Community Health Improvement Plan Annual Report, 2016

Florida Department of Health in Hernando County

January 2017

Table of Contents

Introduction ...... 2

Overview of Community Health Improvement Plan (CHIP)...... 4

Summary of CHIP Annual Review Meeting ...... 6-13 Strategic Issue Area #1 ...... 6 Strategic Issue Area #2 ...... 10

Revisions ...... 14

Accomplishments ...... 16

Conclusion ...... 18

Appendices ...... 19-36 Appendix A: Annual CHIP Review Meeting Agenda ...... 20 Appendix B: Annual CHIP Review Community Meeting Minutes ...... 21-23 Appendix C: Annual CHIP Review Community Meeting Sign-in Sheet ...... 24 Appendix D: Comprehensive List of Community Partners...... 25-26 Appendix E: CHIP 2017-2019 Workplan ...... 27-37

Introduction

This is the annual review report for the 2014 – 2016 Hernando County Community Health Improvement Plan (CHIP). The activities and collaborative efforts of the Florida Department of Health in Hernando County and community partners will be reflected within the report. This document will serve as a progress review of the strategies that were developed and the activities that have been implemented. While the CHIP is a community driven and collectively owned health improvement plan, the Florida Department of Health in Hernando County is charged with providing administrative support, tracking and collecting data, and preparing the annual review report.

The Hernando County CHIP partnership met on August 12, 2016 to review progress made on the 2015-16 strategies and to get partner input as to the success/impact of those strategies. Partners at this meeting included:

Valerie Pianta Hernando County Economic Development Tina Kinney National Alliance on Mental Health (NAMI) - Hernando Sandra Marrero Baycare Behavioral Health Dominique Holmes United Way of Hernando County Sheena Thompson Gulfcoast North Area Health Education Center Kathleen Sauskojus Florida Dept. of Health in Hernando County Marla Banta Nature Coast Community Health Center Board of Directors Mike Walker City of Brooksville Parks and Recreation Department Al Gray Florida Dept. of Health in Hernando County Robin Napier Florida Dept. of Health in Hernando County Cheryl Pollack Premier Community Health Center (Pasco) J.R. Hutchinson Hernando County Sheriff’s Office Ann-Gayl Ellis Florida Dept. of Health in Hernando County Rich Linkul Oak Hill Hospital Duane Chichester City of Brooksville Business Development Coordinator

The CHIP Annual Review Meeting included review of the 2 strategic issue areas and the goals, strategies and objectives outlined in each. Actions that took place during the year to accomplish objectives were discussed and objectives that were not accomplished were noted. Accomplishments and shortfalls in each goal area were discussed, barriers to success were identified and suggestions for improvement were shared. Following each section review, partners assessed the effectiveness of the strategies in accomplishing the respective goal and were given the opportunity to provide comment.

Strategic Issue Area 1: Community Awareness & Engagement

Goal 1: Enhance leadership on addressing community health issues by:

• mobilizing a community collaborative partnership to identify these issues • Informing and educating the community on their impact • Implementing solutions that improve these issues.

Strategies: • Increase awareness of health status in Hernando County residents, visitors & stakeholders • Strengthen local collaborative of community stakeholders

Goal 2: Improve and expand central community health services information and referral resources for both consumers and providers

Strategies: • Strengthen local 211 website • Strengthen local collaborative of community stakeholders

Strategic Issue Area 2: Health Promotion

Goal 3: Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County

Strategies: • Equip key stakeholders to educate and inform area residents regarding mental health first aid and crisis intervention • Develop an effective model to address mental health funding opportunities • Strengthen local collaborative of community stakeholders

Goal 4: Increase the number of Hernando County residents living at a healthy weight.

Strategies: • Promote healthy lifestyles and reduce chronic disease • Increase the healthy weight of children and adults • Strengthen local collaborative of community stakeholders

Goal 5: Reduce diabetes morbidity and mortality in Hernando County

Strategies: • Promote healthy lifestyles and reduce chronic disease risk • Strengthen local collaborative of community stakeholders

Partner evaluation of CHIP strategy effectiveness was measured using a multiple choice (Yes, No, Unsure) survey. Survey results revealed that all participating partners felt Goal 1 and 2 strategies were effective in enhancing leadership on health issues in the community. As a whole, partners were less confident that Goal 3 strategies were effective in increasing the awareness of mental health issues and reduce the stigma of mental illness in Hernando County, specifically when it came to “developing an effective model to address mental health funding opportunities.” Only one of the eleven partners completing the survey felt that Goal 4 strategies were not effective in increasing the number of Hernando County residents living at a healthy weight. Finally, all agreed that Goal 5 strategies were effective in increasing the number of diabetics who participate in at least one disease self-management program.

Overview of the Community Health Improvement Plan (CHIP)

In 2012, the Department of Health in Hernando County formed and convened the CHIP Planning Team. The Planning Team facilitated the Community Health Improvement Plan (CHIP) process using the National Association of City and County Health Official’s Mobilizing for Action through Planning and Partnership (MAPP) strategic planning model. The planning team, made up of subject matter experts from across a diverse group of partners, conducted the four assessments suggested by the MAPP process. Individually, the assessment yielded in-depth analyses of factors and forces that impact population health. Taken together, the assessment findings contribute to a comprehensive view of health and quality of life in Hernando County.

