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2009-2013 Florida Injury Prevention Strategic Plan

This document introduces Florida's 2009-2013 Injury Prevention Strategic Plan. It acknowledges the important work of injury prevention organizations in Florida and aims to strengthen and complement existing efforts. The strategic plan outlines five goals: 1) establish sustainable infrastructure for injury prevention leadership and resources, 2) facilitate collaborative efforts to prevent traffic, poisoning, violence and other injuries, 3) provide direction for fall prevention among seniors, 4) provide direction for early childhood water safety and drowning prevention, and 5) enhance the skills of Florida's injury prevention workforce. The document recognizes that collaboration is needed to reduce preventable injury in Florida.

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0% found this document useful (0 votes)
57 views

2009-2013 Florida Injury Prevention Strategic Plan

This document introduces Florida's 2009-2013 Injury Prevention Strategic Plan. It acknowledges the important work of injury prevention organizations in Florida and aims to strengthen and complement existing efforts. The strategic plan outlines five goals: 1) establish sustainable infrastructure for injury prevention leadership and resources, 2) facilitate collaborative efforts to prevent traffic, poisoning, violence and other injuries, 3) provide direction for fall prevention among seniors, 4) provide direction for early childhood water safety and drowning prevention, and 5) enhance the skills of Florida's injury prevention workforce. The document recognizes that collaboration is needed to reduce preventable injury in Florida.

Uploaded by

Archit Somani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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2009-2013 Florida Injury

Prevention Strategic Plan


Injury Prevention for All
The injury prevention strategic plan and
Message from the Florida Department of Health, corresponding action plan are not intended
to supplant the many outstanding state
Office of Injury Prevention and local injury prevention efforts currently
underway, but rather to complement,
enhance, strengthen, and fill gaps in those
No single force working alone can accomplish everything needed to reduce the number initiatives.
of injuries in Florida. Florida’s achievements and this strategic plan would not be possible
without the commitment and hard work of Florida’s injury prevention community. This publication was supported by Grant/
Implementing an existing injury prevention strategic plan, while developing a successor Cooperative Agreement Number 5 U17
plan, is a major undertaking. The Florida Injury Prevention Advisory Council and Strategic CE424766 from the Centers for Disease
Plan Goal Teams are experienced in strategic planning and that knowledge was invaluable Control and Prevention. The contents are
while planning for the upcoming five-year period. The Office of Injury Prevention staff is solely the responsibility of the authors.
honored to work with so many dedicated and talented individuals.

Thank you to the Florida Injury Prevention Advisory Council, Strategic Plan Goal Team
Leaders and Teams for their dedication to create an injury-free Florida.

For more information about injury


prevention or to find out how to
become involved, contact the
Department of Health, Office of Injury
Prevention at:

Telephone: 850-245-4444 x2700


Fax : 850-414-6470
Web Address:
http://www.doh.state.fl.us/injury

Physical Address:
4025 Esplanade Way, 3rd Floor
Tallahassee, Florida 32399-1735
Photo courtesy of David Summers Mailing Address:
4052 Bald Cypress Way, Bin C15
Office of Injury Prevention Staff with the State Surgeon General (SSG) and the Director, National Center for Tallahassee, Florida 32399-1735
Injury Prevention and Control, Centers for Disease Control and Prevention (CDC) at the “Celebration of Florida’s
Injury Prevention Successes” event on October 14, 2008.

Left to right: Leilani Gruener, Kyla Shelton, Jane Parker, Dr. Ana Viamonte Ros (SSG), Dr. Ileana Arias (CDC), Design by Leilani Gruener
Freida Travis, Lisa VanderWerf-Hourigan, Towana Bonnett, and Heather McHenry. Office of Injury Prevention
Florida Department of Health
Table of Contents
Message from the State Surgeon General 2

Executive Summary 4

Vision Statement 5

Mission Statement 5

2009-2013 Florida Injury Prevention Strategic Plan Goals 5

Injury: Overview of a Public Health Issue 6

Injury Prevention Leadership 10

Injury Prevention Accomplishments 11

Strategic Plan Development and Implementation 13

2009-2013 Florida Injury Prevention Strategic Plan


Goal 1 - Establish a sustainable infrastructure that provides leadership, funding, data, policy and evaluation for injury prevention. 14
Goal 2 - Facilitate opportunities for collaborative injury prevention efforts in: Traffic Safety, Poisoning, Interpersonal Violence, Suicide,
Child Maltreatment and other injuries. 18
Goal 3 - Establish a collaborative effort to provide statewide direction and focus for fall-related injury prevention for Florida’s seniors. 20
Goal 4 - Establish a collaborative effort to provide statewide direction and focus for early childhood water safety and drowning
prevention in Florida. 24
Goal 5 - Enhance the skills, knowledge and resources of Florida’s injury prevention workforce. 28

Appendix A – 2009-2013 Florida Injury Prevention Advisory Council, and Goal Team Leaders 30

Appendix B – 2009-2013 Florida Injury Prevention Advisory Council Goal Team Members 32

Appendix C – Injury Prevention Stakeholders Who Received the 2009-2013 Florida Injury Prevention Strategic Plan
Draft for Review and Comment 34

Appendix D – 2004-2008 Florida Injury Prevention Advisory Council, Goal Team Leaders, and Injury Prevention Stakeholders 36

Appendix E – Glossary and Acronyms 40


1
Message from the

State Surgeon
General
2
Injuries are the leading cause of death for Floridians ages 1-44 and the third leading cause of death overall,
after heart disease and cancer. In 2007, more than 13,000 residents died from injuries. Needless death,
disability, pain, and suffering caused by preventable injuries must be reduced immediately and eventually
eliminated.

The Florida Department of Health’s Office of Injury Prevention is pleased to present Florida’s 2009-
2013 Injury Prevention Strategic Plan. Florida is the first state injury prevention program to complete
implementation of a five-year strategic plan (2004-2008) and immediately create a successor plan. This
successor plan outlines goals, strategies, and activities to move Florida’s injury prevention program to the
next level.

The Department of Health’s Office of Injury Prevention facilitated and coordinated this planning effort with
injury prevention stakeholders and other key state agencies. This Office was nationally recognized for their
leadership when they recently received the 2009 State and Territorial Injury Prevention Directors Association
(STIPDA) Injury Prevention Program Achievement Award. We must continue to collaborate on existing
injury prevention initiatives and obtain necessary resources for additional injury prevention evidence-based
interventions and best practices.

The Office of Injury Prevention, the Florida Injury Prevention Advisory Council, the Strategic Plan Goal
Team Leaders and Teams, and injury prevention stakeholders are to be commended for their efforts
in implementing the 2004-2008 Florida Injury Prevention Strategic Plan and for their participation in
this strategic planning process. It clearly shows the dedication and commitment of injury prevention
stakeholders to reduce Florida’s injury burden and to promote, protect and improve the health of all people
in Florida.

We encourage anyone with an interest in injury prevention to join our efforts to implement this plan, as well
as become involved with future initiatives.

Sincerely,

Ana M. Viamonte Ros, MD, MPH


State Surgeon General

3
Injury is a major public 2009-2013 Florida Injury Prevention Strategic
health issue in Florida Plan began in October 2007, and continued
and the United States. throughout 2008. During this time, the Office
Injuries are predictable, of Injury Prevention, Florida Injury Prevention
preventable, and affect Advisory Council and Team Members
everyone regardless of developed by consensus this plan’s Vision
age, race, ethnicity, sex, or and Mission Statements, plus five data-driven
economic status. Injuries goals and their associated strategies.
are the leading cause of
death among Floridians The five goals are: (1) Infrastructure (including:
ages 1-44 and the third leadership, funding, data, policy, and
leading cause of death evaluation), (2) Collaboration (including
overall, after heart disease injury prevention efforts in: traffic safety,
and cancer. poisonings, interpersonal violence, suicide,
child maltreatment, and other injuries), (3)
Medical costs for injury are similar in Early Childhood Water Safety and Drowning
magnitude to obesity and tobacco.¹ In Prevention, (4) Senior Falls Prevention, and
2007, Florida’s injury-related hospital (5) Training. Based on Florida’s 2004-2008
charges exceeded $5 billion and over experience, yearly action plans maintained
$2.6 billion were billed to the federal and focus and accountability throughout
state governments through Medicare and implementation and will remain an integral
Medicaid.² part of the 2009-2013 plan processes.

This plan summarizes the previous successes The injury prevention strategic plan and
and details the future efforts of Florida’s corresponding yearly action plans are not
injury prevention community. The 2009-2013 intended to supplant the many outstanding
Florida Injury Prevention Strategic Plan serves
as a successor to Florida’s 2004-2008 Injury
Prevention Strategic Plan, which is considered
nationally as a model state plan. The Florida “Many of the nearly 50 million
Department of Health’s Office of Injury each year in the United States are
Prevention brought together state and local
prevention partners to develop the 2009- we need greater recognition of the
2013 Injury Prevention Strategic Plan, with prevention efforts … the benefits of
a mission to reduce Florida’s injury burden vehicle crashes, falls, residential

Executive
through leadership, education, and policy.
abuses, and other injuries are
Florida is the first state injury prevention

Summary
program to complete the implementation – Ileana Arias, PhD, MA, Director,
of an existing five-year strategic plan while Injury Prevention and Control,
drafting a successor plan. Planning for the Control and Prevention

4
state and local injury prevention efforts
currently underway, but rather to
complement, enhance, strengthen, and fill Vision Statement
gaps in those initiatives. Florida: an injury-free state
A public health injury surveillance and
prevention program grant from the Centers
for Disease Control and Prevention (CDC)
provides core capacity funding for state plan Mission Statement
development and implementation through To reduce Florida’s injury burden through leadership,
July 31, 2010. For the 2009-2013 Florida
Injury Prevention Strategic Plan to be fully education, and policy.
implemented, additional resources and
funding must be made available for injury
prevention infrastructure and initiatives at
both the state and local level. The Office of
Injury Prevention will continue to seek future

2009 - 2013 Florida Injury Prevention


funding opportunities. It is also critical for
key state agencies and injury prevention

Strategic Plan Goals


stakeholders to continue collaborating on
injury prevention efforts.
¹CDC Injury Fact Book, November 2006, National Center for
Injury Prevention and Control, Centers for Disease Control and Goal 1: Establish a sustainable infrastructure that provides leadership,
Prevention, Introduction, p. 3.
²Agency for Health Care Administration, Hospital Discharge
funding, data, policy and evaluation for injury prevention.
Data
Goal 2: Facilitate opportunities for collaborative injury prevention
efforts in: Traffic Safety, Poisoning, Interpersonal Violence, Suicide, Child
Maltreatment and other injuries.
injuries that occur
preventable … Goal 3: Establish a collaborative effort to provide statewide direction
value of our and focus for fall-related injury prevention for Florida’s seniors.
preventing motor
fires, childhood Goal 4: Establish a collaborative effort to provide statewide direction
significant.” and focus for early childhood water safety and drowning prevention in
Florida.
National Center for
Centers for Disease Goal 5: Enhance the skills, knowledge and resources of Florida’s injury
prevention workforce.

