Median Life expectancy % Bachelor's No vehicle Census tract household at birth degree or more available income 73.1 14% 23% Greenfield (east of I91 south of downtown, & Deerfield St) 414 $35,924 $32,582 Greenfield (downtown) 413 76.1 25% 13% Orange (northeast and center) 405.01 76.9 14% $44,648 15% Orange (remaining town) 405.02 78.2 20% $40,682 6% Montague (Turners Falls) 407.01 78.7 23% $43,100 16% Greenfield (west of I91) 410 79.2 36% $72,500 4% Greenfield (Pierce to Silver Street) 412 79.6 39% $54,909 8% Greenfield (east of I91 north of downtown, & High St) 411 80.4 41% $68,393 8% Bernardston, Gill, Leyden 402 81.1 37% $66,764 4% Northfield 403 81.5 38% $69,028 4% Erving, Warwick, Wendell 404 81.6 28% $58,571 4% Deerfield 409 82.3 55% $78,949 3% Buckland, Shelburne 415.02 82.9 44% $53,500 5% Montague (remaining town) 407.02 83.4 32% $60,444 6% Charlemont, Colrain, Hawley, Heath, Monroe, Rowe 401 84 30% $54,308 4% Sunderland, Whately 408 84.7 53% $61,146 6% $81,458 Ashfield, Conway 415.01 85.5 55% 2% 86.6 61% 2% Leverett, New Salem, Shutesbury 406 $80,795
Health equity “Health equity means that everyone has a fair and just opportunity to be healthier….” “…This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.”
PART THREE: THE BAYSTATE FRANKLIN COMMUNITY HEALTH ASSESSMENT
What is a Community Health Assessment?
What kind of data is going into this Health Assessment? • Department of Public Health data • School data • State Healthy Aging Report • Partner reports from our region • Health Equity data • Focus groups • Interviews • You!
PART FOUR: TABLE WORK!
First Question: What are the top 3 most pressing health needs in your community? – And who do they impact the most? People in a certain place? Of a certain age? – Table facilitators bring answers to front of room
Second Question: Choose a strategy from the 2017-2020 CHIP priority list for the Network to focus on in 2019.
Results of Table Work Questions?
Join us in 2019! Tuesday, March 26 9-11 AM: County Health Rankings for 2019 2019 CHIP Progress Review meetings from 9-11 AM at Olver Transit Center • Tuesday, April 30 • Tuesday, July 30 • Tuesday, November 26 Community Health Assessment: https://www.facebook.com/westernmachna/ Report Release: Summer 2019 www.frcog.org/chip
Community Health Improvement: Progress in 2018 and Plans for 2019 Franklin County/North Quabbin Community Health Improvement Plan (CHIP) Network Meeting 1/29/19
Today’s Agenda: Four Parts • 2018 Progress Review • Health Equity Data for our region • Community Health Assessment Update • Your Input and Ideas!
CHIP MISSION The Community Health Improvement Plan will: identify priority health needs and disparities and the • factors that contribute to them; build on our strengths by identifying current • resources in the community to address priority health issues; identify the most effective strategies for addressing • the priority health needs; reduce gaps and duplication in services; and • increase our collective ability to secure resources to • improve health in our region.
CHIP VISION All residents of Franklin County and the North Quabbin Region have the opportunity to pursue healthy lifestyles and achieve social, emotional, physical, and spiritual well- being; and to participate in shaping the systems that affect their health.
CHIP STEERING COMMITTEE
Factors that Impact Health
Another image..
PART ONE: PROGRESS IN 2018
OUR 2018 PRIORITIES
Recorder Photo
2018 CHIP Plan Progress: Clinical Care • State Community Health Worker and Recovery Coach Certifications… and Supervisor Training • School Dental Program Growing • Dental at the Emergency Department at BFMC • Concerns: fluoride varnish in medical practices, funding for Chronic Disease Self-Management groups, lack of access to Methadone, especially in North Quabbin.
