Public Health Services Staff: Jane Chai, Donna Fleming

Transcription

1 (HIP) Meeting Highlights 1725 W. 17 th Street, 1729E Public Health Training Center, Santa Ana, CA :30pm Members in Attendance: Jason Austin, Orange County Health Care Agency (OCHCA) Behavioral Health Services; Amy Buch, OCHCA Public Health Services, Health Promotion; Michelle Burroughs, Orange County United Way; Helene Calvet, OCHCA, Deputy Health Officer; Laura Chandler, California State University at Fullerton; Ivan Coziahr, University of California at Irvine (UCI) Health; Miriam Erdosi, March of Dimes; Mary Anne Foo, Orange County Asian and Pacific Islander Community Alliance; Jon Gilwee, UCI Health; Claudia Hernandez, CalOptima; Kristin Jefferson, Orange County; Jena Jensen, Children s Hospital of Orange County (CHOC); Christopher Leo, St. Joseph Health; Marc Lerner, Orange County Department of Education; Peter Mackler, Memorial Care; Minzah Malik, Hoag Hospital; Alyce Mastrianni, Children and Families Commission of Orange County; Archana McEligot, California State University at Fullerton; Guy Navarro, RTH Stroke Foundation; David Nùñez, OCHCA Public Health Services, Family Health; Oladele Ogunseitan, UCI Program in Public Health; Joanna Richardson-Jones, Alzheimer s Family Services Center; Barry Ross, St. Jude Medical Center Allyson Sonenshine, Orange County Women s health Project; David Souleles, HCA Public Health Services; Jacqueline Tran, Independent Consultant; Cheryl Vargo, Kaiser Permanente Public Health Services Staff: Jane Chai, Donna Fleming Guests: Monica Kim, Kaiser Permanente; Michael Pixomatis, Orange County Sheriff s Department; Carla Vargas, Orange County United Way; Holly Veale, OCHCA Medical Services Orientation Prior to the regular meeting, David Souleles, Donna Fleming, and Jane Chai provided new members with an orientation of the Health Improvement Partnership. Information included background on the planning process, the Orange County Health Improvement Plan (OCHIP), and Health Improvement Partnership structure, and website. I. Welcome and Update David welcomed all in attendance to the Inaugural meeting of the Health Improvement Partnership. Attendees introduced themselves. II. Health Improvement Partnership Business Approval of New Membership Applications: Jane Chai reviewed a matrix (handout) of applications to the HIP that have been received with the group. The group approved all applicants for membership by consensus. The following are the names and agencies of approved applicants: 1. Eleni Hailemariam, OCHCA Behavioral Health Services 2. Peter Mackler, Memorial Care 3. Sudeep Kukreja, Orange County Medical Association 4. Oladele Ogunseitan, UCI Program in Public Health 5. Debbie Rose, Center for Successful Aging, California State University at Fullerton Election of Community Co-Chair: Members voted Barry Ross to be the community Co-Chair of the HIP to serve with David Souleles, the designated OCHCA Public Health Services Co-Chair. Page 1 of 3

