CHA-CHIP-CQI-Accred-100311-No-Names

							              Community Health
           Improvement Planning for
             Austin/Travis County
                 Strategic Comprehensive Planning

                CQI Accreditation Committee
                       October 4, 2011
Presented by:
Veena Viswanathan, MPH
Victoria Bailey, RN, MMHS

          Working in partnership with the community
           to promote health, safety, and well-being.
           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
  Nov 2009 to Dec 2010




 Phase II: CHA CHIP
  July 2011 to Dec 2012               Now


 Phase III: Accreditation
                                     Future
   Apply between 1/13-12/14
     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
                     Factors that Affect Health
                                                                                                                     Examples
Smallest                                                                                                    Eat healthy, be
 Impact                                                                                                     physically active
                                                   Counseling
                                                   & Education
                                                                                                             Rx for high blood
                                                   Clinical                                                  pressure, high
                                                Interventions                                                cholesterol, diabetes

                                                                                                          Immunizations, brief
                                          Long-lasting                                                    intervention, cessation
                                                                                                          treatment, colonoscopy
                                     Protective Interventions
                                                                                                           Fluoridation, 0g trans
                                      Changing the Context                                                 fat, iodization, smoke-
                                     to make individuals’ default                                          free laws, tobacco tax
Largest                                  decisions healthy
Impact                                                                                                      Poverty, education,
                                   Socioeconomic Factors                                                    housing, inequality




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     UT School of Nursing
Services and Veterans Services
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!!
Community Health Planning Committee Structure
           Austin / Travis County

                  Logistics


 Data /                               Community
Research            Austin /          Engagement
                 Travis County
                  CHA CHIP




      Steering                   Coordinating
       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 you!