Evaluating the Community-Engaged Organization

AsdMKJ

2019CHA-CHIPDraft.pdf

Home >Education homework help >Evaluating the Community-Engaged Organization

2019-2021 Community Health Assessment and Improvement Plan

Bar�� Riv�� Ini��iv� To Get He�l��y Tog��r

2019-2021

Community Health Assessment

and Improvement Plan

Contents

Graphics Key

Letter to the Community

Acknowledgements

Community Health Assessment: Framework

Introduction

Methodology

Community Description

Priority Health Issues

Health Services

Health Equity

Healthy Environment

Healthy Lifestyles

Community Health Improvement Plan

Community Resources

County Data Charts

Data Source List

Al�e�, Bar��, But��, Ed�o�s��, Har�, Log��, Met��f�, Mon��,

Sim��n & War�� Co�n��e�

The symbols below represent contributing factors to the health issues described in this assessment. Look for these symbols in this report to learn about root causes of health issues in the Barren River District.

Barren River Area Development District

Smoking Diet & Exercise

Alcohol & Drug

Use

Sexual Activity

Access to Care

Quality of Care

Education

Employment & Income Family

& Social Support

Community Safety

Water & Air Safety

Housing & Transit

Letter to the Community

A letter to the community will go here............................................................................................................ ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... ...................................................................................................................... .............................................

Director Signature

We en��on ev�� re��n� in t�e Bar�� Riv�� Are� Dev��me�� Dis��c� ha��g t�e be��

qu��y of li�� po��b�� b� en��n� a sa�� p�a�� to li��, wo��, an� p�a�. He�l��y in��du��, fa��es,

an� co��n��i�� ar� t�e co��r��ne of t�i� vi��. The vi�� in��d�� eq�� op��t��i��s to

be he��h� wi�� an em��s�� on pe��n�� re��n��il�� fo� t�e�� ow� he��h an� we��n��,

an� co��b��a��n am�� al� s�a��h��er�.

Bar�� Riv�� Ini��iv� To Get He�l��y Tog��r

Acknowledgements The Barren River District Health Department would like to thank the following organizations for their invaluable contributions to this Community Health Assessment prof ile.

Health Services Cal Turner Rehab & Specialty Care Med Center Scottsville Home Health Med Center T.J. Regional Health Commonwealth Regional Specialty Hospital Med Center Caverna Graves Gilbert Clinic Christian Care Community Aetna Lifeskills, Inc. WellCare Med Center Franklin Kentucky Health Information Exchange Barren River District Health Department Fairview Community Health Center Caresource Humana Go365 Humana Oxford House

Health Equity WKU Institute for Rural Health WKU Department of Public Health HOTEL, Inc Warren County Library Habitat for Humanity Barren River Area Development District (BRADD) Allen County Health Department Barren River District Health Department Med Center Health City of Bowling Green Monroe County Health Department Community Action of Southern Kentucky South Central KY AHEC

Healthy Environment Warren County School System Kentucky Transportation Cabinet Barren County School System Barren River District Health Department CASOKY

Healthy Lifestyles Community Farmers Market UK Extension - Hart County UK Extension - Simpson County Travel Trim (Logan Aluminum) Kentucky Cancer Program Barren River District Health Department Bowling Green Independent School System Fairview Community Health Center Allen County Health Department Med Center

