74th Annual

Kansas Public Health Association Conference

October 10 – 11, 2017

Hilton Garden Inn Manhattan 410 South 3rd Street

Manhattan, Kansas 66502

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Please join us for the 74th Annual Kansas Public Health Association Fall Conference to be held at the Hilton Garden Inn Manhattan, October 10 – October 11, 2017. Conference sessions will focus on many public health issues important to Kansas, including our theme, “KPHA 2017: IT’S TIME TO ACTIVATE” Join us on October 10, 2017 at the Anneberg Park in Manhattan for the 2nd Annual Kansas Public Health Association Walk/Run. Held in conjunction with the 2017 KPHA Annual Conference, everyone is invited to participate in this opportunity to be active and walk or run either the 5-K (two loop course) or 1.5 mile (1 loop course) at the beautiful Anneberg Park. The Kansas Public Health Association Walk/Run begins at 5:30 P.M. Transportation will be provided to and from the race from the Hilton Garden Inn for KPHA Conference attendees. Please indicate when you register if you will be utilizing the transportation we are providing. The cost to register is $25 and includes an event t-shirt. Click HERE to register online!

Conference Objectives At the conclusion of the conference participants should be able to:

1. Discuss the interventions for disease specific best practices to improve the health of all Kansans.

2. Identify promising and evidence-based practices to develop interventions that improve the health of diverse Kansas populations.

3. Demonstrate awareness of initiatives that are targeted to improving health outcomes in Kansas.

4. Learn strategies to address social determinants of health, disease specific best practices and environmental issues through policy and practice.

CONFERENCE PLANNING COMMITTEE Erica Anderson, MPA, KPHA Immediate Past President; Population Health Strategist, Humana James Brewster, BS, Conference Coordinator, Office for Workforce, Professional and Community Education, Wichita State University

Daniel Craig, MS, KPHA Tobacco, Mental Health & Substance Abuse Section Chair; Coordinator, Saline County Tobacco Use Prevention Program, Central Kansas Foundation Ruaa Hassaballa, MLS (ASCP), KPHA Association Manager & Graduate Research Assistant; Medical Lab Scientist, Laboratory Corporation of America Bob Moser, MD, KPHA President; Executive Director, Kansas Heart and Stroke Collaborative, The University of Kansas Hospital Michelle Peterson, KPHA Director-at-Large, Public Health Strategist, Cerner Corporation Travis Rickford, MPA, KPHA Communications Chair; State Director, Community Engagement Initiative, Center for Global Policy Solutions Pam Smith, RDH, KPHA Oral Health Section Chair; Fluoridation Specialist & Evaluator, Bureau of Oral Health, Kansas Department of Health and Environment Sandy Snook, MSW, KPHA Community Health Section Chair; Community Educator Mark Thompson, PhD, KPHA Policy Chair; Assistant Director, Child Nutrition & Wellness, Kansas State Department of Education Becky Tuttle, MA, KPHA President-Elect; Community Development Director, Greater Wichita YMCA

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KEYNOTE PRESENTATIONS Tuesday, October 10, 2017 9:00 – 10:00 a.m.

The Population Health Template: A Roadmap for Successful Health Improvement Initiatives Michael Kobernick, MD, MS, CPE, Chief Medical Officer, SmartHealth While the goals are clear, the mechanics of implementation and

operations of “population health” are currently a work-in-progress across the healthcare ecosystem. Many healthcare organizations go down the path of implementing broad, sweeping initiatives to try to improve population health without recognizing the importance of addressing fundamental issues like social determinants of health, and the needs of smaller segments of the groups they serve. Dr. Kobernick will discuss a roadmap for population health improvement initiatives that addresses these concerns. 1:15 – 2:15 p.m. A Journey to Population Health and Value Based Care Robert Freelove, MD, CEO/Program Director, Salina Family Healthcare Center and Smoky Hill Family Medicine Residency Program; Dan Partridge, RS, MPH, Director, Lawrence-Douglas County Health Department; Sheldon Weisgrau, MHS, Director, Health Reform Resource Project The panel will discuss current efforts to improve lives through access to appropriate healthcare while relying on deploying evidence-based interventions and strong partnerships among local health care providers, public health professionals, community and social service agencies, and individuals. The panelists will discuss current evidence based best practices related to MACRA, MIPS and value-based care as well as lessons learned while informing the attendees of future opportunities.

CONFERENCE SPONSORS

Wednesday, October 11, 2017 1:00 – 2:00 p.m.

So Business has to Help you Solve Population Health …. You Got a Problem with That? Alan Gilbert, JD, Director, Global Government and NGO Strategy, healthymagination, GE

Alan Gilbert advocates for more businesses like GE to make improving the health of the communities in which they live and work an economic imperative for their own business growth, and the growth and prosperity of the communities where they live and work. GE is the world’s largest digital industrial manufacturer, operating in 180 countries and employing over 300,000 employees worldwide Through numerous programs and efforts, the company treats the health and wellness of its employees as important as worker safety. GE believes there is an economic imperative and ROI to improve the medical and non-medical determinants of health in the places where its workers live and work—especially in these uncertain and socially disruptive times. In a nutshell Alan will describe the strange bedfellows that he works with in many towns and cities across America and the journey that GE has been on to bring communities together to collaborate and test innovative solutions aimed at improving population health.

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CONFERENCE AGENDA Day One – General Conference

Tuesday, October 10, 2017 7:30 – 8:30 a.m. Check-In/Breakfast 8:30 – 9:00 a.m. Welcome, Opening Remarks

9:00 – 10:00 a.m. Keynote Presentation

The Population Health Template: A Roadmap for Successful Health Improvement Initiatives Michael Kobernick, MD, MS, CPE, Chief Medical Officer, SmartHealth

10:00 – 10:45 a.m. KPHA Awards 10:45 – 11:15 a.m. Break & Visit Exhibits 11:15 a.m. – 12:15 p.m. Breakout Session #1 1.1 Using Electronic Health Record (EHR) Data

for Heart Attack and Stroke Prevention: The Role of Local Public Health in the Million Hearts Effort The Lawrence-Douglas County Health Department participated in a Million Hearts learning collaborative and learned that little attention has been paid to evaluating and improving blood pressure screening or smoking cessation efforts outside of the primary care setting. This session will describe the role of local public health department in this work, including how we standardized our clinical processes, used our EHR data to understand our clinic population, and how we have integrated blood pressure screening and smoking cessation into our clinic and performance management system. Authors: Dee Vernberg, PhD, MPH, Analyst, Lawrence-Douglas County Health Department; Vince Romero, MHSA, Analyst, Lawrence-Douglas County Health Department; Chris Tilden, PhD, Director, Community Health, Lawrence-Douglas County Health Department

