hamilton county public health€¦ · community health improvement planning is a two-step process....
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Page IIHAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
HAMILTON COUNTY PUBLIC HEALTH
JUNE 2015Community Health Improvement Plan
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage I
MISSION
VISION
Hamilton County Public Health educates, serves and protects our community for a healthier future.
Healthy choices.Healthy lives.
Healthy communities
Hamilton County Public Health250 William Howard Taft Rd.
2nd Floor,Cincinnati, Ohio 45219
Hamilton County Board of HealthTracy A. Puthoff, Esq., President
Mark Rippe, Vice PresidentThomas Chatham
Kenneth Amend, M.D.Jim Brett
Hamilton County Health CommissionerTimothy Ingram, M.S.
Page IIHAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
TABLE OF CONTENTS
Background...............................................................................................1
The Community Health Assessment....................................................2
The Community Health Improvement Plan........................................3
Appendix A..............................................................................................17
Appendix B..............................................................................................23
Appendix C..............................................................................................24
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 1
HCPH Jurisdiction
FIGURE 1: HAMILTON COUNTY PUBLIC HEALTH JURISDICTIONS
Hamilton County Public Health
Range
Hamilton County Public Health
Median
Hamilton County Ohio
Per Capita Income $15,740 - $91,697 $28,164 $29,295 $25,659
Poverty 2% - 30% 7% 17% 15%
Child Poverty 1% - 55% 14% 24% 19%
Educational Attainment
Less than High School Graduate 1%-35% 9% 12% 12%
High School Graduate (Or Equivalent) 4% - 54% 30% 28% 35%
Bachelor’s Degree or Higher 3% - 82% 34% 33% 25%
Uninsured 1% - 29% 9% 11% 12%
Unemployed 3% - 20% 7% 9% 9%
Average Life Expectancy 69 - 87 Years 78 Years 77 Years 78 Years
TABLE 1: HAMILTON COUNTY PUBLIC HEALTH SOCIOECONOMIC DEMOGRAPHICS
Hamilton County Public Health (HCPH) was established in 1919 and provides public health services for 45 of the 48 political jurisdictions within Hamilton County, Ohio shown in Figure 1. Through it’s 82-member team it addresses the well-being of residents through a community-focused approach, the examination of health and disease trends, healthcare coordination, inspections, education and by providing assistance to help communities cope with emergencies.
The demographics of the jurisdictions served are varied. Populations range from small villages with 745 residents to large townships with 58,499 residents. More importantly, there are wide-ranging differences in health indicators, shown in Table 1. Place Matters. Health is influenced not only by the choices we make, but also by where we live, learn, work and play. This understanding informed the approach used by HCPH as it developed the Community Health Improvement Plan (CHIP).
Community health improvement planning is a two-step process.Step 1. A community health assessment (CHA) is conducted. The CHA uses quantitative
and qualitative methods to systematically collect and analyze data in order to better understand health within a specific community.
Step 2. A CHIP is then developed. This plan addresses public health problems identified in the CHA. It is used by public health and community partners in order to set priorities and coordinate and target resources. It also establishes accountability to ensure that measurable health improvements are made.
BACKGROUND
Page 2HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Hamilton County
FIGURE 2: SOUTHWEST OHIO AND SOUTHWEST INDIANA COUNTIES
The report “A.I.M. for Better Health: A Regional Community Health Needs Assessment for Southwest Ohio and Southeast Indiana” was developed in 2012. For the purposes of this report, it will be referred to as CHA. It was a collaborative effort between public health, hospitals, not-for-profits, and foundations. The CHA serves as the baseline of the health status of nine counties: Adams, Brown, Butler, Clermont, Hamilton, Highland, and Warren in Southwest Ohio, and Dearborn and Ripley in Southeast Indiana, shown in Figure 2.
The CHA is accessible to be viewed at:http://www.gchc.org/newsletter/Community_Health_Needs_Assessment.pdf
THE COMMUNITY HEALTH ASSESSMENT
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 3
After reviewing the CHA primary research which was provided by interviews, group level assessments and community surveys, and the secondary research which referred specifically to Hamilton County, four common themes evolved. Those themes were:
• Healthy behaviors, • Prevention, • Moving from culture of sick care to culture of wellness • Collaboration and community.
HCPH had been working to increase healthy behaviors in communities since 2009 through its WeTHRIVE! Initiative (http://www.watchusthrive.org/). HCPH engaged schools, businesses, churches, elected officials and residents in order to address chronic disease by increasing access to healthy food and physical activity opportunities, while at the same time decreasing exposure to secondhand smoke.
However, in early 2013, two things happened. First, due to staffing and budget changes, the WeTHRIVE! Initiative was in transition and HCPH started an in-depth review of the CHA in order to begin CHIP development. Secondly, HCPH realized that the common themes identified in the CHA were connected to our mission and vision and could be addressed through a revitalized WeTHRIVE! Initiative.
During 2013, we revamped the WeTHRIVE! Initiative, increasing the number of pathways from one (Chronic Disease only), to four: Chronic Disease, Community Health, Environmental Health, and Emergency Preparedness (Appendix A). Information from the CHA would directly shape the Chronic Disease, Community Health and Environmental Health pathways. HCPH knew that the time needed to complete pathways would vary from community to community based on political will, strategies selected, capacity, interest, and resources available. While it is not a quick fix to health problems, HCPH felt the WeTHRIVE! Initiative would bring meaningful changes that would last for generations.
In March 2014, HCPH introduced the WeTHRIVE! Initiative to the 45 jurisdictions in its service area. The response was overwhelmingly positive. By the end of 2014, 18 jurisdictions had agreed to participate by signing resolutions. Wellness committees were immediately established. HCPH staff began working through pathways selected by communities. Having received approval of this approach from stakeholders, the next step was to present it to community partners.
On May 14, 2014 the CHIP was presented to the Public Health Advisory Council (PHAC) (Appendix B). The PHAC (Appendix C) is part of the WeTHRIVE! Initiative and in place not only to review the CHIP, but also take part in its implementation. The latter could be done through staff assignment to a pathway, in-kind contributions, financial commitments, connections to other key organizations, or access to volunteers.
With some minor changes, the CHIP was approved and is outlined on the following pages:
THE COMMUNITY HEALTH IMPROVEMENT PLAN
Page 4HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
1: C
OM
MU
NIT
Y EN
GAG
EMEN
T IN
PU
BLIC
HEA
LTH
Goa
l 1: T
o es
tabl
ish
sust
aina
ble
infr
astr
uctu
re in
Ham
ilton
Cou
nty
Publ
ic H
ealth
(HCP
H) j
uris
dict
ions
for a
ddre
ssin
g pu
blic
hea
lth is
sues
to
cre
ate
a cu
lture
of h
ealth
, saf
ety,
and
vita
lity
thro
ugho
ut th
e Co
unty
.
Obj
ectiv
e 1.
1: M
aint
ain
enga
gem
ent o
f the
exi
stin
g 19
WeT
HRI
VE! C
omm
uniti
es a
nd m
ove
them
into
impl
emen
tatio
n by
201
8.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
1.1.
1: P
rovi
de o
ngoi
ng c
apac
ity b
uild
ing
trai
ning
to s
uppo
rt W
eTH
RIVE
! com
mun
ity p
olic
y, sy
stem
s,
envi
ronm
enta
l, an
d pr
ogra
mm
atic
effo
rts.
Y1 -
Y3•
HCP
H J
uris
dict
ions
• H
CPH
Sta
ff•
WeT
HRI
VE! L
eade
rshi
p Te
am•
Publ
ic H
ealth
Adv
isor
y Co
unci
l•
Oth
er p
artn
ers
& re
sour
ces
to
be
iden
tified
1.1.
2: C
onve
ne th
e W
eTH
RIVE
! Com
mun
ity L
earn
ing
Colla
bora
tive
quar
terly
to p
rovi
de c
omm
uniti
es
with
trai
ning
, res
ourc
es, a
nd n
etw
orki
ng a
imed
at s
uppo
rtin
g im
plem
enta
tion
of s
trat
egie
s to
im
prov
e he
alth
, saf
ety
and
vita
lity.
Y1 -
Y3
1.1.
3: P
rovi
de o
ngoi
ng te
chni
cal a
ssis
tanc
e to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
in th
e ju
risdi
ctio
ns.
Y1 -
Y3
1.1.
