Community Health Assessment Setting Priorities

1
Community Health AssessmentSetting Priorities

• Presented By
• Mary Smith, Health Educator
• Rutherford-Polk-McDowell District Health
  Departments

2
Initial Steps

• Established a community assessment team
• Collected community data
• Gathered others local data
• Conducted listening sessions interviews
• Inventoried community health resources
• Completed the county health data book

3
Community Health Opinion Survey

• Polk County
• Telephone Survey a sampling of 400 county
  residents
• Six Focus Groups- Retired elderly, rural health,
  minorities, county residents
• Agency Interviews
• Hospital, DSS, Domestic Violence, Partnership for
  Children, Nurses, Hospice, Health Department,
  Mental Health, EMS, Autumn Care

4
Community Health Opinion Survey

• McDowell County
• 2,500 surveys including Spanish, were
  distributed and 569 completed and returned
• Agency Interviews
• Hospital, School Nurses, DSS, Police Department,
  EMS, Partnership for Children, Hispanic
  Translators, African-American Churches, Health
  Department Nurses, Home Health Agencies, Senior
  Center, American Red Cross, Rotary Kiwanis
  Clubs, McDowell Mission Ministry, Extension Clubs

5
Community Health Opinion Survey

• Rutherford County
• 3000 Surveys distributed and 954 were completed
  and returned
• Interviews with key agency members
• Rutherford Hospital, DSS, Mental Health, EMS,
  County Manager, Partnership for Children,
  Sheriffs Department, School System, Large
  Business

6
Report to the Community

• Rutherford County
• Rutherford Community Health Council
• Rutherford School Health Advisory Council
• Rutherford-Polk-McDowell Board of Health

7
Rutherford County Determining Priorities

• A prioritization sheet and questionnaire was
  given to participants to rank top 3-6 priorities
  based on
• How big of a problem is it?
• What resources do we have to deal with this
  problem?
• Who is already dealing with it?
• What timeframe are we looking at?
• How long has this been a problem?
• What will it take to end this problem?
• Will our involvement make any difference?
• Look towards the future. Future concerns about
  this problem, trends.

8
Rutherford County Determining Priorities

• Tallied Responses From the Prioritization Sheets
• Rutherford Community Health Council
• Rutherford School Health Advisory Council
• Rutherford-Polk-McDowell Board of Health
• Factored In The Results of the Community Health
  Assessment

9
Polk County Determining Priorities

• Community Health Summit
• Presented the Community Health Assessment
• Individual presentations from key health agencies
  or groups
• Break-out sessions to determine priorities
• What are the most important health issues/needs
  in Polk County
• What needs to be done to address these issues
• Issued an invitation to serve on an action team
• Compiled results of breakout sessions, published
  results and mailed to Health Summit participants
• Scheduled Action Team Meetings

10
McDowell County Determining Priorities

• Information Meeting
• Presented the Community Assessment Report
• Determined whether to form a County Health
  Coalition
• Formed a County Health Coalition Planning
  Committee
• Health Summit
• Presented the Community Assessment Report
• Held Break-out Sessions
• Determined Priorities
• Invitation to Join an Action Team
• Scheduled Meeting Dates

11
Develop the Community Health Action Team

• Goal is to Create the Community Health Action
  Plan
• Develop Interventions for Addressing Priority
  Health Issues

12
Action Team Members

• Priority populations who are most affected by the
  issue.
• Other stakeholders - agencies and groups affected
  by or addressing the issue.
• Movers and shakers that can get things done in
  the community
• People with time to work on action plans, skills
  you need, and/or passion for the issues.
• People involved in Community Health Assessment
  on the CHA team, listening session hosts or
  participants, or people who attended a community
  forum where results were presented. These folks
  already have a vested interest in the issues.

13
Determining Specific Objectives

• Identify root causes of issue (Drill down)
• Identify what's going on to address the issue -
  existing programs, services
• Identify gaps in existing services
• Discuss who is affected worst. What population
  should be targeted? How many can you target and
  have an impact?
• Brainstorm what can be done what changes do you
  want to make in the most-affected populations?
  How could you do that?
• Pray for consensus in the group

14
Determining Specific Objectives

• Is there a good chance of success (it is
  politically possible)
• Can you get the needed resources
• Will the intervention benefit from a
  collaborative approach involving a variety of
  community stakeholders
• Is there a balance of interventions for short
  term wins and long term lasting change,
• Are the interventions multi-level and
  synergistic with existing activities.
• How do we measure our success/how do we evaluate?