community health improvement plan annual report, 2017 · 4 doh–hillsborough chip annual report...

DOH–HILLSBOROUGH

CHIP ANNUAL REPORT 2017 1

INTRODUCTION

Community Health Improvement Plan

Annual Report, 2017

Florida Department of Health

in

Hillsborough County

2 DOH–HILLSBOROUGH

CHIP ANNUAL REPORT 2017

TABLE OF CONTENTS

INTRODUCTION ................................................................................ 3

PRIORITY AREAS ............................................................................. 4

ACCESS TO CARE ....................................................................................... 4

BEHAVIORAL HEALTH .................................................................................. 7

OBESITY .................................................................................................. 10

HEALTHY MOMS AND BABIES ..................................................................... 12

UPDATES ...................................................................................... 15

APPENDICES ................................................................................. 16

APPENDIX A: CHIP REVIEW MEETING AGENDA ........................................... 16

APPENDIX B: CHIP REVIEW MEETING MINUTES .......................................... 17

APPENDIX C: CHIP REVIEW MEETING SIGN-IN SHEET .................................. 21

APPENDIX D: HEALTHY HILLSBOROUGH STEERING COMMITTEE ..................... 22

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INTRODUCTION The Florida Department of Health in Hillsborough County (DOH–Hillsborough) used a modified

Mobilizing for Action through Planning and Partnerships (MAPP) process to complete its

2015/2016 Community Health Assessment (CHA) and develop its 2016–2019 Community Health

Improvement Plan (CHIP). The CHA included four assessments, the Community Health Status

Assessment, the Community Themes and Strengths Assessment, the Forces of Change

Assessment, and the Local Public Health System Assessment which together provide a measure

of the overall health of the community. Results from these four assessments were used to

determine priority areas for the county. The CHIP was created with the input of community

partners who formed workgroups which then developed action plans to address the priority areas

identified during this CHA/CHIP cycle (2016-2019). The completed CHA report with the

background, methods, assessment results, and list of assets and resources can be found at

http://hillsborough.floridahealth.gov/programs-and-services/community-health-planning-

statistics/improvement-planning/index.html.

Priority areas included in the CHIP are: Access to Care, Behavioral Health, Obesity and Healthy

Babies. Priority areas continue to be monitored on a quarterly basis. This report provides a status

update for year 1, October 1, 2016–September 30, 2017 on progress made in each priority area.

http://hillsborough.floridahealth.gov/programs-and-services/community-health-planning-statistics/improvement-planning/index.html

http://hillsborough.floridahealth.gov/programs-and-services/community-health-planning-statistics/improvement-planning/index.html



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PRIORITY AREAS

ACCESS TO CARE Workgroup Meeting Dates June 8, 2016 July 20, 2016 September 8, 2016 January 11, 2017

April 6, 2017 April 25, 2017

Current Workgroup Members Stephanie Alt BayCare Health System

Keri Eisenbeis BayCare Health System

Debi Hines** BayCare Health System

Liza Cruz Cepeda Crisis Center of Tampa Bay

Allison Nguyen DOH-Hillsborough

Melanie Hall Family Healthcare Foundation

Artie Fryer Hillsborough County

Jenna Davis (Co-Chair) Moffitt Cancer Center

Sherri Gay Suncoast Community Health Centers, Inc.

Sonia Goodwin (Co-Chair) Suncoast Community Health Centers, Inc.

Laura Resendez Suncoast Community Health Centers, Inc.