4: S
uppo
rt re
asse
ssm
ent a
nd a
ctio
n pl
an re
visi
on/r
edev
elop
men
t pro
cess
.Y1
- Y3
1.1.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d in
the
juris
dict
ions
.Y1
- Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
out
reac
h co
ntac
ts•
# of
trai
ning
s pr
ovid
ed•
# of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
str
ateg
ies
impl
emen
ted
(e.g
. tob
acco
-free
ord
inan
ces,
inst
alla
tion
of
bik
e la
nes
etc.
)•
# of
reas
sess
men
ts•
# of
act
ion
plan
s de
velo
ped
and/
or a
ctio
n pl
an re
visi
ons
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
WeT
HRI
VE! C
omm
unity
Mas
ter C
omm
unic
atio
n Da
taba
se•
WeT
HRI
VE! M
aste
r Ind
ex (i
nclu
des
key
docu
men
ts, s
uch
as p
olic
ies,
rost
ers,
act
ion
plan
s, a
sses
smen
ts, e
tc.)
• Co
mm
unity
Hea
lth A
sses
smen
t aN
d G
roup
Eva
luat
ion
(CH
ANG
E), E
Nvr
ionm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
E
valu
atio
n (E
NH
ANCE
), vi
tal s
tatis
tics,
Pho
to-v
oice
(pho
togr
aphs
to d
ocum
ent c
hang
e pr
e- a
nd p
ost-i
mpl
emen
tatio
n), d
irect
o
bser
vatio
n, s
urve
ys a
nd o
ther
eva
luat
ion
asse
ssm
ent t
ools
• Do
cum
ente
d ch
ange
s fro
m in
itial
ass
essm
ent t
o re
asse
ssm
ent
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 5
Prio
rity
Area
1: C
OM
MU
NIT
Y EN
GAG
EMEN
T IN
PU
BLIC
HEA
LTH
Goa
l 1: T
o es
tabl
ish
sust
aina
ble
infr
astr
uctu
re in
Ham
ilton
Cou
nty
Publ
ic H
ealth
(HCP
H) j
uris
dict
ions
for a
ddre
ssin
g pu
blic
hea
lth is
sues
to
cre
ate
a cu
lture
of h
ealth
, saf
ety,
and
vita
lity
thro
ugho
ut th
e Co
unty
.
Obj
ectiv
e 1.
2: In
crea
se th
e nu
mbe
r of W
eTH
RIVE
! com
mun
ities
from
19
to 2
2 by
201
8.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
1.2.
1: C
ondu
ct o
utre
ach
to H
CPH
juris
dict
ions
rega
rdin
g th
e W
eTH
RIVE
! ini
tiativ
e to
gai
n co
mm
itmen
t.Y1
- Y2
• H
CPH
Sta
ff•
WeT
HRI
VE! L
eade
rshi
p Te
am•
Publ
ic H
ealth
Adv
isor
y Co
unci
l•
Oth
er p
artn
ers
& re
sour
ces
to
be
iden
tified
1.2.
2: C
onve
ne th
e W
eTH
RIVE
! Com
mun
ity L
earn
ing
Colla
bora
tive
quar
terly
to p
rovi
de c
omm
uniti
es
with
trai
ning
, res
ourc
es, a
nd n
etw
orki
ng a
imed
at s
uppo
rtin
g im
plem
enta
tion
of s
trat
egie
s to
im
prov
e he
alth
, saf
ety
and
vita
lity.
Y1 -
Y3
1.2.
3: F
acili
tate
the
adop
tion
of th
e W
eTH
RIVE
! Ove
rall
and
Path
way
-spe
cific
(Chr
onic
Dis
ease
, Co
mm
unity
Hea
lth, E
nviro
nmen
tal H
ealth
, and
/or E
mer
genc
y Pr
epar
edne
ss) r
esol
utio
ns w
ithin
H
CPH
juris
dict
ions
.Y1
- Y2
1.2.
4: A
hea
lth &
wel
lnes
s (W
eTH
RIVE
!) te
am w
ill b
e de
sign
ated
/est
ablis
hed
to w
ork
on p
ublic
hea
lth
issu
es in
the
juris
dict
ions
Y2
1.2.
5: C
ondu
ct a
sses
smen
ts to
est
ablis
h a
base
line
in th
e ju
risdi
ctio
nsY2
1.2.
6: D
evel
op a
nd a
ppro
ve a
ctio
n pl
ans
to g
uide
impl
emen
tatio
n of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
str
ateg
ies
for e
ach
of th
e ju
risdi
ctio
ns.
Emph
asis
will
be
plac
ed o
n st
rate
gies
that
targ
et p
opul
atio
ns e
xper
ienc
ing
the
high
est b
urde
n of
hea
lth d
ispa
ritie
s.Y2
1.2.
7: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
in
the
juris
dict
ions
.Y2
- Y3
1.2.
8: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d in
the
juris
dict
ions
.Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
out
reac
h co
ntac
ts•
# of
WeT
HRI
VE! O
vera
ll Re
solu
tions
ado
pted
• #
of W
eTH
RIVE
! Pat
hway
Res
olut
ions
ado
pted
• #
of b
asel
ine
asse
ssm
ents
com
plet
ed•
# of
act
ion
plan
s es
tabl
ishe
d•
# of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
str
ateg
ies
impl
emen
ted
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
WeT
HRI
VE! C
omm
unity
Mas
ter C
omm
unic
atio
n Da
taba
se•
WeT
HRI
VE! M
aste
r Ind
ex (i
nclu
des
key
docu
men
ts, s
uch
as p
olic
ies,
rost
ers,
act
ion
plan
s, a
sses
smen
ts, e
tc.)
• Co
mm
unity
Hea
lth A
sses
smen
t aN
d G
roup
Eva
luat
ion
(CH
ANG
E), E
Nvr
ionm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
Eva
luat
ion
(EN
HAN
CE),
v
ital s
tatis
tics,
Pho
to-v
oice
(pho
togr
aphs
to d
ocum
ent c
hang
e pr
e- a
nd p
ost-i
mpl
emen
tatio
n), d
irect
obs
erva
tion,
sur
veys
and
oth
er e
valu
atio
n
a
sses
smen
t too
ls
Page 6HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
2: P
ARTN
ER E
NG
AGEM
ENT
Goa
l 2: T
o en
gage
a m
ulti-
disc
iplin
ary
grou
p of
org
aniz
atio
ns a
nd a
genc
ies
to s
uppo
rt H
CPH
juris
dict
ions
with
impl
emen
tatio
n of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
str
ateg
ies
aim
ed a
t cre
atin
g a
cultu
re o
f hea
lth, s
afet
y, an
d vi
talit
y
Obj
ectiv
e 2.
1: E
ngag
e an
d m
aint
ain
a m
inim
um o
f 20
mul
ti-di
scip
linar
y pa
rtne
r org
aniz
atio
ns/a
genc
ies
to s
uppo
rt im
plem
enta
tion
of th
e co
mm
unity
hea
lth im
prov
emen
t pla
n by
201
8.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
2.1.
1: Id
entif
y an
d re
crui
t par
tner
org
aniz
atio
ns a
nd s
taff
to s
uppo
rt c
omm
unity
WeT
HRI
VE! e
ffort
s to
cr
eate
a c
ultu
re o
f hea
lth, s
afet
y, an
d vi
talit
y.Y1
- Y
3•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
2.1.
2: C
onve
ne th
e Pu
blic
Hea
lth A
dvis
ory
Coun
cil a
nnua
lly to
revi
ew th
e Co
mm
unity
Hea
lth
Impr
ovem
ent P
lan
prog
ress
and
pro
vide
feed
back
Y1 -
Y3
2.1.
3: C
onve
ne th
e pa
rtne
r im
plem
enta
tion
team
qua
rter
ly to
revi
ew p
rogr
ess,
dis
cuss
upc
omin
g op
port
uniti
es, s
hare
reso
urce
s, a
nd s
tand
ardi
ze v
ario
us p
roce
sses
rela
ted
to th
e W
eTH
RIVE
! in
itiat
ive.
Y1 -
Y3
2.1.
4: P
rovi
de q
uart
erly
upd
ates
rega
rdin
g th
e st
atus
of t
he C
omm
unity
Hea
lth Im
prov
emen
t Pla
n an
d W
eTH
RIVE
! ini
tiativ
e pr
ogre
ss to
the
Publ
ic H
ealth
Adv
isor
y Co
unci
l and
par
tner
impl
emen
tatio
n te
ams.
Y1 -
Y3
2.1.