5
Injuries are the leading cause of death among Florida residents ages 1-44 and the third
leading cause of death overall after heart disease and cancer as shown in Table 1 below.

Table 1. Leading Causes of Death, Florida Residents, 2007


Age Groups
Rank <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65+ All Ages
1 Congenital Injuries Injuries Injuries Injuries Injuries Injuries Injuries Cancer Cancer Heart Heart
Anomalies 172 66 92 663 1,174 1,819 1,995 3,168 6,819 Disease Disease
341 34,924 41,956
2 Short Congenital Cancer Cancer Cancer Cancer Cancer Cancer Heart Heart Cancer Cancer
Gestation Malformation 20 26 32 52 213 785 Disease Disease 28,647 39,790
244 30 2,212 3,862
3 Maternal Cancer Congenital Congenital Heart Disease Heart Disease Heart Heart Injuries Injuries Chronic Low. Injuries
Pregnancy 24 Malformation Malformation 21 42 Disease Disease 2,329 1,359 Respiratory 13,062
Comp. 142 9 14 167 676 Dis. 8,105
4 Injuries Influenza & Heart Disease Heart Disease Congenital HIV HIV HIV Liver Disease Chronic Low. Cerebro- Chronic Low.
138 Pneumonia 6 10 Malformation 20 163 461 610 Respiratory vascular Respiratory
4 (Tied) 10 Disease 887 7,436 Dis. 9,317
5 SIDS Heart Disease Cerebro- Septicemia Septicemia Congenital Diabetes Liver Disease HIV Diabetes Alzheimer’s Cerebro-
81 4 (Tied) vascular 4 5 Malformation Mellitus 167 551 Mellitus Disease vascular
4 (Tied) 11 55 794 4,582 8,715
(Source: Death Certificates, Office of Vital Statistics, Florida Department of Health)

In 2006 (most current national data available), Florida’s age-adjusted injury death rates were
higher than the national average by 15% for all unintentional injuries, 28% for unintentional
motor vehicle injuries, 4% for unintentional senior falls, 35% for unintentional poisonings, 16%
for suicides, and a staggering 171% for unintentional drownings among children ages 1-4. In
addition, Florida’s age-adjusted death rates in each of the above categories were the highest
among the nation’s five most populous states: CA, TX, NY, FL, and IL as shown in Table 2 below.
Table 2. Age-Adjusted Fatality Rates, Select Injury Mechanisms, U.S. and Five Most

Injury:
Populous States, 2006
U.S. Florida California Texas New York Illinois

Overview
All Unintentional Injuries 39.8 45.9 31.6 41.0 25.8 34.3
- Motor Vehicle Injuries 14.4 18.4 11.7 16.4 7.8 10.5

of a Public
- Poisonings 9.1 12.3 7.8 8.3 7.0 9.8
- Falls (Ages 65+) 44.7 46.4 32.8 43.9 32.5 33.3
- Drownings (Ages 1-4) 2.8 7.6 2.9 3.6 1.2 1.9

Health Issue Suicides 10.9 12.7 9.2 10.3 6.6 7.8


(Source: Web-based Injury Statistics Query and Reporting System, Centers for Disease Control and Prevention)

6
However, fatal injuries account for only a small Figure 1. The Injury Pyramid, Florida Residents
portion of all injuries in Florida, the tip of the
iceberg. For each injury death in Florida, there
are approximately 10 hospitalizations and 120
emergency department visits for non-fatal Deaths
injuries as shown in Figure 1. 13,062
(2007)

Non-Fatal
Hospitalizations
Common injuries include: poisonings, 119,804
fractures, open wounds, sprains and strains, (2007)

etc. The agents or forces causing these


injuries are referred to as the external cause
of injury and include, but are not limited to: Non-Fatal Emergency
motor vehicle crashes, falls, fires, firearms, Department Visits
poisonings, drownings, suffocation, animal 1,525,529
(2007)
bites, and recreational and sports-related
activities. The most common external causes
of injury vary depending on many factors
(Sources: Death Certificates, Office of Vital Statistics, Florida Department of Health; Hospital and
including: injury severity and age of the Emergency Department Discharge Data, Florida Agency for Health Care Administration)
injured person as shown in Tables 3-5.

Table 3. Five Leading Causes of Fatal Injuries by Age Group, Florida Residents, 2007
Age Groups
Rank <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65+ All Ages
1 Suffocation Drowning MV Traffic MV Traffic MV Traffic MV Traffic Poisoning Poisoning Poisoning Poisoning Fall MV Traffic
90 71 33 45 301 433 568 732 851 351 1,436 3,118

2 Drowning MV Traffic Drowning Firearm Firearm Firearm MV Traffic MV Traffic MV Traffic MV Traffic MV Traffic Poisoning
6 (Tied) 26 12 11 154 278 508 473 494 310 489 3,103

3 MV Traffic Suffocation Firearm Drowning Poisoning Poisoning Firearm Firearm Firearm Firearm Firearm Firearm
6 (Tied) 17 3 (Tied) 9 90 250 406 367 374 258 405 2,261

4 Poisoning Pedestrian, Pedestrian, Suffocation Suffocation Suffocation Suffocation Suffocation Suffocation Fall Suffocation Fall
4 Other Other 8 37 68 114 129 165 120 255 1,754
15 3 (Tied)
5 Fall Poisoning Suffocation Poisoning Drowning Drowning Transport, Drowning Fall Suffocation Poisoning Suffocation
2 (Tied) 9 3 (Tied) 4 29 46 Other 52 105 111 242 997
37
(Source: Death Certificates, Office of Vital Statistics, Florida Department of Health)

7
Table 4. Five Leading Causes of Non-Fatal Injury Hospitalizations by Age Group, Florida Residents, 2007
Age Groups
Rank <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65+ All Ages
1 Fall Fall Fall Fall MV Traffic MV Traffic Poisoning Poisoning Poisoning Fall Fall Fall
306 517 580 524 1,774 2,206 2,957 3,494 3,898 4,702 39,389 53,249
2 Hot Object/ Poisoning MV Traffic MV Traffic Poisoning Poisoning MV Traffic MV Traffic Fall Poisoning MV Traffic Poisoning
Substance 345 304 415 1,225 1,504 2,747 2,505 3,295 1,891 2,318 17,696
42
3 Poisoning Hot Object/ Struck by, Struck by, Struck by, Fall Fall Fall MV Traffic MV Traffic Poisoning MV Traffic
41 Substance Against Against Against 480 1,138 1,875 2,498 1,450 2,077 16,583
198 95 248 464
4 Suffocation MV Traffic Transport, Poisoning Fall Firearm Struck by, Struck by, Struck by, Struck by, Over- Struck by,
32 171 Other 228 443 447 Against Against Against Against exertion Against
92 721 716 641 319 651 4,266
5 MV Traffic Drowning/ Pedalcylist, Transport, Firearm Struck by, Cut, Pierce Cut, Pierce Cut, Pierce Cut, Pierce Struck by, Cut, Pierce
28 Submersion Other Other 364 Against 634 598 449 201 Against 2,858
134 79 195 438 491
(Source: Hospital Discharge Data, Florida Agency for Health Care Administration)

Table 5. Five Leading Causes of Non-Fatal Injury Emergency Department Visits by Age Group, Florida Residents, 2007
Age Groups
Rank <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65+ All Ages
1 Fall Fall Fall Struck by, Struck by, MV Traffic MV Traffic Fall Fall Fall Fall Fall
7,118 37,316 28,405 Against Against 23,971 36,164 36,451 41,057 32,228 99,050 380,770
27,119 31,246
2 Struck by, Struck by, Struck by, Fall MV Traffic Struck by, Fall MV Traffic MV Traffic MV Traffic MV Traffic Struck by,
Against Against Against 26,975 23,612 Against 34,609 29,537 24,593 13,730 12,228 Against
1,380 15,992 17,854 23,132 218,420
3 Bites & Bites & Cut, Pierce Over- Fall Fall Struck by, Over- Over- Over- Struck by, MV Traffic
Stings Stings 7,129 exertion 19,187 18,374 Against exertion exertion exertion Against 180,996
1,317 9,490 10,926 33,825 27,609 20,955 9,738 11,416
4 MV Traffic Cut, Pierce Bites & Cut, Pierce Over- Cut, Pierce Over- Struck by, Struck by, Struck by, Cut, Pierce Over-
889 5,144 Stings 8,063 exertion 15,770 exertion Against Against Against 9,784 exertion
5,973 14,969 29,760 26,968 20,221 9,267 146,281
5 Poisoning Over- MV Traffic MV Traffic Cut, Pierce Over- Cut, Pierce Cut, Pierce Cut, Pierce Cut, Pierce Over- Cut, Pierce
407 exertion 4,394 5,818 12,337 exertion 23,890 19,900 15,794 9,211 exertion 127,360
4,099 14,731 9,488

(Source: Emergency Department Discharge Data, Florida Agency for Health Care Administration)

8
Injuries can also be classified by intent with ³Agency for Health Care Administration, Hospital Discharge
the major categories being intentional and Data
⁴CDC Injury Fact Book, November 2006, National Center for
unintentional. The majority of injuries are Injury Prevention and Control, Centers for Disease Control and
unintentional. Unintentional injuries are Prevention, Introduction, p. 3.
those that occur accidentally, not on purpose.
Homicides and assaults are intentional
injuries, inflicted on purpose by another
individual through an act of violence.
Suicide is the act of taking one’s own life by
intentional self-harm or self-inflicted injury.

