h e iC e CoMiC SiCAL uA AdSoCi L y g CeXt y r e l y o h d y e t l s r … · 2017-12-17 · t n h e...
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Top Health Concerns for McLean County residents: e 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 down to the top six issues: 1. ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDS 2. BEHAVIORAL HEALTH (MENTAL HEALTH + SUBSTANCE ABUSE) 3. BIRTH OUTCOMES 4. OBESITY 5. ORAL HEALTH 6. 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 DEMENTIA 2. BIRTH OUTCOMES 3. CANCER 4. CAESAREAN SECTION 5. HEART DISEASE 6. MENTAL HEALTH 7. OBESITY 8. ORAL HEALTH 9. RADON 10. RESPIRATORY DISEASE 11. SEXUALLY TRANSMITTED DISEASES 12. SUBSTANCE ABUSE 13. VIOLENT CRIME 10 Making Progress Through Collective Impact 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 7 COMMUNICATION COORDINATION COOPERATION COLLABORATION COLLECTIVE IMPACT: Requires all Sectors Source: Adapted from “Working with Others, A Continuum to Consider,” Copyright 2012, Kelli Tillery Hill, CIRCLE Joint Assessment and Planning 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) 8 Our Invest Health Priority Area: 61701 and West Bloomington l 61701 comprises 20% of the county population l 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. 5 Sidewalks and other infrastructure in west Bloomington need attention on many streets. Photo Credit: Mosaic Collective, LLC Social Determinants of Health 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 GENETIC CODE > Economic Stability Employment Income Expenses Debt Medical Bills Support Housing Transportation Safety Parks Playgrounds Walkability Literacy Language Early Childhood Education Vocational Training Higher Education Hunger Access to Healthy Options Social Integration Support Systems Community Engagement Discrimination Health Coverage Provider Availability Provider Linguistic and Cultural Competency Quality of Care ECONOMIC STABILITY NEIGHBORHOOD AND PHYSICAL ENVIRONMENT EDUCATION FOOD COMMUNITY AND SOCIAL CONTEXT HEALTH CARE SYSTEM Source: Social Determinants of Health: e Henry J. Kaiser Family Foundation Source: Healthy People 2020 www.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 NEED instead of giving everybody the SAME. Source: Interaction Institute for Social Change | Artist: Angus Maguire sdoh NEIGHBORHOOD AND BUILT ENVIROMENT HEALTH AND HEALTH CARE ECONOMIC STABILITY EDUCATION SOCIAL AND COMMUNITY CONTEXT 6
Transcript of h e iC e CoMiC SiCAL uA AdSoCi L y g CeXt y r e l y o h d y e t l s r … · 2017-12-17 · t n h e...
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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