the community health needs assessment and improvement plan process in yellowstone county
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The Community Health Needs Assessment and Improvement Plan Process in Yellowstone County Engagement and Accreditation. Montana Public Health Association Conference October 1, 2014 Heather Fink and Shawn Hinz. Community Engagement. What is Community Engagement?. The Alliance. - PowerPoint PPT PresentationTRANSCRIPT
The Community Health Needs Assessment and Improvement Plan Process in Yellowstone County
Engagement and Accreditation
Montana Public Health Association ConferenceOctober 1, 2014
Heather Fink and Shawn Hinz
Community Engagement
What is Community Engagement?
Community Health Improvement
The Alliance
Objectives
To introduce a Community Health Needs Assessment approach including potential strategies for engaging key collaborators and community members in the process.
To demonstrate alignment with required domains of Public Health Accreditation.
ACHI Framework for the CHNA and CHIP
Suggested 7th step:revisit and refine plan and process.
http://www.assesstoolkit.org/assesstoolkit/ACHI-CHAT-intro-slides-8-27-10.pdf
July-Sept 14Aug-Oct 13 Nov-Dec 13 Jan-Feb 14 Mar-June 14Mar-July 13
ACHI steps 1 & 2: Establish and Assess InfrastructureSurvey DesignCHNA Advisory Group PRC ContractSurvey tools finalized (HBDL)
ACHI step 3: Analyze DataResults ReturnedAlliance & HBDL review BC, RSH & SVH internal reviewCHNA Advisory Group reviewHBD Coalition review
ACHI step 4: Select PrioritiesPrioritization Process Community processInstitutional processesAlliance final adoption
ACHI step 3: Collect DataSurvey ConductedFocus Groups (PRC)Telephone (PRC)
ACHI step 5: Document and Communicate ResultsResults Released Publiclya) Press Conference (Jan)b) Internal, key groups, community, & media – results, priorities & engage
ACHI step 6: Plan for ActionCHIP Adopted (June 30)BC adopts facility planSVH adopts facility plan
COMMUNITY HEALTH NEEDS ASSESSMENT TIMELINE
CHNA= Community Health Needs Assessment PRC= Professional Research Consultants – vendorCHIP= Community Health Improvement Plan HBDL=Healthy By Design LeadershipACHI=Association of Community Health Improvement (framework for CHNA-steps referenced)
ACHI step 6: Monitor ProgressCHIP begins
ACHI step 6: Plan for ActionAuthor CHIP
step 7: Revisit and Refine plan and process
DOMAIN 1: Conduct and disseminate assessments focused on population health status and public health issues facing the community • Standard 1.1: Participate in or Conduct a Collaborative Process
Resulting in a Comprehensive Community Health Assessment• Standard 1.2: Collect and Maintain Reliable, Comparable, and Valid Data That
Provide Information on Conditions of Public Health Importance and On the Health Status of the Population
• Standard 1.3: Analyze Public Health Data to Identify Trends in Health Problems, Environmental Public Health Hazards, and Social and Economic Factors That Affect the Public’s Health
• Standard 1.4: Provide and Use the Results of Health Data Analysis to Develop Recommendations Regarding Public Health Policy, Processes, Programs, or Interventions
Assess
DOMAIN 4: Engage with the community to identify and address health problems • Standard 4.1: Engage with the Public Health
System and the Community in Identifying and Addressing Health Problems Through Collaborative Processes
• Standard 4.2: Promote the Community’s Understanding of and Support for Policies and Strategies That will Improve the Public’s Health
Community Engagement
Community Health Needs Assessment Completed every 5 years, now every 3 Sponsored by the Alliance Randomized telephone survey of 404
Yellowstone County adults Secondary Data
Public health data & vital records statistics
Focus Groups Physicians & other Health Professionals Legislators Social Service Providers Educators Employers South side neighborhood residents
Measure Opportunity forImprovement
History/CurrentStatus
Action Documentation ResponsibleStaff
Date
4.1.2Example 2 RequiredDocumentation Source ofEvidence-based practices
RiverStone Health may want toconsider how thework they currently do orcould do provides their manycommunity coalition partnerswith technical assistance, toolsand resources to provideinformation about communityengagement principles,processes, and/or models.
RiverStone Health is using the Association ofCommunity HealthImprovement (ACHI) model for CommunityEngagement. This process was also used in2010.
