Butte County Community Health Improvement Planning · 5/29/2014 · Community Health Improvement...

Prepared by Sharon N. Black Consultants, LLC of 27

Butte County Community Health Improvement Planning Community Health Assessment/Community Health Improvement Plan

Working Group Kickoff Meeting May 29, 2014 from 10:00 AM – 3:00 PM

Southside Community Center, 2959 Lower Wyandotte Road, Oroville, CA 95965

Meeting Notes

Separate documents referenced in the notes below include:

Working Group Roster

5/29/14 Working Group Kickoff PowerPoint

CHA/CHIP Overview with Timeline

5/29/14 Working Group Team Descriptions

5/29/14 Working Group Data Commentary

Displayed Data document

Agenda Topic Discussion Notes Decisions/Action Items

(include responsible party and

timeline as applicable)

Welcome and Self-Introductions For a list of meeting invitees and participants, refer to the Working

Group Roster.

Two requests were presented for participants to consider as a starting

point for the Butte County community health improvement planning

process:

n/a


Keep in mind how this process can benefit your agency and mission

and the goals you want to accomplish

Remember that as a resident of Butte County, everyone has a stake

in the community’s health

The following two goals were noted:

(1) To invite everyone in the county to take ownership of the

community health improvement process

(2) To encourage networking among participants throughout the

day

The community health assessment and improvement planning process

will take place across approximately 18 months.

Objectives for the day’s work:

Convene stakeholders in a welcoming environment that values

many voices

Provide a road map of the community health improvement

planning process

Develop a shared understanding of community health

Create vision, values, and branding concepts to share with the

community

Explore community assets, priorities, and perceptions of health

Leave with a clear understanding of ways to be involved

Working Agreements:

The group was provided a list of Working Agreements to use as

guidelines throughout the process :

Participate actively


Listen respectfully

Use open and honest communication

Assume good intentions by all

Share responsibility for time management

Call it out when direction is not clear

Take care of ourselves

Honor confidentiality (“tell only your own story”)

Wording on the projected PowerPoint around the Working Agreement

of “confidentiality” was slightly changed from what appeared on the

printed handout. This edit was due to a discussion held at the Policy

Council meeting on 5/28/14. The group agreed to the Working

Agreements for the process and did not make any additions (refer to

the 5/29/14 PowerPoint).

Overview of Butte County

Community Health Improvement

Planning Process

There is a paradigm shift of how to look at and consider health. This

paradigm shift allows for a focus on:

Strategic, long-term planning

Considering the whole community instead of sections of the

community

Working across organizations instead of in silos

Community assets and resources

More than medical care/access

Within this new framework of looking at health, the community health

improvement planning process is a community-wide strategic planning

process that builds on previous work completed by the community and

is used to determine action steps that will improve the health of the

entire community. A very important, key component of the process

Action: Sign up for one of the two

Working Group teams (the Population

Data Team or the Community Input

team) and let Gene Azparren know

530-538-7009 or email at:

[email protected].

(Refer to the 5/29/14 Working Group

Team Descriptions document for more

details)

Responsible party: interested Working

Group members

Due date: ASAP- the doodle poll to set

up meeting times will be going out

soon!

mailto:[email protected]


will be to engage the vulnerable populations of Butte County. Everyone

in the room will have something to contribute to the process!

This process is:

Community driven with community ownership (identify the need,

come up with a plan, take action)

Data-driven (builds on and synthesizes previous assessments)

Asset-driven

Values-driven

The process will be conducted via a specific method that guides how to

collect community input on important health matters and community

data. The issues that are the most important to the community will be

focused on and prioritized. The end result will be actionable,

measurable steps that individuals and organizations will be able to

take.

