A Healthy P lace to Live, Learn, Work and Play

1. A Healthy Place to Live, Learn, Work and Play Understanding Community Health Improvement Processes

2. Outline Definition of Community Health Improvement Processes Key Principles What Makes a Community Healthy How a Community Can Become Healthier Best Practices by Phase Getting Started

3. Definition Community Health Improvement Processes: • Working intentionally, strategically and collaboratively at the local level to improve the health of the community • All-encompassing concept which incorporates: • CHIP & CHA (public health) • CHIPP (public health in Wisconsin) • CHNA (hospitals) • All with similar steps • All with the same goal: to make the community a healthy place to live, learn, work and play

4. Benefits Increase effectiveness of efforts through collaboration Reduce duplication of efforts in the community Increase community engagement and awareness around health issues Improve health of community Reduce health care costs (and indirect costs such as lower productivity and absenteeism) Build the community’s infrastructure

5. Key Principles Use best practices in community health improvement Actively engage all stakeholders to make it a community-driven process Focus on the underlying forces that influence health outcomes Pay attention to health disparities among groups Move energetically from data into action Use evidence-informed strategies Include policy- and systems-based strategies

6. What Makes a Community Healthy?

7. What Makes a Community Healthy?

8. Health Disparities • Health disparities = the differences between groups in their health status • Be sure to examine disparities in the health factors in your community • Health Equity = striving for the best health for all • Need to address disparities in order to achieve health equity

9. How a Community Can Become Healthier

10. Collaborate with Key Stakeholders Steps to include: • Assure collaborative leadership/sponsorship from all core partners • Assure broad involvement of community representatives throughout the process • Be sure to engage community partners from under-represented groups • Engage new partners as necessary after priority topics are chosen

11. Collaborate with Key Stakeholders Benefits of collaboration: • Gives a more thorough picture of the often complex health needs • Brings resources and perspectives that may be critical to ensure your success • Shared ownership leads to shared responsibility for addressing the issues • Makes for a more focused effort when all are working in one direction together

12. Engage the Community • Include broad participation from the community throughout the process • In particular: • Seek input on community needs and assets • Seek input on the preliminary list of priority topics • Seek commitment to support implementation • Be sure to engage: • Those affected by the issues being addressed • Under-represented or underserved populations

13. Assess Needs & Resources • Collect and analyze community health data • Include data to analyze health disparities • Examine data on the underlying determinants of health • Consider issues and themes identified by the stakeholders and the community • Identify community assets and resources • Get input from community members on health issues and assets

14. Prioritize Strategic Issues • Identify a set of priority community health issues to address • Use a set of criteria for considering priorities • Choose a manageable number of priorities • Use a skilled facilitator • Align the local health improvement plan with state and national priorities • Summarize and disseminate the results of the assessment to the community

15. Action Plan for Impact • Engage partners to plan and implement strategies • Choose effective (evidence-informed) strategies • Have multi-level approaches to change, including policy approaches • Develop a detailed action plan

16. Implement Strategies • Develop an effective organizational structure • Secure needed resources • Use a workplan to organize the steps and actively track progress • Assign accountabilities and reporting processes • Provide ongoing updates to the community • Celebrate successes

17. Evaluate Efforts • Design an evaluation plan at the beginning of the implementation process • Evaluate and monitor the process and the outcomes/indicators • Revise the action plan based on evaluation results • Continually assess and address stakeholder involvement

18. Getting Started • Understand each other’s mission, purpose and requirements • Create a shared vision and goals. • Form an organizational structure that will work for your community • Determine clear roles and responsibilities and levels of authority • Establish protocols for decision making and conflict resolution • Create a communications plan • Secure resources needed to begin • Learn the best practices for community health improvement • Draft a timeline for the steps in your process Association for Community Health Improvement

19. Key Resources • Wisconsin Guidebook on Improving the Health of Local Communities • Healthiest Wisconsin 2020 • Healthy People 2020 • What Works for Health • National Prevention Strategy • County Health Rankings and Roadmaps

20. A Healthy Place to Live, Learn, Work and Play: Understanding Community Health Improvement Processes v 1.0 6/2012 [Final Version due Spring 2014] Wisconsin CHIPP Infrastructure Improvement Project http://www.walhdab.org/CHIPPInfrastructure.htm