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Housekeeping

Housekeeping. Your Participation. Join Audio: Choose Telephone and dial in using the information provided. All participants will be muted during the presentation. Questions/Comments: Submit questions and comments via the Questions Panel at any time during the webinar.

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Housekeeping

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  1. Housekeeping Your Participation • Join Audio: • Choose Telephone and dial in using the information provided. All participants will be muted during the presentation. • Questions/Comments: • Submit questions and comments via the Questions Panel at any time during the webinar. • Questions and comments will be addressed during the Q&A Session. • Note: Today’s presentation is being recorded and will be shared.

  2. Welcome to the PHAB Webinar Population Health: Making It RealMay 1, 2019Sponsored by PHAB for Accredited Health Departments

  3. Learning Objectives for Today’s Webinar At the end of this webinar, participants will be able to: • Describe the PHAB reaccreditation requirement for population health outcomes reporting • Identify strategies used by two health departments in selecting and tracking population health outcomes

  4. Overview of Population Health Outcomes Reporting Requirement

  5. Why? • Build national database of health outcomes • Document accreditation’s contribution to better health outcomes • Encourage systematic tracking and use of data

  6. What is the framework? 7 Broad Areas from David Kindig’s model for population health • Mortality • Health Related Quality Of Life • Preventive Health Care • Individual Behavior • Social Environment • Physical Environment • Genetics Topics under each area http://www.improvingpopulationhealth.org/blog/what-is-population-health.html

  7. What is the requirement? Required to submit as part of documentation submission for reaccreditation • Check all the topics the health department is tracking • Provide details for 5-10 objectives NOTE: • No assessment of the outcomes • Not reported to the Accreditation Committee • No influence on the decision

  8. What is the requirement?

  9. What details need to be reported?

  10. What comes next? Health departments will report on population health outcomes in Annual Reports • Will be able to add/delete objectives, but strive for continuity • In addition to updating data, will have the opportunity to tell the story about one objective • Activities and if/how led to progress • Challenges • Proximate measures to track progress • Will be reviewed only for completing the requirement

  11. What Have We Learned So Far? (Broad Areas) 22 Health Departments have submitted population health outcomes • Of the 1,040 topic areas being tracked: • 21% - Health related quality of life • 19% - Individual behavior • 17% - Social Environment • 17% - Preventive Health Care • 15% - Mortality • 10% - Physical Environment

  12. What Have We Learned So Far? (Topics) • Most Common Topic Areas to Track • Tobacco use • Poverty • Sexually acquired infections/sexually transmitted diseases • Most Common Topic Areas to Report • Tobacco use • Addiction and other substance use-related mortality • Infant mortality • Suicide

  13. What Tips Does PHAB Have? • Check all appropriate “Data being tracked” boxes • Select the closest Broad Area and Topic • Can add topics • Health Related Quality of Life = prevalence • Report objectives for a broad population – not clients served by the health department • Can focus on subpopulation (e.g., race, gender, age, disability status, etc.) • Use meaningful benchmarks & targets • In your benchmark, include other jurisdictions for which comparisons make sense • Targets should reflect where the community wants to be • Unless the community is striving to maintain the status quo, preferable not to have already exceeded the targets

  14. Where Additional Information Is Available? • Guide to National Public Health Department Reaccreditation • Pages 66-71 • Accredited HD Resources • Updated list of Topics • Worksheet • Webinars • Contact your AS for assistance

  15. Population Health Outcomes: Making it Real Columbus Public Health Michelle L. Groux, MPH Office of Epidemiology Population Health April 2019

  16. Annual Update of Key Indicators

  17. Selecting Population Health Outcomes

  18. Data and Community Driven Data Meaningful, relevant, & actionable. • Indicator provides information valuable for community members to understand important aspects of their quality of life. • Indicator offers a sense of direction for additional research, planning and action toward positive community changes and a means of assessing progress. Community Two partnership forums which included partners from public health, health care systems, insurers, community service agencies, employers and residents. • The first forum involved discussions around data to be included in the Community Health Assessment, community themes and strengths, and community forces of change. • During the second forum, participants worked through a facilitated process, considering both data from the CHA and knowledge of community will, to select community health priority areas and indicators to monitor progress.