Present to communitymembers who haveselected priority areas andstakeholders on how the ACHI model ofcommunity engagement is usedin the development of a CHIP and othertypes of community engagement. Thecommunity members willparticipate in setting priority activities.
Invitation
Agendas ofmeetings
Meeting
Minutes
PowerPointPresentationACHI model
Documentation of PriorityPlanning
Attendance Sheets
Shawn Hinz, Director andHeather Fink,Coordinator forCommunity HealthImprovement
On 5/2/2014
Action Plan
CommunityResources• The Alliance• Community Health Improvement Leadership• CHNA Advisory Group• Healthy By Design Coalition• CHIP workgroup
Points of engagement• Press Conference and Preview Meetings• CHNA Advisory Group Check-Ins• Community Forum• Content Expert Meetings• CHIP Strategy Discussions
Areas of
Opportunity
► Access to Health Services*
► Cancer*
► Chronic Kidney Disease
► Dementias, Including Alzheimer’s Disease
► Heart Disease & Stroke*
► Injury & Violence*
► Infant Health & Family Planning
► Mental Health & Mental Disorders*
► Nutrition, Physical Activity & Weight*
► Respiratory Diseases*
► Substance Abuse*
► Tobacco Use
Bold items were identified as a top concern in focus groups.
* Denotes issues identified as Areas of Opportunity in 2010 as well.
Underlined-identified in 2014 Community Forum
Identified Community Priorities
– Access to Health Services
– Mental Health & Mental Disorders, Substance Abuse
– Nutrition, Physical Activity & Weight
DOMAIN 5: Develop public health policies and plans • Standard 5.1: Serve As a Primary and Expert Resource for
Establishing and Maintaining Public Health Policies, Practices, and Capacity
• Standard 5.2: Conduct a Comprehensive Planning Process Resulting in a Tribal/State/Community Health Improvement Plan
• Standard 5.3: Develop and Implement a Health Department Organizational Strategic Plan
• Standard 5.4: Maintain an All Hazards Emergency Operations Plan
Policies and Plans
Measure Opportunity for Improvement History/Current Status Action Documentation Responsible Staff Accomplish by Date
5.2.4The required documentation includes monitoring progress in meeting performance measures and a description of the progress made on health indicators as defined in the plan.
The primary constraint for meeting this measure is related to the newness of the plan. That said, the plan and the updates could be improved if the objectives and strategies/interventions were written as SMART, and rather than simply aiming to decrease or increase a particular activity, the plan could set specific targets; for example, increase by x% from x to y, etc.
RiverStone Health conducted Community Health Needs Assessments in 2005, 2010, and 2014 in partnership with the local hospitals (The Alliance). Following each needs assessment, a plan to improve the health of the community was written using community engagement.The 2014 CHIP is currently being written and the strategies will be written as SMART objectives.
Reports of progress for the 2010 CHIP will be provided. In December 2013, a presentation to the Alliance on the health priorities and outcomes occurred comparing the results of the 2005, 2010, and 2014 Community Health Needs Assessment. Work groups were formed following the development of the 2010 CHIP and developed work plans which were updated in March 2014
7-8-13 Report of CHIP progress Meeting Minutes Attendance PowerPoint 2014 CHIP update which includes;work plans, progress, updates and revisions March 2014.
Shawn Hinz, Director andHeather Fink, Coordinator for Community Health Improvement
7-8-13 12-18-13 March 2014
Action Plan
The Alliance
Community Health ImprovementCHNA and Implementation Plan
Healthy Weight
2014-2017 Community Health Improvement Plan Priorities
Healthy Weight PriorityHealthy By Design’sCurrent Initiatives
Making the healthy choice the easy choice
Focused on Policy, Systems and Environmental
Change!
