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NMDOH FY18 QUARTER 3 STRATEGIC PLAN PROGRESS REPORT

The New Mexico Department of Health Results Scorecard shows the progress we made toward a Healthier New Mexico during fiscal year 2018 (FY18), quarter 3 (Q3). You can use this Scorecard to learn about the actions we are taking to carry out our Strategic Plan. The Scorecard shows what we are doing and how well we are doing it.

A Result (R) is the condition of well-being we would like to see for the population of New Mexico. An Indicator (I) helps us measure the desired Result in the population. A Program (P) is an organizational unit in our agency that helps us reach the desired Results. A Performance Measure (PM) helps us measure how well a Program is contributing to population health.

Time Period describes the most recent period for which data are available. The Actual Value, Target Value, and Current Trend are for the Time Period shown. Actual Values may show a background color. Green means we met the Target Value. Yellow means we were close to the Target Value. Red means we did not meet the Target Value. The Current Trend shows whether we have been getting better or worse. A green arrow shows the trend is moving in the direction we desire, a red arrow shows the trend is moving away from our desired target, and a black arrow shows that the trend is staying the same. The number next to the arrow shows how many periods in a row the trend has been in the same direction.

R
Time Period
Current Actual Value
Current Target Value
Current Trend
Why Is This Important?
I
2017
186.7 per 1,000
185.5 per 1,000
2
I
2015
11.4%
13.5%
2
I
2016
16.6%
2
I
2016
24.8 per 100,000
25.9 per 100,000
1
I
2016
66.0 per 100,000
58.5 per 100,000
3
I
2016
91.6 per 100,000
96.1 per 100,000
1
I
2016
921 per 100,000
475 per 100,000
0
I
2016
22.2 per 100,000
20.7 per 100,000
1
I
2016
14.4 per 100,000
15.0 per 100,000
1
P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Public Health Division (PHD) fulfills the New Mexico Department of Health (NMDOH) mission by working with individuals, families, communities and partners to improve health, eliminate disparities, respond to health threats, and ensure timely access to quality, culturally competent health care.

Who We Serve

The Public Health Division serves all New Mexicans.   

How We Impact

PHD staff members implement evidence based public health interventions and promote healthy lifestyle choices that reduce the burden of chronic and infectious disease in our communities. Public Health assures access to health care through case management, and through recruitment and retention efforts including the J-1 Visa Program, licensing of midwives and community health workers, tax credits for  rural health providers, and collaboration with rural primary health care providers throughout the state.

Budget

FY18 OPERATING BUDGET: $ 181,331,100

  • General Funds: $ 49,846,500
  • Other Transfers: $ 16,839,500
  • Federal Funds: $ 72,078,100
  • Other State Funds: $ 42,567,000
Accomplishments

During the third quarter of FY18, some of PHD’s accomplishments included:

  • The Santa Clara Pueblo Health Committee received notification that their application was selected by the Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC) to receive funding of up to $20,000 to conduct a community health needs assessment with technical support from staff at AASTEC.  This milestone will allow Santa Clara Pueblo to update their last community needs assessment which was done in 2007. Health Promotion supported the application process, and will continue to support the Santa Clara Health Committee in finalizing their needs assessment by September 2018. 
  • The School Kids Influenza Immunization Project (SKIIP) is a large collaboration between many agencies and programs to provide flu vaccine to children in schools. In the Southeast Region 32 of the 33 school districts participated in giving flu vaccine in schools. This project is unique in that New Mexico and Hawaii are the only states in the USA that have such a state-wide program. The Southeast Region vaccinated almost 5,800 children through SKIIP.
  • The Southwest Region Health Promotion Team worked closely with the Silver City Arts and Cultural District to launch a program that promotes walking and other physical activity. The program is funded by a grant from the New Mexico Department of Tourism and includes the construction of a trails kiosk located at the Silver City Visitors Center, way-finding signs for local trailheads, and a trails brochure.
  • Four WIC offices in the Albuquerque Metro Area were selected to pilot the new WIC management information and electronic benefits system. The pilot started in February and statewide rollout is planned for July of 2018.           
P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Epidemiology and Response Division (ERD) monitors health, provides health information, prevents disease and injury, promotes health and healthy behaviors, responds to public health events, prepares for health emergencies, and provides emergency medical, trauma, vital registration, and sexual assault-related services to New Mexicans.

