Sylvia Pirani, Director, New York State Office of Public Health Practice; Donald W. Rowe, Director Office of Public Health Practice, State University of New York at Buffalo, School of Public Health and Health Professions; Robert Furlani, Assistant Regional Director Western Region, New York State Department of Health
At the end of this presentation the participant will able to: Describe the Community Health Assessment (CHA) process Articulate at least 3 benefits of collaboration and partnership Evaluate the potential for extended use of this model Describe at least 3 Prevention Agenda focus areas Identify at least two metric measures for selected goals
State Health Department: Regional Offices District Offices Local Health Departments (LHDs): Full Service: Divisions of Environmental Health and Public Health Nursing Partial Service: Division of Public Health Nursing Only
Map goes here
LHD type 2013 13 2014 14 Full Service* $550,000 + 36% $650,000 +36% Partial Service $406,000 + 36% $500,000 + 36% *Large counties receive a rate of $.55/capita in 2013 and • will receive a rate of $.65/capita in 2014 Remainder of local funding derived from county tax dollars, fees, grants and other external sources
Services include but are not limited to: Environmental Health 30+ programs Public Health Nursing 10+ programs Community Health Assessments
◦ Required in statute ◦ ◦ Performed by the local health departments at regular intervals with mini nimum mum external input ◦ Prescriptive ◦ Part of requirements for state funding ($20,000)
Performed by local health departments as the lead (usually) but with extensive nsive external involvement Focused on the State Prevention Agenda Must also develop a Community Health Improvement Plan linked to CHA Must integrate CHA’s with Hospital Community Services Plans Must meaningfully engage the community Big positive departure from the past
Establishing the assessment team. Identifying and securing resources. Identifying and engaging community partners. Collecting, Analyzing, and Presenting Data. Setting Health Priorities. Clarifying the Issue. Setting Goals and Measuring Progress. Choosing the Strategy. Developing the Community Health Assessment document. Managing and sustaining the process.
Local Community Health Planning Guidance Overview New York State Department of Health Office of Public Health and OHSM January 11, 2013 10
Prevention Agenda Goals and Priorities Goals of Local Community Health Planning 2013 Local Health Departments ◦ Community Health Assessment (CHA) ◦ Community Health Improvement Plan (CHIP) Hospitals ◦ Community Service Plan (CSP) January 11, 2013 11
Call to action to broad range of stakeholders to collaborate at the community level to assess health status and needs, identify local health priorities and plan and implement strategies for local health improvement Goal is improved health status of New Yorkers and reduction in health disparities through increased emphasis on prevention . January 11, 2013 12
Prevent Chronic Diseases Promote a Healthy and Safe Environment Promote Healthy Women, Infants and Children Promote Mental Health and Prevent Substance Abuse Prevent HIV, STDs, Vaccine Preventable Diseases and Healthcare Associated Infections January 11, 2013 13
For each priority, action plans contain: Goals Measurable objectives including some on disparities Evidence based and promising practices sorted by sector and by health impact pyramid. http://www.health.ny.gov/prevention/prevention_agenda/2013-2017/ January 11, 2013 14
Informed by: ◦ NYS PHL Article 6 and Article 28 Requirements ◦ Experience with Prevention Agenda 2008-12 ◦ Public Health Accreditation Standards ◦ Affordable Care Act Guidance intended to facilitate responses to these requirements and promote collaboration. January 11, 2013 15
Community Health Assessment Description of Community ( i.e. Demographics, Health 1. issues ) Identification of major health challenges 2. Succinct summary of assets and resources 3. Documentation of collaborative process and methods 4. Community Health Improvement Plan Identification of at least two community priorities. At 1. least one must address a disparity. 2,4,5 For each priority – goals, objectives, strategies and practices, performance measures (process, outcome) 3. Community stakeholder roles and responsibilities 6. Process used to sustain engagement January 11, 2013 16