5: C
oord
inat
e lin
kage
s be
twee
n th
e W
eTH
RIVE
! com
mun
ity te
ams
and
the
part
ner o
rgan
izat
ions
of
ferin
g te
chni
cal a
ssis
tanc
eY1
- Y3
2.1.
6: M
onito
r the
WeT
HRI
VE! c
omm
unity
tech
nica
l ass
ista
nce
need
s an
d re
crui
t add
ition
al p
artn
er
orga
niza
tions
to s
uppo
rt im
plem
enta
tion
effo
rts
(as
iden
tified
).Y1
- Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
par
tner
org
aniz
atio
ns re
crui
ted
(sig
ned
com
mitm
ent l
ette
rs)
• #
of p
artn
er o
rgan
izat
ion
impl
emen
tatio
n st
aff o
fferin
g su
ppor
t to
com
mun
ities
• Fe
edba
ck re
ceiv
ed fr
om P
ublic
Hea
lth A
dvis
ory
Coun
cil a
nnua
lly•
Tech
nica
l ass
ista
nce
need
s id
entifi
ed fr
om c
omm
unity
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Surv
eyin
g - c
omm
uniti
es a
nd p
artn
er o
rgan
izat
ions
• Do
cum
ent r
evie
w
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 7
Prio
rity
Area
2: P
ARTN
ER E
NG
AGEM
ENT
Goa
l 2: T
o en
gage
a m
ulti-
disc
iplin
ary
grou
p of
org
aniz
atio
ns a
nd a
genc
ies
to s
uppo
rt H
CPH
juris
dict
ions
with
impl
emen
tatio
n of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
str
ateg
ies
aim
ed a
t cre
atin
g a
cultu
re o
f hea
lth, s
afet
y, an
d vi
talit
y.
Obj
ectiv
e 2.
2: C
onve
ne a
gro
up o
f mul
ti-di
scip
linar
y pa
rtne
r org
aniz
atio
ns a
nd/o
r age
ncie
s to
map
exi
stin
g co
mm
unity
-leve
l hea
lth
initi
ativ
es in
an
effo
rt to
str
engt
hen
colla
bora
tion
and
iden
tify
and
equi
tabl
y al
loca
te re
sour
ces
to s
uppo
rt im
plem
enta
tion
of s
usta
inab
le p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
by
2018
.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
2.2.
1: Id
entif
y pa
rtne
r org
aniz
atio
ns th
at a
re re
spon
sibl
e fo
r pro
vidi
ng s
ervi
ces
that
impa
ct
heal
th, s
afet
y, an
d vi
talit
y ac
ross
Ham
ilton
Cou
nty
(e.g
. pub
lic h
ealth
, hea
lth c
are,
pla
nnin
g,
tran
spor
tatio
n, s
ocia
l ser
vice
s, b
usin
esse
s, e
duca
tion,
non
-pro
fits,
etc
.).Y1
• H
CPH
Sta
ff•
WeT
HRI
VE! L
eade
rshi
p Te
am•
Publ
ic H
ealth
Adv
isor
y Co
unci
l•
Oth
er p
artn
ers
& re
sour
ces
to
be
iden
tified
2.2.
2: C
onve
ne a
sub
-com
mitt
ee o
f par
tner
org
aniz
atio
ns to
col
lect
pre
limin
ary
data
rega
rdin
g co
mm
unity
-leve
l ini
tiativ
es th
at a
re b
eing
impl
emen
ted
acro
ss H
amilt
on C
ount
y th
at im
pact
he
alth
, saf
ety,
and
vita
lity.
Y1
2.2.
3: A
naly
ze a
nd m
ap p
relim
inar
y da
ta c
olle
cted
from
sub
-com
mitt
ee o
f par
tner
org
aniz
atio
ns
rega
rdin
g co
mm
unity
-leve
l ini
tiativ
es th
at a
re k
now
n to
be
impl
emen
ted
acro
ss H
amilt
on
Coun
ty th
at im
pact
hea
lth, s
afet
y, an
d vi
talit
y.Y1
2.2.
4: Id
entif
y an
d en
gage
add
ition
al p
artn
er o
rgan
izat
ions
that
impl
emen
t com
mun
ity-le
vel i
nitia
tives
th
at im
pact
hea
lth, s
afet
y, an
d vi
talit
y in
Ham
ilton
Cou
nty.
Y1 -
Y2
2.2.
5: C
olle
ct, a
naly
ze, a
nd m
ap d
ata
from
add
ition
al p
artn
er o
rgan
izat
ions
that
impl
emen
t co
mm
unity
-leve
l ini
tiativ
es th
at im
pact
hea
lth, s
afet
y, an
d vi
talit
y in
Ham
ilton
Cou
nty.
Y1 -
Y2
2.2.
6: Id
entif
y an
d pr
iorit
ize
oppo
rtun
ities
to s
tren
gthe
n co
llabo
ratio
n an
d eq
uita
bly
allo
cate
reso
urce
s to
sup
port
impl
emen
tatio
n of
sus
tain
able
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
ch
ange
str
ateg
ies
to im
prov
e he
alth
, saf
ety,
and
vita
lity
of H
amilt
on C
ount
y co
mm
uniti
es.
Y2 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
par
tner
org
aniz
atio
ns e
ngag
e•
# of
mee
tings
hel
d•
# of
com
mun
ity-le
vel i
nitia
tives
that
impa
ct h
ealth
, saf
ety,
and
vita
lity
• Re
sour
ces
allo
cate
d to
initi
ativ
es th
at im
pact
hea
lth, s
afet
y, an
d vi
talit
y at
com
mun
ity-le
vel i
dent
ified
(e.g
. fun
ding
, man
pow
er, m
ater
ials
, etc
.)•
Com
mun
ity h
ealth
initi
ativ
e as
set m
ap d
evel
oped
• O
ppor
tuni
ties
for c
olla
bora
tion
iden
tified
• St
rate
gies
for e
quita
ble
reso
urce
allo
cate
d id
entifi
ed
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Data
ana
lysi
s•
Asse
t map
ping
of c
omm
unity
-leve
l ini
tiativ
es a
nd re
sour
ces
• Su
rvey
ing,
key
info
rmat
ion
inte
rvie
ws,
inte
rnet
sea
rche
s, a
nd o
ther
str
ateg
ies
to b
e id
entifi
ed to
obt
ain
info
rmat
ion
to in
form
HCP
H a
nd
par
tner
s re
gard
ing
com
mun
ity-le
vel i
nitia
tives
that
impa
ct h
ealth
, saf
ety,
and
vita
lity
in H
amilt
on C
ount
y.
Page 8HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
3: C
HRO
NIC
DIS
EASE
Goa
l 3: T
o m
ake
the
heal
th c
hoic
e th
e ea
sy c
hoic
e th
roug
h im
plem
enta
tion
of p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
to s
uppo
rt im
prov
ed n
utrit
ion,
incr
ease
d ac
tivity
, dec
reas
ed e
xpos
ure
to s
econ
dhan
d to
bacc
o sm
oke,
and
dec
reas
ed
burd
en o
f dis
ease
.
Obj
ectiv
e 3.
1: Id
entif
y, pr
iorit
ize,
and
impl
emen
t str
ateg
ies
to in
crea
se p
hysi
cal a
ctiv
ity a
nd a
ctiv
e liv
ing
oppo
rtun
ities
with
in 1
0 W
eTH
RIVE
! co
mm
uniti
es b
y 20
18.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
3.1.
1: B
uild
aw
aren
ess
rega
rdin
g po
licy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
bes
t pra
ctic
es fo
r in
crea
sing
phy
sica
l act
ivity
and
act
ive
livin
g.Y1
- Y3
• H
CPH
Jur
isdi
ctio
ns•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
3.1.
2: C
ompl
ete
the
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
or
ENvi
ronm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
Eva
luat
ion
(EH
ANCE
) too
l to
iden
tify
asse
ts
and
oppo
rtun
ities
for i
ncre
asin
g op
port
uniti
es fo
r phy
sica
l act
ivity
and
act
ive
livin
g w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
3.1.
3: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
. Em
phas
is w
ill b
e pl
aced
on
stra
tegi
es th
at ta
rget
pop
ulat
ions
ex
perie
ncin
g th
e hi
ghes
t bur
den
of h
ealth
dis
parit
ies.
