Diverse Stories Inspiring Community Action

36th Annual Alaska Health Summit

Welcome

On behalf of the Alaska Public Health Association, it is my pleasure and honor to welcome you to the 36th Alaska Health Summit. This year’s conference theme, “Diverse Stories Inspiring Community Action,” celebrates the good work of many, highlighting the following sub-themes:

Partnerships to Promote the Public’s Health  We actively seek to both recognize well-established partnerships and welcome new ones, particularly non-traditional partners from outside the formal public health and health sectors. This is consistent with the national Public Health 3.0 initiative, the growing recognition of the importance of the social determinants of health, and the need for health in all policies.

Strength-Based Approaches to Health Promotion  We recognize the unintentional consequence of potentially stigmatizing those in our communities who bear a disproportionate burden of disease, illness and injury, often for complex socio-cultural reasons beyond their control. We are excited to highlight strength-based approaches to addressing identified problems.

Cultural Attunement and Community Engagement  We recognize that our state is home to a rich multi-cultural tapestry of traditions and includes some of the most culturally diverse zip codes in the country. We know, too, that people often have unique and valuable insight into the nature of the challenges they face and that they should be actively engaged in the development of potential solutions.

We have a full schedule with outstanding speakers who will engage us in thinking about some of the most critical issues affecting public health in Alaska today. It is my hope that you will fully engage with the learning and networking opportunities and come away inspired for your own work and partnerships.  We encourage you to explore the many pre- and post- Summit offerings, too.

Our Steering Committee made a commitment and concerted effort to make the 36th AK Summit even more ‘green’.  This year we offer an electronic short program and a mobile friendly website that includes the full schedule that participants will be able to sort by conference day.

We are also reviving a previous practice of asking participants to ‘recycle’ old conference and meeting bags by bringing them to the Summit and sharing with others.  As in the past, a few prizes will be given for some fun categories such “bag from farthest away”, “most colorful”, “most ancient but still functional” and “most Alaskan”.

The annual Health Summit is a flagship event of the Alaska Public Health Association, but it is not all that we do! The Board of Directors invites you to join us for the reception and annual meeting on Tuesday, January 22 at 5:00 p.m. at the Hotel Captain Cook Quarter Deck to find out more about our work and how you can be involved.

Sincerely,

Rhonda M. Johnson
President, Alaska Public Health Association
Chair, 2019 Alaska Health Summit

Pre- and Post-summit Sessions

ALPHA is pleased to offer meeting space for pre- and post-Summit sessions as part of the 2019 Alaska Health Summit.

Session descriptions are available. For additional information or questions about these sessions, please contact the host.

Monday, January 21, 2019

12:00 – 5:00: Promoting Community Conversations About Research to End Suicide: Participate in a Learning Circle, Hosted by UMass, Lisa Wexler, lwexler@umass.edu

1:00 – 5:00: Connecting with Data and 4th Annual Scientific Advisory, Hosted by the Division of Public Health, Deborah Hull-Jilly, deborah.hull-jilly@alaska.gov

2:00 – 5:00: Addressing Eating Disorders in Alaska, Hosted by the International Association of Eating Disorders Professionals, Grace Schumacher, support@nutritionpartnership.com

2:00 – 5:00: Words Matter: The Role of the Media in Mental Health, Hosted by DHSS – Section of Women’s, Children’s & Family Health, Gabriela Alvarado, gabriela.alvarado@alaska.gov

Friday, January 25, 2019

 

8:00 – 5:00: Gray Water Reuse: Research Needs and Best Practices, Hosted by US Arctic Research Commission, Cheryl Rosa, crosa@arctic.gov

8:30 – 3:00: Kickoff Meeting for the Alaska Perinatal Quality Collaborative, Note: Meeting held at Providence Cancer Center Rooms 2281-2285, https://www.ashnha.com/alaska-perinatal-quality-collaborative/, Rebekah Morisse, rebekah.morisse@alaska.gov

8:30 – 12:30: Healthy Alaskans 2020 Advisory Team Meeting, Hosted by State of AK, Division of Public Health & ANTHC, Lisa McGuire, lisa.mcguire@alaska.gov

10:00 – 11:30 am: Peer Leader Navigators: Cultural Attunement and Community Engagement in Action, Hosted by the Anchorage Health Literacy Collaborative, Linda Shepard, linda.shepard@providence.org

10:00 – 12:00: Shared Risk and Protective Factor Workgroup, Hosted by the Center for Safe Alaskans, Marcia Howell, marcia.howell@safealaskans.org

12:30 – 5:00: Using Data for Strategic Decision-Making, Hosted by Alaska Department of Health and Human Services, Melinda Schultz, schulm5@uw.edu

12:30 – 5:00: Alaska Statewide Violence and Injury Prevention Partnership meeting, hosted by AK Chronic Disease Prevention & Health Promotion & ANTHC Injury Prevention, Tari O’Connor, teresa.oconnor@alaska.gov

1:00 – 3:30: Alaska Wellness Coalition Strategic Planning, Hosted by Alaska Wellness Coalition, Jess Limbird, jlimbird@recoveralaska.org

Continuing Education

Continuing Nursing Education

The 2019 Alaska Health Summit was approved for nursing contact hours by the Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. Stop by the registration desk to sign in and pick up the necessary paperwork to receive nursing contact hours at the Alaska Health Summit. For questions, email summit@alaskapublichealth.org.

Continuing Public Health (CPH)

The 2019 Alaska Health Summit is an approved single event provider of Continuing Public Health (CPH) continuing education credits by the National Board of Public Health Examiners. The Summit is in the CPH Recertification Portal events listing. Please refer to the recertification guidelines published by the National Board of Public Health Examiners for instructions on reporting earned credits. The Alaska Health Summit does not require additional paperwork for CPH credits and attendees are to maintain their credit records and adhere to the CPH Code of Ethics. Pre- and post-sessions are not eligible for CPH credits.

Join us for an exciting schedule of presenters at the 2019 Alaska Health Summit. Click here to download the 2019 Health Summit Schedule!

Keynote speakers

Meet our plenary session speakers

Hannah Gustafson

Tuesday Morning Plenary

A Collective Impact Approach to Addressing Child & Intergenerational Trauma: Regional and Statewide Perspectives

    Arika Paquette

    Tuesday Morning Plenary

    A Collective Impact Approach to Addressing Child & Intergenerational Trauma: Regional and Statewide Perspectives

      Laura Norton-Cruz, MSW, LMSW

      Tuesday Morning Plenary

      A Collective Impact Approach to Addressing Child & Intergenerational Trauma: Regional and Statewide Perspectives

        Desiré Shepler, MPH

        Tuesday Morning Plenary

        A Collective Impact Approach to Addressing Child & Intergenerational Trauma: Regional and Statewide Perspectives

          Erica Lujan, MA

          Tuesday Lunch Plenary

          Using a One Health Approach to Public Health Problems. What Does it Mean? How Can it Work for Alaska?

            Tom Hennessy, MD, MPH

            Tuesday Lunch Plenary

            Using a One Health Approach to Public Health Problems. What Does it Mean? How Can it Work for Alaska?

              Micah Hahn, MPH, PhD

              Wednesday Morning Plenary

              Planning for Climate Resilience in Anchorage: A Campus-Community Partnership to Address the Social Determinants of Health

                Mara Kimmel, MS, JD, PhD

                Wednesday Morning Plenary

                Planning for Climate Resilience in Anchorage: A Campus-Community Partnership to Address the Social Determinants of Health

                  Besse Odom

                  Wednesday Morning Plenary

                  Planning for Climate Resilience in Anchorage: A Campus-Community Partnership to Address the Social Determinants of Health

                    Scott Thomas

                    Wednesday Lunch Plenary

                    Towards Zero Transportation Fatalities

                      Sgt Rick Steiding

                      Wednesday Lunch Plenary

                      Towards Zero Transportation Fatalities

                        Wende Wilbur, MURP

                        Wednesday Lunch Plenary

                        Towards Zero Transportation Fatalities

                          Jessica Filley, MPH

                          Thursday Morning Plenary

                          Perinatal Quality Collaboratives:  Applying Quality Improvement to Public Health Efforts to Address Perinatal Opioid Use

                            Munish Gupta, MD, MMSc

                            Thursday Morning Plenary

                            Perinatal Quality Collaboratives:  Applying Quality Improvement to Public Health Efforts to Address Perinatal Opioid Use

                              Stacy Rasmus, PhD

                              Thursday Afternoon Plenary

                              Alaska Native Collaborative Hub for Research on Resilience (ANCHRR): Promoting Community and Cultural Strengths

                                Carol Murphrey, BBA, MA

                                Thursday Afternoon Plenary

                                Alaska Native Collaborative Hub for Research on Resilience (ANCHRR): Promoting Community and Cultural Strengths

                                  Billy Charles

                                  Thursday Afternoon Plenary

                                  Alaska Native Collaborative Hub for Research on Resilience (ANCHRR): Promoting Community and Cultural Strengths

                                    Schedule

                                    Browse session schedules and descriptions and make a plan!

                                    Registration includes breakfast and lunch each day.

                                    2019 Alaska Health Summit Program

                                    2019 Health Summit Schedule At-A-Glance

                                    Breakfast served in the Ballroom
                                    9:00 - 10:15 AM - Ballroom
                                    Plenary - A Collective Impact Approach to Addressing Child & Intergenerational Trauma: Regional and Statewide Perspectives

                                    Adverse Childhood Experiences (ACEs) and experiences of intergenerational and systemic trauma are common, increasing the risk of most leading health and social problems. No one service system or sector can solve the complex problem of preventing and healing from trauma in isolation, which is why cross-sector and collaborative solutions are so vital, as are local, community-led solutions that engage and empower families, organizations, governments, tribes, faith and cultural groups, and do work in a participatory and equity-focused manner.

                                    In this session, leaders of regional networks addressing ACEs and resilience and the statewide Alaska Resilience Initiative will engage participants in discussion about Collective Impact approaches to addressing ACEs. These discussions will be driven by participant interest, but will likely focus on participatory, equitable, culturally-responsive processes in networks; working effectively across sectors; community-based policy advocacy and systems change; and communications (framing of issues, materials, trainings, social media use, etc.).

                                    Laura Norton-Cruz, MSW, LMSW, Alaska Resilience Initiative Director, Alaska Children’s Trust
                                    Hannah Gustafson, Owner, G Squared
                                    Arika Paquette, Prevention and Education Manager, Women in Safe Homes
                                    Desiré Shepler, MPH; R.O.C.K. Mat-Su Director, Mat-Su Health Foundation

                                    10:30 - 11:45 AM - Endeavor Room
                                    Creating Effective Social Campaigns to Influence Healthy Behaviors

                                    Southcentral Foundation (SCF), an Alaska Native customer-owned health care system, works to engage patients (who are called “customer-owners” at SCF) and make them active partners in their care. SCF seeks to encourage healthy behaviors in customer-owners, and one of the key ways SCF achieves this is through the Health Education department. Health Education uses marketing principles to create effective communication campaigns to help customer-owners make healthy lifestyle choices. Health Education uses a number of different tools for this purpose, including social media, targeted promotions, and events which are open to the public.

                                    Health Education works to help customer-owners focus on a wide variety of health goals, such as tobacco cessation, weight loss, and cardiovascular health. SCF’s inclusive approach to health care has resulted in many health measures exceeding the HEDIS 75th percentile, including cervical cancer screening, colorectal cancer screening, diabetes annual HBA1C screening, and more.

                                    Sandy Cunningham, Supervisor, Health Education Department, Southcentral Foundation
                                    Gretchen Sagan, Supervisor II, Southcentral Foundation

                                    The public health walk-in immunization clinic faces many unique challenges. Many new patients are behind on vaccinations, have incomplete or missing records, or may be seeing multiple providers for immunization. Due to these challenges, it can be difficult to implement reminder recall programs to ensure children complete their vaccinations on time. Public Health Nurses (PHN) recognized that traditional reminder recall strategies were not adequate to ensure timely completion of vaccine series. Utilizing VactrAK and Clinic EMR data, DHHS PHN audited vaccine records and generated a list of patients behind on vaccinations, focusing on children less than 3 years old. New clients seen at the immunization clinic were also added to this list. Patients received a vaccine completion plan created by the PHN. Completion plans were then used to create reminder recall processes where multiple methods are used to notify clients of vaccination needs. Evaluation of this project is ongoing.

                                    Willy Mamtchueng, RN, Disease Prevention and Control Supervisor, Community and Family Health Division, Municipality of Anchorage
                                    Tuigana McDermott, RN, Public Health Nurse, Department of Health and Human Services, Municipality of Anchorage
                                    Drew Shannon, RN, Public Health Nurse, Department of Health and Social Services, Municipality of Anchorage

                                    This session will focus on progress toward the HA2020 goal of improving access to water and sanitation services for rural Alaskans. Alaska ranks last among US states in the proportion of our population with access to in-home water and sewer services. This results in higher rates of infectious diseases and associated health conditions. Decades of effort have resulted in dramatic improvements in access to such services, but the work is not done. In this session, we will highlight progress in construction of new water/sewer services, improvements in service delivery and finances, and new research pointing to the benefits of in-home water/sewer services for health conditions beyond infectious diseases.

