Tracy Delaney, PhD Executive Director The California Neil Maizlish, PhD, MPH Healthy Places Index Senior Data Advisor Helen Dowling, MPH Project Coordinator Bill Sadler, JD, MURP Director of Operations Launch Webinar June 14, 2018, 10 – 11 AM 1
Your Presenters Tracy Delaney, PhD Neil Maizlish, PhD, MPH Helen Dowling, MPH Bill Sadler, JD, MURP Executive Director Senior Data Advisor Project Coordinator Director of Operations 2
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Public Health Alliance of Southern California OUR VISION All Southern California communities are healthy, vibrant and sustainable places to live, work and play. 8 LOCAL HEALTH DEPARTMENTS • • Long Beach Santa Barbara • • Los Angeles San Bernardino • • Pasadena San Diego • • Riverside Ventura Nearly 50% Of CA Population 5
Public Health Alliance of Southern California Equity and Opportunities for All Healthy Healthy Food and Data in Action Neighborhoods Water Systems Healthy Planet, Healthy People Public Health and Prevention Infrastructure 6
Agenda I. Introduction II. The California Healthy Places Index (HPI) III. Communication Tools IV. Map Demo V. Who’s Using HPI? VI. Expert Services VII. Wrap Up & Live Q&A 7
Purpose of the California Healthy Places Index Develop a tool to support informed prioritization of resources and allocations to areas with less healthy community conditions 8
Social Determinants of Health Centers for Disease Control Neighborhood and Built Environment Economic Health and Stability Health Care Community Conditions Social and Education Community Context 9
Process of Creating the HPI Social Determinants of Health Literature Review Steering Committee: Domains Alliance & BARHII Indicators/ Data Committees, Geographic Unit CDPH, Others Data Sources (TCE & Kaiser Index Production funded) Communication/ User Feedback Dissemination 10
Indicator Selection • Criteria: ▪ Informed by literature ▪ Statewide data publicly available at the census tract ▪ Continuity with HDI 1.1 ▪ Actionable for policy, systems, and environmental change ▪ Optimize association with life expectancy 11
HPI’s Unique Approach • Glaring disparities in life expectancy – 10 or more years within a 20 min. walk • Social determinants of health, including neighborhood conditions, drive these disparities • Life expectancy is empirically integrated into the HPI methodology • Other indices do not have this explicit coupling 12
Life Expectancy at Birth in Los Angeles 13
Index Construction • Indicator scores are standardized (Z score) • Policy Action Area score (mean of indicators) • Policy Action Area weights (predictive of life expectancy) • Final HPI calculated by ▪ Multiplying each policy action area score with its weight ▪ Summing across eight policy action areas: HPI = Economic + Education + Transportation + Social + Neighborhood + Clean Enviro + Housing + Ins 14
HPI Policy Action Areas & Indicators Economic Education Transportation Social Neighborhood Housing Clean Healthcare 16% 8% Environment Access 32% 19% 10% 5% 5% 5% • • Retail Density • Employed* • In Pre- • Two Parent • Low-Income Automobile Access* • Ozone* • School Household Renter Severe Insured* • Park Access • Income Housing Cost • • In High • Voting in Active • PM 2.5* • Tree Canopy* • Above Burden Commuting School 2012 • Diesel PM Poverty* • Supermarket • Low-Income • Bachelor’s Access • Water Homeowner Education Contaminants • Alcohol Severe or Higher* Housing Cost Outlets Burden • Housing Habitability • Uncrowded Housing • Homeowner- ship * Sourced from California Department of Public Health Climate Change and Health Vulnerability Indicators for California 15
Communication Tools: Target Audience Briefs 16
Policy Guides Retail Density ` Employed Ozone Park Access Median Income Fine Particulate Matter Tree Canopy Above Poverty Diesel Particulate Matter Supermarket Access Preschool Enrollment Safe Drinking Water Alcohol Availability HS Enrollment Insured Adults Low-Income Renter Housing Cost Burden Bachelor’s Education Extreme Heat Low-Income Homeowner Housing Cost Burden Automobile Access Impervious Surfaces Housing Habitability Active Commuting Outdoor Workers Uncrowded Housing 2-Parent Households Public Transit Access Homeownership Voting Sea Level Rise 17
Introduction to HPI Map Tool map.healthyplacesindex.org 18
Who’s Using HPI at the State? • Grant Programs – Caltrans: SB 1 Planning Grants: $ 25 Million/ year – 50% to disadvantaged communities – Strategic Growth Council: Transformative Climate Communities – California Transportation Commission: Active Transportation Program • Plans/Guidelines – Governor’s Office of Planning and Research: • General Plan Guidelines • Integrated Climate Adaptation & Resiliency Program: Resiliency Guidebook – California Transportation Commission: Regional Transportation Plan Guidelines • Studies – CDPH - Black Infant Health- Birth Outcomes • Mapping Tools – California State Parks Community Fact Finder 19
Who’s Using HPI in Local Government? • Community Profiles – Los Angeles County Dept. Public Health • Community Health Needs Assessments: – Santa Barbara County – Sutter County • Prioritizing Investments: – Riverside County: prioritization of youth intervention and behavioral health projects, siting of a food distribution center – HEAL-U Strategic Plan for targeting community investments • Data Tools: – SCAG: Active Transportation Database • Accreditation – Data for local health department accreditation 20
Tell Us How You’re Using HPI! HealthyPlacesIndex.org/tell-us/ 21
How We Can Help: Expert Services • There’s a lot you can do for free on the HPI website • Map accounts available for a small fee • If you want to go more in-depth, the Alliance can offer: – Webinars and How-To Guides – Integrating HPI into Plans & Assessments, including: • General Plans • CHA/CHNAs – Generating Reports – Capacity Building – Policy Actions – Grant Application Technical Assistance • Contact us at PHASoCal@PHI.org to learn about how we can help you! 22
THANK YOU! Connect with the Alliance: PHASoCal.org | PHASoCal@PHI.org HPI on the web: HealthyPlacesIndex.org | Map.HealthyPlacesIndex.org 23
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