1.2 Health Impact Assessment: Water Reuse and Health Participants in this session will learn strategies to incorporate health in policy decision-making. The speakers will share how the Kansas Health Institute capitalized on the Governor’s Water Vision to conduct a health impact assessment (HIA) on water reuse. The HIA on water reuse in Kansas created opportunities for officials at the

state and local levels to consider broad health impacts while planning for long-term water sustainability. Participants will learn effective ways to inform policies and develop partnerships through a HIA project on water reuse in Kansas. Authors: Carlie Houchen, MPH, Analyst, Kansas Health Institute; Tatiana Lin, MA, Senior Analyst & Strategic Team Lead, Kansas Health Institute

1.3 Implementing Resident-Led Public Health Initiatives in Kansas: Stories from the Field This session will outline the use of resident-led initiatives to address the Social Determinants of Health (SDOH) in Kansas communities. An overview of the Kansas Health Foundation's focus on health equity and civic engagement will be provided along with an overview of the model that was used to implement SDOH focused, community engagement projects in each community. The program will then transition to a panel of Community Liaisons whose communities where recipients of funding from the Kansas Health Foundation. They will present a brief overview of their successes and lessons learned. Authors: Travis Rickford, MPA, State Director, Community Engagement Initiative, Center for Global Policy Solutions; Chan Brown, BS, Program Officer, Kansas Health Foundation

1.4 Assessing Statewide Capacity to Implement the Foundational Public Health Services (FPHS) in Kansas This session describes a tool for use by local health departments (LHDs) in Kansas to determine their capacity to implement the foundational public health services. Presenters will provide information on the key concepts of FPHS, including the FPHS list for Kansas, capacity assessment results to date, the assessment process and the assessment system and evaluation scheme. Authors: Steve Corbett, PhD, Senior Analyst, Kansas Health Institute; Jason Orr, MPH, Analyst, Kansas Health Institute

1.5 Development of a Community Health Worker-Led Regional Certification Proposal to Influence State Policy The session will focus on efforts to support and sustain the Community Health Worker (CHW) workforce and CHW programs through policy advocacy and policy change. This includes state and national policies or certification efforts to advance, grow and sustain the profession. Authors: Erika Saleski, MPP, Consultant, ES Advisors; Dominique Lucas, BA, Community Health Worker; KC CARE Clinic

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Multi-disciplinary Effort to Support the Sustainability and Integration of Community Health Workers in a Bi-state, Regional Community This session describes community-level efforts to research, develop and advocate for policy and system changes related to the Community Health Worker (CHW) workforce and CHW programs. It outlines the collective efforts and strategies to develop action items and short and long term goals to achieve the community's overall mission related to the CHW workforce. Authors: Erika Saleski, MPP, Consultant, ES Advisors; Dominique Lucas, BA, Community Health Worker; KC CARE Clinic

12:15 – 1:15 p.m. Lunch & Visit Exhibits 1:15 – 2:15 p.m. Keynote Presentation A Journey to Population Health and

Value Based Care Robert Freelove, MD, CEO/Program

Director, Salina Family Healthcare Center and Smoky Hill Family Medicine Residency Program; Dan Partridge, RS, MPH, Director, Lawrence-Douglas County Health Department; Sheldon Weisgrau, MHS, Director, Health Reform Resource Project

2:15 – 2:45 p.m. Break & Visit Exhibits 2:45 – 3:45 p.m. Breakout Session #2 2.1 Improving Chronic Conditions through

Community Partnerships Chronic disease has become the predominant factor in both poor health status and the high cost of health care in the United States and around the World. To combat this issue, payers, providers, and health professionals are beginning to work together to integrate chronic disease prevention methods and drive patient value at the local level. As a major health insurer, we have partnered with community based organizations that provide evidence based self-management programs targeted toward at risk Medicare members and senior populations. Authors: Lesley Newton, RN, Population Health Coordinator, Humana; Rebecca Christensen, RN, Population Health Coordinator, Humana; Michelle Cohen, MSHP, CHES, Population Health Coordinator, Humana; Keaton Ramaker, MHA, Population Health Coordinator

2.2 Advancing a Workforce: Kansas Community Health Worker & Statewide Support This session provides information on the new KS Community Health Worker (CHW) Coalition, initial activities & its support of CHWs. KS leaders will share how allied organizations support the coalition’s work by fostering CHW leadership development, creating a promotional video, & providing infrastructure support. Updates will be provided on recent developments in KS including new CHW programs, current funding strategies, & lessons learned. Attendees will learn about opportunities to advance the growth, integration, and sustainability of the CHW workforce at the state, regional, & local levels. Authors: Alissa Rankin, MPH, CHES, Project Manager, Center for Public Health Initiatives, Wichita State University; Beth Nech, MA, Health Connections Public Health Specialist, Bureau of Health Promotion, Kansas Department of Health and Environment

2.3 Water Quality: Rethinking Water Well

Policies for Kansas This presentation will focus on research

regarding more effective policies for the environmental and public health aspects of well water consumption. We will discuss private water well policies in Kansas and identifying promising practices across the nation. This presentation will explore the need for new water well policies in Kansas, identify best practices and describe the connections between public and environmental health. The presentation will also include an opportunity for participants to share their ideas and recommendations regarding protecting water well quality in the state. Authors: Jack Brown, MUA, RS, Research Instructor, University of Kansas School of Medicine-Wichita; Elizabeth Ablah, PhD, MPH, Associate Professor, University of Kansas School of Medicine-Wichita; Mary Marrow, JD, Senior Staff Attorney, Public Health Law Center-Mitchell Hamline School of Law

2.4 Mobile Market: An Adaptive,

Evidence-Based and Participatory Approach Towards Improving Food Access This session will elaborate on the interdisciplinary process that is bringing a mobile market to food deserts in Wyandotte County, Kansas. The presentation will outline the adaptive approach that integrated design, business, and public health research into a sustainable food distribution network. Using public health research and participatory methods of community engagement, the mobile market has brought together a coalition of healthcare, community health organizations, faith-based institutions, and private businesses to address this public health issue.

