Bringing Peacemaking to the Near Westside

In this Grantee Spotlight Q&A, NYHealth Program Officer Bronwyn Starr and Leah Russell, Senior Associate, Center for Court Innovation, discuss efforts by the Center to promote health and wellness in the Near Westside neighborhood of Syracuse, a Healthy Neighborhoods Fund community.

As the community convener grantee for the Near Westside, the Center is working with residents, community-based organizations, and other neighborhood partners to improve the community’s health through a range of activities. The Center’s efforts include providing community-based conflict resolution services; advancing a Take Back the Streets campaign; and increasing resident engagement and leadership.  Through these projects, the Center is working to improve the health and safety of the Near Westside—empowering residents and helping elevate their perception of the neighborhood. Watch the following Q&A segments to learn more.

What is the Center for Court Innovation and its Peacemaking Project?

How Did Peacemaking Become Involved in the Near Westside?

How Does Peacemaking Align with NYHealth’s Healthy Neighborhoods Fund initiative?

Has there been a change in the perception about safety in the Near Westside?

What is the Take Back the Streets campaign?

What is the Summer at Skiddy Park program?
As a resident of the Westside, what do you like to do to be active?

A Healthy Valentine’s Day

Riley Elementary’s second-grade class faced an important choice: What snacks would they eat for their class Valentine’s Day Party?

The class has been learning about nutrition and physical activity through Oswego County Health Department’s (OCHD) Healthy Highway program, which taught them about poor (red), cautionary (yellow), and good (green) food choices. Equipped with new knowledge about food choices, one of the second grade classes voted to have yogurt, cheese sticks, carrots, granola cars, apple juice, and raisins—instead of chips and candy—for their Valentine’s Day party.

With a grant from NYHealth to support its Prevention Agenda goals, OCHD set out to address the high incidence of chronic disease in Oswego County caused by soaring overweight and obesity rates among school children and adults. OCHD provided training and support for the implementation of the Healthy Highway program, which seeks to increase awareness of obesity as a risk factor for chronic disease; incorporates time into the school day for students to learn about and plan nutritious snacks and lunches; and increases student engagement in physical activity.

Seth*, who is eight years old, said, “Healthy Highway is pretty fun. In the cafeteria, it helps us pick good foods and not eat things that are bad for us.”

As part of the Healthy Highway program, fifth graders worked with the school’s librarian during their library lessons to develop comic strips about what they learned. These colorful comic strips are posted around the school.

Riley Elementary’s sixth graders were trained to be “food detectives” through the program. The sixth graders sat in the cafeteria and took inventory of what other students consumed by examining lunch trays before students discarded the contents. Significant behavior change was noted in this school—Riley Elementary students ate 17.8% more vegetables and 29.1% more pineapple than students in a similar, neighboring school with no Healthy Highway program.

Teachers and parents have reported that students are often heard using the red-yellow-green traffic metaphors when referring to food, both in and out of school. One mother of three said, “Healthy Highway has been a fun way for our family to make healthy changes. For example, my kids will report at dinner if we are eating ‘green light’ foods, and even ask if we should be hiking or biking to places around town instead of jumping in the van. It has been a great way to engage with my kids about healthy habits that cross from school to home.”

A pre-test/post-test data analysis showed that participating schools saw a significant increase in student knowledge of and ability to identify healthy and unhealthy foods. As a result of Healthy Highway, schools and families now have a clearer approach to raising awareness about chronic disease and focusing on disease prevention. The Healthy Highway program has been so successful that participating schools, as well as one additional school, are interested in continuing the project in the next school year.

*name changed to protect privacy

Health Care Providers Improve Diabetes Care for Patients

Providers from Central New York share their stories about earning national recognition for providing excellent diabetes care from the National Committee for Quality Assurance (NCQA) or Bridges to Excellence (BTE) programs with NYHealth support.

Provider Stories

Brenda Davies-Wait, D.O.
Organization: Bassett Healthcare Network
Location: Cooperstown, NY
Number of Patients: Medium

Dr. Davies-Wait discusses the importance of NCQA recognition, including the benefits of hard patient data and of learning where providers can make improvements.

In your view, what are the most important measurements of quality care required by the NCQA Diabetes Recognition Program?

The HgA1C is the most important measurement. At this point, we know that one of the best ways to assess our management of our diabetic patients is the HgA1C.  However, I do think we need to be careful when we state that good control is for those less than 7%; this could be inaccurate in a practice that is mostly older as most of us are comfortable with HgA1C of 7.5%.