Y1 -
Y3
3.1.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
in
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
3.1.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
phy
sica
l act
ivity
/act
ive
livin
g st
rate
gies
impl
emen
ted
(e.g
. com
plet
e st
reet
s, s
afe
rout
es to
sch
ool,
repa
iring
/mai
ntai
ning
sid
ewal
ks,
inf
rast
ruct
ure
impr
ovem
ents
, sha
red
use
agre
emen
ts, s
afet
y en
hanc
emen
ts, w
alki
ng/b
icyc
ling
trai
ls, e
tc.)
• In
crea
sed
acce
ss to
phy
sica
l act
ivity
opp
ortu
nitie
s•
Incr
ease
in th
e pe
rcen
t of a
dults
that
get
the
reco
mm
ende
d m
inut
es o
f dai
ly p
hysi
cal a
ctiv
ity•
Incr
ease
in th
e pe
rcen
t of c
hild
ren
that
get
the
reco
mm
ende
d m
inut
es o
f dai
ly p
hysi
cal a
ctiv
ity
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
Too
l and
/or E
Nvi
ronm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
Eva
luat
ion
(
ENH
ANCE
) Too
l ass
essm
ents
• Ph
oto-
voic
e (p
hoto
grap
hs to
doc
umen
t cha
nge
pre-
and
pos
t-im
plem
enta
tion
• Di
rect
obs
erva
tion
• G
reat
er C
inci
nnat
i Hea
lth S
tatu
s Su
rvey
• O
ther
eva
luat
ion
tool
s to
be
dete
rmin
ed
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 9
Prio
rity
Area
3: C
HRO
NIC
DIS
EASE
Goa
l 3: T
o m
ake
the
heal
th c
hoic
e th
e ea
sy c
hoic
e th
roug
h im
plem
enta
tion
of p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
to s
uppo
rt im
prov
ed n
utrit
ion,
incr
ease
d ac
tivity
, dec
reas
ed e
xpos
ure
to s
econ
dhan
d to
bacc
o sm
oke,
and
dec
reas
ed
burd
en o
f dis
ease
.
Obj
ectiv
e 3.
2: In
crea
se th
e av
aila
bilit
y an
d ac
cess
to a
fford
able
and
hea
lthy
food
opt
ions
in 1
0 W
eTH
RIVE
! com
mun
ities
by
2018
.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
3.2.
1: B
uild
aw
aren
ess
rega
rdin
g po
licy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
bes
t pra
ctic
es fo
r in
crea
sing
acc
ess
to h
ealth
y fo
od o
ptio
ns.
Y1 -
Y3•
HCP
H J
uris
dict
ions
• H
CPH
Sta
ff•
WeT
HRI
VE! L
eade
rshi
p Te
am•
Publ
ic H
ealth
Adv
isor
y Co
unci
l•
Oth
er p
artn
ers
& re
sour
ces
to
be
iden
tified
3.2.
2: C
ompl
ete
the
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
tool
to id
entif
y as
sets
and
opp
ortu
nitie
s fo
r inc
reas
ing
acce
ss to
hea
lthy
food
.Y1
- Y3
3.2.
3: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
. Em
phas
is w
ill b
e pl
aced
on
stra
tegi
es th
at ta
rget
pop
ulat
ions
ex
perie
ncin
g th
e hi
ghes
t bur
den
of h
ealth
dis
parit
ies.
Y1 -
Y3
3.2.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
3.2.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
hea
lthy
eatin
g st
rate
gies
impl
emen
ted
(e.g
. far
mer
’s m
arke
ts, W
IC a
nd S
uppl
emen
tal N
utrit
ion
Assi
stan
ce P
rogr
am (C
SNAP
)-EBT
a
ccep
tanc
e, g
arde
ns, h
ealth
y co
rone
r sto
res,
hea
lthy
vend
ing,
hea
lthy
conc
essi
ons,
etc
.)•
Incr
ease
d ac
cess
to h
ealth
y fo
ods
(# o
f ven
ues
offe
ring
heal
thy
food
s)•
Incr
ease
in th
e pe
rcen
t of a
dults
that
get
the
reco
mm
ende
d se
rvin
gs o
f fru
its a
nd v
eget
able
s•
Incr
ease
in th
e pe
rcen
t of c
hild
ren
that
ach
ieve
the
reco
mm
ende
d se
rvin
gs o
f fru
its a
nd v
eget
able
s
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
Too
l Ass
essm
ents
• Ph
oto-
voic
e (p
hoto
grap
hs to
doc
umen
t cha
nge
pre-
and
pos
t-im
plem
enta
tion
• Di
rect
obs
erva
tion
• Be
havi
oral
Ris
k Fa
ctor
Sur
veill
ance
Sys
tem
(BRF
SS) -
Adu
lts; Y
outh
Ris
k Be
havi
or S
urve
y (Y
RBS)
- Yo
uth
• G
reat
er C
inci
nnat
i Hea
lth S
tatu
s Su
rvey
• O
ther
eva
luat
ion
tool
s to
be
dete
rmin
ed
Page 10HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
3: C
HRO
NIC
DIS
EASE
Goa
l 3: T
o m
ake
the
heal
th c
hoic
e th
e ea
sy c
hoic
e th
roug
h im
plem
enta
tion
of p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
to s
uppo
rt im
prov
ed n
utrit
ion,
incr
ease
d ac
tivity
, dec
reas
ed e
xpos
ure
to s
econ
dhan
d to
bacc
o sm
oke,
and
dec
reas
ed
burd
en o
f dis
ease
.
Obj
ectiv
e 3.
3: In
crea
se th
e nu
mbe
r of t
obac
co-fr
ee e
nviro
nmen
ts in
5 W
eTH
RIVE
! com
mun
ities
by
2018
.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
3.3.
1: B
uild
aw
aren
ess
rega
rdin
g po
licy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
bes
t pra
ctic
es fo
r in
crea
sing
toba
cco-
free
envr
ionm
ents
.Y1
- Y3
• H
CPH
Jur
isdi
ctio
ns•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
3.2.
2: C
ompl
ete
the
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
tool
to id
entif
y as
sets
and
opp
ortu
nitie
s fo
r inc
reas
ing
acce
ss to
toba
cco-
free
envi
ronm
ents
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
3.2.
3: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
. Em
phas
is w
ill b
e pl
aced
on
stra
tegi
es th
at ta
rget
pop
ulat
ions
ex
perie
ncin
g th
e hi
ghes
t bur
den
of h
ealth
dis
parit
ies.
Y1 -
Y3
3.2.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
3.2.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
toba
cco-
free
stra
tegi
es im
plem
ente
d (e
.g. t
obac
co-fr
ee c
ampu
s po
licy,
toba
cco-
free
play
grou
nd p
olic
y, to
bacc
o-fre
e si
gnag
e, e
tc.)
• In
crea
sed
acce
ss to
toba
cco-
free
envi
ronm
ents
/num
ber o
f ven
ues
that
pro
hibi
t tob
acco
use
• De
crea
se in
per
cent
of a
dults
who
sm
oke
• De
crea
se in
per
cent
of y
outh
who
sm
oke
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
Too
l Ass
essm
ents
• Ph
oto-
voic
e (p
hoto
grap
hs to
doc
umen
t cha
nge
pre-
and
pos
t-im
plem
enta
tion
• Di
rect
obs
erva
tion
• Be
havi
oral
Ris
k Fa
ctor
Sur
veill
ance
Sys
tem
(BRF
SS) -
Adu
lts; Y
outh
Ris
k Be
havi
or S
urve
y (Y
RBS)
- Yo
uth
• O
ther
eva
luat
ion
tool
s to
be
dete
rmin
ed
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 11
Prio
rity
Area
4: C
OM
MU
NIT
Y H
EALT
HG
oal 4
: To
prov
ide
a co
mm
unity
hea
lth a
sses
smen
t tha
t com
mun
ities
will
util
ize
in m
akin
g da
ta-d
riven
, evi
denc
ed-b
ased
dec
isio
ns th
at
resu
lt in
impl
emen
tatio
n of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
cha
nge
stra
tegi
es to
sup
port
redu
ctio
ns in
chr
onic
an
d in
fect
ious
dis
ease
and
adv
erse
out
com
es a
ssoc
iate
d w
ith in
jury
and
mat
erna
l and
chi
ld h
ealth
issu
es.
Obj
ectiv
e 4.
1: Id
entif
y, pr
iorit
ies,
and
impl
emen
t str
ateg
ies
to im
prov
e in
fect
ious
dis
ease
, chr
onic
dis
ease
, inj
ury,
and
mat
erna
l and
chi
ld
heal
th w
ithin
10
WeT
HRI
VE! c
omm
uniti
es b
y 20
18.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
4.1.
