Working in partnership with the community

to promote health, safety, and well-being.

CQI Accreditation CommitteeOctober 4, 2011

Presented by:Veena Viswanathan, MPHVictoria Bailey, RN, MMHS

Community Health Community Health Improvement Planning for Improvement Planning for

Austin/Travis CountyAustin/Travis County Strategic Comprehensive Planning

CHA CHIP Grant News!

A/TCHHSD received grant to complete a model community health improvement process

One of 12 Selected out of 127 applicants

Funded by Robert Wood Johnson Foundation and NACCHO

From 7/2011 to 12/2012: Training to recipients & $35,000 in funds

Must address social determinants of health & examine disparities

A/TCHSHD to apply for accreditation between Jan 2013 and Dec 2014

CHA, CHIP, & Agency Strategic Plan = Accreditation Prerequisites

CHA = Community Health Assessment CHIP = Community Health

Improvement Plan

Phases for Success

Phase I: Beta Accreditation Test

Phase II: CHA CHIP

Phase III: Accreditation

Now

Nov 2009 to Dec 2010

Apply between 1/13-12/14

July 2011 to Dec 2012

Future

What are CHAs and CHIPs?

Community Health Assessment:

1. Informs community decision-making

2. Prioritizes health problems, and

3. Assists in development and implementation of community health improvement plans.

Community Health Improvement Plan:

1. Based on CHA Findings

2. Action-Oriented

3. Addresses issues, including strategies and measures

Source: NACCHO

Why Do a CHA and CHIP?

Engage community members on health issues

Collaborate with partners, meet new partners

Helps to understand health disparities in communities

Enables leaders to establish health priorities based on community needs

Satisfies requirements (grants; non-profit hospitals; HHSD accreditation)

Strengthens viability to successfully compete for funding opportunities

Partners with COA Departments (Integrated Planning)

Health Impact Pyramid

LargestImpact

SmallestImpact

Factors that Affect HealthExamples

Eat healthy, be physically active

Rx for high blood pressure, high cholesterol, diabetes

Poverty, education, housing, inequality

Immunizations, brief intervention, cessation treatment, colonoscopy

Fluoridation, 0g trans fat, iodization, smoke-free laws, tobacco tax

Socioeconomic Factors

Changing the Contextto make individuals’ default

decisions healthy

Long-lasting Protective Interventions

ClinicalInterventions

Counseling & Education

Source: Frieden, Thomas R. A Framework for Public Health Action: The Health Impact Pyramid. American Journal of Public Health. April 2010, Vol. 100, no. 4., pp. 590-595.

Defining Social Determinants of Health

Social Determinants of Health

Why is it important to discuss what affects health and how we can improve these factors?

Health begins where we live, learn, work and play.

Health starts—long before illness—in our homes, schools and jobs.

Your opportunity for health starts long before you need medical care. The opportunity for health begins in our families, neighborhoods, schools and jobs.

All Americans should have the opportunity to make the choices that allow them to live a long, healthy life, regardless of their income, education or ethnic background.

Source: Robert Wood Johnson Foundation

Working Together Model

Source: University of Wisconsin Population Health Institute. County Health Rankings 2011. Accessible at www.countyhealthrankings.org.

Partners

City of Austin Austin/Travis County Integral Care

Travis County Health and Human Services and Veterans Services

UT School of Nursing

Central Health UT School of Social Work

Seton Healthcare Family Community Action Network

UT School of Public Health Capital Metropolitan Transportation Authority

St. David’s Foundation Austin Independent School District

St. David’s Hospital Texas Association of Local Health Officials

And Many More!!

Data / Research

Logistics

Community Engagement

CoordinatingSteering

Austin / Travis County

CHA CHIP

Austin / Travis County

Community Health Planning Committee Structure

Steering Committee Role

Steering Committee: Comprised of executive decision makers Reviews and approves the community health

improvement process Assures vision is maintained Identifies key stakeholders to be interviewed Convenes the larger stakeholder and partner meetings Assures completion of the CHA and CHIP

Point of Contact:

Core Coordinating Committee

Core Coordinating Committee: Develops roles, responsibilities, framework, timeline, and

process plan Reviews work from Subcommittees and community

groups Makes recommendations to the Steering Committee Participates in Subcommittee work Captures the history of decision making

Point of Contact:

Data & Research Subcommittee

Data and Research Subcommittee: Gathers and Analyzes HHS Quantitative Data Identifies priority community health issues Develops priority issue and geographic area specific

presentations Identifies key HHS indicators Coordinates with the Community Engagement

Subcommittee on qualitative data collection

Point of Contact:

Community Engagement Subcommittee

Community Engagement Subcommittee: Engages the community to participate in focus groups,

precinct/community meetings, surveys, and other activities

Markets and Distributes CHA CHIP process & reports Ensures that information is shared and solicited from

diverse geographic and socioeconomic areas Coordinates with the Data and Research Committee

on qualitative data collection

Points of Contact:

Logistics Subcommittee

Logistics Subcommittee: Supports all subcommittee meetings

Identifies meeting resources

Maintains contact information

Scheduling dates and rooms,

Captures meeting minutes

Point of Contact:

Partner & Stakeholder Group

Partner and Stakeholder Group:

Reviews the CHA CHIP process and deliverables

Provides feedback to ensure all groups are included and pertinent information is solicited

Participates in Action Planning along with the Steering Committee during the CHIP phase

Point of Contact:

MAPP Overview

Mobilizing for

Action through

Planning and

Partnerships

NACCHO Developed MAPP

Benefits for Community and Partners

Profile and Action Plan Strengthens Intra and Inter Agency Planning Data Resource Vehicle for Community Engagement Demographics and community planning for our

plans and reports Strategic Planning Informed Decision Making

Your health is our community’s wealth.- Health Talk with Shannon Jones

What is Needed

Primary and Secondary Contacts for each Unit

Names of your active program partnerships

Division Representatives for Subcommittees: Data and Research Community Engagement Logistics

Submit your Calendar of Public Events

What is Needed

Present at your partner/stakeholder meetings

Go to One Size Fits All in CHA CHIP Folder

Share CHA CHIP One-Pager Customize the PowerPoint

Send the names of your active program partnerships to Sherryl DeCampo (Logistics)

Representation at CHA CHIP Meetings, Events, and Activities (Invites are forthcoming)

Questions

Thank Thank you!you!