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Culture of Health Wellness and Patient Engagement Draft Framework
Wellness and Patient Engagement Group Member List
Contact Name Organization Email
Megan Carbloom Steering Committee, Group Co-Chair [email protected] Evelyn Telford Steering Committee, Group Co-Chair [email protected] Amanda Holland Steering Committee Member [email protected] Linda Bergren Steering Committee Member [email protected] Jane Roggensack Steering Committee Member [email protected] Ann Malmberg Community Health - Essentia [email protected] McKee Student at Essentia Health Joan Enderle American Heart Association-ND [email protected]
Kylie Nissen ND Center for Rural Health [email protected]
Kim Mertz ND State Department of Health [email protected] Cristina Oancea UND School of Medicine and Health
Sciences [email protected]
Senator Judy Lee ND Health Services Committee [email protected]
Peter Seljevold Blue Cross Blue Shield of North Dakota
Karen Ehrens Building a Healthy ND [email protected]
James Roemmich USDA GF Human Nutrition Research Center
Theresa Will City-County Health Unit, Valley City [email protected]
Jodi Fetsch Custer District Health Unit [email protected]
Theresa Knox Grand Forks Public Health [email protected]
Andrea Olson Community Action Parternship [email protected] Arnold ND Department of Public Instruction [email protected]
Jean Bokinskie Parish Nurse Ministry [email protected] Estad Altru Health System [email protected] Kelly Grassel Steering Committee Member [email protected] Carla Hansen North Dakota Center for Nursing
Nancy Joyner Nancy Joyner Consulting, Honoring Choices North Dakota
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Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?
Driver 1: Mindsets and Expectations: Awareness of how our individual health affects others- and how the health of our communities influences our own- is key to building a culture of Health. Do our policies reflect our communities needs and values? These measures reflect how we as individuals, families and communities, and as a nation- think about health and well-being.
Examples: Value on Health Interdependence, Value on well-being, public discussion on health promotion and well-being.
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action Location Funding Source Advance Care Planning/POLST
Aim 50% of adults (18 and over) will have a documented health care directive by Dec 31, 2022
Grand Forks Community
ND Private School System
Vaccinations/immunizations Public Health entities statewide
ND School Board Association
Wellness policy/committees
Hospitals/Public Health Community health needsAssessment (top 3)
Workplace Wellness Gallup Well Being Index Statewide Initiative
BCBS ND/NDDOH
What are ND’s gaps (geographic and programmatic) for this driver?
Rural areas do not have access to these services (any public health/pharmacy services) Employers allowing time off work for preventive screenings or not seeing the value in
preventative screenings Time/funding for local public health employees to be able to get into the worksites
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Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?
Driver 2: Sense of Community: Residents of socially connected communities are more likely to thrive. Research suggests that individuals who feel a sense of security, belonging, and trust in their environment have better health. People who don’t feel connected to the community are less inclined to engage in health-promoting behaviors or work together for positive change. These measures indicate to what extent people feel a part of their communities.
Examples: Sense of community, social support.
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Behavioral Risk Factor Surveillance System (BRFSS)
Faith Communities Support groups, nutrition and exercise groups
Statewide
Streets Alive Cass County
Caring Communities Sanford
Community of Care Parish nurses serve (Meals on Wheels, transportation)
Global Friends Coalition Grand Forks
Barnes on the Move Partnership
Physical Activity and healthy nutrition/tobacco cessation, block parties
Barnes County Public Health, Chronic Disease Block grant
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Go Bismarck/Mandan Increase access to healthy foods/physical activity
Bismarck/Mandan Foundation funding/public health entities, community partners
What are ND’s gaps (geographic and programmatic) for this driver?
No state wide faith community Indian Health Services – trust issue Lots of families caring for elderly parent – alone versus elderly living at home with no
family Refugees- not a lot of programs available to integrate into communities
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Making Health a Shared Value: How can individuals, families and communities work to achieve and maintain health?
Driver 3: Civic Engagement- Civic engagement creates healthier communities by developing the knowledge and skills to improve quality of life. Voting and volunteering are among the many measures of an engaged population. In both cases, people’s actions show they care about the outcomes of their community or their nation, and they want to cultivate positive change. These Measures reflect whether individuals feel motivated and able to participate and make a difference.
Examples: Volunteer engagement, voter participation,
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Call to Action Opioid Crisis Coalition
Grand Forks; Barnes County, Minot, Bismarck, 4 Tribal Communities, Fargo
Grant funding
Hospitals/work places Tracking employeevolunteer hours
United Way Statewide
County Auditors Voting rates
League of Women Voters Bismarck
Schools Helping Hands –opportunities for youth to volunteer
Grand Forks
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Behavioral Health Coalition
Finding resources for behavioral health
Barnes County
Honoring Choices North Dakota
Advanced Planning Statewide
What are ND’s gaps (geographic and programmatic) for this driver?
