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CHANGE: Using Data Strategically. Jay Daniels, MPH Healthy Communities Consultant SC Dept of Health and Environmental Control 2011 Preventive Health and Health Services Block Grant Summit Presentation created by Shannon Griffin-Blake, Ph.D. Ann Ussery-Hall,MPH.
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CHANGE: Using Data Strategically Jay Daniels, MPH Healthy Communities Consultant SC Dept of Health and Environmental Control 2011 Preventive Health and Health Services Block Grant Summit Presentation created by Shannon Griffin-Blake, Ph.D. Ann Ussery-Hall,MPH
Community Health Assessment aNd Group Evaluation (CHANGE) • Background– Policy, Systems and Environmental (PSE) changes • Community Health Assessment aNd Group Evaluation (CHANGE) • Purpose • Overview • Methods • CHANGEPlanning Tool • How to use data • Strategic dialogue
Why Policy, Systems, & Environmental (PSE) Change Strategies? • Want to see community-level change • More sustainable • Make the healthy choice, the easy choice! • Considered best practice by the CDC
“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change.”-Smedly and Syme (2000) Institute of Medicine Quote
What is PSE? The policies, systems, and environments around us, including our communities, worksites, transportation systems, schools, faith-based organizations, and health care settings shape the pattern of our lives and our health. Changing PSE helps make healthy choices easy, safe, and affordable can improve community health. Some examples of PSE that can impact diabetes include: attractive sidewalks, trails, bike lanes, farmers markets, school gardens, healthy vending options, tobacco-free worksites, etc. http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/policy/index.htm
Iodination of salt Fluoridation of water
CHANGE CHANGE Tool Purpose(s): • Capture current snapshot of the community • Group activity/consensus building
CHANGE: Overview • Walks communities through assessment process • Provides a snapshot of policy, systems and environmental change strategies (‘assets’ and ‘needs’) • Frame and understand the current status of community health • Allows communities to track progress across a 5-point scale so incremental changes can be noted
CHANGE: Key Benefits • Allows local stakeholders to work together in a collaborative process to survey their community • Offers suggestions and examples of policy and environmental change strategies • Provides feedback for communities as they institute change to support healthy living
Emerging Vision Setting Priorities (Community Action Plan) >>>>>> >>>>>> Existing Initiatives Local Trends Community Assessment CHANGE Tool QUOTE: If you are going to climb, you’ve got to grab the branches, not the blossoms. -ANON
Who Completes CHANGE? Coalitions with broad participation from community leaders:
CHANGE Tool 5 Sectors: • Community-At-Large: Includes community-wide efforts that impact the social and built environments; such as food access, walkability or bikeability, smoking bans, and personal safety. • School: Includes all primary and secondary learning institutions (e.g., elementary, middle and high schools, whether private, public, or parochial). • Worksite: Includes places of employment; such as private offices, restaurants, retail establishments, or government offices. • Healthcare: Includes places people go to receive preventive care or treatment, or emergency health care services; such as hospitals, private doctors’ offices, or community clinics. • Community Institution/Organization (CIO): Includes entities within the community that provide a broad range of human services and access to facilities, such as childcare settings, faith-based organizations, senior centers, boys and girls clubs, and colleges/universities.
CHANGE Tool Modules: • Demographics, • Physical Activity, • Nutrition, • Tobacco Use, • Chronic Disease Management, Leadership, & • After-School* *Note: School sector only
Other Potential Sources of Community Info Methods: Interviews, focus groups, town halls, informal dialogue, brainstorming sessions • Hear community voices • Build community ownership • Identify key resources • Build feedback loops
Other Potential Sources of Community Info Community Audit/Observation • Windshield tour/survey • Walkability audit • Pedestrian safety • Alternative routes • Environmental checklist • Health messages • Ergonomics/safety • Food security Resource: http://www.cdc.gov/DHDSP/library/seh_handbook/
Strengths/Resources Areas for Improvements
Jay Daniels, MPHSCDHECHealthy Communities Programdanielje@dhec.sc.gov803-545-4486