In addition to personal loss and burden,


injuries have a significant economic impact.
In 2007, Florida’s median admission charge
for non-fatal injury hospitalizations was
$26,923; total charges exceeded $5 billion.
Over $2.6 billion (52%) were charged
to the federal and state governments
through Medicare and Medicaid.³ “Medical
spending due to injuries is of the same
magnitude as costs associated with other
leading public health concerns such as
obesity and tobacco. Although staggering,
these costs still underestimate the overall
societal burden caused by injury.”⁴

Healthy People 2010, an initiative by the


United States Department of Health and
Human Services, is a set of health objectives
designed to improve the health of all people
in the United States during the first decade The Office of Injury Prevention was honored with the
of the 21st century. The Centers for Disease prestigious “Prevention Program Achievement Award”
Control and Prevention is the lead federal from the State and Territorial Injury Prevention Directors
agency for the Healthy People 2010’s injury Association (STIPDA) at the national organization’s annual
awards luncheon held on February 25, 2009 in National
and violence prevention goal, which is to Harbor, MD.
reduce injuries, disabilities, and deaths due
to unintentional injuries and violence. This Photo courtesy of Leilani Gruener
The “Prevention Program Achievement Award” recognizes
goal and its 39 injury and violence prevention achievements by a state or local injury and violence
objectives recognize the public health issue of prevention program. Florida’s Office of Injury Prevention
injuries and the need for prevention. was honored for its progressive leadership in the
national injury prevention community and its innovative
approaches to injury and violence prevention.
9
The Florida Department The professional staff act as liaisons between
of Health’s Office of the four remaining goal teams and the office.
Injury Prevention was
created on July 1, 2003, In addition to the activities related to the
to provide leadership strategic plan and the CDC grant, the office:
and enhanced visibility of • functions as the lead agency for Safe Kids
injury prevention efforts in Florida. Eighty-two percent of Florida’s
Florida. The Office of Injury children under age 15 live in a county where
Prevention resides within Safe Kids local coalitions or chapters are
the Division of Emergency operating.
Medical Operations, • administers the Bicycle Helmet Promotion
which also contains the Program, funded by a Florida Department of
Offices of Trauma, Public Transportation (DOT) grant, annually
Health Preparedness, and provides over 17,000 bicycle helmets for local
Emergency Operations, distribution through over 100 community
and the Bureaus of Emergency Medical partners in all 67 counties.
Services (EMS) and Brain and Spinal Cord • administers the Florida Special Needs
Injury. Occupant Protection Program, funded by a
DOT grant, operates in seven children’s
Sections 381.0011 and 401.243, Florida hospitals and provides transportation
Statutes, require the Department of Health to options and access to “loaner” seats for
establish an injury prevention program with children who are unable to use a regular child
statewide coordination and expansion of safety seat because of their special health
injury prevention activities. The program may care needs.
include, but is not limited to, data collection, • collaborates with the Public Information
surveillance, education, and promotion of Education and Relations (PIER) Committee,
interventions. In addition, the program may which serves in an advisory capacity to the
develop and revise a comprehensive state EMS Advisory Council on injury prevention
plan for injury prevention. related issues.
• represents the Department of Health on
The staff administers a five-year (2005- the Suicide Prevention Coordinating Council
2010) Public Health Injury Surveillance and facilitated by the Statewide Office of Suicide
Prevention Program Grant funded by the Prevention within the Office of Drug Control,

Injury
CDC. This grant enhances Florida’s injury Executive Office of the Governor.
prevention infrastructure by providing • facilitates the Department of Health’s Internal
funding for: development and maintenance of Suicide Prevention Workgroup.

Prevention
the Florida Injury Surveillance System, Florida • collaborates with the Department of Elder
Injury Prevention Advisory Council activities, Affairs, Communities for a Lifetime Initiative,
staff career development, and strategic plan on senior falls prevention planning and

Leadership
development, activities, and implementation. initiatives.
The Office of Injury Prevention serves as the • participates in the State Senior Falls
Goal Team for Goal 1 of the 2009-2013 Plan. Prevention Coalition Workgroup facilitated by
the National Council on Aging.
10
“It is an honor for me as the head of the Department of
Health that the State and Territorial Injury Prevention
Directors Association has awarded to the Office of
Injury Prevention the 2009 Injury Prevention Program
Achievement Award. It is a well deserved recognition
and I express my gratitude for your extraordinary
efforts.”
- Ana Viamonte Ros, MD, MPH, State Surgeon General

Since 2003, Florida’s injury prevention Control and Prevention, and the Executive
community has worked diligently to gain Director of the State and Territorial Injury
visibility for injury prevention. Under the Prevention Directors Association (STIPDA).
leadership of the Office of Injury Prevention
and the many state and local community “In only five years, Florida has moved from
partners, Florida’s advancement in the being known within the national injury
important area of injury prevention over the prevention community as an unfunded state to
past five years has been phenomenal. Florida a progressive leader.”
is now considered to be a progressive leader
and its injury prevention program and state - Ileana Arias, PhD, MA, Director, National
plan are national models for other injury Center for Injury Prevention and Control,
prevention organizations. Centers for Disease Control and Prevention

In 2008, Florida became the first state The event was attended by over 50 members
injury prevention program to complete the of Florida’s injury prevention community.
implementation of an existing five-year Service awards and the 2008 Injury Prevention
strategic plan while drafting a successor Award were presented.
plan. In recognition of this accomplishment,
the Office of Injury Prevention hosted the Florida’s leadership and accomplishments

Injury
“Celebration of Florida’s Injury Prevention have resulted in national and state
Successes” event on October 14, 2008 in recognition. The Office of Injury Prevention’s
Tampa, Florida. This event celebrated the leadership was nationally recognized by

Prevention
conclusion of the 2004-2008 Florida Injury receiving the 2009 STIPDA Injury Prevention
Prevention Strategic Plan; with 74 percent of Program Achievement Award. In addition,
its strategies implemented. Guest speakers the Office of Injury Prevention was presented
included: the State Surgeon General, the a 2007 Davis Productivity Award “Award of
Director of the National Center for Injury
Prevention and Control; Centers for Disease
Distinction” for the Denny’s “Kids’ Safety Zone”
initiative. Accomplishments
11
Notable Accomplishments
2003-2004 2007
• Developed and began implementation of the 2004-2008 Florida Injury • Began strategic planning process for the 2009-2013 Florida Injury
Prevention Strategic Plan and annual action plan. Prevention Plan.

2005 • Received the 2007 Davis Productivity Award “Award of Distinction” for the
• Established the 2004-2008 Florida Injury Prevention Advisory Council, Goal Denny’s “Kids’ Safety Zone” initiative.
Team Leaders and Teams.
2008
• Received the Centers for Disease Control and Prevention - 2005-2010 Public • Co-hosted the 2008 Swimming Pool and Water Safety conference with
Health Injury Surveillance and Prevention Grant. the Florida Swimming Pool Association. The event was the Office of Injury
Prevention’s second public/private partnership.
• Established the Florida Department of Health’s initial public/private
partnership with Denny’s Restaurants on the “Kids’ Safety Zone” initiative. • Co-hosted the initial Falls Prevention for Florida’s Seniors seminar with the
Communities for a Lifetime Bureau, Department of Elder Affairs, now the
• Received a STIPDA State and Technical Assessment Team (STAT) visit. Elder Rights Bureau, Communities for a Lifetime Initiative.

• Established and provides ongoing support to the DOH Injury Prevention • Concluded the 2004-2008 Florida Injury Prevention Strategic Plan; with 74
Liaison network. percent of its strategies implemented.

• Hosted the “Celebration of Florida’s Injury Prevention Successes.”


2006
• Established and supported the annual “Keep Your Eyes on the Kids” drowning 2009
prevention county health department campaign. (2006 - present) • Awarded the 2009 STIPDA Injury Prevention Program Achievement Award.

• Established and conducted the annual Drowning Prevention Marketing • Published the 2009-2013 Florida Injury Prevention Strategic Plan and annual
Symposium. (2006 - present) action plan.

• Established and conducted the annual Injury Prevention 101 course. Florida is • Established the 2009-2013 Florida Injury Prevention Advisory Council, Goal
the first state injury prevention program to offer a one-day extensive training. Team Leaders and Teams.
(2006 - present)

• Established and facilitated the annual Florida Injury Prevention Award.


(2006 - present)

• Funded a pilot project in Broward and Miami-Dade counties to determine These accomplishments would not have been possible without collaboration
“Florida Best Practices” for early childhood drowning prevention. between the Office of Injury Prevention, the 2004-2008 Florida Injury Prevention
Council, Strategic Plan Goal Team Leaders and Teams, and Florida’s injury
prevention community.

12
The key to the implementation success of Full implementation of the 2009-2013 Florida
the 2004-2008 Florida Injury Prevention Injury Prevention Strategic Plan will require
Strategic Plan was the development additional resources and funding for injury
and use of an annual action plan. These prevention infrastructure and initiatives
action plans, based on the strategic at state and local levels. The public health
plan, were developed by the Office of injury surveillance and prevention program
Injury Prevention and the Florida Injury grant from the CDC ends on July 31, 2010.
Prevention Advisory Council, Strategic Some of the plan goals may be accomplished
Plan Goal Team Leaders and Teams. At with current funding levels and resources,
each Florida Injury Prevention Advisory others may require additional funding, or
Council meeting, the goal teams met and will be contingent upon additional funding.
collaborated on plan implementation. The department will seek future funding
The action plans were reviewed every six opportunities for ongoing injury prevention
months and were revised as necessary. The efforts. It is also critical for key state agencies
action plans allowed accountability for and injury prevention stakeholders to
implementation throughout the process. continue collaborating on injury prevention
efforts to leverage existing resources.
Planning for the 2009-2013 Florida Injury
Prevention Strategic Plan began in October The 2009-2013 Florida Injury Prevention
2007. A preplanning questionnaire was Advisory Council, Strategic Plan Goal Team
sent to each council and goal team member Leaders and Teams are established and ready
prior to the meeting to obtain input on to begin working on plan implementation.
improving the 2003 strategic planning
process. A “lessons learned” document
based on the 2003 process was provided
and discussed before the strategic planning
began. The attendees provided valuable
information and the group reached
consensus on the Vision and Mission
Statements and the five plan goals. During
2008, the advisory council and goal teams
worked to develop the strategies associated
with the goals. The plan was reviewed by
the group and the Department of Health
prior to being sent to the key state agencies
and injury prevention stakeholders. Yearly
Strategic Plan
action plans will continue to be developed.
Development &
Implementation
13
Leadership

Goal
Strategy Timeframe Lead(s) Partners Funding Implications
1A. Establish the 2009-2013 By May 2009 Office of Injury Injury prevention May be accomplished with
Florida Injury Prevention Prevention stakeholders current funding
Advisory Council (FIPAC), (OIP)

1
Strategic Plan Goal Team
Leaders and Strategic Plan
Goal Teams, which is the
advisory infrastructure
for the implementation
and coordination of injury
prevention activities.

Measure of Success: FIPAC, Goal Team Leaders and Goal Teams are established.
1B. Facilitate the involvement Ongoing OIP Florida Injury After July 31, 2010,
of the Florida Injury Prevention 2009-2013 Prevention contingent upon
Advisory Council and Advisory Council additional funding
Strategic Plan Goal Teams, (FIPAC), Strategic
in the implementation Plan Goal Teams
and coordination of injury (Goal Teams),
prevention activities. and Key State
Agencies

Measures of Success: FIPAC, Goal Team Leaders, and Goal Teams are maintained. The number of meetings and

Establish a conference calls with FIPAC and Goal Teams conducted.


1C. Facilitate, maintain and Ongoing OIP Department of After July 31, 2010,
sustainable increase collaboration with the 2009-2013
community level Department of
Health (DOH)
Executive
contingent upon
additional funding

infrastructure
Health Injury Prevention Liaison Management,
Network, which works with county health
local community partners. departments
that provides (CHD), and injury
prevention

leadership, stakeholders

funding, data, Measures of Success: DOH Injury Prevention Liaison Network is maintained and collaborative efforts are increased.
1D. Develop and maintain a Ongoing OIP FIPAC and Goal May be accomplished with
policy and comprehensive Department
of Health, Office of Injury
2009-2013 Teams current funding

evaluation for Prevention website.

injury prevention. Measures of Success: A comprehensive OIP website is developed and maintained.