  19. Selecting Outcomes Note: this slide added after the recorded webinar.

  20. Selecting Indicators Meaningful, relevant, & actionable. • County level: County data is available • State level: State data is available • Source Integrity and data quality: Data are reliable, accurate and timely; response rates and sample sizes are adequate if survey data Preferences: • Demographic Breakouts: Sex, Age, Race/Ethnicity • Sub-county level: data are available at the neighborhood/ZIP code level where possible • Benchmarks: benchmark values have been established for the metric by a reputable national organization (e.g., HealthyPeople 2020) • Trend: trend data is available (long term yearly – 5-10 years) • Alignment: with Ohio Department of Health SHIP

  21. Strategy Grid

  22. CHIP Priorities

  23. Priority Outcome Indicators

  24. Key Community Health Indicators

  25. PHAB Submitted Outcomes

  26. Moving from Data to Action

  27. Mental Health and Addiction • Columbus and Franklin County Addiction Plan • The Columbus and Franklin County Addiction Plan, led by Columbus Public Heath, is a collaborative plan created with the input of stakeholders from across Franklin County to address the opiate epidemic. Development of the work plan was led by the ADAMH Board with support from the Columbus City Mayor’s Office and the Franklin County Commissioners.   • Harm Reduction Program • Columbus Public Health, in collaboration with other community partners, has launched a comprehensive Harm Reduction Program to lessen the impact of addiction to heroin and other opiates. • Opiate Crisis Surveillance • Quarterly and weekly reports have been created to provide snapshots of the most up-to-date data on drug overdose treatment and infectious disease in Franklin County.

  28. Chronic Disease Chronic Disease Prevention Advisory Board The Chronic Disease Prevention Advisory Board (CDPAB), lead by Columbus Public Health, is a long-standing coalition serving greater Columbus with a common agenda to support policies, funding/sustainability, and programmatic initiatives that increase opportunities for physical activity, healthy eating, and smoke/tobacco-free living through cross-sector collaboration. Tobacco 21 Columbus City Council passed a new ordinance that prevents the sale of tobacco products to youth under 21 years of age. Columbus Public Health now has the authority to regulate tobacco retailers by licensing and enforcing civil fines associated with Tobacco 21. The Tobacco 21 law is in effect now, but will not be enforced until October 1, 2017. Local Food Action Plan In 2014, the Columbus-Franklin County Local Food Action Plan, a community effort to create a stronger, more sustainable local food system, was launched. The Plan provides a framework of common goals and actions that unify residents, schools, community organizations, businesses and local government in supporting a healthy, strong and resilient local food system.

  29. Maternal and Infant Health CelebrateOne To address the differences among infants’ opportunity to survive and thrive in Franklin County, the Mayor of the City of Columbus, along with other public and private partners including Columbus Public Health, established a collective impact initiative, CelebrateOne, to strategically reduce infant mortality and the disparities that drive adverse birth outcomes. CelebrateOne leads clinical, social and community driven interventions to improve the health and quality of life of women, babies and families. Infant Mortality and Birth Surveillance Monthly and quarterly indicator summaries track preterm births, low birth weight births and sleep related infant deaths. These reports are used to measure our progress and adjust our programming.

  30. Lessons?

  31. Challenges • Improved PHAB guidance is needed. • Benchmarking local data can be difficult. • Setting local targets can be challenging in the absence of comparable national or state values. • Political/Community will, as well as, funding can impact the availability of data.