Healthy By Design Coalition Better Billings
Foundation Big Sky EDA Big Sky State Games Billings Clinic Billings Family YMCA Cancer Control Coalition Chamber of
Commerce/CVB City-County Planning
Dept. community health
advocates League of Women
Voters MET Transit McCall Development
MSU BillingsMSU Extension ServiceNorthern Plains Resource
CouncilNutrition for the FutureParks and RecPeaks to Plains DesignRiverStone Health Safe Routes to School Salvation ArmySt. Vincent Healthcare School Health Advisory
CouncilUnited Way
Community Message: 5-2-1-0
Wellness Health Equity
Built Environm
ent
Active Living Every Day
Gardeners’
MarketFood
Access
Alternative Transportatio
nWorksite Projects: BSED
Recognition
Children/Families
(partners: BAFHK, SHAC)
Priority: Healthy Weight (Brand: Healthy By Design)
Focus Areas
Workgroups
DOMAIN 10: Contribute to and apply the evidence base of public health • Standard 10.1: Identify and Use the Best
Available Evidence for Making Informed Public Health Practice Decisions
• Standard 10.2: Promote Understanding and Use of Research Results, Evaluations, and Evidence-based Practices With Appropriate Audiences
Evidence Based Practice
Healthy By Design
Workgroup WorkplanExample
Complete streets are designed and operated to enable safe access for all users. Pedestrians, bicyclists, motorists, and public transportation users of all ages and abilities are able to safely move along and across a complete street.*
* Source: National Complete Streets Coalition www.completestreets.org
Zimmerman Trail near Poly Drive
“Complete Streets” passed unanimously by City Council. Adopted by Billings
August 22, 2011
Report on 2014…Average of 150-200 customers each weekAverage of 12 sellers weeklyMoved to South ParkSNAP, Debit, Credit
Gardeners’ Market
Active Living Every Day Classes
Address identified physical activity barriers and opportunities.
Action Plan Measure Opportunity for
ImprovementHistory/Current Status Action Documentation Responsible
StaffAccomplish by
Date 10.1.1Example 2 Required Documentation Source of Evidence-based practices
To seek out and utilize evidence-based or promising practices that are aligned with the 10 Essential Public Health Services
The Healthy By Design Coalition is led by RiverStone Health, and Alliance partners Billings Clinic and St. Vincent Healthcare. There are 5 active workgroups: Healthy Weight, Worksite Wellness, Health Equity, Built Environment, and Recognition Program that all embrace 5210 messaging. 5 fruits/vegetables, 2 hours or less of screen time, 1 hour of physical activity per day, and 0 sugary beverages. This 5210 messaging is centered around our work to decrease obesity and chronic disease (a priority of our current CHIP) and evidenced by the success of the “Let’s Go Maine” program and referenced in many CDC resource lists. See below
To assure consistent messaging of the 5210 model a train the trainer program will be developed and implemented to include sanitarians, and immunization staff. Identify target audiences for future 5210 trainings
InvitationPowerPointsAttendance Training Materials Emails/minutes
Melissa and Dasheema Melissa and Dasheema
5/15/2014 5/15/2014
Let’s Go Maine, Hawaii Initiative for Childhood Obesity Research and Education, Healthy By Design.
Healthy Weight Collaborative Project
Community Message
Alliance and Community Health Improvement Leadership
Mental Health/Substance
Abuse
Access to Care
Healthy Weight
Community Health Improvement Staff
Community Health Needs Assessment
Community Health Improvement Plan
Priorities
Com
munity
• Strategy team meeting 8/27/14: Heather Fink, Nathan Stahley, Kristin Lundgren, TommiLee Harper, Libby Carter
• Proposed co-chairs: Libby Carter, DPHHS and Barbara Mettler, Mental Health Center (to be approached by Kristin)
• Common strategies of focus:– Increase capacity for trauma informed care– Support advocacy efforts for co-occurring treatment and family treatment– Identify mental health and substance abuse related resources (integrate trauma
informed certification)• Actions:
– Outline strategy plan, aligned with DESTRESS grant– Finalize chairs– Hiring for grant coordinator– Identify opportunity to connect/collaborate with Tobacco and
Substance Abuse Coalitions– Pursue potential interns to support
Priority: Mental Health/ Substance
• Finalizing Alliance organizations strategy team representatives
• Determine meeting time and date• Review CHNA, CHIP, strategies• Recognize current efforts underway• Determine priority strategies and potential
opportunities– Meeting scheduled in October– Determine where Healthy Weight Plans fit
Priority: Clinical/Access
Alliance and Community Health Improvement Leadership
Mental Health/Substance
Abuse
Access to Care
Healthy Weight
Community Health Improvement Staff
Community Health Needs Assessment
Community Health Improvement Plan
Priorities
Com
munity
WHO?
Backbone Structures
Who does the work?• Collaborative• Nonprofit organization• Dedicated staff
Collective Impact
Making a difference
THANK YOU
Shawn HinzVice President, Public Health Services
RiverStone [email protected]
406-247-3365
Heather FinkCommunity Health Improvement Manager
On behalf of the Alliance: Billings Clinic, RiverStone Health, St. Vincent [email protected]
406-247-3272