1: B
uild
aw
aren
ess
rega
rdin
g po
licy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
bes
t pra
ctic
es fo
r im
prov
ing
infe
ctio
us d
isea
se, c
hron
ic d
isea
se, i
njur
y, in
fant
mor
talit
y, an
d m
ater
nal a
nd c
hild
he
alth
.Y1
- Y3
• H
CPH
Sta
ff•
WeT
HRI
VE! L
eade
rshi
p Te
am•
Publ
ic H
ealth
Adv
isor
y Co
unci
l•
Oth
er p
artn
ers
& re
sour
ces
to
be
iden
tified
4.1.
2: C
ondu
ct a
nd re
view
com
mun
ity h
ealth
ass
essm
ent a
nd o
ther
com
mun
ity-s
peci
fic d
ata
to
iden
tify
asse
ts a
nd o
ppor
tuni
ties
for r
educ
ing
infe
ctio
us d
isea
se, c
hron
ic d
isea
se, i
njur
y, an
d m
ater
nal a
nd c
hild
hea
lth w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
4.1.
3: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
. Em
phas
is w
ill b
e pl
aced
on
stra
tegi
es th
at ta
rget
pop
ulat
ions
ex
perie
ncin
g th
e hi
ghes
t bur
den
of h
ealth
dis
parit
ies.
Y1 -
Y3
4.1.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
4.1.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
Incr
ease
d im
plem
enta
tion
of in
fect
ious
dis
ease
pre
vent
ion
stra
tegi
es (e
.g. h
and
was
hing
, im
mun
izat
ions
, syr
inge
exc
hang
e, te
stin
g, e
duca
tion/
t
rain
ing,
etc
.)•
Incr
ease
d ac
cess
to h
ealth
y fo
ods
and
phys
ical
act
ivity
opp
ortu
nitie
s (e
.g. f
arm
er’s
mar
kets
, hea
lthy
vend
ing,
saf
e ro
utes
to s
choo
l, pl
aygr
ound
i
mpr
ovem
ents
, etc
.)•
Incr
ease
in p
erce
nt o
f adu
lts a
nd c
hild
ren
that
get
the
reco
mm
ende
d m
inut
es o
f dai
ly p
hysi
cal a
ctiv
ity•
Decr
ease
in p
erce
nt o
f adu
lts a
nd y
outh
who
sm
oke
• In
crea
se im
plem
enta
tion
of in
jury
pre
vent
ion
stra
tegi
es (e
.g. h
elm
et u
sage
, in-
hom
e m
odifi
catio
ns to
pre
vent
falls
, tra
ffic
safe
ty, c
hild
pro
ofing
h
omes
, tra
inin
g/ed
ucat
ion,
etc
.)•
Incr
ease
d im
plem
enta
tion
of in
terv
entio
ns a
nd/o
r pro
gram
s th
at p
rom
ote
impr
oved
mat
erna
l and
chi
ld h
ealth
out
com
es (e
.g. i
nfan
t saf
e sl
eep,
m
ater
nal s
mok
ing
cess
atio
n, a
dequ
ate
spac
ing
betw
een
preg
nanc
ies,
ear
ly a
cces
s to
pre
nata
l car
e, b
reas
tfeed
ing,
obe
sity
pre
vent
ion,
etc
.)•
Decr
ease
in th
e pe
rcen
t of a
dults
and
chi
ldre
n w
ho a
re o
verw
eigh
t or o
bese
• De
crea
se in
hea
rt d
isea
se, t
ype
2 di
abet
es, c
hron
ic o
bstr
uctiv
e pu
lmon
ary
dise
ase,
and
can
cer m
orta
lity
rate
s
Page 12HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
4: C
OM
MU
NIT
Y H
EALT
HG
oal 4
: To
prov
ide
a co
mm
unity
hea
lth a
sses
smen
t tha
t com
mun
ities
will
util
ize
in m
akin
g da
ta-d
riven
, evi
denc
ed-b
ased
dec
isio
ns th
at
resu
lt in
impl
emen
tatio
n of
pol
icy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
cha
nge
stra
tegi
es to
sup
port
redu
ctio
ns in
chr
onic
an
d in
fect
ious
dis
ease
and
adv
erse
out
com
es a
ssoc
iate
d w
ith in
jury
and
mat
erna
l and
chi
ld h
ealth
issu
es.
Obj
ectiv
e 4.
1: Id
entif
y, pr
iorit
ies,
and
impl
emen
t str
ateg
ies
to im
prov
e in
fect
ious
dis
ease
, chr
onic
dis
ease
, inj
ury,
and
mat
erna
l and
chi
ld
heal
th w
ithin
10
WeT
HRI
VE! c
omm
uniti
es b
y 20
18.
Out
put/
Out
com
e In
dica
tors
Con
tinue
d:•
Decr
ease
in s
exua
lly tr
ansm
itted
infe
ctio
ns, H
IV, h
epat
itis,
and
vac
cine
-pre
vent
able
dis
ease
inci
denc
e ra
tes
• De
crea
se in
inte
ntio
nal a
nd u
nint
entio
nal (
acci
dent
al) i
njur
y ra
tes
• De
crea
se in
rate
s of
infa
nt m
orta
lity,
low
birt
h w
eigh
t, pr
emat
urity
, and
mat
erna
l sm
okin
g•
Incr
ease
in ra
tes
of p
regn
ancy
with
opt
imal
spa
cing
• In
crea
se in
rate
s of
pre
gnan
cies
with
acc
ess
to p
rena
tal c
are
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Data
ana
lysi
s (p
rimar
y an
d se
cond
ary
data
)•
Dire
ct o
bser
vatio
n•
Phot
o-vo
ice
(pho
togr
aphs
to d
ocum
ent c
hang
e pr
e- a
nd p
ost-i
mpl
emen
tatio
n)•
Surv
eys
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 13
Prio
rity
Area
5: E
NVI
RON
MEN
TAL
HEA
LTH
Goa
l 5: T
o m
ake
the
heal
thy
choi
ce th
e ea
sy c
hoic
e th
roug
h im
plem
enta
tion
of p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
to s
uppo
rt im
prov
ed a
cces
s to
saf
e ou
tdoo
r act
iviti
es a
nd re
crea
tion,
dec
reas
ed e
xpos
ure
to s
econ
dhan
d to
bacc
o sm
oke,
and
incr
ease
d sa
fe h
ousi
ng.
Obj
ectiv
e 5.
1: Id
entif
y, pr
iorit
ize,
and
impl
emen
t str
ateg
ies
to im
prov
e ai
r qua
lity,
hous
ing,
phy
sica
l env
ironm
ent,
wat
er q
ualit
y, an
d w
aste
m
anag
emen
t pra
ctic
es w
ithin
10
WeT
HRI
VE! c
omm
uniti
es b
y 20
18.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
5.1.
1: B
uild
aw
aren
ess
rega
rdin
g po
licy,
syst
ems,
env
ironm
enta
l, an
d pr
ogra
mm
atic
bes
t pra
ctic
es fo
r im
prov
ing
air q
ualit
y, ho
usin
g, p
hysi
cal e
nviro
nmen
t, w
ater
qua
lity,
and
was
te m
anag
emen
t.Y1
- Y3
• H
CPH
Jur
isdi
ctio
ns•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
5.1.
2: C
ompl
ete
the
ENvi
ronm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
Eva
luat
ion
(EN
HAN
CE)
or p
hysi
cal a
ctiv
ity m
odul
e of
the
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
tool
to id
entif
y as
sets
and
opp
ortu
nitie
s fo
r im
prov
ing
air q
ualit
y, ho
usin
g, p
hysi
cal
envi
ronm
ent,
wat
er q
ualit
y, an
d w
aste
man
agem
ent w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
5.1.
3: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
. Em
phas
is w
ill b
e pl
aced
on
stra
tegi
es th
at ta
rget
pop
ulat
ions
ex
perie
ncin
g th
e hi
ghes
t bur
den
of h
ealth
dis
parit
ies.
