Community Health Improvement Plan September 15, 2015 Todays Agenda - - PowerPoint PPT Presentation

Community Health Improvement Plan

September 15, 2015

Today’s Agenda

• 8:30 Registration
• 9:00 Welcome/Introductions/Overview
• 9:15 Review Priorities and Action Plans
• 10:30 Break outs by Priorities to answer BIG ??
• 11:30 Report out on BIG Answers
• 12:00 “Walk our Talk” with a Community Walk

Planning Committee

• Adam Klugh, Toledo Fire and Rescue Department
• Alcy Barakat, Toledo-Lucas County Health

Department Intern

• Alia Kadri, Toledo-Lucas County Health

Department

• Alicia Komives, Lucas County Juvenile Court
• Andrea Masters, University of Toledo
• Ann Cipriani, Toledo Public Schools
• Ann Mary Mercier, University of Toledo
• Barbara Gunning, Toledo-Lucas County Health

Department

• Barry Cousino, Springfield Township Fire
• Bethany Deakins, Live Well
• Bonia Bonds, COT-Neighborhoods
• Brandon Palinski, Toledo-Lucas County Health

Department

• Brian Byrd, Toledo Fire
• Britney Ward, Hospital Council of Northwest Ohio
• Carly Miller, Hospital Council of Northwest Ohio
• Carol Haddix, Toledo-Lucas County Health

Department

• Celeste Smith, Toledo-Lucas County Health

Department

• Cynthia Ball, Lucas County Children Services
• Daryl McNutt, Whitehouse
• Dave Lindstrom, ProMedica
• Dee Geer, Hospital Council of Northwest Ohio
• Dennis Cole
• DL Perryman, Center for Hope
• Doni Miller, Neighborhood Health Association
• Doreen Pant, Harbor
• Elijah Jones, University of Toledo Medical Center
• Eric Zgodzinski, Toledo Lucas County Health

Department

• Faith Yingling, Bowling Green State

University/Healthy Lucas County

• Gabbey Mackinnon, Live Well
• Gaye Martin, ProMedica
• Guisselle Mendoza, Adelante
• Jan Ruma, Hospital Council of Northwest Ohio

Planning Committee

• Jeff Kowalski, Sylvania Township Fire Department
• Jessica Schultz, Mercy
• Jodi Sheaves, Toledo Lucas County Health

Department

• Jonathon Ziehr
• Judy Didion, Lourdes University
• Julie McKinnon, Hospital Council of Northwest

Ohio

• Kathleen Evans, Lucas County Juvenile Court
• Kelly Burkholder-Allen, Toledo Lucas County

Health Department

• Kirk Keane, Toledo Fire and Rescue Department
• Kristen Kania, Aspire
• Kristen Sheely, Toledo-Lucas County Health

Department

• La’Tarsha Cook, Hospital Council of Northwest

Ohio

• Laura Roether, United Way
• Mark Benadum, Toledo Fire and Rescue

Department-EMS

• Matt Miller, Mobile Care Group
• Meyling Ruiz, Adelante
• Michelle Pelz, Toledo Public Schools
• Michelle VonLehmden, Hospital Council of

Northwest Ohio

• Mike Ramm, Sylvania Township Fire Department
• Nancy Brown-Schott, Care Net
• Patrick Johnson, Toledo Community Foundation
• Paul Mullen, Oregon
• Ralph Shearn
• Ruth Light, Mercy
• Scott Rupley, St. Lukes Hospital
• Selena Coley, UT MPH Intern
• Shipra Singh, Universty of Toledo
• Stephanie Speck, Harbor
• Tim Goyer, Mental Health and Recovery Services

Board

• Tom Kroma, City or Toledo Neighborhoods
• Tony Parasiliti, Jerusalem Township Fire

Strategic Planning Model

Beginning in December 2014, the Lucas County Community Health Improvement Plan (CHIP) Planning Committee met eight times and completed the following planning steps:

• Initial Meeting - Review of process and timeline, finalize committee

members, create or review vision.

• Choosing Priorities - Use of quantitative and qualitative data to prioritize

target impact areas.

• Ranking Priorities - Ranking the health problems based on magnitude,

seriousness of consequences, and feasibility of correcting.

• Resource Assessment - Determine existing programs, services, and activities

in the community that address the priority target impact areas.

• Forces of Change and Community Themes and Strengths - Open-ended

questions for committee on community themes and strengths.

Strategic Planning Model

• Gap Analysis - Determine existing discrepancies between community

needs and viable community resources to address local priorities.

