Download - Understanding Community Health Improvement Processes A Healthy Place to Live, Learn, Work and Play:
Outline
• Definitions• Key Principles• What Makes a Community Healthy• How a Community Can Become Healthier• Best Practices by Phase• Getting Started
Definition
Community Health Improvement Processes:
• Working intentionally, strategically and collaboratively at the local level to improve the health of the community
Many Names, One Goal
• CHIP & CHA (public health)
• CHIPP (public health in WI)
• CHNA (hospitals)
– Similar steps
– Same goal: Make the community a healthy
place to live, learn, work and play
• Wisconsin State Statutes and Administrative Rules
• Public Health Accreditation (voluntary)
Public Health Department Requirements
Wisconsin State Statutes.251.05(3)(c) A local health department shall involve key policy makers and the general public in determining and developing a CHIP...
Not-for-Profit Hospital Requirements
Every 3 years:• Community Health
Needs Assessments• With community
partners and public data
• Identify plans and roles for health improvement
Benefits
↑ Effectiveness through collaboration
↓ Duplication of efforts
↑ Community engagement and awareness around health issues
Benefits
↑ Health of community
↑ Build the community’s infrastructure
↓ Health care costs (includingindirect costs such as lower productivity and absenteeism)
Key Principles
• Use best practices • Actively engage
all stakeholders• Focus on
underlying forces that influence health
• Pay attention to health disparities
Key Principles
• Move energetically from data into ACTION
• Use evidence-informed strategies
• Include policy and systems-based strategies
Health Disparities
= Differences between groups in their health status
– Examine disparities in health factors in your community
Health Equity = striving for the best health for all
– Address disparities to achieve health equity
Collaborate with Key Stakeholders
• Lead collaboratively with all core partners
• Involve community representatives throughout theprocess
• Engage community partners from under-represented groups
• Engage new partners as necessary after priority topics are chosen
Benefits of Collaboration
• More thorough picture of complex health needs
• Different resources and perspectives are critical to success
• Shared ownership leads to shared responsibility to address health issues
• More focused effort when all work in one direction together
Engage the Community
• Include broad participation from the
community throughout the process. In particular:– Seek input on community needs
and assets– Seek input on the preliminary list of priority
topics– Seek commitment to support implementation
• Be sure to engage: – Those affected by the issues being addressed– Under-represented or underserved populations
Assess Needs & Resources
• Collect and analyze community health data. Include: – Health disparities– Underlying determinants
of health– Issues and themes
identified by stakeholders and the community
– Community assets and resources – Input from community members on health
issues and assets
Focus on What’s Important
• Identify a set of priority community health issues to address– Use a set of criteria for
considering priorities– Choose a manageable
number of priorities– Use a skilled facilitator
Focus on What’s Important
• Align the local health improvement plan with state and national priorities
• Summarize and disseminate the results of the assessment to the community
Choose Effective Policies and Programs
• Engage partners to plan and implement strategies
• Choose effective (evidence-informed) strategies
• Have multi-level approaches to change, including policy and systems-based approaches
Act on What’s Important
• Develop an effective organizational structure
• Develop and use a detailed action plan to:– Organize steps – Assign accountability– Identify and secure needed
resources– Actively track progress
• Report progress to the community
• Celebrate success!
Evaluate Actions
• Design an evaluation plan at the beginning of the implementation process
• Evaluate and monitor both process and outcome measures
• Revise the action plan based on evaluation results
• Continually assess and address stakeholder involvement
Getting Started
Association for Community Health Improvement
• Understand each other’s mission, purpose and requirements
• Create a shared vision and goals
• Form an organizational structure that will work for your community
• Determine clear roles, responsibilities, and levels of authority
Getting Started
Association for Community Health Improvement
• Establish protocols for decision making and conflict resolution
• Create a communications plan
• Secure resources needed to begin
• Learn the best practices for community health improvement
• Draft a timeline for the steps in your process
Key Resources
• www.wicommunityhealth.org for the Wisconsin Guidebook on Improving the Health of Local Communities and other resources
• Healthiest Wisconsin 2020• Healthy People 2020• What Works for Health• National Prevention Strategy• County Health Rankings and Roadmaps• Association for Community Health
Improvement
A Healthy Place to Live, Learn, Work and Play:Understanding Community Health Improvement ProcessesVersion 2.0December 2014
• This resource was developed with funding from the University of Wisconsin School of Medicine and Public Health from the Wisconsin Partnership Program. The resource is a result of a collaboration between the Wisconsin Association of Local Health Departments and Boards, the University of Wisconsin Population Health Institute, and numerous additional partners. For more information, please go to www.wicommunityhealth.org or www.walhdab.org.