Community Health Improvement Plan Annual Progress Report, 2018 · 7 CHIP Annual Review Report, 2018...

Community Health Improvement Plan Annual Progress Report, 2018

Florida Department of Health in Citrus County

March 31, 2019

2 CHIP Annual Review Report, 2018

Table of Contents

Introduction ....................................................................................................................... 3

Overview of Community Health Improvement Plan (CHIP) .............................................. 4

Summary of CHIP Annual Review Meeting ...................................................................... 5 Strategic Issue Area #1 Access to Care .......................................................... 5-13 Strategic Issue Area #2 Obesity ..................................................................... 13-20 Strategic Issue Area #3 Access to Healthy Foods ......................................... 20-21 Strategic Issue Area #4 Florida Healthy Babies ............................................. 21-24 Strategic Issue Area #5 Mental Health and Substance Abuse.……………….25-27

Revisions ........................................................................................................................ 28

Accomplishments ............................................................................................................ 28

Conclusion ...................................................................................................................... 29

Appendices ................................................................................................................ 30-52

Appendix A: Annual CHIP Review Meeting February 7, 2019 Agenda, Minutes and Sign In Sheets……………………30-42

Appendix B: Annual CHIP Review Meeting March 7, 2019 Agenda, Minutes and Sign In Sheets .............................. ...........43-51

Appendix C: Comprehensive List of Community Partners………………………..52


Introduction

This is the annual review report for the October 2017/2018 – October 2021/2022 Citrus Community Health Improvement Plan (CHIP). The report is a progress review of the strategies that were developed and the activities that have been implemented or otherwise changed. While the CHIP is a community driven and collectively owned health improvement plan, the Florida Department of Health in Citrus County is charged with providing administrative support, tracking and collecting data, and preparing the annual review report.


Overview of the Community Health Improvement Plan (CHIP)

The Florida Department of Health in Citrus County (DOH-Citrus), with the help of WellFlorida, Inc. prepared a new Community Health Assessment (CHA) in 2015. The document was received in December 2015, with revisions by the contractor submitted and approved by DOH-Citrus in January 2016.

On February 24, 2016, DOH-Citrus held the initial Community Health Improvement Plan (CHIP) meeting with interested community partners and members of the public. The purpose of the meeting was to introduce them to the CHA process and findings. In addition, the development of the CHIP was explained and that it would become a blueprint for use in identifying resources and opportunities to improve the health of our community.

The CHIP Partnership identified four (4) subcommittees to be created to address the findings of the CHA. The CHIP Partnership continued to meet as a group on a monthly basis, while the subcommittees met on their own to develop their goals, strategies, and objectives. In addition, the action steps, resources, responsibilities and timelines were developed by the subcommittees. Another subcommittee was added to the Partnership in October 2016 to include the Florida Healthy Babies programming to address infant mortality, bringing the total subcommittees to five (5).

The DOH-Citrus Community Health Improvement Plan (CHIP) was approved by the CHIP Partnership on October 13, 2017. On January 4, 2018, the CHIP Partnership noted two (2) glitches in the Plan and agreed to revise them at that time; 1) The cover page had 2 different dates on it, and 2) A county division name was incorrectly identified in the Plan.

Currently, the CHIP Partnership continues to meet every other month to oversee the projects identified in the Strategic Issue Areas. Annually, the CHIP Partnership reviews the CHIP, identify new information in the CHIP and CHA, changes to the strategies and other pertinent business to address the health needs of our community. Changes/updates to the Plan are to be done during the annual review meeting with subsequent update(s) to the document(s) as needed.

The CHIP Partnership Subcommittees identified the five (5) strategic issue areas and goals:


STRATEGIC ISSUE AREA GOAL

Access To Care

1. Provide all residents in Citrus Countyto provide healthcare to uninsuredand underinsured adults.

2. Public Education and Outreach.

Obesity

1. Promote lifestyle change throughhealthier eating.

2. Promote improvement throughphysical activity.

Access To Healthy Foods

1. Improve access to healthy foodsamong low income residents byaddressing the key modifiable barriersidentified through the communityhealth assessment.

Florida Healthy Babies 1. Protect and promote breastfeeding.2. Information sharing3. Baby Boxes

Mental Health and Substance Abuse

1. Whereas Citrus County is criticallyunderfunded for behavioral healthservices, we will determine theprincipal needs of the community andthe most effective ways to utilizefunding in order to address thoseneeds.

Summary of CHIP Annual Review Meeting

The CHIP Partnership met on February 7, 2019 to review the status of our Plan and update of the CHIP Charter. The CHIP goals were discussed along with the progress of each. To bring the Partnership up to date on the status of all the goals and strategies, they decided to review a draft copy of the CHIP Annual Report on March 7, 2019 to help guide the development of an updated Plan.

Strategic Issue Area #1: Access to Care

Socioeconomic factors continue to be a leading factor in Access to Care issues. Poverty levels, income levels and unemployment rates all remain higher than the State levels. Citrus County remains in the health professional shortage and the medically underserved shortage areas.


Goal 1: Provide all residents in Citrus County with quality, comprehensive, and affordable health care.

Strategy 1: Increase the capacity of Citrus County to provide healthcare to uninsured and underinsured adults.

Key Partners: Florida Department of Health, We Care Program; Volunteer Healthcare Provider Program in Citrus County; Hospitals, Chamber, CHIP, Community Leaders, Media, CCCCF Foundation, United Way; Citrus Aid and 21st Century C.A.R.E. Foundations. Langley Health Services;

Why this is important to our community: The We Care program would provide volunteer physician and diagnostic services to our uninsured and underinsured citizens. While there have been some positive efforts to move this program forward during this reporting period, there are continued struggles with the local diagnostics needed to provide services to qualified clients.

Objective Indicator Current Level

Target Status Explanation of Status*

Objectives listed in the CHIP

**this is the space for the indicator used to measure performance/success**

**current value of the indicator as of last reporting**

**Target value set within the CHIP**

**(See box below for explanation)**

**An explanation of the status given (This information may be available in your quarterly reporting tool)

Increase percentage of adults in Citrus County who have a regular source of health care.

The hiring of staff to lead the We Care Program on board by December 30, 2017 to lead the program and develop partnerships with local diagnostic facilities and physicians to perform these tests. Ability to provide diagnostics through partnerships with the local hospitals and/or other specialists to facilitate the needs of the uninsured/underinsured citizens and have sufficient numbers of participating physicians to handle the cases. By January 2018 expand the local volunteer physicians participating in the program by 25% (Currently at 16)

0

Position filled by

12/30/17.

Position was filled 8/17/18.


