Population Health for Health Professionals

1. Population Healthfor Health Professionals

2. Module 4 Building Healthy Communities

3. Module 4Objectives • Healthy Community movement • Successful healthy community initiatives • Strategic planning models • Impact of diversity on health and health care • Cultural competency

4. Part I Healthy Communities Movement

5. Building Healthy Communities Purpose This module is designed to introduce the concepts of strategic planning and healthy communities for improving the health of diverse populations

6. What is Health? • Health is more than physical well being • World Health Organization definition: “Health is the state of complete physical, mental, and social well-being, and not merely the absence of disease”. WHO, 1947

7. What is Community? • Defined by the people in it. • Determined by geographic lines, cultural lines, economics or other factors. • All communities have assets.

8. Discussion Time • What is your definition of a healthy community? • What helps us measure health?

9. Schools Low crime rate Good jobs Access to health care Good race relations Safety of all Culture/art Community spirit Lack of fear Low teen pregnancy, low infant mortality Ample care for individuals with chronic and acute disease Affordable housing What Helps UsMeasure Health?

10. The Healthy Communities Movement • Community-based health and quality of life improvement initiatives • Locally determined focus • Well-informed people work together in a process to make local change

11. Healthy Community Principles • Broad definition of “health” • Broad definition of “community” • Shared vision from community values

12. Healthy Community Principles • Address quality of life for everyone • Diverse participation, widespread ownership • Focus on “systems change” • Build capacity using local assets and resources • Benchmark and measure progress and outcomes

13. Pieces of the Puzzle • Knowledge of the Environment • Identifying Resources • Forging Collaboration • Creating Ownership • Measuring Performance

14. Knowledge of the Environment • Environmental Scan • Demographics • Research

15. Environmental Scan • Brief but important step in healthy communities planning • Early in the effort, it is valuable for stakeholders to develop a broadly shared understanding of the major events, trends, technologies, issues, and forces that affect the health profile of their community.

16. Demographics • Define a population by its age, sex, race distribution • US Census Bureau primary data source, reported down to the household level. Significant trends: • Growth in elderly population • Shift in racial mix

17. Demographics • Describe the disparities in health outcomes of a population. • Documented gap between majority and minority populations • African -Americans and Hispanics carry much heavier burden of disease than whites

18. Research • Structured investigation which builds and test hypotheses. • Health status • Health determinants • Disease • Environmental threats to health • Health care systems • Other issues

19. Health indicators Incidence Prevalence Mortality Case Fatality Proportional Mortality Health Statistics Sources Centers for Disease Control National Institutes of Health State Budget & Control Board Research

20. Identifying and Mobilizing Resources • Asset-based community development • Starts with what is present in the community, the capacity of its residents, workers, associations, and institutional base - not with what is absent, problematic, or needed John McKnight

21. Identifying Strategic Partners: The Usual Suspects • Government • Religious leaders • Industry • Police • Healthcare community

22. “Not Your Usual Suspects” • Front porch experts • Gatekeeper to the community • Street sage • Elders • Unemployed, disenfranchised

23. Forging Collaboration • “Never doubt that a small group of thoughtful committed citizens can change the world. Indeed it is the only thing that ever has.” Margaret Mead

24. Developing RelationshipsFor Health • Understanding a community • Culture, economics, assets: those things that define it • Meeting the people and listening to their stories • Recognizing they are the experts on their community • Guided dialogue: A tool for getting to know a community

25. Creating Ownership • Shared vision • Inclusion of all • Acceptances of differences • Respect for all viewpoints

26. Measuring Performance • Methods for monitoring success or failure of community development provide documentation • Important in seeking additional support for continuous improvement of health and economics

27. PRO Hampton County Hampton, SC Partners for a Healthy Community Anderson, SC Tillery, NC National Award Winning Healthy Community Successful Examples

28. The PRO Hampton CountyDiabetes Connection Diane Kennedy, MS, MT(ASCP)SH Chairperson, Diabetes Connection Associate Director, Low Country AHEC

29. Health & Life-Styles Inter-Group Relations Economics Community Members LC-AHEC Diabetes Initiative Interdisciplinary Students Local community Local health professionals Genesis of Diabetes Connection Healthy Communities PRO Hampton County Education • Boys & Girls Clubs • Diabetes Connection

30. 4 Subcommittees • Education • Support/Service • Screening • Finance • Duke Endowment Grant • Local and Regional Pharmaceutical vendors

31. Community Diabetes Education • Banners and billboards • Newspaper articles • Radio • Grocery bags • Update local libraries

32. Support/Service • Certified Diabetes Education (CDE) • Monthly diabetes support group • Quarterly Cooking Classes • Educational/support workshops • Hampton County diabetes registry

33. Screening • At-Risk for Diabetes • ADA Risk Assessment Survey • BP, HT, WT, BMI • Fasting Plasma Glucose, Cholesterol Profile • Those with Diabetes • BP, HT, WT, BMI • Hgb A1c, Cholesterol Profile, Urine Test (kidneys) • Feet, Eye, Dental Screenings • Counseling/Education

34. Partners for a Healthy Community Anderson, SC • Partners Healthwise Initiative • Health Ministry • “Out of the Blues”

35. Healthy Communities Award Winner: Tillery, NC • Forty Acres and a Mule • Citizen’s Action Group • CHAP • The Health Clinic • HELP

36. Keys to Success • Broad community representation • Shared vision of committed citizens • Collaboration between local talent and outside experts • Development of action and policy to make healthier communities

37. SummaryModule 4, Part 1 • Building healthy communities requires involvement of many diverse resources • The Healthy Communities Movement has had great success in improving the health of communities • Environment is a critical element for the health of a community and its members

38. SummaryModule 4, Part 1 • True collaborations require • Trust building • Conflict resolution • Listening • Following • Knowledge of the environment and those who live in it

39. Discussion Time • Describe what a healthy community for you would be. • What do you and your community need to get there?

40. Module Authors D. Beth Kennedy, M.S. Director of Education Laurine T. Charles, M.H.S. Associate Professor S.C. Area Health Education Consortium