Who We Serve

ERD serves all New Mexicans, particularly those at risk for injury, disease, and health emergencies, and those in need of emergency medical services, trauma care, birth certificates, and death certificates.

How We Impact

ERD provides services through six bureaus: Vital Records and Health Statistics (VRHS), Health Emergency Management (BHEM), Emergency Medical Systems (EMS), Environmental Health Epidemiology (EHEB), Infectious Disease Epidemiology (IDEB), and Injury and Behavioral Epidemiology (IBEB). In addition, the Community Health Assessment Program (CHAP) operates the online NM Indicator-Based Information System (IBIS) providing data on numerous health-related measures; and the Health Systems Epidemiology Program (HSEP) analyzes and disseminates hospitalization and emergency department data.

VRHS annually registers approximately 26,000 births and 17,000 deaths, and issues over 250,000 birth and death certificates. VRHS also analyzes and distributes data to numerous agencies and organizations to assist them in improving the health of New Mexicans. By working at the state, regional, and local levels through public and private partnerships BHEM enables New Mexicans to prevent, detect, report, respond to, and recover from health-related emergency and disaster incidents. The EMS Bureau administers the Emergency Medical Services (EMS), Trauma, and Stroke/STEMI (Heart Attack) programs. EMS assures licensure for over 8,000 NM Emergency Medical Technicians (EMTs).

EHEB conducts surveillance on conditions associated with environmental exposures (e.g. drinking water, air, and soil), provides information to other programs and the public, and implements interventions. IDEB performs surveillance for notifiable infectious diseases and conducts epidemiologic field investigations associated with those diseases, investigating over 10,000 potential cases each year. IDEB and EHEB also provide an on call service, responding to over 5,000 calls annually from healthcare providers, state agencies, educational facilities, the general public, and others seeking advice and recommendations. IBEB analyzes alcohol- and drug-related public health problems; supports substance abuse prevention programs and policy initiatives; provides injury prevention services for infants, children, adolescents, adults, and the elderly; and conducts studies in injury epidemiology. IBEB also conducts the Behavioral Risk Factor Surveillance System annual survey of about 9,000 adults as well as the Youth Risk and Resiliency Survey of about 30,000 mid- and high school students to provide state, county, and school district level data on risk behaviors and resiliency factors.

Budget

FY18 OPERATING BUDGET: $28,188,700

  • General Funds: $12,002,700
  • Other Transfers: $766,200
  • Federal Funds: $15,012,100
  • Other State Funds: $407,700
Accomplishments
During the 3rd quarter of FY18, some of ERD’s accomplishments included:
  • The older adult falls death rate decreased 12 percent in 2016 to 91.6 deaths/100,000 at the same time the number of health care providers and older adults trained in evidence based fall prevention approaches has increased substantially.
  • New Mexico's drug overdose death rate dropped from 8th highest to 12th in 2016.
  • Using federal funding for Zika prevention and detection, birth defects surveillance has been made much more comprehensive with increased services to families with birth defects.
  • A new trauma center, the first in Doña Ana County, was designated.
  • With an early start to the influenza season, 10 outbreaks in long term care centers were investigated and, as a result, recommendations for control were provided.
  • Crisis standards of care are being developed to increase the number of tools available to be used in a major public health emergency.
  • Emergency department syndromic surveillance uses are expanding to tracking non-fatal overdose, suicide attempts, and influenza.
  • Program evaluation capacity is being enhanced largely through federal funding.
  • The number and percentage of retail pharmacies that dispense naloxone has increased substantially to 236 (61%).
P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Scientific Laboratory Division (SLD) provides laboratory analysis and scientific expertise for public health policy development, environment, and toxicology programs in New Mexico (NM). SLD provides timely identification in order to prevent, identify, and respond to threats to public health and safety from emerging and unusual infectious diseases in humans, animals, water, food, and dairy, as well as chemical and radiological hazards in drinking water systems and environmental water, air, and soil. In addition, the laboratory performs drug testing and provides expert witness testimony for forensic investigations of DWI/DUID and cause of death from drugs and infectious disease. SLD is the primacy bioterrorism and chemical terrorism response laboratory for the state and provides training for clinical laboratories throughout New Mexico. 