• Local Public Health Assessment - Review the Local Public Health System

Assessment with committee.

• Quality of Life Survey - Review results of the Quality of Life Survey with

committee.

• Best Practices - Review of best practices and proven strategies, evidence

continuum, and feasibility continuum.

• Draft Plan - Review of all steps taken; action step recommendations

based on one or more the following: enhancing existing efforts, implementing new programs or services, building infrastructure, implementing evidence-based practices and feasibility of implementation.

Ranking Key Issues

The CHIP Committee ranked the key issues based on the following:

– Magnitude of the issue. – Seriousness of the consequence. – Feasibility of correcting the issue. – A total score was given to each priority with the max score of 30. All committee members’ scores were combined, and average numbers were produced.

Lucas County CHIP Priorities

Findings of the 2013/2014 Lucas County Community Health Assessment are guiding Healthy Lucas County’s health improvement efforts through 2018.

This is a fluid plan and will change based on . . .

• Today’s meeting
• External factors such as funding
• Internal factors such as staff changes
• Success/Failure

One thing that will not change is the priority areas. . .

“The Only Thing That Is Constant Is Change -”

― Heraclitus

Lucas County 5 Health Priorities:

• Healthy Weight Status
• Prevent & Manage Chronic Diseases
• Improve Youth Mental Health &

Prevent Bullying

• Reduce Infant Mortality
• School Readiness

*Priorities are in no specific order

Healthy Weight Action Plan

• Increase Access to Healthy Food

Options

• Implement a Complete Streets Policy
• Expand Safe Routes to School

Coordinator: Beth Deakins bdeakins@ymcatoledo.org Live Well Greater Toledo

2015-16 Access to Healthy Food Action Steps

Year 1:

• Collaborate with Live Well Greater Toledo to implement

the Healthy Food Retail Initiative.

• Assess community needs for healthy food items.
• Hire a health educator to lead the Healthy Food Retail

Initiative.

• Recruit an additional 10 corner stores to participate in

the initiative.

2016-18 Access to Healthy Food Action Steps

Year 2:

• Contact local legislatures to begin efforts to bring local

grocery stores into food desert areas within Lucas County.

• Recruit an additional 15 corner stores to participate in the

initiative. Year 3:

• Continue efforts of years 1 and 2.
• Recruit an additional 15 corner stores to participate in the

initiative.

Marketing & Events

2015-16 Complete Streets Policy Action Steps

Year 1:

• Raise awareness about, and recommend the

adoption of the Toledo Metropolitan Area Council of Governments (TMACOG) Complete Streets Policy in Lucas County .

• Gather baseline data on all of the Complete Streets

Policy objectives.

2016-17 Complete Streets Policy Action Steps

Year 2:

• Increase in the percentage of project applications that

request TMACOG-attributable federal funding.

• Increase in total number of miles of on-street bicycle

facilities.

• Increase in the percentage of transit stops accessible via

sidewalks and curb ramps.

• Increase in member jurisdictions which adopt complete

streets policies.

2016-18 Complete Streets Policy Action Steps

Year 2 (cont’d):

• Increase in number of jurisdictions in the region

achieving or pursuing Bike-Friendly Community status. Year 3:

• Continue efforts from years 1 and 2.

2015-16 Expand Safe Routes to School Action Steps

Year 1:

• Collect baseline data on current Safe Routes programs in

Lucas County.

• Identify key stakeholders throughout Lucas County to

collaborate and develop a plan to expand Safe Routes Programs.

• Look for funding sources to incentivize participation in

the Safe Routes program.

2016-17 Expand Safe Routes to School Action Steps

Year 2:

• Recruit individuals to serve as walking/biking leaders.
• Decide on the locations, walking routes and number of

walking/biking groups throughout Lucas County.

• Link the walking/biking groups with existing organizations

to increase participation.

• Begin implementing the program with 2 new school

districts.

2017-18 Expand Safe Routes to School Action Steps

Year 3:

• Raise awareness and promote the Safe Routes

programs.

• Evaluate program goals.
• Increase the number of Safe Routes programs by 25%.

Marketing & Events

Healthy Weight Action Plan

• Increase Breastfeeding
• Implement OHA Healthy Hospitals

Initiative

Coordinator: Carly Miller cmiller@hcno.org Hospital Council of Northwest Ohio

2015-16 Increase Breast Feeding Action Steps

Year 1:

• Survey Lucas County employers about current

breastfeeding policies and provide education and sample policies.

• Gather baseline data on hospital policies regarding

giving formula to new mothers.

