eplan 2011-2015
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EPLAN 2011-2015. Evanston Project for the Local Assessment of Needs By: Evanston Health Department. Moving Forward. Background. EPLAN – Evanston’s version of the IPLAN IPLAN Conducted every 5 years by local health departments Required for LHD certification - PowerPoint PPT PresentationTRANSCRIPT
EPLAN 2011-2015
Evanston Project for the Local Assessment of Needs
By: Evanston Health Department
Moving Forward
Background
• EPLAN – Evanston’s version of the IPLAN
• IPLAN– Conducted every 5
years by local health departments
– Required for LHD certification
– Based on Assessment Protocol for Excellence in Public Health (APEX-PH)
Evanston Community Needs Assessment
Survey• Conducted in December 2009• Random sample of Evanston
residents• Investigated perceived public health
needs of those residents
Evanston Community Needs Assessment
Survey Results
Most Important Health Problems in
Our Community
Obesity Substance abuseInjury/violence
prevention
Most Important Risky Behaviors in
Our Community
Being overweight Drug abuse Poor eating habits
Most Important Factors for a
Healthy Community
Easy access toaffordablehealth care
Low crime/safeneighborhoods
Good jobs andhealthy economy
1
2 3
Evanston Community Needs Assessment
Survey ResultsHealth Programs needed in Evanston in order of importance:
1) Nutrition services and promotion of physical activity
2) Immunization services3) Mental health services4) Senior services 5) Emergency preparedness 6) Substance abuse prevention7) Family planning services8) Climate change initiatives9) Adolescent health promotion10) Smoking cessation programs
EPLAN Survey
• Conducted during September to December 2010
• Random sample of Evanston residents
• Survey questions adopted from the BRFSS standardized surveys
• Investigated health behaviors and beliefs of Evanston residents
• Residents delayed seeking health care due to cost issues
• High prevalence of hypertension• Low rates of heart attack and stroke
awareness• High prevalence of smoking• High prevalence of alcohol consumption and
binge-drinking patterns• Residents identified multiple reasons for not
exercising regularly• Poor nutritional habits
EPLAN Survey Results
IL Department of Public Health
Evanston
Outside City Limits
Diseases of the Heart 125 1
Malignant Neoplasms 111 4
Chronic Lower Respiratory Diseases 28
Cerebrovascular Diseases 24
Influenza and Pneumonia 22 1
Accidents 15
Diabetes Mellitus 12
Septicemia 11
Alzheimer’s Disease 10
Nephritis, Nephrotic Syndrome, and Nephrosis
7
Parkinson’s Disease 9
Intentional Self-harm (Suicide) 3
Essential Hypertension and Hypertensive Renal Disease
1
EHAC Survey Administration
• Conducted in 2011 via email
• For 21 council members
• Investigated top three health priorities for Evanston– Access to health care– Chronic health
conditions– Physical activity and
nutrition
• Access to Health Care• Chronic Health Conditions• Nutrition and Physical Activity
• Risk and Contributing Factors• Community Health Plan Objectives
and Strategies
Digging Deeper
Access to Health CareRisk and Contributing Factors
Lack of/Inadequate Health Insurance
Lack of Health Care Resources Tailored to
the Unique Needs of the Community
Lack of Health Care Providers/Facilities for
Underinsured and Uninsured
1) Unemployment– Job seekers lacking
necessary skill set– Non-availability of
jobs
2) Socioeconomic status– Lack of education
(e.g. high school dropouts)
– Racial disparities– Poverty– Language and
cultural barriers
1) Disparities in access to health care
– Language and cultural barriers (esp. Hispanic populations)
– Knowledge barriers among low-income minority populations
2) Increasing rates of teenage pregnancy
– Lack of specialized support groups and community health centers for teenagers
– Lower high school graduation rates among minorities
1) Designated medically underserved areas
– Closure of satellite clinics by Cook County
2) Fewer providers accepting Medicaid/Public Aid
– Delayed reimbursement
– Low or no reimbursement
Access to Health Care Community Plan
Outcome Objectives
Impact Objectives
Intervention Strategies
Resources Available
Barriers and Challenges
By 2015, provideaccess tocomprehensive health care services to low-income families
in Evanston
US Census, 2005-2009 ACS Survey• Percentage of families below poverty level:
4.8%
• Percentage ofindividuals belowpoverty level:
9.7%
By 2013, establish
a FederallyQualified HealthCenter to provideprimary healthcare and cater toneeds of 5,516unduplicatedpatients within 2years ofestablishment
• Opening a localsatellite clinic willImprove access• Provision ofumbrella serviceswill reduceperceived
barriers• Home-grownpartnershipspromoteownership ofprograms by thecommunity
• Evanston Health
Department• Erie Family Health Center• NorthShore University Health System• St. Francis Hospital• Local social service agencies
• Transportation• Perceived susceptibility• Perceived
threat• Cues to action
Chronic Health Conditions
Risk and Contributing FactorsTobacco Use Lack of Primary
Prevention EffortsExcessive Alcohol Use
1) Parent smoker– Access to tobacco
products– Addictive nature
2) Peer pressure– Access to tobacco
products– Media
3) Secondhand smoking– Lack of anti-
smoking ordinances
– Poor implementation of existing ordinances
– Work place/public smoking
1) Cost of screening– Lack of/inadequate
health insurance– Transportation
costs– Inherited costs (e.g.
