Last Updated: May 8, 2019
Author:You First Program, Vermont Department of Health
This performance measure helps us assess performance based on quantity; a higher percentage is better.
You First is a prevention program funded by the Centers for Disease Control (CDC) that works to remove barriers that may prevent women from getting important health screenings related to breast, cervical and heart health. You First works to decrease the morbidity of breast cancer, cervical cancer, and cardiovascular disease in Vermont women.
You First offers heart health screenings for women ages 40 to 64 in order to assess their risk of cardiovascular disease. Once a You First member is current on their cardiovascular screen, they are eligible for Lifestyle Programs (LSP), Fitness Programs (FP) Health Coaching (HC), and/or other exercise/nutrition related services.
You First originally served women at or below 250% of the Federal Poverty Level who did not have insurance or were underinsured. In the spring of 2015, the CDC granted VDH permission to enroll female Medicaid beneficiaries between the ages of 30 – 64 in the program. Then, if the Medicaid beneficiary is eligible, the program may pay for approved lifestyle or fitness programs. In January 2016 Medicaid members comprised 6% of members, by December 2016 they comprised 26%.
You First staff work out of the VDH office on Cherry Street in Burlington. In order to increase the reach of the program and to work with potential and current members in their own communities, You First has contracted with Federally Qualified Health Centers (FQHCs) and the Vermont Coalition of Clinics for the Uninsured (VCCU) to hire Clinic Champions. Clinic Champions have been tasked with finding and enrolling eligible women into the program, as well as to outreach to the larger community in an effort to increase the heart disease screening rates in their county.