Conducting the process - How it will work (refer to the CHA/CHIP

Overview with Timeline document):

Timeframe: present - fall 2015

o The first round of this work will end in the fall of 2015 but

the process is ongoing and meant to be evaluated and

repeated

Four assessments will be conducted

The results of the 4 assessments will be written up in a Community

Health Assessment (CHA) report

A Community Health Improvement Plan (CHIP) will be developed

based on the CHA report with actionable steps


Roles and Expectations of the Working Group:

To represent a broad array of community stakeholders throughout

Butte County

To help collect data, analyze trends, and prioritize health issues

To develop the CHA and CHIP reports

To formulate recommendations for the Policy Council, which will

offer strategic direction to the process

The consultant group and staffing will help to keep the process

organized and on track.

Much of the work of the larger Working Group will happen in two

smaller teams that will meet two to three times during the summer

and throughout the project over the next couple of years (refer to the

5/29/14 Working Group Team Descriptions document for more details

on each team):

Population Data Team

Community Input Team

What the Working Group members will be able to gain from the

process:

Assists with future grant funding

Provides opportunities for networking and collaboration

Synthesizes assessments and provides data to meet multiple needs

Helps to meet many organizations’ assessment, reporting, &

organizational goals

Demonstrates organizational commitment to our community’s

health

And more…


Questions that the group brainstormed about beginning the process

together, which was compared to getting in a row boat together:

Do we have life jackets? Safety first! (Is there an exit plan?)

Diversity in participation- Do we have the right people in the boat?

(Have we invited all the needed representatives of the

population?)

Does everyone in the boat want to go in the same general

direction? (Do we have an agreed upon, common goal?)

Do we know how to steer the boat? (Do we have the right

training/data?)

How much gas do we have? (Will we have enough participants sign

up to do the “nitty-gritty” work on the two teams?)

How do we know when we got there? (How will we measure

success?)

How fast are we going to go? (What is the timeline?)

How many obstacles are in the water? What type of weather? (Do

we know what may slow down or hinder this process?)

Who’s going to be leading?

A Look at Community Health

What is community health?

Where are we now?

Medical care and personal behavior influence everyone’s health; but

broader levels, such as economic and social resources, deeply affect

health.

The Working Group was divided into multiple groups to play “The Life

Course Game” by City Match (originally a maternal/child health game)

to promote discussion on these broader influences on health. The

game boards are no longer sold, but the game is still available online

at: http://www.citymatch.org:8080/lifecoursetoolbox/gameboard.php

n/a

http://www.citymatch.org:8080/lifecoursetoolbox/gameboard.php


Examples of broad categories that impact health:

Economic and social opportunities and resources:

Jobs

Living wage

Transportation

Physical environment

And more…

Living and working conditions in homes and communities

Mental health

Substance abuse

Healthy relationships

Providing funding for special needs children

And more…

Medical care:

Mental health services and access

Substance abuse services and access

And more…

Personal behavior:

Substance abuse

And more…

Participants were asked to conduct a “gallery walk” of the data that

was displayed around the room. This provided an opportunity for those

present to contribute their thoughts and point out other data that they

would like to have looked at and/or might have access to. Posted


comments are found in the Working Group Data Commentary

document.

Creating Our Vision, Values, and

Branding for a Healthy Butte

County

A Visioning and Values process was conducted to collect visioning ideas

and values points from the group. A shared vision and set of values will

engage the community in a common way of thinking about the work.

(Refer to Appendix A).

The consultant team will draft multiple vision statements that will be

presented to the Working Group and then communicated to the

community to obtain their input.

Participants voted on and selected the following logo that will be used

to represent the project throughout its duration:

The wording will be slightly changed to read “Healthy living in Butte

Action: Draft multiple vision

statements and a set of values based

upon the collective ideas of the

Working Group

Responsible party: Consultant team

Due date: early summer- exact date

TBD

Action: Change the wording on the

logo to read “Healthy living in Butte

County”

Responsible party: Gene Azparren and

team

Due date: ASAP


County.”

