Committee Meeting March 19, 2018 AGENDA th 2018 March 19 th 2018 - - PowerPoint PPT Presentation

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Committee Meeting March 19, 2018 AGENDA th 2018 March 19 th 2018 - - PowerPoint PPT Presentation

Destination 2027 Steering Committee Meeting March 19, 2018 AGENDA th 2018 March 19 th 2018 Call to order and Introductions Check-In Social Determinants of Health CHSA Work Session Small Group Discussions Large Group


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Destination 2027 Steering Committee Meeting

March 19, 2018

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AGENDA March 19th

th 2018

2018

  • Call to order and Introductions
  • Check-In
  • Social Determinants of Health
  • CHSA Work Session
  • Small Group Discussions
  • Large Group Discussion
  • Homework – Local Public Health System Assessment Technical Report
  • Wrap-Up
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Introductions

Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs

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Meeting Check-In

Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs

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Building on Social Determinants

  • f Health

Reuben K. Varghese MD MPH Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs

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Introduction to Upstream

https://www.youtube.com/watch?v=qarQXqKbmLg

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http://www.countyhealthrankings.org/app/virginia/ 2018/rankings/arlington/county/outcomes/overall/ snapshot

2018 County Health Rankings

8 3 3 1 1 2 2 2 2 2 3 3 1 3 3 4

1 2 3 4 5 6 7 8 9 10

2011 2012 2013 2014 2015 2016 2017 2018

Rank out of 39 Health Districts Year

Arlington's County Health Ranking for Health Factors and Health Outcomes

Health Factors Health Outcomes

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(Arlington Rank = 3)

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8% of Arlington children are living in poverty…

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*According to the 2018 CHSA, there were 137 teen births (15-19 yrs) in Arlington County for 2013-2015 combined (3 years), or 46 teen births annually.

(Arlington Rank = 4) (Arlington Rank = 4)

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(Arlington Rank = 2) (Arlington Rank = 1)

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Data Walk Activity

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CHSA Work Session An Overview of the Process

Colleen Ryan Smith Josephine Peters

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Community Health Improvement Process

Information Gathering Strategic Issue Area Development Implementation Plan Actions

  • Monitoring and

Evaluating

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Information Gathering

Assessment Community Perspective Purpose Community Themes and Strengths Perceptions of people who live, work and play in Arlington What is important to community? What are community strengths, health issues, areas for improving quality of life? Community Health Status Population-based status and outcomes (health, well-being, social determinants) How healthy is community? What parts of our community experience different/worse health? Local Public Health System Performance System capacity and performance to deliver essential public health services What parts of our system perform well? What does system need to improve? Forces of Change Opportunities and threats to improving health in Arlington – can be political, economic, legal, policy, social, technological, environmental, scientific, ethical What forces are present that improve or worsen Arlington's health or opportunities for improving health? February March April

  • Feb. - April
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CHSA results include:

Provides a variety of health and well-being topics.

To look at trends on various topics of health and well-being that can describe a community in a population health model.

Describe all of Arlington as well as its specific groups that have different experiences from the

  • verall population

To characterize issue areas and specific populations where there are

  • pportunities to improve our health

and well-being.

Measures Arlington results against other local, state, and federal goals and targets to improve our health

Are Arlington's experiences similar to

  • ther counties, all of Virginia, the U.S?

PROGRESS DISPARITIES BENCHMARKS

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CHSA – In Indicator Topic Areas

  • Social Determinants of Health
  • Economic Stability
  • Education
  • Health and Health Care (Access to Care)
  • Neighborhood and Built Environment
  • Social and Community Context
  • Health-Related Quality of Life and Well-Being
  • Cancers
  • Diabetes
  • Heart Disease and Stroke
  • Other Chronic Diseases
  • Nutrition and Weight Status
  • Physical Activity
  • Disability and Health
  • Environmental Health
  • Family Planning
  • Maternal, Infant and Child Health
  • HIV
  • Sexually Transmitted Diseases
  • Immunization and Infectious Diseases
  • Injury and Violence Prevention
  • Mental Health and Mental Disorders
  • Oral Health
  • Tobacco Use
  • Substance Abuse
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CHSA Scorecard- By the Numbers

  • 218 Indicators provided

results for 24 Topic Areas

  • 16 topic areas

demonstrated disparities in:

  • gender/gender identity
  • age/ school grade
  • race
  • ethnicity
  • poverty status/income level
  • educational attainment