• Introduce the Ten Steps to Successful Breastfeeding

from the Baby Friendly Hospital Initiative to Lucas County hospitals.

2017-18 Increase Breast Feeding Action Steps

Year 2:

• Assist in implementing breastfeeding policies in at least 10

businesses/organizations in Lucas County.

• Pilot the Ten Steps to Successful Breastfeeding with one

hospital or birthing center. Year 3:

• Assist in implementing breastfeeding policies in at least 10% of

the businesses/organizations in Lucas County.

• Implement the Ten Steps to Successful Breastfeeding in all

hospitals or birthing centers.

• Encourages positive changes to the food and beverage

environment in hospitals.

4 Focus Areas

• f

Improvement

OHA Healthy Hospitals Initiative

2015-16 OHA Healthy Hospitals Initiative Action Steps

Year 1:

• Get hospitals to join Good4You educational webinars

hosted by OHA and HCNO.

• Gather baseline information on current food and beverages

in the hospital cafeterias, vending, meetings, and gift shops.

• Implement the Good 4 You Initiative.
• Use marketing materials (posters, table tents, stickers, etc.)

to better brand the program.

2016-18 OHA Healthy Hospitals Initiative Action Steps

Year 2:

• Implement the Good4You Initiative in all four

priority areas within each hospital. Year 3:

• Introduce the program into other areas of the

community (businesses, schools, churches, etc.).

Healthy Weight Action Plan

• Initiate a Community-Based Walking

Program

Coordinator: Celeste Smith smithc@co.lucas.oh.us Toledo-Lucas County Health Department

2015-16 Community-Based Walking Program Action Steps

Year 1:

• Collect baseline data on current walking programs in

Lucas County.

• Identify key stakeholders throughout Lucas County to

collaborate and develop a plan to create community walking programs.

• Look for funding sources to incentivize participation in

the walking program.

2016-17 Community-Based Walking Program Action Steps

Year 2:

• Recruit individuals to serve as walking leaders.
• Decide on the locations, walking routes and number of

walking groups throughout Lucas County.

• Link the walking groups with existing organizations to

increase participation.

• Begin implementing the program.

2017-18 Community-Based Walking Program Action Steps

Year 3:

• Raise awareness and promote the walking programs.
• Evaluate program goals.
• Increase the number of walking groups by 25%.

Healthy Weight Action Plan

• Increase Nutrition/Physical Education

Materials Being Offered to Patients from Primary Care Providers

Coordinators:

• Ann Mary Mercier, ann.mercier@utoledo.edu,

University of Toledo

• Chloe Plummer, chloe.plummer@promedica.org,

ProMedica

• Jessica Schultz, jessica_schultz@mhsnr.org, Mercy

2015-17 Increase Nutrition/Physical Education Materials Being Offered to Patients from Primary Care Providers Action Steps

Year 1:

• Work with primary care physician offices to assess what

information and/or materials they are lacking to provide better care for overweight and obese patients. Year 2:

• Offer trainings for primary care physicians and/or staff to

provide better care for obese/overweight patients.

• Provide participants with referral and educational

materials.

2016-18 Increase Nutrition/Physical Education Materials Being Offered to Patients from Primary Care Providers Action Steps

Year 2 (cont’d):

• Enlist at least 10 primary care physician offices.

Year 3:

• Offer additional trainings to reach at least 50% of the

primary care physician offices in the county.

Web Survey

• Brief web-based survey created for PCP
• ffices.
• Anticipated launch date: September, 2015.

Chronic Diseases Action Plan

• Increase Prevention/Intervention

Programs and Access to Healthcare

Coordinators

• La’Tarsha Cook, lcook@hcno.org, Hospital Council of

Northwest Ohio

• Jessica Schultz, , jessica_schultz@mhsnr.org, Mercy
• Nancy Brown-Schott, nbrownschott@msn.com
• Adam Klugh, Toledo Fire and Rescue
• Mike Ramm, Sylvania Township Fire

Year 1:

• Coordinate efforts to increase community outreach and

education on available health services.

• Create a resource pamphlet that highlights all
• rganizations providing free or reduced cost healthcare

services.

• Hire Community Health Workers to target high risk zip

codes and decrease barriers to care.

• Work with state and local representatives to advocate for

Medicaid Expansion.

2015-16 Increase Prevention/Intervention Programs & Access Action Steps

2015-16 Increase Prevention/Intervention Programs & Access Action Steps

Year 1 (cont’d):

• Create a referral system between the Northwest Ohio

Pathways HUB and health and community agencies.

