Overview of CHBRP's work on Social Determinants of Health
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ACOS AND SOCIAL DETERMINANTS OF HEALTH Panel at Council of Health Care Economics & Policy Conference, Princeton,in May of 2016.
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The Forces of Change Assessment identified several factors affecting public health in Cook County, Illinois, based on focus groups with knowledgeable individuals. The Affordable Care Act was seen as both an opportunity and threat by increasing access but also having limitations. State budget cuts limited resources. Climate change and marriage equality presented threats and opportunities. Incarceration and lack of economic opportunity disproportionately affected minorities and women. Large corporations were seen as prioritizing profits over communities. Focus group members felt average citizens had less power than wealthy individuals and corporations to influence policies impacting health.
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This document outlines the 5 step process for conducting a needs assessment in public health care: 1) Getting Started, 2) Identifying Health Priorities, 3) Assessing Health Priorities, 4) Planning for Change, and 5) Moving On/Reviewing. The goals of needs assessment are to understand the health issues facing a population and agree on priorities and resource allocation to improve health and reduce inequalities. Key aspects include defining the target population, gathering data on health conditions and their impacts, selecting priorities based on impact and changeability, and developing an action plan to address priorities through acceptable and feasible interventions.
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The document summarizes findings from Phase 2 of the California Reducing Disparities Project (CRDP) statewide evaluation. Key findings include:
1) Community-defined evidence programs (CDEPs) served diverse priority populations across California and increased access to mental health services. Baseline data showed many participants had existing mental health needs.
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3) Both adult and youth participants showed improvements in psychological distress, with many maintaining or reducing distress levels after receiving CDEP services. This provides evidence that CDEPs were effective for
IPlanninizersofKaneCounty
This document provides a summary of the Kane County Community Health Improvement Plan (CHIP) in Illinois. It discusses the purpose and requirements of the IPLAN/CHIP process, which is conducted every five years to assess community health needs and develop plans to address priority issues. The summary outlines the structure and organization of Kane County's CHIP, noting it is well organized with sections, subtitles, and graphics. It also analyzes how the CHIP addresses core functions and steps of the Timmreck 10-Step Planning Model. Key health priorities in the Kane County CHIP include reducing chronic disease, infant mortality, childhood lead poisoning, and improving social/emotional wellness. The CHIP aims to achieve these priorities through goals related to
Improving the Health Outcomes of Both Patients AND Populations
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
Health Impact Assessment: Bringing Public Health Back to the Decision Table
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This document summarizes a presentation on a health impact assessment (HIA) of a proposed Kentucky tax credit to encourage worksite wellness programs. The HIA found that such a tax credit could reduce childhood obesity by educating parents through worksite programs. It may also increase jobs by reducing healthcare costs and improving productivity. The tax credit was also found to potentially improve social cohesion and well-being in workplaces. Preliminary recommendations included enacting the tax credit bill and conducting further research on worksite wellness programs in the state.Health Equity Workshop - Promising Practices
This document summarizes strategies and evidence for advancing health equity. It discusses 10 promising practices including intersectoral action, targeting universal policies, purposeful reporting, social marketing, and community engagement. For each practice, the document provides examples from public health organizations and literature reviews on the impact and how to effectively implement the strategies. It emphasizes assessing health inequities, modifying interventions to reduce inequities, and partnering with other organizations to improve health outcomes for marginalized groups.
HTA Presentation
The document outlines a presentation on implementing a wellness program. It discusses declining health in the US and rising healthcare costs. It then introduces Barbara, an employee, and outlines initiatives to motivate behavior change using the 4 P's model of process, persuasion, possibilities, and person. The presentation details wellness initiatives in nutrition, fitness, and mental health and platforms to track progress. It discusses the financial benefits of wellness programs and how the program motivated Barbara through screening, support groups, and incentives. The presentation concludes with employee testimonials praising the program's flexibility and support.
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Changing the Odds and Finishing First: Harnessing Our Strengths to Improve Children’s Health Services in Canada2015 Ottawa County Health Improvement Plan
WHAT is the Ottawa County Community Health Improvement Plan?
A plan that focuses on the greatest health needs in Ottawa County. Community members, including people from health care and human service agencies, identified three priority health areas based on data from the Community Health Needs Assessment (CHNA).
WHY a CHIP?
Public health challenges are too great for a single person, organization or sector to solve alone. The CHIP is a guide for the community to work together and meet its health needs.
EOA2016: LiveHealthy2020 a Foundation for Transformation
LiveHealthy2020 (LH2020) is a collective impact initiative in Snohomish County, Washington to improve community health. In 2016, LH2020 directors provided an update on year 1 results and unveiled new online tools. They discussed principles of equity, empathy, resilience and empowerment in LH2020's work. As of July 2016, LH2020 had 128 signatories implementing over 180 programs across 222 locations, collectively reaching over 1.2 million people. New online tools like a partner portal and community maps were demonstrated to connect partners, track goals and share resources.