loss of pay)
2) Personal choice– Perceived severity,
perceived threat– Perceived
susceptibility
3) Lack of free/mass screening efforts in the community
– Organizational costs
– Transportation costs
– Poor advertisement
1) Access to alcohol– Parental tolerance– Access to alcohol at
home Poor implementation of law at points of sale
2) Peer pressure– Adult role models
who drink– Glamorization by
media– Social acceptance
Chronic Health Conditions Community
PlanOutcome Objectives
Impact Objectives
Intervention Strategies
Resources Available
Barriers and Challenges
By 2015, reducethe number ofdeaths caused bycardiovasculardisease by 10%
2006 IPLAN data for Evanston• Coronary heartdisease mortalityrates: Crudenumber – 92;Premature (<65)
– 17
By March 2012, increaseparticipation ratein Kick Butts Day by 10%
By March 2013,increase thenumber ofresidents who
quitsmoking by atleast 10%
• Reducing clientout-of-pocketcosts for smokingcessation therapies• Mass mediacampaigns whenused with otherinterventions
• Evanston Health
Department• NorthShore University Health System• St. Francis Hospital• YMCA• PEER Services• NorthwesternUniversity
• Addictive nature
• Secondhandsmoke exposure• Access toproducts
Physical Activity and Nutrition
Risk and Contributing FactorsPhysical Inactivity Poor Nutrition
1) Access to facilities– Cost of working out– Transportation– Poor time management– Bad weather conditions– Availability of parks, walking paths,
and bike routes
2) Behavioral choices– Lack of awareness– Low perceived risk– Television viewing, video gaming,
and computers– Inconsistent efforts
1) Abundance of fast food and junk food– Media– Ease of access– Distorted portion control– Lifestyle/convenience
2) Addictive nature of junk food– High fat content– Food additives– Perceptions regarding comfort food
3) Availability of nutritious food– Cost of fruits and vegetables– Distribution of supermarkets– Seasonal availability
Physical Activity and Nutrition Community
PlanOutcome Objectives
Impact Objectives
Intervention Strategies
Resources Available
Barriers and Challenges
By 2015, reducethe number ofadults who do
notget any exerciseby 10%
BRFSS 2009Suburban CookCountyPercentage of residents whocurrently do not get any exercise:24%
By 2012, increase
the number ofparticipants inWomen OutWalking programby 10%
• Community-wide
campaigns• Social supportinterventions tocommunitysettings
• Evanston Health
Department• City of
Evanston• NorthwesternUniversity• EvanstonChamber ofCommerce• Evanston 150• RotaryInternational• Evanston PublicLibrary
• Bad weather• Poor timemanagement• Cost of gymmemberships
• Evanston Health Department Staff– Bruce Doblin, MD; Carl Caneva; Jonathan Webb; Sree Pilla; Dr. Avinash Pasam; Diane Keenan;
Sandra Waggoner; Robyn Nisi• Evanston Health Advisory Council
– Karen Chavers; Mary Daley; Natasha Deutsch; Kim Fisher; Avery Hart, MD; Delores Holmes; Dr. Edward Hughes; Mary Larson, CSN; Louis Rowitz, PhD; Bonnie Lockhart, RN; Angelique Richard, PhD, RN; Paul Luning, MD, MPH; Woody McCally; Julianne Russell; Mark Schroeder; Marybeth Schroeder; C. Louise Brown; Donald W. Zeiglar, PhD; Judith Simon; Tanille Baaske Smith; Jennifer Vyenielo
• IL Department of Public Health– George S. Rudis, MA, CPHA
• Community Members– John Alexander, MD, Acting Executive Director and Medical Director of Northwestern University
Health Services Evanston Campus– Dr. Kalyan Nadiminti, St. Francis Hospital– Dianne Rucinski, Ph.D, Health Evaluation Collaborative & Institute for Health Research and
Policy– Rebecca Wurtz, MD, MPH, Director of the MPH Program at Northwestern University– Felicia Morgan, Salvation Army Social Services
• Northwestern University Volunteers– Lauren Slubowski; Sana Ali; Sarah Basore; Sophia Blachman-Biatch; Laura Booth; Chelsea
Cooper; Lauren Dawson; Blake Erickson; Allison Finn; Jennifer Hemesath; Jenna Kastan; Ummul-Kiram Kathawalla; Lindsey Kreutzer; Allison Lazarus; Joanne Maliekel; Anna Messier; Marielle Meurice; Kathryn Nathanson; Christopher Oh; Sojung Park; Lakshmi Ramachandran; Alexandra Rivkin; Emily Roskey; Jay Shiao; Ritika Singh; Meera Sriram; Matthew Stephens; Leah Thomas; Sandeep Tummala; Katherine Wang; Alexandra Wong; Teisha Lightbourne; Jessice Gottesman; Katie Raynolds; Swen Hendrickson; Ben Diapola
• Kellie Perkins, Health Director Intern– (757) 329-4005– [email protected]
Acknowledgements
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