2019-2021 Presented by Partnership for a Healthier Nassau January - PowerPoint PPT Presentation

PARTNERSHIP FOR A HEALTHIER N~ASS~Al J Nassau County Community Health Improvement Plan (CHIP) 2019-2021 Presented by Partnership for a Healthier Nassau January 30, 2019

Agenda 1. CHIP Overview 2. Guest Speaker, State Attorney Melissa Nelson 3. CHIP Accomplishments 4. CHIP 2019-2021 details 5. Future plans 2

~J PARTNERSHIP FOR A HEALTHIER NASSAU Vision: To have healthy communities in Nassau County that support optimal health and quality of life through collaboration, strong leadership, policy and environmental change, and resident empowerment. rganize : Partnership for Success -' Development • Visioning Four MAPP Assessments • Identify Strategic Issues • Formulate Goals and Strategies • ._... Evaluate Plan MAPP Implement MOBILIZING FOR ACTION THROUGH Co PLANNING AND PARTNERSHIPS ( MAPP ) s. 111 rnunity Hea\\.\\ ' 11 tiis Assessme1''- 3

PARTNERSHIP FOR A HEALTHIER NASSAU (PHN) • PHN Steering Committee facilitates CHIP • 3 Year Action Plan for Improved Health • Began in 2010, assessments 2011, finished product commenced July 2012. • CHIP 2012-2015 • CHIP 2016-2018 • CHIP 2019-2021 • Meet quarterly, monitor CHIP progress and produce community messaging regarding status. 4

MAPP Process • MAPP = M obilizing for A ction through P lanning and P artnerships • Community driven strategic planning process • A “tool” used nationally used by health leaders to facilitate prioritization of health concerns and resources 5

CHIP Structure and Reporting 2019-2021 Nassau County Commissioners PHN Steering FDOH Administrative Committee Support I I I "" Access Behavioral Health Housing and Communications T o Care and SubstanceAbuse Safe Places Community Health At Large At Large Support Disparities Member Member 6

COMMUNITY HEALTH IMPROVEMENT PLANS NASSAU COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN Vision: "To have healthy Communities In JULY 2012 — DECEMBER 2015 Nassau County that support optimal health and quality of life through collaboration, strong leadership, policy and environmental change, and resident empowerment." A countywide plan for community health system partners and resource providers to improve the health and wellbeing of its Community residents Health Improvement Plan 2016-2018 Nassau County, Florida Partnership for a Healthier Nassau HEALTH Nassau County Prepared by: Partnership for a Healthier Nassau 7

~ CHIP PROGRESS REPORT Striving for Community FOR COMMUNITY WELLNESS Wellness Progress PROGRESS REPORT " Our~i6-llthaN&~ ~i,,,Naw,,w Count), thatiuppo,t"opU,mal,lwJth,ANl,quality ofli,(,, t:hroufh,~ IO'l>f\f'luuiulhq,, poUcy aNI, Report empowuma,t · ANI,~ Teen Health story: John,•~ 15, • 4Me Teen Health participant shared, "the classes planform'fM\R . TheteachersWffl!coalandit I tMadatmt!howtoma~o,odchoic:esfarmybody. lfeelmore ccmfortabll! S11)ingno to sex lll'ld peer prgsu~ I now know how to pre'l'fflt pre.c,wq and STD 's which can help rne was easy to ta lk abcNt rea lty priwte health stuff .• The4Mepro;ectusesalifeplenepproedlto delivef~ tfffl sex educ:etion. The Ndencedbesed c:wriaA1rn teechesccrnl'!Vlic&- ""'""""'-""' "'...,_ n;,,,,_,, _ the ,nessage of abstillffa and safe sex. Adult Health story: When Mr . l beg.an to hllve difficulty swalowingand bretlthirCthis pestf-ebrua ry , ittookhifl-queily,collebonitiw, andcubnlly• p-opriste health care s«Yices to saw his lif~ Mr . l was 62 )MR old, withve.rylinitedr.cune , noheaihitsurance, e,v;I Rited~ ishp,ofioency . AftefSHkinghelpattheBamibesUrtentCare MJ.a--..--•INII--- I NNIIH ___ __,_ ., ....... ,..,,...,.,,,__c.-c,, Clinic this Febuirj, helftimedthathe hadarna~tl.lfflorFI his throat Mr . Lwastransfem!dtoa Blmabits FmwiryCa,-edoo- ._ ___________ -l tor , and conMCted witha bi-i'C"&I Cornrn\M)'HMlthSpecialist 'flhocouldtninslllteforhim. Thedoc:tofsenthiffltoacancerspe- cialisl lfflO someunes serws Bamabtt.s pstients at no cost, and thetnlnSJatorlMXlOmpanied him<Mif'Cthe specialist'swrns and tests. Mr . l's SRIJfltion t\lfMd out to be so sewf! that Mr . L,. •~ Strategic Areas with his Heelth Specialist transJetor, was taken to the lf' Shands The veryne:n Ollf, Mr . L emergency room . W\derwent swg«}'to • Access to CMe remoYe the dr(enM mass Fl his thrnet. It INS a success! TOCMrf ltY . l is stable and b!Oming radiation ustrMntwith the same • Behavioral Health conwnurwtyhNlthtN'ft -wrthout..tiomMr. Lwouldhawcied withFl1month.AsWl!canseefromMr. L 1 sSlOf)' , coll&:lxn6on, leitdership, and efnpowennenl c.n tNly make• difference in our • Chrooic Disease ""'"'Y - • Maternal & Child Tl'is~R!p:lrl.~11jthl! Health RllrlltlilDepirtmfnlofHNltlliflNEslll CDuntJ'il'l000pffllti0n Wll!IOll!Jwtnm/'ip ror, HNltr.er Nlls5al 8

