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Grant County
Health District
A Collaborative Approach to
Assessing Community Health
Needs and Improving
Population Health
Coalition for Children and Families of NCW
Key Initiatives at Community Choice
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Concluding WIREC & Beacon
Health Benefit Exchange IPA Contract
SHIBA – Medicare Benefits
HCA-Health Home Contract…care coordination
Chronic Disease Self-Mgt. courses
Community Health Needs Assessments
Facilitating ongoing regional collaboration and
innovations
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Overview…Agenda (see “CHNA Work” at CC website)
I.
Welcome and introductions
(Jesus Hernandez)
II.
Overview of SIM Initiative and other ACA initiatives as background and context (Discussion)
a. SIM Initiative and Washington SHCIP PPT
b. The Road to Affordable Care PPT
c.
III.
An Honest Conversation about Cost Drivers PPT
Review of CHNA work in progress and alignment with SIM Initiative
a. Data gathering and data report
(Jesus Hernandez)
b. Analysis and interpretation of data reaction/discussion
(Everyone)
IV.
Review "red flag" Health Issues & disparities identified by CHNA data report
V.
Initial observations/analysis of key Health Issues & Health Disparities (Jesus Hernandez)
VI.
Review potential alignment of CHNA Strategic Plan Development w SIM focus (Everyone)
a. Community Based Strategies PPT (Jesus Hernandez)
b. Confluence Vision (Dr. Peter Rutherford)??
c.
RSN Role and Vision?? (Tamara)??
d. Orgs. with key roles: RSNs, AAAs, Housing Authority, Schools, public health, other
VII.
Next steps of CHNA work: initial partnerships, completion of report, feedback (Everyone)
VIII.
Discussion on our regions readiness to respond to SIM opportunity (Everyone)
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CHNA Outline
EXECUTIVE SUMMARY
I.
INTRODUCTION ………………………………………………………………………………..…… 1
BACKGROUND …………………………………………………………………………………..….. #
COMMUNITY HEALTH NEEDS ASSESSMENT POPULATION …………………………..…… #
NORTH CENTRAL WASHINGTON CONTIES DEMOGRAPHICS …………………………..… #
II.
ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS ………………… #
III.
DEFINING THE PURPOSE AND SCOPE ……………………………………………………..….. #
IV.
DATA COLLECTION AND ANALYSIS …………………………………………………….....…… #
A.
DESCRIPTION OF PROCESS AND METHODS USED …………………………….…..….. #
B.
DESCRIPTION OF DATA SOURCES ………………………………………………….…..…. #
C.
DESCRIPTION OF DATA LIMITATIONS AND GAPS …………………………..….……..… #
V.
IDENTIFICATION AND PRIORITIZATION OF NEEDS ………………………………...…….… #
VI.
DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED ………………….….. #
ACCESS TO CARE …………………………………………………………..…..…. #
MENTAL HEALTH …………………………………………………….…#
OBESITY/NUTRITION ……………………………………………………………………...….… #
PRE-CONCEPTUAL AND PERINATAL HEALTH ……………………………………….….… #
FIVE …………………………………………………………………………………………….….….. #
VII.
DESCRIPTION OF RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS … #
VIII.
DOCUMENTING AND COMMUNICATING RESULTS …………………………………...….…. #
IX.
PLANNING FOR ACTION AND MONITORING PROGRESS …………………………...….….. #
X.
APPENDICES ………………………………………………………………………………..…….… #
APPENDIX 1. IMPLEMENTATION PLAN ……………………………………………….….….… #
APPENDIX 2. QUALITATIVE DATA SOURCES …………………………………………..….… #
APPENDIX 3. DIRECTORY OF HEALTH COALITIONS IN NCW COUNTIES …….….….…. #
XI.