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Author: Matthew Kleinmann, MArch, Doctoral Student, University of Kansas School of Architecture; Researcher, Community Health Council

2.5 Practicing Quality as a LHD Learn from the experiences of a local health department implementing organization wide quality improvement. Reno County Health Department will share what has worked well and what hasn't as they seek to have meaningful participation in quality improvement from all staff. Structure and practices for implementing our Quality Improvement Plan and how we measure success and performance will be shared. We will also share plans for future changes based on what we have learned and how this has impacted the accreditation application process. Author: Anna Brown, MA, CHES, Data and Quality Supervisor, Reno County Health Department

3:45 – 4:00 p.m. Break & Visit Exhibits 3:50 – 4:50 p.m. Breakout Session #3 3.1 Media Usage and Obesity Prevention among

Adolescents in Low-Income Communities in Three States

Adolescents ages 12-17 years account for about 17% of obesity and overweight children in the U.S.Their media usage behavior including screen time and media exposure to advertisements are significant contributors to adolescence obesity. Social cognitive theory is used to examine the impact of associated factors including media usage on personal, environmental and behavioral factors. Funded by USDA, the project uses the Community-Based participatory approach (CBPR) to engage communities prevention intervention. It recommends creative media usage in preventing adolescence obesity. Authors: Nancy Muturi, PhD, Professor, Kansas State University; Tandalayo Kidd, PhD, RD, LPN, Associate Professor, Extension Specialist, Kansas State University; Erika Lindshield, MPH, RDN, LD, Program Coordinator, Kansas State University; Kendra Kattelman, PhD, RDN, LN, FAND, Professor, South Dakota State University; Susan Zies, Med, Extension Specialist, Ohio State University

3.2 Do Improvements in Park Features Increase

Use? An Analysis of Park Use in Kansas City, Kansas.

Physical inactivity increases the likelihood of experiencing chronic conditions. Using a community-based participatory approach, the Latino Health for All Coalition included six parks in predominantly Latino neighborhoods in an initiative to improve park features (e.g. exercise

stations) and amenities (e.g. signage). This presentation will examine the extent to which park use and activity level change after park enhancements are implemented. Authors: Sarah Landry, MSW, Senior Research Assistant, University of Kansas Work Group for Community Health and Development; Jerry Schultz, PhD, Associate Director, University of Kansas Work Group for Community Health and Development; Monica Mendez, BA, Community Mobilizer, University of Kansas Work Group for Community Health and Development; Vicki Collie-Akers, PhD, Associate Director, University of Kansas Work Group for Community Health and Development

3.3 Community Engagement for Health: How

Bringing in Community Voices can Create Unexpected Change This session will highlight the ways the Community Engagement Initiative has reshaped the meaning of public health in Allen County, bringing residents and leaders together to produce the kinds of changes they most want to see in their communities. Damaris Kunkler and Travi Rickford will discuss the challenges the program has faced, and the successes it has had in bringing concrete "wins" to communities where confidence has been sorely needed for decades. Authors: Damaris Kunkler, Program Director, Thrive Allen County; Travis Rickford, MPA, State Director, Community Engagement Initiative, Center for Global Policy Solutions

3.4 An Examination of Public Health Practice

and Academia: Developing an Academic Public Health Department with Saline County Health Department and Kansas State University The goals of this partnership support linkages between a program of public health and a health department by analyzing data collected from students, field experience preceptors and employers for themes related to field experiences and career preparation; and incorporating stakeholder feedback into program practice to target excellent planning and employment strategies for both partners. The process for developing an academic health department relationship will be articulated, and best practices will be described. Authors: Ellyn Mulcahy, PhD, MPH, Director, MPH Program, Associate Professor, Kansas State University; Jason Tiller, MPH, Director, Saline County Health Department

Public Health Practice and Academia: A Model for an Academic Public Health Department in Riley County, Kansas This session will describe the public health partnership in Riley County that supports linkages between academic public health and

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the county health department. The process for the development of an academic public health department will be outlined, and the strategies utilized to engage health department and academic staff will be described. Authors: Jennifer Green, PhD, MPH, Administrative Director, Local Health Officer, Riley County Health Department; Ellyn Mulcahy, PhD, MPH, Director, MPH Program, Associate Professor, Kansas State University

3.5 The Kansas OutbreakNet Enhanced Program: Implementation of Best Practices In 2016, the Kansas Department of Health and Environment (KDHE) implemented a centralized interviewing program for salmonellosis and Shiga toxin-producing E. coli (STEC) cases based on FoodCORE model practices. In this session we will provide an overview of the program, evaluate performance through analysis of timeliness and completion of case investigations, and present success stories including outbreak investigation and exclusion of ill persons from child-care and work settings. Authors: Mychal Davis, MPH, Epidemiologist, Kansas Department of Health and Environment; Sheri Tubach, MS, MPH, Director of Infectious Disease and Epidemiology and Response, Kansas Department of Health and Environment

Shiga Toxin-Producing Escherichia Coli. Convalescent Testing by Using Multiplex Polymerase Chain Reaction Panel and Culture Methods, Kansas, 2016 In 2016, the Kansas Department of Health and Environment (KDHE) implemented a centralized interviewing program for salmonellosis and Shiga toxin-producing E. coli (STEC) cases based on FoodCORE model practices. In this session we will provide an overview of the program, evaluate performance through analysis of timeliness and completion of case investigations, and present success stories including outbreak investigation and exclusion of ill persons from child-care and work settings. Authors: Daniel Neises, MPH, Senior Epidemiologist, Kansas Department of Health and Environment; Jessica Tomov, PhD, Epidemic Intelligence Service Officer, Centers for Disease Control and Prevention; Lindsey Webb, MPH, Advanced Epidemiologist, Kansas Department of Health and Environment; Carissa Robertson, M(ASCP), Microbiologist III, Kansas Department of Health and Environmental Laboratories; Caryn Masters, MS, Microbiology Unit Manager, Kansas Department of Health and Environmental Laboratories; D. Charles Hunt, MPH, Senior Analyst, Kansas Health Institute

