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 Discussion • Homework – Local Public Health System Assessment Technical Report • Wrap-Up
Introductions Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Meeting Check-In Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Building on Social Determinants of Health Reuben K. Varghese MD MPH Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Introduction to Upstream https://www.youtube.com/watch?v=qarQXqKbmLg
2018 County Health Rankings Arlington's County Health Ranking for Health Factors and Health Outcomes Health Factors Health Outcomes Year 2011 2012 2013 2014 2015 2016 2017 2018 0 1 1 2 2 2 2 1 1 2 2 Rank out of 39 Health Districts 3 3 3 3 3 3 3 4 4 5 6 7 8 8 9 http://www.countyhealthrankings.org/app/virginia/ 10 2018/rankings/arlington/county/outcomes/overall/ snapshot
(Arlington Rank = 3)
8% of Arlington children are living in poverty…
(Arlington Rank = 4) (Arlington Rank = 4) *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 = 2) (Arlington Rank = 1)
Data Walk Activity
CHSA Work Session An Overview of the Process Colleen Ryan Smith Josephine Peters
Community Health Improvement Process Information Gathering Actions Strategic Issue • Monitoring and Area Development Evaluating Implementation Plan
Information Gathering Assessment Community Perspective Purpose Community Themes Perceptions of people who live, work and What is important to community? February and Strengths play in Arlington What are community strengths, health issues, areas for improving quality of life? Community Health Population-based status and outcomes How healthy is community? March Status (health, well-being, social determinants) What parts of our community experience different/worse health? Local Public Health System capacity and performance to deliver What parts of our system perform well? April System Performance essential public health services What does system need to improve? Forces of Change Opportunities and threats to improving What forces are present that improve or Feb. - April health in Arlington – can be political, worsen Arlington's health or opportunities economic, legal, policy, social, technological, for improving health? environmental, scientific, ethical
CHSA results include: PROGRESS DISPARITIES BENCHMARKS Provides a variety of Describe all of Arlington as Measures Arlington results health and well-being well as its specific groups against other local, state, topics. that have different and federal goals and experiences from the targets to improve our To look at trends on various topics of overall population health health and well-being that can describe a community in a population health To characterize issue areas and specific Are Arlington's experiences similar to model. populations where there are other counties, all of Virginia, the U.S? opportunities to improve our health and well-being.
CHSA – In Indicator Topic Areas • Social Determinants of Health • Disability and Health • Economic Stability • Environmental Health • Education • Family Planning • Health and Health Care (Access to Care) • Maternal, Infant and Child Health • Neighborhood and Built Environment • HIV • Social and Community Context • Sexually Transmitted Diseases • Health-Related Quality of Life and Well-Being • Immunization and Infectious Diseases • Cancers • Injury and Violence Prevention • Diabetes • Mental Health and Mental Disorders • Heart Disease and Stroke • Oral Health • Other Chronic Diseases • Tobacco Use • Nutrition and Weight Status • Substance Abuse • Physical Activity
Cannot Be Assessed 3 CHSA Scorecard- By the Numbers Mixed Results DISPARITIES 5 • 218 Indicators provided results for 24 Topic Areas Cannot Be Disparities Improving Assessed 16 10 • 16 topic areas No 3 Change 2 demonstrated disparities in: PROGRESS • gender/gender identity • age/ school grade Worsening 9 • race Cannot Be Assessed • ethnicity 10 Met 9 BENCHMARKS • poverty status/income level • educational attainment Mixed Did Not Results Meet 2 3
CHSA Disparity Assessment by Population Groups GENDER IDENTITY AGE Best Result Minor Disparity Major Disparity No Data to Assess Best Result Minor Disparity Major Disparity No Data to Assess 2 33 16 160 16 49 24 122 Not Sure Older Adults 3 37 11 160 37 34 29 111 Transgender Adults 55 17 45 94 16 31 38 116 Male Young Adults 85 2 30 94 45 4 16 146 Female Infants/Children 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% Total Number of Indicators: 211
CHSA Disparity Assessment by Population Groups RACE HISPANIC ORIGIN Best Result Minor Disparity Major Disparity No Data to Assess Best Result Minor Disparity Major Disparity No Data to Assess 2 6 32 31 Some Other Race 142 49 13 31 14 191 White 118 Not Hispanic 3 Native Hawaiian or Other Pacific 2 202 4 Islander 4 38 19 28 Asian 126 7 1 10 31 38 132 American Indian or Alaska Native 200 Hispanic 3 9 41 42 African American or Black 119 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% Total Number of Indicators: 211
CHSA Disparity Assessment by Population Groups Socio Economic Status Other Subgroups Best Result Minor Disparity Major Disparity No Data to Assess Best Result Minor Disparity Major Disparity No Data to Assess 2 4 Less than High School Education 202 3 Persons with Disabilities 1 210 4 13 More than $50K Annual Income 190 4 11 7 Less than $50K annual Income 190 3 Uninsured 0 211 3 2 In Poverty 206 0% 50% 100% 0% 20% 40% 60% 80% 100% Total Number of Indicators: 211
For Today’s Worksession: • Health Disparities (Health Inequities) 1) Review CHSA • What groups are Findings experiencing poor outcomes the • Hold Small Group Discussion on most? CHSA Report • Follow Discussion Guide to cover • Organizations 2) Explore • Laws/Regs/Policies drivers behind all material • Initiatives disparities • Gaps • Reconvene as Large Group to report out • Socio-Political 3) Forces of • Environmental Change • Legal • Other
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
CHSA Work Session: Small Group Discussion
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)?
CHSA Work Session: Large Group Discussion Facilitators: Abby Raphael and Tricia Rodgers Destination 2027 Co-Chairs
Large Group Discussion – Bringing it all together Part 1 Part 2 • What themes are starting to • Each group reports on the most emerge? important information they • Are there any priorities (health or want the large group to know structural)? • What was most compelling - an • Were you surprised by any of the aha moment – in small group information shared? discussion? • What do they think might be missing that would be important for the group to know? • Anything additional of note?
Local Public Health System Assessment (LPHSA) Josephine Peters Colleen Ryan Smith
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)
Wrap-Up Next meeting will be Monday April 16 th – 3:00 pm to 5:30 pm Refreshments at 2:30 pm
END OF PRESENTATION
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