To p H e a lt h C o n c e r n s f o r M c L e a n C o u n t y r e s i d e n t s :The Executive Steering Committee brought

these 13 concerns to the full McLean

County Community Health Council, which

consolidated and renamed some of the

needs and narrowed the list downto the top six issues:

1. Access to AppropriAteHeAltHcAre for tHe

Underserved And AreAs of

HigH socioeconomic needs

2. BeHAviorAl HeAltH (mentAl HeAltH

+ sUBstAnce ABUse)3. BirtH oUtcomes4. oBesity5. orAl HeAltH6. respirAtory diseAse

Based on preliminary analysis of both

primary and secondary data, the McLean

County Community Health Council

Executive Steering Committee identified

13 top health concerns from the

Community Health Needs Assessment:1. AlzHeimer’s And dementiA2. BirtH oUtcomes3. cAncer4. cAesAreAn section5. HeArt diseAse6. mentAl HeAltH7. oBesity8. orAl HeAltH9. rAdon10. respirAtory diseAse

11. sexUAlly trAnsmitted diseAses12. sUBstAnce ABUse13. violent crime

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M a k i n g P r o g r e s s Th r o u g h C o l l e c t i v e I m pa c t

Significant social problems cannot be solved by a single organization. There is not just one solution for

improving the social determinants of health of an entire neighborhood or community. Doing so requires

establishing a culture of multi-sector collaboration for collective impact.

Beginning in 2015, the McLean County Health Department, Advocate BroMenn Medical Center, OSF HealthCare

St. Joseph Medical Center, United Way of McLean County, Mid Central Community Action, and the City of

Bloomington, came together as a team to improve community health outcomes in our community.

To date, this partnership has resulted in:

1. A county-wide community health needs assessment and improvement plan

2. Improved connections between healthcare and community development professionals

3. Continuous communication via broadly represented stakeholder groups

4. Productive coordination through the “Invest Health” planning grant from

Robert Wood Johnson Foundation and Reinvestment Fund

5. Solid consensus around a pipeline of projects targeting social determinants of health

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communicationcoordination

cooperationcollaboration

collective

impact:

requires all

Sectors

Source: Adapted from “Working with Others, A Continuum to Consider,” Copyright 2012, Kelli Tillery Hill, CIRCLE

J o i n t A s s e s s m e n t a n d P l a n n i n g

In 2015, the McLean County Health Department, Advocate BroMenn Medical Center, OSF HealthCare

St. Joseph Medical Center, and United Way of McLean County formed an Executive Steering Committee

to conduct a county-wide joint community health assessment and corresponding community health

improvement plan. For the first time, McLean County would have a single health assessment and health

plan, rather than four. The joint assessment and plan intentionally examined zip code data, in addition

to county-wide data, emphasizing geographic and racial disparities.

Establish the Executive Steering Committee and McLean County Community Health Council (April 2015)

Analyze primary and secondary data (2015-2016)

Select the top three health needs for McLean County using the Hanlon Method (February 2016)

Publish the 2016 McLean County Community Health Needs Assessment (August 2016)

Convene large stakeholder groups to write goals and objectives for each of the three top health needs (2016-2017)

Publish the 2017-2019 McLean County Community Health Improvement Plan (February 2017)

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O u r I n v e s t H e a lt h P r i o r i t y A r e a : 61701 and West Bloomingtonl 61701 comprises 20% of the county populationl 61701 grew only 0.35% since 2010, compared to neighboring 61704 (9.95%) and 61761 (4.05%)l Almost twice as many Blacks/African Americans live in 61701 compared to 61704 (12.5% vs. 6.9%)l 61701 has more renters (46.6%) than the city (37.8%) and county (33.5%)l 61701’s minimum wage workers need 75 hours/week

to rent one bedroom

As we learned in the most recent Community Health Needs Assessment, the two most populace zip codes within the City of Bloomington, 61701 and 61704, vary widely in terms of quality of life and health outcomes. Racial, economic, and health disparities are generally concentrated within the west Bloomington zip code 61701. For example, both emergency department visits and hospitalizations for chronic conditions such as diabetes, adult asthma, hypertension, alcohol and substance abuse, and mental health, are higher for Bloomington 61701 than for McLean County overall.

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Sidewalks and other infrastructure in west Bloomington need attention on many streets. Photo Credit: Mosaic Collective, LLC

S o c i a l D e t e r m i n a n t s o f H e a lt h According to the Centers for Disease Control, “conditions in the

places where people live, learn, work, and play affect a wide range

of health risks and outcomes. These conditions are known as social

determinants of health (SDOH).” To reduce quality of life disparities and improve health outcomes in our

priority area of west Bloomington, it is important to attend to all of the social determinants of health, not

only what happens inside the healthcare delivery system.

Zip Code genetiCCode

>

economicStability

employmentincome

expensesdebt

Medical BillsSupport

Housingtransportation

Safetyparks

playgroundsWalkability

LiteracyLanguage

early ChildhoodeducationVocationaltrainingHigher

education

HungerAccess to Healthyoptions

Socialintegration

SupportSystems

Communityengagementdiscrimination

HealthCoverageprovider

Availabilityprovider

Linguistic andCultural

CompetencyQuality of

Care

eConoMiCStABiLity

neigHBorHoodAnd pHySiCALenVironMenteduCAtion Food CoMMunityAnd SoCiALConteXt

HeALtH CAreSySteM

Source: Social Determinants of Health: The Henry J. Kaiser Family Foundation

Source: Healthy People 2020www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

HeALtH outCoMeS

Mortality, Morbidity, Life expectancy, Health Care expenditures, Health Status, Functional Limitations

Equity means giving everyone what they NEEDinstead of giving everybody the SAME.

Source: Interaction Institute for Social Change | Artist: Angus Maguire

sdoh

neigHBorHoodAnd BuiLt

enViroMent

HeALtHAnd HeALtH

CAre

eConoMiCStABiLity

eduCAtion SoCiAL AndCoMMunity

ConteXt

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