2. Vision North 2000-2005 – The Past
Vision North 2000 Vision North 2005
Four Priority Areas – Added four NEW priority
• Quality child care. areas and kept those
• Dental care services from 2000
• Improved public • Affordable Housing
transportation system. • Health Care
• After -school and • The Arts
summer recreational • Recreation
programs
3. Summer 2010 – The present
A new Vision North steering Five Key
committee formed in the Performance
summer of 2010. Areas Identified
(KPAs):
They engaged the National Civic
League to facilitate a new 1. Community
strategic planning process to Wellness
assess current needs and 2. Education
challenges for the Northland 3. Economic
and to develop strategies and Development
action agendas for making a 4. Transportation
measurable impact on the and
Northland’s critical areas of Infrastructure
need.
5. Quality of Life
4. Local Public Health Agencies’
Role in VN 2010
• Three public health agencies provided “seed money”
and were part of the steering committee for this
initiative. Other stakeholders were also involved)
• All 3 public health agencies serving Clay-Platte
Counties provided representatives on the Community
Wellness KPA
• CCPHC provided one FTE to act as liaison to National
Civic League (facilitator) from summer of 2010 until
August 2011 when process was completed.
5. Comparison of Vision North Process and the of the
PHAB Domain 1, Standard 1
DOMAIN 1 - Standard 1 Vision North process
In a community assessment who Who was involved
contributed data or resources
Local Public Health Department(s) Clay Co. Public Health, Platte Co. Health, KCHD
University or Academics Park University, UMKC, Maple Woods Community College, 3
School Districts
Private consultant(s) National Civic League, other consultants within communities
Health/Hospital Systems Three Hospitals , Tri-County Mental Health
Managed Care organizations Northland Healthcare Access
Other public sector agencies Economic Development from several communities, Chambers
of Commerce, Banks, United Way,
Governmental entities Mid-America Regional Council, County Commissioners,
Mayors and City Planners, local Boards of Health
State level agency or organizations Local legislators
National Level Agency HHS
Community Based Organizations United Services CAA, Good Samaritan, Faith community
General Public Yes - several
6. VN 2010 Project Calendar
• 1-12-11 Stakeholder Session 1 – Orientation & visioning
• 1-26-11 Civic Index – Assessment of civic infrastructure
• 2-16-11 Community Scan – Assessment
• 3-02-11 Select Key Performance Areas – work groups
• 3-30-11 Mini-visioning for KPAs
• 4-20-11 KPA Reports on Assessment findings
• 5-11-11 Development of KPA Goals/Strategies
• 6-01-11 KPA Reports on Goals/Strategies
• 6/22/11 Implementation Strategy
• 7/13/11 Final KPA Reports
• Aug. 2011 Report of Vision North 2010-2015 released to
public.
7. Accreditation is all about the
Public Health System
Who is part of YOUR PH System?
• Take a look at the National Public Health
Performance Standards Program’s Model
Standards.
• Operational Definition of a Functional
Public Health
• PHAB Standards & Domains
All of these build off of the 10 Essential
Services of Public Health
8. Why does PHAB require all these
people to be involved in a Community
Assessment?
“The social determinants of health are the circumstances in which
people are born, grow up, live, work, and age, as well as the
systems put in place to deal with illness. These circumstances
are in turn shaped by a wider set of forces: economics, social
policies, and politics”….World Health Organization
Public Health has data on morbidity and mortality but we need to
focus on what is really going on with our communities and
address ALL the factors – not just behavioral risk factors to
produce a “healthier” community.
“Where you live matters to your health!”
9. Community Wellness is Local
Our communities know what’s wrong and when we work together we
can make it right. The good news is we can fix many of the
problems we face, and prevent these same problems from starting
in the first place. When we work together our public health
departments, health care providers, cities, schools, businesses,
and community-based organizations (the PH system) can
overcome even the most tenacious problems. We know that:
1. Chronic diseases adversely affecting the health of Northland
residents share common risk factors such as tobacco use,
smoking, unhealthy diet, physical inactivity, alcohol/substance
abuse & overweight/obesity.
2. Collaboration and integration is necessary as one agency CANNOT
do it alone.
3. Strong local public health system infrastructure is already in place
so why not take advantage by improving linkages
4. This approach is being used successfully all across the US – no
need to reinvent the wheel . We can learn from each other.
10. Tools Utilized
• Outside facilitator
• Data/Assessments
• Use of college students to conduct
focus groups
• Structured tools such as Civic Index
Survey
• People – runners, liaisons for KPAs,
scribes, KPA leaders
• Strategic Planning format
11. Barriers & Steps to Overcome
• Timing is critical – Plan 1 – 2 years ahead of
schedule for what you’re going to do
• Appoint cross-cutting Steering Committee
• Stakeholder identification
• Engage policy makers
• Hire outside facilitator
• Try very hard to NOT just focus on health –
look at “big” picture of social determinants
of health
• Funding – Contributing and In-Kind project
sponsors
12. What We Will Do Differently the
Next Time
• Start Earlier
• Tie Funding/Philanthropic
agencies in the mix
• Health Data - more targeted to
counties or communities not
region
http://www.visionnorth.org/
Notas del editor
Vision North Process started in 1999 as a 5 year process. Initiated by funding agencies who wanted to make sure they were funding the right projects – e.g. United Way and Northland Community Foundation.
Note – New focus on prevention rather than treatment and other health care services. – KPA #1
Clay & Platte Counties contain a total of 3 public health jurisdictions – Kansas City, Clay and Platte County health departments. But public health agencies cannot do it alone – it takes a “system”
A comprehensive needs assessments needs to involve the public health system. Not just local public health agencies. It helps you to engage others in helping to improve health outcomes and indicators but also reminds you that the social determinants of health have a huge impact on wellness.
NPHPSP - It defines the local public health system through its tool kits and “helpful hints” on who else needs to be at the table.
Because of scope and nature of the vastness of a health assessment – must plan 1-2 years ahead of Make sure health assessment data for your community are up to date PRIOR to the planning process.