

10:15 AM

CONCURRENT SESSIONS

341 400 The UT Beacon Community, Transforming Diabetes Care using HIT, Consumer

and Provider Engagement

Sarah Woolsey, MD -‐ Korey Capozza, MPH, Sarah Woolsey MD

342 300 D The Talking Dead: Reviewing Utah's Domestic Violence Fatalities Teresa Brechlin, BS -‐ Anna Fondario, MPH

343.1 300 BC Public Health Transparency: Using Health Data for Ef\icient Resource

Allocation

Keely Cofrin Allen, PhD -‐ Dr. Sam Vanous 343.2 300 BC Track-‐It SLC

Lindsay N. Janicki, BS

344 300 A 2011 Utah Paci\ic Islander Study April Young Bennett, MPA

345 200 D Prison Life and Home made Brew/Botulism Outcomes Pauline Sturdy, RN III ICC, Utah Dept of Corrections 346 200 C Public Health Policy: Pragmatism vs. Idealism

W. David Patton, MPA, PhD -‐ Stephen C. Alder, PhD, Joseph Q. Jarvis, MD, MSPH, Lloyd Berentzen, MBA

11:15AM

EXHIBIT & POSTER BREAK

Lobby

11:30 AM

PUBLIC HEALTH AWARDS LUNCH-‐

Terri Sory, MPA

Hallway/ 300 A-‐D

1:30 PM

Lobby

1:45 PM

CONCURRENT SESSIONS

361 400 Applied Health Technology: An Introduction to the New Lingua Franca of Health Promotion and Education or The ABC’s of Using Technology for

Behavior Change

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MASTER SCHEDULE -‐ Wednesday AP

RIL 11

(Continued)

362 300 D Improving Adult Immunization Rates in the Severely and Persistently Mentally Ill Population: A Collaboration Between Utah County Health Department and Wasatch Mental Health

Leslie Miles, MS, APRN, PMHNP -‐ Steve Mickelson 363 300 BC A Healthy Population Begins at the Breast Elizabeth K Smith, MPH

364 300 A Intuitive Eating

Stephanie Jones, BS, CHES

365 200 D Contextualizing Domestic Violence Among Women of the Navajo Nation Chevonne Todicheeney, BS -‐ Andy Tran, Olesya Zhuravel

366 200 C Prescription Drugs: Neurobiology Underlying Use, Abuse and Addiction Annette E. Fleckenstein, BS, MS, PhD

2:45 PM CONCURRENT SESSIONS 370

371 400 Libraries -‐ Partners for Information Suzanne Sawyer, MLIS

372.1 300 D Implementation of a Statewide Media Campaign to Increase Mammography

Screening in Utah

Lynne Nilson , MPH, MCHES -‐ Katie Wagley, MPH

372.2 300 D Implementation of a Grassroots Intervention to Increase Mammography

Screening in Rural Utah

Lynne Nilson, MPH, MCHES -‐ Katie Wagley, MPH 373 300 BC Salmonella Newport Saga: Mr. Cheese Strikes Again Tom Trevino, B.S. Plant Science -‐ Alex Huggard

374.1 300 A Continuous Quality Improvement (CQI) Project: Improving Pediatric

Immunization Rates at a Family Medicine Residency-‐Associated Community

Clinic

Kyle Bradford Jones, MD

374.2 300 A iPhone Apps for Cardiopulmonary Resuscitation: A Content Analysis Amber Rae Lindsay, BS, MPH(c) -‐ Steven Thygerson

375 200 D Yoga For Every Body

Rebecca Fronberg, BS, CHES

376 200 C Methamphetamine, “Bath Salts,” and Spice: Mechanisms Underlying Use

and Abuse

Annette E. Fleckenstein, BS, MS, PhD

3:45 PM

REFRESHMENTS

Concession Area

3:45 PM

Lobby

4:00 PM

GENERAL SESSION

300 A-‐D

Keynote Speaker:

Marcus Plescia, MD, MPH

(Session 391)

Reducing the Burden of Chronic Disease: How We Do It

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Lexie & Lindsay Kite, MS

Body Image Activist, Beauty RedeTined

Beauty Rede\ined: Strategies for Recognizing and

Rejecting Harmful Media Ideals

Date Start End Room Session #

Tues 9:15 AM 10:15 AM 300 A-‐D 226

Dr. Eugene Cole, MSPH, DrPH

Professor, Brigham Young University

A Clean Standard for Schools -‐ An Approach to

Improving Health, Performance, and

Pandemic Preparedness

Date Start End Room Session # Tues 3:45 PM 4:45 PM 300 A-‐D 281

Dr. Melvin Shipp, OD, DrPH

Dean and Professor, The Ohio State University

College of Optometry

A Better Tomorrow Through Collaboration

Date Start End Room Session #

Wed 9:00 AM 10:00 AM 300 A-‐D 321

Dr. Marcus Plescia, MD, MPH

Director of Cancer Prevention & Control, CDC

Reducing the Burden of Chronic Disease: How We Do It

Date Start End Room Session #

Wed 4:00 PM 5:00 PM 300 A-‐D 391

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211 Mission Impossible: Communicating Health to Teens

Time Room Session

7:30 AM 400 Sunrise Session A

The teenage years can often be awkward and painful—a fact many of us remember all too well! As public health practitioners, it can be difTicult to reach this unique population with messages of health and wellness. Come learn how to use evidence-‐based programs to overcome the seemingly insurmountable barriers involved in working with teens. Participants will learn about one such program and understand the key components to successful

communication of health messages and prevention in this interactive presentation.

Presenter(s) Sarah Dahl -‐Sarah Simons, Marla Brannum, Toni Carpenter

212 mHealth – Engaging Patients and Consumers, One Application at a Time

7:30 AM 300 D Sunrise Session B

Mobile technologies and platforms are becoming commonplace, and are uniquely positioned to impact the lives of individuals in new and promising ways. These tools are showing efTicacy with respect to behavior change. This presentation will give public health professionals, health educators and clinicians an overview of the mobile health (mHealth) landscape. I will describe how one can better predict the utility of an application. We will conclude with a discussion of mHealth applications that we at HealthInsight are promoting that are speciTic to the Utah population, and review how one could leverage these new technologies to help patients reach their health goals.

Presenter(s) Ryan P. Brown, MPH/MHA 213 Social Media for Public Health Messaging Time Room Session

7:30 AM 300 A Sunrise Session C

Social media is taking over as a means by which people access information. We teach University of Utah fourth year medical students about principles of communication to non-‐scientiTic audiences to help prepare them for

professional careers. During the past two school years, we have partnered with Salt Lake Valley Health Department in a service learning project. Students have been assigned a group project to write and produce a public health-‐related videos suitable for inclusion on the SLVHD YouTube channel. We will present several of the student videos and talk about the project development, implementation, and evaluation.

Presenter(s) Christy Porucznik, PhD, MSPH-‐Vanna Livaditis, Jessica Greenwood

214 Partnering for Recovery

7:30 AM 200 D Sunrise Session D

People in Utah with substance abuse disorders and mental illness are particularly vulnerable to tobacco addiction. Intake data from the Utah Division of Substance Abuse and

Mental Health (DSAMH) indicates use rates as high as 68% among substance abuse clients. National data indicates that use rates are likely even higher among mental health clients. These statistics are particularly alarming when you consider that Utah has the lowest tobacco use rates in the nation at 8.8%.

In 2009, the Utah Department of Health Tobacco Prevention and Control Program (TPCP) partnered with DSAMH to implement tobacco-‐free campus policies and integrate tobacco cessation into treatment protocols at all state funded substance abuse and mental health treatment facilities. This process built on the success of the Utah State Mental Hospital going smoke free in 2007. The initiative was implemented in three phases. The Tirst phase focused on training and conducting policy needs assessments at each of the facilities. The second phase focused on training staff and providing resources to meet challenges. The Tinal stage focused on policy development and launching cessation activities.