By January 2019 expansion of the participating physicians by an additional 50%. Prepare a detailed report for submittal to the CHIP Partnership identifying strengths, weaknesses and Action Plan for the coming year. Explore options to establish a “Citrus County Cares’ network/pool of specialists willing to share the burden of providing free/reduced cost care for the uninsured. Explore fundraising opportunities to fund cancer screenings and diagnostics for uninsured and underinsured.

Expansion of the use of the mobile medical unit in Citrus County through partnerships.

By June 30, 2017 development of a minimum of four (4) additional Citrus County partnerships to stage the mobile medical unit at their location for the underserved/underinsured citizens.

3

7

Skin cancer Screenings have been held at the FDOH-Citrus facility in 2018. 104 screenings completed; additional free screenings for the 100 persons that were unable to be seen during hours of operation were held by the volunteer physicians at their facility(ies). In addition, 21 Blood Pressure screenings were done at these events. Langley Health Services Medical and Dental vans currently visit Citrus 1 - 3 times/quarter.


Develop a partnership with the Citrus County Medical Society. Initial Meeting March 28, 2017. Follow up meetings to take place as needed. Identification of benefits to working together to meet access to care needs; said benefits will be used to determine our benchmarks & goals. Written report of success to CHIP Partnership and determination of goals and benchmarks to be prepared.

DOH-Citrus Health Officer, Medical Director and Director of Nursing (DON) have attended 3 meetings. Health Officer and DON asked to be part of a presentation to the Society by a free clinic in a neighboring county; Volunteer Provider Program was presented. . No written report to CHIP Partnership to date.

Goal 2: Public Education and Outreach

Strategy 1.1.a: Provide public education through development of outreach materials and projects.

Key Partners: DOH-Citrus; Langley Medical Services, EMS, Local hospitals, local physicians, BOCC/Transportation Services.

Why this is important to our community: It is important to develop easy to use and understandable outreach materials for all citizens community-wide to ensure clear understanding by citizens of all abilities.


Target Status Explanation of Status

To provide easy to use and understandable outreach materials for all citizens community-wide.

1.Obtain approval from Citrus County ACO to use the poster that they created; print posters for distribution & identify other means of distribution by June 30, 2017.

0 1 No action has been taken to obtain approval for use of the “Traffic Light” poster.


Posters distributed and a list of all locations that have received the posters for display by December 30, 2017 Surveys to be conducted and data to be collected to determine success of program by reduction of use of ED’s for issues that can be taken care of by Primary and Urgent Care physicians by December 30, 2018. 2.Develop a system to combine the many overarching resource lists into an electronic system that is reviewed on a biennial basis to ensure completeness and correctness. The final verified information will be submitted to the United Way for inclusion in the 211 system updates. Action Plan developed and submitted to CHIP Partnership by June 30, 2017. Completed databases to be provided to CHIP Partnership; United Way for inclusion and update in the 211 system by December 30, 2017 Database to be reviewed biennially to

Posters have not been printed. No surveys have been conducted. Multiple community agencies maintain their own resource lists. No action plan or reports have been submitted to the CHIP Partnership. Databases have not been prepared/provided.


ensure accuracy; updated to be provided to CHIP Partnership and United Way.

Strategy 1.1.b.: Develop non-traditional programs to meet the health care needs of the uninsured and underinsured.

Key Partners: DOH-Citrus; Langley Health Services

Why this is important to our community:

Citrus County has limited transportation available to meet the needs of our citizens. The use of mobile health services can bring needed services to a larger number of people within a relatively short time. Objective Indicator Current

Level Target Status Explanation of

Status Increase percentage of adults in Citrus County who have a regular source of health care.

1.Continue to build partnership with Langley Health Services to include shared outreach opportunities. Coordination of outreach materials that can be shared for programs. E.g. AHEC ads, etc. By June 30, 2017 develop a plan to coordinate outreach opportunities to mutually benefit all of our citizens/clients. By June 30, 2017 prepare and submit a list of outreach opportunities that were mutually agreed on to the CHIP

0 0

TBD

TBD

No plan has been developed to date. However, service schedules for the mobile medical and dental units are shared, as are other services being offered by the parties. A list has not been prepared/submitted to date.


Partnership biennially along with a list of unmet need/obstacles as identified. By June 30, 2019 co-develop a mutually agreed on annual work plan prepared and submitted to the CHIP Partnership. Documents to be submitted to CHIP Partnership for review and determination of goal achievement. In addition, any new suggestions/areas of need that are identified shall be addressed by the CHIP Partnership. 2.Identify other mobile health services in the area/region and develop partnerships to bring their services to our County. By June 30, 2017 determine what alternative mobile medical/dental units/resources are available to provide needed services and report to CHIP Partnership. By June 30, 2017 have contacted the various groups and obtained the information needed to develop a schedule of locations and dates that the mobile services will be available through the calendar year.

0

TBD

No annual work plan has been prepared/submitted to date.


3.Identify and coordinate health services that can be done through ministry at local churches to raise awareness of risks for heart disease and strokes; education and prevention. Heart Health Plus/Million Heart 100 Congregations initiative. By June 30, 2017 have completed a local community event at a minimum of 2 churches; coordinated with local church; distributed health information using health equity data; developed 3 community organizations/partners. By December 30, 2017 have enlisted at least 2 additional churches to participate in the program through June 30, 2018. By June 30, 2018 develop an Action Plan to continue building program until all interested local churches are participating. Action Plan to be submitted to the CHIP Partnership. By December 30, 2018 and annually thereafter, prepare a written report for submittal to the CHIP Partnership identifying strengths and weaknesses, methods to overcome hurdles, total number of participants, etc. Number of blood pressure wallet cards distributed; # of interactions with faith-based organization; # of

Have partnered with 4 churches; no plan submitted to CHIP Partnership.


members within the congregation; # of pulpit messages reached; # of community partnerships developed. Number of DPP referrals; # of DSME referrals; # of TFF referrals; # of pre-diabetes risk tests taken. 4.Develop a plan to coordinate an annual Free Clinic Event in Citrus County. By June 30, 2017 development of a detailed action plan to hold an Annual Free Clinic to be submitted to the CHIP Partnership. By December 30, 2017 obtain written commitments for participating in the Free Clinic from all entities. By June 30, 2018, the 1st Annual Free Clinic shall be held. Use of client surveys during the event and completion of After-Action Report (AAR) to identify any issues to be corrected moving forward.

The Medical Society is exploring a free medical clinic modeled after successful clinic in neighboring county. Working with the Medical Society to open a free mental health clinic at DOH-Citrus.

Strategic Issue Area #2: Obesity

A leading cause of chronic disease is obesity and/or being overweight both for adults and children. DOH-Citrus continues to educate our citizens on healthy eating habits


and opportunities for exercise for citizens and visitors geared to all abilities and financial levels through easy to understand educational materials.