14
Leadership (continued)

Goal 1 - Leadership
Strategy Timeframe Lead(s) Partners Funding Implications
1E. Facilitate an annual injury prevention Annually OIP FIPAC, Goal Teams, After July 31, 2010, contingent
award recognizing at least one individual 2009-2013 and injury prevention upon additional funding
who has demonstrated commitment to stakeholders
injury prevention.

Measure of Success: Number of annual injury prevention awards presented.


1F. Facilitate at least one injury Annually OIP FIPAC, Goal Teams, After July 31, 2010, contingent
prevention training for the injury 2009-2013 and injury prevention upon additional funding
prevention workforce. stakeholders

Measure of Success: Number of annual injury prevention trainings held.


1G. Facilitate the 2005-2010 Centers for Ongoing OIP DOH Executive May be accomplished with
Disease Control and Prevention (CDC) 2009-2010 Management current funding
Public Health Surveillance and Prevention
grant.

Measure of Success: Grant requirements are completed.


1H. Pursue applicable injury prevention Ongoing OIP FIPAC, Goal Teams, May be accomplished with
funding opportunities. 2009-2013 and injury prevention current funding
stakeholders

Measure of Success: Number of pursued funding opportunities, when applicable.

In an injury-free Florida...
annually, approximately 13,000 Floridians would be able to enjoy
productive lives, because they would not die from injuries. This would
represent the population of a Florida city such as: Clermont, Destin, Forest
City, St. Augustine, North Palm Beach, Mount Dora, or Key Largo.
Source: Death Certificates, Office of Vital Statistics, Florida Department of Health

15
Data
Strategy Timeframe Lead(s) Partners Funding Implications
Goal 1 - Data

1I. Obtain and format each data source Annually OIP Agency for Health May be accomplished with
in the Florida Injury Surveillance Data 2009-2013 Care Administration current funding
System. (AHCA), Department
of Highway Safety
and Motor Vehicles
(HSMV), Florida
Department of Law
Enforcement (FDLE)

Measure of Success: Number of data sources obtained and formatted.


1J. Analyze injury data sources to Ongoing OIP Centers for Disease May be accomplished with
complete required data reports and 2009-2013 Control and current funding
deliverables. Prevention (CDC),
Division of Family
Health Services,
and Division of
Emergency Medical
Operations

Measure of Success: Number of reports and deliverables completed.


1K. Monitor and evaluate opportunities Annually OIP Data Work Group May be accomplished with
for new or additional surveillance data 2009-2013 current funding
sources.

Measure of Success: Annual progress/update reports produced.


1L. Disseminate injury data to Quarterly OIP Data Work Group May be accomplished with
stakeholders. 2009-2013 current funding

Measure of Success: Number of data presentations and resources provided.


1M. Provide data consultation and As Requested OIP Goal Teams 2-5 and May be accomplished with
guidance to support injury prevention 2009-2013 Data Work Group current funding
efforts of other goal teams.

Measure of Success: Number of times support was provided.

16
Policy

Goal 1 - Policy &


Strategy Timeframe Lead(s) Partners Funding Implications
1N. Increase policy and public awareness Ongoing OIP, FIPAC, Goal DOH Executive May be accomplished with

Evaluation
activities to reduce and prevent injuries. 2009-2013 Teams, and Management and key current funding
injury prevention state agencies
stakeholders

Measure of Success: Increase by 10% the number of injury prevention policy statements and press releases prepared for the DOH Office of
Communication.

Evaluation
Strategy Timeframe Lead(s) Partners Funding Implications
1O. Build injury prevention program Ongoing OIP, FIPAC, and Goal Injury prevention After July 31, 2010, contingent
evaluation capacity. 2009-2013 Teams stakeholders upon additional funding

Measure of Success: Number of evaluation resources provided to the community.

Goal Team Members


The Office of Injury Prevention staff is Data Workgroup Data Workgroup Members
responsible for Goal 1 strategies and The Data Workgroup functions as a Goal
activities. Team for the data section of Goal 1. Nancy Carvallo
Towana Bonnett Gillian Hotz
Leilani Gruener
Data Workgroup Joe Nelson
Heather McHenry Co-Leaders Carl Schulman

Jane Parker Michelle Akins
Kyla Shelton Michael Lo OIP Liaison
Freida Travis Kyla Shelton
Lisa VanderWerf-Hourigan
Members as of July 20, 2009

17
Strategy Timeframe Lead(s) Partners Funding Implications
2A. Include a brief update Ongoing OIP FIPAC, Goal Team After July 31, 2010,

Goal
(rotate topics) during each 2009-2013 Leaders and contingent upon
FIPAC and Goal Team meeting Members additional funding
on each of the following:
Traffic Safety, Poisoning,
Interpersonal Violence, Suicide,

2
Child Maltreatment, and other
injuries.

Measure of Success: Updates are held each FIPAC and Goal Team meeting.
2B. Conduct two pilot By December OIP and Goal FIPAC members in After July 31, 2010,
Community and State Injury 2010 Team 2 pilot regions contingent upon
Prevention Resources meetings additional funding
focusing on local resources
for Traffic Safety, Poisoning,
Interpersonal Violence, Suicide,
Child Maltreatment, and other
injuries. One pilot will be held

Facilitate
in an urban area and one in a
rural area.

opportunities for Measures of Success: Two pilot meetings held. Tracked the number of new injury prevention resources identified.
Establishment or enhancement of a framework for the region’s community injury prevention network or coalition.
collaborative Meeting evaluations completed by attendees.

injury prevention
2C. Establish regional Ongoing OIP and Goal FIPAC, Goal Contingent upon
Community and State Injury 2009-2013 Team 2 Teams, and additional funding
Prevention Resources meetings injury prevention
efforts in: focusing on local resources
for Traffic Safety, Poisoning,
Interpersonal Violence, Suicide,
stakeholders

Child Maltreatment, and other


injuries.
Traffic Safety, Measures of Success: Tracked the number of meetings held. Tracked the number of new injury prevention resources
Poisoning, identified. Establishment or enhancement of a framework for the region’s community injury prevention network or
coalition. Meeting evaluations completed by attendees.
Interpersonal 2D. Create and maintain a
Statewide Injury Prevention
Ongoing
2009-2013
OIP and Goal
Team 2
FIPAC, Goal
Teams, and
After July 31, 2010,
contingent upon
Violence, Suicide, Resources Inventory by county
and by mechanism.
injury prevention
stakeholders
additional funding

Child Maltreatment Measure of Success: An inventory list is created with a minimum of three community agencies in each county.

and other injuries.


18
Other Injury-Related Strategic Plans
Goal Team Co-Leaders Other Florida state agency strategic plans that have injury-related goals are listed below. These plans do not
duplicate efforts, but show linkage and collaboration.
Wendy Loomas
Traffic Safety
Cindy Magnole • Florida Department Of Transportation
Florida Motorcycle Strategic Safety Plan
http://www.ridesmartflorida.com/images/Florida%20Motorcycle%20Strategic%20Safety%20Plan_final.pdf
• Florida Department Of Transportation Safety Office
Goal Team Members Strategic Highway Safety Plan
www.dot.state.fl.us/safety/SHSP/StrategicHwySafetyPlan.shtm
Patricia Byers
Poisoning
Jan Davis
• DOH Environmental Health
Florida’s Strategic Plan for the Elimination of Childhood Lead Poisoning
www.doh.state.fl.us/environment/medicine/lead/LeadEliminationCommittee.htm#Committee__Materials
Ernesto Duarte
Interpersonal Violence
David Fechter • Florida Department of Health Sexual Violence Prevention Program
2007-2012 Florida Sexual Violence Strategic Plan
Dawn Johnson www.doh.state.fl.us/family/svpp/planning/index.html

Melissa Lugo Suicide


• Statewide Office of Suicide Prevention
2005-2010 Florida Suicide Prevention Strategic Plan
Bonnie McDougle www.helppromotehope.com/strategy/index.php

Marisa Rappa Mowat Child Maltreatment


• Florida Department of Children and Families
Keely Smith 2006-2009 Strategic Plan
www.dcf.state.fl.us/admin/strategicplan/
Olumide Sobowale
Other Injuries
Mimi Sutherland
• Florida Department of Health, Bureau of Brain and Spinal Cord Injury Prevention
2008 Annual Report
http://www.doh.state.fl.us/demo/BrainSC/Reprts_Publcns/2008AnnualPerfomanceReport.pdf
Marianne Trussell
• Florida Department of Health, Bureau of Emergency Medical Services
2008-2010 DOH EMS Strategic Plan
www.doh.state.fl.us/DEMO/EMS/Stratplan/stratplan.htm
OIP Liaison • Florida Department of Health, Office of Trauma
2005-2010 DOH State Trauma System Plan
Leilani Gruener www.doh.state.fl.us/demo/Trauma/plan.htm
• Florida Department of Health, Office of Public Health Preparedness
Members as of July 20, 2009 2007-2010 DOH Florida Public Health and Medical Strategic Plan
www.doh.state.fl.us/demo/php/plans.htm

19
Falls are the leading cause of injury-related • The most common fatal fall-related injuries were
deaths, hospitalizations and emergency traumatic brain injuries followed by hip fractures.
department visits among Florida’s senior

Goal
population and result in significant physical, • Approximately 80% of fatal fall-related injuries
personal, social and economic burdens. occurred in a place of residence like a house,
apartment, assisted living facility, nursing home,
Fall-Related Injury Deaths, Non-Fatal etc.

3
Hospitalizations and Emergency
Department Visits, Florida Residents Ages • The median hospitalization charge was $33,547
65 Years and Older, 2007 with total charges equaling more than $1.6 billion.
The median emergency department visit charge
• There were 1,436 deaths, 39,389 non-fatal was $2,208 with total charges equaling more than
hospitalizations, and 99,050 non-fatal emergency $319 million.
department visits due to fall-related injuries
among Florida’s senior population. “Many people who fall, even those who are
not injured, develop a fear of falling. This
• Falls accounted for 44% of injury deaths, 76% of fear may cause them to limit their activities,
non-fatal injury hospitalizations and 54% of leading to reduced mobility and physical
non-fatal injury emergency department visits fitness, and increasing their actual risk of
among Florida’s senior population. falling.”⁵
⁵Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ.
• Same-level falls, such as: slips, trips, stumbles, etc. Fear of falling and restriction of mobility in elderly fallers. Age
were responsible for at least 50% of these injuries. and Ageing 1997;26:189–193.

