PRIORITY AREA 1: Access to Health Services Across the Lifespan GOAL 1: Coordinate health care access strategies that increase the number of knowledgeable residents, promote usage, and establish cost transparency to achieve health equity for all. OBJECTIVE 1.1: By 12/31/2016, improve access to healthcare services in Northeast and Southeast Omaha through an equitable, conveniently accessible healthcare system available to all as measured by a 5% decrease in the number of residents that report some difficulty or delay in obtaining health services. Hope Medical Coalition 1. Convene a medical provider network. 2. Identify an evidence-based equity impact review tool to assess accessibility related to geographic distribution, hours of service, and type of provider. 3. Conduct an assessment and identify gaps in service. *This includes available health services related to geographic location, hours of service, provider type, and payer source.* 4. Draft recommendations to address gaps. 5. Develop a sustainability plan to define strategies to implement recommendations. 6. Disseminate a recommendation report. OBJECTIVE 1.2: By 12/31/2016, assure Douglas County residents have access to health insurance through enhanced outreach as measured by a 2% decrease of residents that are uninsured. Eastern Nebraska Community Action Partnership ; University of Nebraska Medical Center Government Relations 1. Convene a key stakeholder group to address enrollment and cost literacy support. 2. Identify current or potential barriers to insurance information and enrollment. 3. Develop as needed any supportive materials to inform and engage currently uninsured underinsured Douglas County residents in the enrollment process. 4. Identify and promote community outreach strategies for the enrollment of the uninsured and underinsured such as in nontraditional settings. 5. Develop as needed strategies to increase access to health insurance.
PRIORITY AREA 1: Access to Health Services Across the Lifespan GOAL 1: Coordinate healthcare access strategies that increase the number of knowledgeable residents, promote usage, and establish cost transparency to achieve health equity for all. OBJECTIVE 1.3: By 12/31/2016, improve access to culturally competent healthcare providers through the adoption of a community cultural competency standard as measured by 100% of healthcare institutions having a written policy and 50% of healthcare staff having received cultural competency training. s Douglas County Health Department; Metro Omaha Medical Society 1. Identify and convene a healthcare stakeholder group. 2. Review current practices regarding cultural competence standards and activities in healthcare settings. 3. Draft and approve a community standard regarding cultural competency in healthcare settings. 4. Assess current methods and tracking of cultural competency training in healthcare settings. 5. Identify and report gaps in current training practices to comply with the community standard. 6. Develop training reporting schedule for implementation of the community cultural competency standard. 7. Develop and implement a communication strategy to inform stakeholders of a community cultural competency standard in healthcare settings. 8. Develop a tool to measure adherence across healthcare systems to the community cultural competency standard. 9. Collect and analyze data to measure adherence to the community cultural competency standard across healthcare settings. 10. Develop and add question (s) to the Community Health Needs Assessment to determine community satisfaction with the community cultural competency standard. OBJECTIVE 1.4: By 12/31/2016, assure access to linguistically competent public health and healthcare systems through the adoption of a community linguistic access standard as measured by a report demonstrating system compliance with the community standard. Douglas County Health Department; Metro Omaha Medical Society 1. Identify and convene a stakeholder group. 2. Review and compare current community language access practice to Culturally and Linguistically Appropriate Services (CLAS) Standards. 3. Identify gaps and as needed develop a community-wide standard for language access. 4. Report findings and recommendations regarding a community-wide standard as needed. 5. Develop a process for community language access workforce development as needed.