REFERENCES ……………………………………………………………………………….……… #
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What’s a Community Health Needs Assessment
Enacted by HB 2341 and added to RCW 70.41
Major Components
• Complete the factual CHNAdata gathering, prioritization,
interpretation of data
• Implementation Strategy
Development and
Implementation-leveraging
assets around priorities,
community partnerships
• Tracking Community BenefitTrack, quantify and report
• Adopt, submit to IRS and
publicize widely
• Final: Exec. Summary/Report
CHNA Ongoing Activities
• Tracking and reporting on
changes in each indicator
• Tracking of investments in
$s and T&E in community
health
• An effective framework of
partnerships and
collaboration with entities
that working with each
respective indicator(s)
• Reports to constituent
boards, governing bodies
and current public website
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What the data shows
Areas of Concern/Disparities
Community assets, resources
• Access - # of uninsured and
access to P-care, dental care
• Mental Health – Depression,
suicides, overuse of ED and
judicial system
• Obesity/Nutrition-diabetes,
stroke, cardiovascular
diseases
• Pre-conceptual & Perinatal
care -Teen pregnancy, low bweight, infant mortality
• Other
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IPAN-get people H-coverage
System navigation
Local focus on ACEs
Coalition partners
– Parenting education in C/D
– Less tabacco use in C/D (ex: Okan)
• Farmers mkts, better
nutrition in schools
• Children’s village
• Collaborative problem
solving
• Other
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Review Support Data on Focus Areas
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Observations about data limitations?
Gaps in this data?
Other sources of data we should consider?
Tribal health population questions/concerns?
Other disparities?
Qualitative data gathering (focus groups)?
Complete data report on website:
www.communitychoice.us under CHNA Work
• Email me observations in next two weeks
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Initial Comparison/Alignment of
Health Topics/Current Initiatives
Current Local/Regional Initiatives
• Diabetes Collaborative
• Hypertension
• Cardiac Conditions
• Stroke Collaborative
• Opioid abuse effort
• Other?
CHNA Focus Areas
• Access
• Mental Health
• Substance Abuse
• Obesity/Nutrition
• Perinatal Health
• Other?
Areas of Disparities Between Populations: Teen pregnancies;
cancer mortality, poverty (below 100% of FPL); educational
attainment; accident mortality; county disparities (Okanogan
Co); smoking mothers.
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CHNA Coalition Building in Chelan, Douglas, Grant and Okanogan Counties
Chelan Douglas Counties:
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Catholic Family & Child Service
Center For Alcohol and Drug
Chelan County Wenatchee Housing
Authority
Chelan County Juvenile Court
Chelan-Douglas Child Services
Association
Chelan-Douglas Community Action
Council
Chelan-Douglas Developmental
Disabilities
Chelan-Douglas Health District
Chelan-Douglas Regional Support
Network
Chelan-Douglas TOGETHER! For
Drug Free Youth
Children's Home Society of WA
Columbia Valley Community Health
Community Choice
Division of Children & Family
Services (DSHS)
Eastmont School District
Entiat School District
Entiat Valley Community Services Food Bank
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EPIC - Child Development
Family Planning Assoc Of ChelanDouglas Co.
Montessori Children's School
North Central Educational Service
District
North Central Regional Library
Orondo School District
SAGE (DSV) Crisis Center of C/D
United Way of Chelan and Douglas
Counties
WSU Chelan-Douglas County
Extension
Wenatchee CSO (DSHS)
Aging and Adult Care of NCW
Wenatchee School District
Wenatchee Valley College
Women's Resource Center of NCW
Grant County:
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Aging and Adult Care of NCW
IPAN Network
Health Home Network
Okanogan County:
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Aging and Adult Care of NCW
IPAN Network
Health Home Network
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Review Alignment of SIM and
CHNA Implementation Plan Dev.
• Need to address population health issues
collaboratively/partnerships
• Need for targeting of resources
• Multi-levels of Coordination of care and efforts
• Current silos: An obstacle to problem solve
• What’s the best collaborative framework?
• What organizational structure is needed?
• Other?
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Community Health Needs Assessment
Steering Committee
Barry Kling, Chelan/Douglas Public Health District
Brad Hankins, Lake Chelan Community Hospital
Cathy Meuret, Central Washington Hospital
Cindy Vidano, Central Washington Hospital
Carol Diede, Columbia Valley Community Health
Kay Sparks, Community Member
Renee Hunter, Together for Drug Free Youth/Coalition
Alan Walker, United Way
Anita Tuason, Family Planning
RSN Rep.
CWH Internal Assessment Team
Cindy Vidano, Cathy Meuret, Marcy Vixie, Stephanie Grubich, Wayne Hawks, Cathy
Thomas, Tracy Kasnic, Others?
Broader Input Groups – Stakeholder sounding board and future
partners/collaborators, District Parent Advisory Committees/PTAs
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Questions/Input Welcomed:
CHNA Lead Organization: Community Choice
Contact: Jesus Hernandez
[email protected]
Office: 509-782-5030 Direct: 509-293-7773
www.communitychoice.us
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