Helping Populations and Communities Improve Their Health 6/1/2016 - PowerPoint PPT Presentation

Helping Populations and Communities Improve Their Health 6/1/2016

Helping Populations and Communities Improve Their Health County Health Improvement Plan Muntu Davis, Department Director and County Health Officer 6/1/2016 2

Why develop a County Health Improvement Plan (CHIP)? I am asking you. 6/1/2016 3

The basic structure of and idea for the CHIP is straightforward. • 5-year Plan – 3-5 Priorities for health improvement – 3-5 Indicators of success for each Priority – Action Plans • Strategies • Partner roles identified and accepted • Performance Measures – Quarterly Review by Action Teams after Implementation 6/1/2016 4

Throughout the assessment and planning process, we keep to the following. • Health equity focus • Lifespan perspective • Engage groups most impacted by health inequities • Population diversity by languages and cultures • Geographic inclusion • Community voice remains at the forefront 6/1/2016 5

The overall process for developing the County Health Improvement Plan (CHIP) is below. 1. Review existing data 5. Meet with each City and reports other organizations to educate about and partner 2. Conduct focus groups on implementing the plan 3. Identify the top three 6. Track progress of the priorities for improving implementation plan every health (Get consensus 3-4 months among all focus groups) 4. Convene diverse Action Teams to develop and monitor an implementation plan with indicators and strategies to achieve each priority

Review existing data reports, planning documents, and presentations. 62 health data, community health assessment, and place matters/health equity reports/documents (24 within 5-year date requirement¹, 3 with no date) 23 community initiative, collaborative, assessment, and survey reports/documents/presentations (16 within 5-year date requirement¹) 14 special populations reports/documents (8 within 5-year date requirement¹) 3 special subject matter topic reports/documents (1 within 5-year date requirement¹) ¹ Means date of data used in the report/document/presentation not the date of the report/document/presentation itself. 7

After the review, we determined that there is a need for… Use of methods Greater emphasis placed on More in-depth that document the using data to develop, critical health status of all implement and measure analyses populations interventions “evidence- conducted based” methods “beyond Strategies that the tip of the streamline work iceberg” A concerted and partner effort to involvement hear from and engage hidden Showcasing successes Recommendations community “improvements in processes that are developed voices in and changes in outcomes” with due health equity that can be tracked back to consideration work program activities 8

Alameda County Public Health Department Community Themes and Strengths Assessment Process and Summary October 8, 2014 Mia Luluquisen, DrPH, MPH, RN and Barbara Green-Ajufo, DrPH, MPH

The process used by the community focus groups to determine their priorities. Community Vision of a Healthy Issues and Concerns Community Community Priorities Community Strengths 6/1/2016 10

Community priority consensus meeting from October 4, 2014 Access to Quality, Culturally Invest In and Honor Promote Safe & Accessible, Affordable, Support Economic Create Youth & Engage Resi-dents Improve Clean Air Compe-tent Health Care Diverse Cultural Needs Violence Free Safe, Quality Housing Independence Family Programs in Solving and Streets Communities Problems o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o Accessible, Affordable, Support economic Create youth and Engage residents in Improve clean air and • • • Access to quality, culturally Invest in and honor Promote safe Safe Quality Housing independence family solving streets * competent healthcare diverse cultural needs and violence programs problems free Access to affordable Economic development Monitor and enforce air • • Access to healthy, mental health Celebrating diversity communities housing and justice Education (K-12) + Greater accountability water and land & support services for everyone through cultural • (provider of Public quality Improve clean competence, Support and sustain equitable Develop local business and training) Health and • air and streets * Accessible medical, health & acceptance, respect and affordable housing job opportunities government Accessible, alternative social services with emphasis on and accountability and public most vulner-able (i.e., uninsured, Diversify and increase transportation • undocumented, disabled, Engaging youth in funding streams to improve air indigenous communities, limited self-expression quality income, Eng. proficiency, • Increase and support homeless, SMI, senior, LGBTQI, Entered twice to reflect existing culturally children, women) different aspects – one competent services environment, the second • Women & children’s health • safety Improve support for seniors 6/1/2016 12

After the CHIP Advisory and community members met, top priorities were… • Accessible medical, dental and mental health care that is high quality, comprehensive, affordable, culturally and linguistically appropriate and supports good health and the expectation for all to live a full and productive life. • Community economic development that supports the ability of all residents, regardless of race/ethnicity or place of residence, to pay for all of their basic needs (including housing, food, transportation, healthcare, and childcare) and build wealth. • Community and Public Safety that ensures crime and abuse prevention, neighborhood safety and communities are resilient to disasters and emergencies. 6/1/2016 13

The “indicators of success” for each health improvement priority are… Team #2 – Community Economic Team #1 – Access to Care Development • % with health insurance • % persons in poverty coverage • % with high school or greater • % with usual source of care education • Avoidable emergency • Housing Burden department visit rate – % paying 50 percent or more for housing Preventable hospitalization • – % paying 30 percent or more rate for housing Team #3 – Community and Public • Employment rates Safety • Violent crime rate • High school graduation rate • Employment rates

Here’s what the Action Teams will do over the next few months… • Hear an overview of the SPUR’s Economic Prosperity Report and our Report of Evidence for Community Safety • Agree on health indicators for the Plan suggested by our department. • Finish creating a list of WHAT WORKS to improve. • Prioritize that list of strategies for the ACTION PLAN. The Department will write, distribute, and track progress on the final County Health Improvement Plan. 6/1/2016 15

We’ll prioritize the list of strategies for the Action Plan using the following criteria. Specificity ? Specificity Leverage Leverage Leverage Values Values ? Feasibility ? Feasibility 9 6/1/2016 16

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

Thank you… Any questions? 6/1/2016 18