                                    Thomas Hennessy, MD, MPH, Director, CDC Arctic Investigations Program, Centers for Disease Control and Prevention
                                    Bill Griffith, MS, Civil Engineering, Facilities Programs Manager, Alaska Department of Environmental Conservation
                                    Emily Mosites, MPH, PhD, Epidemiologist, Arctic Investigations Program, Centers for Disease Control and Prevention
                                    Dennis Wagner, MSCE, Infrastructure Programs Manager, Environmental Protection Agency

                                    Public Health 3.0 shifts public health’s focus to the community and system development supporting healthy communities and people. Community data and community intervention data needs thus increase for evaluation and monitoring in public health. In public health nursing, a concomitant updating of the competencies and standards for the profession drive an increased focus on the community and system care provision, which increases the need for data and information about communities and systems as well as community and system level interventions. For over 5 years, Alaska Public Health Nursing has collected a range of community and system data in several areas, increasingly focusing on community events and health planning. However, these have been partial answers to the increasing data needs presented by PH 3.0. Now public health nursing is building a system to link at the community level both community descriptive and contact data with community event and planning data.

                                    Margaret S. Wright, RN, MSN, PHCNS-BC, DrPH, Nurse Consultant II QA/QIPublic Health Nursing, Division of Public Health, Department of Health & Social Services

                                    National Park Service, Anchorage Park Foundation, local businesses and physicians have partnered to connect the outdoor recreation opportunities with health sectors in Anchorage. This workshop offers useful data to inform healthcare providers, employers, residents and those looking to improve their health for the long run. You’ll learn how to start your path to wellness with simple walking routes using the Park Rx platform, and the benefits of introducing a wellness map at your workplace. We’ll focus on the fun easy ways to connect people to green spaces and share tips for staying safe and warm on the trails. Come with an interest in walking, healthcare, or fitness; leave with a clear path to a healthier you.

                                    Molly Lanphier, MPH, Community Outreach Director, Anchorage Park Foundation
                                    Taylor Sharman, Americorps Community Assistance Fellow, National Park Service Alaska Region

                                    12:00 - 1:15 PM - Ballroom
                                    Lunch & Plenary - Using a One Health Approach to Public Health Problems. What Does it Mean? How Can it Work for Alaska?

                                    “One Health” is a concept and approach to solving problems that exist at the interface of human, animal and environmental health. This approach integrates information and expertise from diverse disciplines and stakeholders. The presenters will describe how One Health has been applied in Alaska through the efforts of the Alaska One Health Working Group and will provide examples of how this approach can enhance our understanding and improve our response to complex problems facing Alaska.

                                    Thomas Hennessy, MD, MPH, DirectorCDC Arctic Investigations Program, Centers for Disease Control and Prevention
                                    Erica Lujan, MA, 
                                    LEO Network Coordinator, Alaska Native Tribal Health Consortium

                                    1:30 - 2:30 PM - Quadrant Room
                                    Feasibility of Implementing California’s Filipino American Health Study in Alaska

                                    In 2006, Maxwell and colleagues from UCLA developed an evidence-based, colorectal cancer (CRC) screening health education intervention for Filipino Americans in California called, the “Filipino American Health Study”, funded by the American Cancer Society and endorsed by the National Cancer Institute and U.S. Task Force on Community Preventive Services. How feasible was this intervention to implement in Alaska communities? What adjustments needed to be made to make this intervention work in the Alaskan context? Panelists will tell the story of how they adopted this California study to develop a multidisciplinary university-community partnership project called, “Project Buhay (Life)”–a colorectal cancer screening promotion program for Filipinos in Anchorage, Kodiak, and Unalaska–from seeking funding for the project to initiation and implementation. Additionally, Project Buhay’s short-term outcomes and lessons learned will also be presented, including a discussion of how both undergraduate and graduate student researchers were utilized to engage community.

                                    Gabriel Garcia, MA, MPH, PhD, Associate Professor of Public Health, Department of Health Sciences, UAA
                                    Travis Hedwig, MA, PhD, Assistant Professor, Department of Health Sciences, UAA
                                    Joy Chavez Mapaye, PhD, Associate Professor of Journalism and Communication, University of Alaska Anchorage
                                    Jessica Petalio, MS, Research Coordinator, University of Alaska Anchorage

                                    Next to families, the school has more influence on the lives of young people than any other social institution. Schools can improve the health and education of young people and prepare them to be healthy and productive adults. While it is understood that schools alone cannot be expected to address all student health issues, schools are in a unique position to reduce the burden of childhood obesity. Alaska’s Obesity Prevention & Control Program has partnered with schools across the state to improve policies and practices to get kids more active and eating better. The Play Every Day team will share the newest promotional materials highlighting schools that have made significant changes to improve school and student nutrition and physical activity.

                                    Lauren Kelsey, MPH, Public Health Specialist, Obesity Prevention & Control Program, Division of Public Health, Alaska Department of Health and Social Services
                                    Ann Potempa, MPH, Public Health Specialist, Department of Health and Social Services

                                    Routinely collected data from a number of state systems are used to monitor public health trends in Alaska. Public health surveillance systems encounter challenges when collecting data surrounding substance (mis)use and related mortality. Notwithstanding these challenges, such data are essential to inform public health priorities both locally and statewide. A 2018 evaluation of the Alaska Behavioral Risk Factor Surveillance system (BRFSS) provided results on data quality, representativeness, and acceptability, many of which are relevant across different programs.

                                    Program staff will present data, strengths, and challenges associated with collecting marijuana and/or opioid related data from the following data systems:
                                    1. Mortality data from Alaska’s Electronic Vital Records System
                                    2. State surveillance surveys: BRFSS, Pregnancy Risk Assessment Monitoring System (PRAMS), and the Childhood Understanding Behaviors Survey (CUBS)
                                    3. Emergency Department data from the Health Facilities Data Reporting Program and the Early Notification of Community-Based Epidemics (ESSENCE) syndromic surveillance system

                                    Katie Cueva, MPH, MAT, ScD, CDC/CSTE Applied Epidemiology Fellow, Chronic Disease Prevention and Health Promotion Section, Division of Public Health, Department of Health and Social Services
                                    Jessica Filley, MPH, CSTE Applied Epidemiology Fellow, Alaska Department of Health and Social Services
                                    Kathy Perham-Hester, MS, MPH, Epidemiology Specialist II, Women’s Children’s and Family Health, Division of Public Health Department of Health & Social Services
                                    Rosa Avila, MPH, PhD

                                    Focusing on shared risk and protective factors in both public and behavioral health initiatives allows prevention efforts to have greater reach across multiple areas of concern, and also creates opportunities to leverage resources. Center for Safe Alaskans has been putting this theory into practice across different programs and convening a work group for broader reach. In this session, Safe Alaskans will highlight a shared protective factor approach in programs that promote safe teen driving and improve youth mental health. Across these programs, Safe Alaskans will present this local example with shared outcome evaluation measures and data. Participants will participate in the discussion in the shared factor approach, the selection of shared evaluation measures, telling the story across programs, and discuss the sustainability of this approach.

                                    Lindsey Hajduk, AYDC Director, Center for Safe Alaskans
                                    Marcia Howell, JD, PhD Candidate, Executive Director, Center for Safe Alaskans
                                    Beth Schuerman, Senior Projects Director, Center for Safe Alaskans

                                    Persons experiencing homelessness have a high occurrence of conditions that increase the risk of tuberculosis (TB), including substance abuse, HIV infection, and congregation in crowded shelters. This combination of conditions is favorable for spreading TB. In addition, people who are homeless often lack ready access to the medical care needed to make a diagnosis of TB.

                                    A 2015 TB outbreak among persons experiencing homelessness in Anchorage prompted the creation of a workgroup with key community stakeholders to develop and implement a plan to address TB in this population.

                                    This breakout session will share the workgroup’s progress with the implementation of the shelter TB infection control plan, and a pilot program to provide targeted TB testing and treatment for latent TB infection for new shelter residents.

                                    Donna Fearey, ANP, MSN, Nurse Epidemiologist, Nurse TB Consultant, Division of Public Health Epidemiology, Alaska Department of Health and Social Services
                                    Denise Kolojejchick-Coslett, MSPAS, Clinical Director II, Southcentral Foundation

                                    2:30 - 3:00 PM - Outside the Ballroom
                                    Student Posters

                                    Annual Age-adjusted Prevalence of Gastric Cancer, Ulcer Disease, and Helicobacter Pylori in the Indian Health System, 2001-2014
                                    Presented by: Jeremy Sobocinski

                                    Community Engagement of Alaska Native People for Research Dissemination Practices in a Tribal Health Care Setting
                                    Presented by: Aliassa Shane, Julie Beans, and Vanessa Hiratsuka

                                    Evaluation of a Group Planning Process within the Collective Impact Framework: Development of a Pilot Project to Support At-Risk Families and Children
                                    Presented by: Niki Knowlton

                                    “Grandpa Speaks, Nobody Listens.” Gerotranscendence, A Change In Mindset Of Alaska Native Elders
                                    Presented by: Erik Wortman

                                    Instilling Confidence and Self-worth in Alaska’s Youth by Celebrating Uniqueness and Open-mindedness to Encourage Positive Mental Health that will Build the Foundation for a Prosperous Future
                                    Presented by: Faith Farris

                                    Peer Leader Navigators (PLNs) Create Positive Ripples Across Anchorage
                                    Presented by: Chelsea Ward-Waller

                                    Promoting Self-Care to Nursing Students
                                    Presented by: Joel Manalo

                                    Social Determinants Affecting Language Learning
                                    Presented by: Madison Burgess

                                    Switched On: Psychophysiological Indicators of Traffic Safety Video Message Processing
                                    Presented by: Marcia Howell, Diana Stark Ekman, and Anthony Almond

                                    Toward Trauma-Informed Services: Well-being and Resilience in an Emergency Homeless Shelter
                                    Presented by: Steffi Kim

                                    3:00 - 4:30 PM - Adventure Room
                                    History & Hope: Adverse Childhood Experiences, Resilience, and Trauma-Informed Care

                                    The “History & Hope” training introduces the audience to the adverse childhood experiences study, and addresses the question “Why are adverse childhood experiences so adverse, and what can we do about it?” Bringing together Alaska Native ancestral knowledge of trauma and resilience, the sciences of neurobiology, physiology, and epigenetics, data on social and economic stressors affecting Alaskan families, simple brain-body healing exercises, and promising practices in healthcare settings, this presentation provides an introduction to how trauma-informed, culturally-responsive approaches in healthcare can help shift our most pressing health and social problems.

                                    The “History and Hope” curriculum was created collectively by the Alaska Resilience Initiative communications workgroup, along with key Alaskan, national, and international experts. The curriculum was piloted and evaluated in four communities across Alaska. A preview is available at: https://youtu.be/eoiWt13kxsA

                                    Laura Norton-Cruz, MSW, LMSW, Alaska Resilience Initiative Director, Alaska Children’s Trust

                                    Recognizing the power that policy has in impacting Alaskans’ health, it is important for public health to have a strong presence with policy makers during the legislative process. At the same time, many in public health think they can’t take legislative action. Although there are parameters placed on us with our jobs, it is possible to still have a voice. This session will provide an overview of Alaska’s legislative process, discuss parameters as employees and individuals, review one to two case studies, and discuss how attendees can be a part of ALPHA’s legislative advocacy efforts.

                                    Jayne Andreen, Consultant/Trainer, Collective Change Consulting
                                    Patricia Owen, MCHES, Health Educator

                                    This session will discuss a new alternative to full guardianship that is provided by Alaska statute, Supported Decision-Making Agreements (SDMAs) in the context of discharge planning.

                                    Older adults and people with disabilities may find themselves in overly-restrictive, court ordered supervision as the result of acute medical crises. Existing institutional practices channel these people into “temporary” guardianship during the acute crisis; a status which is rarely revisited for restoring rights and decision-making authority. Health and wellness suffer for seniors and people with disabilities when they lack engagement in decision-making. SDMAs are a new legal tool being used more widely around the state. SDMAs provide structure for older adults and people with disabilities to engage more fully in decision-making, strengthening their resilience by connecting their actions to outcomes. Using SDMAs, people direct trusted supporters to assist them in understanding information, offering alternatives, and communicating their decisions to others.

