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Collaborative Health Planning to Address Urban Community Health Needs in a Limited Resource Environment

Collaborative Health Planning to Address Urban Community Health Needs in a Limited Resource Environment . Camden City Healthy Futures. History of the Partnership. Last community assessment for the city was done in 1995 Role of partnership as the health advisory committee to the Mayor

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Collaborative Health Planning to Address Urban Community Health Needs in a Limited Resource Environment

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  1. Collaborative Health Planning to Address Urban Community Health Needs in a Limited Resource Environment Camden City Healthy Futures

  2. History of the Partnership • Last community assessment for the city was done in 1995 • Role of partnership as the health advisory committee to the Mayor • University leadership role • Limited success in obtaining grant support (Institute for the Elimination of Health Disparities) • In 2005 NJ counties were engaged in MAPP (Mobilizing Around Partnerships and Planning) and writing Community Health Improvement Plans (CHIP). For Camden County this included: • Prioritization of health issues with special focus on the city • BRFSS study with an oversample in the city of Camden

  3. African-American Advisory Commission Association for Children of New Jersey CamCare Health Corporation Camden Area Health Education Center (Camden AHEC) Camden Community Recovery/Environmental Justice Coalition Camden County Department of Health & Human Services Dr. Charles E. Brimm Medical Arts High School City of Camden Community Planning and Advocacy Council Cooper Hospital University Medical Center Healthy Mothers, Healthy Babies Coalition of Camden City Hispanic Family Center of Southern NJ, Inc. Lourdes Health System Medical Mission Sisters N.J. Dept. of Environmental Protection - Div. of Air Quality Evaluation NJ Dept. of Health and Senior Services – Asthma Awareness & Education Program Planned Parenthood of Southern New Jersey Rowan University Urban & Public Policy Institute Rutgers University/Camden Department of Public Administration Walter Rand Institute Cooperative Extension The South Jersey Environmental Justice Alliance University of Medicine and Dentistry of New Jersey: Department of Government & Community Affairs Institute for the Elimination of Health Disparities New Jersey Dental School Robert Wood Johnson Medical School School of Health Related Professions School of Nursing School of Osteopathic Medicine School of Public Health Union Organization for Social Service Virtua Health System Weisman Children’s Rehabilitation Hospital Partners in Camden Healthy Futures

  4. University’s Role in Data Collection Because of the university’s role—the partnership was able to use graduate students to assist with data collection/ analysis. Student projects included: • City of Camden Focus Group Study with residents and constituent groups (two separate student analyses including in-depth analysis using Atlas.ti-2006) • BRFSS City/County Comparison Study • Healthy Camden City 2010-Update 2005 (comparison with NJ Healthy People 2010 goals) • Key Informant Stakeholder Study • Provider Survey

  5. Use of Other Available Sources of Data • Camden Hospital and Emergency Room Health Data June 2006 (Camden Coalition of Healthcare Providers) • Camden Kids Count 2004 • Camden Waterfront South Air Toxics Pilot Project 2005 (NJDEP) • From Data to Strategy: Information for Planning a Smoking Cessation Program-2005 (Camden County Cancer Coalition) • Health Report Card Survey-2005 (Cooper University Hospital Department of Family Medicine and CAMConnect • Camden City Health Profile (County Report for CHIP)

  6. Access to Health CarePercentage of Adults Who Report They Have a Source of Primary Care Sources: NJDHSS, Center for Health Statistics, Behavioral Risk Factor Survey; Healthy New Jersey 2010: Update 2005; Camden City/County Comparison Behavioral Risk Factor Survey; Healthy Camden City 2010: Update 2005

  7. Adolescent HealthTotal Number of Births per 1000 Females Aged 15 Through 17 Sources: NJDHSS, Center for Health Statistics; Healthy New Jersey 2010: Update 2005; National Center for Health Statistics and U.S. Census Bureau; Healthy Camden City 2010: Update 2005.

  8. Adult HealthPercentage of Persons Aged 18+ Who Are Overweight But Not Obese. Sources: NJDHSS, Center for Health Statistics, Behavioral Risk Factor Surveillance System; Camden City/County Comparison/Behavioral Risk Factor Survey Breakdown; Healthy New Jersey 2010: Update 2005; Healthy Camden City 2010: Update 2005

  9. Preventing and Reducing Major Diseases Cancerage-adjusted mortality rate from colorectal cancer per 100,000 standard population Sources: New Jersey Department of Health and Senior Services, Center for Health Statistics. Healthy New Jersey 2010: Update 2005 Healthy Camden City 2010: Update 2005

  10. Mental HealthMortality Rate From Suicide per 100,000 Male Population Sources: NJDHSS, Center for Health Statistics; Healthy New Jersey 2010: Update 2005; Healthy Camden City 2010: Update 2005.

  11. Challenges …. In 2003 almost all residents can identify a primary health care provider and 93% of residents report having health insurance. So….why are so many residents still utilizing the Emergency Departments every year? One out of two residents use the ED for care. Source: Camden Hospital and Emergency Room Health Data June 2006 Camden Coalition of Healthcare Providers and CAMConnect

  12. Setting Health Goals • Created spreadsheet with data from the 11 studies • Partners worked through all of the data (where there were overlaps and what were priorities) and identified Five General Categories: • Community Health/Healthy Lifestyles • Family Health and Parenting Concerns • Safety and Violence Prevention • Mental Health • Environmental Health Concerns

  13. Creating Action Plans • Action planning grids were developed based on MAPP design. • Teams then identified “actionable” items that aligned with partner agencies’ agendas • All data/reports were put on CD as well as posted online at www.camconnect.org • Executive Summary was developed for the community

  14. SUBCOMMITTEE-Camden CityCamden City Community Health Task ForceTopic/Issue-High mortality rate for cancer in the City 11/15/07

  15. Year One Camden City Health Priorities • Community HealthDiabetes (Obesity, Physical Activity, Nutrition) and Cancer • Environmental HealthLead Poisoning and Asthma • Safety & Violence PreventionStreet Violence • Mental HealthDepression • Family Health Adolescent Pregnancy

  16. Efforts to Address Camden City Health Priorities • All five priorities • Creation of Camden High School Public Health Club which focuses on our priorities • Cable TV public health series on how to access resources • Diabetes/Obesity and Nutrition • Farmer’s Markets • Coalition of HealthCare Providers -Merck Grant formed Diabetes Collaborative • Health Information Exchange Coordination of Treatment • Partnership grant applications for Community Putting Prevention to Work • Mental Health Open Community Forums on Dual Diagnosis (Mental Health and Substance Abuse) and Integration of Care. • Environment Camden City designated as NJ Model Lead-Safe City • Safety and Violence Prevention Mayor’s Prevention of Youth Violence Program-Campaign Against Youth Violence as a Public Health Problem

  17. 2009 Public Health Cable TV Series • Dateline: Education Moderated by Bart Leff • Cable Channel 19 • Adolescent Pregnancy • Diabetes--Nutrition/Physical exercise/Obesity • Public Safety and Street Violence • Lead Prevention • Mental Health-Depression • DVDs in clinics & physician waiting rooms • Follow-up booklets on each topic distributed throughout the city & posted online at www.camconnect.org

  18. Lessons Learned • Targeted efforts must not only inform the community about the issue but also how to access available resources • Because not all priorities can be accomplished in Year One…set goals for Year Two • Start where resources are available and build. This includes staff resources and money • Use the community health needs assessment priorities for seeking grant funding • There is essential support in partnering with academic health centers (school of public health) • Educate the community to use available benchmarks whenever possible • There is strength in the value of the partnership • Push forward despite limitations progress will begin to take shape

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