Montgomery County Community Health Improvement Process Launch

1. Montgomery County Community Health Improvement Process Launch June 25, 2009 ~ Universities at Shady Grove, University of Maryland

2. GOALS OF CHIP • Improve access to needed health services • Reduce health-related disparities

4. Key Findings from the Local Public Health System Performance Assessment Report Colleen Ryan Smith, Senior Epidemiologist Department of Health & Human Services

5. What is the Local Public Health Systems Performance Assessment? … A standardized tool to assess how well organizations that contribute to the health and well-being of the community conduct the primary activities related to the 10 Essential Public Health Services. - Local Public Health System Performance Assessment Instrument, Version 2.0 LOCALPUBLIC HEALTHSYSTEM ASSESSMENT = + 10 ESSENTIALPUBLIC HEALTHSERVICES ORGANIZATIONS IN COMMUNITY http://www.cdc.gov/od/ocphp/nphpsp/essentialphservices.htm http://www.cdc.gov/od/ocphp/nphpsp/TheInstruments.htm http://www.freewebs.com/healthymontgomerycounty/

6. Who is part of our local public health system? “…all Montgomery County organizations directly or indirectly providing essential public health services to county residents, including academic institutions, businesses, community nonprofits, foundations, health care institutions, government agencies, religious and fraternal organizations, schools and many others.” - 2008 Montgomery County Local Public Health Assessment Report of Results

7. What are the 10 Essential Public Health Services? • Monitor health status • Diagnose and investigate • Inform, educate, and empower • Mobilize community partnerships • Develop policies and plans • Enforce laws and regulations • Link people to needed services / assure care • Assure a competent workforce • Evaluate health services • Research - National Public Health Performance Standards Program, Orientation to the Essential Public Health Services. (http://www.cdc.gov/od/ocphp/nphpsp/Documents/Essential%20Services%20Presentation.ppt)

8. One full-day retreat ~80+ Participants 5 Workgroups met to assess 2 of the 10 EPHS In total, 30 standards were evaluated and scored by participants Results from retreat were entered into NPHPSP LPHSA website for scoring Scores were provided back to DHHS Scores and participant input were combined to produce the 2008 Report of Key Findings How was the LPHSA conducted?

9. Successes Successes Challenges Challenges Add ‘em Together = CHIP So, how did we do? • Diagnose and investigate • Enforce laws and regulations • Assure a competent workforce • Link people to needed services/assure care • Research • Inform, educate, and empower • Monitor health status • Develop policies and plans • Mobilize community partnerships • Evaluate health services • 77 % • 68 % • 59 % • 55 % • 55 % • 50 % • 45 % • 45 % • 42 % • 42 %

10. Resources Culture of collaboration Legal authority Strong surveillance systems Strong emergency preparedness and response capabilities Education and training opportunities for professionals Strengths Highlighted in LPHSA Process

11. Community health improvement process Monitoring and Evaluation Data gaps on vulnerable populations Lack of integration between public health and social services organizations and agencies Information technology (IT) capabilities Public and policymaker awareness of essential public health services Gaps in resource directories/ inventories Areas for Improvement from the LPHSA Process

12. Community health improvement process Monitoring and Evaluation Data gaps on vulnerable populations Lack of integration between public health and social services organizations and agencies Information technology (IT) capabilities Public and policymaker awareness of essential public health services Gaps in resource directories/ inventories Can CHIP Address Some of Our Challenges?        but… CHIP first needs to identify all gaps … partially… by providing an environment that encourages partnerships and collaboration… partially… by supporting electronic health records & increased IT capacity

13. Questions?

15. CHIP OverviewSteps in the CHIP Cycle Jennifer Pelletier, Research Associate The Urban Institute

16. What is CHIP? Community Health Improvement Process

17. Phase 1:Pre-Assessment Conduct Environmental Scan Inventory Community Health Needs Assessment Information Describe County Health Care Services & Resources Phase 2: Conduct Comprehensive Community Health Needs Assessment Phases 3 & 4: Set Priorities, Strategies, and Action Agenda Develop & Implement Priority-Setting Process Set an Action Agenda Develop On-going Evaluation & Surveillance System

18. Who is CHIP? Work Groups Steering Committee CHIP Project Team Technical Assistance

19. Phase 1: Pre-Assessment What: Environmental Scan Community Health Needs Assessments County Health Care Services & Resources

22. Phase 1: Pre-Assessment What: Environmental Scan Community Health Needs Assessments County Health Care Services & Resources Who: Content and vision from YOU, the community; technical assistance from the Urban Institute and the CHIP Project Team How: Tell us what you know Tell us what you want from a data repository

23. Phase 2: Community Health Needs Assessment What: Report identifying strengths & gaps in meeting County’s health needs Who: Content and vision from YOU, the community; technical assistance from the Urban Institute and the CHIP Project Team How: Choose indicators to be included Define process to identify strengths & gaps

24. Examples of Health Needs Assessments

25. Phase 3 : Set Priorities, Strategies and Action Agenda What: Priority-Setting Process Action Agenda Who: YOU!

27. Criteria for Setting Priorities in Action: Oneida County, NY Is it a risk? Do others in the community care about it? Is there something we can do? How much will it cost? Is someone else already responsible for/taking action? http://www.naccho.org/toolbox/tool.cfm?id=1377

29. Phase 3 : Set Priorities, Strategies and Action Agenda What: Priority-Setting Process Action Agenda Who: YOU! How: Focus groups and town hall meetings to identify priority issues Make a plan and take action!

30. Phase 4: Lather, Rinse, and Repeat! What: Ongoing evaluation and surveillance Informing and preparing for next iteration Who: YOU! How: Continued meetings of Work Groups, Steering Committee Periodic Health Needs Assessments

31. Questions?

33. Are You Up to the Challenge?How You Will Make CHIP a Success Dr. Ulder J. Tillman, Health Officer Department of Health and Human Services

34. What CHIP Can Do for You • Provide more current and comprehensive data and information for short- and long-term planning • Help you design and monitor performance measures for the services that you provide • Provide a forum for you to interact and partner with organizations that provide health and health-related services in Montgomery County

35. What CHIP Can Do for You (cont.) • Provide an opportunity for your organization to participate in: • Identifying health service access needs and disparities in health status in the County • Setting priorities for CHIP to address these needs • Developing action plans to address the priorities • Monitoring progress

36. What You Can Do For CHIP • Tell us what data you have that you can share with CHIP • Give us copies of • Needs assessments • Performance reports • Evaluation reports

37. What You Can Do For CHIP (cont.) • Participate in a CHIP work group • Help us identify additional organizations and communities to participate in CHIP • Help us identify resources to support CHIP • Funding • Volunteer personnel • Meeting space

38. CHIP Commitment Card • On the frontof the card, tell us what you and your organization can do to help CHIP • On the back of the card, tell us what CHIP can do to help your organization

39. Questions?

41. Wrap Up Ruth Martin, Senior Health Planner Department of Health and Human Services

42. We’ve Only Just Begun • Meetings • Interviews • Requests for data • Monthly newsletter

43. How to Contact Us • E-mail: CHIP@montgomerycountymd.gov • Phone: • Colleen Ryan-Smith: 240-777-3904 • Ruth Martin: 240-777-1704