By July 2012 all publicly funded substance abuse and mental health treatment facilities will have completed the three phases and begin implementing their policies. We look forward to monitoring how this approach will impact tobacco use rates and improve the overall wellness of substance abuse and mental health clients. Through this partnership Utah will potentially reach around 30,000 smokers, or an estimated 15% of the total smoking population.

Presenter(s) Marci Nelson, BS -‐ Noreen Heid, MPA , Dave Felt, LCSW , Rick Hendy, LCSW

215 Measles Outbreak in an Industrial setting: Working with Community Partners

7:30 AM 200 C Sunrise Session E

From April to June 2011, Utah dealt with a large measles outbreak that originated from an unvaccinated Utah resident with recent travel to Eastern Europe. In total, 15 conTirmed cases were identiTied, and it is estimated that over 14,000 people who were exposed to conTirmed cases were contacted by public health. Many situations were dealt with during this outbreak investigation, including identifying and responding to a conTirmed case that went to work at a power plant which employed several hundred employees during his infectious period . The Utah Department of Health, Central Utah Public Health Department, and the power plant collaborated in investigating and responding to this situation. This presentation will provide an overview of the epidemiology of measles, address the role of the state health department in working with a rural health department, describe the public health efforts in the investigation and response of exposed contacts in an industrial setting, and discuss lessons learned regarding contact investigations and rapid implementation of a vaccination program to stop the spread of measles. Presenter(s)

Valoree Vernon, MPH-‐Louise10

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226 Beauty Rede\ined: Strategies for

Recognizing and Rejecting Harmful Media

Ideals

Date Time Room Type

Tues 9:15 AM 300 A-‐D Keynote Speaker Beauty RedeTined is all about rethinking our ideas of “beautiful” and “healthy” that we’ve likely learned from for-‐ proTit media that thrives off female insecurity. Research has found that girls who felt good about themselves were more likely to be physically active and pay more attention to what they ate. Meanwhile, the girls who were the most dissatisTied with their size tended to become more

sedentary over time and paid less attention to maintaining a healthy diet, which caused them to gain more weight. This shows that encouraging women to love and care for their bodies -‐ whether or not they match media beauty ideals – may be one way to reverse or at least slow the progression of the obesity and eating disorder epidemics. Beauty RedeTined aims to continuously promote the idea that all women are worthwhile AND beautiful while Tighting against the harmful ideals we’re sold at every turn. Presenter(s) Lexie and Lindsay Kite, MS

____________________________________________________________________

241 Framing the Public Health Message Date Time Room Type

Tues 10:45 AM 400 Breakout

Public health messages urging policy and social change compete in a world dominated by marketplace language and values. These values are often at odds with the goals of public health. This presentation describes a framework that can be used in advocating for public health issues.

Participants will be introduced to some strategies that can be used in framing public health messages.

Presenter(s) Cathy Chambless, PhD, MPA, CRC

____________________________________________________________________

242 Why Proper Disposal of Household Hazardous Waste (HHW) Needs Community and Leadership Support Date Time Room Type

Tues 10:45 AM 300 D Breakout

There will be two presenters for this session’s material, Dan Moore and John Hoggan. Mr. Moore will outline what “household hazardous waste” (HHW) is according to the

Salt Lake Valley Health Department, why HHW presents a public health concern, and why this waste stream should be kept from disposal in municipal landTills. Mr. Moore will then discuss the SLVHD HHW Collection Program and its evolution over the past 20 years.

