Data
AAHP relies on data to measure impact, refine programs, and ensure we are effectively reducing health disparities.
These key data points highlight our success in improving health outcomes for Black residents in Montgomery County.
September 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
of SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
of SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
Chronic Disease Management Program
Online classes were offered to residents each week
Participants attended online classes throughout the month
Participants attended classes on average
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
of participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Mental Wellness
Mental wellness screenings were conducted resulting in individualized referral services
General mental wellness queries were answered
Participants attended group counseling/support sessions (Mommy Chat, Caregiver Village, Your Inner Self, Exercise and Mental Health)
Individual counseling sessions were successfully accessed
Cancer Prevention
Cancer referrals were successfully matched with resources
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Weight Management Program
participants were enrolled in the Weight Management Program
females were enrolled
males were enrolled
new participants were enrolled
participants were discharged
of Weight Management Program participants achieved their weight goals for the month
participants were contacted by phone by staff
participants met via Zoom appointments
participants were seen in person by staff
referrals were made for AAHP classes
referrals were made for WMP
group activities were held
Outreach and Education via Digital Engagement
social media
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers
Instagram followers
Number of Health Notes newsletter subscribers
Special Events
Special events took place (In It to Win It, which convened a record number of partnerships in support of the event)
August 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
of SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
of SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
Chronic Disease Management Program
Online classes were offered to residents each week
Participants attended online classes throughout the month
Participants attended classes on average
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
of participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Mental Wellness
Mental wellness screenings were conducted resulting in individualized referral services
General mental wellness queries were answered
Participants attended group counseling/support sessions (Mommy Chat, Caregiver Village, Your Inner Self, Exercise and Mental Health)
Individual counseling sessions were successfully accessed
Cancer Prevention
Cancer referrals were successfully matched with resources
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Weight Management Program
participants were enrolled in the Weight Management Program
females were enrolled
males were enrolled
new participants were enrolled
participants were discharged
of Weight Management Program participants achieved their weight goals for the month
participants were contacted by phone by staff
participants were seen in person by staff
Participants met via Zoom appointments
referrals were made for AAHP classes
referrals were made for WMP
group activities were held
Outreach and Education via Digital Engagement
social media
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers
Instagram followers
Number of Health Notes newsletter subscribers
Special Events
Special events took place (In It to Win It, which convened a record number of partnerships in support of the event)
July 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
of SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
of SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
Chronic Disease Management Program
Online classes were offered to residents each week
Participants attended online classes throughout the month
Participants attended classes on average
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
of participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Mental Wellness
Mental wellness screenings were conducted resulting in individualized referral services
General mental wellness queries were answered
Participants attended group counseling/support sessions (Mommy Chat, Caregiver Village, Your Inner Self, Exercise and Mental Health)
Individual counseling sessions were successfully accessed
Cancer Prevention
Cancer referrals were successfully matched with resources
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Weight Management Program
participants were enrolled in the Weight Management Program
females were enrolled
males were enrolled
new participants were enrolled
participants were discharged
of Weight Management Program participants achieved their weight goals for the month
participants were contacted by phone by staff
participants were seen in person by staff
Participants met via Zoom appointments
referrals were made for AAHP classes
referrals were made for WMP
group activities were held
Outreach and Education via Digital Engagement
social media
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers
Instagram followers compared to one year ago
Number of Health Notes newsletter subscribers
Special Events
Special events took place (In It to Win It, which convened a record number of partnerships in support of the event)
June 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
of SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
of SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
Chronic Disease Management Program
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
of participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Mental Wellness
Mental wellness screenings were conducted resulting in individualized referral services
General mental wellness queries were answered
Participants attended group counseling/support sessions (Mommy Chat, Caregiver Village, Your Inner Self, Exercise and Mental Health)
Individual counseling sessions were successfully accessed
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Weight Management Program
participants were enrolled in the Weight Management Program
females were enrolled
males were enrolled
new participants were enrolled
participants were discharged
of Weight Management Program participants achieved their weight goals in February 2025
participants were contacted by phone by staff
participants were seen in person by staff
Participants met via Zoom appointments
referrals were made for AAHP classes
participants were seen by a collaborating WMP professional (nutritionist, social worker, etc.)