Goal 1: Promote Lifestyle Change Through Healthier Eating

Strategy 1: Education

Key Partners: DOH-Citrus, Citrus County School Board, Healthiest Weight and Lifestyle Committee members.


This is important to our community as the CHA identifies obesity as a major problem in Citrus County – 62% of our adults are either overweight or obese.



1. Reach out to the citizens of Citrus County through community events and through education system. 2.Develop survey to be distributed to the public during outreach and educational events to Identify needs of the citizens as well as suggestions to making the education more meaningful to them. Funding needs to be secured for printed surveys, programming and materials.

At least 1 event per quarter for a total of 4 by the end of 2017; for succeeding years, equal or better that rate. By December 2017.

4 events

In process

4 events

Healthy eating materials are provided at community events – 4 or more have been done by end of 2017. Surveys are in the process of being developed for use on I-Pads and other tools.


2. Develop an updated BMI letter for parents of overweight or underweight students in 1st, 3rd, and 6th grades. The information must be easily understandable and include resource information and clear directions for parental actions. Funding is required for preparation & distribution & mailing 3. 100 Congregations for a Million Hearts program targeting Black and Hispanic populations through faith communities to encourage lowering BP, improving heart health, and

2.A. Improved parental response rate as evidenced by increased completed BMI referrals. June 30, 2017 for completed BMI revision for testing with parents. Revised letter to be distributed beginning in August 2017 school cycle. End of school year 2018-2019 & 2019-2020 respectively. 2.B. A decreased number of BMI letters mailed during the 2018-2019 and 2019-2020 school years by 10% (618 letters). (Note: BMI letters are sent to both those students that are overweight and underweight) A. Pastor Doug Alexander for African American churches, and Our Lady of Grace/Beverly Hills for Hispanic churches. March through June 2017 for pilot program; develop survey and set dates. Ongoing program with additional churches to

25%

25%

0

35%

TBD

4

2016/2017 – under 5% BMI = 96. Over 95% BMI=662. 2017/2018 – Under 5% BMI = 97. Over 95% BMI= 644. In Progress


therefore improving health.

occur July 2017-June 2018. B. Staff to develop materials to be used for pulpit messages, meet with church advocates to develop programming & materials to be distributed to the congregation, community partners to participate in educational events & meetings; funding to develop and/or purchase materials. C. Development of survey to be used to track successes following each event. D. Future additional resources to be determined based on program requirements.

Ongoing Survey is being developed for use on i-pads and other tools.

Goal 2: Promote Improvement Through Physical Activity

Strategy 2.1: Physical Activities

Key Partners: Healthiest Weight and Lifestyle Committee members, Challenge team leaders and Challenge founder & director; YMCA of the Suncoast.



It is important for our community to understand the benefits of all types of physical exercise, even walking, as well as participating as a team for motivation. Objective Indicator Current

Level Target Status Explanation

of Status Move toward a healthier weight and lifestyle through physical activity.

1.Support Fitness in Citrus – a community wide fitness challenge. 2.Fit Kids and Fit Adults activities. At least 1 event for kids and adults per quarter for a total of 4 by the end of 2017. For succeeding years, equal or better this rate. 3.Annual 5K race in Whispering Pines Park in Inverness to include health fair activities & screenings.

2018

640 participants/66

Teams

6 events for both adults & children Includes outreach events, day care events, My Plate programs.

300+/- participants

10% increase/542 participants

1 event /quarter

Increase participants

The 2018 totals exceeded the 2017 goal of 10% increase. The combined total approximate number of adults & children reached during these outreach events was 3,050. Major issue is complex daycare operator requirements. 2018 - 371+/- participants in our Annual 5K to include new segment for swimming and an onsite health fair.


Strategy: 2.2 Promote use of existing low cost/no cost opportunities in physical activity.

Key Partners: City of Crystal River, City of Inverness, BOCC, GIS Division, DOH-Citrus


It is important for our community to understand the benefits of all types of physical exercise, even walking, as well as participating as a team for motivation.



To educate our citizens and visitors on the many opportunities for physical activity at all levels of ability countywide.

1.Identify low-cost/no-cost locations for various types of physical activities. 2.Coordinate/create GIS interactive mapping for online use.

0

TBD

Resources distributed at community events & at the Health Department Reception area include County Bicycle Map, county map to include parks & recreation areas along with Visit Citrus Visitors guide. Resources distributed as tools to help plan outdoor activities; free to nominal fees. Citrus County Dept. of Systems Management, GIS & Health Department met to discuss highlighting all the walking trails within the county. Discussion was how to highlight the trails on


3.Develop hard copy tool(s). 4.User survey(s) to be developed to ensure that their expectations are being met both online and hard copy. By June 30, 2018 Develop an aggressive outreach project to educate the citizens and visitors about opportunities for no-cost/low-cost physical activities.

0

0

TBD

TBD

both agency websites as a means of encouraging the community to get outside & enjoy what is available for free or nominal cost. Citrus County Bicycle Map; Citrus County Map showing parks; Citrus County Discover magazine distributed at community events & DOH-Citrus. No further movement to date. Tom Craig & Max Shulman, authors – Citrus County Trails. Preliminary agreement to create interactive application to highlight trails. Discussion moved to an application download vs. interactive. Mr. Craig & Mr. Shulman’s focus was redirected to writing a book


By September 30, 2018 user survey(s) to be developed to ensure that their expectations are being met both. By June 30, 2018 develop listing of sites; funding for outreach materials in sufficient numbers to make available to TDC, hotels, motels, etc. local online and hard copy. By September 30, 2018 develop layout, funding to reproduce for distribution.

0

0

0

TBD

TBD

TBD

on fishing in Citrus County. To be developed. Sites listed in Citrus County map & Bicycle Map. No further movement to date.

Strategic Issue Area #3: Access To Healthy Foods

Access to healthy foods is directly tied to obesity and is of continued concern. The USDA Low Income & Low Access Layers have not been updated to date from 2015. This Subcommittee did not submit any additional information towards resolution of this strategic issue. Due to the similarities, it is the intention to combine this issue area with the Obesity subcommittee going forward.

Goal 1: Improve access to healthy foods among low income residents by addressing the key modifiable barriers identified through the Community Health Assessment.

Strategy 1: Work with local food pantries and farmers to increase the access, availability, and preparation of healthy foods.

Key Partners: Local food pantries and local farmers. Cindy DeVine, Pregnancy & Family Life Center; Janice Hale, Citrus County Board of County Commissioners; Roger Ross, Citrus County Community Food Bank; Diane Toto, We Care Food Pantry.



