PURPOSE AND OBJECTIVES Collect and analyze NIPHC members’ Illinois Project for Local Assessment of Needs (IPLAN) documents. PART I: Identify leading health improvement priorities for the region. Identify a set of health indicators linked to leading health priorities to be used in monitoring regional health status on priority health issues. Outcome objectives; impact objectives PART II: Identify the range of strategies and objectives proposed for health improvement in the region. Interventions/ strategies/ process objectives Identify areas for synergy in focus and strategy across LHDs in the NIPHC region. Identify potential alignments across the region or potential areas for coordination at a regional level.
PARTICIPATING LHD AND DOCUMENTS USED FOR ASSESSMENT Local Health Department Documents used for AssessmentChicago Department of Public Health CDPHs IPLAN, "The Chicago Plan for Public Health System Improvement 2012-2016," addresses system issues. Priority health concerns are identified and measured in "Healthy Chicago: Transforming the Health of Our City" and therefore, Healthy Chicago was used for this analysis.Cook County Department of Public "WePlan2015 : Suburban Cook County Community Health Assessment and Plan"HealthDuPage County Health Department "IPLAN 2015; COMMUNITY HEALTH PLAN"Grundy County Health Department "COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN 2011-2016"Kane County Health Department "2012-2016 Kane County Community Health Improvement Plan" (currently in draft status) IPLAN due in September, 2012.Kendall County Health Department Community Health Improvement Plan 2016Lake County Health Department Community Health Status Assessment (CHSA) in progress (currently in draft status) . IPLAN due in September, 2012. Information used in this assessment are draft and are currently in the process of ongoing development by the LC MAPP Action Teams and MAPP Steering CommitteeMcHenry County Health Department "McHenry County Department of Health IPLAN 2012-2017"Skokie Health Department Skokie HD is currently in the process of establishing priorities and actions. IPLAN is due in September, 2012Will County Health Department “Will County Community Needs Assessment and Strategic Plan” 2011 - 2015 PlanWinnebago County Health "Rockford and Winnebago County, Healthy Community Strategic Plan (2011-2015)"Department
HEALTH PRIORITIES FREQUENCY Percent of Health Priorities (N = 60) by Category Environment 2% Violence PHS 5% 5% MCH 5% Access to Care 20% Healthy Homes 5% Chonic Diseases: Health Equity Cancer 6% 10% Behav. Hlth and Sub. Abuse Chonic Diseases: 10% Cardiovascular Obesity 8% 12% Communicable / Infectious Diseases 12%
HEALTH PRIORITIES BY LHD FREQUENCY Number of Local Health Departments (N = 11) by Category Environment , 1 Violence , 3 Access to Care , 8 PHS , 3 MCH , 3 Chonic Diseases: Cancer, 5 Healthy Homes , 3 Health Equity , 2 Chonic Diseases: Cardiovascular, 5 Behav. Hlth and Sub. Abuse , 6 Communicable / Obesity , 7 Infectious Diseases, 4
PART I: LEADING HEALTH PRIORITIES Focus: Access to Care Chronic Diseases Communicable / Infectious Diseases Obesity Identify leading health improvement goals for the region. Identify a set of health indicators linked to leading health priorities to be used in monitoring regional health status on priority health issues.
FOCUS: TOP FOUR HEALTH PRIORITIES (37/60)Approximately 62% of the total priorities identifies were in the following categories: Access to Care (n=12) Chronic Diseases (n=11): Cancer (n=6) Cardiovascular Diseases (n=5) Communicable / Infectious Diseases (n=7) Obesity (n=7)
ACCESS TO CARE: COMMON GOALS Improve availability of access to medical home / primary care services (medical, dental, mental, social) as measured by capacity Increase the number of primary care providers who provide services to the uninsured and under- insured
ACCESS TO CARE: POTENTIAL INDICATORS Percentage of persons that have a “regular” Primary Care Provider. Percent of persons under age 65 years with health (medical) insurance Percent of population that is Medicaid/Medicare eligible Hospitalizations/ER visits for ambulatory care sensitive conditions Persons able to obtain medical, dental and prescription assistance.
CHRONIC DISEASES: COMMON GOALS Reduce the burden of morbidity (i.e. disease incidence) and premature mortality from the major chronic diseases and related risk factors: Heart/ cardiovascular disease Cancer (lung, prostate, colorectal, and breast) Tobacco use and exposure Obesity and sedentary lifestyle
CHRONIC DISEASES: POTENTIAL INDICATORS Heart disease death rate, per 100,000 Coronary heart disease death rate, per 100,000 Breast cancer death (female) rate, per 100,000 Prevalence of obesity (BMI >=30) Prevalence of obesity in children Percent of women who receive a breast cancer screening based on the most recent guidelines, percent Percent of adults who receive a colorectal cancer screening based on the most recent guidelines, percent
COMMUNICABLE / INFECTIOUS DISEASES:COMMON GOALS Reduce the incidence rate of unintended pregnancies Reduce the incidence of sexually transmitted infections among teens (especially Chlamydia trachomatis, HPV, HIV)
COMMUNICABLE / INFECTIOUS DISEASES:POTENTIAL INDICATORS Incidence rate of Chlamydia trachomatis infections in youth (15-19 years) Teen fertility rate (15-19 years) Youth engaging in risky sexual behaviors (need to define) (e.g. condom use, alcohol and sex, intimate partner violence/ bullying)
OBESITY: COMMON GOALS Reduce overweight and obesity in Children and Adults Reduce the proportion adults who engage in no leisure-time physical activity
OBESITY: POTENTIAL INDICATORS Percentage of adults with healthy weight and BMI Percentage of adults that consume 5 or more serving of fruits and vegetables Percentage of adults who engage in no leisure- time physical activity Prevalence of obesity (BMI >=30) Prevalence of obesity in children
PART II:INTERVENTIONS / STRATEGIES Focus: Access to Care Chronic Diseases Communicable / Infectious Diseases Obesity Identify the range of strategies and objectives proposed for health improvement in the region
POTENTIAL STRATEGIES ANDRECOMMENDATIONS Several potential strategies and recommendations were proposed under each of the four priority areas, for example: Access: Advocate for maintenance and full funding of the PPACA to ensure expansion of Medicaid and establishment of Health Insurance Exchanges so that more people have insurance coverage Chronic Disease: Promote healthy vending in the workplace by adopting healthy vending policies for all public buildings Communicable/ Infectious Disease: Establish hospital prevention collaborative focused on reducing or preventing healthcare-associated infections Obesity: Create and launch an obesity prevention mass media campaign and a campaign focused on students (such as Drop the Pop or 5-4-3-2-1 Go!)
ACKNOWLEDGMENTS NIPHC Board and Staff LHD staff - IPLAN, Epidemiology, Other UIC SPH Student Epi Corps - Anh-Thu Runez, Drs. Hershow, Dworkin, and Mehta Cook County Department of Public Health – Dr. Steven Seweryn