Mission Statement 1. Definition of community served 2. Public Participation (i.e. participants, dates, 3. process) Assessment and selection of at least two 4. community priorities. At least one must address a disparity. 3-year plan of action 5. Dissemination of plan to the public 6. Process to sustain engagement 7. January 11, 2013 17
Purpose statement aligned with defined priorities 1. Specific, measurable goals/objectives 2. Tracking measures at implementation and 3. building on lessons learned Use of best practice and/or evidence-based 4. strategies Brief explanation of the collaborative process: 5. assessment, prioritization, criteria for selecting priorities, strategies Description of roles of community partners 6. January 11, 2013 18
Communi mmunity ty Health th Assessment ssment Impr mprove ovement ment Cath. th. Healt alth h Assc Assc. . Asses essin sing/A g/Addressin dressing g Com ommu munit ity Healt alth h Needs eds http:/ p://ww www.cha .chausa.org/Pages sa.org/Pages/Ou /Our_Wo _Work/ k/Commu munit ity_Benef y_Benefit it/A /Ass essing_ ing_an and_ d_Ad Address dressin ing_ g_Com Commun unit ity_Hea y_Healt lth_N h_Nee eeds/ s/ NACC CCHO HO Commu ommunity ity Healt lth Asses essme sment and d Improveme provement Planni nning http:/ p://ww www.na .naccho cho.org/t .org/topic opics/ s/infr infras astr truc uctu ture/ e/CH CHAIP/in IP/index.cfm dex.cfm Dat ata a Re Resources rces NYS DOH Commu ommunity ity Healt lth Indic icat ator Repo ports s http://www ://www.h .heal alth.ny.gov/st th.ny.gov/statis atistics/c tics/chac ac/in indic dicators ators/ Cou ounty Heal alth h Rankin ankings gs www ww.c .countyh yhealt ealthran anking kings.o s.org rg/ Evidenc dence-Bas ased ed /Prom romisi ising ng Practi ctice ces s Re Resour urce ces Guide to Communi munity ty Preve ventive ntive Services ices http http:// //www.the www.thecommuni communityg tyguid uide.org/i e.org/index.html ndex.html January 11, 2013 19
www.health.ny.gov
Objective tive 1-2: : By December 31, 2017, reduce the racial, ethnic and economic disparities in preterm birth rates in NYS by at least 10%. Track cking ing Indic icators ators Percentage of births that are premature: o All births. ( Target: 10.2%; Baseline: 11.6%; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county) o Ratio of Black non-Hispanic preterm birth rate to White non- Hispanic preterm birth rate. ( Target: 1.42; Baseline: 1.58; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county) o Ratio of Hispanic preterm birth rate to White non-Hispanic preterm birth rate. ( Target: 1.12; Baseline: 1.24; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county) o Ratio of Medicaid preterm birth rate to non-Medicaid preterm birth rate. ( Target: 1.0; Baseline: 1.10; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county)
Goal #4: I Increa ease se the proporti ortion on of NYS children en who receive ve comprehens ensive ve well-chi we hild-care e in ac accordance ce wi with AAP P guidelin elines es Objective ve 4-1: 1: By December 31, 2017, increase the percentage of children ages 0-15 months, 3-6 years and 12-21 years who have had the recommended number of well-child visits among NYS Government sponsored managed care health insurance programs by 10%. Objective ve 4-2: 2: By December 31, 2017, increase the proportion of NYS children who receive key recommended preventive health services as part of routine well-child care by at least 10%. Objective ve 4-3: By December 2017, increase the percentage of children ages less than 19 years with any kind of health coverage to 100%. Tracking Indicators ors Percentage of children ages 0-15 months, 3-6 years and 12-21 years who have had the recommended number of well-child visits among NYS Government sponsored managed care health insurance programs. ( Target: 76.9%; Baseline: 69.9%; Year: 2011; Source: NYSDOH Office of Patient Quality and Safety; Data Availability: State, county) The percentage of children ages less than 19 years with any kind of health coverage. ( Baseline: 94.9%, Year: 2 010, Source: U.S. Census Bureau, Small Area Health Insurance Estimates; Data Availability: State, county
Cross Border Conference Western New York Public Health Alliance, Inc. S2AY Rural Health Network P2 Collaborative CJS Grant
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