Establish a Figure 2. Fall-Related Injury Death, Non-Fatal Hospitalization and Emergency


Department Visit Rates by Age, Florida Residents Ages 65 Years and Older, 2007

collaborative 12,000

effort to provide 10,000


(Deaths, Hosp, ED Visits)
Injury Rate/100,000

statewide 8,000

direction and 6,000

focus for fall-


4,000

related injury
2,000

0
prevention for 65-69 70-74 75-79 80-84 85+

Florida’s seniors. Age Group


(Sources: Death Certificates, Office of Vital Statistics, Florida Department of Health; Hospital and Emergency
Department Discharge Data, Florida Agency for Health Care Administration)
20
Leadership

Goal 3 - Leadership &


Strategy Timeframe Lead(s) Partners Funding Implications
3A. Establish a Steering Committee of By November 2009 Goal Team 3, FIPAC, Senior falls May be accomplished with
subject matter experts for senior falls OIP, and Department prevention current funding
prevention. (Approximately 20 committee of Elder Affairs stakeholders (SF

Policy
members). (DOEA) Stakeholders)

Measure of Success: Steering Committee is established.


3B. Establish a statewide senior falls By June 2010 Goal Team 3, Steering SF Stakeholders After July 31, 2010, contingent
prevention coalition. Committee, FIPAC, upon additional funding
OIP, and DOEA

Measure of Success: Florida Senior Falls Prevention Coalition is established.


3C. Develop a statewide senior falls 2011-2012 Goal Team 3, FIPAC and SF After July 31, 2010, contingent
prevention plan. Florida Senior Falls Stakeholders upon additional funding
Prevention Coalition
OIP, and DOEA

Measure of Success: Florida Senior Falls Prevention Plan is developed.


3D. Identify, review and pursue if By November 2009 Goal Team 3, FIPAC, Florida Senior Falls May be accomplished with
applicable, additional senior fall then quarterly OIP, and DOEA Prevention Coalition current funding
prevention funding opportunities. and SF Stakeholders

Measure of Success: Number of pursued funding opportunities, when applicable.

Policy
Strategy Timeframe Lead(s) Partners Funding Implications
3E. Increase policy and public awareness By June 2009 Goal Team 3, FIPAC, Florida Senior Falls After July 31, 2010, contingent
activities to reduce and prevent senior then ongoing OIP, and DOEA Prevention Coalition upon additional funding
falls related injuries. and SF Stakeholders

Measure of Success: Number of senior falls prevention policy statements and press releases for senior falls prevention prepared.
3F. Provide updates for injury prevention Ongoing Goal Team 3, FIPAC, Florida Senior Falls After July 31, 2010, contingent
stakeholders regarding federal and state 2009-2013 and OIP Prevention Coalition upon additional funding
senior falls prevention legislation. and SF Stakeholders

Measure of Success: Number of updates sent to SF Stakeholders and injury prevention stakeholders.

21
Goal 3 - Interventions &

Interventions
Strategy Timeframe Lead(s) Partners Funding Implications
3G. Review, identify and update By June 2010 Goal Team 3, FIPAC, Florida Senior Falls After July 31, 2010, contingent
evidence-based interventions and best then annually OIP, and DOEA Prevention Coalition upon additional funding
Data

practices. and SF Stakeholders

Measure of Success: Number of evidence-based interventions and best practices that are disseminated.
3H. Identify an evidence-based senior Ongoing Goal Team 3, FIPAC, Florida Senior Falls Contingent upon additional
falls prevention intervention project that 2011-2012 OIP, and DOEA Prevention Coalition funding
may be replicated statewide. and SF Stakeholders

Measure of Success: Evidence-based intervention project is identified.


3I. Implement a pilot project of the Ongoing Goal Team 3, FIPAC, Florida Senior Falls Contingent upon additional
identified evidence-based intervention. 2012-2013 OIP, and DOEA Prevention Coalition funding
and SF Stakeholders

Measure of Success: A pilot project is implemented.

Data
Strategy Timeframe Lead(s) Partners Funding Implications
3J. Review senior falls prevention By November 2009 Goal Team 3, FIPAC, Florida Senior Falls After July 31, 2010, contingent
data, disseminate and present to injury then annually OIP, DOEA, and the Prevention Coalition upon additional funding
prevention stakeholders as needed. Data Workgroup and SF Stakeholders

Measure of Success: Number of updates on falls prevention data sent to SF Stakeholders and injury prevention stakeholders.

Injury Prevention Pays


“On average - For every $1,250 per person cost for a Falls Prevention (High
Risk) Elderly Program, there is a $10,800 per person cost benefit.”
Pacific Institute for Research and Evaluation. (November 2005). Injury Prevention: What Works? A Summary of Cost-Outcome
Analysis for Injury Prevention Programs

22
Goal Team Co-Leaders Goal Team Members
Approximately one out of
Mark Brimer Larry Baxter
five hip fracture patients
dies within one year of their Michele Mulé Syndi Bultman
injury. Judy Copeland

Janine Curlutu
Leibson CL, Toteson ANA, Gabriel SE, Ransom JE, Melton
JL III. Mortality, disability, and nursing home use for Donald Hughes
persons with and without hip fracture: a population-
based study. Journal of American Geriatrics Society Sue Littnan
202,50: 1644-5089–193.

Nina Mattei

Julia Paul

Joanne Puia

Patricia Quigley

Don Rapp

Cory Richter

Diana Silvey

Patricia Sovonick

Mark Tesoro

OIP Liaison
Jane Parker

Members as of July 20, 2009

23
Drowning is the leading cause of death
among children ages 1-4 in Florida resulting

Goal
in significant personal and economic impact. “Typical medical costs for a
In addition, from 1999-2006, Florida lost near-drowning victim can
more children ages 1-4 to drowning than any
other state, making Florida’s early childhood range from $75,000 for initial

4
drowning rate the highest in the U.S.⁶ emergency room treatment to
$180,000 a year for long term
Drowning Deaths, Florida Residents care. The cost of a single near-
Ages 1-4, 2007 drowning that results in brain
damage can be more than $4.5
• Seventy-three of Florida’s children ages 1-4
drowned and at least 51 of them (70%) drowned million.”
in a residential swimming pool.

• Males of all ages, especially those ages 1-4, were


more likely to drown than females. Safe Kids USA Drowning Prevention Factsheet

Establish a • Every month three or more children were lost to


drowning. The highest number of children were ⁶Centers for Disease Control and Prevention, Web-based

collaborative lost in May. Injury Statistics Query and Reporting System

effort to provide Figure 3. Unintentional Drowning Rates by Age and Sex, Florida Residents, 2007

statewide 12

direction and 10
Fatality Rate/100,000

Male Female Both Sexes

focus for early


8

childhood 4

water safety 2

and drowning 0
<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

prevention in Age

Florida. (Source: Death Certificates, Office of Vital Statistics, Florida Department of Health)

24
Leadership

Goal 4 - Leadership &


Strategy Timeframe Lead(s) Partners Funding Implications
4A. Establish a Steering Committee of By November 2009 Goal Team 4, FIPAC, Water safety and May be accomplished with
subject matter experts for early childhood and OIP drowning prevention current funding
water safety and drowning prevention. stakeholders (DP

Policy
(Approximately 20 committee members) Stakeholders)

Measure of Success: Steering Committee is established.


4B. Establish a statewide early childhood 2010-2011 Goal Team 4, Steering DP Stakeholders After July 31, 2010, contingent
water safety and drowning prevention Committee, FIPAC, upon additional funding
coalition. and OIP

Measure of Success: Florida Early Childhood Water Safety and Drowning Prevention Coalition is established.
4C. Develop a statewide early childhood 2011-2012 Goal Team 4, Florida FIPAC and DP After July 31, 2010, contingent
water safety and drowning prevention Water Safety and Stakeholders upon additional funding
plan. Drowning Prevention
Coalition, and OIP

Measure of Success: Florida Early Childhood Water Safety and Drowning Prevention Plan is developed.
4D. Identify, review and pursue if By November 2009 Goal Team 4, FIPAC, Florida Water Safety May be accomplished with
applicable, additional early childhood then quarterly and OIP and Drowning current funding
water safety and drowning prevention Prevention Coalition
funding opportunities. and DP Stakeholders

Measure of Success: Number of pursued funding opportunities, when applicable.

Policy
Strategy Timeframe Lead(s) Partners Funding Implications
4E. Increase policy and public awareness By June 2009 then Goal Team 4, FIPAC, Florida Water Safety After July 31, 2010, contingent
activities to reduce and prevent early ongoing and OIP and Drowning upon additional funding
childhood drowning. Prevention Coalition
and DP Stakeholders

Measure of Success: Number of early childhood water safety and drowning prevention policy statements and press releases prepared.
4F. Provide updates for injury prevention Ongoing Goal Team 4, FIPAC, Florida Water Safety After July 31, 2010, contingent
stakeholders regarding federal and 2009-2013 and OIP and Drowning upon additional funding
state early childhood water safety and Prevention Coalition
drowning prevention legislation. and DP Stakeholders

Measure of Success: Number of updates sent to DP Stakeholders and injury prevention stakeholders.

25
Goal 4 - Interventions &

Interventions
Strategy Timeframe Lead(s) Partners Funding Implications
4G. Review and disseminate evidence- By June 2010 then Goal Team 4, FIPAC, Florida Water Safety After July 31, 2010, contingent
based interventions and best practices. annually and OIP and Drowning upon additional funding
Data

Prevention Coalition
and DP Stakeholders

Measure of Success: Evidence-based interventions and best practices are disseminated.


4H. Identify an evidence-based early Ongoing Goal Team 4, FIPAC, Florida Water Safety Contingent upon additional
childhood water safety and drowning 2011-2012 and OIP and Drowning funding
prevention intervention project that may Prevention Coalition
be replicated statewide. and DP Stakeholders

Measure of Success: Evidence-based intervention project is identified.


4I. Implement a pilot project of the Ongoing Goal Team 4, FIPAC, Florida Drowning Contingent upon additional
identified intervention. 2012-2013 and OIP Prevention Coalition funding
and DP Stakeholders

Measure of Success: A pilot project is implemented.

Data
Strategy Timeframe Lead(s) Partners Funding Implications
4J. Review and disseminate early By November 2009 Goal Team 4, FIPAC, Florida Water Safety After July 31, 2010, contingent
childhood water safety and drowning then annually OIP, and the Data and Drowning upon additional funding
prevention data to injury prevention Workgroup Prevention Coalition
stakeholders. and DP stakeholders

Measure of Success: Number of updates on early childhood water safety and drowning prevention data sent to DP Stakeholders and injury
prevention stakeholders.

The Residential Swimming Pool Safety Act requires that


residential pools built after October 1, 2000, meet specific
safety requirements. However, over 90% of Florida’s
estimated 1.25 million (2009) residential swimming pools
are not subject to this act.

26
Goal Team Co-Leaders
Karen Macauley

Pamela Santucci

Elizabeth White

Goal Team Members


Kathy Baldwin

Greg Hand

Michael Haney

Marci Hummell

Michele King In an injury-free Florida...


Deborah Mulligan
annually, there would be
Jean Shoemaker approximately four more preschool
Doris Shorkey
classrooms of children, because they
would not die from drowning.
Nichole Wilder
Source: Death Certificates, Office of Vital Statistics, Florida
Department of Health

OIP Liaison
Towana Bonnett

Members as of July 20, 2009

27
Goal
Strategy Timeframe Lead(s) Partners Funding Implications
5A. Include a brief update Annually Goal Team 5, FIPAC and Goal May be accomplished with
during each FIPAC meeting 2009-2013 and OIP Teams current funding
on an injury prevention topic

5
that is timely, current and not
presently being addressed by
others.