  32. Michelle L. Groux, M.P.H. Supervisor Office of Epidemiology Population health 614.645.6773 mgroux@columbus.gov _______________________________ Columbus Public Health240 Parsons Ave, Columbus, OH 43215 www.publichealth.columbus.gov GREATER COLUMBUS COMMUNITY HEALTH IMPROVEMENT PLAN https://www.columbus.gov/publichealth/programs/Community-Health-Planning/CHIP/

  33. CDPH’s Application of the Population Health Outcomes Reporting Framework for Reaccreditation Kirsti Bocskay, PhD, MPH Director of Performance Improvement May 1, 2019

  34. CDPH’s Process

  35. Population Health Framework

  36. Healthy Chicago 2.0 TEN PRIORITY ACTION AREAS Expanding partnerships and community engagement Improving social, economic and community conditions Improving education Increasing access to health care and human services Promoting behavioral health Strengthening child and adolescent health Preventing and controlling chronic disease Preventing infectious diseases Reducing violence Utilizing and maximizing data and research 82 INDICATORS

  37. Aligning Framework and Healthy Chicago 2.0 FRAMEWORK Mortality • Addiction and other substance use-related mortality • Homicides and violence mortality • Time lost to premature death (years of potential life lost) Health Related Quality of Life • AIDS • Obesity • Self-reported poor health status Preventive Health Care • Access to health insurance • Preventable hospitalization rate Individual Behavior • Smokeless tobacco use • Tobacco use Physical Environment • Access to public transportation • Community walkability/bikeability HEALTHY CHICAGO 2.0 Overarching • Overall health status • Life expectancy • Preventable hospitalizations • Obesity Access • No health insurance Built Environment, Economic Development, Housing • Active transportation Behavioral Health • Opiate overdose Chronic Disease • Smoking Infectious Disease • HIV incidence Violence • Gun-related homicides

  38. CDPH Population Health Outcome Objectives

  39. Examples

  40. Increase active transportation to work • Strategies from Healthy Chicago 2.0 • Continue implementation of Chicago’s Pedestrian Plan and institutionalize Chicago’s Complete Streets Policy and CDOT’s Pedestrian First modal hierarchy by prioritizing pedestrians in the planning, design, operations and maintenance of the built environment • Continue to implement the Streets for Cycling Plan 2020, Chicago’s bikeway network plan, and adopt an updated, policy-based, citywide bike plan that includes equity, health and economic development • Foster partnerships between bike share and public health providers to identify local needs and health inequities in support of equitable planning and increased use of the Divvy program • Improve the public transit system by investing in CTA and Metra commuter railroad modernization that ensures full accessibility for riders of all ages and abilities • Examine ways to encourage and fund development near transit that includes mixed land use

  41. Decrease tobacco use among youth • Strategies from Healthy Chicago 2.0 • Prohibiting: • The sale of tobacco products to people under age 21. • Price discounting and coupon redemption for tobacco products by retailers. • Prohibiting the use of smokeless tobacco at baseball stadiums. • Regulating: • The sale of flavored tobacco products, including menthol, within 500 feet of high schools. • E-cigarettes, including prohibiting their sale to minors, moving them behind the counter in stores, prohibiting e-cigarettes wherever cigarettes are banned and requiring dealers to be licensed. • Increasing: • The cost by raising the cigarette tax by 50 cents and establishing a tax on e-cigarette liquid. • Fines for illegal tobacco sales to those who sell untaxed cigarettes or tobacco products to minors. • Expanding Chicago’s smoke-free environments to include all parks, beaches and numerous college campuses. • Launching a series of public education campaigns focused on the products and marketing tactics that the tobacco industry uses to hook young people, which have featured menthol, flavored tobacco and e-cigarettes. • Investing in local cessation resources to help young adults and others who want to quit.

  42. Tips for selecting outcomes to report on • Crosswalk Framework with your department’s objectives/indicators/measures that are already being utilized (e.g., CHA, CHIP, Strategic Plan, etc.) • Get multiple points of view for what to include, not just the Accreditation Coordinator or Health Department Director • Choose data that is reliable and available regularly • Make your selection early in the reaccreditation process (it is an easy thing to cross off your list) • Pick an objective/indicator/measure from each broad category

  43. QUESTIONS?

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