Karyn Glubis Tampa Family Health Centers

Tamika Powe Tampa General Hospital

Kimberly Brown Tampa General Hospital

**New Members

Past Members

Jennifer Kotwicki

Summary

The Access to Care workgroup initially focused on increasing access to health insurance among

eligible individuals in Hillsborough County by implementing outreach and advocacy efforts for

health insurance coverage. Due to the uncertainty surrounding the Affordable Care Act (ACA),

the action plan activities were subsequently adjusted to focus more broadly on information and

guidance for navigating the system thereby improving access to needed services. The workgroup

has developed training videos aimed at helping the public to navigate various aspects of heatlh

care including Preventative Care, Where Can You Go Besides the ER? Can I Get Covered? and

What to do After You Have Made Your Appointment? English & Spanish versions of the videos

have been completed. Creole versions of the videos are currently in production. Upon completion

of all production, the videos will be distributed to community partners. Despite this adjustment in

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focus the year 1 target of reducing the number of uninsured persons under 65 years old in

Hillsborough County from 200,532 (17.8%) to 169,320 (14.7%) has been met. The table below

shows the progress made on the Access to Care action plan.

Initially when the Access to Care action plan was created, the workgroup acknowledged that

issues related to transportation would factor into this priority area. However, a complete

framework within which to address this component was not feasible at that time. The Healthy

Hillsborough Steering Committee met on July 31, 2017 to provide action plan updates. During

this meeting, pursuing a transportation-focused Access to Care action plan was also discussed.

Due to various local changes and current transportation-related efforts that exist in Hillsborough

County, the committee decided not pursue a new action plan focused on transportation at this

time.

Priority Area 1: Access to Care

Relevant Indicators: % of individuals under 65 years old who are uninsured in Hillsborough

County (200,532; 17.8% in 2014 (U.S. Census Bureau Small Area Health Insurance Estimate)).

Goal: Increase access to health insurance among eligible individuals in Hillsborough County.

SMART Objective: By September 30, 2019, reduce the percentage of uninsured individuals under 65 years old in Hillsborough County by 2%.

Strategy: Implement outreach and advocacy efforts for health insurance coverage.

Action Steps Action Status

Assess current navigation resources throughout Hillsborough County

Utilize navigators and other outreach workers to provide flyers and education at community events about eligibility requirements and to schedule appointments for enrollment

DISCONTINUED

Status indicators are as follows:

= Little or no movement toward objective target

= Some progress toward objective target

= Attained or surpassed objective target



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Create and distribute educational videos about insurance and enrollment criteria information

Identify and increase community partnerships to register individuals for health insurance

DISCONTINUED

Update 211 to reflect health insurance information and promote resource across the community

Review and track the U.S. Census Bureau’s Small Area Health Insurance Estimates for uninsured data

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BEHAVIORAL HEALTH Workgroup Meeting Dates June 17, 2016 July 22, 2016 September 28, 2016 October 27, 2016

February 16, 2017 March 29, 2017 April 26, 2017 May 31, 2017

June 28, 2017 July 26, 2017 August 30, 2017 September 27, 2017

October 25, 2017 November 29, 2017

Current Workgroup Members Jana Balicki** ACTS

Christina Bastone BayCare Health System

Kathleen Chaykoski** BayCare Health System

Doug Leonardo BayCare Health System

Marsha Lewis-Brown (Co-chair) BayCare Health System

Gail Ryder BayCare Health System

Michelle Whittier** Brandon Regional Hospital/HCA

Carol Eloian** Central Florida Behavioral Health Network (CFBHN)

Marcia Munroe Central Florida Behavioral Health Network (CFBHN)

Ruth Power Central Florida Behavioral Health Network (CFBHN)

Clara Reynolds (Co-chair) Crisis Center of Tampa Bay

Deanna Obregon DACCO

Mary Lynn Ulrey DACCO

Chante Shifflett** Department of Corrections

Dr. Ayesha Johnson DOH–Hillsborough

Joe Lallanilla Gracepoint

Melissa Powell Gracepoint

Roaya Tyson Gracepoint

Barbara Macelli Healthy Start

Shannon Rhodes** Hillsborough County

Philip Conti** Hillsborough County Health Care

Marie Marino Hillsborough County Public Defender’s Office

Dep. Christopher Cullinan** Hillsborough County Sheriff’s Office

Ana Maria Daniels** Hillsborough County Sheriff’s Office

Dep. Stephanie Krager Hillsborough County Sheriff’s Office

Sean Powell Moffitt Cancer Center

Heather Rohan NAMI-Hillsborough

Tina Young Project LINK, Inc

Kimberly Browne** Tampa General Hospital

Juliana Castillo** Tampa General Hospital

Dr. Seema Weinstein Tampa General Hospital

Ashley Wynn** Tampa Hillsborough Homeless Initiative



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Ofc. Dan McDonald Tampa Police Department