In August, 2015, CHIPP members collaborated to create the 2015 CHIP Update which represented the second update since the inception of the initial plan in 2012. The 2015 CHIP Update processes entailed an electronic CHIP partnership survey of progress made on 2014 strategies; a facilitated meeting to review and discuss electronic survey results, a facilitated general membership meeting to establish consensus (or lack thereof) on new strategy areas and goals and create/revise objectives to reach those goals; and an Executive Board meeting to approve the Update.

The 2015 Hernando County Community Health Improvement Plan Update was reviewed for alignment with the following state and national guidelines:

• Florida State Health Improvement Plan 2012-2015 (April 2012) from the Florida Department of Health • Healthy People 2020 from the United States Department of Health and Human Services • National Prevention Strategy – America’s Plan for Better Health and Wellness (June 2011) from the National Prevention Council

Each objective under each goal was reviewed to determine alignment with state or national guidelines.

2015 Strategic Areas and Goals

STRATEGIC ISSUE AREA GOAL Enhance leadership on addressing community health issues by mobilizing a community collaborative partnership to identify these issues; inform and educate the community on their impact; and implement Community Awareness & Engagement solutions to improve these issues.

Improve and expand central community health services information and referral resource for both consumers and providers.

Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County.

Increase the number of Hernando County Health Promotion residents living at their healthy weight.

Reduce diabetes morbidity and mortality in Hernando County.

Summary of CHIP Annual Review Meeting

Overall, CHIPP members were satisfied with the work accomplished during the 2015-16 year. Successes were noted in all strategy areas including increased partnership participation, achievement of most objectives, and improved positioning in the National County Health Rankings. There was agreement that the need for a fluid mental health logic model is critical if the community wants to be well equipped to respond to funding opportunity announcements in a timely manner. This was an unmet objective for this past year and will remain in the next strategic planning cycle.

Strategic Issue Area #1: Community Awareness & Engagement

The 2012 Hernando County Community Health Needs Assessment community themes and strengths assessment portion of the MAPP process identified the need to better mobilize community partnerships to identify and solve health problems. The CHIP partnership served as a vehicle to establish or strengthen relationships between various community partners and facilitate shared goals. This year’s “Community Awareness and Engagement” strategic issue area expands the scope of partners to include community organizations that have not yet become involved but who could have significant impact on the accomplishment of objectives.

Goal 1: Enhance leadership on addressing community health issues by:

• mobilizing a community collaborative partnership to identify these issues • Informing and educating the community on their impact • Implementing solutions that improve these issues.

Strategies: • Increase awareness of health status in Hernando County residents, visitors & stakeholders • Strengthen local collaborative of community stakeholders

Key Partners: Duane Chichester, Rich Linkul, Tresa Watson, J.R. Hutchinson, Ann-Gayl Ellis Robin Napier, Lauren Jolly, Angie Bonfardino, Tina Kinney, Valerie Pianta and Sheena Thompson

Hernando County continues to trend negatively in the Robert Wood Johnson County Health Rankings. A vibrant and diverse CHIP partnership can provide objective guidance for planning health improvement strategies that are relevant, effective, unified, and realistic. Objective Indicator Current Target Status Explanation Level of Status* By February 1, Committee Committee 2016, a ‘Public established established Relations’ 12/15. Rich subcommittee Linkul (chair), will be Katrina Butler, established Jen Siem, Ann-Gayl Ellis, Barbara Manuel By February 28, A written plan for No written Written plan No organized 2016, a local CHR results plan developed plan in place County Health distribution in the prior to Rankings community. release. CHR (CHR) results were awareness distributed to campaign will multiple be launched by audiences. the newly • Media created public release relations sub- • CHIPP committee. membership distribution • Radio Show • BOCC presentation • DOH website

By February 28, Committee No Formal No lead 2016, CHIPP, established Community recruited. Inc. a formal Leader Community Awareness & Leader Engagement Awareness and subcommittee Engagement established subcommittee will be established.

Indicator Current Target Status Explanation Objective Level of Status* By June 30, Presentation made 1 BOCC Robin Napier 2016, present presentation (Health Officer) 2015-16 presented to accomplishments BOCC at April & updates to the 14, 2016 Hernando BOCC County Board of meeting. County Commissioners at a County Board meeting.

By June 30, Meeting attendance 68% >68% 71% 2016, the by voting members percentage of voting members who attend at least 75% of CHIPP, Inc. General Membership Meetings will be increased.

By June 30, Hernando County No Hernando No progress 2016, a Schools will be a County made. representative member of CHIPP. Schools will from Hernando be a member County Schools of CHIPP. will be a member of CHIPP. By June 30, County Economic No County Valerie Pianta 2016, a Development Economic and Virginia representative representative as a Development Singer are from County CHIPP member representative sharing this Economic as a CHIPP position on Development member CHIPP. will be a member of CHIPP.