                                    Anne Applegate, JD, Program Coordinator, Governor’s Council on Disabilities and Special Education

                                    The Alaska Education and Research Towards Health (EARTH) longitudinal cohort study enrolled American Indian and Alaska Native (AIAN) adults between 2004 and 2006 to determine the prevalence of clinically measured chronic disease risk factors. We first describe an investigation of the Alaska EARTH cohort with cancer diagnoses recorded by the Alaska Native Tumor Registry (ANTR) through 12/31/15. Cancer incidence among Alaska EARTH study participants was similar to that observed among Alaska Native people statewide. We will next discuss the Alaska EARTH follow-up study that re-examined EARTH participants in southcentral Alaska between 2015 and 2017. Measurements collected included: self-reported diet, health, lifestyle, physical activity, and environmental questionnaires; blood pressure, glucose urine albumin/creatinine, a lipid panel, height, weight, and waist/hip circumference. Specific results on changes in diabetes and obesity outcomes will be described along with chronic disease protective and risk factors.

                                    Julie Beans, MPH, Researcher, Southcentral Foundation
                                    Kathryn Koller, MSN, PhD, Epidemiologist, Research Nurse Supervisor, Alaska Native Tribal Health Consortium
                                    Sarah Nash, MA, MPH, PhD, Cancer Surveillance Director, Alaska Native Tribal Health Consortium
                                    Diana Redwood, MS, MPH, PhD, Senior Epidemiologist, Alaska Native Tribal Health Consortium

                                    The presentation will define the concept of harm reduction and its efficacy as a substance use treatment option. The presenters will provide strategies and tactics used to motivate people who use substances to reduce the harm done to themselves and their communities by their drug use. Presenters will speak about the benefits of harm reduction as supported by research. A medication assisted treatment program will be used as an example of how to apply harm reduction to treatment progress.

                                    Adie Callahan, MEd, Counselor, Interior Medication Assisted Treatment, Interior AIDS Association
                                    Lindsey Grennan, MEd, Substance Abuse Counselor, Interior AIDS Association

                                    Patient engagement, on both an individual and a community level, is a key method for improving the quality of health care. Southcentral Foundation (SCF), an Alaska Native-owned health care system, practices engagement through customer-ownership. At SCF, the people served are not referred to as “patients.” Rather, since they are both customers and the owners of the health care system, they are “customer-owners.” This term reflects an approach where health care is a shared responsibility between providers and customer-owners, where providers work in relationship with customer-owners to help them achieve overall wellness, rather than just treating problems as they arise.

                                    Since implementing system reforms based on customer-ownership, SCF has seen a 40 percent drop in ER visits for customer-owners. 97 percent of customer-owners say they are satisfied with the care provided by SCF. This session will detail the principles of customer-ownership and how SCF works to achieve customer engagement.

                                    Donna Galbreath, MD, Senior Medial Director, Quality Assurance, Southcentral Foundation

                                    The Alaska Statewide Violence and Injury Prevention Partnership strengthens and sustains effective injury and violence prevention efforts by maintaining a statewide injury and violence prevention plan. In order to complement the plan’s goals and objectives, applying a shared risk and protective factors approach can maximize efforts to prevent multiple forms of injury and violence because these forms of injury and violence are connected and often share the same root causes. By implementing this approach, public health practitioners have the opportunity to leverage resources across funding streams, de-silo efforts, develop new partnerships, and prevent injury and violence. This breakout session will provide an overview of a shared risk and protective factors approach to injury and violence prevention, highlight examples of how Colorado applies this approach, and facilitate a discussion of how Alaska can continue to apply this approach to accompany its current statewide injury and violence prevention efforts.

                                    Colleen Kapsimalis, MPH, Program Integration and Evaluation Unit Manager, Colorado Department of Public Health and Environment

                                    Radon gas is a common radioactive problem in Alaska; while it does not leave your patients with empirical symptoms, it is the second leading cause of lung cancer next to smoking. As it is breathed, it slings minute particles that can damage supple lung linings without detection.

                                    Subsurface uranium, which is scattered throughout much of Alaska, is continually emanating radon. Similar to carbon monoxide, your clients can’t see it, can’t smell it or even taste it. Being a whimpy gas, it can easily invade the homes, offices or schools of your clients via cracks and fissures in cement floor slab, crawlspace dirt or even cracked cement walls. Yet it is very easy to block or in worst cases, to divert.

                                    Listen to this panel of an outreach educator, state geologist and professors versed in healthy homes working under EPA and Alaska DEC funding to reduce radon’s carcinogen risk!

                                    Art Nash, MS, Associate Professor, Cooperative Extension, School of Natural Resources and Extension, UAF
                                    Leif Albertson, MS, Faculty, Cooperative Extension Service, UAF
                                    Jennifer Athey, MS, Geologist, Alaska Division of Geological & Geophysical Surveys
                                    DeShana York, Urban Extension Director, Cooperative Extension Service, UAF

                                    Adolescence is a challenging and critical time for youth to develop social networks, gain parental independence, and navigate health choices such as preventing pregnancy that can affect their future potential. The Teen Unintended Pregnancy Prevention Program (TUPP) goal is to reduce teen pregnancies in the Anchorage area. Anchorage Health and Human Services will describe information pertaining to TUPP implementation, discuss achievements and barriers, identify lessons learned, and assess future goals in working with youth and community partners. The Onward & Upward program was established based upon community needs outlined by the Mat-Su Health Foundation to help vulnerable underserved youth between the ages of 12 to 19 to achieve more positive outcomes. The UAA Institute for Circumpolar Health Studies (ICHS) has been charged with measuring the development of prosocial relationships in youth enrolled in the Onward & Upward program and will discuss the methods and instruments used in the program evaluation.

                                    Rebecca Van Wyck, Research Associate, Institute of Circumpolar Health Studies, College of Health, UAA
                                    Jordan Kamer
                                    , Health Educator, Anchorage Public Health Department
                                    Willy Mamtcheung, RN, Disease Prevention and Control Supervisor, Community and Family Health Division, Municipality of Anchorage
                                    Ali Marvin, MS, Graduate Research Assistant, Institute of Circumpolar Health Studies

                                    Southcentral Foundation (SCF) operates a Research Department in alignment with corporate objectives to improve health through high-quality research. Since 2007, the Research department has initiated varied projects and developed an extensive network of partnerships. This presentation will describe one example of a tobacco cessation study that highlights positive stories to bring health equity to Alaska Native and American Indian people. SCF Health Education’s Quit Tobacco Program and Research partnered together to create a project that stemmed from clinical questions, recruit participants, identify pertinent results, and guide next steps for research at SCF. This study kindled a robust partnership between the Researchers and Health Educators and most importantly produced a study relevant to the customer owners trying to quit smoking. We hope that sharing strategies and lessons learned regarding a translational research in partnership in a tribal healthcare setting might guide future public health work across Alaska.

                                    Krista Schaefer, MPH, Researcher, Research Department, Southcentral Foundation
                                    Molly Korpela
                                    , Health Educator, Southcentral Foundation
                                    Michael Ryan-Todd, MBA, Masters Level Researcher, Southcentral Foundation
                                    Jaedon Avey, PhD, Senior Researcher, Southcentral Foundation

                                    While much of the focus of the work addressing the current misuse of prescription pain medications has been on “death prevention,” including Narcan (Naloxone) distribution, communities throughout Alaska are working diligently on prevention efforts. In this session, representatives from three community coalitions will present environmental strategies that reduce the access and address the disposal of these substances in addition to developing long lasting community relationships building the foundations that will prevent future crises from occurring.

                                    Hope Finkelstein, MA, Program Coordinator, Office of Substance Misuse and Addiction Prevention Office, Division of Public Health, Department of Health and Social Services
                                    Stephanie Allen, MEd
                                    , Executive Director, United Way of Mat-Su
                                    Loyd Platson, MS, Prevention Director, Sitka Counseling
                                    Samantha Savage, Coordinator, Fairbanks Wellness Coalition

                                    5:00 - 6:30 PM - Quarter Deck
                                    ALPHA Annual Meeting and Reception

                                    On behalf of the Alaska Public Health Association Board, I cordially invite you to join us for the Annual Membership Meeting on Tuesday, January 22nd, at 5:00 p.m. in the Quarter Deck at the Hotel Captain Cook.

                                    We will begin with a reception, followed by a report on the past year’s activities and the current status of the Association. We will be voting on the attached proposed health policy resolutions; please consider reviewing these policy resolutions prior to the meeting to facilitate our discussion.

                                    These resolutions have been endorsed by the ALPHA Board of Directors and are presented here for your consideration in advance of the annual meeting in January 2019.  If you plan to offer any amendments to these resolutions, and are unable to attend the ALPHA member meeting on Tuesday Jan 22 in Anchorage, please submit the suggested changes and new language in writing by January 21 to Patty Owen, Co-Chair of the Policy Committee: p.owen.mches@gmail.com.

                                    All current members of ALPHA are welcome at the meeting, regardless of whether you are also attending the Health Summit. If you require any accommodations to attend, please email organizers at info@alaskapublichealth.org.

                                    Breakfast served in the Ballroom
                                    8:30 - 9:45 AM - Ballroom
                                    Plenary - Planning for Climate Resilience in Anchorage: A Campus-Community Partnership to Address the Social Determinants of Health Through Adaptation and Mitigation Policies

                                    Micah Hahn will talk about the CAP development process and explain how health and well-being were integrated throughout the document, connecting it back to the State Climate and Health Assessment. She will address the partnerships that were developed to create the CAP and provide an overview of the community engagement strategy. Mara Kimmel will discuss how our work on the CAP fits into the broader community values that reflect Anchorage’s commitment to be a welcoming and resilient community. She will describe how the city built a resilience strategy rooted in equity and social justice. Besse Odom will discuss how climate equity considerations were integrated into the CAP process. She will also discuss her experience on the Advisory Committee, helping connect the climate action plan back to communities and residents in Anchorage. In order to make our plenary relevant for health professionals across Alaska, we will present our work on the Anchorage CAP as an example of a collaborative process that could be undertaken in other places.

                                    Micah Hahn, MPH, PhD, Assistant Professor of Environmental Health, Institute for Circumpolar Health Studies, UAA
                                    Mara Kimmel, MS, JD, PhD, Deputy Director, Strategy, Research and Scholarship, Anchorage Museum
                                    Besse Odom, Chair for Environment and Climate Justice, Co-chair Anchorage CAP Advisory Committee, NAACP

                                    10:00 - 11:15 AM - Whitby Room
                                    Answering a Call to Action: How National Women's Health Nursing and Midwifery Organizations Partnered with Alaska Champions to Promote Alcohol-Free Pregnancies

                                    As the largest and most trusted health profession, nurses and midwives are at the forefront of promoting healthy pregnancies and can be effective advocates for preventing fetal alcohol spectrum disorders (FASDs). In collaboration with, and leveraging the knowledge of Alaskan FASD-prevention and diagnostic services experts, UAA’s Center for Behavioral Health Research’s FASD Practice and Implementation Center (PIC) partnered with national nursing organizations to address alcohol-exposed pregnancy as a local and national public health priority. The partnership’s goal is to mobilize nurses as FASD-prevention champions, by preparing them to address alcohol use as a routine part of nursing practice. Strategies to maximize public health impact include disseminating science-based messages at the policy, health system, and provider levels. Representatives from the PIC, the national nursing organizations, and the Anchorage FASD Diagnostic Team (FASDx Services) will discuss accomplishments, share lessons and describe future plans for continued national-local collaboration to promote alcohol-free pregnancy.

                                    Marilyn Bulger-Pierce, MN, FNP-BC, CNM, Owner/Manager, FASDx Sercives LLC
                                    Elaine Germano, MPH, DrPH
                                    , Special Projects Technical Advisor, American College of Nurse-Midwives
                                    Beth Kelsey, MS, EdD, Director of Publications, Editor-in-Chief Women’s Healthcare: A Clinical Journal for NPs, National Association of Nurse Practitioners in Women’s Health
                                    Catherine Ruhl, MS, Director, Women’s Health Programs, Association of Women’s Health, Obstetric and Neonatal Nurses

                                    This session is an introduction to the different datasets analyzed and disseminated by the Alaska Native Tribal Epidemiology Center (EpiCenter) geared toward public health professionals, grant writers, and individuals requiring tribal health data. The EpiCenter is one of twelve tribal epidemiology centers (TECs) nationwide and one of the original four TECs established in 1996. EpiCenter data stewards and epidemiologists will describe the current and past data sets, demonstrate new online data visualization for tribal health indicators, and discuss specific health data initiatives, such as the Alaska Native Tumor Registry, Alaska Native Injury Atlas Update, and others. The session will conclude with an audience discussion and interactive feedback to identify data gaps and opportunities for tribal health data and dissemination in Alaska.

