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Using web technology to enhance telephone and on-site technical assistance for local MCAH jurisdictions in conducting Title V mandated community assessments: A complementary approach. Brianna Gass, MPH, Geraldine Oliva, MD, MPH, Suzanne Ezrre, BA, Nadia Thind, MPH, Judith A. Belfiori, MPH

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  1. Using web technology to enhance telephone and on-site technical assistance for local MCAH jurisdictions in conducting Title V mandated community assessments: A complementary approach Brianna Gass, MPH, Geraldine Oliva, MD, MPH, Suzanne Ezrre, BA, Nadia Thind, MPH, Judith A. Belfiori, MPH Family Health Outcomes Project

  2. Presentation Objectives • Describe FHOP’s work with CA LHJs • Describe the Title V planning process in California • Discuss purpose and structure of FHOP website • Demonstrate use of automated tools to assist with local Title V Needs Assessments • Discuss role of technical assistance in assisting local jurisdictions with the use of resources in completing their Needs Assessments fhop

  3. About FHOP • Part of the Department of Family and Community Medicine, UC San Francisco • Funded through a cooperative agreement with California DHHS Maternal, Child and Adolescent Health Branch • Supports Public Health core functions: Assessment, Policy Development, Assurance • 6 pronged strategy: trainings, on-site and telephone technical assistance, guidelines/data methods, automated tools, web accessible resources. fhop

  4. CA Title V Planning: Background • The state Title V MCAH agency requires that each local health jurisdiction (LHJ) perform a community assessment and develop a 5-year action plan • Results are summarized and incorporated into the State Title V 5-year plan • California has 61 LHJs with great diversity of population and geography fhop

  5. Requirements for Needs Assessment and Action Plan • Convene a planning group • Assess community health status, agency capacity, and community resources • Identify problems or issues emerging from the assessment • Prioritize identified problems • Perform in-depth analysis of priority problems • Develop implementation strategies • Develop a program logic model and evaluation measures fhop

  6. FHOP websitehttp://www.ucsf.edu/fhop/public_health_data/mch_resources/ • Provides a single location at which LHJs can access all the data and tools for Title V planning • Organization of pages allow for counties to easily locate desired resource • Resources include data tables for indicators, examples for each required product, blank templates for problem analysis and logic models, automated tools fhop

  7. Data Templates • EXCEL spreadsheets for simple analysis of indicator data • Provide comparison to benchmarks, such as the California or U.S. values or Healthy People 2010 Objectives • Perform several statistical tests for state comparisons • Generate graphic of values over time • Separate template for risk analysis fhop

  8. TA Requests - general findings • FHOP fielded 316 technical assistance calls, many of which related to very basic technical issues in using the web resources • 29 calls for help locating data or other resources on website • 12 calls for help importing files/data into EpiBC vs 2 calls for assistance in creating custom maps, charts, or tables. • Other common questions include: unzipping data files, basic use of excel, how to download resources from website fhop

  9. TA requests: data templates Of 44 calls regarding data templates: • 6 were questions about which denominators to use • 15 were for basic assistance using the templates, or which template to use • 13 were for assistance interpreting completed templates 4 out of 5 site visits purposes were to review data and help with its interpretation fhop

  10. TA requests: higher level data analysis • Requests for sub-county data on indicators. FHOP staff assisted with using the US Census Bureau web site to generate zip code/census tract level data • Applying alternative tests of statistical significance where confidence intervals are wide e.g. for small area analysis or counties with fewer residents • Alternative approaches to assessment where numbers are too small for quantitative methods. Provided means of supplementing data with qualitative information fhop

  11. Benefits of complementary approach • Resources available are accessed and properly used by local jurisdictions • FHOP builds relationships by answering simple questions, local MCAH staff become more comfortable asking for help throughout the process • Use of resources facilitates process of Title V planning and enhances consistency of data reporting in local Needs Assessments fhop

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