A Regional Model for Community Health Assessment

1. A Regional Model for Community Health Assessment A Rural Approach

2. Why Choose the Regional Model? • History of successful MLC project work done on a regional basis. • Recently expanded scope of regional memorandum of agreement. • Significant interest in readiness for accreditation. • NACCHO grant incentives. • Opportunity to practice improving skills in the quality improvement process. • Recent county health data access.

3. East Central Kansas Public Health Coalition Core Team Members included Local Public Health Administrators and Community Partners from the counties of: Chase, Coffey, Franklin, Greenwood, Lyon, Morris, Osage, and Wabaunsee.

4. The Process Phase 1: Organizing a leadership team.

5. Select one member of the LHD staff. Must be able to commit to meetings and to demonstrate openness. Must have authority to make decisions for the organization. Must be willing to engage in the team building process.

6. Select a Community Partner • Using the jellybean diagram, community partners were selected from a variety of vocations, associations, and agencies. • Each county chose one core community member to join the leadership team.

7. Select a Community Health Assessment Model MAPP Identify potential partners – circle of involvement Define community

8. Establish Structure for Regional Work • Meeting times and location • Objectives for the work • Partner roles • Partner responsibilities

9. The Process Phase 2: Visioning Develop a vision statement

10. A Community that is sustainable and promotes a high quality of life.

11. Phase 3: The Four Assessments • Community Themes and Strengths • Community Health Status • Local Public Health System Assessment • Forces of Change

12. Asset Mapping Core Team compiled lists of assets and services. “What one thing would you miss if it weren’t available in the county?”

13. Quality of Life

14. Core indicators provide a snapshot of key measures of health status within the community. Core Indicators

15. National Public Health System Performance Standards Assessment The public health system encompasses all organizations within a community that address or provide services around health issues.

16. Forces of Change

17. Phase 4: Identify Strategic Issues

18. Oral Health Strategic planning led to the additional assessment of oral health issues and the impact on the health of the community.

19. Phase 5: Formulate Goals and Strategies

20. Phase 6: Action The Community Health Improvement Plan

21. Lessons Learned Barriers: Overcoming barriers: Regular bi-monthly meetings were conducted in a central location. Individual assessments were done at the county level, then we aggregated the data. We retained the assistance of KHI to analyze data. We selected an accreditation coordinator and prioritized the CHA/CHIP project. • Conference calls did not fully engage partners. • Regional involvement was very complex. • The large volume of collected data precluded meaningful analysis. • Preparation for the accreditation application complicated the focus on the CHA/CHIP process.

22. How Will We Move Forward? • Regional commitment to the accreditation process continues to dominate the group. • Some county partners do not engage in accreditation activities. They may have to decide to opt in or out of the accreditation process, but they will not be excluded from the regional organization. • Financing the accreditation application will be difficult as some counties do not have local board of health support for advancing to the accreditation application process.