                                    Taija Revels, MPH, CPH, Epidemiologist, Alaska Native Tribal Health Consortium
                                    Ian Blake, MS
                                    , Statistician, Alaska Native Tribal Health Consortium
                                    Carla Britton, MS, PhD, Lead Epidemiologist, Alaska Native Tribal Health Consortium
                                    Sarah Nash, MA, MPH, PhD, Cancer Surveillance Director, Alaska Native Tribal Health Consortium

                                    Access to community supports for healthy living across the lifespan is increasingly important as the Alaskan population ages. For Lesbian, Gay, Bisexual and Transgender (LGBT) elders, aging-in-place in Alaska may mean facing additional barriers that contribute to health disparities, including concerns about personal safety, social isolation, and access to informed providers and welcoming places. This session describes the use of Citizen Science methods with LGBT elders, who used a cellphone app called the Our Voice Healthy Neighborhood Discovery Tool to identify supports and obstacles to aging-in-place in Anchorage. Presenters will describe methods for data collection and analysis, share “discoveries” about strengths and barriers to healthy aging that were captured through photos and narratives, and discuss strategic partnerships to promote change. Presenters will share examples and stories that illustrate the unique health equity issues faced by LGBT elders, and targeted solutions.

                                    Diane King, MBA, MSOT, PhD, Director, Center for Behavioral Health Research and Services, UAA
                                    Madeline Holdorf, MEd, Sociologist
                                    Julie Schmidt, MS, Program Director, SAGE Alaska(Volunteer)
                                    Denise Sudbeck, MDIV, Pastor, MCC Last Frontier

                                    Presenters will briefly describe the shared risk and protective factor framework that is growing in Alaska and other parts of the country. Presentation will include a description of the scientific rigor being used to determine which factors are truly shared between health issues. They will then share the results of a year-long process of exploring the protective factor framework as it applies to sexual violence prevention. Finally, opportunities to participate in the blooming shared factor research and exploration in Alaska, and on multiple issues will be announced.

                                    Marcia Howell, JD, PhD Candidate, Executive Director, Center for Safe Alaskans
                                    Sylvia Craig, MPH, Senior Healthcare ConsultantMcDowell Group
                                    Laurie Orell, MPH, Health Analytics Consultant, McDowell Group
                                    Mollie Rosier, MPH, Health Program Manager, Women’s Children’s and Family Health, Division of Public Health Department of Health & Social Services

                                    Alcohol policy decisions are amongst the most important, and contentious, public health decisions faced by a community. Nowhere is this more true than in rural and remote Alaska. While Alaska’s “local option” laws offer a format for alcohol regulation, these laws are complex and their rigid structure can result in a forfeiture of local autonomy.

                                    Through partnerships that span tribal, university, nonprofit and governmental agencies in unison with the community, and using Bethel, Alaska, as a case study, this session will explore both the qualitative and quantitative ways in which less restrictive alcohol policy can affect the people they serve. Further, we will discuss some of the peculiarities of Alaska law that limit the ways in which communities can choose to regulate alcohol sales.

                                    Tiffany Hall, MPA, Executive Director, Recover Alaska
                                    Leif Albertson, MS
                                    , Faculty, Cooperative Extension Service, UAF
                                    Anna Brawley, MA, MRP, Senior Associate, Agnew::Beck Consulting

                                    11:15 - 12:00 - Outside Ballroom
                                    Poster - Cognitive Interviews in Development of a Genetics and Biological Specimen Survey - a Process for Engagement in an Alaska Native Health System

                                    Background: The cognitive interview (CI) process is a method to validate a survey instrument as well as a method to engage communities in the research process.

                                    Methods: We conducted 21 individual CI’s to assess cultural consonance, thought processes used when considering survey instructions, items and responses, and language preference of survey items in the development of a survey to assess public knowledge and attitudes on genetics and biological specimens. Content analysis was used to analyze interview data.

                                    Results: Participants requested wording changes in survey instructions and items. Where item intent was inconsonant with participant cognitive modelling, participants’ written response in the survey and verbal CI response did not align. Participants expressed gratitude about being asked to help develop the survey.

                                    Conclusions: The CI results reinforce the importance of performing CI’s prior to survey deployment, particularly with complex survey items.

                                    Julie Beans, MPH, Researcher, Southcentral Foundation

                                    With growing attention on food systems, a primary focus has been on increasing food production and improving distribution in local areas. Throughout the world and in the U.S. there are issues with hunger, with many children being affected. Availability, accessibility, affordability, and population-appropriate foods are points most often emphasized. In Alaska, one issue considered is the importation of foods and fresh produce. Through the food supply chain, from growers to markets, restaurants, and consumers, there is substantial food loss. Less attention has been on food waste; more specifically at the consumer and household level. In the U.S., approximately twenty-one percent of the food that consumers purchase goes to waste. Awareness and education of the consumer’s use of foods as well as the impact of food waste in the food and ecosystem and within the household needs to improve.

                                    Nancy Nix, MD, MPH & TM, MEd, Associate Professor of Public Health, Department of Health Sciences, UAA

                                    When the Arctic Health website launched in 2001 as a joint project of the U.S. National Library of Medicine and the University of Alaska Anchorage, its purpose was to collect information on human health in the Arctic. Research then proliferated on climate change in the Arctic, directly affecting human health with impacts on subsistence activities, food and water security, sanitation, and safety. Thus, the website’s scope was broadened to include research on sea ice, erosion, shifting species, and other nonhuman elements. Wide-ranging content complicated website navigability, and the One Health concept emerged as an ideal structure for a single database bringing together human, animal, and environmental health. The website was recently redesigned under this model and now contains one search box where articles, reports, media, websites, and other resources are indexed and searchable from a single portal.

                                    This poster demonstrates the new design of the Arctic Health website.

                                    Sigrid Brudie, MLIS, Medical Librarian, Alaska Medical Library, UAA

                                    Background: Health research involving Alaska Native/American Indian (AN/AI) communities often employs participatory approaches to promote community engagement in research. However, secondary research that explores the character of community engagement practices is limited.

                                    Methods: Online databases were searched for articles on participatory health research involving AN/AI people published between January 2000 and June 2017. Relevant articles were selected, extracted, and analyzed.

                                    Results: 180 articles were analyzed. 46 (26%) articles reported engagement in funding-related activities, while 136 (76%) reported engagement in meetings/events. 93 (51.7%) articles reported that community members received research-related training. 147 (81.7%) reported cultural adaptations. 110 (61.1%) reported use of community-level mechanisms for regulating research. Across all articles, information necessary to respond to one or more of 43 queries on community engagement was missing in 3,061 instances.

                                    Conclusion: There is a persistent underreporting of community engagement practices, potentially masking insufficient community engagement practices and suggesting a need for reporting standards.

                                    Richard Woodbury, Researcher I, Southcentral Foundation

                                    The HPV vaccination protects against cancers caused by human papillomavirus (HPV) infection among females and males. The vaccination is recommended for young adults up to age 26 who did not get it when they were younger. HPV vaccination was either not available or uptake was low in Alaska from 2003-2012, when current college students would have been the targeted ages for vaccination (age 11-12). The State and Tribal Comprehensive Cancer Control Programs partnered with the University of Alaska Anchorage Student Health and Counseling Center to pilot a HPV vaccination catch-up campaign. Number of vaccines given and other HPV-realted health outcomes were measured and compared to prior years. Plans to expand the campaign to over twenty colleges and universities statewide will be described.

                                    Jessica Quinn, MS, Program Manager, Comprehensive Cancer Control Program, Division of Public Health, Department of Health & Social Services
                                    Judith Miller, MHA, MEc, Cancer Program Coordinator, Alaska Native Tribal Health Consortium

                                    More U.S. women misuse alcohol than in previous decades. This trend combined with high unintended pregnancy rates increases risk for fetal alcohol spectrum disorders (FASDs). An estimated 2-5% of children in the U.S. are affected by FASD, a lifelong condition that can be severe and is costly. To prevent FASDs and other adverse health outcomes, alcohol screening and brief intervention (aSBI) is an effective, economical clinical preventive practice used to identify patients at-risk for alcohol misuse and intervene through brief counseling. Reimbursement reform may facilitate adoption of aSBI. To understand aSBI reimbursement variation across states, a comprehensive review of Medicaid policies was conducted and compared to surveillance data from the Pregnancy Risk Assessment Monitoring System. Results highlight geographic areas with risk factors for alcohol-exposed pregnancies and the extent to which Medicaid policies allowed for financial compensation for aSBI use in clinical settings. Feasibility issues and policy impacts will be discussed.

                                    Stacy Tanner, Graduate Student Research Assistant, Institute of Social and Economic Research, Center for Behavioral Health Research & Services, UAA

                                    Becky Porter, Research Professional, Center for Behavioral Health Research & Services, UAA

                                    Bridget Hanson, Research Associate Professor, Institute of Social and Economic Research, Center for Behavioral Health Research & Services, UAA

                                    The Southcentral Foundation Research Department has completed a research study assessing the accuracy, reliability, and preferences of two home blood pressure monitors. In this study we worked closely with Alaska Native and American Indian people to determine appropriate future research to measure the impact of home monitoring on the management of hypertension. We honor the practice of community engagement in research. An important part of this study included listening to customer-owners sharing their experiences on blood pressure management and the impact of participating in this study.

                                    This poster will highlight several stories of research study participants to illustrate how participation in the study has changed their behaviors and helped them become actively engaged in the management of their hypertension. We hope that sharing these success stories can help guide future public health research on managing hypertension among ANAI people.

                                    Michael Ryan-Todd, MBA, Masters Level Researcher, Southcentral Foundation
                                    Charlene Aqpik Apok, MA, Researcher, Southcentral Foundation

                                    Although the philosophy of integrated health care is widely accepted, the mechanisms for translating policy into action are poorly understood. Some of the challenges facing oral health interventions implementation include funding, oral health policy priorities low on the policy agenda, and attitudes and perceptions of health care providers. This session focuses on evidence-based oral health promotion and examines the practicality of promoting oral health care within a whole system (social, cultural, and environmental) approach. Organizational changes in the health care system require a paradigm shift from practitioner-only focus to focus on health service delivery in a social context, including institution-based health activities, community-based activities for mother and child care, school activities, home and self-care practices in addition to the health system’s service delivery. An understanding of the relationship between oral health and general health should be included in the development of all health programs.

                                    Shenuka Singh, MSc Dent, PhD, Associate Professor in Dentistry, University of KwaZulu-Natal

                                    In many rural communities across Alaska, Supplemental Nutrition Assistance Program (SNAP) funds support a household’s ability to acquire foods, baby formula, and water; the option to utilize SNAP funds to purchase subsistence hunting and fishing gear for procurement of wild foods has recently been assessed in several rural Alaska communities by the Alaska Department of Fish and Game Division of Subsistence and the Department of Health and Social Services Family Nutrition Programs. Since assessment began, the rates of households using SNAP funds for subsistence hunting and fishing gear has been relatively low with various feedback on reasons why. We present updated information collected through this on-going project (2015-present) and the informational social marketing campaign that has resulted from the results of this project.

                                    Marylynne Kostick, MPH, Research Analyst, Division of Subsistence, Alaska Department of Fish and Game

                                    Tuberculosis (TB) is one of the top 10 causes of death worldwide. TB is a treatable and curable disease. Many individuals who migrate to the United States come from countries with high incidence of TB and may already be infected. The Center for Disease Control and Prevention (CDC) Electronic Disease Notification (EDN) is a program that captures and reports individuals with a TB classification B to the public health system. Those immigrants may be at high risk of TB Infection or Disease and need immediate follow-up to address their potential TB condition. The Anchorage Department of Health and Human Services follows up on all new migrants in the Anchorage Municipality. The newcomers are offered medical TB evaluation. If TB infection or disease is in the individual’s differential, treatment and management are offered to the newcomer. This approach is one of the effective initiatives to end TB in the Anchorage Municipality.

                                    Robin Amadon, RN, Public Health Nurse, Department of Health and Human Services, Municipality of Anchorage
                                    Cecile Manalo, Family Service Counselor & TB Immigrant/Refugee Coordinator

                                    The Alaska LEND (Leadership Education in Neurodevelopmental and related Disabilities) Program aims to improve the health of children who have developmental disabilities and their families by preparing Fellows from nine disciplines to assume interdisciplinary leadership roles. A priority is to recognize and respect the unique perspectives of families and to develop an understanding of the values among the diverse populations throughout Alaska. The program involves Fellows in communities across Alaska. The perspective of self-advocates is valued and the program includes self-advocate Fellows. Cultural diversity is woven throughout the curriculum and the recruitment of faculty and Fellows from underrepresented groups is essential to addressing the needs of families across Alaska. One strategy to broaden program diversity focused on the recruitment of a self-advocate faculty member from a rural community. This presentation will highlight the faculty member’s perspective and expertise in curriculum development and strengthening recruitment of diverse faculty and Fellows.

