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

HEAL ALTH & & PLANNI ANNING NG: A PRESEN ENTATI TION ON T TO THE MAJOR I ISSU SSUES S COMMI MMITTEE

MARCH 14, 14, 2018 2018 Susan Grich President/CEO

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  GIS & Systems Mapping  Program Management  Grant Writing and Research  Data Analysis  Health Impact Assessment (HIA)  Community Health Assessment & Health Improvement Planning  Strategic Planning  Community Engagement (Focus Groups, Key Stakeholder Interviews, Surveys)  Fiscal Management OUR OUR P PROG OGRAMS  Safe Routes to School  Mental Health First Aid  Northeast Florida Cancer Control Collaborative  St. Johns River Rural Health Network  Marketplace Navigators for the 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

LOCATION Duval County Pinellas County Lee 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

834.7 167.9 162.9 80.6 45.6 40.3 23.2 15.7 15.4 686.2 151.5 150.7 55.7 39.3 38.5 20.1 9.6 22.2 500 1000 ALL CAUSES CANCER HEART DISEASE UNINTENTIONAL INJURY CHRONIC LOWER RESPIRATORY DISEASE STROKE DIABETES INFLUENZA AND PNEUMONIA ALZHEIMER'S DISEASE 2016 A Age ge-Adj djusted D ed Death R Rate Per 100,000 Cause o

• f Dea

Death Duval County Florida

E NVIRONME NT AL HE AL T H

6.0% 23.3% 25.4% 26.5% 18.1% 12.4% 23.3% 43.6% 42.1% 22.6% 72.1% 29.6% 47.2% 59.4% Duval Hillsborough Lee Miami-Dade Orange Palm Beach Pinellas

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

• ff-street

trail ail s sys ystem o

• r a

a par ark, 2016

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 37.0% 35.2% 24.8% 60.9% 35.7% 38.1% 41.3% 27.6% 34.4% 21.9% 63.6% 29.5% 36.8% 41.4% Duval Hillsborough Lee Miami-Dade Orange Palm Beach Pinellas

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

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
• n 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

• f 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 Susan_Grich@hpcnef.org (904) 448-4300 Ext. 112

Promoting healthy communities and efficient use

• f resources.