Healthy Lifestyle

Health Services

Health Equity

Access to Care Quality of Care

Education Employment

Income Family & Social Support

Community Safety

Health Behaviors

Health Outcomes

Health Factors

Policies & Programs

Tobacco Use Diet & Exercise

Alcohol & Drug Use Sexual Activity

Length of Life

Quality of Life

Air & Water Quality Housing & Transit

The Barren River Initiative to Get Healthy Together (BRIGHT) Coalition envisions every resident in the Barren River Area Development District will have the best quality of life possible by ensuring a safe place to live, work, and play. Healthy individuals, families, and communities are the cornerstone of this vision and include equal opportunities to be healthy with an emphasis on personal responsibility for their own health and wellness and collaboration among all stakeholders. The BRIGHT Coalition formed in 2011 with seven community partners, Barren River District Health Department, Caverna Memorial Hospital, The Medical Center at Bowling Green, The Medical Center at Franklin, The Medical Center at Scottsville, Monroe County Medical Center, and TJ Samson Community Hospital, to answer the question, "How can leaders of South Central Kentucky's rural communities work together to improve our overall health status, strengthen the local economy, contribute to education successes, and improve quality of life?" The Coalition has since grown to over 47 organizations representing the ten counties in the Barren River Area Development District (BRADD). The 2018-2019 Community Health Assessment (CHA) was conducted by the BRIGHT to guide the community health improvement process for multiple organizations across the BRADD. This assessment details the priority health issues selected after consideration of all the data collected, and how this was used to develop a Community Health Improvement Plan (CHIP).

Community Health Assessment: Framework

Introduction

Methodology Throughout 2018, the BRIGHT Coalition met monthly conduct the third Mobilizing for Action through Planning and Partnership (MAPP) cycle. MAPP is a strategic planning process that is used for partners in the region to apply strategic thinking to prioritize public health issues and identify resources to adress them. This process is how the BRIGHT Coalition facilitates a collaborative process for community partners to participates in data collection and analysis, planning, implementation, and evaluation. It is comprised of six phases with the f irst four resulting int the CHA and the CHA is the foundation for the CHIP to be developed and then utilized in the last two phases of the MAPP process. Through data gathered f rom County Health Rankings, previously conducted assessments, and Healthy People 2020 the coalition identif ied four priority health issues of Healthy Environment, Health Equity, Healthy Lifestyle, and Health Services in early 2018. . The data collection process gathered qualitative and quantitative data through MAPP identif ied assessments; Community Themes and Strengths Assessment, Forces of Change Assessment, and Community Health Status Assessment, though less than 10% of population was reached and the target audience was largely missing resulting in data that isn’t statistically representative of the area. Data was gathered f rom existing sources of County Health Rankings, Behavior Risk Factor Survey, EnvirohHealthLink and previous Community Health Assessments. All data was evaluated to reveal the data driven objectives to be addressed for each of the four priority health issues.

Key Points from 2018 Community-Wide Survey*

Accessing health care services is important

Safety is important

Safety is affected by traffic and drug and alcohol use

Eating fresh and healthy foods is important

Monthly rent and utilities are more than half of my

monthly income

Driving alone to work

*The survey did not get enough results to be statistically representative of the community

Allen (6.99%) Barren (13.65%) Butler (4.35%) Edmo

District Population by County Allen Co. 20,631

Barren Co. 40,993 Butler Co. 12,845

Edmonson Co. 12,114 Hart Co. 18,627

Logan Co. 26,593

Metcalfe Co. 10,018

Simpson Co. 18,083

Warren Co. 125,532

Monroe Co. 10,588

Community Description

As of 2017, 303,327 individuals reside in the Barren River Area Development District (BRADD), which is made up of the ten counties in South Central Kentucky; Allen, Barren, Butler, Edmonson, Hart, Logan, Metcalfe, Monroe, Simpson, and Warren. 1 In 4 of the 10 counties has 100% of the population living in a rural area and an average of 78% of the BRADD population live in rural areas, with Warren County being the lowest at 31.2%. The BRADD median household income is $42,066, but approximately 53,625 residents live in poverty. Poverty can result in an increased risk of mortality, morbidity, depression, and poor health behaviors; meaning increased risk for approximately 18% of the population. From 2013-2017 Bowling Green had 2,470 Immigrants arrive through the International Center.

Who ma kes up

the BRAD D?

