10/24/2016 The State’s Health Improvement Plan In order for this to work and for us to make measureable improvements in CT’s health, this is everyone’s plan, not just DPH’s plan! Andrea L. Boissevain, MPH Monday, October 25, 2016 9:00 a.m. – 12:00 pm Today’s Agenda Focus Areas for HCT2020 • Maternal, Infant and Child Health • Environmental Health Provide 10,000 foot view of SHIP • Chronic Disease • Infectious Disease Present work of Environmental Risk Factors Workgroup • Injury & Violence Prevention Focus on Lead work (& what it may mean for you) • Mental Health & Substance Abuse • Health Systems 1
10/24/2016 Overarching Themes SHIP Timeline Health Equity Economic Factors We are almost in Year 2 of implementation! Check Social Factors out DPH’s website: ct.gov/dph/SHIPCoalition for specific progress SHIP Environmental Risk Factors and Health Environmental Action Team Mission: Enhance overall public health by decreasing Judy Dicine (Chief State’s Attorney Office) Marco Palmeri (Plainville-Southington HD) environmental risk factors. Patrick McCormack (Uncas HD) Nancy Brault (Monroe HD) Areas of Concentration Out of these, 3 Objectives were chosen for Edith Pestana (CTDEEP) Phase 1 Implementation Lead Tash Perreault (Eversource) Childhood Lead Poisoning 1. Drinking Water Quality Ryan Tetreault, Carissa Madonna, Chris Roy, Christine Hahn, Suzanne Air Quality 2. Outdoor Air Quality Blancaflor (CTDPH) Healthy Housing Carolyn Wysocki (ECHO/CALBOH) 3. Healthy Homes Ruth Canovi (American Lung Association) Healthy Communities Krista Veneziano (CTDPH) & Andrea Boissevain (CADH/Stratford HD) 8 2
10/24/2016 ENV Formed Sub Work Groups 2016 Action Agenda - ENV Environmental Risk Factors and Health (ENV) Lead Coalition ENV-1 Reduce to less than 2.9% the prevalence rate of children less than 6 years of age with confirmed blood lead levels at or above the CDC reference value (5 µg/dL). Healthy Housing Coalition ENV-5 Increase public awareness of the presence and risk of poor air quality days. (DEVELOPMENTAL) ENV-6 Increase the enforcement of minimum housing code standards through the collaboration and support of code enforcement Outdoor Air Workgroup programs. (DEVELOPMENTAL) 10 Guiding Principles Action Agendas Integrate approach & collaborate with partners Is there at least one policy, Align with national frameworks and existing plans, initiatives system, or environmental Use health improvement approach change included in the Goals (Measurable improvements in population health) strategies? Strategies (Prevention and risk reduction) How can we better focus Employ data-driven objectives & evidence-based strategies on health equity? Keep Health Equity at the fore Balance between scope and depth of focus 11 3
10/24/2016 Format & Organization of SHIP Work Outdoor Air Quality Awareness Workgroup Lead by Carolyn Wysocki (ECHO) & Each workgroup meets 1-2 times/quarter Ruth Canovi (American Lung Association) Co-conveners present progress to SHIP Advisory Council quarterly (& solicit advice) CT DEEP held an informative air DPH conducts full SHIP Coalition conference calls 1-3 quality awareness “primer” in April times/year 2016 Annual Summit is held to draft the next year’s action agendas Still in developmental phase Air Quality Awareness Healthy Housing Coalition Workgroup Workgroup Action Agenda Build a coalition of key stakeholders to tackle awareness Lead by Judith Dicine (Chief State’s Attorney’s Office) Partners include: Develop inventory of current activities in CT that promote CEHA awareness of air quality among key stakeholders and at-risk CAHCEO populations Building Officials Gather data about public perception /knowledge of air quality and Fire Marshals its impact on health Local Health Departments Work with at-risk populations/care providers/etc. on getting the Social Services Departments word out and actions that can be taken 4
10/24/2016 Healthy Housing Action Agenda Lead Coalition Workgroup Lead by Krista Veneziano and Christine Hahn Adopt a statewide property maintenance code Partners include: Local Health CT Housing Finance Authority (CHFA) Establish Incentives for owners to comply with health DCF Training Academy and safety laws OEC Regional Lead Treatment Centers CHN Media awareness campaign of the importance of health Code Enforcements Officials Department of Housing and safety code compliance in housing Lead Coalition Action Agenda Lead Coalition Action Agenda (con’t) Educate families, services providers, advocates and public Encourage local, state, & other federal agencies to share data officials on sources of lead in homes & other child-occupied between health & housing agencies facilities so that lead hazards are eliminated BEFORE children Increase preventive lead-safe housing standards enforcement are exposed for rental& owner occupied housing Promote environmental assessments (inspections and risk Identify financing for lead hazard remediation & lead assessments) to identify and mitigate lead hazards in homes before children demonstrate BLLs above the reference value. abatement for residential 5
10/24/2016 Lead Action Agenda Challenges Next Steps? Developing Key Partnerships for Lead Complete tracking of progress for current year Connecticut Housing Finance Authority Finalize Action Agenda for Year 2 Community Health Network Spread the word — many of us are doing the work anyway Keep the work moving & partners involved Align local action plans (as community needs dictate) with state action agenda — especially for lead Other… QUESTIONS? THANK YOU! 6
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