Measure of Success: Educational updates are provided and evaluated at each FIPAC meeting.
5B. Develop, publicize and Ongoing Goal Team 5, FIPAC and Goal May be accomplished with
maintain a statewide calendar 2009-2013 and OIP Teams current funding
of injury prevention trainings
that is timely and accurate.

Measure of Success: An injury prevention calendar developed, publicized and maintained.


5C. Make the Injury Prevention 2010 Goal Team 5, IP FIPAC and Goal May be accomplished with
101 course available via 101 faculty, and Teams current funding
videoconferencing by 2010. OIP

Measure of Success: The Injury Prevention 101 course is available via videoconferencing.
5D. Respond to the educational Ongoing Goal Team 5, FIPAC and Goal May be accomplished with
needs of the IP workforce based 2009-2013 and OIP Teams current funding
on injury patterns and trends.

Measure of Success: Educational activities are provided to the IP workforce based on data driven injury patterns and
trends.

Enhance the
skills, knowledge
and resources
of Florida’s injury
prevention
workforce.
28
Injury Prevention Pays
Goal Team Co-Leaders
Stacey Bright
“On average - A $10 child bicycle
helmet generates $570 in cost
Virginia Noland-Dodd benefits.”
Pacific Institute for Research and Evaluation. (November
2005). Injury Prevention: What Works? A Summary of
Cost-Outcome Analysis for Injury Prevention Programs

Goal Team Members


Karen Fader

Karen Liller

Stephen McCloskey

ReShawndia Mitchell

Mark Ryan

David Summers

Cheryl Urbas

OIP Liaison
Freida Travis

Members as of July 20, 2009

29
2009-2013 Florida Injury Prevention Melissa Lugo
Orange County Health Department
Advisory Council Department of Health, County Health Department
Representative
FIPAC members are appointed by the State Surgeon Joe Nelson, DO
General. Key state agency representatives are Florida EMS Medical Director
recommended for appointment by their respective Physicians Representative
agency head. David Oxley*
Florida Swimming Pool Association
Injury Prevention Advocacy, Non-Profit, and Lay Person

Community Representatives Carl Shulman, MD, MSPH, FACS


University of Miami, Jackson Memorial Hospital
Patricia Byers, MD, FACS Physicians and Hospital/Trauma Centers Representative
University of Miami, Dewitt Daughtry Family
Department of Surgery Diana Silvey, MA
Physicians and Hospitals/Trauma Centers Winter Park Health Foundation
Representative Injury Prevention Advocacy, Non-Profit, and Lay Person

Lale Gerger, GPHR Mimi Sutherland, RN, BSN, MS, CHRN


United Way of Northeast Florida University of Miami, Jackson Memorial Hospital
Injury Prevention Advocacy and Non-Profit Injury Prevention Advocacy, Nurses, Non-Profit, and
Representative Injury Prevention Specialist

Greg Hand, MBA* Mark Tesoro, MA


Florida Swimming Pool Association Lee County Injury Prevention Coalition

Appendix A
Injury Prevention Advocacy, Non-Profit, and Lay Person Injury Prevention Advocacy, Non-Profit, and Injury
Prevention Specialist
Dawn Johnson, SA, MPA
Florida PTA
Lay Person
Key State Agency Representatives
2009-2013 Florida Injury Karen Liller, PhD
University of South Florida Larry Baxter, MS
Prevention Advisory University Representative Florida Department of Elder Affairs

Council, and Goal Team Nancy Carvallo, LMT, ASCP


Agency for Health Care Administration
Leaders
30
Jan Davis, RDH, CPM Goal 3: Establish a collaborative effort to
Department of Health, Division of Family Health 2009-2013 Florida Injury provide statewide direction and focus for fall-
Services
Department of Health, Central Office Representative
Prevention Advisory related injury prevention for Florida’s seniors.

Council Goal Team Leaders Mark Brimer, PhD


Lt. Colonel Ernesto Duarte Wuesthoff Health Systems
Florida Department of Highway Safety and Motor
Vehicles Michele Mulé, MHS
Florida Department of Elder Affairs
Mark Ryan, RN Goal 1: Establish a sustainable infrastructure
Florida Department of Children and Families that provides leadership, funding, data, advocacy
and evaluation for injury prevention.
Marianne Trussell, JD Goal 4: Establish a collaborative effort to
Florida Department of Transportation The Office of Injury Prevention provide statewide direction and focus for
early childhood water safety and drowning
Nichole Wilder, MS prevention in Florida.
Florida Department of Education Data Workgroup
Karen Macauley, RN, MEd
Michelle Akins All Childrens’ Hospital
Florida Department of Health, Children’s Medical
Services Pamela Santucci, BA
Florida Department of Health, Broward County
Michael Lo, MSPH Health Department
Florida Department of Health, Office of Trauma
Elizabeth White, MSW
Florida Department of Health, Children’s Medical
Goal 2: Facilitate opportunities to collaborate Services
prevention efforts in: Traffic Safety, Poisoning,
Interpersonal Violence, Suicide, Child
Maltreatment and other injuries.
Goal 5: Enhance the skills, knowledge and
Wendy Loomas, MA resources of Florida’s injury prevention
Florida Department of Health, Pinellas County workforce.
Health Department
Stacey Bright, MPH
Cindy Magnole, RN Brain Injury Association of Florida
Jackson Memorial Hospital
*Individuals from the same agency/ Virginia Noland-Dodd, PhD
organization participated on FIPAC at different University of Florida
time periods.

31
Kathy Baldwin
The Gift of Swimming
Goal Team 4

Towana Bonnett
Florida Department of Health,
Office of Injury Prevention
Goal Team 1

Syndi Bultman, RN, MSM, CEN


Lee Memorial Health System
Goal Team 3

Judy Copeland, BA, MA


Epilepsy Services of Northwest Florida
Goal Team 3

Janine Curlutu, RN
Lakeland Regional Medical Center
Goal Team 3

Karen Fader
Jackson County CTST
Goal Team 5

David Fechter, AICP


Pinellas County Department of Public Works
Goal Team 2

Appendix B
Leilani Gruener
Florida Department of Health,
Office of Injury Prevention
Goal Team 1

Michael Haney, PhD, NCC, LMHC


2009-2013 Florida Injury Florida Department of Health,
Children’s Medical Services
Prevention Advisory Goal Team 4

Council Goal Team Gillian Hotz, PhD


University of Miami - Jackson Memorial Hospital
Members Data Workgroup

32
Donald Hughes Deborah Mulligan, MD, FAAP, FACEP Keely Smith, CHES
Satellite Beach Fire Department Nova Southeastern University St. Joseph’s Children’s Advocacy Center
Goal Team 3 Goal Team 4 Goal Team 2

Marci Hummell Julia Paul, MSN, RN Olumide Sobowale, MD, FACS


Osceola County Health Department Shands Jacksonville Lakeland Regional Medical Center
Goal Team 4 Goal Team 3 Goal Team 2

Michele King, CCLS Jane Parker Patricia Sovonick, PhD, LMHC


The Children’s Hospital of Southwest Florida, Florida Department of Health, Pasco County Community Aging and Retirement
Child Advocacy Program Office of Injury Prevention Services
Goal Team 4 Goal Team 1 Goal Team 3

Sue Littnan Joanne Puia, RN, MHS David Summers, RN, CFRN, EMT-P
Citrus County Health Department Broward General Medical Center St. Mary’s Medical Center
Goal Team 3 Goal Team 3 Goal Team 5

Nina Mattei, APR Patricia Quigley, PhD, MPH, ARNP, CRRN, Freida Travis, MS, EMT
Hernando County Health Department FAAN Florida Department of Health,
Goal Team 3 James A. Haley Veterans’ Hospital Office of Injury Prevention
Goal Team 3 Goal Team 1
Stephen McCloskey
Duval County Health Department Don Rapp, PhD Cheryl Urbas, MS
Goal Team 5 Retiree Florida Department of Health,
Goal Team 3 Environmental Health - Healthy Homes
Heather McHenry Goal Team 5
Florida Department of Health, Cory Richter, NREMT-P
Office of Injury Prevention Indian River Fire Rescue Lisa VanderWerf-Hourigan, RDH, MS, EMT
Goal Team 1 Goal Team 3 Florida Department of Health,
Office of Injury Prevention
ReShawndia Mitchell Kyla Shelton, MPH Goal Team 1
Duval County Health Department Florida Department of Health,
Goal Team 5 Office of Injury Prevention
Goal Team 1
Bonnie McDougle, MPH
Tampa General Hospital/Florida Poison Information Jean Shoemaker, BA
Center All Children’s Hospital/Safe Kids Greater Tampa
Goal Team 2 Goal Team 4

Marisa Rappa Mowat, MPH, CHES Doris Shorkey, ARNP, MSN, CPM
St. Joseph’s Children’s Advocacy Center Broward Juvenile Detention Center
Goal Team 2 Goal Team 4

33
A F
Abarca, Christine Castillo, Eva Fader, Karen
Akins, Michelle Celeste, Slande Fallis, Caroline
Albers, Becky Chafin, Susan Farrington, Robyn
Alma, Lori Chambers-Emerson, Joann Feldman, Sarah
Alred, Carolyn Chapman, Deanna Ferrante, Stephen
Anderson, Sharon Chin, Melaine Fico, Pam
Andrews, Jack Clark, William Fields, Raynell
Arnold, Donna Clarke, Dianne Filla, Paul
Austin, Larry Coffield, Rena Finch, Michael
Colemere, Glinda Foxworthy, Jenelle
B Colvin, Melvin Franks, Jessica
Baer, Shari Colvin, Pat Fraschetta, Michael
Bahnsen, Lynn Coons, Gwen
Bailey, Joyce Cooper, Claire G
Baker, Sarah Copeland, Judy Gainer, Patsy
Baxter, Larry Copeland, Shirley Gainey, Marcia
Beckmann, Brenda Coulter, Nancy Galloway, Barbara
Beharry, Neha Corbin, Traci Garcia, Lou
Belle, Reggie Crawford, Maggie Gaston, Diane
Belyeu, Jennifer Gerson, Lowell
Bencie-Fairburn, Jennifer D Ginner, Cynthia
Bennett, Byron Davis, Jan Glenn, Vicki
Bielski, Karyn Davis, Rick Godejohn, Barbara
Bonnett, Towana Daza, Michele Gomez, Mary
Bowman, Jonathan Dearwater, Steve Gordon, Michael
Brea-Nieto, Frances Delaney, Melanie Graham, LaDonna
Bright, Stacey Delano, Kristina Grantham, Bonita
Brimer, Mark Delilla, Thom Gray, Barbara
Brown, Karin Dempsey, Patricia Greene, Sharon
Brown, Lianne Dennis, Cynthia Gregg, Anne
Brownlee, Patricia DeSouza, Michael Groat, Brian

