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Community Health Improvement Plan Annual Report, 2016
Florida Department of Health in Sumter County
Table of Contents
Introduction ..................................................................................................................... 3
Overview of Community Health Improvement Plan (CHIP).............................................. 4
Summary of CHIP Annual Review ................................................................................... 5-11 Accomplishments ............................................................................................................12
Revisions ........................................................................................................................ 13-15
Conclusion .................................................................................................................... 16
Appendices ........................................................................................................... ........17 Appendix I: Annual CHIP Review E-mail………………………………….……...….17Appendix II: E-mail Feedback from Community Partners…………………………..18-20
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Introduction
This is the annual review report for the 2013 Sumter County Community Health Improvement Plan (CHIP) as amended September, 2014 and November, 2015. The activities and collaborative efforts of the Florida Department of Health in Sumter County and community partners will be reflected within the report. This document will serve as a progress review of the goals, strategies, and objectives that were developed and the activities that have been implemented. While the CHIP is a community driven and collectively owned health improvement plan, the Florida Department of Health in Sumter County is charged with providing administrative support, tracking and collecting data, and preparing the annual review report.
In a series of bi-monthly meetings beginning in July, 2016, the Sumter Accreditation Task Force (ATF) and Strategy and Performance Improvement Leadership (SPIL) team reviewed and monitored the existing CHIP and proposed some minor edits. On December 20, 2016, the Florida Department of Health in Sumter County (DOH-Sumter) e-mailed the MAPP Steering Committee members for feedback on the status of the existing CHIP deliverables and the proposed changes for 2016. The following is a list of community partners represented on the Steering Committee.
County Administration
Early Learning Coalition of Sumter County
Sumter County Fire and EMS
Sumter County School Board
Florida Department of Children and Families
Sumter County Public Works
The Villages Fire Rescue
Sumter County Fifth Judicial Circuit
Mid Florida Homeless Coalition
Sumter County Hope Center
Sumter Chamber of Commerce
Langley Health Services
Nature Coast Early Learning Coalition
Lifestream Behavioral Center
Several members provided feedback indicating no objections to the proposed changes.
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Overview of the Community Health Improvement Plan (CHIP)
The Florida Department of Health in Sumter County has used the Mobilizing for Action through Planning and Partnerships (MAPP) strategic planning tool throughout the community health improvement planning process. MAPP is a community-wide strategy for improving community health developed by the National Association of County and City Health Officials (NACCHO) and the Centers for Disease Control and Prevention (CDC). The Sumter County MAPP Steering Committee was formed in October of 2011. Community partners representing a diverse cross section of the Local Public Health System convened to facilitate the process. The four MAPP assessments were conducted between 2011 and 2013 culminating in the creation of Sumter County’s first ever Community Health Improvement Plan. The initial CHIP was dated June, 2013. The Steering Committee came to consensus on three main priority areas; Tobacco/Drug Use, Obesity and Poor Cardiovascular Health, and Access to Healthcare. A subsequent review and revision was done with community partner input in September, 2014 and again in October, 2015. This Annual Review document provides an overview of the process conducted in December, 2016. The following pages show the 2016 annual review and amendment.
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COMMUNITY HEALTH PRIORITY: TOBACCO/DRUG USE Each of the four MAPP assessments pointed directly or indirectly to Tobacco and/or Drug Use as a strategic priority for DOH-Sumter. Particularly the Community Themes and Strengths Assessment identified both as important community health issues. Tobacco/drug use are directly tied to negative health outcomes and poor quality of life.
Goal A1: Sustain a Statutorily Mandated Comprehensive Statewide Tobacco Education and Use
Prevention Program.
Why this is important to our community:
Tobacco use is the leading preventable cause of death. In the U.S., smoking is responsible for 1 in 5 (about 443,000) deaths
every year. (Centers for Disease Control and Prevention, 2012).
Strategy A1.1: Create and/or Maintain Stand-alone Tobacco-Free Partnership
Partners & Stakeholders: Community leaders, role models.
Objective Indicator Current Level Target Status Explanation of Status*
By June 30, 2016, host four
meetings of the Tobacco-
Free Partnership.
Tobacco-Free
Partnership
Four meetings
held previous
year.
Four Partnership
meetings.
Four meetings held as
required by tobacco
grant.
Strategy A1.2: Establish and/or Maintain Local Students Working Against Tobacco (SWAT) Chapter.
Partners & Stakeholders: Community leaders, role models.