20.4% are 65 years old or older

27.5% are below 18 yea rs of age

Health Services Data Driven Objectives

Increase primary care access across BRADD. TO COME TO COME TO COME

2016 2018 0

20 Since 2016, the percentage of BRADD residents without medical insurance has declined f rom 19.9% to 8%.

Ambulatory-Care Sensitive Hospital stays

Per 1,000 BRADD Medicaid Patients

100.9

nta l H

eal th

Pro vid

ers

415 Pri

ma ry C

are Ph

ysi cia

159

Edmonson County has the highest patient to

Mental Health Provider ratio in the BRADD at

3,030:1

"Health Services quote here"

Federally Qualified Health Centers Regional Health Centers MD2U Lifeskills Community Health Management DSMS (Diabetes Self-Management Support) DPP (Diabetes Prevention Program) MNT (Medical Nutrition Therapy)

Community Needs Lack of HIV Clinics High Medication Costs Access to Dental for Medicaid Not Enough Psychiatric Care Providers No Opioid Treatment Facilities Lack of Syringe Exchange Programs

Community Resources

4.6%

RegionalAverageUnemploymentRate 4.5%

Health Equity Data Driven Objectives

Increase Support for Healthy Child & Family Development Educate Residents & Community Organizations on available Human & Social Services Implement a Health in All Policies Approach Across BRADD

Average Income

40,230

People age 16+ unemployed but

seeking work

Percentage of Children under

18 in Poverty

29.2%

Percentage of Single Parent Households in our Region

28.7%

92% Graduated High

School

"The main problem for my students is lack of parental concern. So many times children tell me they don't have thermometers or medicine at home. And, they also tell me they've been sick for days and their parent won't

take them to the doctor." -Local Elementary School Teacher

of 9th grade

in the regio

gradu ated in

years

of adult s aged

25-44 in the

region h ave

some po st-

seconda ry

educatio n

92%48%

HANDS Program SOKY Workforce Development Chamber of Commerce Community Action Council Career Center Community Needs

Lack of Subsidized Housing Community Programs for Kids/Families Car Seat Safety Programs

Community Resources

Healthy Environment Data Driven Objectives

Educate the public about the importance of the cleanliness of our water resources and air quality Decrease commute times throughout the region Increase development of mixed-use areas that:

improve walkability encourage biking provide affordable housing elevate access to f resh, healthy foods reduce the number of fatalities and injuries minimize automotive traff ic increase transit use enhance air quality

35% of commu

ters

in our reg ion

drives alo ne

to work.

USA (1.3)

13% of our region lives with severe household problems.

47% of renters who spend more than 30% of their income on housing costs

Housing Assistance from the USDA Housing Authorities in Most Counties County Transit Systems Cleaner Natural Water Resources Air & Ground Ozone Qualities Improving

Community Needs

Public Education on Natural Water Quality Absence of Uniform Residential Landlord and Tenant Act Minimal Bike Lanes Lack of Access to Food in Food Deserts Regional Transit Plan Long Commutes

Community Resources

Regional Average of Air Pollution (Particulate Matter

& Ground Ozone)

10.1 µ/m³

The Surgeon General has warned that radon is the second leading cause of lung cancer in the United States today. Only smoking causes more lung cancer deaths. If you smoke and your home has high radon levels, your risk

of lung cancer is especially high.

0 1 2 3 4 5 6 7

BRADD (6.3)

BRADD R adon

levels vs U SA

Radon lev els

Radon is the number one cause of lung cancer among non-smokers, according to EPA estimates. Overall, radon is the second leading cause of lung cancer.

Healthy Lifestyles Data Driven Objectives

Access to Fresh and Healthy Food Alcohol Use, Substance Use & Mental Health Awareness Incorporating Exercise and Healthy Habits

31% of Adults age 20+ get NO

leisure-time physical activity

“Parents don’t take the time to cook heal thy food for the students. It is easier to go to

a fast food restaurant.” -community member

VS. 193 FAST FOOD

Restaurants in the Region

The averageAmericanspendsaround 11.6hours

accessingmedia daily.