Dr. Joe Bohn USF College of Public Health

Dr. Glenn Currier USF Morsani College of Medicine

Dr. Saundra Stock USF Morsani College of Medicine

**New Members

Past Members

Daragh Gibson Dr. Margarita Bobonis Pam Jeffre

Sonia Goodwin Karyn Glubis Mary Jane Harrington

Summary

The Behavioral Health workgroup is making progress toward its goal of providing the most

appropriate level of care for those in need of behavioral health services in Hillsborough County.

Activities included evaluating best practices and developing a care coordination model to address

the needs of high-utilizers of behavioral health services in Hillsborough County. The proposed

model, Hillsborough Coordinated Care Member Team, was presented to the Steering Committee

on July 31, 2017. The proposed model uses an integrated person-centered and care coordination

plan that incorporates physical health and behavioral health conditions into a single treatment

plan. Persons eligible for this plan have had six or more interactions with law enforcement, the

emergency room and/or a crisis stabilization unit within a one year period. The workgroup is

currently working on securing funding to pilot this model as it would require at least two full time

staff members. BayCare has committed $50,000 in matched funds. DOH-Hillsborough has also

committed $25,000 towards this effort. The table below shows the progress made on the

Behavioral Health action plan.





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Priority Area 2: Behavioral Health

Relevant Indicators: Care Coordination Model drafted.

Goal: Provide the most appropriate level of care for those in need of behavioral health services in

Hillsborough County.

SMART Objective: By December 31, 2017, develop a Care Coordination Model for High Utilizers

in Hillsborough County.

Strategy: Evaluate best practices and develop a care coordination model to address the needs of high-

utilizers of behavioral health services in Hillsborough County.


Identify and evaluate related care models & best practices

Define high-utilizers (ensure that both medical and behavioral health issues are included)

Inventory resources (including specific individuals & organizations working on similar initiatives)

Identify relevant data

Select care coordination model for Healthy Hillsborough

Establish care and coordination process and protocol

Create multi–facility release

Identify potential funding sources to partner with to launch county–wide coordination model pilot

Evaluate the need for awareness campaign / Develop a communications plan to locate people in need



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OBESITY Workgroup Meeting Dates June 15, 2016 July 18, 2016 August 10, 2016

Current Workgroup Members Stefanie Alt BayCare Health System Danielle Mauck BayCare Health System Elaine Oliver BayCare Health System Allison Nguyen DOH-Hillsborough Mary Willis Florida Hospital-West Region Amber Windsor-Hardy Florida Hospital-West Region Maria Russ Hillsborough County Public Schools Carla Sparks Hillsborough County Public Schools Rocio “Rosy” Bailey** In Season Pro Zulema Uscanga** In Season Pro Tina Young Project LINK, Inc. Teresa Linder Shriners Hospital for Children Tamika Powe (Chair) Tampa General Hospital Jamila Lepore UF/IFAS Hillsborough Extension Dr. Joe Bohn USF College of Public Health Dawn Kita YMCA **New Members

Past Members

Cindy Hardy Jan Baskin Dr. Peter Bath Mary Jane Harrington Summary

The Obesity workgroup continues to see an increase in participation in Evidence-Based

Interventions (EBIs) for obesity. The workgroup conducts outreach and education for obesity

management and prevention classess and programs. To date there have been 1,589 participants

in the various programs representing approximately 75% of the year 1 target of 2,145. The table

below shows the progress made on the Obesity action plan.





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Priority Area 3: Obesity

Relevant Indicators: Number of Participants in Evidence-Based Interventions for Obesity.

Goal: Increase Participation in Evidence-Based Interventions (EBI) for Obesity.

SMART Objective: By September 30, 2019, increase the number of people participating in evidence-based obesity intervention programs by 10%.