Understanding our Community’s

Assets, Priorities, and Perceptions

about Health

A methodology used to create conversation called the “World Café”

was employed to guide the participants to collectively answer four

questions around health in Butte County. These answers will help to

begin the first portion of the assessment process. (Refer to Appendix

B).

n/a

Next Steps Working Group members will receive the below items as follow-up to

this meeting:

Meeting minutes

The displayed data as a PDF formatted document

A doodle poll email to those who have signed up on one of the two

teams to request availability for summer meeting dates

Thoughts on what was found valuable during this meeting:

Great representation and honesty

Opportunity to be heard

Energizing to know so many people care about the community’s

health

Gratifying to see the amount of talent/resources and passion in the

room

What worked well and/or what could be different:

Coffee is needed

Physically moving was helpful

Doing table introductions saved time, which was good

Good coordination of such a large group/well organized

Action: Email meeting minutes and

data document to Working Group

members

Responsible party: Gene Azparren

Due date: week of 6/9/14

Action: Send out a doodle poll to

determine meeting dates for the

Population Data Team and the

Community Input Team

Responsible party: Gene Azparren

Due date: within 3 weeks

Action: Send out a roster of Working

Group members to the Working Group

Responsible party: Gene Azparren and

team

Due date: within 2 weeks


At the next Working Group meeting, more networking and

collaboration opportunities will be encouraged. There will also be a

table set up for individuals/organizations to display important

materials.


Appendix A:

Visioning and Values

Working Group Visioning (from the 5/29/14 Working Group Kickoff meeting):

Good Transportation Services

Accessible, safe and inviting transportation

Increased transportation services

Improved transportation - seniors, disabled, general

Alcohol, Tobacco, Drugs

Tobacco prevention, drug-free, etc.

Safe neighborhoods without crime or substance abuse

Drug use (alcohol and drugs) – Butte County promotes and supports smoke-free, drug-free living

Effective drug treatment- safe/sober living environments

Education

All children attend high quality preschools, elementary, middle and high schools

Education:

o Affordable higher education

o Appreciation of

o Increase high school graduation rate

o Safe

Butte County is a place that values affordable, accessible lifelong learning

Education & Food Nutrition

Schools/education

Improve education

Access to affordable resources:

o Housing

o Education (birth to college)

o Nutrition

o Transportation

Access to Health Care

Health Care:

o 1.Improve transportation of resources for population in need

o 2.Better access to specialty health care

o 3.Improve mental health treatment to more adequately address homeless and drug

abuse issues


Access to quality health care throughout the county along with education about services

Healthy Lifestyle:

o Increased access to care

o Better communication about what’s available

Integrated Health Care:

o Mental Health

o Substance abuse

o Prevention/wellness

o Nutrition

o Education

o Resources

Access to quality, comprehensive health care

Health access

Health Prevention/Promotion:

o Access to prevention

o Screening for 0-5 year olds

o Promotion of healthy lifestyles

o Decrease youth substance abuse

o Connection to community planning (decrease alcohol outlets and easy access to parks)

Health care accessibility

Everyone knows their health status

Improved physical health care services and access and support (breast CA, others)

Population immunized

Safe and accessible care inclusive of transgender individuals

Mental Health

Mental Health:

o Increase

o Access to services

o Quality services

Mental/emotional health is valued and normalized

Improved mental health services/access

Healthy Culture

Community –based:

o Creative & physical

o Activity outlets

In Butte County all aspects of health- mind, body, spirit- are valued throughout one’s lifetime

Animal owner responsibility

Promotion of outdoor recreational activity: include opportunities available throughout Butte County

Create a “culture of healthy living”


Decreased overweight and obesity through increased physical activity opportunities and access to

healthy food/beverages

Health & Wellness: Butte county fosters a culture of individual and community commitment to

wellness

Public Safety

Crime:

o Decrease juvenile rates

o Safety for all

o Connection crime and schools being safe

Safe Streets:

o Bike lanes, sidewalks, infrastructure

o People feel safe when out- more people out in the community

Safety:

o Relationships

o Community

Crime “gangs”

Decrease violent/property crime – safety

Law Enforcement: increase law enforcement focus on gang and gang activities to improve

communities throughout Butte County

Economic Stability

Economic stability where all residents have jobs available and access to healthy, affordable

housing and health care

More job training and skills offered with jobs that provide a living wage

Employment opportunities (Butte County is a hotbed of innovative and high-paying jobs)