This is important to our community as the CHA identifies obesity as a major problem in Citrus County – 62% of our adults are either overweight or obese.



1.Increase the proportion of lower income residents who have access to healthy foods. 2.Provide education to shop, read labels, and prepare foods in a healthy way.

1.a.GIS map areas in the county with residents that are = 150% or below the poverty level overlaid with location of food vendors/pantries by December 31, 2017. 1.b. Increase by 15% the number of low-income residents that are within a 10-mile radius of a food vendor/pantry by December 31, 2018. Create and demonstrate cookbooks that are geared to the foods available at the pantries in the community by December 31, 2017.

0

TBD

TBD

TBD

No action has been taken to identify those impacted. No action has been taken to provide the education.

Strategic Issue Area #4: Florida Healthy Babies

This statewide initiative to reduce infant mortality rates through a local partnership that is committed to reducing local disparities in infant mortality through community action planning.

Goal 1: Increase breastfeeding rates in Citrus County

Strategy 1: Improve access to certified lactation specialists in Citrus County

Strategy 2: Assess worksite policies for breastfeeding mothers and available community spaces for breastfeeding.


Key Partners: Melissa Tomes, Healthy Families; Marty Fugua, DCF; Margaret Henry, Seven Rivers Regional Medical Center; Christine Terrasi Pregnancy & Family Life Center; Dee Dixon, Healthy Families; Scott Cook, Devereux Kids; Betsy Schwartz, Birth in the Know; Debra LoCicero, The Centers; Krista Fouke, Seven Rivers Regional Medical Center.

Why this is important to our community:This initiative was created by the FDOH to address statewide health disparities regarding infant mortality rates.



1.Increase the number of Certified Lactation Consultants (CLC’s) and/or internationally Board-Certified Lactation Consultants (IBCLC) available in the community.

1.Breastfeeding initiation data collection from OB’s/hospitals/doulas by May 30, 2017. 2.Determine a list of CLC’s/IBCLC’s in Citrus County by May 30, 2017. 3.List of breastfeeding education providers for Citrus County. May 30, 2017. 4.ID businesses with more than 50 employees to address breastfeeding policies; half private and the school system. (Percentage of total businesses) by May 30, 2017.

0

12

1 Resource

Guide

In progress

80%

10

1

WIC data is being used. IBCLC – 1 CLC - 10 Infant Guide Resource listed at no cost with Baby Friendly services; includes IBCLC & CLC information. 1st edition published May 2017. Focus has been on hospital participation in Baby Friendly goals. 1 hospital currently participating due to our efforts & 2nd hospital is in the process.


Focus shift to child care centers.

Goal 2: Information Sharing

Strategy 1: Identify evidence-based health messaging models or health communication tools for prenatal and post-partum women.

Strategy 2: Develop a social media marketing campaign.


Why this is important to our community:It is important to reach out through various communication modes to reach our clients whether they are users of social media, hard copy outreach, etc., and no matter their level of reading or language that they speak.




1.Develop a list of 5 evidence-based health messaging or communication modes for prenatal and post-partum women. 2.Identify 10 social media partners to promote the health messaging or communication modes we identify. 3.Develop Twitter flight plan that includes breastfeeding, preconception/prenatal care, and contraception information.

List to be developed by May 30, 2017 Outreach to be completed by May 30, 2017. Twitter flight plan to be completed by April 30, 2017 Monitor number of retweets of DOH Citrus.

1 List

4

1 Plan

1 List

10

1 Plan

Infant Feeding Guide contains more than 5 evidence-based resources. Continue to engage pertinent partners. @FLHealthCitrusis active

Goal 3: Baby Boxes

Goal: Develop a plan for implementation of Baby Boxes

Strategy 1: Assess medical provider support for project to distribute baby boxes to Citrus County mothers.

Strategy 2: Create a public communication campaign to promote Baby Box program.


Why this is important to our community:The use of the Baby Box is to promote the use of Safe Sleep standards for all county residents that are parents and family of newborns.




Create an assessment tool for provider support by December 31, 2016. Meet with all pediatric and OB/GYN providers using the tool generated by June 30, 2017.

1.Develop a communication plan to generate support for Baby Box program in county residents by May 31, 2017. 2.Develop baby box eligibility requirements by May 30, 2017. 3.Create syllabus for baby boxes

1 Plan

Protocol

Syllabus

1 Plan

Protocol Syllabus

Twitter, website, flyer, message board, community partner promotion. 1st Baby Box was issued 5/2017 The total number of Baby Boxes distributed in 2018 is 195

Strategic Issue Area #5: Mental Health & Substance Abuse

Mental Health and Substance Abuse in Citrus County has been an ongoing issue in our community due to the need for expanded services to include providers, treatment facilities and Baker Act facilities.

Goal 1: To determine the principal needs of the community and the most effective ways to utilize funding in order to address the needs.

Strategy 1: Conduct a research project to identify principal needs.

Strategy 2: Determine most effective way to utilize funding.

Key Partners: Steve Blank, The Centers; Melissa Bowermaster, Jessie’s Place; Marilyn Booth, NAMI Citrus; Scott Cook, Devereux Florida; Sheri Goodwin, Lutheran Services Florida; Thomas Gonzales, Citrus County School Board; Lesley Hersey, Langley Health Systems; Yvonne Hess, Affinity Counseling; Deborah Jenks, The Centers; Laurie Keefe-Cecere, Tree of Life Counseling Center; Anthony Kopka, Daystar Life Center; Deborah A. Martin, D.A.M, Inc.; Glenna McManigell, NAMI Citrus; Mike Orlito, Community; Renea Teaster, Anti-Drug Coalition; Gloria Tucci, The Centers; Dr. John Grace, Citrus County Medical Society.



Objective Indicator Current

Level Target Status Explanation

of Status 1.Conduct a research project that features a critical analysis of the accessibility barriers to behavioral health services in Citrus County 2.Use the data collected to determine what the greatest needs of the community are and recommend the most effective ways to address those needs with regard to the funding that is available to the county. Funding to be provided through a combination of gifts and grants that will be sought from a variety of potential sources. $15,000 is estimated cost to conduct the research.

1.ID and schedule appointments with sources who refer people to behavior health. 2.Providers of behavioral health services in the county. 3.County residents who cannot access services or who need but do not continue to be served. Affinity Counseling will hold in-depth guided discussions with those identified and compile aggregate data to show 1.Priorities of use vs. need, and barriers and gaps in regard to referrals. 2.Current availability of services as well as gaps in services and barriers to the delivery of services. 3.Types of services needed, and the

0

0

0

0

0

0

0

TBD

TBD

TBD

TBD

TBD

TBD

TBD

No work was done/submitted to the CHIP Partnership. It was reported that some monies were collected and to be returned to the donors/grantees.


preferences for levels of care. The research project should be complete by December 31, 2017 or sooner depending on the receipt of required funding.