Improving 10 Worsening 9 No Change 2 Cannot Be Assessed 3

PROGRESS

Disparities 16 Mixed Results 5 Cannot Be Assessed 3

DISPARITIES

Met 9 Did Not Meet 3 Mixed Results 2 Cannot Be Assessed 10

BENCHMARKS

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CHSA Disparity Assessment by Population Groups

GENDER IDENTITY

85 55 3 2 2 17 37 33 30 45 11 16 94 94 160 160

0% 20% 40% 60% 80% 100% Female Male Transgender Not Sure Best Result Minor Disparity Major Disparity No Data to Assess

AGE

45 16 37 16 4 31 34 49 16 38 29 24 146 116 111 122

0% 20% 40% 60% 80% 100% Infants/Children Young Adults Adults Older Adults Best Result Minor Disparity Major Disparity No Data to Assess

Total Number of Indicators: 211

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CHSA Disparity Assessment by Population Groups

RACE

9 1 38 2 49 6 41 7 19 3 13 32 42 3 28 4 31 31

119 200 126 202 118 142 0% 20% 40% 60% 80% 100% African American or Black American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander White Some Other Race Best Result Minor Disparity Major Disparity No Data to Assess

HISPANIC ORIGIN

10 14 31 2 38 4 132 191

0% 20% 40% 60% 80% 100% Hispanic Not Hispanic Best Result Minor Disparity Major Disparity No Data to Assess

Total Number of Indicators: 211

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CHSA Disparity Assessment by Population Groups

Socio Economic Status

2 7 13 4 3 11 4 2 3 4 3

206 190 190 202 0% 50% 100% In Poverty Less than $50K annual Income More than $50K Annual Income Less than High School Education Best Result Minor Disparity Major Disparity No Data to Assess

Other Subgroups

1 211 210 0% 20% 40% 60% 80% 100% Uninsured Persons with Disabilities Best Result Minor Disparity Major Disparity No Data to Assess

Total Number of Indicators: 211

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For Today’s Worksession:

  • Health Disparities

(Health Inequities)

  • What groups are

experiencing poor

  • utcomes the

most?

1) Review CHSA Findings

  • Organizations
  • Laws/Regs/Policies
  • Initiatives
  • Gaps

2) Explore drivers behind disparities

  • Socio-Political
  • Environmental
  • Legal
  • Other

3) Forces of Change

  • Hold Small Group Discussion on

CHSA Report

  • Follow Discussion Guide to cover

all material

  • Reconvene as Large Group to

report out

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Table Assignments – Meeting Space

Table Number Room Assignment 1 Conference Room A 2 Auditorium 3 Conference Room B 4 Conference Room C 5 Conference Room D

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CHSA Work Session: Small Group Discussion

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Small Group Discussion Questions:

When looking at the data what groups of people appear to be impacted most frequently (e.g. older adults, African American or Black, Less than high school education level) ? What topic areas those groups show up (e.g. economic stability, injury and violence prevention, chronic diseases)? What was surprising or unexpected about the information you found in the report about disparities, progress or benchmarks? What social determinants, systems, policies, and practices (upstream) may contribute to (or reinforce) disparities? / What are the upstream factors contributing to the downstream disparities we observed among these data sets? What are the forces of change with regard to these issues making things better/worse? (consider the following: political, economic, legal, policy, social, technological, environmental, scientific, ethical at the local, state, and national level)?

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CHSA Work Session: Large Group Discussion

Facilitators: Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs

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Large Group Discussion – Bringing it all together

Part 1

  • Each group reports on the most

important information they want the large group to know

  • What was most compelling - an

aha moment – in small group discussion? Part 2

  • What themes are starting to

emerge?

  • Are there any priorities (health or

structural)?

  • Were you surprised by any of the

information shared?

  • What do they think might be

missing that would be important for the group to know?

  • Anything additional of note?
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Josephine Peters Colleen Ryan Smith

Local Public Health System Assessment (LPHSA)

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LPHSA

  • What are the activities, competencies, and capacities of the

local public health system?

  • How are the 10 Essential Public Health Services being

provided to the community?

  • What are the forces at play with regard to these issues?

(consider the following: political, economic, legal, policy, social, technological, environmental, scientific, ethical at the local, state and national level)

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Wrap-Up

Next meeting will be Monday April 16th – 3:00 pm to 5:30 pm Refreshments at 2:30 pm

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END OF PRESENTATION