• Partner with Lucas County health systems to create or

enhance non-physician teams in patient centered medical homes serving targeted populations with community health care workers (CHW) engaged in patient chronic disease prevention and management.

2015-16 Increase Prevention/Intervention Programs & Access Action Steps

Year 1 (cont’d):

• Create system and policy changes so that CHWs can

link the targeted populations to services using the Pathways Community HUB Model.

• Link over 1,500 people to resources to reduce the

burden of chronic disease.

2016-17 Increase Prevention/Intervention Programs & Access Action Steps

Year 2:

• Increase community outreach efforts involving Fire and EMS.
• Increase the number of Health and Community agencies

referring to the Northwest Ohio Pathways HUB.

• Increase the number of Community Health Workers by 25%

from baseline.

• Increase the number of Primary Care Providers with CHWs using

the Pathways model from 2 to 5.

2017-18 Increase Prevention/Intervention Programs & Access Action Steps

Year 3:

• Continue efforts of years 1 and 2 and expand outreach.

Adult Pathways Provider Brochure

Adult Pathways Client Brochure

Adult Pathways – The Dental Center of NWO – Mercy Adult Medical – Mercy Health (Chronic Disease Management ) – Neighborhood Health Association – Senior Independence – Toledo/Lucas County CareNet – Toledo-Lucas County Health Dept. – University of Toledo

Chronic Diseases Action Plan

• Decrease Exposure to Secondhand

Smoke

Coordinator: DaShe’ Frieson, friesond@co.lucas.oh.us Toledo-Lucas County Health Department

2015-16 Decrease Exposure to Secondhand Smoke Action Steps

Year 1:

• Collect baseline data on which organizations, multi-

unit housing facilities, schools and other businesses currently have tobacco-free policies.

• Hire 2 Tobacco Prevention Health Educators.

2015-16 Decrease Exposure to Secondhand Smoke Action Steps

Year 1 (cont’d):

• Provide education to residents to assist with the

transition of smoke-free policy and create a resident advisory council.

• Implement the smoke-free policy in at least 10 multi-

unit housing complexes.

2016-18 Decrease Exposure to Secondhand Smoke Action Steps

Year 2:

• Continue efforts of year 1. Target 10 additional multi-

unit housing complexes. Continue education efforts. Year 3:

• Continue efforts of years 1 and 2. Target 10

additional multi-unit housing complexes.

• Begin efforts to adopt a smoke-free policy in Lucas

County parks.

Marketing Materials

Current Smoke-Free Complexes

Chronic Diseases Action Plan

• Increase Recruitment for Nurse

Practitioners and Physician Assistants

Coordinator: Ann Mary Mercier, ann.mercier@utoledo.edu, University of Toledo

2015-16 Increase Recruitment for Nurse Practitioners and Physician Assistants Action Steps

Year 1:

• Collect baseline data on the number of nurse practitioners

and physician assistant’s practicing in Lucas County and the need for more.

• Work with NP and PA schools in Lucas County to address the

need for a school loan reimbursement program if students stay in Lucas County to work after their schooling is finished.

2015-18 Increase Recruitment for Nurse Practitioners and Physician Assistants

Year 1 (cont’d):

• Increase the number of preceptors/placement sites for

students in Lucas County. Year 2:

• Continue to work with NP and PA schools in Lucas County.
• Increase the number of preceptors/placement sites for

students by 25%. Year 3:

• Continue efforts of years 1 and 2.

Web Survey

• Brief web-based survey created NPs & PAs

practicing in Lucas County.

• Anticipated launch date: September, 2015.

Youth Mental Health & Bullying Action Plan

• Increase Number of Healthcare

Providers Screening and Making Referrals for Adolescent Depression During Office Visits

Coordinator: Ann Mary Mercier, ann.mercier@utoledo.edu, University of Toledo

2015-16 Increase Number of Provider Screenings and Referrals for Depression During Office Visits Action Steps

Year 1:

• Collect baseline data on the number of primary

care offices and OB/GYN offices that currently screen and make referrals for adolescent depression and/or mental health issues during

• ffice visits.

2016-17 Increase Number of Provider Screenings and Referrals for Depression During Office Visits Action Steps

Year 2:

• Introduce the Patient Health Questionnaire for Teens

(PHQ-9 Modified) or the Center for Epidemiological Studies Depression scale (CES-DC) to physicians’ offices and hospital administration, and educate them on how to bill for the screenings.