PRIORITY AREA 2: Nutrition & Obesity Across the Lifespan GOAL 2: Assure sufficient resources that promote proper nutrition, healthy weight/weight maintenance, and increase the likelihood of healthy habits through maximizing a supportive environment. OBJECTIVE 2.1: By 12/31/2016, increase residents access to healthy foods through enhanced recruitment and service delivery strategies for food assistance and nutrition education programs as measured by a 10% overall increase in participation. Douglas County Health Department ; Food Bank For the Heartland (FBFH) 1. Convene a food assistance and nutrition education stakeholder group. 2. Confirm the metrics for participation across programs. 3. Conduct a gap analysis to understand barriers, capacity, and funding. 4. Develop a plan to address barriers (such as applications, service locations, and eligibility requirements), capacity, and funding. 5. Implement a plan to increase participation in food assistance programs and education/cooking programs. 6. Develop and implement a communication strategy. 7. Conduct follow-up assessment. OBJECTIVE 2.2: By 12/31/2016, increase residents access to healthy foods through enhanced measurement of the retail food environment and identification of strategies that address key components of the food system as measured by a 5% increase in the number of square miles of healthy food access. Douglas County Health Department 1. Revise and modify as needed the Nutrition Environment Measures Survey (NEMS) to improve quality measures. 2. Conduct a retail food outlet assessment with trained volunteers. 3. Identify and obtain as needed resources for data analysis and plan implementation. 4. Complete data analysis with suggested strategies for retail food outlet enhancement. 5. Disseminate recommendations for the retail food outlet enhancement plan. Metro Omaha Food Policy Council (MOFPC) 1. Develop a food system policy action plan. 2. Identify and obtain as needed resources for data analysis and plan implementation. 3. Implement the food system policy action plan. 4. Develop and disseminate communication for the food system policy action plan
PRIORITY AREA 2: Nutrition & Obesity Across the Lifespan GOAL 2: Assure sufficient resources that promote proper nutrition, healthy weight/weight maintenance and increase the likelihood of healthy habits through maximizing a supportive environment. OBJECTIVE 2.3: By 12/31/2016, assure a multi-modal transportation community through the formal adoption of a Complete Streets Policy. Live Well Omaha 1. Identify early adopters, influencers, and champions 2. Convene cross-sectorial advisory council to research, guide, champion facilitation, and implementation of a Complete Streets Policy. 3. Identify peer communities that have successfully implemented a Complete Streets Policy, and select strategies based on successful models. 4. Develop a communication strategy to engage both stakeholders and the public. 5. Develop and present an education plan regarding Complete Streets Policy. OBJECTIVE 2.4: By 12/31/2016, increase the opportunity for children and adults to be active through enhancements to the built environment as measured by an increase in the number of children and adults reporting being moderately to vigorously physically active in the Behavioral Risk Factor Surveillance Survey. Live Well Omaha; Wellness Council of the Midlands (WELCOM) 1. Convene a stakeholder group 2. Conduct an environmental scan of accessible public places for recreational activity with an emphasis on Northeast and Southeast Omaha. 3. Develop recommendations and a funding strategy. 4. Train appropriate groups to implement recommendations. 5. Implement community recommendations such as equipping all schools, libraries, etc. to be bicycle friendly destinations; developing, training, and implementing the Safe Routes to School handbook and Neighborhoods/School Alliance toolkits; and/or creating a pilot project for Omaha Public Schools career center students on how to access and use public transit. 6. Identify and implement a built environment strategy for private organizations to increase adults access to physical activities (e.g. wellness programs).
PRIORITY AREA 3: Violence Safety & Injury Children/ Adolescents GOAL 3: Ensure safety and health equity by reducing violence, injury, and traumatic experiences throughout childhood to prevent premature morbidity and mortality. OBJECTIVE 3.1: By 12/31/2016, reduce the likelihood and effects of traumatic childhood experiences through the implementation of age and culturally appropriate awareness and/or intervention strategies as measured by the adoption of a crisis response plan in 10 faith based, higher education, or communitybased organizations. Omaha 360 ; Region 6 Behavioral Healthcare 1. Expand the group of stakeholders to include multiple sectors (e.g. policy makers, higher education, community-based organizations, providers, parents, and related audiences). 2. Identify at least 10 agencies to implement either an awareness and/or intervention strategy. 3. Identify current programming/strategies in the 10 identified agencies that address awareness of or intervention for adverse childhood experiences due to trauma. 4. Develop as needed awareness materials regarding the impact of violence on health. 5. Identify and/or develop an intervention for a rapid response crisis intervention plan. 6. Implement an age appropriate awareness or intervention strategy within each agency. 7. Collect and distribute success stories and lessons learned. OBJECTIVE 3.2: By 12/31/2016, reduce the effect of traumatic childhood experience though the development and implementation of routine screening and referral as needed for all youth for exposure to violence and trauma as measured by at least one healthcare system and/or school district with a routine screening referral policy. Project Harmony 1. Expand the stakeholder group as necessary to include at least one healthcare system and school district interested in implementing the policy. 2. Review the selected tool, plan, and referral system. 3. Modify as needed the screening tool and referral system to be utilized in the identified health and school system. 4. Develop a policy template. 5. Implement the policy. 6. Evaluate pilot and distribute findings to the community (e.g. a report and/or a forum).
