Collection and analysis of Illinois Project for Local Assessment of Needs (IPLAN) of local health departments in the Northern Illinois region

1. IPLAN INDICATORS
PROJECT, 2012

2. PURPOSE AND OBJECTIVES
 Collect and analyze NIPHC members’ Illinois Project for Local
Assessment of Needs (IPLAN) documents.
 PART I:
 Identify leading health improvement priorities for the region.
 Identify a set of health indicators linked to leading health
priorities to be used in monitoring regional health status on
priority health issues.
 Outcome objectives; impact objectives
 PART II:
 Identify the range of strategies and objectives proposed for
health improvement in the region.
 Interventions/ strategies/ process objectives
 Identify areas for synergy in focus and strategy across LHDs in the
NIPHC region.
 Identify potential alignments across the region or potential areas for
coordination at a regional level.

3. PARTICIPATING LHD AND DOCUMENTS USED FOR ASSESSMENT
Local Health Department Documents used for Assessment
Chicago Department of Public Health CDPH's IPLAN, "The Chicago Plan for Public Health System Improvement 2012-2016," addresses
system issues.
Priority health concerns are identified and measured in "Healthy Chicago: Transforming the Health
of Our City" and therefore, Healthy Chicago was used for this analysis.
Cook County Department of Public "WePlan2015 : Suburban Cook County Community Health Assessment and Plan"
Health
DuPage County Health Department "IPLAN 2015; COMMUNITY HEALTH PLAN"
Grundy County Health Department "COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN 2011-2016"
Kane County Health Department "2012-2016 Kane County Community Health Improvement Plan" (currently in draft status)
IPLAN due in September, 2012.
Kendall County Health Department Community Health Improvement Plan 2016
Lake County Health Department Community Health Status Assessment (CHSA) in progress (currently in draft status) .
IPLAN due in September, 2012.
Information used in this assessment are draft and are currently in the process of ongoing
development by the LC MAPP Action Teams and MAPP Steering Committee
McHenry County Health Department "McHenry County Department of Health IPLAN 2012-2017"
Skokie Health Department Skokie HD is currently in the process of establishing priorities and actions.
IPLAN is due in September, 2012
Will County Health Department “Will County Community Needs Assessment and Strategic Plan” 2011 - 2015 Plan
Winnebago County Health "Rockford and Winnebago County, Healthy Community Strategic Plan (2011-2015)"
Department

4. HEALTH PRIORITIES FREQUENCY
Percent of Health Priorities (N = 60) by Category
Environment
2%
Violence
PHS 5%
5%
MCH
5% Access to Care
20%
Healthy Homes
5%
Chonic Diseases:
Health Equity Cancer
6% 10%
Behav. Hlth and Sub.
Abuse Chonic Diseases:
10% Cardiovascular
Obesity
8%
12%
Communicable /
Infectious Diseases
12%

5. HEALTH PRIORITIES BY LHD FREQUENCY
Number of Local Health Departments (N = 11)
by Category
Environment , 1
Violence , 3
Access to Care , 8
PHS , 3
MCH , 3
Chonic Diseases:
Cancer, 5
Healthy Homes , 3
Health Equity , 2
Chonic Diseases:
Cardiovascular, 5
Behav. Hlth and Sub.
Abuse , 6
Communicable / Obesity , 7
Infectious Diseases, 4

6. PART I: LEADING HEALTH PRIORITIES
 Focus:
 Access to Care
 Chronic Diseases
 Communicable / Infectious Diseases
 Obesity
 Identify leading health improvement goals for the
region.
 Identify a set of health indicators linked to leading
health priorities to be used in monitoring regional
health status on priority health issues.