• Pilot the protocol with one primary care office and

OB/GYN office.

2017-18 Increase Number of Provider Screenings and Referrals for Depression During Office Visits Action Steps

Year 3:

• Increase the number of primary care and OB/GYN
• ffices using the PHQ-9 Modified or CES-DC screening

tool and increase referrals by 25% from baseline.

Web Survey

• Brief web-based survey created for PCP and

OB/GYN offices.

• Anticipated launch date: September, 2015.

Youth Mental Health & Bullying Action Plan

• Increase Awareness of Trauma

Informed Care

Coordinator:

• Alicia Komives, AKomiv@co.lucas.oh.us,

Lucas County Juvenile Court

2015-16 Implement Awareness of Trauma Informed Care Action Steps

Year 1:

• Increase awareness and support the goals of the Lucas

County Trauma Coalition.

• Assess clinicians in Lucas County on their awareness and

understanding of trauma informed care.

• Survey community members on their awareness and

understanding of trauma.

• Facilitate a training to increase education and understanding
• f trauma.

2016-18 Implement Awareness of

Trauma Informed Care Action Steps

Year 2:

• Facilitate trainings for Lucas County teachers on trauma

and Adverse Childhood Experiences.

• Develop and implement a trauma screening tool for social

service agencies who work with at risk youth. Year 3:

• Continue efforts of years 1 and 2.
• Increase the use of trauma screening tools by 25%.

Trauma Informed Action

• Harbor is participating in

the National Council’s Learning Community on Trauma Informed Care, making a commitment to implement, sustain and spread Trauma Informed Care throughout our

• rganization. A committee

has been formed to educate our workforce on this important initiative.

Youth Mental Health & Bullying Action Plan

• Implement Evidence-based

Bullying Prevention Programs

Coordinator:

• Lisa Kovach, lisa.kovach@utoledo.edu,

University of Toledo

Effects of Bullying Behaviors and Youth Mental Health 38%-46%

• f youth grades 5th – 12th

reported being bullied

18%

• f youth seriously

thought about suicide 8% Attempted Suicide

29%

felt sad and alone, hopeless almost every day for more than 2 weeks in a row. 93% have a computer with 80% stating they have been a victim of Cyber Bullying 90% Witness but ignored. Depression 17.84% Anxiety 18.69% School Absence 7.85% Sexually Harassed 48% Smoking Cigarettes Drinking Alcohol Illegal Drug Usage Sexual Activity 21% - 35%

2015-16 Implement Evidence-based Bullying Prevention Programs

Year 1:

• Gather baseline data on current bullying prevention

programs being implemented.

• Identify gaps in programming and programs being

implemented that are not identified as best practice

• r promising practice (e.g., national-level entertainers falsely promoting

bullying prevention).

2016-18 Implement Evidence-based

Bullying Prevention Programs

Year 2:

• Continue to offer bullying prevention programs in

schools and community organizations. Year 3:

• Utilize promising practices and expand programming to
• ther districts and grade levels.

Current Bullying Prevention in the Community

TEEN P.E.P. Mary Wilson and Jeremy White P.E.A.C.E. Project

Continued... Bullying Prevention in the Community

H.O.P.E. Project

Beth’a El-Shamy

Youth Mental Health & Bullying Action Plan

• Increase Early Identification of

Mental Health Needs Among Youth

Coordinators:

• Lisa Kovach, lisa.kovach@utoledo.edu,

University of Toledo

• Alicia Komives, AKomiv@co.lucas.oh.us,

Lucas County Juvenile Court

22% of Youth (age 13-18) are impacted by a Mental Health or Addictive Disorder in a given year (Mental Health First Aid, 2012)

2015-18 Increase Early Identification of Mental Health Needs Among Youth - Action Steps

Year 1:

• Work with school districts to create Behavioral Intervention

Teams that assist in assessing students at risk for suicide and/or targeted violence.

• Establish a Behavioral Intervention Team in Oregon City

School District. Years 2 and 3:

• Implement in at least one Behavioral Intervention Team in

2 additional school districts in Years 2 & 3.

What is Behavioral Threat Assessment?

• Investigative procedures to assist in identifying the likelihood
• f an incident (None, Medium, High, Imminent) based on

warning signs.

• 11 Key Questions AND 4-Pronged Assessment determined by

the USDOJ, US Secret Service, US Department of Education

– Personal, Family, School and Social Dynamics

• Train staff to identify potential warning signs
• Appoint 2 Building Safety Representatives
• Create a Threat Assessment Team
• This is not pointing fingers, it’s developing a plan to assist and

prevent the situation from escalating. Reaching out.

