Health Equity Data Analysis Implementation Guide STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP)

Health Equity Data Analysis Implementation Guide STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP)

Health Equity Data Analysis Implementation Guide Updated 8/15/2017 Minnesota Department of Health Office of Statewide Health Improvement Initiatives PO Box 64882 St. Paul, MN 55164-0882 612-201-5443 health.ship.heda@state.mn.us www.health.state.mn.us/divs/oshii/ Upon request, this material will be made available in an alternative format such as large print, Braille or audio recording. Printed on recycled paper. 1

Contents H EALTH EQUITY DATA ANALYSIS IMPLEMENTATION GUIDE Introduction... 3 HEDA at a Glance... 3 What is a HEDA?... 3 What is collected during the HEDA?... 3 What are the benefits of conducting a HEDA?... 3 How long will the HEDA take?... 4 Who should be involved?... 4 Will there be additional funds for the HEDA?... 4 SHIP HEDA Training Description... 5 SHIP HEDA Training Dates... 6 Graduated Cohorts... 7 SHIP Grantee Requirements... 7 Community Deliverable... 8 Technical Assistance... 9 Outside Contractors... 9 2

Introduction H EALTH EQUITY DATA ANALYSIS IMPLEMENTATION GUIDE One requirement of the Statewide Health Improvement Partnership (SHIP) grantees is to address the health disparities and inequities that exist in the grantee s community (Minnesota Statute 145.986). A first step in addressing these disparities and inequities is to assess them at the local level using a health equity data analysis (HEDA). MDH SHIP requires that each grantee complete a HEDA on at least one SHIP-related health outcome/behavior (e.g. tobacco use, diabetes, chronic conditions) with a selected community by April 30, 2018. Grantees will use the Minnesota Center for Health Statistic (MCHS) document, Using Data to Identify Health Inequities, as guidance for conducting the HEDA and will participate in inperson and webinar HEDA trainings. This document describes the HEDA trainings and provides key dates and HEDA requirements. For more information on how to conduct a HEDA, refer to the MCHS HEDA Guide noted above. HEDA at a Glance What is a HEDA? A HEDA involves using data to identify differences in health outcomes by population groups, and then considering not only the individual factors but also the high-level factors (e.g. policies and systems) that may create those differences. This process requires more in-depth analyses than a conventional data approach and the use of quantitative and qualitative data and analysis methods. What is collected during the HEDA? Information on the causes of an identified health inequity in the grantee s jurisdiction is collected during the HEDA process. For example, a HEDA could document the causes that create differences in tobacco use between low income and populations within a geographic region. What are the benefits of conducting a HEDA? The HEDA process can help grantees uncover and understand the origins of health inequities, inform future work plans and identify new communities to engage. The HEDA may also increase or reinforce grantees understanding of health equity, strengthen relationships and build community engagement and facilitation skills. 3

How long will the HEDA take? The time it takes to conduct a HEDA depends on the availability of data, the skills of the HEDA team and the relationship status between the local health department and the focus community. The HEDA process will move more quickly if quantitative data have already been collected (e.g. local adult health surveys, Minnesota Student Survey), if a strong relationship exists with the focus community, and if local public health staff are comfortable collecting and analyzing qualitative data. It took the HEDA pilot grantees between six and nine months of part-time work to complete their HEDA. Who should be involved? If possible, at least two local public health staff should participate on your HEDA team and attend the trainings. Skills needed to complete the HEDA include: Data collection and analysis (both quantitative and qualitative) Communication Community engagement Your team members do not need to be experts in these skills; HEDA webinars will train local public health staff in how to collect and analyze qualitative data, community engagement and communication. In addition, MDH staff and outside contractors will provide technical assistance in these topic areas throughout the HEDA process. Your CLT members should also be part of the HEDA. Their involvement can vary from serving as advisors throughout the process to assisting with specific steps. Will there be additional funds for the HEDA? While no additional funds will be given to conduct a HEDA, SHIP grantees can use existing SHIP funds to cover HEDA costs. Examples of possible costs include hiring outside contractors or providing incentives for focus group attendees. Please refer to the Financial Guide (PDF) for some specific examples, and contact your Community Specialist if you plan to use SHIP funds for HEDA costs other than staff time. 4

SHIP HEDA Training Description Part I of the HEDA training consists of two in-person meetings (at the April/May regional meeting and July 2017 SHIP Statewide Meeting), three webinars, intersession calls and individual ad hoc technical assistance with SHIP and Center for Health Statistics staff. All grantees who did not participate in the HEDA pilot will go through Part I together. After the SHIP Statewide Meeting, SHIP grantees will be divided into three cohorts based on grantee preference and readiness to start their HEDA project (see below). Each cohort will then continue the HEDA training in one of three graduated five-month periods from August 2017 to April 2018. During this period, grantees will attend four additional webinars and receive technical assistance as needed. Figure 1: HEDA Training for SHIP Grantees, April 2017 April 2018 5