Following these remarks, Mr. Hoggan will discuss an evaluation of the SLVHD HHW Collection Program that was completed in 2011. Mr. Hoggan will then show and describe results obtained from a Stella® systems dynamics model regarding education of the public about HHW disposal. The model results show that implementation of more effective HHW public education requires the support of community leaders and public health professionals to be successful. To conclude, Mr. Moore will speak about some of the successes the SLVHD HHW Program has had: 1) Salt Lake County has successfully partnered with an electronic company to pay for all e-‐scrap collected through the program and 2) how Tluorescent light tubes and old prescription medications are handled in Salt Lake County. Presenter(s) John Hoggan, BS, MST Dan Moore ____________________________________________________________________ 243 Chronic Disease Coordination: What's in It for You?

Date Time Room Type Tues 10:45 AM 300 BC Breakout

The Bureau of Health Promotion (BHP) plays a critical role in preventing chronic diseases and injuries, and promoting good health in Utah by addressing the following conditions and risk factors: arthritis; asthma; healthy pregnancies; cancer; diabetes; heart disease and stroke; physical activity, nutrition and obesity; tobacco; and violence and injury. BHP connects people and organizations to create healthy and safe communities and to eliminate health disparities. BHP uses data-‐driven, evidence-‐based policies and interventions to affect system changes; promote healthy lifestyles and behaviors; detect and prevent injury and disease; and improve access to quality health care. BHP monitors the health of the population by collecting, analyzing and sharing data. BHP also directs calls from nearly 75,000 Utahns looking for resources and referrals to public health services and programs.

In 2011, BHP received a grant from the Centers for Disease Control and Prevention (CDC) to improve Utah’s health by coordinating chronic disease and risk factor prevention and health promotion. BHP programs, local health departments, and other key partners are currently developing a

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statewide chronic disease prevention and health promotion plan to guide these efforts. This plan will show linkages between multiple chronic conditions and risk factors and joint, coordinated approaches to address them. Elements of the plan include communication, policy, surveillance, and evaluation. Intended results include improved inter-‐ program communication and resource sharing, reduced duplication, and increased reach.

In this presentation, participants will learn how these efforts will result in increased public health reach and impact, leading to better health outcomes.

Presenter(s) Kathy Paras

____________________________________________________________________ 244 Analysis of Sexually Transmitted Infection data using geomapping and social determinants of health in Utah

Date Time Room Type Tues 10:45 AM 300 A Breakout

Background: Sexually transmitted infections, such as Human ImmunodeTiciency Virus (HIV) and Chlamydia trachomatis, continue to affect certain populations in Utah. The rate of People Living with HIV/AIDS (PLWHA) and newly diagnosed cases of Chlamydia continues to increase every year in Utah. Prevention efforts face barriers such as location, lack of resources, and several social determents of health (SDH). Understanding those barriers will enable state and local health departments (LHDs) to target efforts toward interventions within prevention and care services. Purpose: To further understand the epidemiology of STDs in Utah by geographic location and SDH associated with those locations to support prevention efforts.

Methods: HIV data were geocoded by current address using ArcGIS for linkage of SDH data from the U.S. Census

Bureau’s American Community Survey. Analysis of the geocoded data included descriptive statistics. The SDH measures were analyzed to provide information toward targeting of prevention activities and interventions based on statically signiTicant differences in populations. Chlamydia rates were displayed using ArcGIS. SpeciTic population rates were calculated using the Governor’s OfTice of Planning and Budget population estimates. Results: Although roughly 90% of HIV-‐infected individuals live along Utah's Wasatch Front, HIV prevalence rates are common in each LHD statewide. SigniTicant Tindings among

the SDH measures and elevated rates of disease were found. Females aged 15–22 years have experienced the highest rate increases of Chlamydia infection overall and continue to have much higher rates than their male counterparts. The geographical distributions of female rates show an increase in the majority of Utah's 29 counties.

Conclusions: STD prevention efforts toward infected individuals must consider SDH measures within different geographic areas throughout Utah.

