Community Health Assessment Institute 2009

1. Debi Nelson, Interim Director Office of Healthy Carolinians/Health Education February 5, 2009 Community Health Assessment Institute2009

2. Engages multiple organizations, agencies and community members Informs action plans, decisions, funding requests, and interventions Creates a positive environment for discussion and change What is a Community Health Assessment? A process by which community members gain an understanding of the health concerns, and health care systems of the community by identifying, collecting, analyzing, and disseminating information on community assets, strengths, resources, and needs.

3. The Community Assessment Guidebook: Guides you through eight phases as you complete a collaborative and comprehensive assessment Encourages systematically engaging county residents in assessing local problems and assets Overview

4. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

5. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

6. CHA Report is due once every 4 years. • Each county assigned to a 4- year cycle • Due first Monday in December • CHA completed before accreditation • Community Health Action Plan forms due the 1st Friday of June after CHA completed • Recertification scheduled the year after CHA • Annual SOTCH report issued every year during other 3 years CHA Timeline

8. State-of-the-County’s Health Report • Identifies emerging issues • Annual review of morbidity and mortality data • Highlights new initiatives • Economic or political changes • Shows progress with priorities identified in the Community Health Assessment • Keeps community informed • Required by the Consolidated Agreement and Accreditation Standards What is a SOTCH?

9. Guidebook has been revised, reorganized, and updated (2008) • Available at the Office of Healthy Carolinians website and on CD • Major revisions include: • tips and tools to improve data collection, analysis, and interpretation • additional guides to help you better understand the community assessment process What’s New in CHA?

11. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

12. Guides you through gathering a team of people who can represent the different viewpoints in your community • Changes • Updated tools and section wording to increase sensitivity and encourage team diversity Phase 1

13. Influential organization reps + community residents= Your Community Team! • Sample structure of CHA team: • Advisory group • Work group • Project Facilitator • Make a budget and secure funds for your Community Assessment Phase 1: Establish a Community Assessment Team

14. Example of Phase 1 Tools

15. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

16. Step-by-step primary and secondary data collection from your community • Changes • Primary data requirements (see next slide) • Major overhaul of the survey section to include survey design and methodology • Listening Session Toolkit and Community Health Opinion Survey revised and moved to Appendix • Updated resources and contact info Phase 2

17. Phase 2: Changes

18. Phase 2: New tool

19. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

20. Leads you through secondary data collection from several resources • Changes: • More definitions, tip boxes and simple statistical examples and explanations • Reorganized to follow accreditation standards! • Removed County Health Data Book Worksheets • NC-CATCH -- a new, more user friendly resource for secondary data collection Phase 3

21. Phase 3: Changes Keep track of accreditation standards as you follow along in the book!

22. Phase 3: Changes Tip boxes provide definitions and step-by-step instructions on creating useful statistics and comparisons!

23. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

24. Guides you on how to combine and interpret your community’s data from all sources. • Changes: • Reorganized to follow accreditation standards • Updated resources • Includes definitions for important health indicators Phase 4

25. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

26. Gives practical methods and suggestions on how to approach the community with assessment results • Changes: • More tips on how and where to present findings and how to publicize your community meeting • Selection of health priorities moved from Phase 6 to Phase 5 to emphasize community input • Problem Importance and Problem Prioritization Worksheets moved to Phase 5 Phase 5

27. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

28. Guides you through creating the community assessment report. • Changes: • Formerly Phase 7 • Now includes a sample outline with suggested data sources Phase 6

29. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

30. Advice on how to involve the community through strategic dissemination of the Community Health Assessment document • Changes: • This is a brand new section!!! • Includes a sample press release Phase 7

31. Phase 7: New tool

32. Eight Phases of Community Health Assessment Phase 1: Establish a Community Assessment Team Phase 2: Collect Community Data (primary/secondary) Phase 3: Collect and Analyze Your Community’s Health Statistics (state and local resources) Phase 4: Combining Your County’s Health Statistics with Your Community Data Phase 5: Solicit Community Input to Select Health Priorities Phase 6: Create a CHA Document Phase 7: Disseminate the Community Assessment Document to the Community Phase 8: Develop the Community Health Action Plans

33. Guides you through creating the Community Health Action Plan • Changes: • Revised guidelines for creating action plans • Revised Action Plan forms available online at the Office of Healthy Carolinians website Phase 8

34. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

35. Essential Services • #1: Monitor health status to identify community health problems • #3: Inform, educate, and empower people about health issues • #4: Mobilize community partnerships to identify and solve health problems • #7: Link people to needed personal health services and assure the provision of health care when otherwise unavailable • #10: Research for new insights and innovative solutions to health problems Accreditation Standards

36. Benchmarks • #1: A Local Health Department (LHD) shall conduct and disseminate results of regular community health assessments. • #10: The LHD shall provide, support, and evaluate health promotion activities designed to influence the behavior of individuals and groups. • #11: The LHD shall convene key constituents and community partners to identify, analyze and prioritize community health problems/issues. • #12: The LHD shall develop strategies in collaboration with community partners to solve existing community health problems. Accreditation Standards

37. Benchmarks cont. • #13: The LHD shall identify and build upon community assets and direct them toward resolving health problems. • #21: The LHD shall lead efforts in the community to link individuals with preventive, health promotion, and other health services. • #28: The LHD shall use research to develop and evaluate public health programs. Accreditation Standards

38. Additional Standards • Community health assessments should include: • Socioeconomic factors • Educational factors • Environmental factors • Analysis should include: • Trends • Comparison of local rates to state rates and HC 2010 objectives • Health priorities selection process • Reporting the assessment results to community should include at least 2 methods of communication directed each toward LHD stakeholders/community partners and general population (4 methods) Accreditation Standards

39. Accreditation Checklist

40. Accreditation Standards Sampling Guides-- A New Resource! Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

41. Two easy-to-read sampling guides including introductory and two-stage cluster sampling instructions Sampling Guides

42. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

43. Community Health Opinion Survey Includes pre-tested questions from previous CHA’s! Standardizes survey data collection! Saves time on survey question design!

44. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

45. Listening Session Toolkit

46. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

47. Gives additional sources of all types of community data including environmental, educational, criminal, social, etc. • Changes: • Website links updated August 2008 • New resources added • Reorganized by source, topic ,and geographic level of detail (i.e.: state, county, regional) Resource Guide

48. Accreditation Standards Sampling Guides Community Health Opinion Survey Listening Session Toolkit Resource Guide Statistical Primers Appendices

49. Provides instruction on: • Age adjusted death rates • Problems with rates calculated from small numbers • Revised to include formulas, guidelines, definitions, and key points to remember Statistical Primers

50. Office of Healthy Carolinians Phone: (919) 707-5150 Email: hcinfo@ncmail.net Website: www.healthycarolinians.org Questions?