7. FOCUS: TOP FOUR HEALTH PRIORITIES (37/60)
Approximately 62% of the total priorities identifies were
in the following categories:
 Access to Care (n=12)
 Chronic Diseases (n=11):
 Cancer (n=6)
 Cardiovascular Diseases (n=5)
 Communicable / Infectious Diseases (n=7)
 Obesity (n=7)

8. ACCESS TO CARE: COMMON GOALS
 Improve availability of access to medical home /
primary care services
(medical, dental, mental, social) as measured by
capacity
 Increase the number of primary care providers
who provide services to the uninsured and under-
insured

9. ACCESS TO CARE: POTENTIAL INDICATORS
 Percentage of persons that have a “regular” Primary
Care Provider.
 Percent of persons under age 65 years with health
(medical) insurance
 Percent of population that is Medicaid/Medicare
eligible
 Hospitalizations/ER visits for ambulatory care
sensitive conditions
 Persons able to obtain medical, dental and
prescription assistance.

10. CHRONIC DISEASES: COMMON GOALS
Reduce the burden of morbidity (i.e. disease
incidence) and premature mortality from
the major chronic diseases and related risk
factors:
 Heart/ cardiovascular disease
 Cancer (lung, prostate, colorectal, and breast)
 Tobacco use and exposure
 Obesity and sedentary lifestyle

11. CHRONIC DISEASES: POTENTIAL INDICATORS
 Heart disease death rate, per 100,000
 Coronary heart disease death rate, per 100,000
 Breast cancer death (female) rate, per 100,000
 Prevalence of obesity (BMI >=30)
 Prevalence of obesity in children
 Percent of women who receive a breast cancer
screening based on the most recent
guidelines, percent
 Percent of adults who receive a colorectal cancer
screening based on the most recent
guidelines, percent

12. COMMUNICABLE / INFECTIOUS DISEASES:
COMMON GOALS
Reduce the incidence rate of unintended pregnancies
Reduce the incidence of sexually transmitted infections
among teens (especially Chlamydia
trachomatis, HPV, HIV)

13. COMMUNICABLE / INFECTIOUS DISEASES:
POTENTIAL INDICATORS
 Incidence rate of Chlamydia trachomatis infections
in youth (15-19 years)
 Teen fertility rate (15-19 years)
 Youth engaging in risky sexual behaviors (need to
define) (e.g. condom use, alcohol and sex, intimate
partner violence/ bullying)

14. OBESITY: COMMON GOALS
 Reduce overweight and obesity in Children and
Adults
 Reduce the proportion adults who engage in no
leisure-time physical activity

15. OBESITY: POTENTIAL INDICATORS
 Percentage of adults with healthy weight and
BMI
 Percentage of adults that consume 5 or more
serving of fruits and vegetables
 Percentage of adults who engage in no leisure-
time physical activity
 Prevalence of obesity (BMI >=30)
 Prevalence of obesity in children

16. PART II:
INTERVENTIONS / STRATEGIES
 Focus:
 Access to Care
 Chronic Diseases
 Communicable / Infectious Diseases
 Obesity
 Identify the range of strategies and
objectives proposed for health
improvement in the region

17. POTENTIAL STRATEGIES AND
RECOMMENDATIONS
 Several potential strategies and recommendations
were proposed under each of the four priority
areas, for example:
 Access: Advocate for maintenance and full funding of the
PPACA to ensure expansion of Medicaid and establishment
of Health Insurance Exchanges so that more people have
insurance coverage
 Chronic Disease: Promote healthy vending in the
workplace by adopting healthy vending policies for all
public buildings
 Communicable/ Infectious Disease: Establish hospital
prevention collaborative focused on reducing or preventing
healthcare-associated infections
 Obesity: Create and launch an obesity prevention mass
media campaign and a campaign focused on students (such
as Drop the Pop or 5-4-3-2-1 Go!)

18. ACKNOWLEDGMENTS
 NIPHC Board and Staff
 LHD staff - IPLAN, Epidemiology, Other
 UIC SPH Student Epi Corps - Anh-Thu
Runez, Drs. Hershow, Dworkin, and Mehta
 Cook County Department of Public Health –
Dr. Steven Seweryn