September 30 th Planning Meeting

PHN Steering Committee with new Health Issues

PHN Steering Committee • Kerrie Albert • Renae Lewin • Barbara Baptista • Eugenia Ngo-Seidel • Adrienne Burke • Valerie Ray • Karrin Clark • Lisa Rozier • Mike Hays • Mary von Mohr * • Wanda Lanier 11

~ ---------------~ - ~ Local Public Health System ▪ Mobilize Community Partnerships + ▪ Evaluate Services ▪ Linking People to Services + ▪ Educate and empower for personal health + ▪ Research/innovations - CHIP Priorities Forces of Change 2019-2021 Community Themes & Strengths ▪ Rapid Expansion - Yulee ▪ Access to Healthcare (hours/cost) ▪ Lack of safe walking paths ▪ Lack of Medicaid Providers Access to Care ▪ Limited resources for ▪ Lack of Specialty Medical Care Behavioral Health/ Substance Abuse Spanish speaking ▪ Lack of Substance Abuse Services ▪ Lack of Affordable Housing Community Support ▪ Lack of Mental Health services ▪ Increased gun violence Health Disparities ▪ Domestic Violence Housing & Safe Places Community Health Assessment ▪ Health disparities (cancer, heart disease, infant mortality) ▪ Health Professional Shortages ▪ Chronic Disease ▪ Increase in Suicide/Baker Acts 12

Guest Speaker State Attorney, Melissa Nelson 13

• .. 2016-2018 Accomplishments • • Mental Health First Aid Trainings • .. • Year 2016 – 363 + 179 = 542 Year 2017 – 1018 + 205 = 1,223 .. .. Year 2018 – 881 + 225 = 1,106 • Total of 2,871 persons trained by Starting Point Behavioral and NACDAC 14

2016-2018 Accomplishments ... ,,_ N assau ,•,:' .fi. TRANS . Powered by Nassau County Council on Aging PASSENGERS SERVED PARATRANSIT TRANSPORTATION PUBLIC GRAND MEDICAID TOTAL + = DISADVANTAGED TRANSIT TOTAL 2013 - 2015 119,887 17,138 137,025 24,276 161,301 2016 - 2018 122,027 1,779 123,806 36,684 160,490 CHANGE 2,140 (15,359) (13,219) 12,408 (811) 1.8% (89.6)% (9.6)% 51.1% (0.5)% 15

Behavioral Community Access Health Your health and the Support To Care health of your community Substance Abuse should not depend on a massive amount of luck. Shifting from Health Housing & Chance to Change …. Disparities Safe Places This chip is your reminder that we count on you to “play” a role on the other CHIP – C ommunity H ealth Play the Game! I mprovement P lan of Nassau County, FL

Priority #1 ACCESS TO CARE 17

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Access to Care Goal 1: Patient Barriers to Care - Transportation Support - Social Media Use

Access to Care Goal 2: Western Nassau Health Needs Western - Create a West Nassau Health Team - Policy recommendation: to expand broadband to support telehealth care. 20

Access to Living Conditions Social Relationshi s Individual Risk Factors Care Goal 3: High Risk/Marginalized Population Health Needs - Facilitate Safety Net Provider Coordination 21

Priority #2 BEHAVIORAL HEALTH & SUBSTANCE ABUSE • 22

Behavioral Health and Substance Abuse Goal 1: Decrease the incidence of suicides in Nassau County Collect data: 1. Medical examiner data – cause of death 2. CHARTS injury data 3. Baker Act Admissions

Behavioral Health and Substance Abuse Goal 2: Create a Trauma-Informed Community Provide education to increase awareness of trauma on child development & health 1. Identify who will be trained 2. Ensure uniformity 3. Training tools 4. Identify trainers

NASSAU COUNTY COMMUNITIES THAT ARE… There, noh Goal is to have…… 21

Priority #3 COMMUNITY SUPPORT 23

Community Support Goal 1: To decrease social isolation among seniors and increase support to caregivers. • Promote community connections/social programs for seniors (Yulee/Westside) • Create social linkage program for teens and seniors • Recruit champions to be leads for the Nassau Age-Friendly in Public Health Initiative.

Age-Friendly Nassau County Initiative Bridging the Years…..Teens and Seniors Mix it Up!

Priority #4 HEALTH DISPARITIES 29

Health Disparities Goal 1: To understand the leading causes of health disparities as it relates to breast cancer, prostrate cancer and colorectal cancer and develop strategies to improve the health status in those areas. • Educate on preventative health care • Expand the faith-based health ministry. 30

--- Equality 27

COlON POlYP$ ANO EARlY COlON CANCER CAN OEVElOP $llENTlY WITHOUT $YMPTOM$, WAITING UNTll $YMPTOM! OCCUR CAN MEAN THE CANCER 1$ MORE ADVANCED ANO lE$$ llKElY TO BE CURABlE,