NBCI%20COPD%20Baltimore%20Initiative%20Project%20Outline

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NBCI COPD Baltimore Initiative Project Outline
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NBCI HED Strategy
We will utilize existing scientific-based health
models that have proven their effectiveness in
creating a synergy of education that empowers one
to act upon their new knowledge based insight of
COPD. An example of this will be the Brown-Bag
COPD Luncheon, which will be discussed more later.
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Why Baltimore?
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Black Population in Baltimore
There are more than 405,080 African Americans in
the Baltimore area. The African American
population in Baltimore makes up more than 64
percent of the citys population.
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Black Communities Within NBCIs Church Network

• Allendale/Irvington/S. Hilton
• Edmondson Village
• Greater Rosemont
• Sandtown-Winchester/Harlem Park
• Upton/Druid Heights
• Poppleton/The Terraces/Hollins Mkt.
• Penn North/Reservoir Hill
• Greater Mondawmin
• Southern Park Heights
• Pimlico/Arlington/Hilltop
• Dorchester/Ashburton
• Forest Park/Walbrook
• Dickeyville/Franklintown
• Cherry Hill
• Perkins/Middle East
• Greenmount East
• Clifton-Berea
• Madison/East End
• Midway/Coldstream

Communities with a Black Population of 81 or
higher.
http//www.baltimorekidsdata.org/maps/Balt55CSA.pd
f
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Income in Baltimore
The median income for a household in the was
40,313 as of the last study in 2008, with a per
capita income of 22,885. The state of Maryland
has a median income of over 70,000 while the
predominantly Black population of Baltimore is
half of that. Black household median income is
estimated at 27,000. http//www.city-data.com/ci
ty/Baltimore-Maryland.html
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Income and Population Comparison
http//www.ubalt.edu/bnia/index.html
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Health Disparities

• The all-cause mortality rate for Blacks is 1.33
  times higher than that for Whites (2007)
• The all-cause mortality rate for Men is 1.59
  times higher than that for Women (2007)
• The all-cause mortality rate for residents (ages
  25 and over) with a high school education or less
  is 2.34 times higher than that for residents with
  at least some college (2007)
• Residents in the lowest income level (lt15,000)
  are 4 times more likely to report being obese
  than residents in the highest income level
  (gt75,000)
• The heart disease mortality rate in the
  predominantly Black Druid Park/Upton community is
  2.87 times higher than that in the majority white
  neighborhood of North Guilford/Homeland community
  (2007)

http//www.baltimorehealth.org/disparities
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All-Cause Health Disparities
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Prevalence of COPD
While numbers on COPD in the Baltimore area are
not readily available, nationally the number of
cases has been on the rise. However, in most
health instances African Americans in Baltimore
have fared more poorly than the rest of the
country. http//cfpub.epa.gov/eroe/index.cfm?fusea
ctiondetail.viewIndlvlist.listByAlphar216638
subtop381
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Respiratory Deaths
Disease Deaths in Baltimore in 2005 Deaths in Baltimore in 2008
Chronic Respiratory Diseases 256 230
Asthma 22 21
COPD is the fourth leading cause of death in the
country and the number of deaths caused by it are
projected to grow substantially. In 2006, the
COPD age-adjusted mortality rate for African
Americans was 28.1 per 100,000. The deaths
caused by COPD and Asthma in Baltimore have gone
down from 2005 to 2008, but the mortality rate
among the Black community is still relatively
higher thanks to the lack of education about the
disease in the community. http//cfpub.epa.gov/ero
e/index.cfm?fuseactiondetail.viewIndlvlist.list
ByAlphar216638subtop381
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Smoking
African Americans in Baltimore are 45
more likely than whites to be current cigarette
smokers.
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Week Activities
Week 1 Creations of health panels and orientation
Week 2 Orientation for lead organizers and volunteers
Week 3 Orientation for volunteers
Week 4 Pre-test on COPD
Week 5 First COPD Health Education Seminar
Week 6 Distribution of Health Note
Week 7 Health Sermon
Week 8 Second COPD Health Education Seminar
Week 9 Third COPD Health Education Seminar
Week 10 Fourth COPD Health Education Seminar
Week 11 Fifth COPD Health Education Seminar
Week 12 Sixth COPD Health Education Seminar
Week 13 Health Blast
Week 14 Eight COPD Health Education Seminar
Week 15 Post Test and Celebration
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NBCI Health Panels

• NBCI will utilize its Health Panel to help set
  the agenda and the priority of this COPD
  campaign.
• We will recruit local partners like the
  Department of Health and the American Lung
  Association.
• We will set the health priorities according to
  the program objectives of COPD.