Not all work places provide paid time to volunteer (example one organization provides 16 paid hours/year)
Lack of driver’s license
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Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?
Driver 1: Number and Quality of Partnerships: Research indicates that building relationships among partners is the most challenging aspect of creating change. Measures look at how organizations are working together to improve health and well-being.
Examples: Health department collaboration with community organizations, school districts, workplace health promotion
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Health Dept Local
Lutheran Social Services – Child Aware
Hospitals – clinical aspects of care and local public health entities
Prevention and health community outreach- wellness education, joint wellness, summer safety, education programs etc.
Statewide
Work place health promotion
Insurance companies providing incentives
Varies with work place Insurance companies
Regional Education Association (REA)
Foster relationships between schools and standards and focus on health/wellness, physical activity, nutrition
Fargo/Minot/Jamestown GrantSome state funding
Insurance Companies Bringing in local speakers
statewide
Custer Health Public Health
Pre-Diabetes Screenings
Custer Health Grant
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Safe Kids Car seat check-up events with car dealerships and community members
Grand Forks/Fargo
What are ND’s gaps (geographic and programmatic) for this driver?
REA – lack of Wellness Coordinator/ No school based health centers (elementary/secondary)/
School nurses – ratio, limited hours, areas with no resource/Oral health screening No statewide board currently to drive focus What could be done to fill in this gaps for ND? At follow-up teleconference meetings,
this group will work to develop a proposed plan for filling in these gaps. Tele health for School Nurses
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Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?
Driver 2: Investment in Cross-sector Collaboration: In addition to measuring the quality and quantity of cross-sector collaborations, it is important to track investments that support these partnerships. Corporate and federal contributions have the power to influence our nation’s health, both directly and indirectly. Measures help identify whether there is adequate financial support to enable cross-sector partnerships.
Examples: US Corporate Giving, Federal allocations for Health Investments,
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
ND State Health Dept Connecting public health and hospitals to complete community health assessments
All non-profit hospitals; Center for Rural Health webpage has results every 3 years
Federal and state funding
WIC/SNAP Supplemental nutrition program for qualified applicants; trying to partner with community health partners
Federal funding provided to state
School lunch/breakfast programs
Reduced or no costs for school lunch/breakfast
Statewide Federal Funding And some state funding
Safe Kids National Walk to School Day/Bike Safety/Walkability study
Grand Forks/Fargo
Federal/Local
MPOMetropolitan planning organization
Street planning, sidewalk and walkability
FM Area, Bismarck, Grand Forks
Back pack program/churches/schools
Food sent home with school children
Jamestown, West Fargo, Fargo, Bismarck/Mandan,
Churches/United Way/Food Bank/Fraternal
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Valley City OrganizationsChild Care
What are ND’s gaps (geographic and programmatic) for this driver?
Poor funding/access to nutrition and exercise programs Neighborhood gaps – trails/sidewalks/Rural areas – gravel roads and poorly lit Back pack programs- some of the foods that are being sent home are not always health
and this is due to funding- what can be provided at free to low cost? SNAP program- doesn’t have standards and applicants can buy non-nutritional foods.
What could be done to fill in this gaps for ND? At follow-up teleconference meetings, this group will work to develop a proposed plan for filling in these gaps.
Walkability plans – for community if rural area. Promote shared use of public buildings for walking, etc. CACFP- One of the barriers is that in ND child care providers are not required to follow
these guidelines so not as many participate in this program.
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Fostering Cross-Sector Collaboration to Improve Well-being: Are Individuals, institutions and communities doing all they can to prevent illness and promote health?
Driver 3: Policies that Support Collaboration: Policies play a key role in encouraging and maintaining collaboration across sectors, as well as creating incentives for different sectors to contribute what they can to the cause of improving our nation’s health. Measures highlight some of the policies that have the potential to catalyze widespread improvement in health and overall well-being.
Examples: community relations and policing, youth exposure to TV ads, climate adaption and mitigation, support for working families
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Safety Town 20 hours education for pre-K children on stranger danger, etc.
Fargo State/Public
ACA/Hospitals Community Health Assessment
FMLA
What are ND’s gaps (geographic and programmatic) for this driver?
No state climate action plan/Policy to support screenings during work hours/TV adds – do not show warnings for sugar content like in Europe/FMLA – elderly parents/Daycare availability and cost
What could be done to fill in this gaps for ND? At follow-up teleconference meetings, this group will work to develop a proposed plan for filling in these gaps.
Childcare tax credits/208 – all food labels will have added sugars/serving size – push for same with restaurants.
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Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy.
