community health assets mapping partnership (champ) randolph county, nc
TRANSCRIPT
Background of Mapping Process
• African Religious Health Assets Program– Developed a PIRHANA tool for identifying and
understanding the positive things in communities
– Community Health Assets Mapping Partnership or CHAMP was adapted from PIRHANA, developed in Memphis and South Africa to aid in aligning and leveraging assets to improve healthcare outcomes
– CHAMP Access to Care is being used in North Carolina as part of our FaithHealthNC movement
Mapping Workshop Process
In this community, we held 2 workshops:
Health-Seeker Workshop (10-3-14): community members who are primarily consumers of religious and health services
Health Provider Workshop (11-7-14): people and organizations providing religious, health, and social services in the community, broadly defined
Study Area Background
Basic Stats (in 2013):- Population: 142,577 - Median Age: 39.0 years (national=35.4; NC=37.0)- Percent of Population : Caucasian= 90% ; Latino=10.9% African-
American=6.3% - Percent Living Under Poverty level: 17.1%- Median Income=$41,575; HS education=77.8%
Boundaries:Randolph County of North Carolina
ExercisesHealth Seeker Workshop
1 Community Mapping: Participants draw maps of the assets in their community
2 Health Index: Participants identify the most important factors contributing and working against health in the community
3 Ranking of facilities: Participants rank community organization on how well they support factors contributing to health
4 Religion and Health Index: Participants identify ways religion and religious organizations contribute to health
5 Religion and Health Ranking: Participants rank religious organization on how their activities related to health and religion
6 Good Practice: Participants list outstanding community organizations and describe their characteristics
7 Local Action: Participants discuss where we go from here
Health Provider Workshop
1 Community Mapping: Participants populate a timeline of key social, political, religious and health events or create a map of the “footprint” of their organizations
2Health Services Matrix: Participants identify the ways that local entities contribute to health
3Social Networking Spidergram: Participants describe the connections and relationships between community entities
4Religion and Health Index: Participants identify ways the religion and religious organizations contribute to health
5Good Practice: Participants list outstanding community organizations and describe their characteristics
6Collaborative Contribution Grid: Participants identify existing and potential collaborative partnerships and shared resources.
7Local Action: Participants discuss where we go from here
What You Put on the Maps:
51 entities
Providers Identified: Both Seeker and Providers Identified:
Seekers Identified:
Randolph County Health Department Christian United Outreach Center The Salvation Army Community Alternative Program Senior Center
Randolph County Social Services
Randolph Family Healthcare of Merce Randolph Hospital Randolph Community College Partnership with Children Public Libraries The Nature Center Daymark Recovery YMCA Currytown Baptist ChurchHealth Communities Hospice of Randolph County North Carolina Zoo Partnership for Community Care Cross Road Retirement Center Pharmacies Gray’s Chapel UMC Our Daily Bread Kitchen Hair SalonsLiving Wellness Caregiver Support Groups Cross Road Baptist ChurchRun for God Randolph Hospital Home Health Adult Day Care FacilityHospital Care Transitions St. Luke’s Food ProgramRandolph Hospital Community Outreach Dialysis CenterA3 Arts GuildCounty Cooperative Extension
Urgent Care
Randolph Hospital CAP/Home Health
Various physician’s offices
Totally Committed Shelter Insurance navigatorsShelter of Hope Community ChoirGate City Transportation ChurchesMinister/Chemical Counseling Volunteer
Food Banks
Food Cooperatives Dentist offices Parks
What we learned from your maps: Seekers
• Focused on wellness and the benefits of the Randolph county environment to promote physical activity (zoo, walking trails) and better nutrition (community gardens, co-ops)
• Identified Randolph County as having a broad continuum of care for the elderly (e.g., caregiver support)
• Think more collaboration among agencies could improve care for vulnerable in the community
What we learned from your maps: Providers
• Loss of jobs due to the recession and manufacturing plant closing have resulted in higher levels of poverty, especially among children
• Faith-based ministries often stand in the gap for caring, but may not be known to the broader public
• Needs of the most vulnerable are growing, as the resources of safety nets are shrinking
Factors that work against health/well-being in your
community: Seekers• Lack of Finances and
Job Opportunities
• Rising Cost of Insurance
• Lack of Transportation