Presenter(s) Matthew Mietchen, Epidemiologist -‐ Eri Prendergast, Erin Hellstrom

____________________________________________________________________

245 Obstetrical Complications of African Born Women Birthing in Utah -‐ A Five Year

Review

Date Time Room Type Tues 10:45 AM 200 D Breakout

The purpose of this study was to determine if there are variations in birth outcomes for African-‐born women and white, non-‐Hispanic women in Utah between 2002-‐2007. African refugee women often have pre-‐existing conditions affecting their health, as well as the perinatal conditions that affect pregnancy. Although urban areas of Utah are major resettlement sites for African refugees, little is known about the incidence of perinatal complications for this group of women in Utah. A retrospective study was conducted of all Utah Birth CertiTicates for 2002-‐2007 including singleton births only; 880 African-‐born women were identiTied. IRB approval was obtained from the University of Utah and the Utah Department of Health. Data analysis was performed using S.A.S 9.1 ®. Demographic characteristics were examined. Analyses conducted included frequencies and chi-‐squares. SigniTicant differences between the two groups were identiTied in socio-‐demographic characteristics and birth outcomes. Public health professionals in Utah must be aware of the signiTicant common perinatal conditions for African-‐born women of childbearing age, understand the Utah trends and consider new ways to support culturally appropriate care. Health care providers should be educated about

anticipating speciTic maternal and neonatal problems and intervening early. Addressing health literacy issues, assuring appropriate weight gain according to culturally appropriate diets and preventing some perinatal and

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intrapartum problems should be addressed through public health education programs tailored to African-‐born women.

Presenter(s) Jane M. Dyer, CNM, MBA, PhD -‐ Laurie Baksh, MS

____________________________________________________________________

246 Quality Improvement in Action in Local Public Health

Date Time Room Type Tues 10:45 AM 200 C Breakout

There is growing momentum among health departments to engage in quality improvement (QI) activities. In today’s changing and challenging environment, where health departments are faced with protecting the public’s health from complex health threats with dwindling resources, QI has the potential to increase efTiciency and effectiveness. When deliberately done, quality improvement methods and tools can help streamline processes, overcome barriers to desired outcomes, conserve resources, and empower staff. Many local health departments in the state have initiated quality improvement efforts. This session will highlight several of their efforts to use QI to improve services and processes, such as decreasing wait times in clinics, or improving coordination among partners to better respond to health issues in the community. An overview of quality improvement applied in public health will be given and resources for engaging in QI will be shared.

Presenter(s) Anna Dillingham, MPH -‐ Claudia Price, Sally Kershisnik, Toni Carpenter

____________________________________________________________________

251 Improv Comedy Show Date Time Room Type Tues 12:15 PM 300 A-‐D Speaker

Like the mad-‐cap TV show 'Whose Line is it Anyway,' The Fun Guys are a hilarious improv comedy show, and here's the best part: The whole show is based on YOUR

suggestions! You will gather no moss, because The Fun Guys will keep you rolling.

Presenter(s) The Fun Guys

____________________________________________________________________

261 For Me, For Us: Overcoming the Tower of Babel in Public Health

Date Time Room Type Tues 1:30 PM 400 Breakout

Utah racial and ethnic minority groups face unique health challenges: African American and PaciTic Islander babies

are signiTicantly more likely to die before their Tirst birthday than infants statewide. Hispanics are less likely to have access to needed medical care than any other Utah racial/ethnic group. All three of these groups have higher obesity rates than the statewide population. This project is the result of a partnership among public health agencies and local community organizations and it was designed to address these health issues in a cultural and linguistic appropriate manner featuring members of Utah's minority communities. The presentation will cover the planning and implementation process and it will provide helpful tips on how to tailor public health programs to the cultural and linguistic needs of minority populations.

