At the end of this presentation the participant will able to: - - PowerPoint PPT Presentation

Sylvia Pirani, Director, New York State Office of Public Health Practice; Donald W. Rowe, Director Office of Public Health Practice, State University of New York at Buffalo, School

• f Public Health and Health Professions;

Robert Furlani, Assistant Regional Director Western Region, New York State Department of Health

 At the end of this presentation the participant

will able to:

 Describe the Community Health Assessment

(CHA) process

 Articulate at least 3 benefits of collaboration and

partnership

 Evaluate the potential for extended use of this

model

 Describe at least 3 Prevention Agenda focus

areas

 Identify at least two metric measures for selected

goals

State Health Department: Regional Offices District Offices Local Health Departments (LHDs): Full Service: Divisions of Environmental Health and Public Health Nursing Partial Service: Division of Public Health Nursing Only

 Map goes here

LHD type 2013 13 2014 14 Full Service* $550,000 + 36% $650,000 +36% Partial Service $406,000 + 36% $500,000 + 36% Remainder of local funding derived from county tax dollars, fees, grants and other external sources

• *Large counties receive a rate of $.55/capita in 2013 and

will receive a rate of $.65/capita in 2014

 Services include but are not limited to:

Environmental Health 30+ programs Public Health Nursing 10+ programs Community Health Assessments

• Required in statute
• Performed by the local health departments at

regular intervals with mini nimum mum external input

• Prescriptive
• Part of requirements for state funding ($20,000)

 Performed by local health departments as the

lead (usually) but with extensive nsive external involvement

 Focused on the State Prevention Agenda  Must also develop a Community Health

Improvement Plan linked to CHA

 Must integrate CHA’s with Hospital

Community Services Plans

 Must meaningfully engage the community  Big positive departure from the past

 Establishing the assessment team.  Identifying and securing resources.  Identifying and engaging community partners.  Collecting, Analyzing, and Presenting Data.  Setting Health Priorities.  Clarifying the Issue.  Setting Goals and Measuring Progress.  Choosing the Strategy.  Developing the Community Health Assessment

document.

 Managing and sustaining the process.

Local Community Health Planning Guidance Overview

New York State Department of Health Office of Public Health and OHSM

January 11, 2013 10

 Prevention Agenda Goals and Priorities  Goals of Local Community Health Planning 2013  Local Health Departments

• Community Health Assessment (CHA)
• Community Health Improvement Plan (CHIP)

 Hospitals

• Community Service Plan (CSP)

January 11, 2013 11

 Call to action to broad range of stakeholders to

collaborate at the community level to assess health status and needs, identify local health priorities and plan and implement strategies for local health improvement

 Goal is improved health status of New Yorkers

and reduction in health disparities through increased emphasis on prevention.

January 11, 2013 12

 Prevent Chronic Diseases  Promote a Healthy and Safe Environment  Promote Healthy Women, Infants and Children  Promote Mental Health and Prevent Substance Abuse  Prevent HIV, STDs, Vaccine Preventable Diseases

and Healthcare Associated Infections

January 11, 2013 13

For each priority, action plans contain:

 Goals  Measurable objectives including some on

disparities

 Evidence based and promising practices sorted by

sector and by health impact pyramid.

http://www.health.ny.gov/prevention/prevention_agenda/2013-2017/

January 11, 2013 14

 Informed by:

• NYS PHL Article 6 and Article 28 Requirements
• Experience with Prevention Agenda 2008-12
• Public Health Accreditation Standards
• Affordable Care Act

 Guidance intended to facilitate responses to

these requirements and promote collaboration.

January 11, 2013 15

Community Health Assessment

1.

Description of Community (i.e. Demographics, Health

issues)

2.

Identification of major health challenges

3.

Succinct summary of assets and resources

4.

Documentation of collaborative process and methods Community Health Improvement Plan

1.

Identification of at least two community priorities. At least one must address a disparity. 2,4,5 For each priority – goals, objectives, strategies and practices, performance measures (process, outcome)

• 3. Community stakeholder roles and responsibilities
• 6. Process used to sustain engagement

January 11, 2013 16

1.

Mission Statement

2.

Definition of community served

3.

Public Participation (i.e. participants, dates, process)

4.

Assessment and selection of at least two community priorities. At least one must address a disparity.

5.

3-year plan of action

6.

Dissemination of plan to the public

7.