Who We Serve

New Mexico statute dictates that the Scientific Laboratory Division is the primacy laboratory for the New Mexico Department of Health, the New Mexico Environment Department, and the New Mexico Department of Agriculture, as well as the testing and regulatory authority for impaired driving testing.

How We Impact

The Scientific Laboratory is New Mexico’s official public health, environmental monitoring, and forensic toxicology laboratory. In the above roles, the Scientific Laboratory Division operates the following programs:

  • Infectious disease reference testing laboratory for the New Mexico Department of Health, NM hospitals, and clinical labs;
  • Primacy NM regulatory drinking water testing laboratory for the Environmental Protection Agency (EPA) and NM Environment Department;
  • Regulatory air testing laboratory for NM Environment Department and City of Albuquerque;
  • Primacy NM regulatory dairy testing laboratory for the Food and Drug Administration and NM Department of Agriculture;
  • Veterinary infectious disease reference testing laboratory for the NM Department of Agriculture’s Veterinary Diagnostic Services;
  • Food borne infectious disease testing laboratory;
  • Certification inspectors for private dairy and dairy testing laboratories for the NM Environment Department and the NM Department of Agriculture;
  • DWI/DUID alcohol and drug testing laboratory;
  • State toxicology expert witnesses for DWI/DUID criminal cases;
  • Certifying authority for NM law enforcement officers for breath alcohol testing;
  • Bio- and chemical terrorism response laboratory for New Mexico;
  • Disease and drug testing laboratory for the NM Office of the Medical Examiner.
Budget

FY18 OPERATING BUDGET: $ 12,904,200

  • General Funds:      $7,599,600
  • Other Transfers:    $1,251,100
  • Federal Funds:       $2,646,000
  • Other State Funds: $1,407,500
Accomplishments

During the third quarter of FY18, some of SLD’s accomplishments included:

  • The Chemistry Bureau was certified by the Environmental Protection Agency to perform Method 200.8 for the detection of Mercury.  Using this method allows results to be reported more rapidly than the current method (245.1).
  • The Biological Sciences Bureau's General Microbiology Section identified Corynebacteria diphtheriae - a rarely seen organism due to the availability of the diphtheria vaccine - in a wound culture specimen.
  • The Division hosted the Center for Disease Control & Prevention's Laboratory Response Network regional representative to discuss future plans and share best-practices.
  • The Division hosted representatives from Africa as part of the United States Department of State's International Visitor Leadership Program.  SLD scientists discussed the role of the New Mexico Department of Health in the state's Public Health system.


P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Office of Facilities Management (OFM) fulfills the New Mexico Department of Health (NMDOH) mission by providing:

  • Programs in mental health, substance abuse, long-term care, and physical rehabilitation in both facility and community-based settings;
  • Safety net services throughout New Mexico.
Who We Serve

OFM oversees five healthcare facilities and one community program. Most individuals served by NMDOH facilities have either complex medical conditions or psychiatric disorders that manifest in violent behaviors, and private sector providers are either unable or unwilling to serve these complex individuals, many of whom are restricted to NMDOH facilities by court order.

How We Impact

OFM Facility staff cares for both New Mexico adult and adolescent residents, who need continuous care 24 hours-a-day, 365 days-a year as well as provision of a variety of behavioral health outpatient services.