Analysis of Timeliness and Completion of Shiga Toxin-Producing E. Coli and Salmonellosis Case Investigations Conducted during Year One of Centralized Interviewing in Kansas In 2016, the Kansas Department of Health and Environment (KDHE) implemented a centralized interviewing program for salmonellosis and Shiga toxin-producing E. coli (STEC) cases based on FoodCORE model practices. In this session we will provide an overview of the program, evaluate performance through analysis of timeliness and completion of case investigations, and present success stories including outbreak investigation and exclusion of ill persons from child-care and work settings. Authors: Lindsey Webb, MPH, Advanced Epidemiologist, Kansas Department of Health and Environment; Daniel Neises, MPH, Senior Epidemiologist, Kansas Department of Health and Environment; Sheri Tubach, MS, MPH, Director of Infectious Disease and Epidemiology and Response, Kansas Department of Health and Environment

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CONFERENCE AGENDA Day Two – General Conference

Wednesday, October 11, 2017 7:00 - 8:00 a.m. Breakfast 8:00 – 8:15 a.m. Welcome Back! 8:15 – 9:15 a.m. KPHA Year in Review

Call to Order KPHA Year in Review Video Honor Ceremony for Board Service Officer Reports Standing Committees Reports Special Committees Reports Section Reports Other Business Election Results Honor Ceremony (recognizes KPHA members

who have died in the last year) Announcement of Time and Place for Next

Annual Meeting Passing of the Gavel Adjournment

9:15 – 9:25 a.m. Break 9:25 – 10:25 a.m. Breakout Session #4

4.1 Health Care Integration of Self-Management

Education Referral Systems in Kansas Over the last 9 years, Kansans have had access to Stanford University’s evidence-based Self-Management Education workshops, which help individuals who suffer from chronic health problems. These programs aid participants in gaining confidence to control their symptoms, better manage daily problems, & lead fuller lives. This session will provide insight on positive impacts of Chronic Disease, Diabetes, and Chronic Pain Self-Management workshops & how health providers in KS have utilized bi-directional referral systems & discuss strategies for integration of these systems. Authors: Alissa Rankin, MPH, CHES, Project Manager, Center for Public Health Initiatives; Megan Skaggs, MLM, Quality Improvement Project Manager, Stanford University T-Trainer, Great Plains Quality Innovation Network

4.2 Are we Losing Community in the Professionalization of Community Health Workers? The session will provide different perspectives of the Community Health Worker. The popularity of CHWs as a member of the health care team is driven by a growing literature suggesting that consumers who utilize the services of CHWs have improved health outcomes, especially low-income populations.Many researchers argue that this success is precisely because of their defining characteristic - being from the community and intimate with the community. Others point to the professionalization of the role with greater training, institutional resources, and referral systems as key to improving health. Authors: Carla Gibson, MS, Senior Program Officer, REACH Healthcare Foundation; William Moore, PhD, Vice President, REACH Healthcare Foundation; Dennis Dunmyer, BBA, MSW, JD, Vice President, Community Programs, KC CARE Clinic; Cielo Fernandez, MS, MPH, Chief Program Officer, El Centro

4.3 The People’s Voice: Developing Solutions to Reduce Tobacco Disparities with Targeted Community Members This session will give a detailed background on tobacco marketing tactics at the point-of-sale, as well as describe policy options available to reduce the impact of this advertising on a community. The speaker will also describe the process, goals, and strategies used to initiate and conduct TFW’s Neighborhood Conversations, including the development of structured conversation starters, communication strategies, utilization of grant funding, and aspects that can be completed without funding. The results and next steps for the coalition will also be shared with the attendees. Author: Tara Nolen, MPH, Tobacco Control Coordinator, Kansas Academy of Family Physicians;

4.4 Keeping Charlie Brown's Open: Challenges and Successes in Maintaining and Building a Healthy Food System in Rural Allen County This session gives an overview of the food system work undertaken in Allen County. A new grocery store, very large community gardens, and multi-site farmers’ market are among the successes in the community, and there are ongoing efforts to maintain the availability and vitality of small rural groceries. This session will be useful both for rural public health professionals and for urban professionals, who will benefit from the clear systems perspective provided. Author: David Toland, MPA, Executive Director, Thrive Allen County; Debbie Bearden, Coordinator, Allen County Farm Bureau

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4.5 Doing What We Could Not Do Before: Better, Cheaper, and Together

This session will provide information about the process, utility and impact of public health service delivery via cross-jurisdictional sharing (CJS). Participants will engage in an interactive exercise to explore some of the key concepts related to CJS. Presenters will share findings from local and national research and will illustrate how CJS can enhance efficiency and effectiveness for public health, as well as its potential as a mechanism for the delivery of Foundational Public Health Services for all Kansans. Author: Jason Orr, MPH, Analyst, Kansas Health Institute; Steve Corbett, PhD, Senior Analyst, Kansas Health Institute

10:25 – 11:05 a.m. Poster Presentations 11:05 a.m. – 12:05 p.m. Breakout Session #5

5.1 Lehigh-Portland Trails: How to build relationships with industry to create new community resources, a lesson from Allen County Iola, KS built new bicycle and walking trails around an abandoned quarry in 2014-2016. This session will tell the story of the Lehigh-Portland Trails, with special emphasis on the "behind the scenes" work and details that made it possible. Public health advocates and community leaders looking to make new community amenities and built environment changes are encouraged to attend. Authors: David Toland, MPA, Executive Director, Thrive Allen County; John McRae, President, Iola Industries

5.2 Building Capacity to Address Tobacco

Dependence in Behavioral Health Programs via Tobacco Treatment Specialist Training in Kansas In the U.S., people with serious mental illnesses die on average 25 years younger than other Americans, and much of this disparity is due to tobacco use. Few treatment providers offer tobacco treatment. A tobacco treatment training program tailored to the needs of clients with mental health and substance use disorders (MH/SUD) who use tobacco has high potential for improving care and life expectancy. This session will describe the process and outcomes of an on-going accredited, evidence-based tobacco treatment training for providers in behavioral health programs in Kansas. Authors: Amanda Grodie, MPH, CHES, Project Manager, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Elena Shergina, MS, Graduate Research Assistant,

Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Kimber Richter, PhD, MPH, Joy McCann Professor of Women in Medicine and Science, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Babalola Faseru, MD, MPH, Assistant Professor, Department of Preventive Medicine and Public Health, University of Kansas Medical Center