                                    Jenny Miller, MS, MPH, DrPH, Associate Professor, Division of Population Health Sciences, UAA

                                    Heart failure is a chronic medical condition associated with high morbidity, mortality and medical costs. Many of these costs are due to recurrent hospitalizations, especially within 30 days of hospital discharge. Alaska Heart and Vascular Institute (AHVI) has a large patient population with a diagnosis of heart failure. Approximately 60% of AHVI’s patient population are Medicare patients. In 2017, AHVI implemented a practice change to utilize a specialized RN trained in heart failure management to assist physicians in managing these patients by utilizing physician driven protocols and evidence-based treatment plans. Our goal was to reduce hospital readmissions, improve quality of care for HF patients, and increase patient satisfaction. The plan was to see these patients within 7-10 days of hospital discharge to review their medications, treatment plan, and provide education. We present AHVI’s experience and results of this practice change for 2017.

                                    Catherine McVey, MSN, RN, Director of Clinical Services, Alaska Heart and Vascular Institute
                                    Amanda Ellis, Registered Nurse, Heart Failure Clinic, Alaska Heart and Vascular Institute
                                    Connie Bonilla, Heart Failure Clinic Coordinator, Alaska Heart and Vascular Institute

                                    Recent passive surveillance efforts in Alaska have revealed that non-native ticks – some with significant medical and veterinary importance – are present in the state. We will present on a new collaborative OneHealth project between the University of Alaska (Anchorage and Fairbanks), the Alaska Department of Fish and Game (ADF&G), and the Office of the State Veterinarian to understand the risk of ticks and tick-borne pathogens in Alaska. The project includes a passive surveillance program to collect ticks from ADF&G biologists, veterinarians, and the public that will work in concert with active surveillance of ticks in parks and recreational areas in the Kenai Peninsula and Anchorage regions. We will also be creating a habitat sustainability model to identify other areas in Alaska where ticks could survive if they were imported. This work will provide current information on areas of Alaska that are most likely to experience increased tick activity which will give medical professionals and veterinarians a better understanding of who is at risk for tick-borne illnesses, and when to test patients for these diseases.

                                    Micah Hahn, MPH, PhD, Assistant Professor of Environmental Health, Institute for Circumpolar Health Studies, UAA
                                    William George, Graduate Research Assistant, Department of Biological Sciences, UAA
                                    Gale Disler, Graduate Research Assistant, Institute of Circumpolar Health

                                    Tanana Chiefs Conference seeks to serve Alaska’s Interior Alaska Native population from birth to final days. Utilizing the PRECEDE-PROCEED model for population health assessment, a need for support during a serious illness and end of life care was identified by the community, providers, and leadership. The Your Voice Matters program was developed based on a chronic care model to implement and support serious illness care for TCC providers, patients, and families. The elements of the CCM include community resources (tribes and elder care program), self-management resources (caregiver education and home supplies), computer information systems (encounter form template), and system design (Serious Illness Protocol). To implement the program, training was provided to all staff on serious illness conversations and family meetings. Evaluation is based on process and outcomes of program elements.

                                    Mikaila Holt, Doctor of Nursing Practice Candidate, Rush University

                                    12:00 - 1:15 - Ballroom
                                    Lunch & Plenary - Towards Zero Transportation Fatalities

                                    The Municipality of Anchorage and Department of Transportation & Public Facilities are setting priorities, implementing projects and policies, and seeing tangible results in reducing traffic fatalities and serious injuries for all modes of travel – vehicles, pedestrians and bicycles.   This discussion will explore the safe systems approach to achieving zero deaths. This requires a multidisciplinary approach involving agency collaboration, engineering, education, enforcement, and community engagement to achieve measurable improvement in traffic safety.

                                    Scott Thomas, Central Region Traffic & Safety Engineer, Dept. of Transportation & Public Facilities
                                    Wende Wilbur, MURP, Principal Planner, Kittelson & Associates
                                    Sgt Rick Steiding, Traffic Sergeant, Anchorage Police Department Patrol Division

                                    1:30 - 2:45 PM - Whitby Room
                                    CANCELLED - A Strengths-Based Approach to Help People Living with Stigma from Overweight

                                    Gaining an awareness of one’s character strengths and applying those strengths to confront setbacks have been shown to enhance human well-being (Rashid & Seligman, 2018; Green & Palmer, 2018). Evidence-based strategies grounded in character-strengths research exist for diverse populations at risk for stigmatizing for reasons beyond their control. These groups include paraplegics (Felter, Bentley, Sadowsky & Wegener, 2017), breast cancer survivors (Dooley, Slavich, Moreno & Bower, 2017), and elderly people (Pandey & Arg, 2018).

                                    This workshop reviews positive psychology research into applied character strengths and explores ways in which an understanding of strengths may benefit non-clinical Alaskans whose overweight limits life satisfaction.

                                    Workshop participants will complete a short-form inventory (Azanedo & Barraca, 2017) for insight into their capacity for character strengths. Time is reserved to discuss participants’ inventory results and consider how a character-strengths approach may help clients who encounter “fat shaming” and other marginalizing responses to overweight people.

                                    Rosanne Pagano, MAPP, MJ, Assistant Professor, Alaska Pacific University

                                    In 2007, the Colorado Department of Public Health and Environment released “Bold Steps,” a plan designed to improve the health and safety of children by providing integrated recommendations to address the shared risk and protective factors for multiple forms of child and adolescent violence. In 2014, the CDC released “Connecting the Dots,” to share research on the connections between different forms of violence and how these connections affect communities. This session will discuss using this framework to prevent all types of violence from occurring using a coordinated and integrated response that recognizes these connections and considers the population in the context of their home environment, neighborhood, and larger community. As Alaska continues to face high rates of violence, intentional and unintentional injury, substance misuse and overdose, and limited resources, Alaskan communities stand to benefit greatest from a shared risk and protective factor approach which builds sustainable partnerships using strength-based practices.

                                    Lindsey Kato, MPH, CHES, Consultant, Health Management Associates
                                    Shannon Breitzman, MA
                                    , Principal, Health Management Associates

                                    In Alaska, Health Information Exchange is already being used for syndromic surveillance, laboratory reporting, and immunization reporting, but there are many more potential uses such as: emergency notifications, mandatory reporting and consent management support, cancer, birth defects and other registry updates, and access to quality data traditionally siloed such as behavioral health.

                                    The panel will discuss the partnership between healtheConnect Alaska and the Division of Public Health, the ways the HIE facilitates health data sharing, and future uses that will improve the efficiency and quality of public health reporting, facilitate public health investigations, enable better communication between public health and the clinical community, and allow public health to make better use of behavioral health and social determinants of health data to improve the health of our communities.

                                    Bill Pearch, Program Director, healtheConnect Alaska
                                    Matthew Bobo, MPH
                                    , Immunization Program Manager, Division of Public Health, Department of Health and Social Services
                                    Anna Frick, MPH, Research Analyst II, Section of Epidemiology, Division of Public Health, Department of Health and Social Services
                                    Megan Tompkins, MPH, Information Systems Coordinator, Section of Epidemiology, Division of Public Health, Department of Health and Social Services

                                    Help Me Grow Alaska (HMG) is comprehensive system designed to connect children and families with the services they need by providing developmental screening, referrals, care coordination and parent education through a centralized phone access point. We know that to truly serve our unique landscape of communities across the state, initiatives like HMG Alaska must consider community-specific needs and priorities in order to succeed in providing relevant, useful services. With that in mind, the HMG system is structured primarily on partnerships in the state and local level. In this session, we will provide an overview of how the HMG vision became a reality and discuss several key partnerships with a focus on HMG’s partnership with the Early Childhood Comprehensive Systems Program and Connect Mat-Su. Using our year one data, we will discuss how data guides local priorities and help identify additional opportunities for partnerships to elevate existing services in the community.

                                    Tamar Ben-Yosef, Executive Director, All Alaska Pediatric Partnership
                                    Iris Matthews, MPA, President, The Stellar Group
                                    Sonya Hull, MSW, Executive Director, Connect Mat-Su
                                    Ashley Christopherson, MEd, Early Childhood Education Systems Program Manager, Women, Children, Family, Health, Division of Public Health, Department of Health & Social Services

                                    Healthy eating, regular physical activity, and not using tobacco play a substantial role in preventing chronic diseases, including diabetes, heart disease, and stroke. The Alaska Native Tribal Health Consortium received a five year grant from the Centers for Disease Control and Prevention to work with regional Alaska tribal health organizations to improve health and wellness in their communities through culturally adapted policy, systems, and environmental changes that make healthy behaviors easier. In this session, tribal health organizations will share their successes, challenges, and lessons learned during the first four years of the project. Presenters will also describe partnerships they are building to ensure that their accomplishments can be sustained after the funding cycle ends.

                                    Erin Peterson, MPH, Senior Epidemiologist, Alaska Native Tribal Health Consortium
                                    Jody Hatch
                                    , Performance Improvement Specialist/WSH Grant Coordinatorm, Manilaq Health Center
                                    Martha Pearson, MA, MPA, Director, SouthEast Alaska Regional Health Consortium
                                    Sue Unger, MA, Coordinator, Wellness Program, Aleutian Pribilof Islands Association

                                    3:00 - 4:30 PM - Endeavor Room
                                    COMBINED: Evidence-Based Public Health: From Problem to Prevention; Advancing Health Equity in Alaska through Evidence-Based Public Health (EBPH) Approaches

                                    Advancing Health Equity in Alaska through Evidence-Based Public Health (EBPH) Approaches:

                                    The Section of Chronic Disease Prevention and Health Promotion (CDPHP) within the State of Alaska Department of Public Health, prioritizes data-driven strategies that are based on proven methods and providing leadership to statewide partners in adopting evidence-based practices.  This session will provide an evidence-based public health (EBPH) framework overview and discuss how the modules support strategic planning and decision-making, develop and prioritize program and policy work to meet diverse community needs for health promotion, and achieve health equity through the lens of the socioecological model. An introduction of the upcoming Alaska-specific replication of the Evidence-Based Public Health Training will be highlighted.

                                    Shayla Compton, MPH, Public Health Specialist, Tobacco Prevention & Control Program, Division of Health & Social Services, Department of Public Health Chronic Disease Prevention and Health Promotion
                                    Larry Kairaiuak, Policy Lead, Tobacco Prevention & Control Program, Department of Health & Social Services, Division of Public Health

                                    Evidence-Based Public Health: From Problem to Prevention:

                                    Curious about Evidence-Based Public Health (EBPH) but not sure where to start? This session will explain the basics of Evidence-Based Public Health (EBPH) and highlight essentials of the EBPH process such as identifying the problem, forming a question, searching the literature, and evaluating the intervention. Participants will gain useful information about EBPH that can be applied in their practices.

                                    Ann Glusker, MPH, MLIS, PhD, Librarian/Research & Data Coordinator, National Network of Libraries of Medicine

                                    Foodborne Illness and Complaint Reports – Alaska, 2015-2017, and Using Technology and Social Media to Increase Public Awareness and Reporting of Foodborne Illness in Alaska:

                                    The monitoring and reporting systems used by the Alaska Section of Epidemiology (SOE), the Alaska Food Safety and Sanitation program (DEC FSS), and the Municipality of Anchorage Health and Human Services (MOA HHS) are vital for gaining awareness of potential food safety issues in Alaska. Members of the public are encouraged to report suspected food poisoning, food safety concerns, and food sanitation complaints in Alaska. In this session, the Alaska SOE will discuss the public reports received from 2015 through 2017, and DEC FSS and MOA HHS will discuss the follow-up process for complaints. Lastly, there will be an overview of new tools and software programs employed to increase public reporting and better identify situations that may promote foodborne illness.

                                    Christopher Parker, Public Health Associate, Section of Epidemiology, Department of Health and Social Services, Centers for Disease Control and Prevention
                                    Jeremy Ayers
                                    , Environmental Program Manager I, Department of Environmental Conservation, Division of Environmental Health,Food Safety Program
                                    Drew Shannon, RN, Public Health Nurse, Disease Prevention and Control, Department of Health and Social Services, Municipality of Anchorage
                                    Kathryn Helfrich, MSN, MPH, Nurse Epidemiologist, Section of Epidemiology, Division of Public Health, Department of Health and Social Services

                                    Not just Mumps: Responding to the Outbreak in Alaska’s Largest City:

                                    Mumps outbreaks often occur in discrete populations such as universities where the population at risk is well defined. However, Anchorage’s mumps outbreak was community wide, presenting unique challenges. Initially, the outbreak was disproportionately affecting the Native Hawaiian/Pacific Islander population, but as the outbreak evolved, it began affecting the community at large, making it more difficult to determine who was at increased risk. The Anchorage Department of Health and Human Services (DHHS), in collaboration with State of Alaska Section of Epidemiology (SOE), coordinated community outreach with local partners to offer targeted vaccination clinics, media campaigns, and educational presentations to raise awareness about the outbreak and the importance of vaccination. During the outbreak and community interventions, SOE expanded its recommendation for a third dose of MMR to all children and adults living in Anchorage. As a result, the number of MMR vaccinations administered increased dramatically.