group activities were held
Outreach and Education via Digital Engagement
social media
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers, +1 from last fiscal yar
Instagram followers compared to one year ago
Number of Health Notes newsletter subscribers
Special Events
Special events took place (In It to Win It, which convened a record number of partnerships in support of the event)
May 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
of SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
of SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
Chronic Disease Management Program
Classes and Sessions
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Mental Health
Classes and Sessions
Mental wellness screenings were conducted resulting in individualized referral services
General mental wellness queries were answered
Individual counseling sessions were successfully accessed
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Weight Management Program
participants were enrolled in the Weight Management Program
females were enrolled
males were enrolled
new participants were enrolled
participants were discharged
of Weight Management Program participants achieved their weight goals in February 2025
participants were contacted by phone by staff
participants were seen in person by staff
Participants met via Zoom appointments
referrals were made for AAHP classes
participants were seen by a collaborating WMP professional (nutritionist, social worker, etc.)
group activities were held
Outreach and Education via Digital Engagement
social media
workshops and community events
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers, +1 from last fiscal yar
Instagram followers compared to one year ago
Number of Health Notes newsletter subscribers
of participants required medical intervention based on remote reading
Special Events
Special events took place (In It to Win It, which convened a record number of partnerships in support of the event)
April 2025 Data
Maternal and Child Health
moms and babies were enrolled in the SMILE program
Prenatal moms were enrolled
Postpartum moms were enrolled
Infants were enrolled
of SMILE moms successfully breastfed up to three months
of SMILE moms successfully breastfed up to six months
of SMILE moms successfully breastfed up to twelve months
Babies were born
babies were born at a healthy birth weight (out of total single-birth deliveries)
home visits were conducted by SMILE nurses to ensure the health of mom and baby postpartum
SMILE moms had high social risks (e.g., financial, housing instability, domestic violence)
SMILE moms had high medical risks (e.g., hypertension, diabetes, obesity, advanced maternal age)
SMILE moms had high medical risks and social risks
In FY24, 41 uninsured SMILE mothers and their families gained health insurance through AAHP’s collaboration with the Community Health Access Program (CHAP).
online classes were available to the public
participants attended CDMP classes
Average attendees per CDMP clas
Chronic Disease Management Program
Classes and Sessions
Health Screenings (blood pressure, blood glucose, total cholesterol, A1C)
Number of persons screened
sites hosted screening events for AAHP
Number of hypertensive crisis cases
Participants recorded elevated blood pressure levels were counseled and referred for follow up (where needed)
Participants experienced hypertensive crisis and were counseled and referred for follow up (where needed)
Participants recorded elevated glucose levels and were counseled and referred for follow up (where needed)
AAHP achieved a 70% success rate in blood pressure control in FY24, earning its fourth consecutive Gold Plus Recognition from the American Heart Association. This recognition highlights the effectiveness of AAHP’s chronic disease prevention efforts.
Hundreds of biometric screenings were conducted in FY24, providing real-time health insights on blood pressure, glucose, cholesterol, and more.
Mental Health
Classes and Sessions
Group counseling/support sessions (e.g., Mommy Chat, Caregiver Village) were held
Crisis intervention cases (e.g., domestic violence, homelessness, child welfare) were handled.
Mental wellness screenings were conducted resulting in individualized referral services
Individual counseling sessions were successfully accessed
General mental wellness queries were answered
Number of community events hosted for mental health awareness
Number of crisis intervention cases handled (e.g., domestic violence, homelessness, child welfare)
HIV/STI Screenings
Participants were screened for HIV/STI and counseled on protection
individual tested positive for syphilis
Physical Fitness classes
Fitness classes and events took place (yoga, low-impact exercise, Zumba, tai chi)
Participants attended fitness classes (yoga, low-impact exercise, Zumba, tai chi)
Remote Patient Monitoring (RPM) Program
total number of participants enrolled in the RPM Program
new participants enrolled in the RPM program
participants actively used their remote monitoring device
participants were compliant with 16 readings/month
medical alerts were triggered and handled for abnormal readings
participant(s) required medical intervention based on remote reading
Weight Management Program
participants were enrolled in the Weight Management Program
of Weight Management Program participants achieved their weight goals in February 2025
participants attended Weight Management Program fitness events
participants received weight management plans from AAHP’s nutritionists
The Weight Management Program helped participants lose an average of 16 pounds over six months in FY24, reinforcing the program’s role in preventing diabetes and cardiovascular disease.
Men's Health
Total Black men engaged in health education events
articles and posts on Black men’s health were published on AAHP’s online channels
Outreach and Education via Digital Engagement
social media
Facebook posts
Instagram posts
Threads posts (new platform)
Facebook followers, +1 from last fiscal yar
Instagram followers compared to one year ago
Number of Health Notes newsletter subscribers
of participants required medical intervention based on remote reading
Special Events
Special event took place (In It to Win It, which convened a record number of partnerships in support of the event)
Information and details about AAHP’s activities for each month can be found in AAHP’s monthly reports here.