• Prevents violence/death and reduces likelihood of a lawsuit

Youth Mental Health & Bullying Action Plan

• Increase Awareness of Youth

Mental Health Services

Coordinator:

• Stephanie Speck, sspeck@harbor.org,

Harbor

Center for Disease Control Lucas County Youth

2013-2014 Lucas County Community Health Assessment:

• 9th -12th grade students (2013-

2014) reported: – 18% seriously considered attempting suicide – 8% attempted suicide in the past year – 29% felt sad or hopeless almost every day for 2 or more weeks in a row

2015-18 Increase Awareness of Youth Mental Health Services Action Steps

Year 1:

• Increase awareness of the Mental Health First Aid training.
• Compile a list of all agencies where youth Mental Health services

are being implemented.

• Identify gaps and duplication of services.
• Develop standards of care for all county school systems.
• Develop programming to support the awareness of staff

working in schools- provide CEUs for training opportunities. Years 2 and 3:

• Implement programs in at least three local school districts

educating on the availability of youth mental health services.

MHFA in Lucas County: Youth and Adult focused Trainings

Instructors:

• 15-Adult only
• 2-Youth only
• 4-both

Infant Mortality Action Plan

• Increase Use of Safe Sleep Practices
• Increase Maternal, Preconception,

Prenatal & Inter-conception Health

• Improve Access to Care for

Pregnant Women

• Increase Breastfeeding Practices

Infant Mortality Action Plan

Coordinators:

• Getting to One, Ohio Equity Institute
• April Snelling, Snellina@co.lucas.oh.us and

Celeste Smith, smithc@co.lucas.oh.us, Toledo-Lucas County Health Department

• Carly Miller, cmiller@hcno.org,

Hospital Council of Northwest Ohio

Safe Sleep Practices

2015-16 Increase Use of Safe Sleep Practices Action Steps

Year 1:

• Work with local churches to train community members

to be safe sleep ambassadors.

• Develop safe sleep “tent cards” to be distributed by

Fire & EMS to all homes with a child under the age of 1.

• Work with hospitals to start talking about safe sleep

practices from the initial prenatal visit.

2015-16 Increase Use of Safe Sleep Practices Action Steps

Year 1 (cont’d):

• Implement a community wide safe sleep campaign

focused on stores that sell cribs and baby items.

• Work with stores that sell cribs to promote safe sleep

practices.

2016-18 Increase Use of Safe Sleep Practices Action Steps

Year 2:

• Train additional community members to serve as safe

sleep ambassadors.

• Expand distribution of safe sleep tent cards to Fire & EMS

in outlying areas of Lucas County.

• Work with Lucas County Commissioners to create a

resolution to ban bumper pad sales in Lucas County. Year 3:

• Initiate the enforcement of the bumper pad ban.

2015-16 Increase Maternal, Preconception, Prenatal & Inter-conception Health Action Steps

Year 1:

• Work with hospital systems and the local health

department to embed CHWs into clinics to enroll women of childbearing age (13-44) into Healthy Start and complete a Reproductive Life Plan.

• Connect women of childbearing to a health insurance and a

medical home, and remove barriers to care to allow them to continue receiving needed care.

2015-16 Increase Maternal, Preconception, Prenatal & Inter-conception Health Action Steps

Year 1 (cont’d):

• Increase birth spacing for women who have delivered <18

months ago.

• Incorporate counseling on long-acting reversible

contraception as part of preventive care, postpartum visits and other program interventions.

2016-18 Increase Maternal, Preconception, Prenatal & Inter-conception Health Action Steps

Year 2:

• Increase efforts of year 1.

Year 3:

• Increase efforts of years 1 & 2.

2015-16 Improve Access to Care for Pregnant Women

Year 1:

• Work with hospital systems to develop and distribute a

pregnancy lifestyle risk assessment to identify needs and barriers to care for pregnant women. Based on results of the assessment, refer any high risk pregnant women to the HUB for care coordination services.

• Increase enrollment into Pathways Program.

2015-18 Improve Access to Care for Pregnant Women Action Steps

Year 1 (cont’d):

• Connect women of childbearing to a health insurance and

a medical home, and remove barriers to care to allow them to continue receiving needed care. Year 2:

• Hire a new Pathways Care Coordinator for North Toledo.

Year 3:

• Increase efforts of years 1 & 2.

2015-18 Increase Breastfeeding Practices Action Steps

Year 1:

• Hire a breastfeeding peer educator to work with WIC clients

to encourage breastfeeding practices.