Objective Indicator Current Level Target Status Explanation of
Status*
By June 30, 2016, establish
and/or maintain 1 local SWAT
chapter.
SWAT Chapter
created/maintained
One Chapter
exists
One Chapter
maintained.
One SWAT Chapter
(South Sumter High
School)
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GOAL A2: Prevent Initiation of Tobacco Use among Florida’s Youth and Young Adults.
Strategy A2.1: Reduce Tobacco Industry Influences
Partners & Stakeholders: Sumter County Tobacco Free Partnership, Students Working Against Tobacco, Community
Leaders and role models.
Objective Indicator Current Level Target Status Explanation of Status*
Objective A2.1 (Policy
Change): By June 30, 2017;
establish one Policy to
reduce Smokeless Tobacco
use.
One policy
established. No Policy exists
One Policy
created. In Progress
GOAL A3: Eliminate Floridians’ Exposure to Secondhand Smoke.
Strategy A3: Creation of Smoke-Free Policies
Partners & Stakeholders: Sumter County Tobacco Free Partnership, Students Working Against Tobacco, Community
Leaders and role models.
Objective Indicator Current Level Target Status Explanation of Status*
Objective A3.1 (Policy
Change): By June 30, 2016;
establish one Policy to create
Smoke-Free Multi-Unit
Housing.
One policy
established. No Policy exists
One Policy
created.
Complete. Mission Oaks
Assisted living and
Memory Care moved their
smoking area from by the
front door to the back
door 100 Ft away from the
building.
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GOAL A4: Promote Quitting among Florida’s Adults and Youth.
Strategy A4: Increased Use of Cessation Services
Partners & Stakeholders: Sumter County Tobacco Free Partnership, Students Working Against Tobacco, Community
Leaders and role models.
Objective Indicator Current Level Target Status Explanation of
Status*
Objective A4.1 (Policy
Change): By June 30, 2016;
establish one Policy to create
Tobacco-free Worksites.
One policy
established. No Policy exists
One Policy
created.
Complete. As of June
15, 2016 the Sumter
County Sheriff’s Office
is a Tobacco Free Work
place.
GOAL A5: Address increasing rates of alcohol and substance abuse.
Why this is important to our community:
Results from the Community Themes and Strengths Assessment survey showed that residents of Sumter County living
outside The Villages consider drug use/abuse one of the top health issues for the county. Additionally, the Forces of
Change Assessment identified Drug use/Abuse as a factor affecting the health of the Sumter County community.
Strategy A5: Increase awareness of existing substance abuse services.
Partners & Stakeholders: Lifestream Behavioral Services, Sumter County Government
Objective Indicator Current Level Target Status Explanation
of Status*
Objective A5.1: By December
31, 2015; promote substance
abuse services at LifeStream
through information sharing,
website listing, and
educational materials.
Increased Awareness Process Ongoing Process Ongoing
Objective
achieved and
process will
be ongoing.
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COMMUNITY HEALTH PRIORITY: OBESITY AND POOR CARDIOVASCULAR HEALTH
Obesity and poor cardiovascular health were identified by the community as important public health issues. Overweight and obesity places individuals at increased risk for many serious diseases and health conditions.
GOAL B1: Reduce rates of obesity and associated health consequences.
Why this is important to our community:
Obesity affects 17% of all children and adolescents in the U.S. – triple the rate from just one generation ago (Centers for
Disease Control and Prevention).
Strategy B1: Educate Sumter County youth about the benefits of healthy eating and active lifestyles.
Partners & Stakeholders: Sumter County School Board, Sumter County Board of County Commissioners
Objective Indicator Current Level Target Status Explanation of
Status
Objective B1.1: By June 30,
2016; deliver Healthy Eating,
Active Living, and Transforming
Habits (HEALTH) program in the
Sumter County School system.
Objective B1.2: By December
31, 2016; observe improvement
in knowledge/awareness of
healthy eating and active
lifestyle as measured using pre
and post test results.
Program
Implemented
Program
Evaluated
Program
implemented in
’14-’15 school
year.
Program
evaluated in
’14-’15 school
year.
Implement
Program
Evaluate Program
Turnover in School
Health Coordinator
and Health Education
program prevented
program
implementation.
Renew effort to
accomplish.
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GOAL B2: Raise awareness of obesity as a risk factor for poor cardiovascular health and
associated morbidity and mortality.
Why this is important to our community:
In 2009-2010, more than one-third of U.S. adults were obese. In Sumter County, 47.4%% of adults were overweight
(Florida CHARTS, 2010).
