North Country Health Improvement Planning Summit

1. North Country Health Improvement Planning Summit Addressing & Improving the Health of Our Communities Supported By: Jessie B. Cox Fund for Health of the New Hampshire Charitable Foundation Endowment for Health University of Wisconsin Population Health Institute Robert Wood Johnson Foundation

2. North Country Health Consortium • The North Country Health Consortium (NCHC) is a rural health network, created in 1997, as a vehicle for addressing common issues through collaboration among health and human service providers serving Northern New Hampshire. NCHC is engaged in activities for: • Solving common problems and facilitating regional solutions • Creating and facilitating services and programs to improve population health status • Health professional training, continuing education and management services to encourage sustainability of the health care infrastructure • Increasing capacity for local public health essential services • Increasing access to health care for underserved and uninsured residents of Northern NH

3. NCHC Member Organizations • 45th Parallel EMS • Ammonoosuc Community Health Services • Androscoggin Valley Home Care • Androscoggin Valley Hospital • Center for New Beginnings • City of Berlin, Public Health and Home Health Nursing • Coos County Family Health Services • Cottage Hospital • Dartmouth Medical School • Family Resource Center • Franklin Pierce Physician Assistant Program • Grafton County Human Services • Indian Stream Health Center • Jane MacKay • Littleton Regional Hospital • LRGHealthcare • Mid-State Health Center • Morrison Nursing Home • NH Catholic Charities • NH DHHS, Rural Health and Primary Care Section • North Country Home Health & Hospice • Northern Human Services • Personal Touch Home Care • Plymouth State University, Center for Rural Partnership • ServiceLink • Tri-County Community Action Program • Upper Connecticut Valley Hospital • Weeks Medical Center • White Mountains Community College

4. Welcome • Why We’re Here: • We’re here today because we know that when communities come together and collaborate we can move the North Country forward to a healthier place.

5. Overall Health • 18% of Coos County residents have poor to fair health • Statewide only 11% of residents have poor to fair health

6. Substance Abuse • The North Country has a highest number of per capita DUIs in the state. • The North Country has the highest number of per capita substance abuse-related emergency room visits in the state. • More than 40% of North Country High School students report drinking on one or more of the last 30 days.

7. Obesity • 29.4% of North Country residents are Obese • 39.4% of North Country residents are Overweight

8. You’re here today to begin the process of addressing these and other issues important to your community

9. Agenda 8:45am-9:30am County Health Rankings Presentation Julie Willems Van Dijk, RN, PhD 9:30am-10:15am Snapshot of New Hampshire’s Health Profile José T. Montero, MD, MPH 10:15am-10:30am Break 10:30am-11:15am Success Stories: “A Healthy Community –Together We Can” Mary Kushion, MSA 11:15am-12:00pm What We Heard from You How our communities have prioritized health factors 12:00pm-12:45pm Lunch 12:45pm-2:15pm Facilitated Breakout Sessions: How to make it work 2:15pm-2:30pm Break 2:30pm-3:15pm Putting it All Together and Next Steps Outcomes from strategy breakout sessions 3:15pm-3:30pm Evaluation and Wrap Up

10. Goals for the Day By the end of the day, participants will be able to: • Examine the major health issues facing the North Country and the Sate • Discuss ways other communities have chosen to address these issues • Evaluate the health issue(s) most affecting residents in your community • Identify strategies to address the issue or issues • Identify the next steps necessary to implement these strategies