Presenter(s) Dulce A. Diez, MPH, MCHES

____________________________________________________________________

262 Redesigning Public Health Surveillance in an e-‐Health World

Date Time Room Type Tues 1:30 PM 300 D Breakout

The Public Health Informatics Institute (PHII), a program of the Task Force for Global Health, recently received a Robert Wood Johnson grant to establish a workgroup. This workgroup was given three tasks:

1. Fully deTine the public health surveillance process that is currently employed by public health agencies.

2. Redesign this process to fully exploit the transition from paper-‐based to electronic information Tlow

3. Identify system requirements to provide to vendors to create improved NEDSS systems.

The requirements for NEDSS-‐systems are now 15 years old, which is the end of a computer program lifecycle. Information design, Tlow, transmission methods, and availability have all changed dramatically over the past decade. It is no longer sufTicient to use traditional paper-‐ based surveillance methods developed in the 19th and 20th century. As information availability changes, so must the process to identify, report, investigate, manage, and track reportable conditions.

Problems identiTied with the current surveillance process include:

1. A rapid increase in volume of lab and case reports from the healthcare sector.

2. Managing increasing numbers of investigations with dwindling resources

3. Lack of standards-‐based and interoperable data and surveillance systems

4. Managing, analyzing, and visualizing large amounts of data in real time

The workgroup met a total of 3 times over winter

2011-‐2012. This talk will discuss preliminary results from the redesign and requirements process.

Presenter(s) Susan Mottice, PhD

____________________________________________________________________

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263 Public Speaking: Presenting in the 21st

Century

Date Time Room Type Tues 1:30 PM 300 BC Breakout

We’ve all heard it…the fear of public speaking is the #1 most common fear… Yes, even higher than the fear of death! However, in the Tield of public health, we are expected to present information all the time and to present it well, whether it’s to a group of three or three thousand. This session will focus on the basics of public speaking while also elaborating on some of the new “tools” we can use to enhance our presentations. Participants will leave with a variety of tips and tricks they can use to be more prepared (and much less stressed) for their next presentation. Presenter(s) James Bemel, PhD, MSPH/HSA

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264 The Community Health Assessment

Journey

Date Time Room Type Tues 1:30 PM 300 A Breakout

Assessment is one of three core functions of public health. Conducting a community health assessment involves systematically collecting and analyzing data to better understand the health of a community. According to the Institute of Medicine’s The Future of Public Health (1988), “an understanding of the determinants of health and of the nature and extent of community need is a fundamental prerequisite to sound decision-‐making about health.” Health departments around the state are working on community health assessments, using a variety of

quantitative and qualitative methods to better understand the health status of their communities. In this session, health department staff will share their experiences in conducting a health assessment, the partnerships that helped them in the process, the methods they employed to gather data and community input, and all the lessons they learned along the way.

Presenter(s) Anna Dillingham, MPH -‐ Jeff Coombs, Julie Parker, Brian Bennion, Toni Carpenter

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265 Living Well with Chronic Conditions -‐ A Group Model Sustained by a Network of

Partners

Implemented throughout Utah, Stanford's Chronic Disease Self-‐Management Program, in Utah called Living Well with Chronic Conditions, reaches Utahns with all types of ongoing pain and illness through a two-‐pronged approach.

Self-‐management is the name of the game, and yet this program only truly succeeds when community leaders in each area who know their population best work together to reach their community. It is through their collaborative efforts that the greatest reach occurs. As they bring Local Health Departments, Area Agencies on Aging, Community Based Organizations, and other community partners to the table, their synergistic impact in more expansive and higher reaching than if each did so on their own. This form of success can be seen from Utah's most northern health districts to its most southern areas.

Within the model of this evidence-‐based self-‐management program, similar success is achieved as participants support each other in their efforts to achieve individual goals. Though the objective of the program is individually focused self-‐management, this outcome is successfully reached through the group model. As participants

understand and realize throughout the course, that they are not alone, that many others face similar challenges related to their chronic conditions, their desire to gain the self-‐ management skills taught increase. They become

empowered not only to help themselves, but through group problem solving, they assist each other and become a support to each other in a way they could not have done on their own. The group model is essential to the success of this life-‐changing course.

