HEAL ALTH & & PLANNI ANNING NG: A PRESEN ENTATI TION - PowerPoint PPT Presentation

HEAL ALTH & & PLANNI ANNING NG: A PRESEN ENTATI TION ON T TO Susan Grich President/CEO THE MAJOR I ISSU SSUES S COMMI MMITTEE MARCH 14, 14, 2018 2018

HE AL T H PL ANNING COUNCIL OF NORT HE AST F L ORIDA  OUR VISION: The Health Planning Council of Northeast Florida will cultivate healthy and sustainable communities in northeast Florida through objective, health-related information, planning, analysis, and cross-sector and community collaborations.

HE AL T H PL ANNING COUNCIL OF NORT HE AST F L ORIDA OUR S SER ERVICES ES OUR OUR P PROG OGRAMS  GIS & Systems Mapping  Safe Routes to  Program Management School  Grant Writing and Research  Mental Health First  Data Analysis Aid  Health Impact Assessment (HIA)  Northeast Florida  Community Health Assessment & Cancer Control Health Improvement Planning Collaborative  Strategic Planning  St. Johns River Rural  Community Engagement (Focus Health Network Groups, Key Stakeholder Interviews,  Marketplace Surveys) Navigators for the  Fiscal Management Affordable Care Act

PL ANNING AND PUBL IC HE AL T H

T HE PL ANNING & PUBL IC HE AL T H RE L AT IONSHIP  Planning originated with a public health purpose in the U.S.:  Reduce congestion and improve fire safety in overcrowded cities  Improve housing conditions and sanitation  Improve access to “breathing spaces” and parks/recreation  Reduce exposure to dangerous industrial and manufacturing uses  First comprehensive U.S. zoning laws passed in NYC in 1916 to address these issues of rapid urbanization

HE AL T H ST AT US OF DUVAL COUNT Y

COUNT Y HE AL T H RANKINGS So Social ial an and Eco cono nomic F c Fact ctors and the the P Physical Env nviro ronment = = 50% 50%

AARP L IVABIL IT Y INDE X Duval Pinellas Lee LOCATION County County County TOTAL INDEX SCORE 50 52 48 HOUSING (Affordability and access) 50 36 51 NEIGHBORHOOD (Access to life, work, and play) 44 52 43 TRANSPORTATION (Safe and convenient options) 47 58 55 ENVIRONMENT (Clean air and water) 50 62 68 HEALTH (Prevention, access, and quality) 46 55 47 ENGAGEMENT (Civic and social involvement) 70 63 50 OPPORTUNITY (Inclusion and possibilities) 42 37 24

L E ADING CAUSE S OF DE AT H, DUVAL & F L ORIDA, 2016 834.7 ALL CAUSES 686.2 167.9 CANCER 151.5 162.9 HEART DISEASE 150.7 Death 80.6 UNINTENTIONAL INJURY of Dea 55.7 45.6 CHRONIC LOWER RESPIRATORY DISEASE Cause o 39.3 40.3 STROKE 38.5 23.2 DIABETES 20.1 15.7 INFLUENZA AND PNEUMONIA 9.6 15.4 ALZHEIMER'S DISEASE 22.2 0 500 1000 Duval County Florida 2016 A Age ge-Adj djusted D ed Death R Rate Per 100,000

E NVIRONME NT AL HE AL T H Percent of t the population liv livin ing wit ithin a a 10-mi minute e walk alk ( (1/2 m mile) of an an o off-street trail ail s sys ystem o or a a par ark, 2016 72.1% 59.4% 47.2% 43.6% 42.1% 29.6% 26.5% 25.4% 23.3% 23.3% 22.6% 18.1% 12.4% 6.0% Duval Hillsborough Lee Miami-Dade Orange Palm Beach Pinellas Percent of the population living within a ten minute walk (1/2 mile) of an off-street trail system Percent of the population living within a ten minute walk (1/2 mile) of a park Percent of t the population liv livin ing wit ithin a a 10-mi minute w e walk ( (1/2 mile) e) of a fast food d restau auran ant or a healthy y food source, 2 2016 63.6% 60.9% 41.3% 41.4% 38.1% 37.0% 36.8% 35.2% 35.7% 34.4% 29.5% 27.6% 24.8% 21.9% Duval Hillsborough Lee Miami-Dade Orange Palm Beach Pinellas Percent of the population living within a 1/2 mile of a fast food restaurant Percent of the population living within 1/2 mile of a healthy food source

