This document outlines a strategic planning process for a community health organization called HEAL. The process involves reviewing community data, risks, assets and literature to identify gaps. Community members provide input on healthy community conditions. HEAL staff then assess disparities, current assets and gaps. The goal is to choose upstream community factors to focus on that will stimulate healthy living. This could involve improving access to healthy foods, safe places to exercise or work environments. The data guides creating a 3-year vision focused on upstream changes to support community health.

1. USING DATA FOR
ACTION
HEAL STRATEGIC PLAN

2. DATA Planning Process:
Creates 3 Year
Reviews data, Vision for HE/AL
community
assets,
t
identifies gaps
HEAL staff
reviews
community d t
it data,
risk and
protective
Community factors, and
members share literature
conditions for a
diti f
healthy
community

3. Given limited funds and personnel, how will we
choose the “most important” issues in our
community on which to focus limited resources?

4. DATA PROCESS TODAY
REVIEW COMMUNITY INPUT
AND STATISTICS
ASSESS WHERE DISPARITIES
EXIST
ASSESS CURRENT ASSETS
AND GAPS
WHAT COMMUNITY ENVIRONMENT
CHANGES ARE NEEDED
• “UPSTREAM FOCUS”

5. BARHII UPSTREAM FRAMEWORK
POLICY COMMUNITY INDIVIDUAL HEALTH
OPPORTUNITIES FACTORS FACTORS OUTCOMES
Land Use WELL PAYING JOBS Physical Overweight/
Activity
A ti it Obesity
Ob it
Food AFFORDABLE
Policies HOUSING Diet High Cholesterol
Housing AFFORDABLE Stress High Blood
Policies HEALTHY FOODS Pressure
Education COMMUNITY Arthritis
Policies GARDENS Cancers
Transpor
Transpor- TRANSPORTATION Coronary
Coronar Heart
tation Disease
PHYSICAL ACTIVITY
FOR ALL/YOUTH Osteoporosis
COMMUNITY COMING Stroke
TOGETHER
Diabetes
WALKING / BIKING
ROUTES

6. CONDENSED UPSTREAM
FRAMEWORK
Community Individual Health
Factors Factors Outcomes
•WALKING •OVERWEIGHT
OVERWEIGHT
PATHS •DIET OR OBESITY
•COMMUNITY •PHYSICAL •HEART
GARDENS ACTIVITY DISEASE
•FOOD •STRESS •DIABETES
ACCESS

7. Why is Jason Sick?
INTENTIONAL
HOUSING
INJURY IS
EXPENSIVE
PARNETS
UN PLAY IN RUN CAN’T
CAN’T MOTHER
CUT ON AFFORD
JUNK DOWN OFTEN
INTENTIONAL LEG YARD NEIGHBOR NICER SICK
‐HOOD PLACE
FATHER
WORKS
TWO JOBS
PHYSICAL/ PHYSICAL/ PHYSICAL/ INSTITUTIONAL SOCIAL
BEHAVIOR LIVING
ENVIORNMNET ECONOMIC ECONOMIC
CONDITIONS POWER INEQUITIES
ENVIORNMNET ENVIORNMNET

8. WHY ‘UPSTREAM’?
 We now know that the community where we live, work, play and
learn strongly influences our behavior how we live our lives and our
behavior,
health.
 90% of our HEAL work has focused on educating individuals to
change their behavior. Need interventions that will affect an entire
community, not just individuals.
 As a community, in addition to encouraging individuals or groups to
adopt healthy behaviors, we must move beyond to creating an
environment th t makes it EASY for individuals to make the healthy
i t that k f i di id l t k th h lth
choice.
 The community needs to move toward more innovative, broadly
focused strategies for prevention.

9. TOBACCO SUCCESS
 Educational Strategies / Management of Nicotine
Addiction
Addi ti
 Regulatory Efforts
 Advertising and Promotion
 Product Regulation
 Clean Indoor Air Regulation
 Minors
Minors' Access to Tobacco
In the 1990s, it became increasingly apparent that a public health
success in reducing tobacco use requires activity on all fronts. A
comprehensive approach---one th t optimizes synergy f
h i h that ti i from a
mix of strategies---has emerged as the guiding principle for
future efforts to reduce tobacco use.

10. TOBACCO SUCCESS
Community Individual Health
Factors Factors Outcomes
Regulatory Efforts
ff
•Lung Cancer
•Advertising and •Individual
•Other Respiratory
Promotion Education
Issues
•Product Regulation
Product
•Clean Indoor Air •Management of
Regulation Nicotine Addiction
•Minors' Access to
Tobacco
T b
Economic Approaches
•Taxes, supply, pricing
Success in reducing tobacco use requires activity on all fronts. A comprehensive
approach---one that optimizes synergy from a mix of strategies---has emerged as
the guiding principle for future efforts to reduce tobacco use.

11. Community Individual Health
Factors Factors Outcomes
Healthy Food Not
H lth F d N t
30% Eat Fast Food 1 in 2 overweight
Available
50%
48%
Percent of Adults
48%
46%
44%
42%
40% 42%
38%
2001 2003 2005 2007 2009
Year

12. Community Individual Health
Factors Factors Outcomes
Community not
C it t HALF of kids get
f kid t Less th HALF
L than
Safe little or no exercise physically FIT
Marin County 5th, 7th and 9th Grade Students
It’s not 52% Some or
Meeting all 6 Fitness Criteria
always safe No Exercise 60%
5th Grade
55%
P e r c e n t o f S tu d e n ts
to walk
t lk 50%
54%
46%
7th Grade
7th Grade
9th Grade
around the 45%
40%
44%
45%
42%
community 48% Daily 35%
35%
E i
Exercise 30%
2005‐2006 2006‐2007 2007‐2008 2008‐2009 2009‐2010 2010‐2011
Years

13. STRATEGIC PLAN FOCUSED
‘UPSTREAM’
UPSTREAM
Community Poor Diet and High
Factors No Exercise Cholesterol
Create policies
to improve Work with Educate
access to large Educate adults with
healthy foods, organizations Individuals to high
create food in Marin to
buying clubs,
eat healthy cholesterol
build healthy
reduce costs of and exercise to prevent
workk
healthy foods environments heart attacks

14. What does the data tell us
about community changes
that can stimulate HEAL?
 Look at the Data to see what story the data is telling us
about our community.
community
 Make sense of the data from your experience in the
community.
community
 Think about how we can improve where we live, work,
play and learn, so our community is designed to
learn
support healthy lives.

15. HEAL STAFF
Review
DATA DATA
•Reflects Needs/Assets
Hundreds of •Risk and Protective HEAL
Pieces of Factors
Information •Literature
VISION
on •AVAILABLE
Health of •Local Community Voice
Community
C it
HEAL Planning
Group
Review Assets
and Gaps