Strategy B2: Provide helpful resources to citizens regarding the health risks associated with being overweight and obese
and the benefits of a healthy and active lifestyle.
Partners & Stakeholders: MAPP Steering Committee, B.E. S.M.A.R.T. Program Developers, Centers for Disease Control
and Prevention, U.S. Department of Health and Human Services, U. S. Department of Agriculture, and the American Heart
Association.
Objective Indicator Current Level Target Status Explanation of Status
Objective B2.1: By December 8,
2015; develop Healthy Weight
Communications Plan to deliver
consistent and appropriate
messaging regarding proper
nutrition and physical activity.
Increased
Awareness
No Plan Exists
Plan Written
Communication Plan
developed.
Implementation
ongoing.
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COMMUNITY HEALTH PRIORITY: ACCESS TO HEALTHCARE
Access to healthcare is an important factor in determining health outcomes and was identified as a priority area by Sumter County residents.
GOAL C1: Reduce rates of dental disease in Sumter County children.
Why this is important to our community:
Access to healthcare is an important factor in the health of a community. Disparities in healthcare access, especially for
vulnerable populations, can influence morbidity, mortality, and quality of life. The CDC Health Disparities & Inequalities
Report – United States, 2011 highlights this and other health disparities.
Strategy C1: Provide Dental Health to second-grade children throughout Sumter County.
Partners & Stakeholders: Sumter County School Board, Promise Hospital, Sumter County Board of County
Commissioners
Objective Indicator Current Level Target Status Explanation of
Status
Objective C1.1: By November
30, 2015; operate and manage
year two of the Sumter Molar
Coaster throughout Sumter
County Elementary Schools.
Dental Health
services provided.
Successfully
implemented
year 1
Implement
program in year 2
Program successfully
implemented.
Continue program.
Revise Objective.
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GOAL C2: Decrease barriers to healthcare services for residents of Sumter County.
Why this is important to our community:
Limited access to healthcare services can contribute to poor health outcomes and higher healthcare costs. Barriers such
as lack of consumer awareness of existing services can lead to inability to receive needed healthcare resulting in poor
health outcomes and decreased quality of life.
Strategy C2: Simplify procedures for locating existing services.
Partners & Stakeholders: Sumter County School Board, Promise Hospital, Sumter County BOCC
Objective Indicator Current Level Target Status Explanation of
Status
Objective C2.1: By December
31, 2015; continue to advertise
DOH-Sumter services in the Tri-
County Health & Medical Guide.
Decreased
barriers to
healthcare
services.
Services
previously
promoted in
Guide.
Continue to
promote services
in Guide.
Revise Objective(s):
Continue advertising
in Tri-County Health
and medical Guide.
Objective C2.2: By June 30,
2016 promote and distribute the
Sumter County Quick Reference
Card at health events, in clinics
and on website.
Decreased
barriers to
healthcare
services.
Quick Reference
Card not
promoted and
distributed.
Promote and
Distribute Quick
Reference Card.
Revise Objective(s):
Continue distribution
of Quick reference
card.
* Status indicators are as follows:
= Little to no movement towards objective target
= some progress towards meeting the objective target
= reached or surpassed objective target
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Accomplishments/Key Indicators:
Sumter County youth between the ages of 11 and 17 who report using some form of tobacco in the last 30 days: 20.2% (FYTS 2012), 15.2% (FYTS 2014).
Sumter County high school youth consumption rate for prescription pain relievers (lifetime): 11.2% (FYSAS, 2012), 8.9% (FYSAS 2014).
Percentage of Sumter County adults who are overweight: 47.4% (FL CHARTS, 2010), 35.3% (FL CHARTS, 2013).
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The following amendment reflects the changes proposed as a result of the December, 2016 Annual Review.
COMMUNITY HEALTH PRIORITY: TOBACCO/DRUG ABUSE
GOAL A1: Sustain a Statutorily Mandated Comprehensive Statewide Tobacco Education and Use Prevention Program.
Strategy A1.1: Establish and/or Maintain Stand-alone Community Tobacco Free Partnership
Objective A1.1: By 6/30/2017, host four meetings of the stand-alone Community Tobacco Free
Partnership.
Strategy A1.2: Establish and/or Maintain Students Working Against Tobacco (SWAT) Chapter.
Objective A1.2: By 6/30/2017, establish and/or maintain 1 local SWAT chapter.
GOAL A2: Conduct activities in accordance with the Comprehensive Tobacco Education and Use Program Work Plan.
Strategy A2.1: Complete Work Plan Activities.