ME T HODS T O INT E GRAT E HE AL T H INT O PL ANNING

HE AL T H IMPACT ASSE SSME NT S Flexible, data-driven approach  that identifies the health consequences of new policies, developments, and programs Develops practical strategies to  enhance health benefits and minimize adverse effects

HIA E XAMPL E : KINGS RIDGE APART ME NT COMPL E X  Outcomes:  Convenience store lease agreement to require fruits & vegetables be available  Reduction of crime rate due to higher police officer presence,  New partnership with child daycare/after school program  Onsight child dental van & HIV/STD testing truck  Dollar General Store built on adjoining property

HIA E XAMPL E : SUBSIDIZE D HOUSING IN JACKSONVIL L E  HPCNEF led a health impact assessment (HIA) in partnership with Jacksonville Area Legal Aid and other stakeholders in 2017  Examined housing policy and subsidized housing conditions in Jacksonville, FL  Outcomes: HIA process engaged local leaders and resulted in changes to the Jacksonville Ordinance Code, which will now require screen doors for tenants who do not have central air conditioning, allowing residents to ventilate their apartments without exposure to harmful pests

WHAT IS PAC E EH? Protocol for Assessing Community Excellence in Environmental Health  Community-based methodology used to:  Evaluate and characterize local environmental health conditions using data and public input  Identify populations at risk of environmental exposure  Rank environmental health issues  Prioritize local actions, programs, and policies

HE AL T H E L E ME NT IN COMPRE HE NSIVE PL ANS

HE AL T H & COMPRE HE NSIVE PL ANS IN F L ORIDA  Alachua County Health Element:  Goal: Preserve the health of Alachua County residents by facilitating health care delivery, improving the livability of the community, and providing all Alachua County residents opportunities for active living.  Policies include:  Coordinate with health department and other health providers to support community health.  Use the community health needs assessment to address health needs.  Coordinate with Community Traffic Safety Team and Bike/Ped Advisory Board to pursue funds for a Pedestrian Safety Action Plan.  Other communities that incorporate health in comprehensive plans include: Hillsborough, Miami-Dade, Palm Beach, and Sarasota Counties.

UL T IMAT E GOAL Ensure that all policy decisions have neutral or beneficial impacts  on social determinants of health. Emphasizes the need to collaborate across sectors to achieve  common health goals.

RE COMME NDAT IONS  Create a task force that explores the inclusion of health in the comprehensive plan that includes representatives from multiple public health agencies, such as the Health Planning Council, Florida Department of Health-Duval County, educational institutions, and private and public healthcare organizations.  During the planning process, consider a range of health issues (e.g., active living, environmental health, food & nutrition, social cohesion, disaster planning, health care, communicable disease, public safety, and mental health) when determining priorities.  The City should consult a public health representative on health-related issues (e.g., planning meetings, to sit on advisory boards, and to review drafts of the comprehensive plan).  Include an element explicitly addressing health, as well as weave health goals and policies throughout all chapters in the comprehensive plan.

ADDIT IONAL RE COMME NDAT IONS  Build progress reports into the comprehensive plan and track health indicators to monitor progress.  Use health impact assessment (HIA) to evaluate the health effects of new projects, programs, or policies.

Susan Grich President & CEO Health Planning Council Promoting healthy Susan_Grich@hpcnef.org (904) 448-4300 Ext. 112 communities and efficient use of resources.