1.Progress Report of March 2010 Albuquerque - Bernalillo County Health Equity Assessment Tool ABC HEAT Bernalillo County Place Matters Team Thomas N. Scharmen , MA, MPH, Epidemiologist Regions 1 & 3, Office of Community Assessment, Planning and Evaluation Public Health Division, New Mexico Department of Health North Valley Public Health Office 7704-A 2nd St, NW Albuquerque, NM 87107 Telephone: 897-5700 ext 126; Fax: 897-1010 E-mail:[email_address]

2. A Project of the Bernalillo CountyPlace Matters Team ABC HEATis a collaborative health equity initiative with the goal of providing communities and decision-makers in our city & county withevidence to build healthinto public and private policies and practices. We believe that decision-makers must have reliable dataon health status, disparities, and the effects of social determinants of health.These data must be monitored at thelocal levelin collaboration with the people and families who live there, andfundingmust be available to promotecommunity participatory assessmentto understand these health effects and to promote the application of findings to decision-makers. ALBUQUERQUE / BERNALILLO COUNTYHEALTH EQUITY ASSESSMENT TOOL 3. AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL WHAT IS THE ROLE OF YOUR ORGANIZATION IN SUPPORT OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY? WHAT IS THE ROLE OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY IN SUPPORT OF YOUR ORGANIZATION ? 4. Place Matters CommunitiesThe Fair Health Movement BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 5. Definitions

Health Disparities : Statistical differences in disease, health outcomes or health access that occur among populations defined by specific characteristics

Health Inequity :Differences in health that are systematic and avoidable, unfair, or stemming from injustice

Research : Discovery, via scientific methods, of new knowledge (e.g., causation) that will have broad applications

Public Health Surveillance : Information for action and policy advocacy

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 6.

Social Determinants of Health

• • • Land Use Planning

• • • Economic Development

• • • Housing

• • • Parks and Recreation

• • • Education

• • • Crime

• • • Racism/Discrimination

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL Definitions 7. Source: World Health Organization,Report of the Commission on the Social Determinants of Health , 2008. See also Robert Wood Johnson Foundation Report,Beyond Health Care: New Directions to a Healthier Americaand CDC,Healthy People 2020 . BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 8. A MODEL AREA-BASED INDICATORS PROJECT TheHealthy Development Measurement Toolis a comprehensive evaluation metric to consider health needs in urban San Francisco development plans and projects.TheHDMTexplicitly connects public health to urban development planning in efforts to achieve a higher quality social and physical environment that advances health. http://www.thehdmt.org/ 9. http://www.thehdmt.org/ 10. http://www.thehdmt.org/master_list.php SAN FRANCISCO,HDMT ALBUQUERQUE,HEAT http://www.nmpha.org/Social_Determinants.html BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 11. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL ALBUQUERQUE AND THEHEATCOMMUNITY BOUNDARIES HOW DO YOU DEFINE YOUR COMMUNITY? Community Boundaries &Numbers Downtown Albuquerque Big I Rio Grande River Interstate Highways NW To Santa Fe NE SE SW Airport 12. 33 HEAT COMMUNITIES 141 Census Tracts were aggregated into 33 communities representing coherent neighborhoods in the city of Albuquerque and surrounding county. Each HEAT community contains roughly 3 to 6 whole census tracts. Social determinant and health outcome data are calculated for each of those 33 communities to produce data tables and maps for community decision makers. ABC HEAT will explore other definitions of communities, for example: coalitions of neighborhood associations, police beats, state representative districts, etc. The table at right gives the names and codes for each of the 33 communities.Each name corresponds to a major intersection within the community. The adjacent map points out familiar landmarks in Albuquerque. Red lines mark the HEAT Communities Input is appreciated regarding better ways to define the geography of your community. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 13. http://map4change.org/ ABC HEAT WILL SOON BE ONLINE BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 14. AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL WHAT IS THE ROLE OF YOUR ORGANIZATION IN SUPPORT OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY? WHAT IS THE ROLE OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY IN SUPPORT OF YOUR ORGANIZATION ? 15. Call us to set up a workshop for your project or group. Tom 897-5700 x126 George: 314-0326 BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 16.

What is the Health Equity Assessment Tool?

A large inventory of datasets (> 90 indicators currently)

Information on the social and health conditions of local communities

Geo-coded birth & death files (16 yrs)

Organized by Bernalillo County Census Tracts (141), and by

Aggregations of tracts into meaningful community boundaries (33)

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL

The indicators are being developed as multi-purpose, rapid response tools , ready for

• participatory research,

• program planning,

• priority setting and targeting,

• grant proposals,

• policy discussions,

• environmental and health impact assessments,

• . . .and multiple other forms of community decision-making.