5.3 Growing State-Wide Capacity to Reduce Toxic Stress in Families: A Multi-Site Study in Kansas The session will provide a description of the ABC (Attachment and Bio-behavioral Catch-Up) early childhood intervention to reduce the risk of toxic stress in high risk families. Multiple Kansas health foundations and direct service organizations (early education and mental health centers) have joined together to fund and implement ABC at 5 sites across the state. Presenters will share evidence of the promise of this public health intervention, local implementation plans and evaluation designs. The lead evaluator will share the measures and metrics used to determine intervention efficacy. Authors: Dawn Downes, MS, Senior Program Officer, REACH Healthcare Foundation; William Moore, PhD, Vice President, Program and Evaluation, REACH Healthcare Foundation; Kim Moore, JD, President and CEO, United Methodist Health Ministry Fund; Amy Mendenhall, PhD, MSW, Associate Professor, Associate Dean of Research, University of Kansas School of Social Welfare; Randy Lopez, MPA, BSN, Program Officer, Wyandotte Health Foundation

5.4 Patterns in Current Electronic Cigarette use

among Kansas Adults Using the 2015 Kansas Behavioral Risk Factor Surveillance System This presentation presents information about current use of e-cigarettes and patterns of use among current and former smokers among Kansas adults using the 2015 Kansas Behavioral Risk Factor Surveillance System. Authors: Belle Federman, ScD, Advanced Epidemiologist, Kansas Department of Health and Environment; Carol Cramer, BBA, Tobacco Use Prevention Program Manager, Kansas Department of Health and Environment; Ghazala Perveen, MBBS, MPH, PhD, Director of Science and Surveillance/Health Officer II, Kansas Department of Health and Environment

5.5 The Health Insurers Role in Reducing Food Insecurity Limited access to healthy food has been widely acknowledged as a major contributing factor in the poor health of a population. As a major health payer we have leveraged community partnerships in our central region (Kansas, Missouri,

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Oklahoma, and Arkansas) to mitigate the high levels of food insecurity in the communities we serve. Authors: Lesley Newton, RN, Population Health Coordinator, Humana; Rebecca Christensen, RN, Population Health Coordinator, Humana; Michelle Cohen, MSHP, CHES, Population Health Coordinator, Humana; Keaton Ramaker, MHA, Population Health Coordinator

12:05 – 1:00 p.m. Lunch 1:00 – 2:00 p.m. Keynote Presentation

So Business has to Help You Solve Population Health…You Got a Problem with That? Alan Gilbert, JD, Director, Global Government and NGO Strategy, healthymagination, GE

2:00 p.m. Conference Adjourn Poster Presentations Wednesday, October 11, 2017, 10:25 a.m. Six Years Later: How Employers are Meeting the "Break Time for Nursing Mothers" Requirements and the Needs of their Breastfeeding Employees in Kansas Brenda Bandy, IBCLC, Executive Director, Kansas Breastfeeding Coalition, Inc.; Sarah Jolley, MA, PhD, Research Scientist, Community Engagement Institute, Wichita State University Changing a Culture: A Multifaceted, Cross-Sector Approach to Breastfeeding Support in Kansas Brenda Bandy, IBCLC, Executive Director, Kansas Breastfeeding Coalition, Inc.; Lisette Jacobson, PhD, MPA, MA, Assistant Professor, Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita; Martha Hagen, MS,RD,LD,IBCLC, Breastfeeding Coordinator, KS Nutrition and WIC Services/Bureau of Family Health, Kansas Department of Health and Environment Assessing Changes in Prescription Drug Trends after Prescription Opioids Rescheduling and the Approval of Selected Abuse-Deterrent Opioids: Recommendations and Implications for Public Health Practices Fan Xiong, MPH, Advanced Epidemiologist, Kansas Board of Pharmacy Sexual Violence in Kansas: Data’s meaningful story and the community response Megan Stabler, PhD, Advanced Injury Epidemiologist, Kansas Department of Health and Environment; Laurie Hart, LMSW, SVPE Grant Coordinator, Kansas Department of Health and Environment

Pioneer Baby: Building Community Infrastructure to Improve Maternal-Child Health Lisette Jacobson, PhD, MPA, MA, Assistant Professor, Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita; Kendal Carswell, LMSW, LCAC, Pioneer Care Advocacy Team Director, Kearny County Hospital; Benjamin Anderson, MBA, MHCDS, Chief Executive Officer, Kearny County Hospital Monitoring Emergency Department Visits During Emergency Response Events: Syndromic Surveillance of a Large Chemical Release in Kansas Zachary Stein, MPH, Syndromic Surveillance Coordinator and Epidemiologist, Kansas Department of Health and Environment, Farah Ahmed, MPH, PhD, Environmental Health Officer, Kansas Department of Health and Environment Examining the Role of Cancer Communication in HPV Prevention Tazrin Khan, MS, Graduate Teaching Assistant, Kansas State University; Nancy Muturi, PhD, Professor, Kansas State University Introduction to Family Dance!: Dance as a Healthy and Fun Family Engagement Activity with Young Children Bradford Wiles, PhD, Assistant Professor, Kansas State University, Extension Specialist, Kansas State Research and Extension; Laura Schachtner, MS, Graduate Research Assistant, Kansas State University; Marie Armstrong, BS, Graduate Research Assistant, Kansas State University; Sarah Pitzer, Research Assistant, Kansas State University Health Access for Independent Living (HAIL): How CIL Staff Can Assist People with Physical Disabilities to Promote Their Health E. Zhang, MA, MEd, Graduate Research Assistant, Research and Training Center on Independent Living, University of Kansas; Dot Nary, PhD, Assistant Research Professor, Research and Training Center on Independent Living, University of Kansas; Jean Ann Summers, PhD, Research Professor, Research and Training Center on Independent Living, University of Kansas; Aruna Subramani, MS, Project Coordinator, Research and Training Center on Independent Living, University of Kansas Nutricity: A web-based tool to Teach Nutrition Literacy to Toddler’s Parents/Caregivers. Juliana Camargo, MPH, PhD Student, Department of Dietetics and Nutrition, University of Kansas Medical Center; Heather Gibbs, PhD, RD, LD, Assistant Professor, Department of Dietetics and Nutrition, University of Kansas Medical Center; Debra Sullivan, PhD, RD, Chair, Department of Dietetics and Nutrition, University of Kansas Medical Center; Paula Cupertino, PhD, Associate Professor, Department of Preventive Medicine and Public Health University of Kansas Medical Center; Susanna Patton, PhD, CDE, Associate Professor, School of Medicine Pediatrics, University of Kansas Medical Center; Stephanie Horton, BS, Research Assistant, Department of Preventive Medicine and Public Health, University of Kansas Medical Center

