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In Georgia, funding from CDC's Preventing Adverse Childhood Experiences: Data to Action (PACE:D2A) program helps address and prevent adverse childhood experiences (ACEs), build resilient communities, improve community environments, and reduce and destigmatize trauma.

This guide from ASTHO assists state and territorial health departments in conducting an internal gap analysis of administrative policies and procedures.

This article discusses six strategies to invest in building the U.S. public health workforce.

A list of Association of Maternal and Child Health Programs’ current workforce initiatives, such as their leadership lab and student programs.

The Gravity Project creates open data standards for sharing social care and health information to improve outcomes, equity, and interoperability.

Explore Florida's 5-Year Plan article

2016 presentation describing partnership project between United Health Care and Texas State Department of Health, whose aim was to reduce hypertension across the State with a focus on disparate populations.

This resource is a snapshot of the work North Dakota performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based practices used, project success, and potential for spread and scalability.

This resource is a snapshot of the work Texas performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based practices used, project success, and potential for spread and scalability.

This resource is a snapshot of the work Wisconsin performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based practices used, project success, and potential for spread and scalability.

This is a Collaborative Practice Agreement between a pharmacist and physician granting clinical privilege to the pharmacist in accordance with the Connecticut Pharmacy Practice Act. The purpose of this agreement is to optimize patient outcomes in the area of hypertension by integrating medication therapy management into the care of patients via a collaborative practice agreement between a pharmacist and a physician. This resource includes descriptions of the clinical activities granted to the pharmacist, clinical guidelines, and a hypertension protocol.

This resource documents the policy and procedure of the Jasper Newton County Public Health Department's Home Blood Pressure Monitoring Program. This program, in collaboration with the Texas Department of State Health Service's Self-Measured Blood Pressure monitoring project, has the intended purpose of improving blood pressure control among patients in the county.

This resource is a snapshot of the work Connecticut performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based practices used, project success, and potential for spread and scalability.

This resource is a snapshot of the work Arkansas performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based practices used, project success, and potential for spread and scalability.

A summary of Colorado Department of Public Health and Environement's (CDPHE) development of a model to engage local public health agencies (LHPAs) and primary care clinics to improve hypertension diagnosis and control in two frontier counties, Las Animas and Huerfano.

The Monroe Clinic in Wisconsin developed a protocol for handing off a patient with hypertension within the clinic setting for registered nurses, liscensed practical nurses, medical assistant, and certified nurses assistants. The protocol includes guidance on when, how, and why to refer patients with different blood pressure readings.

ASTHO supports state and territorial public health agencies’ work to prevent violence and accidental injury by addressing the root factors that impact quality of life.

Public health agencies play an important part in preventing adverse childhood experiences (ACEs), a key strategy to improving health outcomes over time.

Advancing Rural Health Advancing Rural Health Learn how ASTHO and partners are preparing state and territorial public health to support rural health care. Residents in rural communities face persistent and complex health challenges, including access to care, transportation barriers, workforce shortages, aging infrastructure, and outdated technology. Nearly 80% of rural communities are considered medically underserved, and ongoing rural hospital closures continue to threaten access to essential health services. In response, ASTHO members are leading innovative, cross-sector strategies to strengthen rural health systems, preserve access to care, and improve population health outcomes. ASTHO and CDC have partnered to provide rural public health leaders with essential tools and information needed to advance health in rural communities. Featuring interactive training modules, a mapping tool, recordings, and more, these resources highlight key considerations for leading public health in rural areas. article

2019 ACECAT Results In 2019, ASTHO fielded the Adverse Childhood Experiences Capacity Assessment Tool (ACECAT) to all 59 state and territorial health agencies. ASTHO received responses from 41 states and three territories/freely associated states, which equates to a 75% response rate. Although the ACECAT was administered pre-pandemic in 2019, the urgency for a systems-level approach to preventing ACEs remains. The results highlight the need for health agencies to utilize a shared risk and protective approach, seek innovative partnerships, leverage existing funding, and strengthen health equity. ASTHO aggregated the responses into nine regional reports based on the Health and Human Services regions, with regions 7 and 8 combined due to sample size. Region 1 (PDF) Region 2 (PDF) Region 3 (PDF) Region 4 (PDF) Region 5 (PDF) Region 6 (PDF) Regions 7 and 8 (PDF) Region 9 (PDF) Region 10 (PDF) ASTHO also highlights the national aggregate results in the following infographics. A Look at Primary Prevention Priorities (PDF) A Look at Areas of Improvement for ACEs Prevention: Health Equity and ACEs Disparities Data (PDF) A Look at ACEs Prevention Strengths: Partnerships (PDF) website