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Chronic Disease

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Quality Improvement

Chronic Disease

https://healthystmarys.com/groups/chronic-disease/

Improvement Strategies and Objectives:

Strategy #1: CD 1: Reduce the percentage of adolescents who currently use tobacco products.
Objective #1: Decrease current use of any tobacco product by high school students

Objective Time-Frame Target Measure: Current (during past 30 days) use of any tobacco product by high school students

Objective Time-Frame Target Goal: 34.4

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Current (during past 30 days) use of any tobacco product by high school students 34.4 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Current (during past 30 days) use of any tobacco product by high school students 34.4 Active Decrease 7.2
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Current (during past 30 days) use of any tobacco product by high school students 34.4 Active Decrease 38.2
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #2: CD 2: Reduce the percentage of residents who are considered overweight and obese.
Objective #1: Increase the percentage of adults who are at a healthy weight

Objective Time-Frame Target Measure: Percentage of adults who are at a healthy weight

Objective Time-Frame Target Goal: 27.9

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of adults who are at a healthy weight 27.9 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of adults who are at a healthy weight 27.9 Active Increase 28.9
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of adults who are at a healthy weight 27.9 Active Increase 25.4
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #2: Decrease the percentage of high school students who are considered overweight

Objective Time-Frame Target Measure: Percentage of high school students who are considered overweight

Objective Time-Frame Target Goal: 14.6

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of high school students who are considered overweight 14.6 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of high school students who are considered overweight 14.6 Active Decrease 13.1
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of high school students who are considered overweight 14.6 Active Decrease 16.2
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #3: Decrease the percentage of high school students who are considered obese

Objective Time-Frame Target Measure: Percentage of high school students who are considered obese

Objective Time-Frame Target Goal: 12.6

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of high school students who are considered obese 12.6 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of high school students who are considered obese 12.6 Active Decrease 15.5
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of high school students who are considered obese 12.6 Active Decrease 14
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #3: CD 3: Reduce the burden of diabetes and improve quality of life for all people who have, or are at risk for, diabetes.
Objective #1: Reduce the prevalence of diabetes

Objective Time-Frame Target Measure: Age-adjusted prevalence of diabetes

Objective Time-Frame Target Goal: 9.9

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Age-adjusted prevalence of diabetes 9.9 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Age-adjusted prevalence of diabetes 9.9 Active Decrease 10.5
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Age-adjusted prevalence of diabetes 9.9 Active Decrease 11
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #2: Reduce the incidence rate of diabetes

Objective Time-Frame Target Measure: Age-adjusted incidence rate of diabetes (per 1,000 population)

Objective Time-Frame Target Goal: 9

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Age-adjusted incidence rate of diabetes (per 1,000 population) 9 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Age-adjusted incidence rate of diabetes (per 1,000 population) 9 Active Decrease 8.8
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Age-adjusted incidence rate of diabetes (per 1,000 population) 9 Active Decrease 10
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #3: Reduce the rate of emergency department visits due to diabetes

Objective Time-Frame Target Measure: Rate of emergency department visits due to diabetes (per 100,000 population)

Objective Time-Frame Target Goal: 3629

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Rate of emergency department visits due to diabetes (per 100,000 population) 3629 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Rate of emergency department visits due to diabetes (per 100,000 population) 3629 Active Decrease 2347.3
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Rate of emergency department visits due to diabetes (per 100,000 population) 3629 Active Decrease 299.5
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #4: CD 4: (Developmental) Reduce racial disparities in chronic disease control and prevention.
Strategy #5: CD 5: Help people get recommended preventive health care services.
Objective #1: Increase the percentage of adults who had a routine checkup in the past year

Objective Time-Frame Target Measure: Percentage of adults who had a routine checkup in the past year

Objective Time-Frame Target Goal: 82.2

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of adults who had a routine checkup in the past year 82.2 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of adults who had a routine checkup in the past year 82.2 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of adults who had a routine checkup in the past year 82.2 Active Increase 74.7
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #6: CD 6: Improve health, fitness, and quality of life through regular physical activity.
Objective #1: Increase the percentage of residents who have adequate access to exercise opportunities.

