Selecting Priorities and Action Planning: Engaging a Community

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Selecting Priorities and Action
Planning Engaging a Community
Healthy Carolinians of Orange County
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HCOC Organization Structure
Healthy Carolinians of Orange County Organizationa
l Chart
Executive Committee Mark Sullivan Pam Dickens
Dee Jay Zerman Bobbie Jo Munson
Healthy Carolinians Council
Chairperson Mark Sullivan
Coordinator Bobbie Jo Munson Vice Chair
Pam Dickens Priority
Committee Chairs Secretary Dee Jay
Zerman Other representatives up
to 24 members Marketing Chair Vacant

Membership/Nominating Committee
Marketing Committee
Priority Committee Advocates for
Adolescents Risky Teen Behavior Co-Chairs
Priority Committee Advocates for
Children Determining New Focus Co-Chairs Diana
Bass Pam Dunn
Priority Committee Healthy Choices Health
Promotion Co-Chairs
Priority Committee Mental Health and Substance
Abuse Access to Services and
Awareness Co-Chairs
HCOC is housed within and supported by the Orange
County Health Department
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Orange County Community Health Assessment Process
Phase 1 Establish a Community Assessment Team
Phase 2 Collect Community Data
Phase 2a Secondary Data Analysis
Phase 2c Community Survey
Phase 2b Input from Service Providers
Phase 3 Combine and Analyze Data

Phase 4 Report to CHA Team
Phase 5 Report to Community
Select Health Priorities (Annual Meeting)
Phase 6 Create Community Health Assessment
Document
Phase 7a Disseminate Document
Phase 7b Create Sub-Committees
Phase 8 Develop Community Health Action Plan(s)
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CHA Timeline
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• An integral part of the Community Health
  Assessment process is to identify the communitys
  health-related priorities
• and
• generate strategies that will serve as the
  foundation for the Countys Community Health
  Action Plan

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• Availability of resources and interest in the
  community limits which issues can be addressed at
  a given time
• The community must prioritize which issues to
  focus on and how to use their resources
• To do this, have to look at all data collected

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Community Survey Data

• Three survey questions asked residents to choose
  the top social, health and environmental issues
  that affect the community as a whole
• Example
• Which of these things stand out for you as
  important social
• issues in Orange County? Choose three.

• Access for the disabled
• Elderly services
• Family violence
• Racial discrimination
• Homelessness
• Affordable health care

• Internet safety
• Community violence
• Risky teen behaviors
• Making ends meets
• Lack of transportations
• Other

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Community Survey Results
In addition to the data above, other survey
questions were used were applicable to
understand community health needs
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Secondary Data Review

• Challenges
• Over 40 topics covered in assessment
• Each section written by different people
• Written over a 6 month period
• A LOT OF DATA covered!!!
• Our Solution
• Created 1 page summary sheet for each topic
• Included
• Statistical data
• Community survey results
• Comparisons to HC 2010 objectives and state
  average
• Gaps/Needs
• Disparities
• Summary sheets gave quick overview of all
  thetopics in a way that could be presented to
  others

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Community Health Assessment Team (CHAT)

• Members 25 people
• Represent health department (environmental
  health, dental,
• preparedness, CD), social services, schools,
  department of
• aging, UNC Hospitals, mental health, disability
  community, TUW,
• cooperative extension, and local health clinics
• Goal review all 43 topics covered in the
  assessment and narrow down to ten areas of
  greatest concern
• The ten areas selected by the CHAT were then
  presented at the Healthy Carolinians of Orange
  County annual meeting

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Community Health Assessment Team (CHAT)

• Assessment Team was asked to consider two
  criteria in determining which problems where of
  greatest health concern
• Importance
• Issues does not meet Healthy Carolinians
  objective,
• Data indicates there is a high incidents/prevalenc
  e in community,
• Issues is a significant cause of morbidity and/or
  mortality in community,
• Community identified issues as a need or it is
  perceived as a problem,
• Issue is not already being addressed by others in
  the community.
• Changeability
• The HCOC partnership could effectively address
  the issue,
• There are resources in community to help address
  issue,
• There are expertise in community to help address
  issue,
• There is an interest by the community to work on
  the issue,
• Issues itself is amenable to intervention (i.e.,
  changeable).

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HCOC Annual Meeting

• Over 70 participants attended the meeting
• including community members, representatives
• from the board of health, county commissioners,
• local agencies, the churches, the hospital,
  andthe schools
• Goals
• Reported CHA findings to community
• Vote on new priorities

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HCOC Annual Meeting

• . Since there is already a lot of good work being
  done in the community, and we want to
  maximize our time and resources as much as
  possible, please consider the following
• . Are there resources available for us to build
  on?
• . Are the current efforts and/or resources enough
  to adequately address the issue?
• . To reach our goals, there must be community
  support and commitment to address the
  issue.
• . Do you feel that there is an interest and
  desire in the community to tackle the issue?
• . Realistically, can we make a significant
  impact on the issue and improve health
  outcomes?
• . Representation from what areas of expertise is
  needed and/or who must be involved to move
  forward?
• A. Do we have the necessary people?

Outcome Selected top five priority areas, which
are now the focus of HCOC
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Committees Action Plans

• Establish 3 new committees (and maintain
  1 current committee)
• Committee members will meet to
• Review CHA data
• Discuss gaps
• Discuss areas of collaboration
• ID strategies and projects
• ID partners needed
• Develop Action Plans as a committee

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Tie-In to Accreditation

• Regular reporting to BOH
• Approval of prioritization process
• Approval of priorities
• Approval of final draft and dissemination plan
• Many of the accreditation benchmarks ask if and
  how needs in community have been identified and
  about current and past partnerships with the
  community to work on diverse projects/initiatives

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Contact Information

• Bobbie Jo Munson
• Healthy Carolinians Coordinator
• 2501 Homestead Rd.
• Chapel Hill, NC 27516
• Phone [phone] x 291
  
• email bmunson_at_co.orange.nc.us

Visit Our Website www.co.orange.nc.us/health/ochc
.htm click on Healthy Carolinians