252 Residential Treatment Beds 32 detox beds – Franklin Recovery Center (BHN) • 32 CSS beds – Northern Hope (BHN) • DLM1 16 coed detox beds for substance use and mental • health disorders – Mowry Building (BHN)* 32 coed diversion ATS beds – (BHN)* • 25 beds for women – Two Rivers Recovery Center • (CHD) 17 residential recovery beds for men – Orange • Recovery House (ServiceNet) 28 coed residential recovery beds – Beacon • Programs (ServiceNet) 8 residential recovery beds for men – Cass Farm • (GAAMHA) 22 coed residential recovery beds for substance use • and mental health disorders – Naukeag at Prescot (McLean) 12 residental re-entry beds for men – Kimball House • (FCSO) 28 bed mininimum sercurity treatment center – • Franklin County Sheriff’s Office (FCSO) 12
Slide 12 DLM1 Add GAAMHA and McLean logos Debra McLaughlin, 12/11/2018
19 17 4 13 Number of Fatal Opioid-Related 4 10 10 Overdoses in Franklin 9 8 County/North Quabbin 35 5 For 2017-2018, additional cases are still being confirmed by 25 22 the Office of the Chief Medical Examiner. 2018 data as of November 20, 2018, includes Athol (NWDA). 15 2012 2013 2014 2015 2016 2017 2018 13
2018 Progress: Social and Economic Factors • Increase to Minimum Wage • Paid Family and Medical Leave law • Pregnant Worker Fairness Act • Nurturing Families groups • Concerns: Fair Share Amendment, Hands-Free Cell phone law
Recorder Photo
2018 Progress: Health Behaviors • Diabetes Prevention at YMCAs • New Parks and Trails • Breastfeeding Support • School Prevention Education • School Nutrition Project Concerns: Tobacco (and Vaping) Cessation, Youth and Marijuana Legalization
Evidence-Based Substance Use Prevention Curriculum LifeSkills: 30 class sessions spread over 3 years of middle school All Franklin County school districts implementing 75% of local students are participating in Year 1 of the program 50% of local students are participating in Year 2 of the program 45% of local students are participating in Year 3 of the program Student pre-post-tests measuring gains in knowledge and attitudes Teen Health Survey measuring reductions in youth drug & alcohol use Next step: PreVenture Pilot?
School Nutrition Technical Assistance Consultancy $ 10K Award from County Health Rankings and Roadmaps/Robert Wood • Johnson Foundation Conversations with all Food Service Directors in Franklin County/North • Quabbin Site visit to one school per district to observe lunch prep and service • Report provided to each school • Met with Superintendents December 2018 • to share regional recommendations Selected two recommendations to cover in • January 2019 School Food Service Workshop and Networking Session 20
Recorder Photo
2018 Progress: Physical Environment • Housing Rehab funds awarded to Orange (high priority) and other towns. • Complete Streets Redesign of roads in local towns • Concerns: loss of staff in Greenfield Health Department, MassRides closure, Housing Rehab in Charlemont/Hawley/Heath, State Transit funding, need for more sober housing
Status of Complete Streets Work in Franklin County • Policy, Plan and Funding : Sunderland, Greenfield, Montague, Whately • Policy and Plan: Buckland, Orange, Deerfield, Colrain
Housing Rehabilitation Progress • CDBG funds came to: – Greenfield, Montague, Orange, Leverett, Sunderland, Conway, Deerfield • 31 units rehabbed – for $840,000 • New affordable units and sober housing in Greenfield • Plans underway for senior housing in Sunderland • Major impediments include regulations, building a waitlist, and completing paperwork with applicants.
Current and Potential Sober Housing Units in Our Region 2 beds – 315 Deerfield Street, Greenfield (Greenfield Housing Authority) 8 beds – 317-319 Deerfield Street, Greenfield, (Greenfield Housing Authority) 6 beds for single women – 40-42 Cedar Street, Greenfield (SAGE/GAAMHA) 8 beds – 28 Russell Street, Greenfield (Could be acquired) 4 beds – 23 Pond Street, Greenfield (Could be acquired) 25 .
2018 Progress: CHIP Organization is Growing Up! • Grant Funding from Baystate Health • Membership • Community Voices Mini-Grants
PART TWO: HEALTH EQUITY DATA FOR FRANKLIN COUNTY/NORTH QUABBIN
Health Equity “Health equity means that everyone has a fair and just opportunity to be healthier….” -- Robert Wood Johnson Foundation
% of population experiencing 15+ poor health days in the past month (MA) 22% 21% 13% 13% 13% 11% 10% 10% 10% 8% 5% 5% Hisp/Latinx Black?Afr Amer White <high school high school grad 1-3 yrs college college grad <$25000 $25000--$34999 $35000--$49999 $50000--$74999 $75000+ race/ethnnicity education income MA BRFSS, 2016, https://www.mass.gov/behavioral-risk-factor-surveillance
Median household income by race/ethnicity - Franklin County $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 white black/AfrAmer Hispanic/Latinx US Census Bureau, American Community Survey, 2013-2017
MA hospitalizations per 100,000 population, by race/ethnicity 350 350 350 300 300 300 250 250 250 200 200 200 150 150 150 black/Afr Amer. black/Afr Amer. black/Afr Amer 100 100 100 Hisp/Lat. Hisp/Lat. Hisp/Lat. 50 white 50 50 white white 0 0 0 long-term asthma, children hypertension, adults complications of ages 2-17 age 18 and over diabetes, adults Agency for Healthcare Research and Quality, https://www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
Place matters!