                                    Stephanie Massay, RN, Epidemiology Specialist, Vaccine Preventable Disease Surveillance Coordinator, Section of Epidemiology, Department of Health and Social Services
                                    Drew Shannon, RN, Public Health Nurse, Disease Prevention and Control, Department of Health and Social Services, Municipality of Anchorage

                                    An estimated 300-400 individuals in Anchorage experiencing homelessness are considered “frequent users” of public services, cycling through corrections, shelters, emergency rooms, hospitals and other crisis services. Failing to meet their housing and service needs creates dispersed costs—estimated at over $47,000 per person per year—which fall upon state and local government, businesses, healthcare and social service organizations and the homeless themselves. These dispersed costs create roadblocks to collective action, causing us to manage, rather than solve this complex issue. United Way of Anchorage, with the Anchorage Coalition to End Homelessness is working to develop and implement a 270 unit expansion of Permanent Supportive Housing for these “super users” as defined by specific target population eligibility. This round table will discuss methods to define “super users” and analyze approaches to intervening with this high cost and high need population group.

                                    Monica Gross, MD, MPH, FAAP, Vice President, Community Impact, United Way of Anchorage

                                    Increased maternal use of opioid drugs such as oxycodone and heroin are a significant public health issue reflected in rising rates of neonatal abstinence syndrome (NAS). From 2004-2015, the incidence of NAS in Alaska increased 581% (2.7 births per 1,000 to 18.4 per 1,000). This increase has significant implications for Alaska’s child welfare services in Alaska as a disproportionately high proportion are removed from their parents’ custody within the first year of life.

                                    This roundtable discussion will include adoptive parents with experience caring for and raising children with prenatal opiate and polysubstance exposure. Family members will discuss their lived experience caring for their adopted children, highlighting assets and strengths in addition to challenges. The session will disseminate findings from a recent qualitative University of Alaska Anchorage study and provide attendees the opportunity to interact with study participants. Facilitation will emphasize community partnerships and highlight strengths-based approaches to systems improvement.

                                    Jimael Johnson, MPH
                                    Amanda Slaunwhite, MPH, PhD, Senior Scientist, BC Center for Disease Control

                                    The UAA National Resource Center for Alaska Native Elders is engaging in research in traditional foods and Reminiscence Therapy (RT) activities to promote positive behavior change, enhance quality of life, and combat social isolation in institutionalized Alaska Native Elders with dementia. Research conducted last year with Alaska Native caregivers highlighted the need for culturally responsive training and education to assist with behavioral and psychological symptoms of dementia, including wandering and agitation. This study is designed to mobilize an integrated phenomenon – recalled memories and positive emotional connections to traditional foods for Alaska Natives Elders. Local, state, and tribal partners have provided support and resources to assist with implementation and dissemination of a procedural manual for RT to be shared with others. This session will discuss the research project and its methodology, along with ideas for implementation in public health and long term care settings for Elders of any ethnic background.

                                    Jordan P. Lewis, MSW, PhD, Associate Professor, WWAMI School of Medical Education & Director, National Resource Center for Alaska Native Elders, University of Alaska Anchorage
                                    Sheila Shinn, MPH, MEd, Director of Geriatrics & Gerontology Initiatives, Center for Human Development, University of Alaska Anchorage

                                    Injury and violence remain significant public health problems in Alaska. They are the 3rd leading cause of death for Alaskans. Yet these areas are under resourced, and efforts are often siloed, minimizing the potential impact of community- and state-based interventions. This group is intended to strengthen and sustain effective injury and violence prevention and control measures by maintaining a statewide injury and violence prevention plan through a tribal and non-tribal health partnership.
                                    The statewide violence and injury prevention plan outlines goals and objectives that reflect current and future state and partner priorities, including injury and violence Leading Health Indicators from Healthy Alaskans 2020, for the next five years.
                                    The goal of the ASVIPP is to reduce injury related morbidity and mortality by providing leadership and expertise in the preparation, implementation, coordination, and periodic review of injury prevention efforts and the Alaska Violence and Injury Prevention Plan.

                                    Jared Parrish, MS, PhD, Senior Epidemiologist, Maternal and Child Health Epidemiology Unit, Alaska Division of Public Health

                                    The state of Alaska has been funding community-based multidisciplinary FASD diagnostic teams for nearly 20 years. The original goal of the teams was to keep expertise in the communities while providing diagnostic services to as many Alaskans as possible. Join experts from the Fetal Alcohol Spectrum Disorders community for in-depth discussions regarding FASD in the state of Alaska. What’s working? What are the next steps? Presenters will discuss the recently launched State of Alaska FASD 5-year plan, current services in the state, and ideas for improving diagnosis, prevention and services in Alaska communities. Participants will be encouraged to share experiences of what is working in their communities and visions for improvement.

                                    Jennifer Wagaman, MA, Coordinator, FASD Diagnostic Team, Alaska Center for Children and Adults
                                    Hope Finkelstein, MA
                                    , Program Coordinator, Office of Substance Misuse and Addiction Prevention Office, Division of Public Health, Department of Health and Social Services
                                    Marilyn Pierce-Bulger, MN, FNP-BC, CNM, Owner/Manager, FASDx Services LLC

                                    Food distribution programs, such as food pantries, are an important part of the nutrition safety net in our country for people who are in need. One of the largest food pantries in the state, St. Francis House (SFH), is located in Anchorage, Alaska, and serves over 4000 clients and their households each month. SFH was interested in understanding how the food they provide to patrons contributes to their overall nutritional health and food security. The research project being presented will discuss the food security status of the patrons and how the food received from the program compares to national nutrition recommendations.

                                    Amanda Walch, MPH, PhD, Assistant Professor, Dietetics & Nutrition Program, School of Allied Health, College of Health, UAA
                                    Kiana Gates
                                    , Substitute Teacher, Anchorage School District

                                    Vision Zero is a strategy to eliminate all traffic fatalities and severe injuries, while increasing safe, healthy, equitable mobility for all. Traffic deaths and serious injuries have risen sharply in Anchorage over the past decade, disproportionately impacting our city’s most vulnerable road users. Though only 5% of people travel primarily on foot, by bike, or by motorcycle here, they make up 52% of our traffic fatalities. The Anchorage Vision Zero Initiative is  using a data-driven effort to understand traffic safety issues and prioritize resources based on evidence of the greatest needs and impact. This session will present the crash data finding, National Best Practices, and solutions tailored around Safe Systems Approach – all parts of the system must be strengthened in order to save lives.

                                    Wende Wilbur, MURP, Principal Planner, Kittelson & Associates

                                    Is it in the Water?:

                                    Alaskan water quality from groundwater wells is usually defined in aesthetic terms (amount of iron, rust, hardness of water), biological (activity of coliform bacteria), harmful toxins (presence of arsenic, radon, VOCs) and nitrates presence. In-state testing is limited, and thus residents may only test when required by an inspector prior to a house sale.

                                    These quality issues are not static, and with the thawing of permafrost in parts of the state (as well as super saturated soils in the Interior due to shifting moisture patterns), well users are finding sudden changes in ground water quality as well as invading, unhealthy moisture problems that are migrating into their homes.

                                    We will cover blackish formations on pump filters, bacterial and volatile organic compounds coming up into crawlspaces/basements and mildew and mold challenges that are cropping up. It covers layman’s advice for those seeking testing, cleaning up and preventing these dynamics.

                                    How Does a Healthy Home Lead to Healthy Outcomes for the Occupants?:

                                    It is no secret that the better a home breathes, is kept dry and stays well insulated without pests, the healthier the occupants who live in the home will most likely be. The home will last longer and hopefully adds to the resident’s longevity, as well as quality of life. What are the seven principals of a healthy home, and what recommendations from EPA, CDC and DEC can assist residents in having an environment that is an ideal venue for healthy living?

                                    The chairman of the Alaska Extension Healthy Home Partnership advisory board (Art Nash) will be present to showcase and discuss the new HUD product, Everyone Deserves a Healthy Home (as well as Help Yourself to a Tribal Healthy Home). Chapters will be handed out for hands-on exercises on these outreach tools.

                                    Art Nash, MS, Associate Professor, Cooperative Extension, School of Natural Resources and Extension, UAF

                                    Breakfast served in the Ballroom
                                    8:30 - 9:45 - Ballroom
                                    Plenary - Perinatal Quality Collaboratives:  Applying Quality Improvement to Public Health Efforts to Address Perinatal Opioid Use

                                    State-based perinatal quality collaboratives (PQCs) are networks of clinical providers, hospital improvement teams, and public health organizations that seek to improve health outcomes for mothers and babies.   Many states have developed PQCs that have achieved important improvements in outcomes such as preterm delivery, maternal morbidity, neonatal infection, and breast milk use.  As PQCs have grown and matured, they have extended from hospital-based initiatives to population-level improvement efforts.  In this session, we will use explore how PQCs can bring rigorous clinical quality improvement methods to traditional public health approaches to improving outcomes for mothers with opioid use disorder and newborns at risk for neonatal abstinence syndrome.   The first part of the session will review the work of the Massachusetts PQC; the last part of the session will show recent innovations around perinatal opioid use in Alaska.

                                    Munish Gupta, MD, MMSc, Neonatologist, Beth Israel Deaconess Medical Center
                                    Jessica Filley, MPH, CSTE Applied Epidemiology Fellow, Alaska Department of Health and Social Services

                                    10:00 - 11:00 AM - Voyager Room
                                    Clean Air, Healthy Homes: Indoor Air Quality in Alaska and Resources to Improve It

                                    Homes and health are intricately linked. This session introduces attendees to the idea of a partnership between health workers and housing officials by focusing on one aspect of a healthy home: indoor air quality. In Alaska, over half of occupied homes are at risk of moisture and indoor air quality issues. Poor indoor air quality carries a number of potential health issues such as mold, breathing problems, exacerbation of asthma, and increased cancer risk. In this session, two presenters will discuss indoor air quality issues in Alaska and methods to improve indoor air. We’ll first cover the potential for poor indoor air quality in different regions of Alaska. The second presentation will equip attendees with three methods to improve indoor air and a list of resources for Alaskans who may be at risk of poor indoor air quality.

                                    Vanessa Stevens, MS, Research Scientist, Cold Climate Housing Research Center
                                    Dustin Madden, MAT
                                    , Policy Researcher / Data Scientist, Cold Climate Housing Research Center

                                    Community Water Fluoridation (CWF) continues to be a subject of controversy, yet a large body of science developed over 70 years is clearly favorable to CWF in promoting dental health. Recently, several communities in Alaska have revisited the need for CWF at the urging of citizens concerned over the spurious dangers of CWF. This session will explore how two communities, Sitka and Petersburg, used a multipronged strategy to inform and educate community leaders and the public on the safety and public health benefits of CWF. By engaging community partners beyond the medical/dental community and understanding the viewpoint of those opposed to CWF, public health experts in both communities were able to mount an effective campaign to combat misinformation surrounding CWF. This session will highlight the key steps taken to maintain the community’s access to this important public health preventive measure.

                                    Erin Michaels, MSN, Public Health Nurse III, Alaska Public Health Nursing

                                    Public health leaders in the rural communities of Alaska, Washington, Idaho, and Oregon report challenges in identifying and promoting health equity due to inadequate data and capacity. The Solutions in Health Analytics for Rural Equity across the Northwest (SHARE-NW) project supports evidence-based decision making by working with local health department (LHD) personnel to identify and address their data needs. We conducted 25 interviews of public health practitioners working in Northwest rural communities, focusing on current practices and needs regarding data sources, health disparities, and data visualizations. Preliminary findings include current strategies and challenges in: data and analysis needs, training needs and data currently used for tracking health disparities, and current approaches for communicating data to stakeholders. These findings inform SHARE-NW’s strategy to support rural LHDs in receiving the necessary data for decision-making, designing training programs for data use, and building visualization tools that facilitate data use by rural public health leaders.

                                    Betty Bekemeier, RN, MPH, PhD, Associate Professor, Department of Psychosocial and Community Health Faculty and Administration, UW
                                    Merry Carlson, MPH, Deputy Director, Division of Public Health Nursing, Department of Health & Social Services,

                                    The opioid overdose reversal drug naloxone is increasingly available to members of the general public, including among peers of people with risky opioid and heroin use behaviors. To understand their experiences obtaining naloxone and administering it to peers who overdosed, we conducted in-depth interviews with 18 individuals. Participants described their reasons for obtaining naloxone rescue kits, pros and cons of accessibility, satisfaction with and suggestions for training, and the circumstances of the overdose incident in which they administered naloxone. Participants also discussed their perceptions of naloxone’s effectiveness, prevention of overdose, and the connection between overdose reversal and future drug use behaviors. These results provide insights into how people who are most likely to be present during an overdose use naloxone and their beliefs about opioid overdose risk. This information can be used to inform future distribution of naloxone as well as related training, public messaging, and policy.