Process to sustain engagement

January 11, 2013 17

1.

Purpose statement aligned with defined priorities

2.

Specific, measurable goals/objectives

3.

Tracking measures at implementation and building on lessons learned

4.

Use of best practice and/or evidence-based strategies

5.

Brief explanation of the collaborative process: assessment, prioritization, criteria for selecting priorities, strategies

6.

Description of roles of community partners

January 11, 2013 18

Communi mmunity ty Health th Assessment ssment Impr mprove

• vement

ment

Cath.

• th. Healt

alth h Assc Assc. . Asses essin sing/A g/Addressin dressing g Com

• mmu

munit ity Healt alth h Needs eds http:/ p://ww www.cha .chausa.org/Pages sa.org/Pages/Ou /Our_Wo _Work/ k/Commu munit ity_Benef y_Benefit it/A /Ass essing_ ing_an and_ d_Ad Address dressin ing_ g_Com Commun unit ity_Hea y_Healt lth_N h_Nee eeds/ s/ NACC CCHO HO Commu

• mmunity

ity Healt lth Asses essme sment and d Improveme provement Planni nning http:/ p://ww www.na .naccho cho.org/t .org/topic

• pics/

s/infr infras astr truc uctu ture/ e/CH CHAIP/in IP/index.cfm dex.cfm

Dat ata a Re Resources rces

NYS DOH Commu

• mmunity

ity Healt lth Indic icat ator Repo ports s

http://www ://www.h .heal alth.ny.gov/st th.ny.gov/statis atistics/c tics/chac ac/in indic dicators ators/

Cou

• unty Heal

alth h Rankin ankings gs www ww.c .countyh yhealt ealthran anking kings.o s.org rg/

Evidenc dence-Bas ased ed /Prom romisi ising ng Practi ctice ces s Re Resour urce ces

Guide to Communi munity ty Preve ventive ntive Services ices http http:// //www.the www.thecommuni communityg tyguid uide.org/i e.org/index.html ndex.html

January 11, 2013 19

 www.health.ny.gov

 Objective

tive 1-2: : By December 31, 2017, reduce the racial, ethnic and economic disparities in preterm birth rates in NYS by at least 10%.

 Track

cking ing Indic icators ators Percentage of births that are premature:

 o All births. (Target: 10.2%; Baseline: 11.6%; Year: 2010; Source:

NYSDOH Vital Statistics; Data Availability: State, county)

 o Ratio of Black non-Hispanic preterm birth rate to White non-

Hispanic preterm birth rate. (Target: 1.42; Baseline: 1.58; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county)

 o Ratio of Hispanic preterm birth rate to White non-Hispanic

preterm birth rate. (Target: 1.12; Baseline: 1.24; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county)

 o Ratio of Medicaid preterm birth rate to non-Medicaid preterm

birth rate. (Target: 1.0; Baseline: 1.10; Year: 2010; Source: NYSDOH Vital Statistics; Data Availability: State, county)



Goal #4: I Increa ease se the proporti

• rtion
• n of NYS children

en who receive ve comprehens ensive ve we well-chi hild-care e in ac accordance ce wi with AAP P guidelin elines es



Objective ve 4-1: 1: By December 31, 2017, increase the percentage of children ages 0-15 months, 3-6 years and 12-21 years who have had the recommended number of well-child visits among NYS Government sponsored managed care health insurance programs by 10%.



Objective ve 4-2: 2: By December 31, 2017, increase the proportion of NYS children who receive key recommended preventive health services as part of routine well-child care by at least 10%.



Objective ve 4-3: By December 2017, increase the percentage of children ages less than 19 years with any kind of health coverage to 100%.



Tracking Indicators

• rs



Percentage of children ages 0-15 months, 3-6 years and 12-21 years who have had the recommended number of well-child visits among NYS Government sponsored managed care health insurance programs. (Target: 76.9%; Baseline: 69.9%; Year: 2011; Source: NYSDOH Office of Patient Quality and Safety; Data Availability: State, county)



The percentage of children ages less than 19 years with any kind of health

• coverage. (Baseline: 94.9%, Year: 2 010, Source: U.S. Census Bureau, Small

Area Health Insurance Estimates; Data Availability: State, county

 Cross Border Conference  Western New York Public Health Alliance, Inc.  S2AY Rural Health Network  P2 Collaborative  CJS Grant

Questions?

Thank you