• Standardize breastfeeding education across all providers

countywide during pregnancy and postpartum. Year 2:

• Hire and incorporate breastfeeding peer educators into the

hospital labor and delivery units. Year 3:

• Increase efforts of years 1 & 2.

Increase School Readiness

• Increase the Number of Children

Enrolled in Head Start, Early Head Start, Pre-School Education or Help Me Grow Program

Coordinators:

• Kristi Hannan, KHannan@nwoca.net,

Lucas County Family Council

• Diandria Barber, dbarber@shineearly.com, and Lizzie

Friedman, Lizzie@shineearly.com, Brightside Academy

2015-16 Increase the Number of Children

Enrolled in Head Start… Action Steps

Year 1:

• Gather baseline data on the number of Lucas County children

enrolled in a Head Start, Early Head Start of pre-school education program.

• Increase Public Awareness and access to early intervention

programs.

2016-18 Increase the Number of Children

Enrolled in Head Start… Action Steps

Year 2:

• Increase the number of Lucas County children enrolled in an

early intervention program by 5%. Year 3:

• Increase efforts of years 1 & 2.

Increase School Readiness

What is Head Start?

• Began as part of President Lyndon B. Johnson’s

declaration of “War on Poverty”

• Designed to help break the cycle of poverty

– Provides preschool children of low-income families with a comprehensive program to meet their emotional, social, health, nutritional and psychological needs.

Increase School Readiness

What is Head Start?

• Reauthorized in 2007 by President Bush with

provisions to strengthen Head Start quality

– Alignment of Head Start school readiness goals with state learning standards – Higher qualifications for Head Start teachers – Increased program monitoring – State Advisory Councils on Early Care and Education – Moved from indefinite project to five year grant cycles

• Served over 30 million children since 1965

Increase School Readiness

Lucas County Head Start Agencies

• Brightside Academy
• WSOS Community Action
• Toledo Public Schools

– Lucas County Family Council

Increase School Readiness

Head Start Requires -

• All agencies to establish school readiness goals,

defined as “the expectations of children's status and progress across domains of language and literacy development, cognition and general knowledge, approaches to learning, physical health and well-being and motor development, and social and emotional development that will improve readiness for kindergarten goals.”

Increase School Readiness

Head Start Core Strategies to Promote School Readiness

• Implementing an integrated curriculum
• Analyzing child-level assessment data
• Providing Early Learning Coaching
• Establish Individual Wellness Plans
• Ensuring parent partnership process
• Providing ongoing communication
• Creating a learning community among staff

Increase School Readiness

Increase School Readiness

Increase School Readiness

Increase Public Awareness and Access to Early Intervention Programs

What is Early Intervention?

• One of two programs under Help Me Grow

(along with Home Visiting)

• Serves infants and toddlers with

developmental delays or with diagnosed medical conditions that are likely to result in delays (defined in state administrative rules)

Who is Served in Early Intervention?

• 567 children currently served

– 50% 2-3 year olds – 29% 1-2 year olds – 21% 0-1 year olds

• State target is 2.7% of birth-to-three

population; serving 3% currently

Increase Public Awareness and Access to Early Intervention Programs

Who is Served in Early Intervention?

• 942 referrals July 2014 – June 2015

– 300 more than previous year

• Primary referral sources:

– Parents (40%) – Children Services (23%) – Physicians (8%) – Hospital-based child find (6%)

Increase Public Awareness and Access to Early Intervention Programs

Increase School Readiness

• Increase the Number of Step Up

to Quality Child Care Programs

2015-16 Increase the Number of Step Up to Quality Child Care Programs Action Steps

Year 1:

• Gather baseline data on the child care facilities that are

Star-Rated.

• Identify resources/training opportunities for childcare

providers/centers to become Star-Rated.

• Implement training opportunities among licensed child care

providers/centers.

2016-18 Increase the Number of Step Up to Quality Child Care Programs Action Steps

Year 2:

• Increase the number of Star-Rated child care centers by 5%

from baseline. Year 3:

• Increase efforts of years 1 & 2.

Cross Cutting Strategies

• Increase ultural competency
• Increase efforts to address

social determinants of health

Coordinator: Celeste Smith smithc@co.lucas.oh.us Toledo-Lucas County Health Department

2015-16 Increase Cultural Competency

Year 1:

• Educate/inform local businesses, organizations and

health care providers on county demographics and the importance of becoming culturally competent.