0

TBD

* Status indicators are as follows:

= Little to no movement towards objective target

= some progress towards meeting the objective target

= reached or surpassed objective target


Revisions

The DOH-Citrus Community Health Improvement Partnership approved the final CHIP Plan on October 13, 2017. At their January 4, 2018 meeting, it was pointed out that a correction needed to be made to one of the community partnership division titles, and that the plan as approved, carried two different dates on the cover. The CHIP Partnership made a motion and approved to correct these 2 sections as noted. The motion carried unanimously. There have been no other revisions to the strategic issue areas or other data during this reporting period.

Accomplishments

Goal Objective AccomplishmentPromote Lifestyle change through healthier eating.

Reach out to the citizens of Citrus County through community events and the educational system.

DOH-Citrus has attended numerous outreach events to promote healthier eating. During 2018, the combined total approximate number of adults & children reached during these outreach events was 3,050 and included health fairs, day cares and other community events.

How it’s important for our community: Healthy eating habits will aid in the reduction of chronic diseases through decreasing the overall number of overweight and obese citizens. While there have been no new data to determine a reduction in these numbers at this time, it is believed that teaching these healthy habits to young children will result in their bringing the lessons home to the adults in the family.

Goal Objective AccomplishmentProvide all residents in Citrus County with quality, comprehensive and affordable health care.

Increase the percentage of adults in Citrus County who have a regular source of health care.

DOH-Citrus has developed a relationship with the Citrus County Medical Society and they continue to work towards the goal(s) of Access to Care for our citizens that are underinsured and/or uninsured.

How it’s important for our community: Through an overall coordinated effort of many partners, health care for the citizens in need will be provided. This would reduce the number of people going to the Emergency Department for non-emergency issues, and providing diagnostic testing, which is often unavailable, resulting in a healthier Citrus County.


Conclusion

The Community Health Improvement Plan (CHIP) is a map for the ongoing health improvement process for the local public health system by providing a framework for the identified strategic issue areas. This is a living document in that it is intended to evolve with completion of strategies to achieve the ultimate goals and to reflect new information as it becomes available. Progress is evaluated based on quarterly CHIP implementation reports and discussions with community partners to continuously improve the health of our community. Annual reports, such as this one, will be submitted in March every year.

In 2018, DOH-Citrus contracted with WellFlorida, Inc. to prepare an updated Community Health Assessment. The CHIPartnership plans to review the existing CHIP together with the new data and develop a new Community Health Improvement Plan in 2019.

In 2018, the Citrus County Board of County Commissioners submitted a formal request to have the county’s mental health and substance abuse provider services changed. The contract manager, Lutheran Services put the contract out for bid and LifeStream Behavioral Center was named as the Citrus County Mental Health provider with the transition date of October 1, 2018. However, all parties agreed that it would take time to fully make the necessary changes.

Florida Department of Health in Citrus County Citrus Health Improvement Partnership (CHIPartnership) Meeting

IFAS Building / Extension Office 3650 W. Sovereign Path, Lecanto, FL 34461

February 7, 2019 – 9:00 AM to 11:00 AM

AGENDA

Purpose: Engage community in review of the Community Health Assessment through open two-way dialogue and develop the Community Health Improvement Plan.

Topic Lead

Welcome/Call to Order Introductions Prompt attendees to sign-in

CHIPartnership Officer / Designee

Review & Approval of Minutes: DRAFT – 12/6/2018

CHIPartnership Team

Review CHIPartnership Charter DRAFT changes

Action Item

Annual CHIPlan Review Action Item

2018 Community Health Assessment

Review DRAFT of new CHIPlan (goals/Subcommittees)

Action Item

Open Floor for Community Input All

Meeting Evaluation- Please complete & return the Meeting Evaluation Survey forms

All

Next Meeting Date and Adjournment April 4, 2019 – 9:00 AM to 11:00 AM


All

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Appendix A

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Florida Department of Health in Citrus County Citrus Health Improvement Partnership (CHIP) Meeting

IFAS Building / Extension Office 3650 W. Sovereign Path, Lecanto FL

February 7, 2018 – 9:00 a.m.

COMMUNITY MEETING MINUTES


Attendees: (8 partners required to have a quorum) Jessica Curatola-Catholic Charities, Chuck Higgins-Democratic Equality Caucus of Citrus County, Gloria Tuci-LifeStream, Erica Ramsey-Pregnancy & Family Life Center, Kristy Lindke-Mid Florida Homeless Coalition, MaryAnn Busacca-LifeStream Behavioral Center, Nicole Kelly-Gulfcoast North AHEC, Jane Bedford-Nature Coast EMS, Steve Blank-The Centers, Pam Carnevale-Citrus County School District, Rebecca Martin-Community Partner, Dr. Brad Ruben-WellFlorida Council, Blaire Petersen-WellFlorida Council, Renea Teaster-Anti Drug Coalition, Tobey Phillips-BOCC Community Services Director,

Staff Present: Tito Rubio-Administrator, Jim Rashley-Assistant Director, Janora Wade-Nursing Director, Carmen Hernandez-Health Education Program

Manager, Nancy Witty-Government Consultant, Ellen Lodgek-Administrative Assistant, Patrick Boyd-Emergency Planner, Myrna Matthews-

Officers: Jane Bedford - Chairman, Ernesto Rubio - Co-Chairman, Janora Wade - Co-Chairman, Recording Secretary - Vacant

Agenda Items Discussion Action

Call to Order Tito Rubio called the meeting to order at 9:05 am. Quorum (14 partners present)

Welcome Housekeeping Items

Introductions

Reviewed housekeeping items. Introductions of Citrus Health Improvement Partners in the room.

Tito Rubio

Review & Approval of Minutes

Nancy Witty noted that under “Subcommittee Reports” correction to “Access to HealthCare / Availability of Health Foods” to read “Access to Health Care” and correct

Approved

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February 7, 2018 – 9:00 a.m.


“Healthiest Weight and Lifestyles” to read “Healthiest Weight and Lifestyles / Availability of Healthy Foods”.

Dr. Ruben made a motion to approve the draft minutes for 12/6/2018 meeting as amended, Jane Bedford seconded, all in favor.

Review CHIPartnership Charter DRAFT

changes

Tito Rubio, Jim Rashley, Janora Wade, Jane Bedford and Rebecca Martin met on 1/29/2019 to work up a draft charter proposal to present at today’s meeting for review/approval. Changes made:

• Missiono For less confusion - change throughout document

▪ Community Health Improvement Plan (CHIP) to CHIPlan▪ Citrus Health Improvement Partnership (CHIP) to

CHIPartnership▪ Community Health Assessment 2015 to Community Health

Assessment 2018

• Visiono No changes

• Primary Functionso Combine #2 and #3 –

▪ #2 will read Identified evidence-based strategies, create atimeline, and performance measures short term (one to twoyears) and intermediate term (two to four years).