Rural vs urban New England % rural death rates exceed urban death rates in New England Suicide 60% Unintentional injuries 29% Diabetes 26% Alzheimer's 22% Cerebrovascular diseases 15% Heart disease 8% Malignant neoplasms 5% Center for Rural Health, University of North Dakota https://ruralhealth.und.edu/projects/health-reform-policy-research-center/rural-urban-mortality
Life expectancy at birth Franklin County 90 86.6 85 80 75 73.1 70 65 414 413 405.01 405.02 407.01 410 412 411 402 403 404 409 415.02 407.02 401 408 415.01 406 Centers for Disease Control and Prevention, https://www.cdc.gov/nchs/nvss/usaleep/usaleep.html
Median household income Franklin County $81,458 $80,000 $60,000 $40,000 $32,582 $20,000 $0 413 414 405.02 407.01 405.01 415.02 401 412 404 407.02 408 402 411 403 410 409 406 415.01 US Census Bureau, American Community Survey, 2013-2017
Educational attainment by census tract Franklin County % Bachelor's degree or more 80% 61% 60% 40% 20% 14% 0% 414 405.01 405.02 407.01 413 404 401 407.02 410 402 403 412 411 415.02 408 409 415.01 406 US Census Bureau, American Community Survey, 2013-2017
% occupied housing units with no vehicle available - Franklin County 23% 20% 10% 2% 0% 414 407.01 405.01 413 411 412 407.02 408 405.02 415.02 402 403 410 404 401 409 406 415.01 US Census Bureau, American Community Survey, 2013-2017
Median Life expectancy % Bachelor's No vehicle Census tract household at birth degree or more available income 73.1 14% 23% Greenfield (east of I91 south of downtown, & Deerfield St) 414 $35,924 $32,582 Greenfield (downtown) 413 76.1 25% 13% Orange (northeast and center) 405.01 76.9 14% $44,648 15% Orange (remaining town) 405.02 78.2 20% $40,682 6% Montague (Turners Falls) 407.01 78.7 23% $43,100 16% Greenfield (west of I91) 410 79.2 36% $72,500 4% Greenfield (Pierce to Silver Street) 412 79.6 39% $54,909 8% Greenfield (east of I91 north of downtown, & High St) 411 80.4 41% $68,393 8% Bernardston, Gill, Leyden 402 81.1 37% $66,764 4% Northfield 403 81.5 38% $69,028 4% Erving, Warwick, Wendell 404 81.6 28% $58,571 4% Deerfield 409 82.3 55% $78,949 3% Buckland, Shelburne 415.02 82.9 44% $53,500 5% Montague (remaining town) 407.02 83.4 32% $60,444 6% Charlemont, Colrain, Hawley, Heath, Monroe, Rowe 401 84 30% $54,308 4% Sunderland, Whately 408 84.7 53% $61,146 6% $81,458 Ashfield, Conway 415.01 85.5 55% 2% 86.6 61% 2% Leverett, New Salem, Shutesbury 406 $80,795
Health equity “Health equity means that everyone has a fair and just opportunity to be healthier….” “…This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.”
PART THREE: THE BAYSTATE FRANKLIN COMMUNITY HEALTH ASSESSMENT
What is a Community Health Assessment?
What kind of data is going into this Health Assessment? • Department of Public Health data • School data • State Healthy Aging Report • Partner reports from our region • Health Equity data • Focus groups • Interviews • You!
PART FOUR: TABLE WORK!
First Question: What are the top 3 most pressing health needs in your community? – And who do they impact the most? People in a certain place? Of a certain age? – Table facilitators bring answers to front of room
Second Question: Choose a strategy from the 2017-2020 CHIP priority list for the Network to focus on in 2019.
Results of Table Work Questions?
Join us in 2019! Tuesday, March 26 9-11 AM: County Health Rankings for 2019 2019 CHIP Progress Review meetings from 9-11 AM at Olver Transit Center • Tuesday, April 30 • Tuesday, July 30 • Tuesday, November 26 Community Health Assessment: https://www.facebook.com/westernmachna/ Report Release: Summer 2019 www.frcog.org/chip
Community Health Improvement: Progress in 2018 and Plans for 2019 Franklin County/North Quabbin Community Health Improvement Plan (CHIP) Network Meeting 1/29/19
Today’s Agenda: Four Parts • 2018 Progress Review • Health Equity Data for our region • Community Health Assessment Update • Your Input and Ideas!
Recommend
More recommend