• Lack of Advocacy• Fairly priced healthier
food alternatives
Factors that contribute to health/well-being in your
community: Seekers• Compassionate healthcare
providers• Suitable Insurance/Availability of
Care • Compassionate Community
members• Affordable Medication/ Medical Care
• Access to Recreation and Wellness Facilities
Factors That Are Most Important to the Health and Well-Being of
those who Need Better Access to Care: Providers• Transportation
• Compassionate Care/Spirituality• Financial Assistance/Medicaid
Expansion (esp. for children)• Education• Support services for those with mental
health and substance abuse issues• Communication with Providers• Increased funding for CUOC
How Religion Contributes to Health/Well-being
• Those connected to congregations often have better knowledge of, as well as access to, services and resources
• Faith communities offer a place where people can express and live out their compassion
• Churches often offer financial assistance to those in need
• Churches can help with home repairs or changes needed for aging in place (e.g., build wheelchair ramps)
• Ministries such as Stephen’s Ministry can extend the resources of traditional providers and services
• Churches contribute to CUOC• Churches help with programs for aging well,
Alzheimers’ support, as well as group homes and child care
Organizations of which you are most proud:
Seeker Workshop Responses: Provider Workshop Responses:
Christian United Outreach CenterChristian United Outreach Center
Randolph HospitalHospice of Randolph County
YMCA Randolph City Pregnancy
RCATS Cross Road Retirement Community
PACE Senior Center YMCA
Hospice of Randolph County Family Crisis CenterChik-Fil-A
Randolph Hospital
Our Daily Bread
MERCE Clinic
Winners Were:• Christian United Outreach Center…• PACE Senior Center• YMCA• Hospice of Randolph County• Cross Road Retirement Community• Our Daily Bread• MERCE Clinic• RCATS• Chik-Fil-A
Next Steps: Seekers• More unity in the community—the churches could collaborate
more and find ways to include non-members• Fewer siloes inside hospitals, churches, community agencies,
etc..• Share findings of workshops like this one in a wide manner• Develop respite care• Find out how to access zoo and other resources available for free• Mass transport for elders, others• gardens; teach fun healthy education, sustainability, cooking
classes• Programs teaching self-sufficiency and self-management of
conditions (communication)• Caregiver college• Prevention of falls, obesity, chronic disease• Teach resiliency• Support for the homosexual community in the area
Next Steps: Seekers, continued• A3 coalition formed to create walking track downtown
• Develop caregiver advocacy program—caregiver mentors• Senior “navigators”—like “candy stripers in the hospital or
pipeline program in high schools• High school senior projects in community and health care
opportunities• RCC nursing• Culinary course credits for students serving at Our Daily Bread• Hispanic mapping• Start program like Haywood county—churches helping homeless
leaving the hospital• Make opportunities more available to public• Preventive care efforts at younger age• Pull children and youth into healthier
behaviors—school/community
Next Steps: Providers• Development of a document that includes an action plan in December
to give this effort some traction.• Updating of resource book• Infiltrating the community or county with this information and
knowledge of FaithHealth• Invitation to the local newspaper for the December meeting• Identify short term action and successes• Identify long term action and successes for long term viability• Involvement of more faith based organizations• Identify resources/organizations that have transportation that is not
always used• Meeting funding/needs of Christian United Outreach through media
( radio, social media, newspaper, television) – need to be clear about the need being money to sustain the staff -
• Is there an organization for helping people help themselves (ie., workforce, rehab development groups, financial education)?
• Conduct town hall meeting to address issues that were identified as issues to be addressed in the CHAMP workshop
Questions
Time has passed and, if you went through this experience, what did
you get out of the workshops?
What did you learn during the process?
Questions
• Do you see any similarities or differences between the seekers and providers information and next steps?
• How can we use our community assets to move forward on these next steps?
• Which of these steps are the most important to you and your community?
Questions
• How could Randolph Hospital, FaithHealthNC and other organizations, in partnership with the people who live, work and play in your neighborhood , help to get people in your neighborhood the things they need to live healthy (abundant) lives?
• How would YOU be willing to help us move forward on the ideas we talked about today?