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IPLAN INDICATORS PROJECT,
2012
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 Assessment
Chicago Department of Public Health    CDPH's 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"
Health

DuPage 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 2016

Lake 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 Committee

McHenry 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, 2012
Will County Health Department         “Will County Community Needs Assessment and Strategic Plan” 2011 - 2015 Plan

Winnebago 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 AND
RECOMMENDATIONS
   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

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NIPHC IPLAN Indicators

  • 2. 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.
  • 3. PARTICIPATING LHD AND DOCUMENTS USED FOR ASSESSMENT Local Health Department Documents used for Assessment Chicago Department of Public Health CDPH's 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" Health DuPage 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 2016 Lake 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 Committee McHenry 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, 2012 Will County Health Department “Will County Community Needs Assessment and Strategic Plan” 2011 - 2015 Plan Winnebago County Health "Rockford and Winnebago County, Healthy Community Strategic Plan (2011-2015)" Department
  • 4. 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%
  • 5. 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
  • 6. 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.
  • 7. 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)
  • 8. 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
  • 9. 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.
  • 10. 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
  • 11. 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
  • 12. 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)
  • 13. 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)
  • 14. OBESITY: COMMON GOALS  Reduce overweight and obesity in Children and Adults  Reduce the proportion adults who engage in no leisure-time physical activity
  • 15. 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
  • 16. 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
  • 17. POTENTIAL STRATEGIES AND RECOMMENDATIONS  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!)
  • 18. 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