Northern Kentucky Health District

Northern Kentucky Planning Process

PACE-EH

APEX-PH

MAPP

Other Community Health Plans

Master Health Plan

Vision Strategic

Issues

Priority P.H. Issues

Physical Health

Lifestyles & Environment

Access to Care

Community Vision

Evaluation Plan (Outcome focused)

• I. Strategic Initiatives • Develop a pre- and post-survey based on the

Master Health Plan strategic initiatives• Distribute pre-survey with copies of the Master

Health Plan to community organizations• Resurvey same organizations every five years

• II. Priority Issues • Develop indicators for the priority issues• Track priority issues indicators annually

• III. Publish Community Reports • Publish a “Community Report” every five years.

Strategic Issues:

1.1. How do we recognize and meet the needs of our How do we recognize and meet the needs of our diverse populationdiverse population?

2.2. How do we gather, analyze, use and share dataHow do we gather, analyze, use and share data for program planning, evaluation and resource allocation?

3. How do we ensure the quality of the public health system?

4.4. How do weHow do we impact fragmented health care services to provide more seamless, integrated comprehensive provide more seamless, integrated comprehensive care?care?

5.5. How do we leverage our educational opportunitiesHow do we leverage our educational opportunities to disseminate health knowledge, skills and attitudes?

Issue #1 - Issue #1 - How do we recognize and meet How do we recognize and meet the needs of our diverse populationthe needs of our diverse population?

Goals & StrategiesGOALS

• To have culturally competent providers• To have adequate and effective representation of the community at the policy making level• To have goals based on population demographics• To implement strategies

SUGGESTED STRATEGIES• Ensure a diverse mix of policy makers on all boards• Encourage disenfranchised groups to get involved in the political process• Document population demographics for diverse population groups• Lobby for legislative changes to regulations that identify board members

Model StandardModel Standard

Issue 1 – Meeting the needs of a diverse population

We recognize and meet the needs of our diverse population. Everyone has access to the public health system. This includes: aging, minorities, imprisoned, homeless, uninsured, working poor, special needs, gay and lesbian and vulnerable populations. Everyone has access to health care and preventive services including those without insurance and those who are underinsured. We promote an inclusive and comprehensive public health system.We have culturally competent providers. We have adequate and effective representation of the community at the policy making level. We base goals on population demographics and assure implementation of these goals. We promote positive cultural change and involvement. We involve, connect and engage people in healthy community living. We promote safe and strong families and communities. We promote the well-being of our children within and across community agencies. We effectively motivate and sustain individual involvement in community health improvement initiatives. We value education by our population.

Questions1 = None (0 – 25%) 2 = Some (25 – 50%) 3 = Mostly (50 –75%) 4 = Totally (75 – 100%) 5 = Don’t know or N/A

1. Our organization ensures a diverse mix of policy makers on our governing board that reflects the population we serve.

2. Our organization encourages disenfranchised groups to get involved in the political process. 3. Our organization maintains a minimum data set that documents population demographics for diverse

population groups. 4. Our organization offers Continuing Education Units (CEUs) for trainings related to working with diverse

populations. 5. Our organization meets the intent of the Model Standard for Issue 1. 6. In general, the organizations and agencies in our community meet the intent of the Model Standard Issue 1.

Follow – up Evaluation

Please check all of the priority health objective areas actively addressed by your organization . Circle any area where you would like

to participate on a committee or coalition.

Physical Health

◯ Low birth weight ◯ Heart disease◯ Cancer◯ Diabetes

Lifestyles &Environment

◯ Healthy living / weight◯ Violence and abuse◯ Substance abuse / tobacco◯ Outdoor air quality◯ Surface water quality

Access to Care

◯ Health and well-being◯ Mental health / depression◯ Oral and dental health care◯ Childhood immunizations◯ Adult immunizations

Please provide contact informationName: E-mail: Title:Phone:Organization name:Mailing address: City: State: ZIP:

Model Standard Issue 1 – How do we meet the needs of a diverse

population?Our organization

meets the intent …In general, agencies and

organizations in our community meet the intent …

MS1

Meeting the needs of a diverse population

MS1 - 5

N/A75-100%50-75%25-50%0-25%

Per

cent

50

40

30

20

10

0

89

3939

5

MS1

Meeting the needs of a diverse population

MS1 - 6

N/A75-100%50-75%25-50%0-25%

Per

cent

50

40

30

20

10

0

910

35

43

Indicators for Priority IssuesEval uat ion of Master Heal th Pl an 2004

Rate alcohol use Rate cocaine use Rate Outdoor Air Quality Avg. PSI Rate COPD deaths Surface Water Quality % streams impaired % homes on sewers % garbage collection Access to Health Services Health & Well-being % without insurance Population/provider Mental Health Death rate suicide Population/provider Oral & Dental Health population/dentist Child Immunizations % 2 year olds Adult Immunizations % high-risk adults Rate adult > 60 Flu Rate > 60 pneumonia

Strategic Issues

Pre-distribution survey 2004—2005 Post-distribution survey 2008 2014

Outcome Measures

Objective Indicator Physical health Low Birth Weight % Low birth weight % Teenage births Rate infant mortality Heart Disease Rate CV deaths Rate heart deaths Rate bi-pass operations Cancer Rate cancer deaths Incidents lung Incidents female breast Incidents prostate Incidents melanoma Diabetes Rate diabetes deaths Rate amputations Rate blindness Lifestyles & Environment Healthy Living % BMI > 30 % BMI > 35 % sedentary lifestyle Violence & Abuse Death rate homicide Rate spouse abuse Rate child abuse Substance Abuse Rate tobacco use

Report Dates

1996 Outcome Indicators 1999 Outcome Indicators 2002 Outcome Indicators 2005 Indicators + Survey 2008 Outcome Indicators 2011 Indicators + Survey 2014 Outcome Indicators 2017 Indicators + Survey

Evaluation of Priority Issues

Northern Kentucky District Health Department

www.nkyhealth.org

Alan Kalos

Planning Administrator

alan.kalos@ky.gov