Objective Time-Frame Target Measure: Percentage of residents who have adequate access to exercise opportunities

Objective Time-Frame Target Goal: 84.7

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of residents who have adequate access to exercise opportunities 84.7 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of residents who have adequate access to exercise opportunities 84.7 Active Increase 63.7
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of residents who have adequate access to exercise opportunities 84.7 Active Increase 77
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #2: Increase the percentage of youth reporting at least 60 minutes of daily physical activity per week.

Objective Time-Frame Target Measure: Percentage of youth reporting at least 60 minutes of daily physical activity per week

Objective Time-Frame Target Goal: 43.1

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of youth reporting at least 60 minutes of daily physical activity per week 43.1 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of youth reporting at least 60 minutes of daily physical activity per week 43.1 Active Increase 21.6
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of youth reporting at least 60 minutes of daily physical activity per week 43.1 Active Increase 39.2
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #3: Increase the percentage of physically active adults.

Objective Time-Frame Target Measure: Percentage of physically active adults

Objective Time-Frame Target Goal: 54.5

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Percentage of physically active adults 54.5 Active Increase
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Percentage of physically active adults 54.5 Active Increase 55.5
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Percentage of physically active adults 54.5 Active Increase 49.5
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #7: CD 7: Improve cardiovascular health.
Objective #1: Decrease the rate of emergency department visits due to hypertension.

Objective Time-Frame Target Measure: Rate of emergency department visits due to hypertension (per 100,000 population)

Objective Time-Frame Target Goal: 8853.5

Objective Time-Frame Target Date:

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Rate of emergency department visits due to hypertension (per 100,000 population) 8853.5 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Rate of emergency department visits due to hypertension (per 100,000 population) 8853.5 Active Decrease 4661.6
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Rate of emergency department visits due to hypertension (per 100,000 population) 8853.5 Active Decrease 519
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #8: CD 8: Reduce the occurrence of asthma complications.
Objective #1: Decrease the rate of emergency department visits due to asthma.

Objective Time-Frame Target Measure: Rate of emergency department visits due to asthma (per 10,000 population)

Objective Time-Frame Target Goal: 61.3

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Rate of emergency department visits due to asthma (per 10,000 population) 61.3 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Rate of emergency department visits due to asthma (per 10,000 population) 61.3 Active Decrease 1148
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Rate of emergency department visits due to asthma (per 10,000 population) 61.3 Active Decrease 68.1
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Strategy #9: CD 9: Reduce new cases of cancer and cancer-related illness, disability, and death.
Objective #1: Reduce the incidence rate of cancer

Objective Time-Frame Target Measure: Incidence rate of cancer (per 100,000 population)

Objective Time-Frame Target Goal: 396

Objective Time-Frame Target Date: 2026-12-31

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Incidence rate of cancer (per 100,000 population) 396 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Incidence rate of cancer (per 100,000 population) 396 Active Decrease 457
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Incidence rate of cancer (per 100,000 population) 396 Active Decrease 440
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Objective #2: Reduce the death rate due to cancer

Objective Time-Frame Target Measure: Death rate due to cancer (per 100,000 population)

Objective Time-Frame Target Goal: 150.9

Objective Time-Frame Target Date:

Measure Target Goal Status Desired Trend Contributor January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
Death rate due to cancer (per 100,000 population) 150.9 Active Decrease
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023
Death rate due to cancer (per 100,000 population) 150.9 Active Decrease 172
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Measure Target Goal Status Desired Trend Contributor January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022
Death rate due to cancer (per 100,000 population) 150.9 Active Decrease 167.7
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/chronic-disease/raw-data.

Chronic Disease - Quality Improvement Project #1

ABOUT

Problem Statement

Aim / Overall Goal / Desired Result

Change Idea

PDSA Objective

PDSA Cycle Number:

Estimated PDSA Implementation Timeline

From to

What questions do you want answered for this change?

PLAN

Predict what will happen when this test is carried out:

List the tasks needed to set-up this change: (Please include the person responsible, when the task is to be completed, and where the task is to be completed for each task.)

Related Improvement Measure:

No related measure has been set yet. Please connect this Quality Improvement project to a raw data measure.

DO

Describe what happened when you ran the test:

STUDY

Describe the measured results, and how they compared to the predictions:

ACT

Describe what modifications in the plan will be made for the next cycle from what you learned:

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