Butte County demonstrates responsible economic development

Economic and Social:

o Decrease unemployment

o Vibrant job market and opportunities

Employment for those who want to work- jobs

Access to Healthy Food

Access to fresh, healthy food

Access to more education about healthy eating habits, exercise, farmers markets which include

teaching parents how to encourage healthy habits

Access to food nutrition education

Safe healthy food

Access to healthy food for all (community garden, farmers markets)

Change food/nutrition guidelines in the schools- no sugar and more healthy and wheat-free

options


Easy access to fresh foods and veggies – increase nutrition literacy

Access to affordable and healthy foods: fresh fruits and veggies

Healthy Children

All children are products of healthy full term pregnancy and are breastfed for one year

Child abuse and neglect

Every baby born healthy to a safe healthy environment and community

Healthy, Clean Environment

Environmental: Improve air and water quality standards in Butte County to meet state and

federal standards and improve enforcement efforts related to legal and illegal marijuana

production throughout Butte County and its impacts on the environment

Health in all policies when planners update general plan

Get more families to play outside at least one hour a day

Equitable access to safe, open spaces

Opportunities for physical activity- bike paths, trails, etc. – bike safety

Healthy clean air

Environment: Butte County values protection and preservation of its resources (air, water,

earth)

Housing

Affordable, safe, multi-generational housing

Homelessness (especially youth)

Access to housing and senior needs

Address homeless and addiction services. Offer more services to reduce homeless population.

Social Support for Diversity

Senior supports and activities (affordable, accessible)

Promote diversity and integration of residents within our social structure

More community support for different groups of people including special needs, mental health,

economically challenged, etc.

People caring for people

Culturally competent access to care (training and education of providers)

Policy Council Visioning (from the 5/28/14 Policy Council Kickoff meeting):

When asked what came to mind when thinking about a healthy community, the Policy Council members

developed the following list of broad ideas, representing many different interests:

Safety


Sharing data/collaborating as a community

Responsive parenting

Access to fruits and vegetables

Promising a future for our children

Clean air

People having a voice/everyone taking responsibility for sharing their needs

A place where prevention works and no one has bad habits

Access to education

Financial stability

Coordinated services and care

Access to wellness (health care and activities/exercise opportunities)

Commitment to family support

Good paying jobs

Access to recreation

A walkable community

Holding each other accountable and knowing your neighbors

Healthy lifestyles, exercising, good environment, good jobs- all the things that reduce stress

Safe, decent, affordable housing

A functioning infrastructure for clean water and waste water that serves the community

Access to integrated health care

Mental health services and good, more effective outreach

(Health) education (cross-generational) and prevention

Communication and coordination

Working Group Values (from the 5/29/14 Working Group Kickoff meeting):

Respect for Others

Values people in the process

Dignity and respect

Respect

Respectful of opinions

Respect (humility, compassion)

People are valued

Honesty

Honesty/integrity (self-honesty - honesty with others)

Honesty


Integrity

Transparency

Transparency (honesty, realistic)

Diversity and Inclusiveness

Inclusiveness (including all – regardless of gender, race, age, economic status, orientation, etc.)

Broad representation

Create an inclusive and caring community environment

Progressive values

Inclusiveness/safety

Culturally aware and responsive

Open-minded (individuals and organizations)

Ethical (high ethics standards= keep privacy, non-discriminatory action)

Cultural competence (humility)

Inclusiveness and tolerance

Diversity

Inclusive of diversity

Equality

Collaborative

Collaborative

Positive contribution

Collaborative (individuals and organizations)

Supportive

Compassion

Support

Safe

Prescribing supporting and developing the strengths of the family unit

Environmentally Sensitive

Local self-determination

Sustainability (environmental and economic)

Environment: including clean air, parks, water, etc.