Objective A2.1: By 6/30/2017, complete 100% of required Work Plan activities.
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COMMUNITY HEALTH PRIORITY: OBESITY AND POOR CARDIOVASCULAR HEALTH
GOAL B1: Reduce rates of obesity and associated health consequences.
Strategy B1: Educate Sumter County youth about the benefits of healthy eating and active
lifestyles.
Objective B1.1: By June 30, 2017; deliver/teach Healthy Eating, Active Living, and Transforming
Habits (HEALTH) program in the Sumter County School system.
Objective B1.2: By December 31, 2017; observe an improvement in knowledge/awareness of
healthy eating and active lifestyle as measured using pre and post test results.
COMMUNITY HEALTH PRIORITY: ACCESS TO HEALTHCARE
GOAL C1: Reduce rates of dental disease in Sumter County children.
Strategy C1: Provide Dental Health to second-grade children throughout Sumter County.
Objective C1.1: By March 31, 2017; operate and manage year three of the Sumter Molar Coaster
throughout Sumter County Elementary Schools.
GOAL C2: Decrease barriers to healthcare services for residents of Sumter County.
Strategy C2: Simplify procedures for locating existing services.
Objective C2.1: By December 31, 2016; continue to advertise DOH-Sumter services in the Tri-
County Health & Medical Guide.
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Objective C2.2: By June 30, 2017 promote and distribute the Sumter County Quick Reference
Card at health events, in clinics and on website.
GOAL C3: Improve Health Equity and Associated Health Outcomes.
Strategy C3: Engage the Sumter County population on the issue of Health Equity through
community meetings.
Objective C3.1: By June 30, 2017; Host or Attend community meetings that pertain to Health
Equity.
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Conclusion
The CHIP serves as a roadmap for a continuous health improvement process for the local public health system by providing a framework for the chosen strategic issue areas. It is not intended to be an exhaustive and static document. We will evaluate progress on an ongoing basis through quarterly CHIP implementation reports and quarterly discussion with community partners. We will conduct annual reviews and revisions based on input from partners and create CHIP annual reports each year by Month, Year. The CHIP will continue to change and evolve over time as new information and insight emerge at the local, state and national levels.
By working together, we can have a significant impact on the community’s health, improving
where we live, work and play and realize the vision of a healthier Sumter County.
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Heeke, Terry L
DL CHD60 MAPP Steering Committee
Tue 12/20/2016, 8:50 AM
2016 CHIP Annual Review.docx52 KB 2016 Proposed CHIP Amendment.docx28 KB SUMTER COUNTY CHIP 2013.pdf479 KB 2014 CHIP Amendment.pdf98 KB 2015 CHIP Amendment.pdf180 KB
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Hello committee members. We are seeking your feedback on a proposed annual amendment to our Community Health Improvement Plan (CHIP). Attached you will find the 2016 annual review and the 2016 proposed amendment. Please review and let us know if you have any suggested changes or additions. If you would like to review the older documents, I’ve also attached the original 2013 CHIP as well as the 2014 and 2015 amendments. As always, thank you for your continued participation.
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From: Arnold, Bradley [mailto:[email protected]] Sent: Tuesday, December 20, 2016 9:03 AM To: Heeke, Terry L <[email protected]> Subject: RE: 2016 CHIP Proposed Amendment I have no suggested changes to the proposed amendment.
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From: Greek, Leland [mailto:[email protected]] Sent: Tuesday, December 20, 2016 10:17 AM To: Heeke, Terry L <[email protected]> Subject: RE: 2016 CHIP Proposed Amendment I have no comment, or additional input to the proposed 2016 CHIP amendment. Leland Greek, MS, CFO, EFO, CPM
Fire Chief / Department Director Sumter County Fire & EMS
Office: (352) 689-4500
Cell: (352) 303-0347
Through our Values of: Compassion – Professionalism – Integrity – Teamwork – Respect The professional men and women of Sumter County Fire & EMS shall protect life, property, and the environment of our community by providing dynamic services through effective stewardship.
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From: Casto, David [mailto:[email protected]]
Sent: Tuesday, December 20, 2016 10:12 AM
To: Heeke, Terry L. <[email protected]>
Cc: Fire Chief <[email protected]> Subject: Proposed CHIP Changes
Terry,
Sumter County concurs with the proposed changes with no additional comments.
David A. Casto, FPEM
Sumter County Emergency Management
7375 Powell Road
Wildwood, FL 34785
(352) 689-4400
(352) 689-4401 (Fax)
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