2011 Community Health Assessment Results: Improvement Plan Overview
Community Health Assessment Quick process review Results: where to find the details Health Priorities & Action Plan What’s next?
2011 Community Health Assessment & Improvement Planning Why? • Efficient resource use: 9 Kane County agency partnership • KCHD reorganization>>>capacity • Alignment around health needs & priorities What? • Comprehensive two-part report • Assessment • Improvement Plan • 9 customized reports • Health integrated in Comprehensive Plan • Web-based data and source reports
Community Health Assessment Activities Joint Health Health Health Board/Health Advisory Health Advisory CHA Partner Advisory CHA Partner Advisory Advisory Committee Committee Meeting Committee Meeting Committee Committee Meeting November 15 November 21 November December 5 October 18 Meeting Sept. 29 29 Sept. 27 September October November December Quality of Community Live Community Community Kane Open Meetings Presentation of Cafés Aurora Meetings Houses CHA Results Aurora & October 27 th Aurora, Elgin November 17 Nov 10 & 15 Elgin Health Assessment Results Webinar & Survey October 21 – November 11
Why assessment and planning? • Identify community health needs and problems • Identify community assets and resources • Prioritize limited resources
Kane Assessment Data Sources • 2010 US Census • Illinois Department of Public Health • Birth, death, disease, hospitalization statistics • Surveys • Kane County Offices & Departments • Housing • Transportation • Health • Resident telephone survey • Resident focus groups • Resident online survey • Community meetings
Assessment examined all health factors • Social, education and economic factors • Environmental factors • Physical health • Mental health • Health behaviors and health practices • Community health resources
http://www.kanehealth.com/survey.htm
Kane County Health Assessment Findings: Threats to Community Health Obesity Chronic Diseases Infant Mortality Childhood Lead Poisoning Communicable Disease Poor Social & Emotional Wellness
Kane County Context for Health Improvement Priorities • Significant social and economic changes • Significant population growth • Significant changes in population make-up • 2 nd youngest population in Illinois • Yet 45-64 year olds most rapidly growing Kane population segment
Health Improvement Plan: Assumptions & Requirements • Health determined by multiple factors • Community plan, NOT a Health Department plan • Focus across the lifespan • Recommend evidence-based strategies • Inter-action between/across strategies • Measurement and accountability
Determinants of Health
Recommended Community Health Improvement Priorities Priority 2 Priority 4 Priority 1 Priority 3 Increase Access to High Quality, Promote Social, Support Health Support & Create Holistic Preventive Economic and Behaviors that Health Promoting and Treatment Educational Promote Well-Being Neighborhoods, Services Across environments that and Prevent Disease Towns & Cities the Health Care optimize health System
Priority 1 Priority 2 Priority 3 Priority 4 Increase Access to Thre reats to Support Health High Quality, Promote Social, Communi nity Behaviors that Holistic Preventive Support & Create Economic and Health Promote Well-Being and Treatment Health Promoting Educational and Prevent Disease Services Across the Neighborhoods, environments that Health Care Towns & Cities optimize health System Obesity X X X X Chronic Diseases x X X X Infant Mortality X X X X Childhood Lead Poisoning X X X X Communicable Disease X X X X Poor Social & X X X X Emotional Wellness
Health Problem Root Cause Analysis Indirect Contributing Factor Direct Contributing Factor Decrease in physical activity Sedentary Lifestyle Limited or no PA at w ork Lack of know ledge or education about importance of PA Indirect Contributing Factor Increase in screen time Risk Factor Direct Contributing Factor Physical Inactivity Parental modeling Low levels of physical activity Perceived lack of time Indirect Contributing Factor Dominance of motorized transport Direct Contributing Factor Limited active transport Walkability of community & environment Perceived dangers and safety concerns Health Problem Overweight & Obesity Indirect Contributing Factor Healthy options cost more Direct Contributing Factor Limited acces to fF&V Limited or no healthy options available Abundance of unhealthy options (i.e. fast food) Indirect Contributing Factor Advertising Risk Factor Direct Contributing Factor Unhealthy Diet Poor food literacy Nutrition education is low priority Limited restaurant nutritional information Indirect Contributing Factor Not breastfeeding Direct Contributing Factor Social norms and cultural values Overw eight & obestiy view ed positively Learned patterns of unhealthy behaviors from family and/or friends
Example: Strategies to reduce obesity Increase the Increase the proportion of Assure access to Increase access to, and proportion of residents children who have safe playgrounds, consumption, of fresh of all ages that have high-quality early fruits and vegetables. regular, ongoing parks, trails and developmental sources of medical open space support, especially and dental care. in child care and education.
How will we know if we are making progress? Strategy Measure Data Source Evidence Percentage of Kane Kane County Access to and Increase access to, availability of County adults who report Community and consumption, of healthier foods can eating at least five Health Survey or fresh fruits and help people follow servings of fruits and Illinois BRFSS vegetables. healthful diets. For vegetables per day. example, better access to retail 2011 Baseline: venues that sell healthier options 14.4% of adults may have a positive 25.5% of children impact on a person’s diet; these venues 2016 Goal: may be less • 30% for adults (100% available in low- improvement) income or rural • 40% for children. (60% neighborhoods. improvement) (HP2020)
Next steps: Questions and comments today Complete draft report by January 31, 2012 Public comment February, 2012 Adoption: March, 2012
2011 Kane County Health Department: Strategic Planning Update
KCHD Strategic Planning Activities Joint Joint KCHD Board/Health Health KCHD HAC/KCHD KCHD All Staff Health Advisory Leadership Advisory Advisory Leadership Leadership Meeting Committee Meeting Committee Committee Meeting Meeting October 17 November 29 October 6 Meeting October 18 November 3 Sept. 29 Sept. 27 September October November Objectives: • Review/revise mission statement • Assess external and internal environments • Review/update strategies
Revised Mission Statement In active partnership with our community, the Kane County Health Department improves the quality of life and well-being of all residents by developing and implementing local policies, systems, and services that protect and promote health and prevent disease, injury and disability.
Key External Drivers 1.Funding and the broader impact of the economy. 2.Changing demographics and diversity. 3.Epidemic of obesity and chronic disease. 4.Integration with land use and transportation planning. 5.Health care reform. 6.Information technology.
Process re: Key Drivers HAC and Leadership groups applied following to each of the 6 Key Drivers: • Five ‘whys’ (root cause analysis) • “What” analysis (strategic implications) • Assets and barriers analysis • Identification of cross cutting focus areas for potential strategic initiatives
Build a sustainable organizational culture Build mission- that is based on our core values and focused focused culture on achieving our mission. Model responsible stewardship of public resources by Model providing efficient, high quality and high impact population Stewardship health services. Fully meet or exceed national public health informatics Implement standards in order to assure timely, efficient and effective Informatics communications. Sustain focused, effective partnerships to address Sustain identified community health priorities and get Partnerships results that improve population health. Enhance provision of health information to our diverse Enhance health community that is: tailored, reliable, real-time and communication actionable.
Sample Implementation Plan Strategy Initiative & Owner Output & Outcome Date Actionable health Make key community By 6/30/12 Implement Informatics information for health data easily Kanehealth.com individuals, accessible: OCHR has community partnerships and health data groups repository
Strategies Initiatives Outputs Outcomes Build mission- focused culture Model Stewardship Improved Implement Community Informatics Health Sustain Partnerships Enhance health communication
Next steps: Questions and comments today Complete draft report by January 31, 2012 Adoption: March, 2012
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