• Offer a county-wide training/workshop on cultural

competence.

• Expand the number of Cost of Poverty Simulations and

Bridges Out of Poverty Workshops being offered in Lucas County.

2016-18 Increase Cultural Competency

Year 2:

• Enlist 2 organizations to adopt culturally competent

principles, policies and/or practices within their

• rganization.
• Increase the number of training/workshops by 25%.

Year 3:

• Increase the number of organizations adopting

cultural competency policies by 50% from baseline.

2015-2016 Increase Efforts to Address Social Determinants of Health

Year 1:

• Use Community Health Workers (CHW’s) to educate

clients on Managed Care/Medicaid transportation services and help to coordinate transportation services.

• Publicly report racial disparities on infant mortality report

card to raise awareness and accountability for closing the gap.

2015-2016 Increase Efforts to Address Social Determinants of Health

Year 1 (cont’d):

• Work with community leaders and organizations to

provide advice and insight on ways to effectively engage the black community.

• Build capacity among community, neighborhood leaders

and service providers by providing training on structural racism designed.

2016-2018 Increase Efforts to Address Social Determinants of Health

Year 2:

• Work with community leaders to develop neighborhood-

and community-level strategies for addressing the effects

• f race and racism.
• Conduct community conversations regarding racism as a

social determinant of health. Year 3:

• Increase efforts of years 1 & 2.

Cross Cutting Strategies

• Increase public and partner

education messages promoting improved health

Coordinator: Julie McKinnon jmckinnon@hcno.org Hospital Council of Northwest Ohio

2015-16 Increase public and partner education messages promoting improved health

Year 1:

• Develop a communications plan to address priority health

areas.

• Create a Healthy Lucas County logo.
• Create a Healthy Lucas County website.
• Create a social media presence promoting improved health.

2016-18 Increase public and partner education messages promoting improved health

Year 2:

• Continue efforts of year 1.

Year 3:

• Continue efforts of years 1 and 2.

Our Logo

• Website launched July 31, 2015.
• Had 1,080 users and 1,292 sessions in first month.
• Users spent an average of 2.04 minutes on site and

viewed 1.92 pages on average.

healthylucascounty.org

healthylucascounty.org

Focuses on initiatives working on CHIP action steps. Features local stories, photos, infographics, data and more. Encourages residents to “be healthy” with ideas and tools.

Social Media

Facebook, Pinterest, LinkedIn, Twitter Content comes from

website, partners and

• ther sources.

Helps spread coordinated messages, drive website traffic and inform/engage residents.

News Bites e-Newsletter

Started in May 2015 and has more than 300 subscribers. More than a third of subscribers open it each month. Partners also starting to use Healthy Lucas County news.

Mass Media Campaign

Launched in September 2015 on billboards, TV, radio, online and on social media.

Measuring Progress and Outcomes

• Healthy Lucas County meets monthly to track

progress.

• The individuals who are working on action steps

meet as needed to make progress.

• Action steps, responsible person/agency, and

timelines are revised as needed to make progress

• n the priorities.
• Healthy Lucas County will continue to conduct a

Community Health Assessment every 3 years to collect data on the health of the population.

Breakouts by Priorities

Big Questions for each Priority Area incorporating the Cross Cutting Strategies

What do you like about the actions steps & what would you change?

How can organizations support this priority?

How can individuals support this priority?

What additional resources are needed to fully implement the action steps?

Breakout Groups

• Healthy Weight Status—Beth Deakins (Middle
• f Room)
• Prevent & Manage Chronic Diseases—La’Tarsha

Cook (Right side of Room)

• Improve Youth Mental Health & Prevent

Bullying—Lisa Kovach (Room D)

• Reduce Infant Mortality—Carly Miller (Left side
• f Room)
• School Readiness—Derek Williams (Room C)

Report Out

• What do you like about the actions steps &

what would you change?

• How can organizations support this priority?
• How can individuals support this priority?
• What additional resources are needed to fully

implement the action steps?

Take the Healthy Lucas County Challenge . . .

• Share this information with your organization

leadership and board

• Determine how your organization can support these

goals

– Write it down – Submit it to Healthy Lucas County and report on your progress through the appropriate priority area

• Sign the Healthy Lucas County Commitment Form

Thursday, October 15 – 8:30-10am – 3rd Floor EMS Building Thursday, November 19 – 8:30-10am – 3rd Floor EMS Building Thursday, December 17 – 8:30-10am – 3rd Floor EMS Building

Attend Healthy Lucas County Meetings to continue this work . . .

Community Walk