Y1 -
Y3
5.1.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
5.1.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
phy
sica
l/bui
lt en
viro
nmen
t str
ateg
ies
(e.g
. com
plet
e st
reet
s, w
alki
ng/b
icyc
ling
trai
ls, t
rans
port
atio
n pl
ans,
saf
e ro
utes
to s
choo
l,
inf
rast
ruct
ure
impr
ovem
ents
, sha
red
use
agre
emen
ts, s
afet
y en
hanc
emen
ts)
• #
of id
le-fr
ee p
olic
ies
and/
or id
le-fr
ee z
ones
• In
crea
sed
acce
ss to
phy
sica
l act
ivity
opp
ortu
nitie
s•
Incr
ease
acc
ess
to to
bacc
o-fre
e en
viro
nmen
ts•
Decr
ease
in h
ousi
ng a
nd n
uisa
nce
com
plai
nts
• In
crea
se in
com
mun
ity re
cycl
ing
and
com
post
ing
rate
s•
Incr
ease
impl
emen
tatio
n an
d ad
here
nce
to s
torm
wat
er p
ollu
tion
prev
entio
n st
rate
gies
(e.g
. tra
inin
g, m
aint
enan
ce o
f a s
torm
wat
er p
lan,
etc
.)•
Decr
ease
in th
e pe
rcen
t of c
hild
ren
who
are
ove
rwei
ght o
r obe
se•
Decr
ease
in th
e pe
rcen
t of a
dults
who
are
ove
rwei
ght o
r obe
se•
Incr
ease
d ac
cess
to c
lean
air
• In
crea
sed
acce
ss to
saf
e w
ater
• De
crea
se in
uni
nten
tiona
l (ac
cide
ntal
) inj
ury
rate
s•
Decr
ease
in h
eart
dis
ease
, typ
e 2
diab
etes
, cho
rnic
obs
truc
tive
pulm
onar
y di
seas
e, a
nd c
ance
r mor
talit
y ra
tes
Page 14HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
5: E
NVI
RON
MEN
TAL
HEA
LTH
Goa
l 5: T
o m
ake
the
heal
thy
choi
ce th
e ea
sy c
hoic
e th
roug
h im
plem
enta
tion
of p
olic
y, sy
stem
s, e
nviro
nmen
tal,
and
prog
ram
mat
ic c
hang
e st
rate
gies
to s
uppo
rt im
prov
ed a
cces
s to
saf
e ou
tdoo
r act
iviti
es a
nd re
crea
tion,
dec
reas
ed e
xpos
ure
to s
econ
dhan
d to
bacc
o sm
oke,
and
incr
ease
d sa
fe h
ousi
ng.
Obj
ectiv
e 5.
1: Id
entif
y, pr
iorit
ize,
and
impl
emen
t str
ateg
ies
to im
prov
e ai
r qua
lity,
hous
ing,
phy
sica
l env
ironm
ent,
wat
er q
ualit
y, an
d w
aste
m
anag
emen
t pra
ctic
es w
ithin
10
WeT
HRI
VE! c
omm
uniti
es b
y 20
18.
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
ENvi
ronm
enta
l Hea
lth A
sses
smen
t aN
d Co
mm
unity
Eva
luat
ion
(EN
HAN
CE)/
Com
mun
ity H
ealth
Ass
essm
ent a
Nd
Gro
up E
valu
atio
n (C
HAN
GE)
t
ool
• Ph
oto-
voic
e (p
hoto
grap
hs to
doc
umen
t cha
nge
pre-
and
pos
t-im
plem
enta
tion)
• Di
rect
obs
erva
tion
• Su
rvey
s•
Vita
l Sta
tistic
s•
Oth
er re
leva
nt e
valu
atio
n an
d pr
imar
y an
d se
cond
ary
data
sou
rces
to b
e id
entifi
ed
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 15
Prio
rity
Area
6: E
MER
GEN
CY P
REPA
REDN
ESS
Goa
l 6: T
o so
lidify
a c
omm
unity
’s ca
paci
ty to
pre
pare
for a
nd re
spon
d to
a p
ublic
hea
lth e
mer
genc
y.
Obj
ectiv
e 6.
1: Id
entif
y, pr
iorit
ize,
and
impl
emen
t str
ateg
ies
to im
prov
e co
mm
unity
pre
pare
dnes
s w
ithin
10
WeT
HRI
VE! c
omm
uniti
es b
y 20
18.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
6.1.
1: C
ompl
ete
the
Emer
genc
y Pr
epar
edne
ss C
omm
unity
Ass
essm
ent t
o id
entif
y as
sets
and
op
port
uniti
es fo
r im
prov
ing
com
mun
ity p
repa
redn
ess
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
• H
CPH
Jur
isdi
ctio
ns•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
6.1.
2: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
6.1.
3: F
acili
tate
an
annu
al re
view
of t
he P
oint
-of D
ispe
nsin
g (P
OD)
pla
ns w
ithin
the
WeT
HRI
VE!
com
mun
ities
.Y1
- Y3
6.1.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies,
Po
int-O
f-Dis
pens
ing
plan
s, a
nd P
oint
-of-D
ispe
nsin
g/Tr
i-Sta
te M
edic
al R
eser
ve C
orp
volu
ntee
r re
crui
tmen
t in
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
6.1.
5: D
ocum
ent P
oint
-of-D
ispe
nsin
g pl
ans
have
bee
n ex
erci
sed
ever
y th
ree
year
s (m
inim
um) i
n th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
6.1.
6: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# of
trai
ning
s pr
ovid
ed•
# of
Poi
nt-o
f-Dis
pens
ing
site
exe
rcis
es (r
equi
red
ever
y th
ree
year
s fo
r eac
h si
te)
• #
of v
olun
teer
s re
gist
ered
thro
ugh
the
Tri-S
tate
Med
ical
Res
erve
Cor
p•
# of
Poi
nt-o
f-Dis
pens
ing
site
s th
at c
an s
taff
core
team
s fo
r tw
o sh
ifts
• #
of c
omm
unity
pre
pare
dnes
s ac
tion
plan
str
ateg
ies
impl
emen
ted
(e.g
. pla
n re
view
, vol
unte
er re
crui
tmen
t, ex
erci
se p
lans
, tra
in n
ew c
ore
team
m
embe
rs, e
tc.)
• 10
0 pe
rcen
t of c
omm
uniti
es h
ave
“Rea
dy M
ode”
Poi
nt-o
f-Dis
pens
ing
site
s•
Incr
ease
d aw
aren
ess
in c
omm
unity
Poi
nt-o
f-Dis
pens
ing
plan
s•
90 p
erce
nt o
f res
iden
ts a
re s
elf-r
elia
nt fo
r 72
hour
s
Page 16HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Prio
rity
Area
6: E
MER
GEN
CY P
REPA
REDN
ESS
Goa
l 6: T
o so
lidify
a c
omm
unity
’s ca
paci
ty to
pre
pare
for a
nd re
spon
d to
a p
ublic
hea
lth e
mer
genc
y.
Obj
ectiv
e 6.
2: Id
entif
y, pr
iorit
ize,
and
impl
emen
t str
ateg
ies
to im
prov
e pe
rson
al p
repa
redn
ess
with
in 1
0 W
eTH
RIVE
! com
mun
ities
by
2018
.
Stra
tegi
esTi
mel
ine
Y1, Y
2, Y
3Pa
rtne
r/Re
sour
ces
6.2.
1: A
dmin
iste
r the
Per
sona
l Pre
pare
dnes
s su
rvey
with
in th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
• H
CPH
Jur
isdi
ctio
ns•
HCP
H S
taff
• W
eTH
RIVE
! Lea
ders
hip
Team
• Pu
blic
Hea
lth A
dvis
ory
Coun
cil
• O
ther
par
tner
s &
reso
urce
s to
b
e id
entifi
ed
6.2.
2: P
riorit
ize
stra
tegi
es fo
r im
plem
enta
tion
and
deve
lop
actio
n pl
ans
in p
artn
ersh
ip w
ith th
e W
eTH
RIVE
! com
mun
ities
.Y1
- Y3
6.2.
3: B
uild
aw
aren
ess
rega
rdin
g th
e im
port
ance
of p
erso
nal p
repa
redn
ess
durin
g a
publ
ic h
ealth
em
erge
ncy.
Y1 -
Y3
6.2.
4: P
rovi
de te
chni
cal a
ssis
tanc
e an
d tr
aini
ng to
sup
port
impl
emen
tatio
n of
act
ion
plan
str
ateg
ies
in
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
6.2.
5: E
valu
ate
actio
n pl
an s
trat
egie
s im
plem
ente
d w
ithin
the
WeT
HRI
VE! c
omm
uniti
es.