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Poster Presentations Wednesday, October 11, 2017, 10:25 a.m. Lessons Learned from Student ZIKA Perceptions: From Info to Action Nikki Keene Woods, PhD, MPH, Assistant Professor, Wichita State University; Amy Chesser, PhD, Assistant Professor, Wichita State University; Lamin Barrow, MA, Student, Wichita State University; Jennifer Mattar, BA, Student, Wichita State University State Collaborations to Activate Change for Health Literacy and Aging Amy Chesser; PhD, Assistant Professor, Wichita State University; Nikki Keene Woods, PhD, MPH, Assistant Professor, Wichita State University; Shana Dobson, MA, Student, Wichita State University; Jared Reyes, MEd, Student, Wichita State University; Ghazala Perveen, MBSS, PhD, MPH, Health Officer and Director of Science and Surveillance, Kansas Department of Health and Environment The Kansas Disability and Health Program: Health Promotion, Physical Activity, Nutrition and Oral Health for Kansans with Disabilities Noelle Kurth, MS, Senior Research Assistant, University of Kansas Institute for Health and Disability Policy Studies; Jean Hall, PhD, Professor and Program Director, University of Kansas Medical Center; Kim Bruns, MA, Program Coordinator, University of Kansas Institute for Health and Disability Policy Studies; Dorothy Nary, PhD, Physical Activity Coordinator, University of Kansas Research and Training Center on Independent Living Preventing Diabetes: Identification of Population Subgroups at High Risk of Developing Diabetes Using the Diabetes Test Scoring System 2015 Kansas Behavioral Risk Factor Surveillance System (BRFSS) Vi Pham, MPH, CPH, Chronic Disease Epidemiologist, Kansas Department of Health and Environment; Ghazala Perveen, MBSS, PhD, MPH, Health Officer and Director of Science and Surveillance, Kansas Department of Health and Environment Vaccines in Correctional Settings for Cancer Prevention (VCCaP): HPV Knowledge and Vaccine Awareness among Adult Inmates in Kansas Molly Allison, MPH, Project Manager, University of Kansas Medical Center; Joi Wickliffe, MPH, Project Director, University of Kansas Medical Center; Brynne Musser, BS, Graduate Research Assistant, University of Kansas Medical Center; Patricia Kelly, PhD, MPH, Co-Investigator, University of Missouri-Kansas City; Megha Ramaswamy, PhD, MPH, Primary Investigator, University of Kansas Medical Center Evaluating Informatics: Development of a Self-Assessment Tool for Kansas Health Local Health Departments Lawrence Panas, PhD, MPH, Senior Analyst, Kansas Health Institute; Jason Orr, MPH, Analyst, Kansas Health Institute Establishing a Medical Advisory Council to Maximize Coalition Impact and Reach Kim Neufeld, BA, Tobacco Control Coordinator, Kansas Academy of Family Physicians

Kansas Cancer Survivors’ Lifestyle Behaviors for Primary and Secondary Prevention Mickey Wu, MPH, Epidemiologist, Kansas Department of Health and Environment; Ghazala Perveen, MBSS, PhD, MPH, Health Officer and Director of Science and Surveillance, Kansas Department of Health and Environment Using Online Videos, Infographics and Other Resources in Home Food Preservation Education Londa Nwadike, PhD, Assistant Professor, State Extension Food Safety Specialist, Kansas State University; Karen Blakeslee, MS, Extension Associate, Kansas State University Promoting Physical Activity and Health Among Kansans: The Role of National Parks Rebecca Gasper, BS, Graduate Teaching Assistant, Kansas State University; Aaron Swank, BS, SGT, Graduate Teaching Assistant, Kansas State University; Emily Mailey, PhD, Assistant Professor, Kansas State University; Ryan Sharp, PhD, Assistant Professor, Kansas State University Comprehensive Update of a Respiratory Protection Program to Ensure Local Health Department Staff Are Protected against Hazardous Exposures in the Event of a Public Health Emergency Jessica Kelley, BBA, Public Health Emergency Preparedness Planning Assistant, Sedgwick County Division of Health and Sedgwick County Emergency Management; Kaylee Hervey, MPH, Epidemiologist and Surveillance Coordinator, Sedgwick County Division of Health; Jilene Reichle, BS, Public Health Planner, Sedgwick County Emergency Management; Jennifer Ramsey, CHES, MRC Coordinator, Sedgwick County Emergency Management; Daniel Pugh, MBA, CEM, MEP, County Emergency Management Coordinator, Sedgwick County Emergency Management; Christine Steward, MPH, Health Protection Director, Sedgwick County Division of Health Survey of Kansas Behavioral Healthcare Providers on Practices and Attitudes Related to Helping Clients Quit Smoking Elena Shergina, MS, Graduate Research Assistant, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Amanda Grodie, MPH, CHES, Project Manager, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Babalola Faseru, MD, MPH, Assistant Professor, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Jackson Mores, BS, Graduate Research Assistant, Department of Preventive Medicine and Public Health, University of Kansas Medical Center; Belle Federman, ScD, Advanced Epidemiologist, Kansas Department of Health and Environment; Kimber Richter, PhD, MPH, Joy McCann Professor of Women in Medicine and Science, Department of Preventive Medicine and Public Health, University of Kansas Medical Center Neonatal Abstinence Syndrome in Kansas: A Rising Public Health Issue We Must Address Jamie Kim, MPH, Maternal and Child Health Epidemiologist, Kansas Department of Health and Environment; Meagan Stabler, PhD, Injury Epidemiologist, Kansas Department of Health and Environment

