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Clay-Platte County Needs
      Assessment:




     Clay County Public Health Center
             Jodee Fredrick
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
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
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.
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
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.
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
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!”
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.
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
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
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/

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Clay platte county needs assessment

  • 1. Clay-Platte County Needs Assessment: Clay County Public Health Center Jodee Fredrick
  • 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

  1. 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.
  2. Note – New focus on prevention rather than treatment and other health care services. – KPA #1
  3. 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”
  4. 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.
  5. NPHPSP - It defines the local public health system through its tool kits and “helpful hints” on who else needs to be at the table.
  6. 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.