Goal 3 : Decrease health impact of environmental exposure to air particulate matter
Anticipated Impact
Because air particulate matter , such as tobacco smoke , car exhaust , and wildfire smoke , have been linked to increased prevalence of respiratory illness and worse outcomes , we anticipate decreasing exposure to air particulate matter will reduce emergency department visits and hospitalizations for acute respiratory episodes . Additionally , reducing exposure may reduce prevalence of chronic respiratory disease , in turn reducing burden on the health care system .
Strategy 3.1
Improve tobacco screening and intervention by providers during routine and unexpected healthcare encounters .
Tactic : CHCO will develop training for providers on best practice methods for screening pediatric patients for exposure to environmental tobacco smoke . This will include motivational interviewing skills and provision of cessation assistance when appropriate .
Tactic : CHCO will adapt the materials developed in tactic 1.1 for use by community providers .
Tactic : CHCO will explore the creation of a tobacco cessation clinic . This clinic will be staffed by an advanced practice provider and will see adolescents and adults , following the successful model currently in place at Denver Health Medical Center .
Setting / Delivery Mechanism
Provider – Training , resources , and technical assistance for providers around tobacco screening , advising , and cessation assistance will be made available for providers at CHCO and in the community .
Internal Resources
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Child Health Clinic
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Adolescent Medicine
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Department of Psychiatry and Behavioral Services
External Resources
Partners will be defined based on targeted communities for intervention . Current partners include but are not limited to :
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Denver Health Medical Center
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Colorado QuitLine
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Local public health departments
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Colorado Department of Public Health and Environment
O O Community pediatric and family practice providers
Community Health Action Plan 59