Presenter(s) Rebecca Castleton, BS -‐ Christine Weiss ____________________________________________________________________

266 Collaborating with Animal Control: the forgotten public health agency, Part I Date Time Room Type

Tues 1:30 PM 200 C Breakout

The animal control Tield is often overlooked as a public health agency and yet the majority of the issues that are addressed by animal control/animal services agencies directly affect public health and safety. The list of animal/ public health issues is extensive including concerns such as rabies and other zoonotic diseases, animals in disaster management, the impact of organized dog Tighting, animal hoarding, the animal cruelty and human violence link, and the number one domestic terrorist threat today -‐ animal extremists. Historically public health agencies and animal control organizations fail on some level to effectively cooperate on many of these and other important public health issues.

A rudimentary knowledge of the animal control/services Tield will allow public health ofTicials and decision makers the ability to more accurately seek out and collaborate with valuable animal control/services agencies to effectively tackle the ever-‐increasing animal involved public health threats.

Presenter(s) Tug Gettling

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271 Welcome Baby

Date Time Room Type Tues 2:30 PM 400 Breakout

Explaining how the welcome baby started and what is involved for those parents that have new babies. Also explain what the home visits are like and what teaching and learning takes place. We also give information on the why when and how of the program. We also give appropriate referrals to other community agencies.

Presenter(s) Marianne C Lindsey, RN -‐ Margaret Warner ____________________________________________________________________

272 SELFLESS SYNERGY: The Community Faces of Utah as a Model for Harnessing the Energy of Diversity for Improving the Health of All People and Creating Healthier

Communities

The Community Faces of Utah is a partnership among diverse community representatives and academia, health agencies, community-‐based organizations and churches with the aim of improving the health of all people and creating healthier communities. This multi-‐cultural, multi-‐ institutional partnership was originally organized for a community-‐academic interchange focused on better understanding of human genetics known as the Community Genetics Forum. In this 2-‐hour Panel Presentation, we 1) describe the history of the Community Faces of Utah as an example of a successful partnership among diverse communities and institutions; 2) report on the

accomplishments of the Community Genetics Forum; 3) present a model for human interaction and partnering that works for families, extended families, communities and perhaps for nations; and 4) engage in a dialogue of how the proposed model can be used to reach new heights in promoting public health and well-‐being as a means of realizing our full potential in comprehensive community health. This panel presentation and discussion draws on the perspectives and insights from representatives of Calvary Baptist Church, the Hispanic Healthcare Task Force, the Indian Walk-‐In Center, the National Tongan American Society, the United Africans of Utah, the Utah Department of Health and the Community Engagement Core of the Center for Clinical and Translational Sciences, which is housed at the University of Utah Health Sciences Center in partnership with Intermountain Healthcare. Drawing on the science of community engagement and community-‐based

participatory research and projects, this provides evidence of the power of collaboration and the strength of consensus-‐ based, multi-‐perspective, equitable partnerships.

Presenter(s) Community Faces of Utah -‐ Heather Aiono, Pastor France A. Davis, Doriena Lee, Valentine Mukundente, Sylvia Rickard, Ed Napia, Fahina Tavake-‐Pasi, Brenda Ralls, Grant Sunada, Louisa Stark, Steve Alder

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273 Cancer Screening Clinics in the Community Setting

Date Time Room Type Tues 2:30 PM 300 BC Breakout

In 2010, free cancer screening events were started in four Salt Lake County community and school based clinics for low-‐income individuals. Historically these clinics provide much needed medical care to patients, but cancer screening was not a service provided. In the past free cancer screening events held in local hospitals were not well attended by low-‐income individuals. The goal was to provide cancer screening to low-‐income individuals in their home community. The cancer screenings provided include: cervical, breast and prostate.