PRIORITY AREA 4: Behavioral Health Across the Lifespan GOAL 4: Ensure all citizens have knowledge of and access to a fully integrated system of sufficient behavioral health and primary care services and resources. OBJECTIVE 4.1: By 12/31/2016, ensure that the behavioral health workforce meets or exceeds the demands of the community through a workforce analysis, findings, and recommendations with shortterm and long-term goals as measured by a 5% increase in the behavioral health workforce. Region 6 Behavioral Healthcare 1. Conduct a behavioral health workforce analysis. 2. Create a report of findings with recommendations. 3. Distribute the report to key decision makers. 4. Develop strategies based on the report findings. 5. Educate and inform representatives of behavioral health and medical communities, education, policy makers, and other stakeholders about strategies based on these recommendations. OBJECTIVE 4.2: By 12/31/2016, expand financial resources available for behavioral health services through the development of a public policy action plan that addresses reimbursement for behavioral health services including preventative services. Region 6 Behavioral Healthcare 1. Send a request to the Nebraska Association of Behavioral Health Organizations to forward a recommendation for the expansion of the existing steering committee focused on Medicaid reimbursement to include a behavioral health representative. 2. Conduct an assessment of local barriers to accessing behavioral health services for underserved populations in Douglas County, which may include reimbursement issues, having a trained and certified behavioral health workforce, and the economic impact of cost savings. 3. Provide any findings from community assessment to Nebraska Association of Behavioral Health Organizations regarding the economic impact reimbursement policy/analysis for behavioral health services and cost savings. 4. Develop and implement as needed a communication strategy regarding preferred reimbursement strategies for behavioral health services. 5. Draft a proposal of a public policy action plan to explain provision of behavioral health services. 6. Develop and implement educational strategies with policy makers regarding the proposed recommendations concerning behavioral health services.
PRIORITY AREA 4: Behavioral Health Across the Lifespan GOAL 4: Ensure all citizens have knowledge of and access to a fully integrated system of sufficient behavioral health and primary care services and resources. OBJECTIVE 4.3: By 12/31/2016, ensure citizens have access to an integrated behavioral health and primary care services system through the adoption and integration of a behavioral health screening and referral tool as measured by integration of the screening/ referral data into electronic health records in each healthcare system. Douglas County Health Department; Region 6 Behavioral Healthcare; Healthcare Systems 1. Identify and convene stakeholders for behavioral health screening components. 2. Identify evidence-based screening referral protocol (s). 3. Conduct assessment of current mental health/substance abuse services and referral within each healthcare system. 4. Identify gaps and/or the need for a screening referral protocol. 5. Develop a communication strategy for healthcare systems regarding the need for and the adoption of a behavioral health screening referral protocol. 6. Track and document healthcare system adoption of behavioral health screening referral protocol. OBJECTIVE 4.4: By 12/31/2016, reduce stigma associated with behavioral health by assuring citizens gain more knowledge on behavioral health as a medical condition through public awareness and community support as measured by the implementation of a public awareness campaign. Kim Foundation 1. Convene key stakeholder group. 2. Conduct a dialogue regarding the current level of awareness. 3. Identify current and needed resources to conduct a public awareness campaign. 4. Develop and implement a communication strategy including messages & distribution mechanisms for both the public and practitioners. 5. Develop and distribute a report including lessons learned and findings.