41% of Barren

River Residents are obese

23% of BRADD Adults are Smokers

2018

2016

The rate of BRADD residents in poor health has decreased 1.5% since 2016

H4: Double click to edit

22% 23.5%

21%

The number of BRADD residents who binge drink has increased 1.9% since 2016 (11.7%)

The Barren River District Health Department Needle Exchange Programs have collected over

dirty needles in Warren and Barren Counties 30,630

24% of BRADD

driving de aths

involved a lcohol

KY has the 2nd highestsmoking rate in the nation at 24.6%

13.6% of adults in the regiondrink heavily

Community Resources Freedom from Smoking Programs Cooperative Extensions WIC Parks & Recreational Facilities KY ASAP Health Department STD Testing and Education Access to Feeding Programs

Community Needs Lack of Smoke Free Ordinances No Detox Facilities

Planned Parenthood Minimal OB-GYNs

Kentucky's Overdose

rate has increased by

since 2016

11.5%

Community Health Improvement Plan 2019-2021

Health Services Objective 1: Increase primary care access across BRADD.

Data-Driven Objective, Evidence-Based Strategy, and Measures

Strategy 1.1: Telemedicine- Deliver consultative, diagnostic, and treatment services remotely for patients who qualify in areas with limited access to care or benefit from frequent monitoring.

Strategy 1.2:Rural training in medical education - Expand medical training and learning experiences focused on the skills needed to promote successfully in rural areas.

Justification:Accessing primary care access until provider opportunities for people to have a medical home which afford best opportunity for preventative inappropriate use of emergency department utilization and decrease cases of various chronic disease.

Measure 1.1.1: Baseline: Target: Data Source:

Measure 1.1.2: Baseline: Target: Data Source:

Measure 1.2.1: Target: Data Source:

Measure 1.2.2: resources Baseline: Target: Data Source:

Strategy 1.3:School-based health services- Provide health care services on school premises to attending elementary, middle, and high school students; services provided by nurses- providing integration of medical, dental, and behavioral health.

Measure 1.3.1: Target: Data Source:

Measure 1.3.2: resources Baseline: Target: Data Source:

Health Services Objective 2:

Strategy 2.1:

Strategy 2.2:

Justification:

Measure 2.1.1: Baseline: Target: Data Source:

Justification:

Measure 2.2.1: Baseline: Target: Data Source:

Measure 2.2.2: Funding Baseline: Target: Data Source:

Strategy 2.3:

Measure 2.3.1: Baseline: Target: Data Source:

Measure 2.3.2: Baseline: Target: Data Source:

Justification:

Health Services

Objective 3:

Strategy 3.1:

Strategy 3.2:

Justification:

Measure 3.1.1: Baseline: Target: Data Source:

Justification:

Measure 3.2.1: Baseline: Target: Data Source:

Strategy 3.3: Measure 3.3.1: Baseline: Target: Data Source:

Justification:

Health Equity

Objective 1: Increase support for healthy child and family development

Data-Driven Objective, Evidence-Based Strategy, and Measures

Strategy 1.1: Early childhood home visiting programs to provide at-risk expectant parents and families with young children the information, support, and training regarding child health, development, and care from prenatal stages through early childhood.

Strategy 1.2: Work with community organizations to establish resource list of certified car seat installers, places where car seats can be obtaining free, and plans for educating families about car seat safety.

Justification: Kentucky's early childhood home visiting program has been shown to prevent child maltreatment and injury, and improve children’s school readiness and socio-emotional development. The program has also been shown to improve birth outcomes, maternal health, parenting behaviors and attitudes, and increase family economic self-sufficiency.

Justification: Car seat distribution and education programs increase car seat use and correct use of car seats.

Measure 1.1.1: Increase number of families in HANDS Baseline: Target: Data Source:

Measure 1.1.2: Increase number of agencies making referrals to HANDS Baseline: Target: Data Source:

Measure 1.2.1: Establish baseline of existing certified car seat installers in the BRADD Baseline: Target: Data Source:

Measure 1.2.2: Establish baseline of car seat distribution resources Baseline: Target: Data Source:

Strategy 1.3: Parent engagement in schools to

Health Equity

Objective 2: Educate residents and community organizations on available human and social services

Strategy 2.1: Utilize health communication and social marketing to educate the community about available resources.

