davidson county collaborative for community health...
TRANSCRIPT
Jen Hames
Learning Congress
January 23, 2013
Davidson County Collaborative for Community Health Improvement
About this Team
Location: Davidson County, NCSize: 162,878
Organizations Represented: Davidson County Health Department, Thomasville Medical Center & Wake Forest Baptist Health Lexington Medical Center
Other: Davidson County Healthy Communities Coalition (serving as the steering committee)
Phase I: Initiate Action
Health Department Community Assessment
Thomasville Medical Center
WFBH Lexington Medical Center
The Past
TvilleMedical Center
WFBH Lexington Medical Center
Davidson County Health Dept
The Current State
Healthy Communities Coalition –Steering Committee
Phase II: Organize for Impact Step 1: Stakeholders met with the Institute to contract for data collection and analysis
Step 2: Tweaked the 2009 survey to update questions for current survey
Step 3: Each stakeholder recruited volunteers to assist with the survey completion
Step 4: Groups of volunteers knocked on doors to get community input (crossed traditional boundaries and worked together for the united purpose)
Step 4: Door to Door Surveys
Phase II: Organize for Impact (continued)
Communication between both Medical Centers and the Health Department has now been established and will
be maintained through the continuation of the collaborative.
Results of the surveys were taken to community forums. 4 forums were held and community
members provided input, and voted on those that were the most important to them.
Davidson Community Forum Priorities
Phase III: Sustain Action and Impact
Obesity
Tobacco
Access to Care
Community Assessment
Community forums voted – then took the results to the Davidson County Healthy Communities Coalition (steering committee for the collaborative) and this group selected the TOP 3 areas of focus
Phase III: Sustain Action and Impact (continued)
Obesity
Tobacco
Access to Care
Community Assessment
Obesity Tobacco Access
Work Groups within the Healthy Communities Coalition
Results
Assessment Completion• 20 volunteers each day for survey
completion• Advertisements, flyers, newspaper articles,
etc. to encourage community involvement
Top 10 key findings
ObesityTobacco
Access to CareMental HealthHeart Disease
Drug & Alcohol AbuseOral Health
Adolescent PregnancyInfant Mortality
Injury & Poisoning
Percent of Adults Neither Overweight nor Obese
Goal: Increase the percentage of adults who are neither overweight nor obese to 38.1%
Percentage of Adults Identified as Current Smokers
Goal: Decrease percentage of adult smokers to 13%
Cardiovascular Disease Mortality Rate/ 100,000
2020 Goal: Reduce cardiovascular disease mortality rate to 161.5 per 100,000
263.9
251.3
235.8
220
225
230
235
240
245
250
255
260
265
270
Davidson County 2010 Peer County Average North Carolina
COPD disease admission rate for Medicaid population per 100,000
700.8
239.1
534.1
429.7
0
100
200
300
400
500
600
700
800
Davidson County2010
Davidson County2005
Peer CountyAverage
North Carolina
Persons Served in Mental Health Programs per 1,000 People
Dentists per 10,000 people
Lessons Learned
Institute was the initial push to break the boundaries and
formalize the collaborative
The common Agenda and Open Communication were the easiest
for the collaborative
team.
Understanding the expectations of the collaborative was
sometimes a challenge (up-front
agendas and objectives prior to calls would help)