100 Days and Beyond
Mayor Adrian Fenty's 100 Days and Beyond
A healthy city reflects every facet of our lives from our personal health to the health of our neighbors, our communities and our environment. A healthy city relies not only on what the District does for its residents, but also on what the residents do as individuals and as a community to create conditions for good health.
Continue the successful partnership between the Department of Health's Maternal and Family Health Administration and the Children's School Services program for school-based nurse services (immediate).
Designate a cabinet-level official to convene the Interagency Lead Task Force so that work across agencies may proceed. (first week).
Reorganize DOH to consolidate administrations and improve public health functions (30 days).
Make immediate improvements in healthcare, safety, and management at Saint Elizabeths Hospital (SEH) including the appointment of a new COO (60 days).
Open Ward 4 Senior Wellness Center (90 days).
Award contract to begin construction of Ward 1 Senior Wellness Center (90 days).
Evaluate the costs and benefits of establishing "wellness opportunity zones" as a way to build healthy neighborhoods (100 days).
Publicly endorse and enfore smoke-free regulations and the development of a plan to promote smoking cessation programs (100 days).
Prevent sexually transmitted diseases by exploring needle exchange programs and broader condom distribution (100 days).
Introduce legislation that will improve the District's ability to enforce against all regional health threats and hazards including lead (100 days).
Identify proven and innovative health initiatives that establish community infrastructures to support health, access to healthy foods and safe places to be physically active (6 months).
Evaluate best practices and develop pilot program initiatives with monitored outcomes within specific communities/neighborhoods (6 months).
Expand home visitation and early intervention programs to reduce infant mortality, child abuse and neglect, youth violence, and to support mental health and wellness, and offer HIV/AIDS prevention services through DMH provider agencies. (100 days).
Explore taking a public health approach to interpersonal violence, intentional trauma and domestic violence including a formal administrative home-base within the Department of Health (100 days).
Consider a health care financing administration to coordinate all health funding streams, with an immediate focus on maximizing Medicaid reimbursement for existing services (100 days).
Explore allowing the Alliance to provide supplemental coverage to eligible residents who have inadequate coverage from other sources, without discouraging employers from maintaining or expanding their contribution to insurance (100 days).
Begin implementing the adult dental health coverage to Medicaid benefits package (100 days).
Coordinate with medical service providers, especially those part of the Medicaid/Alliance safety net, to implement routine HIV testing for patients ages 14 and up (100 days).
Develop an implementation plan for expanding health care coverage to children of families with incomes less than 300 percent of the poverty level (6 months).
Build a project plan for health-related data collection, analysis and dissemination by building on the experience, regulations and practices of other jurisdictions (6 months).
Increase access to walk-in services for STD and substance abuse available at multiple locations (6 months).
Work with the DC Housing Authority to improve options for elderly and chronically ill tenants to live and receive care in the community (1st year).
Develop an East-of-the-River HIV/AIDS response capacity-building initiative (1st year).
Develop city-wide programs to reduce reliance on emergency rooms for non-emergencies (1st year).
Increase community messages on testing and prevention of HIV/ AIDS and immediately establish a medical home for low-income residents testing positive (1st year).
Reach out to small businesses to provide health screenings, wellness programs, and options for affordable health insurance (1st year).
Develop a system for early identification of child and adolescent mental health issues and for providing needed care locally (1st year).
Increase the District's investment in targeted substance abuse treatment and prevention programs. (1st year).
Increase federal Medicaid reimbursements by $10 million (1st year).
Finalize the design for the District forensics lab (1st year).
Identify health services to be available via school-based delivery, the providers needed to deliver these services, links with students' medical homes and funding sources, including Medicaid (1 year).
[From more information on these initiatives, visit dc.gov.]