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Poster Presentations Wednesday, October 11, 2017, 10:25 a.m. Dramatic Increase of Invasive Streptococcus Pneumonia Cases in Sedgwick County, Kansas: Description and Vaccination Status Information Kaylee Hervey, MPH, Epidemiologist and Surveillance Coordinator, Sedgwick County Division of Health; Dante Coimanya, MPH, MD, Senior Disease Investigator, Sedgwick County Division of Health; Christine Steward, MPH, Health Protection Division Director, Sedgwick County Division of Health Lessons on Community Health Worker Infrastructure and Policy Change: Case Studies from Texas, Massachusetts, and Minnesota Sonja Armbruster, MA, Director, Center for Public Health Initiatives, Community Engagement Institute, Wichita State University; Caitlin Brock, MA, VISTA Public Health Project Specialist, Community Engagement Institute, Wichita State University Social Media Usage and Help-Seeking Behavior for Mental Health Among International Students Ting Li, BA, Graduate Teaching Assistant, A.Q. Miller School of Journalism and Mass Communication; Nancy Muturi, PhD, Professor, A.Q. Miller School of Journalism and Mass Communications Contraceptive Use and Knowledge Among Latino Adolescents in Rural Kansas Romina Barral, MD, Pediatrician, Children's Mercy Hospital and Clinics, University of Kansas Medical Center; Jamie Perales Puchalt, PhD, MPH, Postdoctoral Fellow, University of Kansas Medical Center; Stephanie Horton, BS, Research Assistant, University of Kansas Medical Center; Lucia Martinez Reyes, CHW, Community Health Worker, University of Kansas Medical Center; Ivar Flores Morales, Intern, University of Kansas Medical Center; Paula Cupertino, PhD, Director, University of Kansas Medical Center The Birth of a Teen Pregnancy Alternative: Design and Implementation of a School-Based Prenatal Clinic Faith Butler, MD, Family Practitoner, University of Kansas; Bailee Lutz, MS3, Medical Student, University of Kansas School of Medicine; Kim Kimminau, PhD, KUMC-Associate Professor; Director, Center for Community Health Improvement, KU Endowment Let's Talk About Onboarding Karen Flanders, MSM, Child Care Licensing Coordinator, Lawrence-Douglas County Health Department, Reaching a goal via SMS; Using an Interactive Tool and Text Messages Seeking Smoking Cessation Jaime Perales, PhD, MPH, Post-Doctoral Fellow, Juntos Center for Advancing Latino Health, Luis Santana, MD, Intern, Juntos Center for Advancing Latino Health

Impact of a Culturally and Linguistically Text Message Intervention Among Latino Amokers in Kansas City Jaime Perales, PhD, MPH, Post-Doctoral Fellow, Juntos Center for Advancing Latino Health, Raquel Lopez, MD, Intern, Juntos Center for Advancing Latino Implementing a Culturally Adapted Diabetes Prevention Program in the Latino Community Mariana Ramierez, MSW, Project Manager, University of Kansas Medical Center; Jamie Perales Puchalt, PhD, MPH, Postdoctoral Fellow, University of Kansas Medical Center; Stephanie Horton, BS, Research Assistant, University of Kansas Medical Center; Lucia Martinez Reyes, CHW, Community Health Worker, University of Kansas Medical Center; Ivar Flores Morales, Intern, University of Kansas Medical Center; Paula Cupertino, PhD, Director, University of Kansas Medical Center Policy Implications of a Fitness Program in Firefighter Cadets Kasey Crauthers, Undergraduate, Kansas State University; Brittany Hollerbach, MS, Graduate Research Student, Kansas State University; Katie Heinrich, PhD, Associate Professor, Kansas State University

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CONTINUING EDUCATION INFORMATION Nurses Approval Pending

Social Workers Approval Pending

Dietitians Approval Pending

Sanitarians Approval Pending

Nursing Home Administrators Approval Pending

CERTIFICATES Certificates will be emailed within 30 days after the conference. REGISTRATION AND PAYMENT Registration and Payment Process You may register and pay on-line at http://www.wichita.edu/conferences/kpha Not a KPHA Member? New this year! Registration includes a 1-year membership to KPHA. Registration Fees KPHA Member Registration Rec’d by Rec’d after At Door 9/15/17 9/15/17 $225.00 $260.00 $295.00 Professional Non KPHA Member Registration (Includes 1 year KPHA Membership) Rec’d by Rec’d after At Door 9/15/17 9/15/17 $300.00 $335.00 $370.00 Non-Profit Non KPHA Member Registration (Includes 1 year KPHA Membership) Rec’d by Rec’d after At Door 9/15/17 9/15/17 $285.00 $320.00 $355.00 KPHA Student Member Registration* (Includes 1 year KPHA Membership) One Day Two Day $80 $110

*One or Two Day conference registration is an option for KPHA Student Members only. 2nd Annual KPHA 1K Walk/5K Run Registration (Must register by 10/06/16) $25.00 Register here for the KPHA Walk/Run: https://register.chronotrack.com/r/32533

CANCELLATIONS AND REFUNDS Once an online registration has been entered, the registrant will be responsible for payment unless cancellation is received in writing by email to conference.office@wichita.edu. (Please do not register unless you plan to attend.) A $25.00 cancellation fee will be assessed on all cancellations (this includes purchase orders). There will be no refunds or cancellations accepted after September 22, 2017. ACCOMMODATIONS Hilton Garden Inn Manhattan 410 South 3rd Street Manhattan, KS 66502 Room Rate Special rates for conference attendees have been arranged with the Hilton Garden Inn. Single and double occupancy rates are $109.00 + tax per night. Making a Reservation Reservations must be received by September 25, 2017. When you make your reservation, please identify yourself as a Kansas Public Health Association Conference participant. To make reservation by phone call the Hilton at 785-532-9116 or CLICK HERE to book your room online.

Check-in/Check-out Check-in time is 3:00 p.m. Room assignments prior to that time are based upon availability. Checkout time is 12:00 p.m.

Special Drawings Free registrations for the 2018 KPHA Annual Conference will be awarded to the best poster presentations as determined by the review committee.

Right of Termination for Cause This agreement and the University’s obligations hereunder regarding this conference and the presentation of any or all of the associated

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sessions and optional entertainment events are subject to acts of God, way, terrorism, government regulations, disaster, fire, strikes, civil disorder, curtailment of transportation facilities, or other similar cause beyond the control of the parties making it inadvisable, illegal, or impossible to hold the event or provide the facility. If the conference or any associated event is cancelled due to one of the aforementioned occurrences, the liability of the University shall be limited to refunding the conference registration fee or a portion thereof. The University shall not be responsible for consequential damages, including, but not limited to, any losses incurred by registrants including, but not limited to, airline cancellation charges, hotel deposits and other associated travel costs. Special Accommodations Wichita State University is committed to making programs accessible to people with disabilities. If you wish to volunteer information regarding any special assistance you may need, please contact the Office of University Conferences at (316) 978-6493. Notice of Non-Discrimination Wichita State University does not discriminate in its employment practices, educational programs or activities on the basis of age, color, disability, gender, gender expression, gender identity, genetic information, marital status, national origin, political affiliation, pregnancy, race, religion, sex, sexual orientation, or status as a veteran. Retaliation against an individual filing or cooperating in a complaint process is also prohibited. Sexual misconduct, relationship violence and stalking are forms of sex discrimination and are prohibited under Title IX of the Education Amendments Act of 1972. Complaints or concerns related to alleged discrimination may be directed to the Director of Equal Opportunity or the Title IX Coordinator, Wichita State University, 1845 Fairmount, Wichita KS 67260-0138; telephone (316) 978-3187. Offers of employment are contingent upon completion of a satisfactory criminal background check as required by Board of Regents policy.

