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Working in partnership with the community
to promote health, safety, and well-being.
CQI Accreditation CommitteeOctober 4, 2011
Presented by:Veena Viswanathan, MPHVictoria Bailey, RN, MMHS
Community Health Community Health Improvement Planning for Improvement Planning for
Austin/Travis CountyAustin/Travis County Strategic Comprehensive Planning
CHA CHIP Grant News!
A/TCHHSD received grant to complete a model community health improvement process
One of 12 Selected out of 127 applicants
Funded by Robert Wood Johnson Foundation and NACCHO
From 7/2011 to 12/2012: Training to recipients & $35,000 in funds
Must address social determinants of health & examine disparities
A/TCHSHD to apply for accreditation between Jan 2013 and Dec 2014
CHA, CHIP, & Agency Strategic Plan = Accreditation Prerequisites
CHA = Community Health Assessment CHIP = Community Health
Improvement Plan
Phases for Success
Phase I: Beta Accreditation Test
Phase II: CHA CHIP
Phase III: Accreditation
Now
Nov 2009 to Dec 2010
Apply between 1/13-12/14
July 2011 to Dec 2012
Future
What are CHAs and CHIPs?
Community Health Assessment:
1. Informs community decision-making
2. Prioritizes health problems, and
3. Assists in development and implementation of community health improvement plans.
Community Health Improvement Plan:
1. Based on CHA Findings
2. Action-Oriented
3. Addresses issues, including strategies and measures
Source: NACCHO
Why Do a CHA and CHIP?
Engage community members on health issues
Collaborate with partners, meet new partners
Helps to understand health disparities in communities
Enables leaders to establish health priorities based on community needs
Satisfies requirements (grants; non-profit hospitals; HHSD accreditation)
Strengthens viability to successfully compete for funding opportunities
Partners with COA Departments (Integrated Planning)
Health Impact Pyramid
LargestImpact
SmallestImpact
Factors that Affect HealthExamples
Eat healthy, be physically active
Rx for high blood pressure, high cholesterol, diabetes
Poverty, education, housing, inequality
Immunizations, brief intervention, cessation treatment, colonoscopy
Fluoridation, 0g trans fat, iodization, smoke-free laws, tobacco tax
Socioeconomic Factors
Changing the Contextto make individuals’ default
decisions healthy
Long-lasting Protective Interventions
ClinicalInterventions
Counseling & Education
Source: Frieden, Thomas R. A Framework for Public Health Action: The Health Impact Pyramid. American Journal of Public Health. April 2010, Vol. 100, no. 4., pp. 590-595.
Defining Social Determinants of Health
Social Determinants of Health
Why is it important to discuss what affects health and how we can improve these factors?
Health begins where we live, learn, work and play.
Health starts—long before illness—in our homes, schools and jobs.
Your opportunity for health starts long before you need medical care. The opportunity for health begins in our families, neighborhoods, schools and jobs.
All Americans should have the opportunity to make the choices that allow them to live a long, healthy life, regardless of their income, education or ethnic background.
Source: Robert Wood Johnson Foundation
Working Together Model
Source: University of Wisconsin Population Health Institute. County Health Rankings 2011. Accessible at www.countyhealthrankings.org.
Partners
City of Austin Austin/Travis County Integral Care
Travis County Health and Human Services and Veterans Services
UT School of Nursing
Central Health UT School of Social Work
Seton Healthcare Family Community Action Network
UT School of Public Health Capital Metropolitan Transportation Authority
St. David’s Foundation Austin Independent School District
St. David’s Hospital Texas Association of Local Health Officials
And Many More!!
Data / Research
Logistics
Community Engagement
CoordinatingSteering
Austin / Travis County
CHA CHIP
Austin / Travis County
Community Health Planning Committee Structure
Steering Committee Role
Steering Committee: Comprised of executive decision makers Reviews and approves the community health
improvement process Assures vision is maintained Identifies key stakeholders to be interviewed Convenes the larger stakeholder and partner meetings Assures completion of the CHA and CHIP
Point of Contact:
Core Coordinating Committee
Core Coordinating Committee: Develops roles, responsibilities, framework, timeline, and
process plan Reviews work from Subcommittees and community
groups Makes recommendations to the Steering Committee Participates in Subcommittee work Captures the history of decision making
Point of Contact:
Data & Research Subcommittee
Data and Research Subcommittee: Gathers and Analyzes HHS Quantitative Data Identifies priority community health issues Develops priority issue and geographic area specific
presentations Identifies key HHS indicators Coordinates with the Community Engagement
Subcommittee on qualitative data collection
Point of Contact:
Community Engagement Subcommittee
Community Engagement Subcommittee: Engages the community to participate in focus groups,
precinct/community meetings, surveys, and other activities
Markets and Distributes CHA CHIP process & reports Ensures that information is shared and solicited from
diverse geographic and socioeconomic areas Coordinates with the Data and Research Committee
on qualitative data collection
Points of Contact:
Logistics Subcommittee
Logistics Subcommittee: Supports all subcommittee meetings
Identifies meeting resources
Maintains contact information
Scheduling dates and rooms,
Captures meeting minutes
Point of Contact:
Partner & Stakeholder Group
Partner and Stakeholder Group:
Reviews the CHA CHIP process and deliverables
Provides feedback to ensure all groups are included and pertinent information is solicited
Participates in Action Planning along with the Steering Committee during the CHIP phase
Point of Contact:
MAPP Overview
Mobilizing for
Action through
Planning and
Partnerships
NACCHO Developed MAPP
Benefits for Community and Partners
Profile and Action Plan Strengthens Intra and Inter Agency Planning Data Resource Vehicle for Community Engagement Demographics and community planning for our
plans and reports Strategic Planning Informed Decision Making
Your health is our community’s wealth.- Health Talk with Shannon Jones
What is Needed
Primary and Secondary Contacts for each Unit
Names of your active program partnerships
Division Representatives for Subcommittees: Data and Research Community Engagement Logistics
Submit your Calendar of Public Events
What is Needed
Present at your partner/stakeholder meetings
Go to One Size Fits All in CHA CHIP Folder
Share CHA CHIP One-Pager Customize the PowerPoint
Send the names of your active program partnerships to Sherryl DeCampo (Logistics)
Representation at CHA CHIP Meetings, Events, and Activities (Invites are forthcoming)
Questions
Thank Thank you!you!