Health promotion through collaboration presentation kelly klarich
Healthcare can only go so far in controlling the health of a patient or population due to social, economic, environmental and behavioral determinants such as economic stability, education, food sources, environmental impacts and the individual choices people make with respect to their health. As a result of these influences not in the control of the healthcare system is it realistic to think that healthcare organizations can impact the over-all health of a population group on their own? If you are interesting in learning more about the impacts of social determinants on health or how you can get involved in improving the health of American's, take a look at the attached presentation or visit http://www.healthypeople.gov/.
We all have a part to play in lowering spending on medical services and promoting health. The behavioral choices we make and the social influences impacting health must be understood and addressed if we are to improve the overall health of the U.S.
Get involved, share this with those you care about and help spread the word!
Health Promotion through Collaboration Presentation Kelly Klarich
This document discusses the importance of collaboration between healthcare organizations and other partners to promote population health. It notes that social and environmental factors have a significant influence on health outcomes, beyond what healthcare alone can control. To truly impact population health, strategic partnerships are needed that involve individuals, communities, public health officials, government agencies, and others. The document recommends approaches like policy changes, education initiatives, and a shift toward health promotion activities to engage these broader determinants of health.
HIA 101 April 29 2014
This document provides an overview of health impact assessments (HIAs). It defines HIAs as systematic processes that use data and stakeholder input to determine how policies may affect population health. The document outlines the goals of HIAs in promoting health, equity and evidence-based decision making. It also describes the typical phases of conducting an HIA including screening, scoping, assessment, recommendations and evaluation. Resources for learning more about HIAs are provided.
Substance Abuse Jackson, Michigan
The Community Health Assessment provides an overview of community health issues in Jackson County, Oregon based on a review of data from 2013. It finds that while Jackson County saw population growth from 2002-2008, it experienced an outmigration of younger residents from 2008-2010 due to job losses. At the same time, the elderly population increased, with 18.8% of residents over 65 years old in 2012. The assessment identifies chronic diseases, mental health, addictions, and access to care as key health issues. It incorporates input from community focus groups and interviews to understand resident perspectives on local health priorities and strengths of the healthcare system.
Clay platte county needs assessment
This document summarizes the Vision North 2010-2015 strategic planning process for the Clay-Platte County region. It describes how multiple stakeholders including local public health departments, hospitals, schools, and community organizations came together to identify key priorities and develop strategies. Through a facilitated process, they engaged the community and assessed needs to select five priority areas: community wellness, education, economic development, transportation/infrastructure, and quality of life. The local health departments played a key role by providing funding, participation on the community wellness committee, and staff support. Lessons learned include starting earlier, engaging funders, and focusing health data more locally.
Hia presentation for health disparities group revised
A health impact assessment is a systematic process that evaluates the potential effects of proposed policies, programs, or projects on the health of populations and the distribution of effects within populations. It involves screening, scoping, assessment, recommendations, and monitoring/evaluation steps. Health impact assessments aim to promote health equity by authentically engaging stakeholders, evaluating impacts on vulnerable groups, identifying recommendations to maximize health benefits for those facing health disparities, and communicating results in culturally appropriate ways. Examples provided assessed proposed legislation to protect domestic workers in California, revisions to Minnesota school siting guidelines, and changes to a Massachusetts housing assistance program. Emerging issues discussed opportunities to further health equity as well as challenges regarding timing, stakeholders, evidence, and legal frameworks.
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Community members and stakeholders in North Carolina provided perspectives on health equity as part of a statewide healthy environments initiative. Through focus groups and interviews, they discussed three strategies - farmers markets, shared outdoor spaces, and smoke-free housing. Two key themes emerged. First, "access" - how easy it is for communities to use resources. Factors like location, cost, and safety can create barriers. Second, "community fit" - whether a strategy aligns with community values and norms. Suggestions to improve equity focused on transportation, market hours, safety, and involving both smokers and nonsmokers in policy decisions. The views of community members and stakeholders can help shape culturally-relevant strategies to promote health and prevent chronic diseases
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Overview of CHBRP's work on Social Determinants of Health
- 1. California Health Benefits Review Program Overview of CHBRP and Work on Social Determinants of Health Garen Corbett Director May 25, 2016
- 2. CALIFORNIA HEALTH BENEFITS REVIEW PROGRAM • CHBRP is an independent, analytic resource serving the California Legislature, grounded in academia and policy analysis ◦ Administered by the University of California ◦ Provides timely, evidence-based information to the Legislature • Neutral – without specific policy recommendations • Fast – 60 days or less What is CHBRP? 2
- 3. CALIFORNIA HEALTH BENEFITS REVIEW PROGRAM
- 4. CALIFORNIA HEALTH BENEFITS REVIEW PROGRAM SDOH FRAMEWORK Upstream factors Downstream factors Source: California Health Benefits Review Program, 2016
- 5. CALIFORNIA HEALTH BENEFITS REVIEW PROGRAM CHBRP’S WORKING DEFINITION • Social determinants of health are conditions in which people are born, grow, live, work, learn, and age. These social determinants of health (economic factors, social factors, education, physical environment) are shaped by the distribution of money, power, and resources and are impacted by policy. (adapted from Healthy People 2020, 2015; APHA, 2014).