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74th Annual Kansas Public Health Association Conference October 10 & 11, 2017

Please print or type clearly. Name _________________________________________________________________________________________ Home Address ____________________________________________________City __________________State ____ Home Phone _____________________Business Phone _________________________________ Badge Name __________________________Email Address ______________________________________________ Organization/County Health Dept. ___________________________________________________________________ Business/Billing Address ________________________________________ City ___________________________________________State _______KS ZIP ____________ License # ______________________License Type ____________________________________ Please check all that apply. ___KPHA Member Registration $225 ($260 after 9/15, $295 at door) $_____ ___Professional Non-KPHA Registration (Includes 1 yr. Memb.) $300 ($335 after 9/15, $370 at door) $_____ ___Non-Profit Non-KPHA Registration (Includes 1 yr. Memb.) $285 ($320 after 9/15, $355 at door) $_____ ___One Day—KPHA Student Member Registration $80 (Includes 1 yr. Memb.) $_____ ___Two Days—KPHA Student Member Registration $110 (Includes 1 yr. Memb.) $_____ *One or two day conference registration is an option for KPHA student members only. ___I require vegetarian meals. ___I have special dietary needs: ______________________________________________________________________________ TOTAL AMOUNT ENCLOSED OR NOTED ON PURCHASE ORDER: $_______ Payment method: ___Check __Purchase Order __Visa __MasterCard ___AMEX __Discover CC# ____________________________________Security Code ________Exp. Date ________ Name as printed on the card ___________________________________________________________ Signature ____________________________________________________________________________ Please return this form along with payment information or purchase order to: Office for Workforce, Professional and Community Education Wichita State University 1845 Fairmount, Campus Box 136 Wichita, KS 67260-0136 Fax: (316) 978-3064 For questions regarding your registration, please call (316) 978-6493 or e-mail conference.office@wichita.edu

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74th Annual Kansas Public Health Association Conference

October 10 & 11, 2017 Please pre-register for Breakout Sessions. Session 1 Breakouts - Tuesday, October 10, 2017 at 11:15 a.m. __ 1.1 - Using Electronic Health Record (EHR) Data for Heart Attack and Stroke Prevention: The Role of Local Public

Health in the Million Hearts Effort __ 1.2 - Health Impact Assessment: Water Reuse and Health __ 1.3 - Implementing Resident-Led Public Health Initiatives in Kansas: Stories from the Field __ 1.4 - Assessing Statewide Capacity to Implement the Foundational Public Health Services in Kansas __ 1.5 - Development of a Community Health Worker-Led Regional Certification Proposal to Influence State Policy/

Multi-disciplinary Effort to Support the Sustainability and Integration of Community Health Workers in a Bi-state, Regional Community

Session 2 Breakouts - Tuesday, October 10, 2017 at 2:45 p.m. __ 2.1 - Improving Chronic Conditions through Community Partnerships __ 2.2 - Advancing a Workforce: Kansas Community Health Worker & Statewide Support __ 2.3 - Water Quality: Rethinking Water Well Policies for Kansas __ 2.4 - Mobile Market: An Adaptive, Evidence-Based and Participatory Approach Towards Improving Food Access __ 2.5 - Practicing Quality as a LHD Session 3 Breakouts - Tuesday, October 10, 2017 at 3:50 p.m. __ 3.1 – Media Usage and Obesity Prevention among Adolescents in Low-Income Communities in Three States __ 3.2 – Do Improvements in Park Features Increase Use? An Analysis of Park Use in Kansas City, Kansas. __ 3.3 – Community Engagement for Health: How Bringing in Community Voices can Create Unexpected Change __ 3.4 – An Examination of Public Health Practice and Academia: Developing an Academic Public Health Department

with Saline County Health Department and Kansas State University/ Public Health Practice and Academia: A Model for an Academic Public Health Department in Riley County, Kansas

__ 3.5 – The Kansas OutbreakNet Enhanced Program: Implementation of Best Practices/ Shiga Toxin-Producing Escherichia Coli. Convalescent Testing by Using Multiplex Polymerase Chain Reaction Panel and Culture Methods, Kansas, 2016/ Analysis of Timeliness and Completion of Shiga Toxin-Producing E. Coli and Salmonellosis Case Investigations Conducted during Year One of Centralized Interviewing in Kansas

Session 4 Breakouts - Wednesday, October 11, 2017 at 9:25 a.m. __ 4.1 – Health Care Integration of Self-Management Education Referral Systems in Kansas __ 4.2 – Are we Losing Community in the Professionalization of Community Health Workers? __ 4.3 – The People’s Voice: Developing Solutions to Reduce Tobacco Disparities with Targeted Community

Members __ 4.4 – Keeping Charlie Brown's Open: Challenges and Successes in Maintaining and Building a Healthy Food

System in Rural Allen County __ 4.5 – Doing What We Could Not Do Before: Better, Cheaper, and Together Session 5 Breakouts - Wednesday, October 11, 2017 at 11:15 a.m. __ 5.1 – Lehigh-Portland Trails: How to build relationships with industry to create new community resources, a lesson

from Allen County __ 5.2 – Building Capacity to Address Tobacco Dependence in Behavioral Health Programs via Tobacco Treatment

Specialist Training in Kansas __ 5.3 – Growing State-Wide Capacity to Reduce Toxic Stress in Families: A Multi-Site Study in Kansas __ 5.4 – Patterns in Current Electronic Cigarette use among Kansas Adults Using the 2015 Kansas Behavioral Risk

Factor Surveillance System __ 5.5 – The Health Insurers Role in Reducing Food Insecurity