Strategy: Conduct outreach and education for obesity management and prevention classes and programs.


Inventory existing EBI obesity programs from CY 2015 to establish a baseline by recording:

1. The name of the EBI program; 2. The Managing Organization of the EBI program; 3. The total number of participants in the first class for the entire year.

Inventory existing EBI obesity programs from CY 2016 – September 30, 2019 and record:

1. The name of the EBI program; 2. The Managing Organization of the EBI program; 3. The number of participants in the first class; 4. The start date of the program.

Develop and enhance relationships with partners who can help us increase the number of participants in EBI obesity programs.

Increase the number of access points for EBI Obesity programs as needed.

Increase healthcare provider awareness of work group’s EBI Obesity programs.

Evaluate outcomes



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HEALTHY MOMS AND BABIES Workgroup Meeting Dates August 12, 2016 September 30, 2016 October 4, 2016 November 18, 2016

March 13, 2017 March 28, 2017 June 27, 2017

Current Workgroup Members Dr. Leslene Gordon DOH–Hillsborough

Dr. Ayesha Johnson DOH–Hillsborough

Bonnie Watson Bonnie Watson

Dr. Ivonne Hernandez USF College of Public Health

Past Members

Meghna Desai Sophia Hector Noemi Padro Susan Schmidt

Allyson Sison Tara Spiller

Summary

The priority area Healthy Moms and Babies was included in the CHIP because of Hillsborough

County’s infant mortality rate, inequities, and to align with the statewide Florida Healthy Babies

(FHB) initiative. The goal of one action plan for this priority area is to eliminate or reduce infant

mortality by increasing the interpregnancy interval to greater than 18 months through research

and assessment. DOH-Hillsborough engaged Dr. Ivonne Hernandez from USF Health’s College

of Nursing to identify three best practices that increase access to Long Acting Reversible

Contraceptives (LARCs). The strategies identified were increasing education on LARCs,

immediate post-partum insertion, and identifying barriers to LARC access. This action plan has

been completed.

The goal of the second action plan in this priority area was to eliminate or reduce infant mortality

by raising awareness on infant mortality and morbidity as an important health issue through social

marketing and education. However, the Florida Department of Health launched a statewide

initiative to address infant mortality through social marketing and education. In order to not

duplicate efforts, DOH-Hillsborough decided it was best to discontinue this second action plan for

this priority area.

DOH-Hillsborough continues to participate in the statewide Florida Healthy Babies (FHB) initiative

and is currently developing an action plan for phase III of this initiative. Additionally, DOH-

Hillsborough was selected to participate in the Enhanced Breastfeeding project which is part of

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the FHB initiative. We are also working to finalize a work plan for this project. The tables below

show the progress made on the Healthy Moms and Babies action plans.

Priority Area 4.1: Healthy Moms and Babies

Relevant Indicators: 3 Evidence-based strategies to increase access to Long Acting Reversible Contraceptives (LARC's); Host a community meeting to share findings

Goal: Eliminate or reduce infant mortality by increasing the pregnancy interval to greater than 18 months

SMART Objective: By December 31, 2018, identify a minimum of three evidence-based strategies to increase access to LARC's.

Strategy: Research/Assessment – Identifying best models and best practices that increase access to LARCs


Research Colorado and other best practices for increasing access to LARC’s

Identify a minimum of three strategies that increase access to LARCs.

Host a community meeting to share findings with partners who can advocate for policy changes or increased resources and/or implement best practice model







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Priority Area 4.2: Healthy Moms and Babies

Relevant Indicators: Implemented Social Marketing Campaign

Goal: Eliminate or reduce infant mortality by raising awareness on infant mortality and morbidity as an important health issue.

SMART Objective: By December 31, 2018 create a county-wide social marketing campaign to raise awareness on infant mortality and provide education on preventative strategies to reduce infant mortality.

Strategy: Social Marketing and Education.


Research to identify any existing social marketing campaigns that raises awareness on infant mortality and provide education on preventative strategies.