How will NCQA recognition help you enable better care for diabetes patients? Are there any specific positive changes in patients’ health outcomes that you are now expecting to see?

Thinking how you are doing versus knowing are two very different things. The recognition process allows us to see how we are doing with hard data. With the data, we can then make changes in our process. For example, we have made changes to improve our foot exam assessments in the following ways: We now place a footprint on the progress note when diabetic patients come in for a visit to remind the provider to do a foot exam; we will be training our nurses to do foot exams; we also reviewed, as a group, the standards of care and ways we may be able to continue to educate our patients.

Did compiling the data for NCQA’s evaluation help you better organize your patients’ information, or did you already have an electronic record system in place?

With the EMR, patient information is current. We already had the EMR, so there was no change in our organization.

In what ways did you or Bassett Healthcare Network have to adjust policies or practices in order to achieve NCQA recognition?

We did not have to adjust policies or practices.

In your opinion, what is the overall value of recognition programs for diabetes care? Do they encourage providers to adhere to the most updated standards or routines? Does such recognition make it easier to remember to perform needed tests or take certain measurements?

Being recognized allows patients and other providers to know we strive for perfect care. Going through recognition allows providers to assess how they are doing and see areas that they may need to improve on.

Any final thoughts?

I cannot stress how important it is to know where you stand in your practice so you can always make a positive change.


Douglas Rahner, M.D
Organization: Family Health Network
Location: Cincinnatus, NY
Number of Patients: Large

Dr. Rahner says NCQA recognition helped create friendly competition among providers and is valuable for publicly recognizing those who are providing quality care.

In your view, what are the most important measurements of quality care required by the NCQA Diabetes Recognition Program?

I believe blood sugar control (as determined by HbA1c <7% and >9%) and blood pressure control (<130/80 mm Hg and ≥ 140/90 mm Hg) are the most important measurements.

How will NCQA recognition help you enable better care for diabetes patients? Are there any specific positive changes in patients’ health outcomes that you are now expecting to see?

NCQA recognition has enabled better care for patients with diabetes because it allowed the organization to develop policy and procedures to ensure the care was occurring. Also, the measures allowed providers to see actual statistics demonstrating improved diabetes care. NCQA recognition supported the processes that were being followed in the Chronic Care Model.

Did compiling the data for NCQA’s evaluation help you better organize your patients’ information, or did you already have an electronic record system in place?

The organization was already documenting  and tracking the diabetes clinical information through a Diabetes Registry called Patient Electronic Care System (PECS).

In what ways did you or Family Health Network have to adjust its policies or practices in order to achieve NCQA recognition?

It was not an adjustment, but a development of policy and procedure to get patients with diabetes an annual dilated eye exam. The organization needed to develop a process and streamline communications with ophthalmologists in the community.

In your opinion, what is the overall value of recognition programs for diabetes care? Do they encourage providers to adhere to the most updated standards or routines? Does such recognition make it easier to remember to perform needed tests or take certain measurements?

Prior to applying for NCQA DRP (Diabetes Recognition Program), the organization was following a majority of the measures from the Chronic Care Model and had adopted clinical guidelines from the American Diabetes Association Standards of Care. NCQA recognition allowed the organization to make quality improvement to the measures and add the new measure needed to obtain NCQA recognition. The recognition just reinforces the progress the organization has made to address the health care given to patients with diabetes.

Any final thoughts?

It engendered a little bit of competition between providers, which, overall, is helpful in improving performance. It also allowed the organization to formally recognize the providers who have contributed to developing the diabetes program.

About this Initiative

At the close of 2013, NYHealth surpassed its five-year goal of helping 3,000 primary care providers attain recognition from the NCQA and BTE diabetes programs, which is an indicator that clinicians are delivering the best care and achieving good outcomes for patients. By targeting 3,000 doctors, approximately 25% of the 11,000 primary care physicians in New York State, NYHealth expected to set a new standard of care that will lead to a tangible increase in the number of people with controlled diabetes, a decrease in hospitalization rates for people with diabetes, and a decrease in the number of emergency room visits related to diabetes. New York State now has 3,100 providers in solo and group practices, outpatient departments, and community health centers who have attained diabetes recognition with support from the Foundation and its grantee partners.

Providers applied for funds to help achieve recognition through NYHealth’s Meeting the Mark: Achieving Excellence in Diabetes Care request for proposals (RFP). Through this RFP, NYHealth awarded $2,500 per physician who achieved recognition.

caret-down