Appendix C
Bruce, Crystal Detscher, Penny Gronda, Sally
Brum, Fernanda DeVaughn, Joan Grondin, Nathalie
Buckley, Chris Dodd, Virginia Grubbs, Suzanne
Bulecza, Susan Dodson, Phillip Gruener, Leilani
Bultman, Syndi Drawdy, Lynne Guerra, Daisy
Bumpus, Elizabeth Dreker, Sandra Guthrie, Mary
Burns, Alison Duarte, Ernesto Guyton, Jackie
Injury Prevention Stakeholders Byer, Karen
Byers, Patricia E H
Byler, Cynthia Eckelman, Ellen Hagan, Samantha
Who Received the 2009- Eddins, Susan Hall, Amanda
C Edwards, Carla Hall, LaMonte
2013 Florida Injury Prevention Campbell, Robert
Carlson, Sharon
Egozi, Karen
Elistin, Jethro
Hamilton, Kelly
Haney, Mike
Strategic Plan Draft for Review Carmen, Chuck
Carter, Connie
Ellis, Ann-Gayl
Evans, Maggie
Hannigan, Brian
Hansen, Patricia
Carvallo, Nancy Evitt, Celinda Hardy, Cindy
and Comment Cascardi, Karen
Cash, Angela
Ezell, Linda Harlow, Tom
Harris, Stephan

34
Q V
Harris, Tammy Kohlenberger, Dominique McDaniel, Judy Quigley, Patricia Shields, Bill VanderWerf-Hourigan,
Harrison, Michael Krautner, Deanna McDevitt, Susan Shoemaker, Jean Lisa
Hatfield, Jennifer Kreischer, Janet McDougle, Bonnie R Shomer, Michelle Velasco, Herman
Hawkins-Littles, Melba Kruppa, Frank McFalls, Robert Radin, Carol Silvey, Diana Vickers, Carol
Heinzen, Amy Kuhn, Tammie McHenry, Charlotte Randolph, Tonya Sims, Stephen Vickstrom, Ann
Henderson, Tammy Kurtz, Penny McHenry, Heather Rapp, Don Slobodian, Rebecca Von Mohr, Mary
Henry, Hope McPherson, Trenda Rappa, Marisa Smallacombe, Robert
Hertan, Jane L Miller, Amy Rausch, Candace Smeykal, Mitch W
Hewett, Rafe Lachendro, Mary Miller, Terrell Reeves, Kathy Smith, Connie Wade, Leigh
Hill, Laurie Land, Jana Millsap, Deb Regan, Debora Smith, Jody Walker, Diana
Hinton, Ginny Landrito, Jo Minshew, Paul Reynolds, Bruce Smith, Keely Wallin, Cheryl
Holm, Diane Lane, Kathryn Miracle, Alina Rhodes, Gwen Smith, Kim Ward, Denise
Holmes, Sharon Lawrence, Susan Mitchell, Shanetha Rice, Bonnie Smith, Laura Ward, Mary
Hood, Wanda Lederberg, Edith Monts, Kyril Richardson, Jim Snure, Helga Washington, Anthony
Horvath, Tammy Lemke, David Moreno, Elizabeth Richter, Cory Soberon-Ferrer, Horacio Watt, Robin
Hotz, Gillian LiCalsis, Carolyn Morris, Sherry Riddle, Tracy Sobowale, Olumide Weiss, Meredith
Howland, Carol Liebnitzky, Dianna Mulé, Michele Riggs, Cecille Sovonick, Patricia Weyel, Barbara
Huckabee, David Liller, Karen Mulligan, Deborah Ring, Audrey Stacks, Cheryl Whaley, Dana
Hughes, Don Littnan, Susan Risher, Valerie Stayton, Donna Wheeler, Lori
Humbert, Nancy Llau, Anthoni N Rist, Lisa Steinberg, Mary Williams, Joy
Hummell, Marci Lo, Michael Napp, Teresa Ritchey, Paula Steiner, Ruth White, Elizabeth
Hunt, Randy Locke, Diana Nelson, Audrey Rogers, Janice Stephenson, Ann Whitworth, Gayle
Hutson, Kecia Longmore, Kristen Nelson, Joe Rogers-Harris, Janine Sult, Nancy Wiggins, Karen
Hutto, Gwen Loomas, Wendy Nevins, Samantha Ross, Bianca Summers, David Willis, Morya
Lugo, Melissa Nieto, Jose Rothman, Max Summers, Judy Willis, Sharon
J Lutz, Karen Nino, Dolores Roy, Donald Susswein, Deborah Wilson, Carmen
Jean-Charles, Joseph Lyons, Jim Rupp, Marilyn Sutherland, Mimi Wilson-Watson, Cherie
Jefferies, Canella O Ruschmann, Julia Sutton, Michelle Wise, Janice
Jeralds, Pamela M Oliver, Leisa Russ, Mamie Woodard, Randee
Johns, Carrisa Mabee, Barbara Otis, Laurie Russell, Susan T Woodward, Mary Jane
Johnson, Randall Macauley, Karen Oxley, David Taber, Paul Worlds, Gwendolyn
Jones, Tina Mackenrow, Olga S Tapper, Erica
Jordan, Mike Magnole, Cindy P Sack, Bruce Tesoro, Mark Z
Jorden, Lou Magyar, Sandy Parent, Eddie Sanders, Melissa Thomas, Karen Ziglar, Michele
Joshi, Richa Makatura, Julia Parker, Jane Sandler, Ronald Thomas-Brown, Dearline
Jubelirer, Carol Marcinik, Steve Parker, Wendy Sandy, Janie Thomason, JoAnne
Marcus, Michael Paul, Julia Santin, Shawna Thompson, Lisa
K Martin, Pam Pearson, Robin Santucci, Pam Thouvenel-Romans,
Kagiliery-Lee, Alexis Martin, Sandy Pelham, Karen Sauer, Jamie Stephanie
Kainrad, David Martinez, Dina Pena, Angelica Savona, John Thrift, Patricia
Kedroski, Christie Martinez, Pati Pena, Nereida Schmarje, Cathia Toby, Wanda
Kelleher, Patricia Mason, Steve Pence, Larry Scholtz, Kristen Todaro, John
Kelly, Marureen Mattei, Nina Peoples, Dorothy Schonfeld, Lawrence Tonietti, Michael
Kessluk, Diane Maud, Marilyn Peterson, Mercedes Schrader, Nicholas Travis, Freida
King, Michele Maxwell, Sue Pieratte, Pat Schulman, Carl Trawick, John
King, Nikki Maya, Nilsa Pietrangelo, Joseph Schultz, Amy Trussell, Marianne
Kincaid, Pamela Maynard, Bevin Pineda, Candace Schultz, Ellen
Kirby, Greg McCloskey, Stephen Plaatje, Alice Seguin, Kerri U
Knepton, Jim McCool, Amber Poitier, Lanora Shelton, Kyla Urbas, Cheryl
Knox, Anne McCroan, Donna Puia, Joann Shepard, Megan Uzoho, Jonadab

35
2004-2008 Florida Injury Prevention Susan Littnan
Citrus County Health Department
Advisory Council Florida Department of Health

Pamela Martin
FIPAC members were appointed by the Secretary Florida Department of Financial Services
for the Florida Department of Health, now the State Lay Persons and Injury Victims/Survivors Representative
Surgeon General. Key state agency representatives
Joe Nelson, DO
were recommended for appointment by their Florida Emergency Medical Services Medical Director
respective agency head. Physicians, Nurses and EMS Providers Representative

We would like to thank each individual for their work on the 2004-2008 Stephen Oelrich
Florida Injury Prevention Strategic Plan. Florida Sherriffs Association

Mimi Sutherland, RN, BSN, MS, CHRN


Jackson Memorial Hospital
Community Representatives Hospitals and Trauma Centers Representative

Patricia Byers, MD, FACS


Ryder Trauma Center-Jackson Memorial Hospital
Hospitals and Trauma Centers Representative
Key State Agency Representatives*
JoAnn Chambers-Emerson
Tampa General Hospital/Poison Control Center Lorraine Allen
Injury Prevention Specialists and Health Educators Florida Department of Education

Appendix D
Representative
Lt. Colonel Larry Austin
Diane Clark Florida Department of Highway Safety and Motor
Operation PAR/Behavioral Health Vehicles
Injury Prevention Advocacy Groups and Non-Profit
Agencies Representative Larry Baxter, MS
2004-2008 Florida Injury Florida Department of Elder Affairs
Nancy Humbert, ARNP, MSN
Prevention Advisory Miami Children’s Hospital Nancy Carvallo, LMT, ASCP
Hospital and Trauma Centers Representative Florida Agency for Healthcare Administration
Council, Goal Team
Karen Liller, PhD Lt. Colonel Ernesto Duarte
Leaders, and Injury University of South Florida Florida Department of Highway Safety and Motor
University System, Research Facilities, and Area Health Vehicles
Prevention Stakeholders. Education Centers Representative

36
Jan Davis, RDH, CPM Goal 5: Increase the use of evidence-based
Sexual Violence Prevention Program 2004-2008 Florida Injury injury prevention interventions statewide.
Florida Department of Health Prevention Advisory Gillian Hotz, PhD
Penny Dretscher Council Goal Team Leaders University of Miami, School of Medicine
Florida Department of Education
We would like to thank each individual for
Janet Lehman their work on the 2004-2008 Florida Injury Goal 6: Increase the quality and availability
Florida Department of Elder Affairs Prevention Strategic Plan. of statewide and community-specific data for
planning, surveillance, and evaluation
Belinda McClellan
Florida Agency for Healthcare Administration Steve Dearwater
Goal 1: Establish a sustainable infrastructure to Jackson Memorial Hospital
Karen Pelham provide leadership and to coordinate, monitor,
Florida Department of Elder Affairs and evaluate strategic plan implementation.
Goal 7: Build capacity and resources
Ed Rice The Office of Injury Prevention statewide for evaluation of injury prevention
Florida Department of Transportation initiatives and interventions.

