Understanding Your Community Needs using CHANGE

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Understanding Your Community Needs using CHANGE
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tingsgt

• Aisha Penson, MEd, CHES
• Evaluation Specialist, Program Services and
  EvaluationTeam
• CDCs Healthy Communities Program
• Website http//www.cdc.gov/HealthyCommunitiesProg
  ram
• CHANGE Webinar
• March 13, 2012

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Community Health Assessment aNd Group Evaluation
(CHANGE)

• Agenda
• Introduce CHART to CHANGE Action Guide
• Discuss how CHANGE can be used regularly to track
  and monitor your ACHIEVE efforts
• Highlight methods that can be utilized to
• complete the CHANGE tool
• Discuss what to bring to the Action Institute
• Question Answerthroughout!

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ACHIEVE Program

• Why are we here?
• ACHIEVEing Multi-level Impact
• Creating healthy environments
• Developing community support
• Influencing social norms
• Facilitating healthy behaviors
• Implementing high impact strategies

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ACHIEVEing Annual Success
Reassessment

• Action

Plan
Evaluate
Implement
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Emerging Vision
Setting Priorities (Community Action Plan)
gtgtgtgtgtgt
gtgtgtgtgtgt
Existing Initiatives
Local Trends
CHANGE Action Guide
Community Assessment
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Community Health Assessment aNd Group Evaluation
(CHANGE)

• CHANGE Tool Purposes
• Capture current snapshot of the community
• Group activity/consensus building

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CHANGE Overview

• Allows communities to track progress across a
  5-point scale so incremental changes can be noted
• Prioritize community needs and consider
  appropriate allocation of resources
• Used annually to assess current strategies, chart
  progress and offer new priorities

• Frame and understand the current status of
  community health
• Provides a snapshot of policy, systems and
  environmental change strategies (assets and
  needs)
• Move the community towards sustainable change

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CHANGE BenefitsWhat have we learned

• changed how people think
• helped explained what is policy
• moved people to want policy

• surprised by results
• did not realize how important data can be for
  us
• uncovered other assessments in my community we
  could tap into

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CHANGE BenefitsWhat have we learned

• compliments other data sources that are used in
  communities
• focuses our work and informs priorities for our
  action plan
• we are able to track and monitor over multiple
  years

• strengthens our existing partnerships and helps
  us to establish new relationships
• expedites our decision-making process

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CHANGE Action Guide

• Topics covered
• Data Collection (pages 13-18)
• Organizing and Using CHANGE Data (pages 32-38)
• Developing and Revising Your CAP (pages 39-40)
• Evaluation and Reassessment (pages 43-44)
• CD-ROM Resource List, Blank Worksheets, CHANGE
  Sector Excel Files

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CHANGE Action Guide
CHANGE Action Guide proposes 8 step process
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Step 1 Assemble Community Team

• CHARTs with broad participation from community
  leaders

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Step 2 Develop Team Strategy

• Deciding on how best to complete CHANGE sectors
  or sites
• Whole team
• Splinter into smaller groups
• (2 or more members)

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Step 3 Review 5 CHANGE Sectors
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CHANGE Tool

• 5 Sectors --
• Community-At-Large
• Includes community-wide efforts that impact the
  social and built environments, such as food
  access, walkability or bikeability, smoking bans,
  and personal safety.
• Places for assessment Grocery store,
  restaurant, city/county government, media,
  community garden, neighborhood, downtown center,
  retail establishment/outlet, health department,
  police/sheriff department

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CHANGE Tool

• 5 Sectors --
• Community Institution/Organization (CIO)
• Includes entities within the community that
  provide a broad range of human services and
  access to facilities
• Sites for assessment Child care facility,
  faith-based institution (e.g., church, synagogue,
  mosque), YMCA, senior center, health and wellness
  organization, and college, university, or
  technical school

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CHANGE Tool

• 5 Sectors --
• Health Care
• Includes places people go to receive preventive
  care or treatment, or emergency health care
  services
• Sites for assessment Hospitals, health
  department, private practitioners office, health
  maintenance organization (HMO), home health
  agency, or community clinic

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CHANGE Tool

• 5 Sectors --
• School Includes all primary and secondary
  learning institutions
• Sites for assessment Elementary, middle and
  high school (whether private, public, charter, or
  parochial)

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CHANGE Tool

• 5 Sectors --
• Work Site Includes places of employment
• Sites for assessment Private office, school,
  textile factory, restaurant, retail
  establishment/outlet, bank, health department,
  post office, or manufacturing company

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Questions?
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Step 4 Gather Data

• Determine what information you need to collect
  to better understand your communityand complete
  CHANGE.
• Example Methods
• Survey data
• Community dialogue
• Photovoice
• Community audit and observation

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Survey Data

• Community Demographics
• US Census www.factfinder.census.gov
• Morbidity/Mortality
• National Health and Nutrition Examination Survey
• Health Behaviors
• Behavioral Risk Factor Surveillance System
• Community Health Status Indicators
• Social Determinants of Health Maps
• Found at http//www.cdc.gov/dhdsp/library/maps/so
  cial_determinants.htm
• Chronic Disease Indicators
• Found at http//apps.nccd.cdc.gov/cdi
• What data already exist? Who can access
  them?

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Available at http//communityhealth.hhs.gov
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Community Dialogue

• Methods Interviews, focus groups, town halls,
  informal dialogue, brainstorming sessions
• Hear community voices
• Build community ownership
• Identify key resources
• Build feedback loops

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Photovoice
Strengths/Assets
Areas for Improvements
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Photovoice
Community Strengths/Resources
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Tobacco Signage, Comprehensive Policy
CHANGE
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Stair Promotion
CHANGE
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Community Audit and Observation

• Windshield Survey
• Walkability Audit
• Pedestrian safety
• Alternative routes
• Environmental Checklist
• Health messages
• Ergonomics/safety
• Food security
• Resource http//www.cdc.gov/DHDSP/library/seh_han
  dbook/

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Questions?
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Step 5 Review Gathered Data

• Review all data for each site
• Maintain coalition decision-making process
• Determine each item response
• Be consistent on using CHANGE scale
• Document, Document, Document - Using comment
  boxes!!

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Glossary Pop-Up and Appendix A
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Step 6 Data Entry
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Module s Automatically Transferred to
Demographic Information Section
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Transfer these Module s to the CHANGE Summary
Statement
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Questions?
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CHANGE Action Guide
CHANGE Action Guide proposes 8 step process
ACHIEVE Action Institute April 23-26, 2012
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ACHIEVE TimelineAction Institute

• Before Action Institute CHART development and
  CHANGE
• CHANGE conducted 03/01/12 thru 05/31/12
• CHANGE Webinar 03/13/12
• CHANGE completion Community-At-Large sector and
  minimum of 1 additional sector
• Minimum of 3 sites per additional sector
• CHANGE Workshop at ACHIEVE AI 4/23/12 4/26/12

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Additional Support

• ACHIEVE Mentors
• ACHIEVE National Partners
• Program Manager and Evaluator
• ACHIEVE Action Institute CHANGE workshop,
  technical assistance, and support
• CHANGE Community Calls As requested to your
  ACHIEVE National Partner

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• Why we do this work?
• Long lasting impact and shift in norms

CHANGE
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Questions?
ACHIEVE http//www.achievecommunities.org/