Clay-Platte County Needs Assessment:

Clay County Public Health CenterJodee Fredrick

Vision North 2000-2005 – The Past

Vision North 2000Four Priority Areas –• Quality child care.• Dental care services• Improved public

transportation system.• After -school and

summer recreational programs

Vision North 2005Added four NEW priority

areas and kept those from 2000

• Affordable Housing• Health Care• The Arts• Recreation

Summer 2010 – The present A new Vision North steering

committee formed in the summer of 2010.

They engaged the National Civic League to facilitate a new strategic planning process to assess current needs and challenges for the Northland and to develop strategies and action agendas for making a measurable impact on the Northland’s critical areas of need.

Five Key Performance Areas Identified (KPAs):

1. Community Wellness

2. Education3. Economic

Development4. Transportation

and Infrastructure

5. Quality of Life

Local Public Health Agencies’ Role in VN 2010

• Three public health agencies provided “seed money” and were part of the steering committee for this initiative. Other stakeholders were also involved)

• All 3 public health agencies serving Clay-Platte Counties provided representatives on the Community Wellness KPA

• CCPHC provided one FTE to act as liaison to National Civic League (facilitator) from summer of 2010 until August 2011 when process was completed.

Comparison of Vision North Process and the of the PHAB Domain 1, Standard 1

DOMAIN 1 - Standard 1In a community assessment who

contributed data or resources

Vision North processWho was involved

Local Public Health Department(s) Clay Co. Public Health, Platte Co. Health, KCHD

University or Academics Park University, UMKC, Maple Woods Community College, 3 School Districts

Private consultant(s) National Civic League, other consultants within communities

Health/Hospital Systems Three Hospitals , Tri-County Mental Health

Managed Care organizations Northland Healthcare Access

Other public sector agencies Economic Development from several communities, Chambers of Commerce, Banks, United Way,

Governmental entities Mid-America Regional Council, County Commissioners, Mayors and City Planners, local Boards of Health

State level agency or organizations Local legislators

National Level Agency HHS

Community Based Organizations United Services CAA, Good Samaritan, Faith community

General Public Yes - several

VN 2010 Project Calendar• 1-12-11 Stakeholder Session 1 – Orientation &

visioning• 1-26-11 Civic Index – Assessment of civic infrastructure• 2-16-11 Community Scan – Assessment• 3-02-11 Select Key Performance Areas – work groups• 3-30-11 Mini-visioning for KPAs• 4-20-11 KPA Reports on Assessment findings• 5-11-11 Development of KPA Goals/Strategies• 6-01-11 KPA Reports on Goals/Strategies• 6/22/11 Implementation Strategy • 7/13/11 Final KPA Reports• Aug. 2011 Report of Vision North 2010-2015 released to

public.

Accreditation is all about the Public Health System

Who is part of YOUR PH System?

• Take a look at the National Public Health Performance Standards Program’s Model Standards.

• Operational Definition of a Functional Public Health

• PHAB Standards & DomainsAll of these build off of the 10 Essential

Services of Public Health

Why does PHAB require all these people to be involved in a Community Assessment?

“The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the

systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social

policies, and politics”….World Health Organization

Public Health has data on morbidity and mortality but we need to focus on what is really going on with our communities and address ALL the factors – not just behavioral risk factors to

produce a “healthier” community.

“Where you live matters to your health!”

Community Wellness is Local

Our communities know what’s wrong and when we work together we can make it right. The good news is we can fix many of the problems we face, and prevent these same problems from starting in the first place. When we work together our public health departments, health care providers, cities, schools, businesses, and community-based organizations (the PH system) can overcome even the most tenacious problems. We know that:

1. Chronic diseases adversely affecting the health of Northland residents share common risk factors such as tobacco use, smoking, unhealthy diet, physical inactivity, alcohol/substance abuse & overweight/obesity.

2. Collaboration and integration is necessary as one agency CANNOT do it alone.

3. Strong local public health system infrastructure is already in place so why not take advantage by improving linkages

4. This approach is being used successfully all across the US – no need to reinvent the wheel . We can learn from each other.

Tools Utilized

• Outside facilitator• Data/Assessments• Use of college students to conduct

focus groups• Structured tools such as Civic Index

Survey• People – runners, liaisons for KPAs,

scribes, KPA leaders• Strategic Planning format

Barriers & Steps to Overcome

• Timing is critical – Plan 1 – 2 years ahead of schedule for what you’re going to do

• Appoint cross-cutting Steering Committee• Stakeholder identification• Engage policy makers• Hire outside facilitator• Try very hard to NOT just focus on health – look

at “big” picture of social determinants of health• Funding – Contributing and In-Kind project

sponsors

What We Will Do Differently the Next Time

• Start Earlier • Tie Funding/Philanthropic

agencies in the mix• Health Data - more targeted to

counties or communities not region

http://www.visionnorth.org/