These cancer screening events are staffed and funded by volunteers, local businesses, grants, and national

corporations. After each screening clinic a nurse follows up with the results of each test. Each patient with an abnormal test is referred for further evaluation.

These clinics are in their third year. Patients seen in the clinics rose in 2011 from 2010. Return patients were also seen in 2011. Data has been collected on number of patients seen, results of testing and interventions.

This presentation will look at the process of developing cancer screening clinics, developing community resources to hold these events and the management of these patients. Presenter(s) Gina M Clay, RN, BSN

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274 Neighborhood Characteristics and

Geographic Access to Prenatal Care: Their Relationship to Poor Perinatal Outcomes in Salt Lake County

Date Time Room Type Tues 2:30 PM 300 A Breakout

Accessing prenatal care early in pregnancy to identify risk factors and potential complications, allows for appropriate perinatal interventions and care. If unidentiTied and untreated, these conditions increase maternal and neonatal health risks and contribute to total health care costs. Finding accessible prenatal care can be especially

challenging for immigrant and refugee women in Salt Lake County (SLCo). Geographic, Tinancial and cultural barriers to obtaining prenatal care have been suggested as reasons for these women to delay or avoid accessing prenatal care. Few studies to date have jointly assessed the importance of neighborhood socio-‐demographic characteristics and

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locations of providers who serve immigrant, uninsured and other underserved populations. Our study will Till this gap in the research literature and provide policy-‐relevant information on the socioeconomic and spatial features structuring prenatal care access in SLCo.

This study examines socio-‐demographic characteristics of neighborhoods and their residents’ geographic access to prenatal care within SLCo,. We will map speciTic socio-‐ demographic variables of neighborhoods within the county, determine the geographic proximity to prenatal care for mothers living within these areas, and examine the relationships of these variables to perinatal outcomes for women and infants in SLCo from 2000 through 2007. Several statistical and spatial analyses address our hypotheses on maternal characteristics, neighborhood characteristics, and proximity to services as they relate to perinatal health outcomes, speciTically prenatal care utilization, birth weight, preterm birth, and pregnancy complications. Results will inform policies that address disparities in perinatal services and health outcomes. Presenter(s) Mark Israel Taylor, MS, MPA -‐ Jane M. Dyer, CNM, MBA, PhD , Kim Korinek, PhD, , Mark Taylor, MS, MPA, ____________________________________________________________________

275 Collaborating with Animal Control: the forgotten public health agency, Part II Date Time Room Type

Tues 2:30 PM 200 D Breakout

(See Session 266 for the Description for this session) Presenter(s) Tug Gettling

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276 Assessment of Prenatal Care Knowledge and Utilization by Resettled African Refugee Women in Utah

Date Time Room Type Tues 2:30 PM 200 C Breakout

Background: While thousands of African refugees are resettled in the US each year, little research has been done to assess their unmet healthcare needs during pregnancy and delivery. We thus investigated knowledge and factors that might encourage or discourage the use of prenatal care services among African refugee women from a variety of nationalities and cultures resettled to Utah.

Methods: A mixed-‐method approach was used, including the collection of 103 in-‐depth surveys and 23 personal interviews from women representing 14 different African countries. Key informants were also identiTied through the OfTice of Refugee Services, the International Rescue Committee, and various African community leaders.

Results: Resettled African female refugees did seek prenatal care, but delayed until the second or third trimester. The

majority of these women reported cultural and language challenges, speciTically when working with their main healthcare provider. Attitudes toward prenatal care were positive. The majority of the women believed prenatal care to be beneTicial to the health of their baby, but they desired more information be made available to them, such as education on reproductive anatomy with respect to cultural inTluence, stages of development of the baby, and learning the speciTic nutritional needs of baby and mother before, during, and after pregnancy.

Conclusion: The need for enhanced education and

dissemination of information on pregnancy to this group is recommended, and should be

This Conference is an annual event planned by the major public health organizations in the state, the Utah Public Health Association, Health