                                    Becky Porter, MS, Research Professional, Center for Behavioral Health Research & Services, UAA
                                    Bridget Hanson, PhD
                                    , Research Associate Professor, Institute of Social and Economic Research, Center for Behavioral Health Research & Services, UAA

                                    Mountain-Pacific/HTS has developed a methodology for electronic clinical quality improvement (eCQI) that combines clinical best practices, the use of health information technology and electronic data with strategic and innovative approaches to help transform health care delivery, enhance quality reporting and improve patient safety. This session will focus on leveraging health information technology and electronic health records to advance healthcare outcomes on a facility, community and statewide level. Leveraging the advanced functionality in EHRs are key components for healthcare optimization and transformation. Our presentation will review our quality improvement framework and methodology to help implement advanced care concepts, such as improving care coordination and reducing readmissions, implementing antibiotic stewardship programs, comprehensive medication management, establishing care management and care planning workflows and processes. We will also highlight our strategies to align clinical efforts and initiatives through clinical facilities to reduce duplication and reporting burden.

                                    Erin Aklestad, HIT/QI Consultant, Mountain-Pacific Quality Health
                                    Patty Kosednar, HIT Consultant, Mountain-Pacific Quality Health

                                    11:15 - 12:15 PM - Whitby Room
                                    Actual Causes of Death in Alaska: A Focus on Obesity and Related Behaviors Across the Lifespan

                                    While leading causes of death are often described by diseases such as cancer, heart disease, and diabetes, mortality rates from behavioral risk factors are rarely quantified. This analysis builds on two previous national studies to estimate the percentage of mortality in Alaska related to modifiable risk factors including tobacco use, overweight/obesity and physical inactivity, firearms, drug use, alcohol consumption, microbial agents, sexually transmitted diseases, and motor vehicles. An estimated 20% of deaths in Alaska in 2011-2015 were attributable to overweight/obesity and physical inactivity.

                                    Given the substantial impact of overweight/obesity on mortality in Alaska, the director of the state obesity prevention program will share what we know about the prevalence of obesity and related behaviors among Alaska toddlers, youth and adults. Discussion will include trends in these data, progress toward Healthy Alaskans 2020, and a snapshot of statewide obesity prevention efforts.

                                    Katie Cueva, MPH, MAT, ScD, CDC/CSTE Applied Epidemiology Fellow, Chronic Disease Prevention and Health Promotion Section, Division of Public Health, Department of Health and Social Services
                                    Karol Fink, MS, RDN, Director, Obesity Prevention, Division of Public Health, Department of Health & Social Services

                                    The Alaska AHEC Program launched a brand new effort to increase distribution and diversity of healthcare professionals. The Alaska AHEC Scholars program began Fall 2018 and currently has 54 students enrolled. The two year program is open to all healthcare professions students from certificate to graduate degrees and is interprofessional in nature. Students are required to complete 40 hours of didactic training on selected core topic areas and 40 hours of community based learning with rural and/or underserved populations each year. The program provides generous incentives to help assure students have access to rural placements. As a new venture to combat healthcare workforce shortages, the program hopes to grow our own Alaskan healthcare professionals in our most remote or underserved communities throughout the state.

                                    Gloria Burnett, MS, Director, Alaska Center for Rural Health & Health Workforce, UAA

                                    This session will discuss findings from a NIH funded pilot study exploring cultural construction of Alzheimer’s disease and related disorders among Alaska Native caregivers of family members with dementia. With growing numbers of Alaska Natives living longer, and advanced age being the number one risk factor for dementia, we are also witnessing an increasing number of informal caregivers in rural and urban Alaska. This study interviewed 22 Alaska Native caregivers from various communities across Alaska to learn of their caregiving experiences, understandings of dementia, and recommendations to improve their experiences. 60% of the caregivers were caring for a spouse, 86% were female, 38% currently live in rural Alaska, and 30% had a college education. We conducted one on one interviews that lasted approximately 60-90 minutes and were held in a location of their choice. Using Kleinman’s Explanatory Model, the themes included: dementia is a normal part of the aging process, lack of caregiver supports (training and education), dementia as a result of past or current behaviors, they use both traditional and western treatments, and they fear the loss of the Elders in their family, their wealth of knowledge, and struggle with the changing relationship dynamics. The unique finding of the study is the blessing received by the caregivers while caring for their family member, which serves as the foundation for future work. The recommendations included culturally responsive training and education that can be delivered in the home, support groups for Alaska Natives, and more education and awareness of family members to encourage more engagement with family and reduce caregiver burden and isolation. The findings of this study are resulting in the development of training and education, further research studies, traditional foods and reminiscence activities to reduce challenging behaviors, and caregiving toolkits.

                                    Jordan Lewis, MSW, PhD, Director, National Resource Center for Alaska Native Elders, College of Health, UAA

                                    This session provides an overview of UAA’s current evaluation of the Alaska Department of Correction’s (ADOC) Extended-Release Naltrexone (XR-NTX) program. ADOC provides the XR-NTX intervention to eligible inmates with a history of opioid use disorder who are about to be released from incarceration. There are two objectives for the project: 1) Evaluate the feasibility of using naltrexone to enhance community reintegration, and 2) Determine if the intervention reduces recidivism and rates of opioid dependence relapse. As of September 1, 2018, 32 of 60 participants were enrolled in the study and data on health, well-being, relationships and reintegration is being collected at six points over a twelve-month period post-release. In this presentation we will present preliminary demographic, substance use, socio-economic, and criminal history data to characterize the population included in the study. We will also reflect on the process of data collection to date, including the ethical challenges associated with research in correctional settings.

                                    Amanda Slaunwhite, MPH, PhD, Senior Scientist, BC Centre for Disease Control
                                    Gloria Eldridge, MA, PhD
                                    , Professor, Department of Psychology, University of Alaska Anchorage
                                    Travis Hedwig, MA, PhD, Assistant Professor, Department of Health Sciences, UAA
                                    Ryan Ray, Health Policy Fellow, UAA

                                    Tobacco use is the leading cause of preventable disease in the US and Alaska. Evidence-based methods for smoking cessation are up to 10 times more effective than advising patients to quit alone but are infrequently and inconsistently employed. Alaska Heart and Vascular Institute sees a large volume of patients who are still using tobacco despite already having cardiovascular disease, making them some of the highest risk smokers in the State. In a partnership between the Alaska Heart and Vascular Institute and the State of Alaska Tobacco Prevention and Control Program, we trained and deployed a Tobacco Treatment Specialist to deliver brief, evidence-based tobacco cessation interventions in our clinic. This session will discuss the design, implementation, and results of those efforts.

                                    Gene Quinn, MD, MS, MPH, Medical Director of Quality and Population Health, Alaska Heart and Vascular Institute
                                    Cheley Grigsby, Program Manager, State of Alaska

                                    12:15 - 1:45 PM - Ballroom
                                    Award Luncheon

                                    ALPHA awards provide an opportunity to recognize your colleagues and acknowledge their contribution to the Alaska Public Health Association and to public health in Alaska. Please join us as we celebrate the work and accomplishments of the award recipients.

                                    2:00 - 3:00 PM - Quadrant Room
                                    Communicating with Others: Insights from Psychological Development

                                    Have you ever struggled to communicate with someone? Have you ever felt like you and that other person are speaking a different language? Communicating with Others: Insights from Psychological Development may help to explain why some people simply do not understand what you are talking about! Utilizing developmental leaves as a background, we will talk about how different people view the world and how to communicate more effectively with them.

                                    Stevie Frakes, MA, Principle & Consultant, Cairn North Consulting

                                    Juneau, Alaska has seen a continued rise in individuals experiencing homelessness over several years. In 2017, 215 people were identified as homeless, and 47 of them have been chronically homeless. Housing First is a model that allows the most vulnerable and chronically homeless individuals to achieve housing with no barriers or contingencies to being housed. This model has shown to be cost effective by decreasing responsive service utilizations such as emergency room, decreasing criminal justice activity such as police and court systems, and increasing self-reported quality of life areas such as safety. Juneau first opened its permanent supportive Housing First facility in September 2017. Six months after opening it has shown a decrease in services in three areas (police, emergency room, Sleep Off Center) and an increase in quality of life in four areas (housing, safety, safety in community, and life).

                                    Morgan Erisman, MPH, MSW, Clinician II, JAMHI Health and Wellness, Inc.
                                    Heidi Brocious, MSW, PhD
                                    , Associate Professor, University of Alaska Anchorage

                                    Sixty percent of a person’s health is determined by social factors. Many of these factors have legal components, and there is growing evidence that addressing unmet legal needs improves physical and mental health outcomes. People often do not seek legal help because they do not know where to find it, they do not know that their problem is “legal,” or they decide to deal with the problem themselves. The Alaska legal community lacks the resources and personnel to reach and inform most Alaskans, but Alaska’s health care providers reach more Alaskans than any other service providers. This panel discussion describes several legal and community organizations represented by the members of the panel that are developing and implementing medical-legal partnerships in various forms throughout Alaska to address and improve health outcomes, and discusses ways for attendees to participate in these partnerships.

                                    Stacey Marz, JD, Self-Help Services, Alaska Court System
                                    Nikole Nelson, JD
                                    , Executive Director, Alaska Legal Services
                                    Dr. Robert Onders, MPA, MD, JD, Medical Director Community and Health Systems Improvement and President APU, Alaska Native Tribal Health Consortium and Alaska Pacific University

                                    Excess body weight is associated with an increased risk of at least 13 different cancers. About 40% of all diagnosed cancers are linked to overweight/obesity. In Alaska, roughly one in five deaths are caused by cancer, and about two in three Alaska adults are overweight/obese.

                                    The Alaska Cancer Registry is the first state cancer registry to analyze the relationship between BMI and cancer risk. For example, it found that about 42% of adult female breast cancer patients are obese, compared to 30% of the general adult female population in Alaska.

                                    In response to requests from Alaska’s rural tribal primary care providers for online cancer education, an Alaska Native Tribal Health Consortium research team developed culturally respectful cancer education. Most learners reported intending to change their own behaviors to reduce cancer risk, and talking with their patients more often about cancer risk factors including physical activity and eating healthy.

                                    David O’Brien, MS, PhD, GISP, Data Analyst, Alaska Cancer Registry, Division of Public Health, Alaska Department of Health and Social Services
                                    Katie Cueva, MPH, MAT, ScD, CDC/CSTE Applied Epidemiology Fellow, Chronic Disease Prevention and Health Promotion Section, Division of Public Health, Department of Health and Social Services

                                    Southcentral Foundation (SCF), an Alaska Native customer-owned health care system, has taken advantage of its system of integrated care, including integrated behavioral health, to help patients (who are called “customer-owners” at SCF) dealing with opioid addiction. These include care plans for working with customer-owners, and medication-assisted treatment integrated into primary care. Through provider training and support, SCF has increased the number of primary care providers approved for medication-assisted treatment from 10 percent to 70 percent, making this treatment more available for those who need it.

                                    SCF has also implemented guidelines for prescribing opioids with the goal of providing effective treatment for chronic pain while reducing the risk of addiction. Over a two-year period, SCF reduced the quantity of opioids prescribed by approximately 45 percent. This session will detail SCF’s approach to handling opioids, as well as how integrated primary care and behavioral health can work together to treat addiction.

                                    Melissa Shein, MD, Medical Director, East Primary Care Clinic, Southcentral Foundation

                                    3:15 - 4:30 PM - Ballroom
                                    Plenary - Alaska Native Collaborative Hub for Research on Resilience (ANCHRR): Promoting Community and Cultural Strengths

                                    The Alaska Native Collaborative Hub for Research on Resilience (ANCHRR) is a new initiative aimed at strengthening existing research partnerships, developing new partnerships, and thereby broadening the potential impacts from suicide prevention research efforts throughout the entire state of Alaska, as well as throughout the Arctic more generally. ANCHRR includes a three region research project that will highlight what Alaska Native rural communities are doing to support young people and promote their wellbeing, rather than an exclusive focus on risks and problems. TheAlaska Native Community Resilience Study (ANCRS) seeks to identify pathways from larger social and community processes down to individual, youth experiences, which can inform a wide variety of prevention efforts. A Research Steering Committee (RSC) made up of Alaska Native leaders, service providers, and researchers guides the study, and will assist in integrating results into a toolto identify vital community targets that can most effectively reduce youth suicide risk and promote resilience. Our presentation will describe the first year of this collaborative project and will show how the effort integrates and utilizes Alaska Native knowledge and guidance to change the narrative of suicide prevention to strength, protection and wellbeing.