Outdoor activity

Environmental conscientiousness

Quality education

Quality education for everyone, including trade school, art, and other skills for those who want

other opportunities


Education

Outcomes-Driven

Initiative (individual initiative to be healthy, find a good job, take care of self and family, go to

school)

Ideas, outcomes, decisions are informed and supported by real, practical evidence

Clear results oriented process (“get ‘er done”)

Effective

Creativity and passion!


Appendix B:

A World Café: Brainstorming Themes & Strengths

1. What do you believe are the 3 most important issues that must be

addressed to improve the health and quality of life in our community?

Responses are grouped together by general theme; exact duplications were deleted. Items that were

circled are marked with an asterisk.

Access to quality, affordable, and comprehensive health care for everyone*

Integration- accessible and affordable health care/insurance with real benefits

Mental health issues*

Mental health service access

Mental health; brain health education

Ability to make healthy choices

Dental health

Substance abuse

Tobacco/smoking*

Nicotine delivery

Tobacco

Substance/alcohol abuse/addiction*

Whole family- supportive services

More resource centers (where can we get info?)

Fractured families (non-supportive role models)

Clean home environment for children and families

Community centers

Affordable childcare

Child abuse and neglect*

Comprehensive services & education (all encompassing) for all children starting in preschool*

Teen pregnancy

Looking after the elderly

Economic development

Poverty*

Lack of services


Lack of education

Job opportunities

Living wage

Job training/trade programs/vocational schooling*

Education*

Low graduation rates

Housing

Affordable housing

Reducing homelessness- especially youth

Limited access to food*

Access to affordable, healthy food

Food security

Access and education to healthy foods… community gardens

Obesity

“Diverse and culturally healthy eating education”

Physical activities

Obesity/chronic illness (diabetes, etc.)

Limited adequate transportation*

Transportation

Multi-lingual resources

Resources- funding for programs

Example: Teen parenting, education/nutrition

Prevention programs vs. reactive

PTSD- traumatic

Suicide prevention

Health in all policies

Crime (violent/property)

Crime/gang violence


2. What assets does this community have to help improve health and quality

of life in our community?



Recreation*

Recreation- Bidwell, Riverbend, rivers, lake, bike paths, hiking trails, recreation park districts*

Free outdoor recreation

Health consciousness

Ground areas/opportunities for outdoor activities

Room

Beautiful, natural resources

Open spaces for outdoor recreation

Recreational activities available to local families

Activities/entertainment

Bike paths

Great environmental advocacy groups

University of Cal, Chico, BC*

Higher education- Butte, Chico State

University and community college

CSU Chico and Butte College

Dedicated residents

About 220,000 residents… We are our best asset

Small community

Many volunteers

Organized community events

People committed to the community

Sense of community

“Multi-culture-ism”

Diverse culture

Cost of living lower

Good hospitals*

Each city has a hospital

Shalom free clinic- Chico


Free clinics

Maternal/childcare*

Specialized health care*

Medical technology*

Dental van

County government services

Drug court/DEC/innovative law enforcement

Law enforcement services

Lower crime rate relative to “big cities”

Community-based and non-profit organizations and collaborations*

Many different non-profit services organizations*

Various collaboratives

Maternal mental health collaborative

Lactation collaborative

0-5 collaboratives

Resource services

Youth engagement programs

Child care resources

Stonewall Alliance- LGBTQ services

Resource for senior services through Passages

DV service

Legal services-LSNC

Car seat technicians

Community and school garden/education

Work site wellness programs

First Five Funding

Multiple media/mass communication (i.e. newspapers)

Local farmers markets – agricultural resources

Community farmers markets

Farmers markets

Large agricultural base

Farming community

Nutrition education

B-line and airport transportation


3. What do you believe is keeping our community from doing what needs to

be done to improve health and quality of life?