• Scope of Worko Change to read “Regularly scheduled meetings held by the

CHIPartnership will be documented using an agenda, meetingminutes, and progress reports. Meetings may be held face-to-face orelectronically. A quorum of at least 3 of 5 strategic priority issue area

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February 7, 2018 – 9:00 a.m.


representatives are required for all general meetings, and the following will be reviewed during the meetings:”

• Interdependencieso Change “Interdependencies” to read “CHIPlan – Strategic Plan to be in

alignment with”

• Membership/Roleso Change 1) to read “CHIPartnership is composed of community

partners dedicated to improving the overall health of our community.The core group (Steering Committee) shall include Citrus CountyPublic Health Officer, Chair and representatives from strategic priorityissue areas. Additional members shall be recruited to participate inSubcommittees in which they have a vested interest, are astakeholder, and/or have other assets to bring to the table. Allmembers are welcome at all meetings.”

o 2) change “Chairman” to “Chair”, change “Co-Chairman” to “Co-Chair”. o 2) add “Elective Officers have a term of two years; they may succeed

themselves. Elections will take place the first meeting of the calendar year.”

• Meeting Schedule and Processo Change 1), 2) and 3) to read:

▪ “1) Regularly scheduled meetings will be held to monitorprogress of the CHIPlan.”

▪ “2) Perform annual evaluation of CHIPlan and make changesas needed.”

▪ “3) Activities outside CHIPartnership meetings will include face-to-face and electronic communications as appropriate.”

• Measures of Successo No changes.

• DeliverablesChange to read “The CHIPartnership will develop documents includingmeeting minutes, scorecard for reporting on status and results of

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February 7, 2018 – 9:00 a.m.


plans/projects, and annual evaluation. The CHIPlan shall be made available on citrus.floridahealth.gov to the general public for review and comments prior to finalization and submittal to the Florida Department of Health.”

• Members want to have a reporting tool/scorecard for measuring success –Tito Rubio and Jane Bedford will develop.

• Rebecca Martin made a motion to accept the DRAFT 2019 changes to theCitrus Health Improvement Partnership Charter, Kristi Lindke seconded themotion, all in favor.

Elections • Jane Bedford nominated Pam Carnevale for Chair

• Pam Carnevale declined due to other commitments

• Rebecca Martin nominated Kristy Lindke for Chair

• Kristy Lindke needs to discuss with her organization before deciding

• Renea Teaster made a motion to table the election with self-nominations,Janora Wade seconded, all in favor

o Give everyone a chance to decide if they are available to chair.o Consider which subcommittee area you are interested serving on.o Email will be sent out requesting self-nominations.o Once Self-nominations are received an electronic vote will be

submitted via email

Annual CHIPlan Review

• Annual report to the State is due 3/30/2019 – submitted by Nancy Witty

• Goals to complete the annual report lack required informationo Completed 2018 goal information needed by mid-March – Nancy Witty

will Subcommittee Leaders meet with Nancy Witty▪ Develop scorecard

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February 7, 2018 – 9:00 a.m.


• Nancy will supply a copy of the Draft Annual Report,Ellen will forward to the Subcommittee Leaders forreview to better be able to supply needed goalinformation to Nancy.

2018 Community Health Assessment – New

Subcommittees

• 2018 priority health issues identified in Citrus Countyo Mental Health – (Behavioral Health – name of the subcommittee was

selected to encompass all of the issues of mental health) MaryAnnBusacca (LifeStream Behavioral Center)

▪ Substance and drug abuse▪ Access to mental health care and related services

• The United Way / Mental Health Council meeting and theCHIPartnership / Behavioral Health Subcommittee havemerged into one committee. The first meeting will be on3/1/2019 at 1:30 in the IFAS Extension Office. Co-chair:MaryAnn Busacca and Rick Hankey of LifestreamBehavioral Center.

• The current subcommittee will decide on which name thenewly merged committee will use, “Mental Health Council”or “Behavioral Health”.

o Healthy Behaviors supported by culturally appropriate health education –(previously called: Healthiest Weight & Lifestyle) Pam Carnevale (CitrusCounty School District), along with Rebecca Martin (CommunityMember)

▪ Overweight and obesity▪ Access to healthy food choices▪ Tobacco use▪ Lack of physical activity▪ Personal responsibility in health decision-making

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February 7, 2018 – 9:00 a.m.


o Child Health and Safety (previously called: Florida Healthy BabiesInitiative) – Janora Wade (DOH-Citrus)

▪ Healthy family life, effective parenting and social connections▪ Activities for youth▪ Educational, social and employment opportunities for young adults▪ Primary prevention of chronic diseases and mental health

problems in children and young adults

o Access to Healthcare – Jane Bedford (Nature Coast EMS), along withTito Rubio (DOH-Citrus)

▪ Affordable health insurance▪ Enhancing access to primary care, mental health services, dental

care and specialty care▪ Linking people to needed health and social services▪ Health literacy on appropriate use of healthcare services and

resources

o Promoting health through policy and infrastructure investments via ahealth in all policies approach – Dr. Brad Ruben (WellFlorida Council),along with Rebecca Martin (Community Member)

▪ Changing demographics, including the aging populations andincreasing Hispanic population

▪ Need for countywide strategic economic plan▪ Economic issues including job training, jobs, wages and affordable

housing▪ Health equity

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February 7, 2018 – 9:00 a.m.


Open Floor Discussion • Renea Teastero Tampa Drug Summit – February 18-20, 2019, cover a wide variety of

topics. Will send out a link for the summit.▪ Drug education and prevention training provided by national

experts and local leaders. Network with professionals from acrossthe southeastern region of the United States dealing with theimpacts of substance abuse. 16 CEUs for prevention certification,substance abuse, mental health & marriage counseling will beprovided over the course of the three-day summit. Certificates willbe handed out at the end of each day.

o Event - “The Impact Game” in coordination with National Prevention Week(third week in May) – high school students to develop teams and competefor cups – this year’s host is Citrus High School – focus on prevention –kid zone – vendors – family event – Friday 5/10 5:30 to 9:30.

o PACE Center for Girls - Open House, Monday February 11th at 4:00.

• Chuck Higginso Citrus County Zero Discrimination Day Picnic – A family friendly event –

Saturday, March 2nd at Ft. Cooper State Park from 11am to 3pm. Willemail a flyer for the event.

o Democratic Equality Caucus of Citrus County social media is taking off.

