Grant County Health District

A Collaborative Approach to Assessing Community Health

Needs and Improving Population Health

Coalition for Children and Families of NCW

Key Initiatives at Community Choice

• Concluding WIREC & Beacon• Health Benefit Exchange IPA Contract• SHIBA – Medicare Benefits• HCA-Health Home Contract…care coordination• Chronic Disease Self-Mgt. courses• Community Health Needs Assessments• Facilitating ongoing regional collaboration and

innovations2

Overview…Agenda (see “CHNA Work” at CC website)

3

I. Welcome and introductions (Jesus Hernandez)

II. Overview of SIM Initiative and other ACA initiatives as background and context (Discussion)

a. SIM Initiative and Washington SHCIP PPT

b. The Road to Affordable Care PPT

c. An Honest Conversation about Cost Drivers PPT

III. Review of CHNA work in progress and alignment with SIM Initiative

a. Data gathering and data report (Jesus Hernandez)

b. Analysis and interpretation of data reaction/discussion (Everyone)

IV. Review "red flag" Health Issues & disparities identified by CHNA data report

V. Initial observations/analysis of key Health Issues & Health Disparities (Jesus Hernandez)

VI. Review potential alignment of CHNA Strategic Plan Development w SIM focus (Everyone)

a. Community Based Strategies PPT (Jesus Hernandez)

b. Confluence Vision (Dr. Peter Rutherford)??

c. RSN Role and Vision?? (Tamara)??

d. Orgs. with key roles: RSNs, AAAs, Housing Authority, Schools, public health, other

VII. Next steps of CHNA work: initial partnerships, completion of report, feedback (Everyone)

VIII. Discussion on our regions readiness to respond to SIM opportunity (Everyone)

CHNA Outline

4

EXECUTIVE SUMMARY

I. INTRODUCTION ………………………………………………………………………………..…… 1

BACKGROUND …………………………………………………………………………………..….. #

COMMUNITY HEALTH NEEDS ASSESSMENT POPULATION …………………………..…… #

NORTH CENTRAL WASHINGTON CONTIES DEMOGRAPHICS …………………………..… #

II. ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS ………………… # III. DEFINING THE PURPOSE AND SCOPE ……………………………………………………..….. # IV. DATA COLLECTION AND ANALYSIS …………………………………………………….....…… #

A. DESCRIPTION OF PROCESS AND METHODS USED …………………………….…..….. #

B. DESCRIPTION OF DATA SOURCES ………………………………………………….…..…. #

C. DESCRIPTION OF DATA LIMITATIONS AND GAPS …………………………..….……..… #

V. IDENTIFICATION AND PRIORITIZATION OF NEEDS ………………………………...…….… # VI. DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED ………………….….. #

ACCESS TO CARE …………………………………………………………..…..…. #

MENTAL HEALTH …………………………………………………….…#

OBESITY/NUTRITION ……………………………………………………………………...….… #

PRE-CONCEPTUAL AND PERINATAL HEALTH ……………………………………….….… #

FIVE …………………………………………………………………………………………….….….. #

VII. DESCRIPTION OF RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS … # VIII. DOCUMENTING AND COMMUNICATING RESULTS …………………………………...….…. # IX. PLANNING FOR ACTION AND MONITORING PROGRESS …………………………...….….. #

X. APPENDICES ………………………………………………………………………………..…….… # APPENDIX 1. IMPLEMENTATION PLAN ……………………………………………….….….… #

APPENDIX 2. QUALITATIVE DATA SOURCES …………………………………………..….… #

APPENDIX 3. DIRECTORY OF HEALTH COALITIONS IN NCW COUNTIES …….….….…. #

XI. REFERENCES ……………………………………………………………………………….……… #

5

Major Components•Complete the factual CHNA-data gathering, prioritization, interpretation of data•Implementation Strategy Development and Implementation-leveraging assets around priorities, community partnerships•Tracking Community Benefit-Track, quantify and report•Adopt, submit to IRS and publicize widely•Final: Exec. Summary/Report

What’s a Community Health Needs AssessmentEnacted by HB 2341 and added to RCW 70.41

CHNA Ongoing Activities•Tracking and reporting on changes in each indicator•Tracking of investments in $s and T&E in community health•An effective framework of partnerships and collaboration with entities that working with each respective indicator(s) •Reports to constituent boards, governing bodies and current public website