DISCONTINUED

Select an existing campaign or develop a campaign DISCONTINUED

Identify resources to implement social marketing campaign DISCONTINUED

Implement social marketing campaign and/or social media campaign DISCONTINUED

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UPDATES

Earlier in 2017, DOH-Hillsborough conducted a Confirming Community Priorities (CCP) project.

The project sought to confirm CHIP priorities as well as to inform DOH-Hillsborough of additional

areas that the community would like to impact. A brief survey was administered to over 700

community residents at 18 different locations throughout the county including the Ybor Saturday

Market, libraries & other community events. Over 80% of respondents affirmed that Access to

Health Care, Mental Health & Substance Abuse and Obesity are important health issues in the

County and that DOH-Hillsborough should be focused on them. Fewer respondents affirmed Infant

Mortality as an important issue in the County. In order to address the lack of awareness of the role

that infant mortality plays in assessing a community’s health, DOH-Hillsborough made changes to

the language it will use in official communications. Instead of Infant Mortality, Infant Death will be

used to refer to the death of an infant occurring between birth and 1 year. Additionally, DOH-

Hillsborough is working on developing a Health Literacy action plan to address health literacy, a

factor associated with health equity, in the community. A draft of this action plan will be added to

the revised CHIP.



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APPENDICES APPENDIX A: CHIP REVIEW MEETING AGENDA

Healthy Hillsborough Steering Committee Meeting

St. Joseph’s Hospital’s Boardroom 4th Floor Medical Arts Building

3001 W Dr. Martin Luther King Jr. Blvd, FL 33607 July 31, 2017 10:00 A.M. – 12:00 P.M.

AGENDA

Purpose: To provide Action Plan updates for Access to Care, Behavioral Health & Obesity Priority

Areas. To discuss pursuing an Access to Care Transportation Action Plan.

Topic Lead Time

Welcome and Introductions Dr. Douglas Holt 10:00 AM – 10:10 AM

Confirming Community Priorities

(CCP) Dr. Leslene Gordon 10:10 AM – 10:25 AM

Action Plan Updates

Florida Healthy Babies

Access to Care

Obesity

Behavioral Health

Dr. Ayesha Johnson

Jenna Davis

Tameka Powe

Marsha Lewis Brown

10:25 AM – 10:35 AM

10:35 AM – 10:45 AM

10:45 AM – 10:55 AM

10:55 AM – 11:05 AM

Other Business Dr. Leslene Gordon 11:05 AM – 11:15 AM

Access to Care

Transportation Refresher and

Update

Discussion and Decision

Allison Nguyen

11:15 AM – 11:30 AM

11:30 AM – 11:45 AM

Roundtable All 11:45 AM – 11:55 AM

Meeting Evaluation Allison Nguyen 11:55 AM– 12:00 PM

Adjourn Dr. Leslene Gordon 12 NOON

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APPENDIX B: CHIP REVIEW MEETING MINUTES

Healthy Hillsborough Steering Committee Meeting

St. Joseph’s Hospital’s Boardroom 4th Floor Medical Arts Building

3001 W Dr. Martin Luther King Jr. Blvd, FL 33607 July 31, 2017 10:00 A.M. – 12:00 P.M.

MEETING MINUTES

Purpose: To provide Action Plan updates for Access to Care, Behavioral Health & Obesity Priority Areas. To discuss pursuing an Access to Care Transportation Action Plan.

Topic

Welcome and Introductions (Dr. D. Holt)

Apologies given for Sonia Goodwin

Confirming Community Priorities (CCP) (Dr. L. Gordon)

We have been monitoring the CHIP APs through quarterly reports. Additionally, we

sought to confirm priorities with engaging the community. Community feedback was that

the questions could have been clearer. Dr. Gordon gave a PowerPoint presentation.

Access scored highest for both questions and infant mortality scored lowest for both

questions.

Comment: Steering committee suggests that we reframe the term used for infant

mortality, perhaps infant death.

Question: What will we be doing with respect to access to healthy food?