Driver 1: Built Environment: Health-promoting environments are safe, affordable and provide access to exercise and nutritious food. Feeling safe in our neighborhoods will also allow us to take full advantage of the space around us. Measures gauge whether our physical environments support well-being.
Examples: housing affordability, access to healthy foods, youth safety
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Safety Town
Safe Kids
Community gardens
Rebuilding Communities Elderly – home repair, ramp, etc. (age in place)
Fargo Volunteer/Contractors
Habitat for Humanity
Housing program – single unit
Grand Forks City owns property
What are ND’s gaps (geographic and programmatic) for this driver?
Housing affordability/Homeless/Funding/Cost of rent-building costs/Seasonal produce/Access to healthy foods – rural areas (WICK voucher doesn’t cover gallon of milk at rural grocery stores) and limited quality/products/choices (5 gallons of lard)
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Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy.
Driver 2: Social and Economic Environment: Our social environment influences a community’s sense of trust and cohesion. Factors like enduring racial and socioeconomic segregation have an impact on community health. Research points to strong connections between our environment, economic prosperity and health. Measures identify social and communal factors that influence wellness.
Examples: residential segregation, early childhood education, public libraries
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Pre-school enrollment rates
? State – free for special needs
Head Start
Schools Pre-school screenings
What are ND’s gaps (geographic and programmatic) for this driver?
Number of public libraries – location/access/transportation/Number of pre-schools per district
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Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy.
Driver 3: Policy and Governance: Do our policies support us in living our healthiest lives? Too often, we see health-promoting initiatives fall short without the policy structures in place to sustain them. Measures spotlight the role of policy in creating health environments, with an emphasis on collaboration between community members, government and large institutions.
Examples: residential segregation, early childhood education, public libraries
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Smoke free initiatives
What are ND’s gaps (geographic and programmatic) for this driver?
Tobacco tax/Lack of complete streets policies/Emissions testing policy gap/Air quality issues (vehicle emissions higher in city versus rural)
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Strengthening Integration of Health Services and Systems: Integrated care empowers patients and providers.
Driver 1: Access to Care: Access goes beyond simply having insurance. Access must be defined more broadly as ensuring that all people have continuous, comprehensive care, as well as the opportunity and tools to make heathier choices. Measures help us to see whether care is available to those who need it, when and how they need it.
Examples: access to public health, access to stable health insurance, access to mental health services, routine dental care
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
Minimum Public Health Services
Each ND County
What are ND’s gaps (geographic and programmatic) for this driver?
Consistency in Public Health Services core functions/Environmental Health/Lack of dental services – elderly – no access certain areas/Fee for service dental care – limited hours/access
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Strengthening Integration of Health Services and Systems: Integrated care empowers patients and providers.
Driver 2: Consumer Experience and Quality: Patients thrive through quality care that is safe, equitable, accessible, efficient and timely. Consumer experience can influence whether people delay or seek care. In a Culture of Health, patients are actively engaged in decision-making, and providers are responsive to cultural and linguistic needs. Measures illuminate how patients feel about their health care and outcomes.
Examples: positive patient experiences, population covered by an accountable care organization
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
ACO Fargo/Bismarck/Grand Forks/Williston, few others
CAHPS/HCAPS
What are ND’s gaps (geographic and programmatic) for this driver?
ACO coverage/Burnout/compassion fatigue/self care – providers and health care professionals (Patients benefit when staff is well – decreased turn over, etc.)
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Strengthening Integration of Health Services and Systems: Integrated care empowers patients and providers.
Driver 3: Balance and Integration: When our systems work together, more people will get the timely, quality services they need. A Culture of Health calls for better balance between prevention and acute care services. This can lead to greater efficiency, fewer hospital readmissions and decreased health costs. Measures reflect whether our public health, social service and health care systems are intentionally balanced and integrated.
Examples: electronic medical record linkages, hospital partnerships, practice laws for nurse practitioners, social spending relative to health expenditure
What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed.
Entity/Organization Brief description of Action
Location Funding Source
EMR/Hospitals/HealthSystems
ND Quits Link Electronic referral from EPIC
Grand Forks
Practice Law
Hospitals/Work place Farmers market Essentia
Healthy Cooking classes/grocery store tours
Worksite Wellness Free screenings/Flu shots
What are ND’s gaps (geographic and programmatic) for this driver?
ND Quits Link/Healthy foods cost more/Community Paramedic Programs – reimbursement/Investments in prevention versus treatment
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Ideas on How to Fill Gaps for your Entire Framework
For the group’s entire framework: What could be done to fill in the gaps for ND for your topic?
This list will be used along with the group’s finished framework to develop cross-cutting
recommendations at the May 2018 in-person meeting.
Explore concept of cultural fluency in academic curriculums. Grants for rural grocery stores. Utilize tool kits – set up fresh fruit at check outs.
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