Marianne Trussell, JD Goal 2: Increase public and private funding for Karen Liller, PhD
Florida Department of Transportation injury prevention. University of South Florida, College of Public
Health
Steve McCloskey
Duval County Health Department and Florida Virginia Noland Dodd, PhD
Public Health Association University of Florida

Goal 3: Build the capacity of communities to Goal 8: Strengthen advocacy and public
reduce and prevent injuries to high-risk groups policy to reduce and prevent injuries.
and effectively address injury prevention
priorities. Pamela Martin
Florida Department of Financial Services
Deborah Mulligan, MD, FAAP, FACEP
Nova Southeastern University Bonnie McDougle, MPH
Tampa General Hospital/Poison Control Center

Goal 4: Increase state-of-the-art knowledge and


*Individuals from the same agency/ skills in the injury prevention workforce.
organization participated on FIPAC at different
time periods. David Summers, RN, CFRN, EMT-P
St. Mary’s Trauma Center

37
Photo courtesy of Leilani Gruener

Injury Prevention Pays


“On average - A $46 child safety
seat generates $1,900 in cost
benefits.”
Pacific Institute for Research and Evaluation. (November
2005). Injury Prevention: What Works? A Summary of
Cost-Outcome Analysis for Injury Prevention Programs
H Lewis, Andrea Peters, Robin T
Hackler, Kim Lighter, JoAnn Peterson, Alice Taylor, Lois
We wish to thank the following individuals for Hagan, Karen LoCicero, Nick Peterson, Karen Taylor, Pam
their input into the creation of, or assistance in Hall, Eugene Loomas, Wendy Pieratte, Pat Thompson, Gloria
the implementation of the 2004-2008 Florida Hallam, Laura Lottenberg, Lawrence Phelps, Annette Todaro, John
Injury Prevention Strategic Plan. Haney, Mike Lumpkin, Barbara Plendl, Francesca Travis, Freida
Hannigan, Brian Pozo, Ana Twitchell, Roger
Harrington, Pam M Price, Glenn
Harris, Cynthia Mabee, Barbara U
Hartner, Judith MacArthur, Barbara R Underberger, Mindy
A Cohn, Stephen Heberlein-Larson, Lea Madden, Gene Rainey, Gary Urbina, Angelica
Abeckjerr, Dan Connell, Richard Heintz, Mary Magyar, Sandy Rasmussen, Rich Uzenoff, Barbara
Ambrose, Wayne Conroy, Carol Hendry, Phyllis Maki, Duff Ray, Lorie
Anderson, Nicola Copeland, Shirley Henry, Terry Martin, Jeannine Reed, Chad V
Apostol, Edna Coulter, Matha Hertan, Jane McCall, Patsy Regier, Jerry VanderWerf-Hourigan,
Arklie, Linda Cousins, Lisa Hightower, William McGinn, Steve Rice, Ed Lisa
Austin, Deborah Curtis, Charlotte Holt, Elmer McHenry, Karen Risher, Valerie Vargo, Mark
Azzariti, Dan Craven, Harvey Hoang, Ginger McKibbin, Matt Ritchey, Paula Vick, Randy
Hodges, Bob McLean, Mary Robbins-Lackey, Nancy
B D Holtzman, Debra McLeod, Ken Rollins, E.F. W
Bahena, Alfredo Delgado, John Horvath, Tammy Mercado, Josephine Rubin, Mitch Walker, Lorrie
Barber, Duane Delilla, Thom Miller, Geoffrey Rufener, Cheri Warmack, Eleanor
Bebber, Jack Douglas, Eric J Miller, Sam Rugg, Elizabeth Webb, Catherine
Belkowitz, Julia Dorfman, Sharon Jacobs, Michael Millsap, Deb Weimann, Stephanie
Bell, Budd Dreker, Sandra James, David Minot, Danielle S Wells, Conni
Bennett, Vicki Duran, Natalie Johnson, Faye Moore, Ferne Santucci, Pam Weyel, Barbara
Berrios-Torres, Nestor Jorden, Lou Moores, Martha Schaechter, Judi Wiggins, Karen
Blanton, Wayne E Judge, Jim Moran, Tersa Schlageter, Deborah Williams, Latarsha
Bonzo, Sandra Eddins, Susan Juskeiwicz, T.J. Moreno, Tirso Schmidt, Ellen Williams, Phil
Bottoms, Charles Elliot, Gloria Morrison, J.J. Schwartz, Michael Winn, Stephen
Bowen, Louise Esposito, Beverly K Mott, Larry Schwemmer, Sandra Wise, Gyla
Brandt, Pat Kallenborn, Celeste Murphy, Sheri Shields, Kris Wolfe, Ted
Brown, Debbie F Keller, Kathleen Myers, Jeff Shoemaker, Jean Wolnik, Glenda
Brown, Karin Farber, Andrew Kelly, J.R. Simpson, CeCe Wunderly, Tammy
Brunner, Beth Ferman, Berta Kenly, Michelle N Slevenski, Rick
Bultman, Syndi Fischer, Tad Kessluk, Diane Napoli, Randall Sloyer, Phyllis Y
Buss, Yoli Fountain, Don Kingsbury, Dwight Neasman, Annie Smallacombe, Bob Yeakley, Victoria
Butler, Robin Kirk, Frank Nesbit, Robert Smith, Terry Young, Xan
Boyd, Janegayle G Kline, Jean Smoker-Nuzum, Rachel
Gandia, Antonia Knudson, Marshall O Soard, Todd Z
C Geeslin, John Oelrich, Stephen Spainhower, Joan Zingone, Erica
Cacciatore, Donna Gibson, Diana L Olson, Laurie Springer, Mark
Cadle, Donald Gilpin, Brian Lane, Joe St. Petery, Louis
Capote-Dishaw, Jessica Griffin-Doherty, Jackie Lassanske, Peggy P Standley, Randal
Carver, Jean Guest, Debra Lauer, Barbara Paratore, Amy Sterner, Brian
Cariseo, Mary Kay Guzman, Rosaly Lawrence, David Parker, Jane Streit, Samuel
Chapman, David Lee, Alexis Perry, Stan
Chizmas, Dianna Lee, Larry Pesce, Karen
Clark, William Lehtola, Carol

39
Goal

Glossary
A broad statement describing a desired result.
Goals may be results or process oriented.

Healthy People 2010


A set of health objectives designed to improve
the health of all people in the United States
Action Plan during the first decade of the 21st century.
A tool used to deploy resources and/or assign
activities to achieve specific objectives. Plans Homicide/Assault Injury
usually include the following: Injuries inflicted on purpose by another
individual through an act of violence.
• key activities for the corresponding
objective; Hospitalization
• lead person/accountability Refers to an episode of medical care within
mechanism for each activity; an acute-care hospital where the patient was
• time frames/milestones for admitted to the hospital for treatment.
completing activities;
• status of activities; and Injury
• evaluation indicators to determine Damage or harm caused to the structure or
quality and effectiveness of the function of the body caused by an outside
activities in reaching the strategy. agent or force.
Age-Adjusted Rate Injury Prevention Workforce
A summary rate that has been statistically Healthcare and safety personnel who provide
adjusted for the affect of age allowing direct injury prevention services through education,
comparison between populations with training and other prevention tools.
different age distributions, i.e. more children
or elderly. Intentional Injury
Damage or harm to the body caused on
Early Childhood purpose.
Children ages 1-4 years old.
International Classification of Diseases
Emergency Department Visit (ICD)
Refers to an episode of medical care within an Provides the ground rules for coding and

Appendix E
acute-care hospital emergency department classifying health-related data. The purpose
where the patient was treated and released of the ICD is to promote international
without hospital admission. comparability in the collection, classification,
processing, and presentation of health
External Cause of Injury statistics. The United States currently uses
The circumstances in which injuries occur; the ICD-9-CM to code morbidity diagnoses while
Glossary and Acronyms agent or force responsible for damage to the ICD-10 is used to code mortality causes.
body.
40
Lead Morbidity Unintentional Injury
Florida Injury Prevention Advisory Council Occurrence of disease, disability, or poor Damage or harm to the body caused by
Goal Team, or other work group that is health due to any cause. accident, not on purpose.
responsible for the fulfillment of a specific
objective. Mortality Policy
Occurrence of death. Understanding, educating about, and
Legislation promoting (to the extent possible)
A proposed or enacted law or group of laws. Stakeholder prevention practices.
Any person or group with a vested interest in
Measure the outcome of a project or plan. Public Health
A specific indicator that tracks progression The science and art of preventing
or status of point in reaching an end result or Strategy disease, prolonging life and promoting
specific target. Techniques or tactics that may be used to health through the organized efforts and
accomplish an objective or goal. informed choices of society, organizations,
Mission communities and individuals.
A brief, comprehensive statement of purpose Suicide/Self-Harm Injury
of the organization or system. Injuries inflicted on purpose by one’s self to Vision
their own body. An overarching statement of the way we
want to be; an ideal state of being at a future
point.

Acronyms CCLS - Certified Child Life Specialist

CDC - Centers for Disease Control and


DEMO - Division of Emergency Medical
Operations
Prevention
DHSMV - Department of Highway Safety
AHCA - Agency for Health Care CEN - Certified Emergency Nurse and Motor Vehicles
Administration
CFRN - Certified Flight Registered Nurse DO - Doctor of Osteopathy
AICP - American Institute of Certified
Planners CHES - Certified Health Education DOE - Department of Education
Specialist
APR - Accredited in Public Relations DOH - Department of Health
CHRN - Certified Hyperbaric Registered
ARNP - Advanced Registered Nurse Nurse DOT - Department of Transportation
Practitioner
CMS - Childrens’ Medical Services DP Stakeholders - Drowning Prevention
ASCP - American Society for Clinical Stakeholders
Pathology CPM - Certification in Pharmaceutical
Management EMS - Emergency Medical Services
BSN - Bachelor of Science in Nursing CRRN - Certified Rehabilitation Registered
Nurse Continued on Next Page
41
Acronyms LMHC - Licensed Medical Health Counselor

LMT - Licensed Massage Therapist


Continued
MA - Master of Arts

MBA - Master of Business Administration


EMT - Emergency Medical Technician
MD - Doctor of Medicine
EMT-P - Emergency Medical Technician -
Paramedic MEd - Master of Education

FAAN - Fellow of the American Academy of MHS - Master of Health Sciences


Nursing
MPA - Master of Public Administration
FAAP - Fellow of the American Academy of
Pediatrics MPH - Master of Public Health

FACEP - Fellow of the American College of MS - Master of Science


Emergency Physicians
MSM - Master of Sacred Music
FACS - Fellow of the American College of
Surgeons MSN - Master of Science in Nursing

FIPAC - Florida Injury Prevention Advisory MSPH - Master of Science in Public Health
Council
MSW - Master of Social Work
FDLE - Florida Department of Law
Enforcement NCC - National Certified Counselor

FS - Florida Statutes NREMT-P - National Registry of Emergency


Medical Technicians - Paramedic
GPHR - Global Professional of Human
Resources OIP - Office of Injury Prevention

GTL - Goal Team Leader PhD - Doctor of Philosophy

GTM - Goal Team Member RDH - Registered Dental Hygenist

JD - Juris Doctor RN - Registered Nurse

42
SA - Systerm Administrator

SF Stakeholders - Senior Fall Prevention


Stakeholders

SSG - State Surgeon General

STIPDA - State and Territorial Injury


Prevention Directors Association

43
For more information about injury prevention Physical Address:
contact the Department of Health, Office of 4025 Esplanade Way, 3rd Floor
Injury Prevention at: Tallahassee, Florida 32399-1735

Telephone: 850-245-4444 x2700
Fax : 850-414-6470 Mailing Address:
Web Address: http://www.doh.state.fl.us/ 4052 Bald Cypress Way, Bin C15
injury Tallahassee, Florida 32399-1735

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