Destination 2027 Steering Committee Meeting April 16, 2018
• Exploring Equity through Data AGENDA • Health Equity Definition th 2018 April 16 th 2018 • Local Public Health System - Key Findings • Wrap-Up and Next Steps
Exploring Equity through Data Reuben K. Varghese MD MPH Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Activity • Partner up with someone different (new or want to know better) • You have about 15 minutes to wander around to review the 4 data points on posters (any order is fine) - there are 2 sets (one on each end of the room) to lessen the crowding • Use the handout to capture your discussions as you peruse the data • At 3:25, return to seats for a large group discussion
Exploring Equity through Data – discussion questions to explore with your partner • What strikes you about this data? • Does it relate to your work? • In what ways does it show up in your work? • In what ways does it show up in Arlington? • What do you know about these populations? • Do you have ideas on what may contribute to what you are seeing?
Exploring Equity through Data – Larger Group Discussion Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Life Expectancy At Birth, 2009-2013 Data Source: Northern Virginia Health Foundation
Percent of Children in Poverty, Arlington County 18 17 16 14 12 Percent 10 8 8 6 5 4 2 0 All Black or African American White Data Source: 2018 County Health Rankings, Virginia
Teen Birth Rate (Per 1,000 Arlington Females Ages 15-19 Years) 35 33 30 Birth Rate Per 1,000 Females 15-19 Years 25 20 15 13 12 10 3 5 0 Overall Black or African Hispanic White American Data Source: 2018 County Health Rankings, Virginia
Years of Potential Life Lost Before Age 75 Years (Per 100,000 Arlington Population) YPLL Before Age 75 Years Per 100,000 Population 7,000 6,500 6,000 5,000 4,000 3,000 3,200 3,100 2,500 2,000 1,000 0 Overall Black or African Hispanic White American Data Source: 2018 County Health Rankings, Virginia
Health Equity Definition Reuben K. Varghese MD MPH Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Share your views on Health Equity: Health Equity Definition – What does health equity Table Discussion mean to you? – What might a 30-second elevator speech sound like? – Can we agree on RWJF definition?
"Everyone has a fair and just opportunity to be as healthy as possible." - Robert Wood Johnson Foundation
2017 Local Public Health System Assessment (LPHSA) Destination 2027 Team – ACPHD Staff
Community Health Improvement Process Information Gathering Actions Strategic Issue • Monitoring and Area Development Evaluating Implementation Plan
Information Gathering Assessment Community Perspective Purpose Community Themes Perceptions of people who live, work and What is important to community? February and Strengths play in Arlington What are community strengths, health issues, areas for improving quality of life? Community Health Population-based status and outcomes How healthy is community? March Status (health, well-being, social determinants) What parts of our community experience different/worse health? Local Public Health System capacity and performance to deliver What parts of our system perform well? April System Performance essential public health services What does system need to improve? Forces of Change Opportunities and threats to improving What forces are present that improve or Feb. - April health in Arlington – can be political, worsen Arlington's health or opportunities economic, legal, policy, social, technological, for improving health? environmental, scientific, ethical
What is the Arlington Local Public Health System? ALL OF US
What does the Local Public Health System Evaluate?
Core Function (3) • Assessment • Policy Development • Assurance Essential Service (10) LPHSA Key Findings Model Standards (30) Performance Measures (108)
LPHSA Process & Results Top 5 and Top 1 Model Importance Standard(s) Performance
Result Categories for LPHSA Model Standards P I I P P I P I Quadrant A Quadrant B Quadrant C Quadrant D High Importance High Importance Low Importance Low Importance Low Performance High Performance Low Performance High Performance I Importance P Performance
Result Categories for LPHSA Model Standards Quadrant A Quadrant B Quadrant C Quadrant D High Importance High Importance Low Importance Low Importance Low Performance High Performance Low Performance High Performance
Performance- 2007 and 2017 LPHSA Among Top-Tiered Model Standards 2007 2017 Change in Final Tier in Model Standards Performance Performance Score from 2017 LPHSA Score Score 2007-2017 Process -6.3 1 7.2 Assure Linkage 56.3 50.0 Not in 2 2.2 Emergency Response 100.0 n/a 2007 LPHSA 25.0 2 4.2 Community Partnerships 25.0 50.0 -6.3 2 9.1 Evaluation of Population Health 56.3 50.0 33.3 3 2.1 Identification/Surveillance 58.3 91.7 -41.7 3 3.2 Health Communication 66.7 25.0 6.3 3 4.1 Constituency Development 43.8 50.0 3 = 0.0 5.4 Emergency Plan 100.0 100.0
LPHSA Work Session: Large Group Discussion Facilitators: Destination 2027 Team – ACPHD Staff
Reviewing LPHSA Key Findings - Discussion • What do the following mean to you (how would you describe them) : • Assuring Linkages • Community Partnerships • Evaluation of Population Health • Investigation and Response to Public Health Threats and Emergencies
Reviewing LPHSA Key Findings - Discussion • Who is working in these areas? • Assuring Linkages • Community Partnerships • Evaluation of Population Health • Investigation and Response to Public Health Threats and Emergencies • What forces of change or status quo might present either an opportunity or challenge to improving in these performance areas? • (Time permitting) What needs to improve in these areas?
Wrap-Up Next meeting will be Monday May 21 st – 3:00 pm to 5:30 pm Refreshments at 2:30 pm
To prepare for our May 2018 Meeting • Continue the health equity conversation with others – look for another data point coming to your inbox • Practice your elevator speech or start to create a new one and try it out on colleagues, neighbors, friends
END OF PRESENTATION
2018 County Health Rankings: Health Outcomes
2018 County Health Rankings: Health Factors
Information Gathering Assessment Community Perspective Purpose Community Themes Perceptions of people who live, work and What is important to community? and Strengths play in Arlington What are community strengths, health issues, areas for improving quality of life? Community Health Population-based status and outcomes How healthy is community? Status (health, well-being, social determinants) What parts of our community experience different/worse health? Local Public Health System capacity and performance to deliver What parts of our system perform well? System Performance essential public health services What does system need to improve? Forces of Change Opportunities and threats to improving What forces are present that improve or health in Arlington – can be political, worsen Arlington's health or opportunities + - economic, legal, policy, social, technological, for improving health? environmental, scientific, ethical
Integrating information across assessments: Stringing the Beads Assessment Bead Issue (Theme) CTSA CHSA LPHSA FOC CTSA Mental + Health CHSA Dental - Health LPHSA Better + - + Collaboration Access FOC + + - - to care +
CORE PRIME People must agree on People must agree on the current situation a cogent vision of the as it really is. future they desire. STRATEGY TO BE AS IS People must agree on how to break out of the AS IS and chart an irreversible course toward the TO BE. ENVIRONMENT People must agree on what’s happening People must agree on around them, which what’s at stake if they they’re unable to affect, stay where they are but which will affect STAKE and don’t change. them.
Ground Rules • Stay present (phones on vibrate/silent, limit side conversations) • Speak one at a time • Be open to new ideas, welcome all perspectives • Step up / step back • Allow the facilitator to move the conversation along • Not all the information will be available we will decide on the best available information • Come prepared to participate
Framework for Evaluating Data Colleen Ryan Smith
Homework Guid ide – Guide to review assessment reports List Key Findings You Identify in Assessment For each key finding, is there a disparity (health inequity)? If yes, move on to step 3. If no, stop here and start the next issue- this issue is completed. What are the specific groups that are impacted by this disparity? How does the current environment either support or present challenges or barriers to systems change? What fundamentally needs to change in the system (or systems) to move towards health equity?
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