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Selection of Involved NBCI Churches

• 30 churches are no being evaluated. The final
  program will have 12 churches participating.
• The 12 churches will be selected from the
  communities identified in slide 5.
• Each church will receive a comprehensive
  orientation.

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The Role of the MPH

• The MPH will act as the chief health liaison
  between the health panel and the churches.
• They will help create and administer the
  evaluation of the program.
• Compile statistical data for the program.
• They will train the congregational based
  volunteers on the objectives and goals of the
  COPD program.
• They will train the volunteer health personnel in
  the various areas of patient advocacy, serving on
  the health panel and assisting in training.
• They will conduct the trainers of trainers of the
  key church volunteers assisted by the
  congregational volunteer health personnel.
• They will assist the NBCI President in
  administering the program.

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MPH Selection

• NBCI is interviewing five candidates.
• BI and the Health Panel will review the final two
  candidates.
• Selection will be based on ability and previous
  work, along with knowledge of COPD.

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Pre- and Post Tests

• Pre- and Post Tests with will be administered on
  week one and week fifteen.

Sample Questions What is COPD? What are the
symptoms of COPD? How do you treat COPD?
BI will be consulted on all final questions used
in test.
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NBCI Health Note on COPD

• We will create a NBCI Health Note on COPD and
  produce 150,000 copies and provide it to the
  targeted population in our North East Faith
  Command.
• We will utilize the NBCI Communication and
  Distribution network to achieve this goal.

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NBCI Health Sermons

• NBCI member ministers will develop and deliver a
  series of sermons. These will be lessons about
  COPD from the pulpit as direct to patient
  presentations using biblical references.
• These sermons will explain the value of breathing
  freely on your own and what is necessary to get
  you there like reducing the use of tobacco.

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COPD Health Education Seminars

• We will institute a mandatory 2.5 hours of health
  education in each of the churches in NBCI North
  East Faith Command.
• What is COPD?
• What are the symptoms?
• Who does it affect?
• What are the treatment options?
• Where is treatment available?

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COPD Multi-Week Patient Education Campaign

• We will develop a multi-week education campaign
  covering every major aspect of COPD. This will
  consist of
• Chronic Bronchitis
• Chronic Obstructive Bronchitis
• Emphysema, etc.
• We will cover all aspects of COPD throughout all
  of our participating churches.
• We plan to use the most qualified individuals to
  deliver these presentations.

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NBCI Church Bulletin Health-at-a-Glance
Announcement

• NBCI Health-at-a-Glance We will create an
  educational insert on COPD disease in our church
  bulletin.
• This is a 8x5.5 (half a page) flyer that gives
  scientific facts about COPDs various disease
  states.
• We will coordinate these bulletin
  inserts/health-at-a-glance with the multi-week
  health education program.

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Smoking Cessation Program

• We will work with area quitting groups to promote
  their work in our churches.
• COPD Education courses will focus on quitting
  smoking and the dangers of smoking to both adults
  and children.
• We will run our own smoking cessation support
  groups program run by medical professionals and
  the volunteer corps.

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Use of Congregational-Based Health Personnel
Volunteers

• Volunteers will serve as patient advocates who
  help patients who are suffering from COPD to
  navigate the health system for services.
• Some will serve on our health panel depending
  upon their expertise.
• Some will assist the MPH in instituting trainers
  of trainers sessions and educating the volunteers
  at the key churches.

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Diagram of Program Personnel
NBCI Health Program Staff Will provide the
overall direction of the program, both
administratively and programmatically.
NBCI Health Panel The Health Panels will help set
the agenda and the priorities of the COPD
campaign.
MPH The chief health liaison between the health
panels and the churches.
Congregational Based Health Personnel
Volunteer Assist the MPH in helping to implement
the elements of the program.
Churches
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Expected Submission of Materials

• All materials will be delivered on Jan. 25 for
  review. This will include planning material, the
  COPD Health Note, sermons and any other material
  that is required before the March launch of the
  program.