Y1 -
Y3
Out
put/
Out
com
e In
dica
tors
:•
# pe
rson
al p
repa
redn
ess
surv
eys
com
plet
ed (a
sses
ses
know
ledg
e an
d re
adin
ess)
• #
of p
erso
nal p
repa
redn
ess
actio
n pl
an s
trat
egie
s im
plem
ente
d (e
.g. d
istr
ibut
ion
of e
mer
genc
y su
pply
kits
, ind
ivid
ual/f
amily
em
erge
ncy
plan
d
evel
opm
ent,
trai
ning
/edu
catio
n of
impo
rtan
ce o
f em
erge
ncy
supp
ly s
tock
pile
(72
hour
s se
lf-re
lianc
e), e
tc.)
• In
crea
sed
awar
enes
s re
gard
ing
pers
onal
pre
pare
dnes
s•
90 p
erce
nt o
f res
iden
ts a
re s
elf-r
elia
nt fo
r 72
hour
s
Mon
itorin
g/Ev
alua
tion
Appr
oach
:•
Surv
eys
• Fi
re, P
olic
e, E
mer
genc
y m
anag
emen
t Age
ncy
data
ana
lysi
s (p
ost-e
vent
)•
Oth
er s
trat
egie
s to
be
dete
rmin
ed
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 17
APPENDIX A
• Overview of the WETHRIVE! initiative• WeTHRIVE! Chronic Disease Pathway overview• WeTHRIVE! Community Health Pathway overview• WeTHRIVE! Environmental Health Pathway overview• WeTHRIVE! Emergency Preparedness Pathway overview
Page 18HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Healthy Choices | Healthy Lives | Healthy Communities
WeTHRIVE! began in 2009 as a county-wide initiative to make healthy living easier. Hamilton County Public Health (HCPH) engaged schools, businesses, churches, elected officials and residents to address chronic disease by increasing access to healthy foods and physical activity opportunities, while decreasing exposure to secondhand smoke. This collaboration resulted in numerous policy and environmental changes that will have lasting impact in our communities. As a result, HCPH is expanding the focus of WeTHRIVE! to include additional Pathways to improve the overall health of a community.
BECOME AWeTHRIVE! COMMUNITY
What Your Community Can Do• Establish a WeTHRIVE! Team
Establishing a WeTHRIVE! team that is part of the community’s infrastructure (e.g. Council Committee, Commission) ensures that there is a sustainable group of people who are dedicated to improving the health, safety and vitality of the community.
• Adopt a ResolutionThe adoption of the WeTHRIVE! Resolution solidifies the commitment to your community’s health and well-being.
• Select a PathwayCommunities should select a minimum of one pathway to work on to get started.
There are four Pathways, which include:1. Chronic Disease 2. Emergency Preparedness 3. Community Health 4. Environmental Health
Each Pathway process includes four key steps:1. Adoption of a resolution that includes strategies specific to the selected Pathway.2. Assessment or review of the data.3. Action plan development.4. Implementation of action plan.
How to Get StartedCall (513) 946-7845 to get started!
What We Can Offer• Technical Assistance
WeTHRIVE! Communities will be assigned a public health educator who will help guide the process of getting your team started. They will provide technical assistance and will connect your team with other public health staff based on your community’s selected pathway.
• Recognition A “WeTHRIVE! Community” sign will be presented to your community that can be proudly displayed after all preliminary steps have been completed. Additional recognition will be provided by HCPH via social media (e.g. Facebook, Twitter), press releases, on the HCPH and WeTHRIVE! initiative websites, at a Board of Health meeting, and via other opportunities that may arise.
• Learning Collaborative Communities are invited to participate in the WeTHRIVE! Learning Collaborative. The Learning Collaborative provides a forum for communities to come together and discuss successes and challenges, participate in training, and stay abreast of funding opportunities.
• Data AssistanceCommunities can receive guidance on how to navigate through HCPH’s online Community Access to Hamilton County Epidemiology and Assessment Data (AHEAD) Tool. The tool provides the most current public health data available. Assistance is also offered on how the data can be used in community health planning and funding applications.
• Marketing and Promotional ResourcesResources will be provided to promote community efforts, which include:– Sample press release– Social media recommendations– WeTHRIVE! Marketing Style Guide– Customized WeTHRIVE! logo
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 19
Healthy Choices | Healthy Lives | Healthy Communities
CHRONIC DISEASE PATHWAY OVERVIEW
“WeTHRIVE! is truly a grassroots effort that is making our communityhealthier. When we build playgrounds for our children and support corner stores that sell healthy food, we are all thriving, not just surviving.This makes Lincoln Heights a healthy community in which to live, work,learn, and play.” –LaVerne Mitchell, council member
What Your Community Can Do
• Adopt a Resolution The Chronic Disease Wellness Resolution includes
strategies that address improvements to the community’s physical activity, nutrition and tobacco-related environments and policies. Adoption of the resolution solidifies the commitment to your community’s health and well-being.
• Complete a Community Health Assessment The Community Health Assessment aNd Group
Evaluation (CHANGE) Tool helps communities talk about strengths that exist, as well as areas for improvement for creating an environment that supports healthy behaviors for residents of all ages and abilities.
• Develop an Action Plan Creating an action plan provides a blueprint for how the
community will work towards the creation of a healthy environment where residents can thrive.
Burden of Chronic DiseaseChronic disease – such as heart disease, stroke, cancer and diabetes – are among the most common, costly and preventable of all health problems. Leading a healthy lifestyle (avoiding tobacco use, being physically active andeating well) greatly reduces a person’s risk for developing chronic disease. Access to high-quality and affordable prevention measures are essential steps in saving lives, reducing disability and lowering costs for medical care (CDC, 2008).
The NeedIn Hamilton County,• 59.6 percent of adults are overweight or obese.
• 24 percent of adults report no physical activity.
• 30 percent of adults smoke.
• 37.9 percent of third graders are overweight or obese.
• 74 percent of high school students report they are not physically active at least 60 minutes per day.
• 17.7 percent of high school students report eating fruits and vegetables five or more times per day.
• Students who are eligible for the free and reduced meal program are significantly more likely to be overweight or obese than children that are not eligible.
Chronic Disease Pathway GoalTo make the healthy choice the easy choice through implementation of policy, systems and environmental change strategies to support improved nutrition, increased activity, decreased exposure to secondhand tobacco smoke and decreased burden of chronic disease.
Strategies to Reduce Chronic Disease• Community or School Gardens• Farmer’s Markets• Healthy Vending and Retail • Shared Use Agreements• Complete Streets• Safe Routes to School• Playground and Park Enhancements • Sidewalks and Walking Paths• Tobacco-free policies to include outdoor venues
Sources: Ohio Department of Health and Hamilton County Youth Risk Behavior Survey.
Page 20HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Healthy Choices | Healthy Lives | Healthy Communities
COMMUNITY HEALTH PATHWAY OVERVIEW
“WeTHRIVE! is a whole way of thinking. It’s a way of approaching a community issue in a very holistic way and saying ‘Oh, there’s lots of different ways toapproach this. There are many positive things that can happen.’ And so WeTHRIVE! to me is really a framework, a process by which I now can approach solving problems in my community.” –Diana Porter, College Hill WeTHRIVE! Co-Leader
What Your Community Can Do• Adopt a Resolution Adoption of the resolution solidifies the commitment to complete a CHA and develop a plan of action for how to address health concerns that most impact the community. • Complete a Community Health Assessment CHAs help identify major health concerns that impact the community. The CHA will focus on chronic disease, injury, infectious disease, and the leading causes of death. Additional health topics can be included in the CHA, as requested by the community. • Prioritize Health Issues to Address Health concerns will be prioritized to help focus the community’s intervention efforts. Prioritization will be based on the specific needs, capacity, and level of interest in the community.
• Develop an Action Plan Creating an action plan provides a blueprint for how the community will work towards the creation of a healthy environment where residents can thrive. Strategies to Improve Community Health • Complete a CHA in partnership with HCPH. • Prioritize health concerns for intervention. • Select evidence-based strategies to address the health concern(s).• Develop an action plan. • Engage multiple community sectors to address community health concern(s).
Improving Community HealthAddressing healthy living and disease prevention at the community-level brings the greatest health benefits to the greatest number of people (CDC, 2014). Community health assessments (CHAs) provide information for problem and asset identification and policy formation, implementation and evaluation (NACCHO, 2014). Healthy communities make good business sense. Residents that live in a community that supports a healthy lifestyle are more productive, which can increase the vitality of the community.