2 (HIP) Meeting Highlights 1725 W. 17 th Street, 1729E Public Health Training Center, Santa Ana, CA :30pm Election of Steering Committee: Members proceeded in discussion of election of the Steering Committee. Jane Chai indicated that based on the governance structure, the elected Co-Chairs would serve on the Steering Committee. Jane requested that the Governing Structure be revised to indicate that the representatives from each committee, rather than chairs of each committee would be members of the Steering Committee. There were no objections to the proposed change. Representatives from each committee would be designated by those committees or work groups. The remaining representative seats on the Steering Committee were voted by members as follows: 1. Asian American and Pacific Islander community Mary Anne Foo 2. Latino community America Bracho 3. School District Marc Lerner 4. Hospital Jon Gilwee 5. Lesbian, Gay, Bisexual, Transgender community not yet filled 6. City Government not yet filled III. Update on Orange County Health Improvement Plan (OCHIP): Infant and Child Health: The Orange County Perinatal Council (OCPC) has agreed to take on the responsibilities of coordinating efforts around the Infant and Child Health section of the OCHIP. The group will be meeting about monthly. David Nùñez, co-chair of OCPC, provided updates about OCPC s activities. To reduce disparities in early prenatal care, OCPC has developed a prenatal tip sheet with key messages that all partners have agreed to use and promote. To address exclusive breastfeeding, OCPC is currently considering strategies that engage primary care providers, promoting community resources, working with hospitals to achieve and maintain Baby Friendly or equivalent status, targeted community awareness, and engaging employers to promote the business case for supporting breastfeeding by employees. Older Adult Health: The Orange County Healthy Aging Initiative (OCHAI) has agreed to take on the responsibilities of coordinating efforts around the Older Adult Health section of the OCHIP. Helene Calvet, co-chair of OCHAI, provided updates about OCHAI s activities. The group meets about every six-eight weeks. The Annual Wellness Toolkit has been distributed to over 130 providers and is in use by Memorial Care. California State University at Fullerton has identified interns to lead an assessment of gaps and needs related to chronic disease self-management, medication management, and social isolation programs. Obesity and Diabetes: Amy Buch indicated that Barry Ross had recently worked with the American Diabetes Association to hold an exploratory meeting regarding a collaborative to focus on diabetes in Orange County. A meeting took place at which Barry had invited the American Diabetes Association staff and also interested partners. The group agreed that coordinated efforts would helpful. Also, during a workgroup meeting, Barry Ross suggested convening a group of individuals who are connected with the plan objectives to identify where there are opportunities and gaps related to obesity. Behavioral Health: Donna Fleming shared that she will be pulling together those who indicated interest in Behavioral Health to start a work group to address items in the OCHIP. Page 2 of 3

3 (HIP) Meeting Highlights 1725 W. 17 th Street, 1729E Public Health Training Center, Santa Ana, CA :30pm Health Assessment and Data: Jane Chai shared that a subset of the work group composed of hospital representatives will be meeting in the coming weeks to address the hospitals needs related to upcoming community health needs assessments. IV. Member Updates: Laura Chandler encouraged agencies to contact her if they have learning opportunities for student interns at California State University at Fullerton. Oladele Ogunseitan indicated that in implementing the OCHIP, researchers at academic institutions such as UCI would be valuable resources as they can provide consultations regarding evidence-based best pratcies. V. Adjournment: The meeting was adjourned at 3:35pm. Page 3 of 3

4 Health Improvement Partnership (HIP) Orientation JANUARY 29, ADVISORY GROUP MEMBERS Hospitals Community clinics Mental health providers Substance abuse treatment providers Community-based organizations Universities Social services Other collaboratives Content experts County representatives ROLE Guide assessment and planning process Support process and priorities Identify future structure and purpose of planning body ORIENTATION AGENDA VISION OF A HEALTHY ORANGE COUNTY Welcome Overview of Assessment and Planning Process Orange County Health Improvement Plan Health Improvement Partnership Orange County is a community where everyone feels safe and has opportunities and resources to be healthy and enjoy optimal quality of life. 2 5 Community Planning Objectives 1. Conduct a comprehensive assessment of Orange County s health-related needs 2. Develop and publish standardized 3. Establish a county-wide Community Health Improvement Plan (CHIP) 4. Create a plan for sustaining coordinated and collaborative efforts VALUES Equity - The health of all people, families, and communities is equally important. Comprehensive - Health includes physical, mental, economic, environmental, and educational factors that contribute to it. Collaborative - Optimal health requires a partnership between many entities including residents, health providers, community-based organizations, and government. Multi-dimensional - Health must be understood at the individual, family, and neighborhood level. Prevention - Physical health starts with the prevention of disease and injury, and is supported by access to high quality care and treatment. Self Sufficiency - Health and wellness includes promotion of selfsufficiency and functional independence for those with disabilities and illness