Strategy 2.2: Enhance navigator and community health worker activities throughout BRADD

Justification: Health communication campaigns apply integrated strategies to deliver messages designed, directly or indirectly, to influence health behaviors of target audiences.

Measure 2.1.1: Increase the number of social media posts informing of available resources in the community Baseline: Target: Data Source:

Justification:

Measure 2.2.1: Conduct an environmental scan Baseline: Target: Data Source:

Measure 2.2.2: Funding Baseline: Target: Data Source:

Strategy 2.3: Increase cross-sector collaboration to facilitate support for residents and organizations seeking available human and social services

Measure 2.3.1: "Sharefest" Baseline: Target: Data Source:

Measure 2.3.2: utilization of available resources Baseline: Target: Data Source:

Justification:

Health Equity

Objective 3: Implement a Health in All Policies approach across BRADD

Strategy 3.1: Create and distribute education materials throu various communication methods to increase awareness and understanding of the impact of polcies on social determinants of health.

Strategy 3.2: Bring more partners to the table that are interested in HiAP approach.

Justification: Show how non-traditional partners can improve health using their influence. These non-traditional agencies play a major role in shaping economic, physical, social, and service environments that people live in, therefore having an important role to play in promoting health and equity.

Measure 3.1.1: Increase number of community organizations that are trained in HiAP. Baseline: Unknown (2019) Target: Data Source:

Justification: HiAP will improve health using influence through policy development

Measure 3.2.1:Increase number of organizations working with BRIGHT Health Equity group Baseline: Target: Data Source:

Strategy 3.3: Identify organizational practices and policies that are most feasible to be considered for HiAP.

Measure 3.3.1: Baseline: Target: Data Source:

Justification: HiAP focuses on deep and ongoing collaboration, rather than taking a superficial or one-off approach and should benefit multiple partners.

Healthy Environment

Objective 1: Educate the public about the importance of the cleanliness of our water resources and air quality.

Data-Driven Objective, Evidence-Based Strategy, and Measures

Strategy 1.1: Storm water management plans to control and utilize storm water runoff to reduce flooding, lower demand on existing water systems, and support healthy rivers and streams by minimizing the introduction of pollutants.

Strategy 1.2: Educate the public about the existence of “ground ozone” and ways to enhance ambient air quality.

Justification: There is strong evidence that storm water management plans reduce storm water runoff and pollutant concentrations, improve water quality, and protect personal property and wildlife.

Justification:

Measure 1.1.1: Encourage green stormwater management plans. Baseline: Target: Data Source:

Measure 1.1.2: Monitor water quality consumer reports. Baseline:

Target: Data Source:

Measure 1.2.1: Reduce measurable particulate matter and round ozone levels.

Target: Data Source:

Measure 1.2.2: resources Baseline: Target: Data Source:

Healthy Environment

Objective 2: Decrease the average regional commute of greater than 30 minutes from 35.4% to below 30%, a reduction of 5.5%.

Strategy 2.1: Introduce multimodal transportation options.

Strategy 2.2: Encourage the development of mixed-use areas.

Justification: Introducing or expanding public transportation systems in urban areas increases access to and use of public transit; increase physical activity; and increase access to safe, healthy, convenient, and affordable transportation.

Measure 2.1.1: Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.) Baseline: Target: Data Source:

Justification: Streetscape design improvements enable pedestrians, bicyclists, transit riders, and motorists to share and use the street, accommodating the needs of all users. Improvements to streetscape design can include increased street lighting, enhanced street landscaping and street furniture, increased sidewalk coverage and connectivity of pedestrian walkways, bicycling infrastructure, street crossing safety features, and traffic calming measures.

Measure 2.2.1: Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements. Baseline: Target: Data Source:

Measure 2.2.2: Funding Baseline: Target: Data Source:

Healthy Environment

Objective 3: Increase development of mixed-use areas.

Strategy 3.1: Improve areas with severe housing problems by encouraging mixed- use development projects within those areas.

Justification: Design and land use policies, including mixed-use development, increase physical activity, especially when combined with transportation system interventions such as developing public transit infrastructure and sidewalks or trails.