SHIP HEDA Training Dates Table 1: HEDA Training Dates, April 2017 to April 2018 Meeting Name Date(s)* Topics/Description HEDA Kickoff: Regional Meetings April 10, 2017 Rochester April 13, 2017 Bemidji April 20, 2017 Duluth April 27, 2017 Redwood Falls May 4, 2017 Metro May 11, 2017 St. Cloud HEDA Introduction Community Engagement Tool Introduction to Narrative Root cause analysis - obesity Webinar 1 May 15, 2017, 1 to 3 p.m. Getting started Webinar 2 June 6, 2017, 1 to 3 p.m. Expanding the understanding of health and diverse populations Webinar 3 June 28, 2017, 1 to 3 p.m. Conditions and causes Narrative Trainings July 27, 2017 SHIP Statewide Meeting Health narratives Grantees break into three cohorts Cohort 1 (August to December 2017) Webinar 4 September Overview of qualitative data Webinar 5 October Qualitative data collection Webinar 6 November Qualitative data analysis Webinar 7 December Sharing and using results Cohort 2 (October 2017 to February 2018) Webinar 4 November Overview of qualitative data Webinar 5 December Qualitative data collection Webinar 6 January Qualitative data analysis Webinar 7 March Sharing and using results Cohort 3 (December 2017 to April 2018) Webinar 4 December Overview of qualitative data Webinar 5 January Qualitative data collection Webinar 6 March Qualitative data analysis Webinar 7 April Sharing and using results *Please check Health Equity Data Analysis Basecamp folder for the dates, times and webinar instructions. 6

Graduated Cohorts The grantees will be divided into the three cohorts determined by grantee preference and readiness to start their HEDA. SHIP staff will ask grantees to select a cohort between the second and third webinars (June and July 2017). If there are too many grantees in one cohort and not enough in another, SHIP staff will ask volunteers to move to a different cohort. If there are not enough volunteers, SHIP staff will place grantees in cohorts based on their readiness to conduct a HEDA, which will include: the availability of quantitative data related to selected health topics the strength of the relationship with the community who will partner with the local public health agency in the HEDA the availability of local public health staff to participate in the HEDA (e.g. grantees with staff vacancies or new staff may start in the second or third cohort) SHIP Grantee Requirements 1. Establish a HEDA team Ideally, your team would include someone who is comfortable working with data and someone who is comfortable working with communities. CLT members can be included and are strongly encouraged, on the team but this is not a requirement. We suggest that you have at least two team members attend the trainings but understand that this might not always be possible. 2. Attend HEDA trainings: Kick-off at regional meeting Webinar sessions Narrative training at the SHIP Statewide Meeting 3. Watch recorded videos on qualitative data collection and analysis. 4. Participate in at least one intersession call. 5. Participate in HEDA evaluation activities. 6. Submit documentation of your progress conducting a HEDA using the HEDA Summary Document (due dates specified at the HEDA webinars) to the HEDA team email. The final version of your HEDA Summary Document is due on April 30, 2018. The template for the HEDA Summary Document is available for download on HEDA Basecamp. 7

7. Share findings with: members of your focus population, particularly those who participated in your data collection (if possible) your local public health department your Community Leadership Team at least one leadership group/person (not including the CLT) Community Deliverable The community deliverable(s) for your HEDA process should be in a format that is useful to you and your community partners. Fact sheets, infographics, other short written reports or oral presentations would all be appropriate. Below are elements that might be included in a community deliverable: Quantitative data describing the group or the community experiencing a health inequity Quantitative data describing the health outcome/health behavior difference The connection between health and social/economic/ environmental conditions and why this is important Main learnings about the causes of the difference(s) in health observed in the data Quotes from the qualitative data illustrating main themes Contact info for SHIP staff, so people can contact them to get involved or for updates You can submit drafts of your community deliverable(s) to the HEDA Core Team for feedback at any time. The final version of your deliverable(s) must be submitted to health.ship.heda@state.mn.us and your Community Specialist by April 30, 2018. 8

Technical Assistance Technical assistance will be available to all SHIP grantees conducting a HEDA from SHIP HEDA Core Team members, other MDH staff and Minnesota Management and Budget s Management Analysis and Development (MAD) consulting group. This includes: Intersession Calls. MDH HEDA Core Team members will hold calls throughout the HEDA process. These are similar to office hours and provide an opportunity for grantees to ask questions of MDH staff and other grantees in an informal, small-group environment. The topic for some calls will be determined in advance based on grantee requests, while others will be unstructured. Quantitative/Local Survey Data Support. Assistance retrieving relevant local survey data, exploring other quantitative data sources and interpreting these data. Community Engagement Support. Qualitative Data Support. Assistance related to interview and focus group planning, instrument development, facilitation and data analysis. Communication and Dissemination Support. Assistance related to how to communicate results to partners, methods for the dissemination of findings and potential products. The HEDA Core Team will be the first point of contact for technical assistance email them at health.ship.heda@state.mn.us and copy your Community Specialist. Outside Contractors Grantees may hire contractors for individual technical assistance. However, grantees should not hire contractors to conduct the HEDA on their behalf or to carry out key steps of the process (e.g. conducting focus groups). Possible duties for a contractor could include: Provide technical assistance and support on the qualitative data collection process (e.g. assist with the development of focus group questions, provide facilitation coaching). Take notes during the qualitative data collection process. Assist with conducting qualitative data analysis. Assist with reporting of findings. You will go through the same contracting process you have gone through when completing other SHIP contracts. If you are considering using an outside contractor, please contact your Community Specialist who can outline the guidelines for HEDA contracting and assist you with the execution of the contract. 9