The NeedIn Hamilton County, • Chronic diseases represent 4 of the top 5 leading causes of death.• Rates for deaths due to unintentional poisonings and falls are higher than state and national rates.• The rate of motor vehicle crashes is nearly double the rate of the state. • The infant mortality rate for 2009-2013 is nearly 1.5 times higher than that of the state.• The Syphilis rate is 4.5 times higher than the state rate and nearly 3.5 times higher than the national rate.• The rate of Acute Hepatitis B has increased nearly 2.5 times from 2012 to 2013.• The rates of Pertussis have been increasing since 2007.
Community Health Pathway GoalTo strengthen community-level efforts to prevent disease and promote healthy living.
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 21
Healthy Choices | Healthy Lives | Healthy Communities
ENVIRONMENTAL HEALTH PATHWAY OVERVIEW
“Environmental Health is often considered the backbone of public health. From food service to housing and health nuisance complaints, environmental health looks at all of the environmental factors contributing to a disease and ultimately, its prevention. Following the Environmental Health Pathway process will prepare communities to tackle some of the most preventable diseases facing us today.” –Greg Kesterman, Assistant Health Commissioner, Hamilton County Public Health, Department of Environmental Health Services
What Your Community Can Do • Adopt a Resolution The Environmental Health Resolution includes strategies
that address improvements to the community’s housing, air, water, solid waste, and physical environments. Adoption of the resolution solidifies the commitment to your community’s health and well-being.
• Complete an Environmental Health Assessment The ENvironmental Health Assessment aNd Community
Evaluation (ENHANCE) Tool helps communities talk about strengths that exist, as well as areas for improvement for creating an environment that supports healthy-living, disease, and injury prevention.
• Develop an Action Plan Creating an action plan provides a blueprint for how the
community will work towards the creation of a healthy environment where residents can thrive.
The NeedIn Hamilton County,• 1,198 nuisance complaints were received by Hamilton County Public Health in 2013.• 4,604 tires have been removed from open dump sites since 2009.• Idling vehicles waste over 73 gallons of gasoline per vehicle each year, creating additional air pollution. • There are >19,000 sewage treatment systems with as many as 1 in 5 not operating correctly at any given time.• 41 percent of recyclable goods are sent to the landfill rather than being diverted to a recycling center.• 23 percent of what residents landfill could be composted in a backyard composting system. • There were 289 crashes involving pedestrians within a half mile of a K-8 school, resulting in 334 injuries and 4 deaths in 2013.
Strategies to Improve Environmental Health• Housing and nuisance code enforcement• Idle-free campaigns• Tobacco-free policies to include outdoor venues• Recycling, composting, and tire collection • Complete Streets• Safe Routes to School• Playground and Park Enhancements • Sidewalks and Walking/Bicycling Paths• Awareness of stormwater pollution prevention strategies • Community education and engagement in environmental health strategies
Sources: Hamilton County Public Health, Hamilton County Department of Environmental Services, and Ohio Department of Transportation
Environmental HealthEnvironmental Health focuses on conditions in the environment that affect our health. Environmental factors, such as the physical living conditions, air and water quality, efficiency of waste removal, safety, and general environmental conditions play a role in determining who is most healthy. The Environmental Health Pathway addresses these determinants of health in an effort to prevent disease and create health-supportive environments where people can thrive.
Environmental Health Pathway GoalTo create environments that promote healthy living and reduce the risk of disease, injury, and disability.
10/2/14
Page 22HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
Healthy Choices | Healthy Lives | Healthy Communities
EMERGENCY PREPAREDNESSPATHWAY OVERVIEW
“Prior to our partnership with Hamilton County Public Health, we were not prepared for public health emergencies – we did not have the knowledge or ability to offer mass prophylaxis or mass immunizations to our community. The benefits from our inter-agency partnership have gone beyond our Community POD Program – the lessons learned have also helped us improve our preparedness for other types of community emegencies.” –Chief Douglas Witsken, Green Township Fire & EMS
Emergency Preparedness Disasters can be both naturally occurring and man-made. Public health emergencies can fall under each of these categories. Response to a public health emergency often includes the distribution of medicine to the community. Hamilton County communities have a partnership with Hamilton County Public Health (HCPH) to respond to these public health emergencies by establishing Points of Dispensing (POD) sites that provide medication to residents where they live, work, and learn.
The NeedPOD plans were developed to provide guidance on the response in the event of a public health emergency. Routine review of the plan assures that the community’s response will be quick, and resources are accessible. To further enhance the community’s ability to respond to public health emergencies and other natural or man-madeevents, recruitment and training of community volunteers isnecessary. Community and personal disaster preparednessconsists of eduction, planning, training, and practice to develop skills and keep them sharp.
Emergency Preparedness Pathway GoalTo improve the community’s capacity to respond in the event of a public health emergency.
What Your Community Can Do• Adopt a Resolution The Emergency Preparedness Resolution includes strategies to improve the community’s ability to respond in the event of an emergency. Adoption of the resolution solidifies the commitment to an aware, prepared, and volunteering community. • Sign a Memorandum of Understanding (MOU) The signed MOU states that the community agrees to operate a Point of Dispensing (POD) during public health events/emergencies in partnership with HCPH. • Complete Emergency Preparedness Assessments Assessment tools will be utilized to review and enhance community and personal preparedness.
• Develop an Action Plan Creating an action plan provides an opportunity to reduce the gaps found in the assessments and provide a blueprint on how to towards a whole community approach to emergency preparedness. Strategies to Improve Emergency Preparedness • Review and exercise POD plans• Train core staff to manage POD• Recruit community volunteers• Educate the community about individual preparedness
HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 23
APPENDIX B
PUBLIC HEALTH ADVISORY COUNCIL MEETING ATTENDEES
May 14, 2015
Name Organization Laura Allerding UC Health Jeffry Armada Mercy Health Holly Christmann Hamilton County Department of Environmental Services Nick Crossley Hamilton County Emergency Management Agency Ken Dirr Hamilton County Educational Service Center Sister Cheryl Erb Mercy Health Kristee Griffith Hamilton County Department of Developmental Disabilities Mary Haag PreventionFIRST! Reverend Alfonza Jones Lincoln Heights Missionary Baptist Church Todd Kinskey Hamilton County Regional Planning Commission Dolores Lindsay The HealthCare Connection Ross Meyer United Way Mark Miller Hamilton County Job and Family Services Reverend Frank Nation TriHealth Jim Schwab Interact for Health Bill Sears Hamilton County Educational Service Center Christian Sigman Hamilton County Administration Shelley Spencer Christ Hospital Mary Stagaman Cincinnati Chamber Sarah Theodore Cincinnati Children’s Hospital Medical Center Pat Tribbe Hamilton County Mental Health Hamilton County Public Health Staff | WeTHRIVE! Leadership Team Members Tim Ingram Health Commissioner Kathy Lordo Assistant Health Commissioner, Community Health Services Greg Kesterman Assistant Health Commissioner, Environmental Health Services Rebecca Stowe Director of Health Promotion and Education Craig Davidson Director of Epidemiology and Assessment John Sherrard Emergency Response Supervisor Mike Samet Public Information Officer
Page 24HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan
APPENDIX CW
eTH
RIV
E! In
itiat
ive
Hie
rarc
hy
Boa
rd o
f Hea
lthH
amilt
on C
ount
y P
ublic
Hea
lth
WeT
HR
IVE!
Lea
ders
hip
Team
H
amilt
on C
ount
y P
ublic
Hea
lth K
ey In
tern
al S
taff
Publ
ic H
ealth
Adv
isor
y C
ounc
il (P
HA
C)
Par
tner
Age
ncie
s*A
ppro
ve &
Rev
iew
Com
mun
ity H
ealth
Impr
ovem
ent P
lan*
WeT
HR
IVE!
Pat
hway
Impl
emen
tatio
n St
aff (
HC
PH &
Par
tner
s)C
hron
ic D
isea
se •
Em
erge
ncy
Pre
pare
dnes
s •
Com
mun
ity H
ealth
• E
nviro
nmen
tal H
ealth
WeT
HR
IVE!
Com
mun
ity L
earn
ing
Col
labo
rativ
eR
epre
sent
ativ
es fr
om 4
5W
eTH
RIV
E! T
eam
s
45W
eTH
RIV
E! T
eam
s
Adop
ted
7-30
-14;
Rev
ised
5-1
2-15
HAMILTON COUNTY PUBLIC HEALTH250 William Howard Taft Rd, 2nd Floor,Cincinnati, Ohio 45219P: 513-946-7800F: 513-946-7890