• Blaire Peterseno Circuit 5 Substance Exposed Newborn Taskforce – April 12, 2019 9am to

4pm – Supporting Substance Exposed Newborn Communities –Presentation: Memorial Health System-Maternal Addiction Team – join theTaskforce to share and learn best practices in the Circuit 5 counties for thetreatment and prevention of the addicted pregnant patient and hernewborn – Wildwood Community Center

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February 7, 2018 – 9:00 a.m.


• Patrick Boydo Plugged Inn – a free speaker series open to members of the healthcare

community, fire/rescue, EMS and enforcement – focus on healthcare anddisaster preparedness or special needs population. February 14th –Dementia, March 14th Oxygen, April 11th Challenges of Sheltering, May 9th

HIPAA, June 13th Weather, July 11th Leadership CEUs offered. Will emaila flyer on the event.

• Nicole Kellyo GNAHEC is rolling out a new Tobacco Cessation Behavioral Health

Curriculum “Journey’s”. This 6-week program will be specifically forbehavioral health sites and private classes for the site (in-patient or out-patient). GNAHEC will hopefully partnering with The Centers andLifeStream to offer this program on-site. Participating clients will receivemore Quit Sessions and Nicotine Replacement Therapy (NRT) thanGNAHEC other cessation program for the general population.

o GNAHEC recently received state funds for Opioid prevention. The grantwill be offering CE and CME trainings throughout our 5 County servicearea. Community presentations will also be offered.

• Rebecca Martino YMCA will incorporate Fitness in Citrus into their programs next year -

unable to hold the program in February – will be open to the community.

• Carmen Hernandezo January was Human Trafficking Awareness Month – 2/7 is Shine a Light

on Slavery – posters on the back table for awareness of Human Trafficking– 5 reported cases for Citrus County and 7 reported cases for HernandoCounty – working with the YMCA for Safety Awareness

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February 7, 2018 – 9:00 a.m.


o Programs Community Health will share with after-school programs –Leadership, Holding Your Brand, Bullying, Nutrition, Tobacco, Safety, OralHealth

o Community Health will be certified “Helmet Fitters” by the end of February.o Carmen and Myrna are members of the Human Taskforce Committee –

previously no DOH representation

Handouts • Agenda for 2/7/2019 Meeting

• DRAFT minutes for the 12/6/2018 meeting

• Citrus Health Improvement Partnership Charter DRAFT 2019

• Citrus Health Improvement Partnership Charter Approved 8/4/2016

• Subcommittee Reports

• Community Engagement Survey

Next Meeting • March 7, 2019 – 9:00 to 11:00 amo IFAS Extension Building – 3650 W. Sovereign Patho Subcommittees to meet separately

Meeting Evaluation • Please complete and return the Meeting Evaluation Survey Forms.o Surveys were collected.

Adjourned 11:10 am

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February 7, 2018 – 9:00 a.m.


Action Items

Action Items Person Responsible Deliverable Date

1. Review/approval of previous meetingminutes

CHIPartnership Ongoing

2. Decision on Recording Secretary CHIPartnership Tabled

3. Chair Elections for 2019 – send emailrequesting self-nominations – sendself-nomination names electronicallyfor CHIPartnership to vote

Ellen Lodgek February / March 2019

4. Develop Scorecard Tito Rubio and Jane Bedford --

5. CHIPartnership members listed onthe 5 areas of concern for CitrusCounty Subcommittees

CHIPartnership February / March 2019

6. Email a draft copy of the AnnualReport to Subcommittee leaders

Nancy Witty / Ellen Lodgek February / March 2019

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Florida Department of Health in Citrus County Citrus Health Improvement Partnership (CHIPartnership) Meeting


March 7, 2019 – 9:00 AM to 11:00 AM

AGENDA


Topic Lead

Welcome/Call to Order Introductions Prompt attendees to sign-in

CHIPartnership Officer / Designee

Review & Approval of Minutes: DRAFT – 2/7/2019

CHIPartnership Team

2019 Election Update

Open Action Items:

Develop Scorecard (i.e., Implementation Spreadsheet) Subcommittees (Behavioral Health, Healthy Behaviors Supported by

Culturally Appropriate Health Education, Child Health and Safety, Access to Healthcare, and Promoting Health Through Policy and Infrastructure Investments via Health in All Policies HIAP)

Review Draft copy of Annual Report

Tito / Jane

CHIPartnership

Open Floor for Community Input All

Meeting Evaluation- Please complete & return the Meeting Evaluation Survey forms

All

Next Meeting Date and Adjournment April 4, 2019 – 9:00 AM to 11:00 AM


All

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Appendix B

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March 7, 2018 – 9:00 a.m.


Purpose: Engage community in review of the Community Health Assessment through open two-way dialogue and develop the Community Health Improvement Plan. Attendees: (8 partners required to have a quorum) Kristy Lindke-Mid Florida Homeless Coalition, Erica Ramsey-Pregnancy & Family Life Center, Dr. Brad Ruben-Retired Physician/WellFlorida Council, Rebecca Martin-Community Partner, Olivia Rodriguez-Langley Health Services, Pam Carnevale-Citrus County School District, Melissa Bowling-Citrus County School District, Tobey Phillips-BOCC Community Services Director, Steve Blank-The Centers, Sandra Dixon-Community Member/Retired Dietician, Nicole Kelly-Gulfcoast North AHEC, MaryAnn Busacca-LifeStream Behavioral Center, Mellissa Bowermaster-Jessie’s Place Staff Present: Tito Rubio-Administrator, Jim Rashley-Assistant Director, Carmen Hernandez-Health Education Program Manager, Nancy Witty-Government Consultant, Ellen Lodgek-Administrative Assistant, Anne Murphy-Personnel Liaison/PIO Officers: Jane Bedford - Chair, Ernesto Rubio - Co-Chair, Janora Wade - Co-Chair, Recording Secretary - Vacant

Agenda Items Discussion Action

Call to Order

Tito Rubio called the meeting to order at 9:05 am.

Quorum

(12 partners present)

Welcome

Housekeeping Items Introductions

Reviewed housekeeping items. Introductions of Citrus Health Improvement Partners in the room.

Tito Rubio

Review & Approval

of Minutes

Tobey Phillips made a motion to approve the draft minutes for 2/7/2019 meeting. Rebecca Martin seconded, all in favor.

Approved

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March 7, 2018 – 9:00 a.m.