5 VISION FOR OC PUBLIC HEALTH SYSTEM PRELIMINARY PRIORITY AREAS Our vision for a healthy Orange County must be supported by a partnership between many entities including residents, health providers, community-based organizations, schools, business, and government that is: Responsive, accessible, and accountable to the communities it serves; Well connected and coordinated across various sectors; Infant and Child Health Older Adult Health Obesity and Diabetes Behavioral Health Driven by data and seeks to promote best practices; and Positioned to anticipate and respond to current and future challenges and opportunities impacting health 7 10 ASSESSED COMMUNITY S HEALTH Forces of Change Assessment Identified trends, events, and factors influencing health now and in the future. Community Themes and Strengths Assessment Listened to the community s input about what they think is important and the strengths and challenges regarding health. Community Health Status Assessment Reviewed 46 core to determine what overall health looks like in Orange County. Local Public Health System Assessment Assessed how well HCA, hospitals, CBOs, and others work together to provide quality public health services ASSESSED COMMUNITY S HEALTH Forces of Change Assessment Identified trends, events, and factors influencing health now and in the future. Community Health Status Assessment Reviewed 46 core to determine what overall health looks like in Orange County. Community Planning Objectives 1. Conduct a comprehensive assessment of Orange County s health-related needs 2. Develop and publish standardized 3. Establish a county-wide Community Health Improvement Plan (CHIP) 4. Create a plan for sustaining coordinated and collaborative efforts

6 REVIEW OF HEALTH INDICATORS HEALTH INDICATOR LIBRARY Reviewed indicators from existing reports including: Geographic Health Profile Conditions of Children OC Community Indicators Healthy Places, Healthy People Various Hospital Community Benefits Reports and Health Assessments Also reviewed available Indicators not included in reports available from: American Community Survey CHIS Calif. Healthy Kids Survey Master Birth and Death Files OSPHD Considered over were selected to be maintained in live online indicator library. 170 Indicators for Online Library REVIEW OF HEALTH INDICATORS Indicator Categories: 1. Summary Measures of Health (Life Expectancy, Birth Rate, Death Rate) 2. Social and Economic Indicators 3. Maternal, Child, and Adolescent Health 4. Chronic Diseases including Cancer 5. Communicable Diseases 6. Health Behaviors 7. Injuries and Accidents 8. Mental Health Considered over 300+ INDICATORS FOR ORANGE COUNTY HEALTH PROFILE 75 were published in the Orange County Health Profile. Each indicator includes (where possible and appropriate) Narrative on the importance of the indicator Related Healthy People 2020 goal 10-year trends with California and US comparison Comparison by race/ethnicity and gender Comparison by age group Comparison by city Map with sub-county detail showing smallest level of geography 75 Health Indicators in Published Report 170 Health Indicators for Library REVIEW OF HEALTH INDICATORS Selection Criteria: 1. Leading Health Indicator in HP Significant impact on health 3. Comparable 4. Relevant 5. Useful to community and stakeholders 6. Actionable 7. Easy to understand 8. Quality of data Considered over Available at 3

7 SELECT HEALTH INDICATORS PRIORITY AREAS 46 Select Health Indicators were selected for use by the Community Health Advisory Group in the planning process. These indicators: As a whole, present a picture of behavioral and physical health in Orange County Are potentially actionable by the community Have reliable data sources that can be trended over time, analyzed at the sub-county and demographic level, and compared to state and national benchmarks. 46 Select Indicators 75 Health Indicators in Published Report 170 Health Indicators for Library Infant and Child Health Improve birth outcomes Improve infant and child outcomes Older Adult Health Improve wellbeing and quality of life of older adults Obesity and Diabetes Increase residents with healthy weight Reverse trend of increasing rates of diabetes Behavioral Health Increase emotional and mental wellbeing Reduce alcohol and drug misuse Supported by a well functioning Public Health System Community Planning Objectives GOALS AND OBJECTIVES 1. Conduct a comprehensive assessment of Orange County s health-related needs 2. Develop and publish standardized 3. Establish a county-wide Community Health Improvement Plan (CHIP) 4. Create a plan for sustaining coordinated and collaborative efforts INFANT AND CHILD HEALTH Goal 1: Improve birth outcomes in Orange County Goal 2: Improve infant and child health outcomes in Orange County. OBJECTIVES: Objective 1.1: Reduce disparities in early prenatal care. Objective 2.1: Increase the proportion of mothers exclusively breastfeeding at 3 months by 10%. Available at:

8 OLDER ADULT HEALTH Goal 1: Improve wellness and quality of life of older adults in Orange County. OBJECTIVES: Objective 1.1: Increase early identification of conditions and safety risks of older adults Objective 1.2: Reduce health complications of chronic diseases Objective 1.3: Reduce social isolation Objective 1.4: Reduce the risk for abuse and neglect PRIORITY AREA DETAILS Assessment Findings Current Activities and Assets Planning Partners Goals Objectives Short and Long Term Strategies OBESITY AND DIABETES PRIORITY AREA DETAILS Goal 1: Increase the proportion of residents who are in a healthy weight category. Goal 2: Reverse the trend of increasing rates of diabetes. OBJECTIVES: Objective 1.1: Increase the proportion of children and adolescents who are in a healthy weight category. Objective 2.1: Stabilize the rates of diabetes BEHAVIORAL HEALTH Goal 1: Increase emotional and mental wellbeing through the lifespan. Goal 2: Reduce alcohol and drug misuse in O.C. OBJECTIVES: Objective 1.1: Improve understanding of mental health needs, gaps, and resources. Objective 1.2: Improve provider capacity to integrate behavioral health into health assessments and services. Objective 2.1: Reduce adult alcohol misuse. Objective 2.1: Reduce prescription drug misuse. PRIORITY AREA DETAILS

9 PRIORITY AREA DETAILS Community Planning Objectives 1. Conduct a comprehensive assessment of Orange County s health-related needs 2. Develop and publish standardized 3. Establish a county-wide Community Health Improvement Plan (CHIP) 4. Create a plan for sustaining coordinated and collaborative efforts PUBLIC HEALTH SYSTEM Health Improvement Partnership Our vision for a healthy Orange County must be supported by a partnership between many entities including residents, health providers, community-based organizations, schools, business, and government that is: Health Improvement Partnership Well connected and coordinated across various sectors; Responsive, accessible, and accountable to the communities it serves; Driven by data and seeks to promote best practices; and Positioned to anticipate and respond to current and future challenges and opportunities impacting health Health Assessment and Data Work Group Infant and Child Health Work Group Older Adult Health Work Group Obesity and Diabetes Work Group Behavioral Health Work Group PUBLIC HEALTH SYSTEM GOALS

10 Health Improvement Partnership Community Co-Chair Serve two-year term Unaffiliated with County of Orange agencies Duties: With Public Health Services Co-Chair, Set agendas Facilitate meetings Establish committees/work groups Health Improvement Partnership Health Improvement Partnership (HIP) Meeting JANUARY 29, 2015 Steering Committee Co-Chairs Representatives of each committee/work group Representative of Asian American and Pacific Islander community Representative of Latino community Representative of Lesbian, Gay, Bisexual, Transgender community Representative of school district Representative of city government Representative of hospital 41 AGENDA Welcome Health Improvement Partnership Business Election of Community Co Chair Election of Steering Committee Approval of New Membership Applications Update on Orange County Health Improvement Plan Member Updates Adjournment Health Improvement Partnership Membership Applications Name Agency 1. Eleni Hailemariam HCA Behavioral Health Services 2. Sudeep Kukreja Orange County Medical Association 3. Peter Mackler Memorial Care 4. Oladele Ogunseitan UCI School of Public Health 5. Debbie Rose Cal State Fullerton, Center for Successful Aging

11 UPDATES 43 8