Measure 3.1.1:Encourage mixed-use development within the region. Baseline: Target: Data Source:

Strategy 1.2: Participate in existing community programs, services, and events (such as giving free veggie samples, recipes, & information booths and participating ion community gardening) in order to collaborate with other organizations and businesses, gain coalition partnership, and aid in the utilization of community efforts to increase access to healthy food.

Justification: By supporting existing community endeavors that encourage eating fresh and healthy foods we will ensure that funds and resources are being utilized.

Measure 1.2.1: Target: Data Source:

Measure 1.2.2: resources Baseline: Target: Data Source:

Healthy Lifestyles

Objective 1: Increase access to fresh and healthy food for those in the most disparate populations in our communities.

Data-Driven Objective, Evidence-Based Strategy, and Measures

Strategy 1.1: Serve as a Community Health Resource., by consistently informing the public about Farmer's Markets, community gardens, seed libraries, the Mobile Grocery Store, and other healthy food opportunities that aim to bridge the food access gap by utilizing social media campaigns, the BRIGHT website, and through other media sources.

Justification: By increasing the community's knowledge about services and programs that provide access to fresh and healthy foods we will improve the diets of BRADD residents which will improve the overall quality of life and health outcomes.

Measure 1.1.1: Baseline: Target: Data Source:

Measure 1.1.2: Baseline: Target: Data Source:

Strategy 1.3: By collaborating with the Warren County Public Library, we will initiate a "Seed Library" in one of our rural counties.

Justification: By supporting existing community endeavors that encourage eating fresh and healthy foods we will ensure that funds and resources are being utilized.

Measure 1.2.1: Target: Data Source:

Measure 1.2.2: resources Baseline: Target: Data Source:

Healthy Lifestyles Objective 2: Improve education on substance use, alcohol use, and increase mental health awareness surrounding these topics.

Strategy 2.1: TYSA Grant sub use prevention K-12

Strategy 2.2: Advocate for tobacco free schools policy and state tobacco ordinances.

Justification: Improve education on alcohol use, drug use, etc. to decrease drug use initiation in the region.

Measure 2.1.1: Baseline: Target: Data Source:

Justification:

Measure 2.2.1: Baseline: Target: Data Source:

Measure 2.2.2: Funding Baseline: Target: Data Source:

Strategy 2.3: Promote anti-initiation PSAs for mass media.

Measure 2.3.1: Baseline: Target: Data Source:

Measure 2.3.2: Baseline: Target: Data Source:

Justification:

[Healthy Lifestyles] Objective 3:

Strategy 3.1: Promote PA opportunities via social media and by creating a BRIGHT Instagram.

Strategy 3.2: Participate in walk/bike school events and promote continued idea by educating school districts about walking buses.

Justification: To prevent chronic illness, promote positive health outcomes that will decrease likely need of initiating drug and alcohol use.

Measure 3.1.1: Baseline: Target: Data Source:

Justification:

Measure 3.2.1: Baseline: Target: Data Source:

Strategy 3.3: Generate logs for GAS (Get Active Simpson) group to log activity and promote programs like GAS to other counties.

Measure 3.3.1: Baseline: Target: Data Source:

Justification:

Healthy Lifestyles Objective 3: Incorporate exercise and healthy habits.

COUNTY DATA CHARTS HERE

Data used in this assessment was compiled by the BRIGHT Coalition from the follow sources:

www.countyhealthrankings.org www.americanlungassociation.org

www.census.gov/quickfacts www.americashealthrankings.org/ www.kentuckyhealthfacts.org www.neilson.com www.ers.usda.gov/foodatlas/ https://www.kentuckyrefugees.org/refugees-in-kentucky/bowling-green/ BRDHD Syringe Exchange & Hard Reduction Program Database https://www.epa.gov/sites/production/f iles/2016- 12/documents/2016_a_citizens_guide_to_radon.pdf https://odcp.ky.gov/Documents/2017%20Kentucky%20Overdose%20Fatality%20Re port%20%28f inal1%29.pdf