Budget

FY18 OPERATING BUDGET: $124,072,300

  • General Funds: $58,125,800
  • Other Transfers: $1,118,200
  • Federal Funds: $3,992,400
  • Other State Funds: $60,835,900
Accomplishments

During the third quarter of Fiscal Year 2018, some accomplishments of the Facilities Management Division included:

  • Turquoise Lodge Hospital:
    • The BFit Study, in partnership with the University of New Mexico, helped to increase family therapy opportunities for patients.
    • Opened a walk-in clinic and performed 12 comprehensive assessments in 8 weeks, screened patients into Inpatient Rehab, Intensive Outpatient and/or referred patients out to external providers.
    • Clinical Department attended 4 University of New Mexico, Extension for Community Healthcare Outcomes (ECHO) trainings.  ECHO is a collaborative model of medical education and care management that empowers clinicians everywhere to provide better care to more people, right where they live.
  • New Mexico Behavioral Health Institute:
    • Became fully accredited by the Joint Commission for the next 36 months.
    • Patient surveys, with various patient care/environment questions, resulted in over 90% satisfaction; target is 90%.
    • Many patient social activities were held such as New Year's, Valentines Day and St. Patrick's Day and Super Bowl dances/pizza parties
  • Fort Bayard Medical Center:
    • Established Certified Nursing Assistant training with an outside vendor, which allows for continuation of internal employee training; 12 employees completed the class and moved to the testing phase.



PM
FY 2018
81.7%
90.0%
1
P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do
The Developmental Disabilities Supports Division (DDSD) effectively administers a system of person-centered community supports and services that promotes positive outcomes for all stakeholders.
Who We Serve

DDSD is the primary state agency that funds community services and supports for people with disabilities and their families in New Mexico.

How We Impact

DDSD's primary focus is on assisting individuals with developmental disabilities and their families in exercising their right to make choices, grow and contribute to their community.

Budget

FY18 OPERATING BUDGET: $159,443,800

  • General Funds: $146,264,200
  • Other Transfers: $8,760,400
  • Federal Funds: $2,819,200
  • Other State Funds: $1,600,000
Accomplishments

In FY18 Q3, some of DDSD's accomplishments included:

Community Programs Bureau:

  • Completion and roll out of DD Waiver Service Standards, Clinical Criteria V4, new Budget Worksheet.
  • Hosted two training webinars on the 2018 DD Waiver Standards.
  • Jackson Class Members began transitioning to 2018 DD Waiver Service Standards on 3/1/2018. Developed Crosswalk and Transition Plan for Jackson Class Members supported in the traditional DD Waiver to begin transition to 2018 DD Waiver Standards to be completed by June 2019.
  • Hired a new Mi Via Social and Community Service Coordinator.
  • Met with a group of advocates and family members to discuss how advocates can be included in the DDSD process going forward and how people on the DD Waiver and family members receive training on the new DD Waiver Standards.
  • Welcomed the Santa Fe Council on International Relations delegation of disability advocates from Russia to discuss New Mexico’s programs addressing disability, access to service, and accommodation.
  • Request For Proposal for comprehensive rate study developed, presented to stakeholder group for input on scope of work, and finalized.
  • Settings validation reports collected for 585 settings and are being reviewed and analyzed now by DDSD and the Human Services Depart.

Intake & Eligibility Bureau:

  • The end of Q3 marks four quarters of work on the Backlog Plan by the Central Registry Unit. The backlog has been reduced by 800 applications. During Q3 the unit processed 418 registrations and determined 164 individuals matched the definition of developmental disability, adding them to the waiting list. They closed 291 applications for not matching the DD definition or for not completing the application process.
  • During Q3, the PASRR (Preadmission Screening and Resident Review) unit processed 394 Level I Identification Screens, which allows for individuals with intellectual disabilities, mental illness, or related conditions to be admitted to Medicaid Certified Nursing Facilities.


P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Division of Health Improvement (DHI) plays a critical role on improving the health outcomes and ensuring the safety of New Mexicans. DHI ensures that healthcare facilities, community based Medicaid waiver providers and community support services deliver safe and effective healthcare and community services in accordance with laws, regulations, and standards of practice.

Who We Serve

DHI works closely with key stakeholders to promote and protect the health, safety, and quality of life of New Mexicans. Our stakeholders include executive and legislative policy makers; providers; facilities and contractors; other state, local, and federal government agencies; advocacy groups; professional organizations; provider associations; various task forces and commissions; and the tax paying public at large.

How We Impact

Key DHI enforcement activities include: conducting various health and safety surveys for both facilities and community-based programs; conducting investigations of alleged abuse, neglect, exploitation, death or environmental hazards; and processing over 44,000 caregiver criminal history screenings annually.