Response: We have been working with the hunger coalition and Florida Hospital on

projects related to healthy food.



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Action Plan Update – Florida Healthy Babies (Dr. A. Johnson)

Healthy Moms and Babies was included in our CHIP to align with the statewide Florida

Healthy Babies (FHB) initiative. The action plan’s focus was to eliminate/reduce infant

mortality by increasing the interpregnancy interval to more than 18 months through

research/assessment. We engaged Dr. I. Hernandez from USF Health College of

Nursing who identified 3 best practices to increase access to long acting reversible

contraceptives (LARCs). Practices identified were increasing education on LARCs,

reducing barriers in access to care and immediate post-partum placement. We have

chosen to focus on increasing education by educating USF Health students about their

role in pre-conception care and interconception care (ICC). Increased access to LARCs

can increase unintended pregnancy, which is a well-documented risk factor for infant

mortality.

Question: Can maternal factors be stratified by race, income, to see who to target/where

to target for access to care?

Response: We have some data stratified by race, age, income, and we know there are

disparities among different races/ethnicities.

Comment: We can keep a close eye on access as things are changing; have an access

group that is focused on access more broadly.

Comment: St. Joseph’s and South Florida Baptist Hospitals also have infant mortality

on their plans. They are focused on higher-risk ZIP codes. Their strategies include ICC

and hypertension.

Question: Is there an opportunity to partner?

Response: Yes, always!

DOH-Hillsborough also had plans to focus on infant mortality through social marketing.

However, the state will be focusing on this more broadly.

Action Plan Update – Access to Care (J. Davis)

Developing training videos. Plan is to create four different videos. Preventative Care.

Why you should avoid the ER? Can I Get Covered? What to do After You Have Made

Your Appointment? English versions of the videos have been completed. The Spanish

and Creole versions are in production.

Updating 211. It has been challenging engaging the Crisis Center. It would be great to

have a contact. Marsha Lewis-Brown suggested Clara Reynolds as a potential contact.

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Action Plan Update – Obesity (T. Powe)

Decrease in number of programs, however there were increases in numbers of partners

and access points. 746 patients to date. Many partners are adding programs. The

workgroup has only been reporting on the bariatric program not the Diabetes Prevention

Program (DPP). Due to changes in leadership and other challenges, some of the action

steps are at risk. Tracking could be done through weight loss and classes attended.

BayCare added 3 coaches for their DPP programs. The YMCA had some data issues.

On track for meeting overall goals.

Tampa General Hospital will revisit how patients are referred. It will be easier so

numbers will be easier to track.

Action Plan Update – Behavioral Health (M. Lewis-Brown)

Review of changes to the workgroup. Group is on target to establish a model of

community care team concept based upon multi-agencies providing ancillary needed

supports/services. Hillsborough Coordinated Care Team, which will serve a Care

Member. The model is an integrated person-centered and care coordination planning

that incorporates physical health and behavioral health conditions into a single

treatment plan. Eligibility – six or more access points to various organizations

represented on the workgroup within a 1 year period. Dementia is the exclusion criteria

at this time. The workgroup is finalizing a multi–agency release form as there are 28

different organizations on the workgroup. Many persons needing treatment were

homeless so organizations who work with the homeless were also engaged. The

program would require a Navigator and Intensive Care Team. Professional

Qualifications would be required for some members of the team. Team may even

consist of a peer who has already passed through the program. Any organization can

make a referral. Program is voluntary so person will be in the program as long as they

would like. Determinants of success would be reduced costs on service, reduction in

arrests within one year, reduction in high end use. Challenges now would be funding.

The program would need at least two full time staff. One organization is willing to put up

$50,000 but requires a match. Some funding organizations have been sought, however

there has been issues with qualification. Other programs in the country have similar

characteristics. 18 – 20 members attend every workgroup meeting so organizations are

engaged. In the Connecticut model, the hospitals pay. In Camden, NJ, funding comes

from the government. In California, individuals were assisted to pay for their treatment.