                                    Dr Stacy Rasmus, PhD, Director, Center for Alaska Native Health Research (CANHR), UAF
                                    Carol Murphrey, MA, Outreach Coordinator, RHS Student Mentor for Alaska Native Community Resilience Study, ANCHRR
                                    Billy Charles, Research Steering Committee and Co-Investigator, ANCHRR

                                    12:00 - 5:00 PM - Whitby
                                    Promoting Community Conversations About Research to End Suicide: Participate in a Learning Circle

                                    Hosted by UMass, Lisa Wexler, lwexler@umass.edu

                                    Promoting Community Conversations About Research to End Suicide (PC CARES): Participate in a Learning Circle to Mobilize Communities for Suicide Prevention

                                    Promoting Community Conversations About Research to End Suicide (PC CARES) is a community-based approach that shares practical research evidence with community members so that they can use it, strategically and in self-directed ways, to prevent suicide. In the community mobilization model, local facilitators share ‘what is known’—practical and easy-to-understand information from prevention research—with community stakeholders. These Indigenous leaders, family members, service providers, school personnel and others spend time interpreting the information (‘what we think’) and apply it to their family, jobs, and community. They, then, develop ideas about ‘what they want to do’. This simple framework, ‘what is known’, ‘what do we think’, ‘what do we want to do’, is a practical way to translate research to self-determined actions. Evidence from the first pilot study of the approach resulted in self-perceived knowledge, skills and beliefs about suicide prevention (NIMH R34 MH096884). Importantly, in follow-up surveys we also found changes in participants’ prevention behavior after attending two or more learning circles. Additionally, social network measures suggest that people close to PC CARES participants were exposed to prevention ideas and were more likely to enact some preventative actions as a consequence. Conference attendees will learn about the theory and structure of PC CARES, promising results from an NIH pilot study, and engage in a PC CARES learning circle focused on Arctic Indigenous suicide prevention. There will be time for discussion about how such a model could be transferred to other Arctic contexts and/or be applied to other complex health problems faced by Arctic communities.

                                    Learning Objectives
                                    1.Describe the basic features of a PC CARES learning circle and some of the rationale behind this structure;
                                    2.Consider how adult learning theory and Indigenous self-determination informs the structure and process of the PC CARES learning circles; and
                                    3. Discuss how PC CARES might work in the contexts in which participants work and live.

                                    1:00 - 5:00 PM - Endeavor Room
                                    Connecting with Data and 4th Annual Scientific Advisory

                                    Hosted by the Division of Public Health, Deborah Hull-Jilly, deborah.hull-jilly@alaska.gov

                                    Connecting with Data is geared toward public health professionals, health advocacy organizations, and individuals requiring health data. The first portion of the session will allow data stewards to provide updates on the content of their public health data sources. The final hour will be devoted to gathering feedback from our data end users to identify data gaps and prioritize improvements. The session provides an opportunity to both connect in person with individuals who can assist in fulfilling your data needs and to identify gaps in health information that should be addressed in the future.

                                    Space is limited.  Register here to ensure you are on the contact list for future communication.

                                    2:00 - 5:00 PM - Adventure
                                    Addressing Eating Disorders in Alaska

                                    Hosted by the International Association of Eating Disorders Professionals, Grace Schumacher, support@nutritionpartnership.com

                                    Disordered eating is a secret health crisis, silenced by guilt and shame. This session aims to identify the public health burden from the medical and behavioral health crossroads, with implications for every health professional.

                                    Delivery is modular in 6 sub-sections:

                                    1. Quantifying the problem in medical and behavioral health
                                    2. Contributing factors, contradictory health messages, and unintended consequences of health interventions
                                    3. Treatment/Recovery stories, with guest presentation
                                    4. Prevention, early intervention, and the new school counselor toolkit by Joyce Widman
                                    5. Current Public Policy Legislation
                                    6. BMI valuation in health assessment: presented by UAA Alumni Debate

                                    This session is free to attend. No registration is required.

                                    Hosted by DHSS – Section of Women’s, Children’s & Family Health, Gabriela Alvarado, gabriela.alvarado@alaska.gov

                                    Register here to let us know you are attending.  We have attached an informational flyer to spread the word about our session.

                                    One in every four Americans will experience a diagnosable mental health issue in their lifetimes. However, as common as mental health issues are, they are one of the most stigmatized groups of medical conditions a person can experience. Journalists and the media have a great impact on society, and their own understanding of mental health can shift the conversation and influence the public.

                                    Language is at the core of how we view the world and can influence our thoughts and decision making processes. By using non-stigmatizing language and disseminating non-stigmatizing language practices, we can all contribute to decreasing stigma around mental health. As stigma is one of the main barriers to accessing mental health services – our words really do matter.

                                    This workshop will be led by Gabriela Alvarado, Public Health Specialist at DHSS and Anne Hillman, reporter at Alaska Public Media who is a Rosalynn Carter Mental Health Journalism Fellow.

                                    8:00 AM - 5:00 PM - Endeavor
                                    Gray Water Reuse: Research Needs and Best Practices

                                    Hosted by US Arctic Research Commission, Cheryl Rosa, crosa@arctic.gov

                                    During this workshop, we hope to: 1) Identify “gaps” in current practice/knowledge (and how research can resolve these); 2) Investigate risk pathways related to gray water reuse; and 3) Discover potential new avenues of funding research related to gray water reuse.

                                    8:30 AM - 3:00 PM - Providence Cancer Center Rooms 2281-2285
                                    Kickoff Meeting for the Alaska Perinatal Quality Collaborative

                                    NOTE: Meeting is at Providence Cancer Center, Rooms 2281-2285, https://www.ashnha.com/alaska-perinatal-quality-collaborative/  Contact person, Rebekah Morisse, rebekah.morisse@alaska.gov

                                    An Alaska Perinatal Quality Collaborative (AKPQC) is being established to promote high quality maternal and newborn care across Alaska by facilitating the collaboration of hospitals, birth centers, providers, and key stakeholders to share best practices and to advance data-driven initiatives. The AKPQC is planning a Kick-Off Event on January 25, 2019. The event objectives include: 1) Provide a summary of data relating to maternal and infant morbidities and mortality in Alaska; 2) Inform participants about the value and importance of participation in a statewide perinatal quality collaborative that addresses morbidity and mortality and seeks to improve outcomes through quality improvement processes; 3) Give an overview of the AKPQC (including: mission/goals/data collection/Alliance for Innovation on Maternal Health [AIM] enrollment); 4) Offer birth facilities an opportunity to join the collaborative; 5) Develop an organizational structure that encourages participation from all stakeholders; 6) Create a process for topic selection and AIM bundle implementation.

                                    Hosted by State of AK, Division of Public Health & ANTHC, Lisa McGuire, lisa.mcguire@alaska.gov

                                    The Advisory Team of the state health improvement plan, Healthy Alaskans 2020 (HA2020), guides the HA2020 structure, process and actions by issuing recommendations to the Core Team. Advisory Team membership changes each year based on the roles and needs of the entire HA2020 effort for the year. The Advisory Team membership and meetings are by invitation only. If a nonmember wishes to attend this meeting, they should contact healthyalaskans@alaska.gov before January 25th, 2019.

                                    10:00 - 11:30 am - Quadrant Room
                                    Peer Leader Navigators: Cultural Attunement and Community Engagement in Action

                                    In response to the rich multicultural diversity in Alaska and the many challenges faced by immigrants and refugees, the Anchorage Health Literacy Collaborative developed a Peer Leader Navigator (PLN) program. Unique to the PLNs is their valuable insight and lived experience of being an immigrant or refugee. Through the collaborative, PLNs receive training and resources that support their efforts to engage community members and increase well-being. The PLNs serve as a cultural bridge in the communities where they live, work and worship. They provide information in a way that is understandable and useable for community members, while also informing our health and social service agencies about the best ways to provide services that are culturally relevant. This session will provide an opportunity to meet PLNs, hear their stories and learn how we can partner in ways that address the social determinants of health affecting some of the most vulnerable in our communities.

                                    Hosted by the Center for Safe Alaskans, Marcia Howell, marcia.howell@safealaskans.org

                                    This will be an in-person opportunity for current Shared Factor Workgroup participants and others who are interested to hear about progress being made on the work plan, opportunities for involvement, and simply to gather in person.

                                    12:30 - 5:00 PM - Quadrant
                                    Using Data for Strategic Decision-Making

                                    Hosted by Alaska Department of Health and Human Services, Melinda Schultz, schulm5@uw.edu

                                    “Using Data for Strategic Decision Making” is a free Alaska Health Summit post-conference training offered by the University of Washington – School of Public Health. The aim of this training is to improve our ability to access, evaluate, and visualize data in order to identify health priorities and effectively use data for decision making. The training is interactive and participants are encouraged to bring their own laptops.

                                    Space is limited.  Register here to ensure you are on the contact list for future communication.

                                    Hosted by AK Chronic Disease Prevention & Health Promotion & ANTHC Injury Prevention, Tari O’Connor, teresa.oconnor@alaska.gov

                                    Alaska Statewide Violence and Injury Prevention Partnership annual in-person meeting and 2019 work plan development

                                    1:00 - 3:30 PM - Adventure Room
                                    Alaska Wellness Coalition Strategic Planning

                                    Hosted by Alaska Wellness Coalition, Jess Limbird, jlimbird@recoveralaska.org

                                    Alaska Wellness Coalition is looking to host a strategic planning session in conjunction with ALPHA, to maximize the number of statewide participants. AWC is a coalition of wellness and prevention coalitions, and currently hosts four committees- advocacy, communications, data (shared risk and protective factors), and membership.

                                    This time together would be used to better define our current structure and determine our collective work moving forward.

                                    Conference registration


                                    $35 per guest
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                                    • Only needed if you bring a guest
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                                    Full Conference Pass
                                    • 3-day Pass (January 22-24)
                                    • All sessions
                                    • Breakfast and lunch
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                                    ALPHA Membership
                                    • Join or renew your membership for 1 year
                                    • Discounts for students and retirees
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                                    Tuesday, January 22, 2019
                                    Day Pass
                                    • Can't attend the whole conference? Save money on a day pass.
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                                    Wednesday, January 23, 2019
                                    Day Pass
                                    • Can't attend the whole conference? Save money on a day pass.
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                                    Thursday, January 24, 2019
                                    Day Pass
                                    • Can't attend the whole conference? Save money on a day pass.
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                                    2019 Sponsors

                                    DENALI + FORAKER LEVEL
                                    FAIRWEATHER + MARATHON LEVEL

                                    Thank You for Exhibiting at the
                                    2019 Alaska Health Summit:

                                    Agnew::Beck
                                    Alaska Comprehensive Cancer Partnership
                                    Alaska Diabetes Prevention and Control Program/UA Cooperative Extension
                                    Alaska Family Directory
                                    Alaska Native Epidemiology Center
                                    Alaska Native Tribal Health Consortium (ANTHC)
                                    Alzheimer’s Resource of Alaska
                                    American Society for Circumpolar Health
                                    Collective Change Consulting
                                    Council on Domestic Violence & Sexual Assault (CDVSA)
                                    Food and Drug Administration
                                    InSight Telepsychiatry
                                    Ladies First
                                    Mat-Su Health Foundation

                                    Medicare Information Office
                                    Mountain-Pacific Quality Health
                                    MS in Clinical MH Counseling-Weekend Alaska-Northern Vermont University
                                    National Network of Libraries of Medicine, Pacific Northwest Region
                                    North Star Behavioral Health
                                    Office of Healthcare Access & Healthy Alaskans 2020, DHSS, DPH
                                    Office of Substance Misuse and Addiction Prevention, DHSS
                                    Provo Canyon School
                                    Recover Alaska
                                    Southcentral Foundation Nuka System of Care
                                    State of Alaska Obesity and Control Program
                                    UAA Institute for Circumpolar Health Studies (ICHS)
                                    UAA Master of Public Health Program

                                    Hotel Captain Cook

                                    hotel-captain-cook
                                    Hotel Rooms

                                    The Hotel Captain Cook offers a discount of $125/plus tax when booking for the AK Health Summit until group is filled. Book your room

                                    Parking

                                    Valet Parking is offered at Hotel Captain Cook’s 4th Avenue entrance.  Ask for rates.

                                    Self-Parking is offered in the Diamond Parking Garage located adjacent to The Hotel Captain Cook. If you would like to unload your items in the Valet area before self-parking please feel free to do so and the Hotel Captain Cook staff will help with unloading and bringing those items to your room.

                                    • The ticket you receive from entering the garage is needed to exit.
                                    • Diamond parking charges per/hour and will charge a full day fee if the ticket is lost.

                                    Parking on the street at a City-monitored meter: The City monitors the meters Monday through Friday from 9 am–6 pm. Parking is free during off hours but please understand that you’re parking in an unsecured location and at your own risk. The city also does winter street cleaning from 2 am–6 am, and they will tow your vehicle if it is parked on the street overnight.

                                    Media

                                    Credentialed working journalists approved for press privileges will be provided discounted registration of $35 per day, including meals. Please read the Media Policy before submitting your request for press credentials to ensure you are eligible and understand the requirements of press privileges.