Budget

FY18 OPERATING BUDGET: $12,047,500

  • General Funds: $4,192,600
  • Other Transfers: $3,348,400
  • Federal Funds: $2,613,000
  • Other State Funds: $1,893,500
Accomplishments

During the third quarter of FY18, some of DHI’s accomplishments included:

  • The caregiver criminal history screening program processed 9,954 background checks during the third quarter. The average number of days to complete a background check was one day.

Health, Facilities, Licensing, and Certification:

• Participated in the HealthInsight statewide panel discussion “ Improving nursing home care”.
• Statewide NMHCA presentation to nursing home providers, provide training and data on: survey citations, incident reporting and overall compliance to regulations.
• Participated in the statewide conference on “Emergency Preparedness” 
• Conducted statewide video meeting with HealthInsight on  “understanding crisis”


Community Based Waiver Programs:

  • The Online Abuse, Neglect and Exploitation (ANE) annual refresher training was activated on 3/1/18.  the online ANE refresher training is now available to all community-based service providers, Developmental Disabilities Supports Division and Division of Health Improvement staff.
  • Incident Management Bureau (IMB) released its 2017 annual report.
  • IMB released the 2018 ANE reporting guide
  • The new Individual Quality Review team (IQR) is now 90% staffed and have completed training. Filling the final vacancy is in process. 
  • The Quality Management Bureau QMB Community Programs survey unit completed a redesign of the provider compliance determination scoring in conjunction with the new Developmental Disability Waiver (DDW) standards. 
  • The QMB Community Programs Surveyors completed training on the new 2018 DDW standards and are implementing the new survey tools beginning April 1,2018.
  • The QMB Community Programs survey unit completed a redesign and revisions of Living Care Arrangements, Community Inclusion and Case Management survey tools in conjunction with the new Developmental Disability Waiver (DDW) standards.


P
Time Period
Current Actual Value
Current Target Value
Current Trend
What We Do

The Medical Cannabis Program (MCP) was created in 2007 under the Lynn and Erin Compassionate Use Act (the Act). The purpose of this Act is to allow the beneficial use of medical cannabis in a regulated system for alleviating symptoms caused by debilitating medical conditions. New Mexicans with a diagnosed qualifying medical condition are eligible to participate in the Program.

Who We Serve

The Program serves New Mexicans with qualifying medical conditions diagnosed by a health care provider. There are currently 21 qualifying medical conditions:

  • Amyotrophic Lateral Sclerosis (ALS)
  • Cancer
  • Crohn’s Disease
  • Epilepsy/Seizure Disorder
  • Glaucoma
  • Hepatitis C Infection currently receiving antiviral treatment (proof of current anti-viral treatment required)
  • HIV/AIDS
  • Huntington’s Disease
  • Hospice Care
  • Inclusion Body Myositis
  • Intractable Nausea/Vomiting
  • Inflammatory autoimmune-mediated arthritis
  • Multiple Sclerosis
  • Damage to the nervous tissue of the spinal cord, with objective neurological indication of intractable spasticity (proof required)
  • Painful Peripheral Neuropathy
  • Parkinson’s disease
  • Post-Traumatic Stress Disorder
  • Severe Chronic Pain
  • Severe Anorexia/Cachexia
  • Spasmodic Torticollis (Cervical Dystonia)
  • Ulcerative Colitis
How We Impact

The Program enables the provision of compassionate care for people that have certain illnesses who prefer to use cannabis to alleviate symptoms related to their diagnosis.

Budget

FY18 OPERATING BUDGET: $2,750,000

  • Other State Funds: $2,750,000

Accomplishments

During the third quarter of FY 18, some of MCP accomplishments include:

  • Statewide launch of new patient applications in fillable PDF format, allowing patients to type, print and sign their applications for submittal;
  • Educational presentations and outreach activities to 17 agencies (including Adult Protective Services staff in key locations of the state, City of Santa Fe Planning and Zoning officials, medical providers, and patients) reaching approximately 740 individuals; and
  • Customer Service Training for internal employees.

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Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy