Vision North Process started in 1999 as a 5 year process. Initiated by funding agencies who wanted to make sure they were funding the right projects – e.g. United Way and Northland Community Foundation.
Note – New focus on prevention rather than treatment and other health care services. – KPA #1
Clay & Platte Counties contain a total of 3 public health jurisdictions – Kansas City, Clay and Platte County health departments. But public health agencies cannot do it alone – it takes a “system”
A comprehensive needs assessments needs to involve the public health system. Not just local public health agencies. It helps you to engage others in helping to improve health outcomes and indicators but also reminds you that the social determinants of health have a huge impact on wellness.
NPHPSP - It defines the local public health system through its tool kits and “helpful hints” on who else needs to be at the table.
Because of scope and nature of the vastness of a health assessment – must plan 1-2 years ahead of Make sure health assessment data for your community are up to date PRIOR to the planning process.
Clay platte county needs assessment
Clay-Platte County Needs Assessment: Clay County Public Health Center Jodee Fredrick
Vision North 2000-2005 – The Past Vision North 2000 Vision North 2005Four Priority Areas – Added four NEW priority• Quality child care. areas and kept those• Dental care services from 2000• Improved public • Affordable Housing transportation system. • Health Care• After -school and • The Arts summer recreational • Recreation programs
Summer 2010 – The presentA new Vision North steering Five Key committee formed in the Performance summer of 2010. Areas Identified (KPAs):They engaged the National Civic League to facilitate a new 1. Community strategic planning process to Wellness assess current needs and 2. Education challenges for the Northland 3. Economic and to develop strategies and Development action agendas for making a 4. Transportation measurable impact on the and Northland’s critical areas of Infrastructure need. 5. Quality of Life
Local Public Health Agencies’ Role in VN 2010• Three public health agencies provided “seed money” and were part of the steering committee for this initiative. Other stakeholders were also involved)• All 3 public health agencies serving Clay-Platte Counties provided representatives on the Community Wellness KPA• CCPHC provided one FTE to act as liaison to National Civic League (facilitator) from summer of 2010 until August 2011 when process was completed.
Comparison of Vision North Process and the of the PHAB Domain 1, Standard 1 DOMAIN 1 - Standard 1 Vision North process In a community assessment who Who was involved contributed data or resourcesLocal Public Health Department(s) Clay Co. Public Health, Platte Co. Health, KCHDUniversity or Academics Park University, UMKC, Maple Woods Community College, 3 School DistrictsPrivate consultant(s) National Civic League, other consultants within communitiesHealth/Hospital Systems Three Hospitals , Tri-County Mental HealthManaged Care organizations Northland Healthcare AccessOther public sector agencies Economic Development from several communities, Chambers of Commerce, Banks, United Way,Governmental entities Mid-America Regional Council, County Commissioners, Mayors and City Planners, local Boards of HealthState level agency or organizations Local legislatorsNational Level Agency HHSCommunity Based Organizations United Services CAA, Good Samaritan, Faith communityGeneral Public Yes - several
VN 2010 Project Calendar• 1-12-11 Stakeholder Session 1 – Orientation & visioning• 1-26-11 Civic Index – Assessment of civic infrastructure• 2-16-11 Community Scan – Assessment• 3-02-11 Select Key Performance Areas – work groups• 3-30-11 Mini-visioning for KPAs• 4-20-11 KPA Reports on Assessment findings• 5-11-11 Development of KPA Goals/Strategies• 6-01-11 KPA Reports on Goals/Strategies• 6/22/11 Implementation Strategy• 7/13/11 Final KPA Reports• Aug. 2011 Report of Vision North 2010-2015 released to public.
Accreditation is all about the Public Health System Who is part of YOUR PH System?• Take a look at the National Public Health Performance Standards Program’s Model Standards.• Operational Definition of a Functional Public Health• PHAB Standards & DomainsAll of these build off of the 10 Essential Services of Public Health
Why does PHAB require all these people to be involved in a Community Assessment?“The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics”….World Health OrganizationPublic Health has data on morbidity and mortality but we need to focus on what is really going on with our communities and address ALL the factors – not just behavioral risk factors to produce a “healthier” community. “Where you live matters to your health!”
Community Wellness is LocalOur communities know what’s wrong and when we work together we can make it right. The good news is we can fix many of the problems we face, and prevent these same problems from starting in the first place. When we work together our public health departments, health care providers, cities, schools, businesses, and community-based organizations (the PH system) can overcome even the most tenacious problems. We know that:1. Chronic diseases adversely affecting the health of Northland residents share common risk factors such as tobacco use, smoking, unhealthy diet, physical inactivity, alcohol/substance abuse & overweight/obesity.2. Collaboration and integration is necessary as one agency CANNOT do it alone.3. Strong local public health system infrastructure is already in place so why not take advantage by improving linkages4. This approach is being used successfully all across the US – no need to reinvent the wheel . We can learn from each other.
Tools Utilized• Outside facilitator• Data/Assessments• Use of college students to conduct focus groups• Structured tools such as Civic Index Survey• People – runners, liaisons for KPAs, scribes, KPA leaders• Strategic Planning format
Barriers & Steps to Overcome• Timing is critical – Plan 1 – 2 years ahead of schedule for what you’re going to do• Appoint cross-cutting Steering Committee• Stakeholder identification• Engage policy makers• Hire outside facilitator• Try very hard to NOT just focus on health – look at “big” picture of social determinants of health• Funding – Contributing and In-Kind project sponsors
What We Will Do Differently the Next Time • Start Earlier • Tie Funding/Philanthropic agencies in the mix • Health Data - more targeted to counties or communities not region http://www.visionnorth.org/