Fear*

Fear to ask for help/retaliation

Fear of involvement, speaking out

Concern about personal safety

Children afraid (or told to be afraid) to play outdoors

Stigma around getting care

Medical providers not accepting Medical

Access to mental health services

Access to specialty providers

Addiction- lack of treatment and treatment alternatives, lack of continuing support, lack of education

Lack (access to) drug and alcohol treatment

No continuity in care

Lack of patient compliance

Lack of affordable care

Un-or under-insured

Transportation

Low ridership on public transit

Inconvenient

Inadequate

Bus line ends at 5pm going back up the ridge – few routes not enough time

Personal beliefs about health and change

Our greatest asset is our greatest weakness (us)

Too much “me” and not enough “we”

Low expectations – lack of motivation

Poor business planning for a healthy community (e.g. McDonald’s everywhere?)

Consumer capitalism


Local economy; jobs, opportunity, low wages

Corporations putting profits over people’s health

Policies

“Too busy – It is”

Changes at the state level that inhibit collaboration

Political apathy/polarization

Politics

Competing interests

General voter apathy

Voter apathy (more education)

Lack of funding

Funding*

Lack of funding- management*

Variable due to funding/grants program gets going then ends

Funding supports high end services vs. planning/coll preventive services

Social support systems

Lack of quality, affordable childcare

Lack of real/bold parenting

Education

Lack of education regarding health*

Access to pre-k – 12, college education

Knowledge of resources- we need advocates

Lack of knowledge about effective community engagement, low comm. capacity; i.e. how to get things

done

Emphasis on high crisis issues without clear planning or putting plan in place

Lack of involvement- apathy

Desire to get involved/informed

Finding guidance for the change’ the right experts to guide (education)

Accountability

Liability issues

More community input

Fragmented and competing identity in Butte County (e.g., Oroville versus Chico versus Paradise)

Size of community

Pocketed/outlying communities

Historical trauma


Lack of inclusivity and understanding

Racism, ageism

Language barrier and cultural barriers

Negative stereotypes perpetuate long enough they become reality/norms

Acceptance for change

Employment

$

High turnover- short term- moving to suburbs for increased pay, quality of life

Lack of skills to do jobs- mentoring – high turnover in these jobs

Lack of living wage jobs

Poverty


4. Who are the right people to help with this work? Who needs to be at the

table?

Overview: Community residents including youth and seniors from all sectors of life and work

Organizations/Industry/Populations:

Health professionals*

o Health care providers

Mental health professionals

Local hospitals

Ag sector

One stops

First 5

Rec. departments

Sports clubs

School district admin

Educators- all levels pre-k through post grad

o Teachers

Parents

o PTA/PTSA

Families and children

o Families without health insurance

Residents*

Individual community members/consumers (recipient of services)*

o People with first-hand experiences*

Community service groups/providers*

Early childhood

Youth

o Youth groups

Students (college/high school)

o Chico State/Butte College

Law enforcement/emergency services

o Neighborhood watch

Community leaders

Local government (town/city/council)

o City planning

Policy makers, people with influence

o Politicians – local, regional, state, fed

Hope Center


GOHC

Faith-based groups/organizations/communities

Self-advocacy groups

State level advocates

Department of Health

Non-profits

Philanthropic organizations

Peer to peer mentor programs (don’t have to be a “professional” to offer help)

Housing providers

o Low income

o Affordable

Homeless

Environmentalist

Legal advocates

Insurance reps

Health plans

Veterans

Food banks

Farmers orchards

Retail food stores

Crop Mobsters (food dist.)

Tobacco Prevention Coalition

Butte Bike Coalition

Private business owners

Private companies/sector

Local business

Business community and entrepreneurs

Mid-level program managers

People with money; grantors, donors, business owners/foundations

Service groups

Service clubs

Service providers

Tourism- hotels

Media representatives

Media (multi) communication experts

Disability services

Senior citizen groups

Retirees

Veterans

Whole community approach


All inclusive population*

o “That cares about healt”

o “The county overall”

o “well-being!”

Generationally diverse

Culturally (language)

People who want to be there*

Individuals:

Helen Harberts

Allen Stellar, R.N.

Butte County Community Health Improvement Planning · 5/29/2014 · Community Health Improvement...

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