What the data shows

• Access - # of uninsured and access to P-care, dental care

• Mental Health – Depression, suicides, overuse of ED and judicial system

• Obesity/Nutrition-diabetes, stroke, cardiovascular diseases

• Pre-conceptual & Perinatal care -Teen pregnancy, low b-weight, infant mortality

• Other

Community assets, resources

• IPAN-get people H-coverage• System navigation• Local focus on ACEs• Coalition partners

– Parenting education in C/D– Less tabacco use in C/D (ex: Okan)

• Farmers mkts, better nutrition in schools

• Children’s village• Collaborative problem solving• Other

6

Areas of Concern/Disparities

Review Support Data on Focus Areas

• Observations about data limitations?• Gaps in this data?• Other sources of data we should consider?• Tribal health population questions/concerns?• Other disparities?• Qualitative data gathering (focus groups)?• Complete data report on website:

www.communitychoice.us under CHNA Work• Email me observations in next two weeks

7

Initial Comparison/Alignment of Health Topics/Current Initiatives

Current Local/Regional Initiatives• Diabetes Collaborative• Hypertension• Cardiac Conditions• Stroke Collaborative• Opioid abuse effort• Other?

CHNA Focus Areas• Access• Mental Health• Substance Abuse• Obesity/Nutrition• Perinatal Health • Other?

8

Areas of Disparities Between Populations: Teen pregnancies; cancer mortality, poverty (below 100% of FPL); educational attainment; accident mortality; county disparities (Okanogan Co); smoking mothers.

Chelan Douglas Counties:

Catholic Family & Child Service

Center For Alcohol and Drug

Chelan County Wenatchee Housing Authority

Chelan County Juvenile Court

Chelan-Douglas Child Services Association

Chelan-Douglas Community Action Council

Chelan-Douglas Developmental Disabilities

Chelan-Douglas Health District

Chelan-Douglas Regional Support Network

Chelan-Douglas TOGETHER! For Drug Free Youth

Children's Home Society of WA

Columbia Valley Community Health

Community Choice

Division of Children & Family Services (DSHS)

Eastmont School District

Entiat School District

Entiat Valley Community Services - Food Bank

EPIC - Child Development

Family Planning Assoc Of Chelan-Douglas Co.

Montessori Children's School

North Central Educational Service District

North Central Regional Library

Orondo School District

SAGE (DSV) Crisis Center of C/D

United Way of Chelan and Douglas Counties

WSU Chelan-Douglas County Extension

Wenatchee CSO (DSHS)

Aging and Adult Care of NCW

Wenatchee School District

Wenatchee Valley College

Women's Resource Center of NCW

Grant County:

Aging and Adult Care of NCW

IPAN Network

Health Home Network

Okanogan County:

Aging and Adult Care of NCW

IPAN Network

Health Home Network

CHNA Coalition Building in Chelan, Douglas, Grant and Okanogan Counties

9

Review Alignment of SIM and CHNA Implementation Plan Dev.

• Need to address population health issues collaboratively/partnerships

• Need for targeting of resources• Multi-levels of Coordination of care and efforts• Current silos: An obstacle to problem solve• What’s the best collaborative framework?• What organizational structure is needed?• Other?

10

11

Community Health Needs AssessmentSteering Committee

Barry Kling, Chelan/Douglas Public Health DistrictBrad Hankins, Lake Chelan Community Hospital

Cathy Meuret, Central Washington HospitalCindy Vidano, Central Washington Hospital

Carol Diede, Columbia Valley Community HealthKay Sparks, Community Member

Renee Hunter, Together for Drug Free Youth/CoalitionAlan Walker, United Way

Anita Tuason, Family PlanningRSN Rep.

CWH Internal Assessment TeamCindy Vidano, Cathy Meuret, Marcy Vixie, Stephanie Grubich, Wayne Hawks, Cathy

Thomas, Tracy Kasnic, Others?

Broader Input Groups – Stakeholder sounding board and future partners/collaborators, District Parent Advisory Committees/PTAs

Questions/Input Welcomed:CHNA Lead Organization: Community Choice

Contact: Jesus HernandezJesush@communitychoice.us

Office: 509-782-5030 Direct: 509-293-7773www.communitychoice.us

12