Dr. Holt suggested checking to see if persons would be eligible for the county indigent

health plan. Are any other organizations able to apply for some of the grants and then

sub contract to BayCare? $165,000 is for yearly salaries only. It does not include indirect

costs. If non-hospital organizations could have stepped up, they more than likely would

have done that by now. Making a formal proposal for why we need the funding and

present this to some of the hospitals.



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Other Business (Dr. L. Gordon)

Workgroup Co-Chairs. We need 2, for Behavioral Health and Obesity. Co-chairs have

typically been persons from the steering committee. Would we like to adjust that?

Response: We should keep it flexible, if someone would like to volunteer they should

be able to. Steering committee was in agreement with this. So, we will go forward to

invite willing and able persons on the different workgroups to serve as co-chairs.

Access to Care – Transportation Refresher and Update & Decision (A. Nguyen)

Attended a webinar to discuss the CDC’s Hi5 plan. Public transportation – safety,

pollution and increased access to goods and services. E.g. Cleveland, increased

ridership of their public transportations network. They engaged health care agencies to

provide funding for various aspects of transportation. Including advertisement on buses

– you can’t get health care if you can’t get to health care. 30% of individuals don’t have

a personal vehicle. Part of network of age friendly cities. Focused on a walkable transit

city. What would that look like for Hillsborough County? Initiatives include vision zero. It

has been successful in NY city. There are some pending service changes to HART,

eliminating some routes and increasing the number of buses that service some areas.

In South Tampa, some routes have been eliminated. This would make it more difficult

for persons to access goods and services.

At the time that we considered this proposal, we had thrown out the amount $40,000.

Given all of that, should we pursue a transportation-focused action plan? Transportation

is one area of service that does not make a profit. Perhaps, utilizing the money for

conducting a study and then reconvening a group. Direct funds to groups already

making progress. Steering committee could join groups that are already involved in

transportation initiatives. Suggestion was made for the Heathy Hillsborough workgroup

to attend or just as individuals representing other organizations and we report back.

DOH will attend jointly with other members of the steering committee. So the decision

is to not pursue a transportation action plan at this time. DOH will keep steering

committee updated on changes.

Roundtable

C. Bastone – Glad to be here and check back in with others.

A. Nugyen – There is a vision zero meeting coming in August. She will forward details.

Dr. D. Holt – Wanted to know if anyone has contact with the Zenith organization.

Perhaps there are opportunities that we are engaged in that they can support.

B. Costello – Great to get reports. Would be great to send out to others to let them know

that we are still functioning and working on things.

T. Powe – Happy to see that we are making progress.

J. Castillo – Would it be a conflict of interest to ask a health care company for funding?

E.g. Well Care, Medicaid, Medicare. M. Lewis-Brown responded that she will ask.

Challenges she has faced is the group not being a 501C 3, (nonprofit).

Meeting Evaluation

Meeting was good

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APPENDIX C: CHIP REVIEW MEETING SIGN-IN SHEET



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APPENDIX D: HEALTHY HILLSBOROUGH STEERING COMMITTEE Meeting Dates

April 5, 2016 April 25, 2016 June 22, 2016 July 29, 2016

August 24, 2016 October 13, 2016 July 31, 2017

Current Members Christina Bastone BayCare Health System Bob Costello BayCare Health System Marsha Lewis-Brown** BayCare Health System Clara Reynolds** Crisis Center of Tampa Bay Dr. Leslene Gordon DOH–Hillsborough Dr. Douglas Holt DOH–Hillsborough Dr. Ayesha Johnson DOH–Hillsborough Allison Nguyen DOH–Hillsborough Jenna Davis Moffitt Cancer Center Sonia Goodwin Suncoast Community Health Centers, Inc. Tamika Powe Tampa General Hospital **New Members

Past Members Keri Eisenbeis Daragh Gibson Jan Baskin Michelle Robey Dr. Peter Bath Mary Willis Karyn Glubis Edward Kucher Mary Jane Harrington

community health improvement plan annual report, 2017 · 4 doh–hillsborough chip annual report...

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