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Data driven community health priorities: The community health improvement process in Kitsap County, Washington. Beth Lipton, DVM MPH CPH Siri Kushner, MPH CPH APHA, San Francisco, CA October 29, 2012. Presenter Disclosures. Beth Lipton Siri Kushner.
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Data driven community health priorities: The community health improvement process in Kitsap County, Washington Beth Lipton, DVM MPH CPH Siri Kushner, MPH CPH APHA, San Francisco, CA October 29, 2012
Presenter Disclosures Beth Lipton Siri Kushner (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: “No relationships to disclose”
At the end of this presentation you will be able to: Describe the data components of a community health improvement process Identify key epidemiological methods for community health assessment Discuss ways to ensure data drive decision-making related to community health priority setting
Kitsap County, Washington 2012 Population: 254,500 http://en.wikipedia.org/wiki/Kitsap_County,_Washington; WA State Office of Financial Management
PHAB Standards for CHA/CHIP http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf • Standard 1.1 Participate in or conduct a collaborative process resulting in a comprehensive Community Health Assessment • Describes the population served by public health • Accessible to agencies, organizations and the general public • Standard 5.2 Conduct a comprehensive planning process resulting in a Community Health Improvement Plan • Implementation in partnership with others • Monitor progress on implementation in collaboration with stakeholders and partners
PHAB* Standards and Measures *PHAB: Public Health Accreditation Board http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf ^MAPP: Mobilizing for Action through Planning and Partnerships http://www.naccho.org/topics/infrastructure/mapp/
Kitsap Community Health Priorities (KCHP) • Comprehensive community health improvement process initiated and led by public health, nonprofit hospital and United Way • socioeconomic, environmental and medical context • forum for collaboration/discussion on health and well-being • data repository • community-wide health priorities • plan for addressing and monitoring progress on health priorities http://www.naccho.org/topics/infrastructure/mapp/upload/MAPPfactsheet-systempartners.pdf
Qualitative Analysis SAMPLE POPULATION MEASURE THEMES QUOTES ANALYSIS TOOLS EXCEL SPSS TAGXEDO
Quantitative Analysis AGE SAMPLE POPULATION MEASURE PROPORTION POINT IN TIME GENDER MEAN TREND RATE COMPARISON EDUCATION SUB-COUNTY AREA INCOME ANALYSIS TOOLS CONFIDENCE INTERVALS EXCEL SPSS CHI-SQUARE CHAT* *CHAT Community Health Assessment Tool. Washington State Department of Health, Center for Health Statistics **Joinpoint Regression Program. http://surveillance.cancer.gov/joinpoint/ JOINPOINT**
Turning Data into Health Priorities • Audience • who should review the data? • Visual and verbal presentation • how should the data be presented? • Guidance on interpretation • what do the data tell us? • Priority setting • where should efforts be focused? • Action on priorities • how do the data continue to drive decisions?
Data and Evaluation Drive the Process Better Health • Update assessments and re-evaluate priorities • Measure and report progress
Questions? siri.kushner@kitsappublichealth.org beth.lipton@kitsappublichealth.org kitsapchp.com