2019 Election Update No Self Nominations were received. Chair – Vacant until someone wishes to fill position. Co-Chair – Ernesto Rubio and Janora Wade

Open Action Items Develop Scorecard (i.e., Implementation Spreadsheet)o Jim Rashley showed the “Implementation Spreadsheet” tool for use as

a scorecard.o All-encompassing DOH documento Will be able to share document via One Drive

If you keep a local document – will need to cut and pasteinformation on One Drive

o Each page will have goals, strategies and objectiveso Colors will help tell you if you are “on track”, Not on track”, or

“Achieved”.o Help with transferring/updating information.o Members gave consensus to use Implementation Spreadsheet

immediately.o DOH will begin to set up forms for access.

Subcommittees – contact DOH to be added to subcommittee of your choice.o Behavioral Health

MaryAnn Busacca reported: The subcommittee had their first meeting 3/1/19.

Reviewed Lifestream Behavioral Center servicesoffered including addressing needs not originallyidentified (Substance Abuse needs, pregnant women,newborns, older adults), educate -identify signs ofdepression.

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Next meeting will review what other community partnerscan offer, review goals and charter.

Tito Rubio reported DOH is partnering with The Centers and Lifestream

Behavioral Center for addicted pregnant women andtheir care.

DOH working on a campaign “Mental Health Matters” inMay for Mental Health month.

Want to get DOH 800 number out in the community If you wish to be on the Behavioral Health

subcommittee contact Ellen – sending out a Doodle Pollfor best time to meet monthly.

o Healthy Behaviors Supported by Culturally Appropriate HealthEducation Pam Carnevale reported: Hope to be able to begin meeting again after Spring break.

o Child Health and Safety No report

o Access to Healthcare Tito Rubio reported The Medical Society is wanting to begin a free clinic in Citrus

County – going to approach the Medical Society about beingthe Lead for this subcommittee.

Suggest that they visit the “Connections” free clinic inHernando.

o Health in All Policies (HiAP)

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March 7, 2018 – 9:00 a.m.


Rebecca Martin reported: Citrus 20/30 Committee – Carmen and Rebecca working on the

aspiration statements for “Health and Social Services” with plans to work “Health in All Policies” education into the statements.

Citrus 20/30 Committee will include focus areas being worked on in the CHIPartnership subcommittees – should subcommittee members want to also attend the Citrus 20/30 let Rebecca or Carmen know.

Rebecca and Dr. Ruben attended the WellFlorida meeting – learned that Alachua has a community health element in their COMP Plan. Jeff Feller / WellFlorida interested in addressing CHIPartnership.

Review Draft copy of Annual Report for 2018 o Draft copy of the 2018 Annual Report was sent via email for committee

members to review prior to this meeting. o The Draft 2018 Annual Report was brought up on the computer for

review at the meeting. o DOH requirement for accreditation – must be approved by the

CHIPartnership. o Will Bryant made a motion to accept the Draft Annual Report as

written, Kristi Lindke seconded, all in favor.

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March 7, 2018 – 9:00 a.m.


Open Floor Discussion

Carmen Hernandez

o The Department of Health in Citrus County now has 4 Tobacco Treatment Specialist on staff. Provide one-on-one counselling for smoking cessation. Tobacco Citation Classes – 14-15 kids per class (Court sent).

Kids share their situations. o Tobacco Free Program “Baby and Me” – help pregnant Mom’s who are

still smoking. o Nicole Kelly-Gulfcoast North AHEC provides Group Smoking Cessation

sessions and continuing education to providers. o Pam Carnevale - The School District-Student Services has reached out to

Anti-Drug Coalition and DOH-Tobacco Free Prevention to see what they can do to reach students that are vaping. 1 pod = 20+ cigarettes – smoking 1-3 pods/daily

Jim Rashley o DOH-Citrus now has a 800 number for conference calls and will be on the

next agenda for anyone wanting to call in to the meeting.

Handouts

Agenda for 3/7/2019 Meeting DRAFT minutes for the 2/7/2019 meeting Meeting Evaluations Surveys Form

Next Meeting

April 4, 2019 – 9:00 to 11:00 am

o IFAS Extension Building – 3650 W. Sovereign Path o Subcommittees to meet separately

Meeting Evaluation

Please complete and return the Meeting Evaluation Survey Forms.

o Surveys were collected.

Adjourned 11:10 am

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March 7, 2018 – 9:00 a.m.


Action Items

Action Items Person Responsible Deliverable Date

1. Review/approval of previous meetingminutes

CHIPartnership Ongoing

2. Recording Secretary - Vacant CHIPartnership Tabled

3. Chair – Vacant CHIPartnership Tabled

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Community Health Improvement Plan

CHIP Partnership Listing 2018

Jane Bedford, Chair Nature Coast EMS Ernesto “Tito” Rubio, Co-Chair DOH-Citrus Health Officer Janora Wade, Co-Chair DOH-Citrus Director of Nursing

Pam Carnevale Citrus County School Board Chuck Dixon Citrus County School Board Helen Greene 21st Century Oncology Mark Soloman The Centers Steve Blank The Centers MaryAnn Busacca Lifestream Behavioral Center Dr. Brad Ruben Well Florida Council Blair Peterson Well Florida Council Whitney Whitt Langley Health Systems Tobey Phillips Citrus County BOCC Renea Teaster Anti-Drug Coalition Rebecca Martin Citizen Nicole Kelly Gulf Coast North AHEC Melissa Bowermaster Jessie’s Place Chuck Higgins Citrus County Democratic Equality Caucus Kristie Lindke Mid-Florida Homeless Coalition Stephanie Bell Pregnancy & Family Life Center Laurie Keefe-Cecere Tree of Life Counseling Crystal Westman PACE Center for Girls Tiara Alexander PACE Center for Girls Lorrie Van Voorthuijsen The Hanley Foundation Ken Nash The Isaiah Foundation Nanci Allen Maderi Caretenders Gailen Spinka Comfort Keepers Meghan Drake Bayfront Seven Rivers Hospital Jennifer Ortiz-Correa O.C. Counseling Services April Reid Access Health Teri Lees Citizen

DOH-Citrus Staff

Merton “Jim” Rashley DOH-Citrus, Assistant Director Carmen Hernandez DOH-Citrus, Community Health Manager Nancy Witty DOH-Citrus, Community Health, Gov’t. Operations Cons.

Josh Ramirez DOH-Citrus, Administrative Services Director Anne Murphy DOH-Citrus, Gov’t. Operations Consultant Glenn “Will” Bryant DOH-Citrus, Environmental Health Manager Maret Wachira DOH-Citrus, Health Educator Consultant Patrick Boyd DOH-Citrus, Gov’t. Operations Consultant

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Appendix C

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Community Health Improvement Plan Annual Progress Report, 2018 · 7 CHIP Annual Review Report, 2018...

Documents

Transcript of Community Health Improvement Plan Annual Progress Report, 2018 · 7 CHIP Annual Review Report, 2018...