Goal 2: Improve and expand central community health services information and referral resources for both consumers and providers.

Strategies • Strengthen local 211 website • Strengthen local collaborative of community stakeholders

Key Partners: Angie Bonfardino, Lauren Jolly, Marla Banta, Shannon Sokolowski, J.R. Hutchinson, Ann-Gayl Ellis, Robin Napier, Tina Kinney, Jen Siem, and Valerie Pianta.

Hernando County residents need an accessible place to find current and accurate information on local resources and services that ensures health and safety. Objective Indicator Current Target Status Explanation Level of Status* By June 30, Local webpage live No Local Local webpage 2016, the webpage went live in Hernando live October 2015 County 211 will have its own website/webpage

Strategic Issue Area #2: Health Promotion

For five consecutive years, Hernando County has trended negatively in the Robert Wood Johnson County Health Rankings. Self-reported poor mental health days, obesity, and avoidable emergency room visits are among the areas where declines are noted.

Goal 3: Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County.

Strategies

• Equip key stakeholders to educate and inform area residents regarding mental health first aid and crisis intervention • Develop an effective model to address mental health funding opportunities • Strengthen local collaborative of community stakeholders

Key Partners: J.R. Hutchinson, Tresa Watson, Dawn Wever, Ann-Gayl Ellis & Sandra Marrero

Hernando County residents report a higher number of “poor mental health days” per month compared to the Florida average and ranks 66 of 67 Florida counties in terms of state funding allocations for mental health. Objective Indicator Current Target Status Explanation Level of Status By February 28, Three MHFA 2 5 HCCADC 2016, three facilitators trained secured funding additional to train 5 people Hernando in Mental Health County First Aid. stakeholders will Current # of be certified to trainers in facilitate Hernando community County: 7 “Mental Health First Aid” classes.

By February 28, Subcommittee No Mental Health CIT committee 2016, a formal established subcommittee merged with Mental Health established CHIPP. JR subcommittee Hutchinson is will be lead. Dawn established. Wever and Ann- Gayl Ellis on committee. Additional support provided by DOH Nina Mattei and

HCSO Jason Deso.

By June 30, Participation in 2 2 COB officer 2016, at least CIT from each attended a one City of agency week long CIT Brooksville class. Held Police discussion with Department HC Fire Rescue (CoBPD) training officer employee and and asst. fire one Hernando chief regarding County Fire HCFR Rescue (HCFR) participation. employee will Established this participate in a particular CIT Hernando training not best County Sheriff’s fit for Fire Office (HCSO) Rescue Crisis personnel. An Intervention adapted version Training (CIT). is needed. By June 30, Logic model Yes Logic model Tresa Watson 2016, the components components was able to get components identified identified much of this needed for the accomplished. development of Needs a Hernando commitment county mental from partners to health data logic provide data model will be and keep the identified. document updated.

Goal 4: Increase the number of Hernando County residents living at a healthy weight.

Strategies: • Promote healthy lifestyles and reduce chronic disease • Increase the healthy weight of children and adults • Strengthen local collaborative of community stakeholders

Key Partners: J.R. Hutchinson, Ann-Gayl Ellis, Richard Linkul, Jen Siem/Amber Slusser

Sixty eight percent of Hernando County adults are either overweight or obese. Unhealthy weights contribute to cardiovascular disease, orthopedic complications, depression and diabetes. Obesity in children is on the rise and as a result, levels of cholesterol and glucose are elevated and hypertension is being diagnosed at earlier ages. Objective Indicator Current Target Status Explanation Level of Status*

By 2/28/16, a Subcommittee No Healthy Established formal Healthy Established Weight 12/15 meeting. Weight subcommittee Ann-Gayl Ellis subcommittee established is lead. 5210 will be Healthy established. Hernando for preschools established.

Goal 5: Reduce diabetes morbidity and mortality in Hernando County

Strategies: • Promote healthy lifestyles and reduce chronic disease risk • Strengthen local collaborative of community stakeholders

Key Partners: Richard Linkul, Barbara Sweinberg, Ann-Gayl Ellis

Diabetes is a major cause of death and disability in the United States and among the top ten causes of death in Hernando County. Unmanaged blood glucose levels and the illnesses that result are a significant contributor to medical care expenditures. Residents who learn to manage their disease can reduce the chances of heart attack, stroke, amputation, blindness and renal failure among other chronic conditions. Objective Indicator Current Target Status Explanation Level of Status*

By 2/28/16, a formal Subcommittee No Diabetes Established Diabetes sub- Established sub- 12/15 meeting. committee will be committee Rich Linkul is established. established lead.

By 2/28/16, increase 53% 48.5% 53% Unable to the percentage of establish Hernando County achievement of adults with diabetes target because who have ever had updated diabetes self- CHARTS data management has not yet education from 48.5% been released. to 53% (Florida CHARTS).

* Status indicators are as follows:

= Little to no movement towards objective target

= some progress towards meeting the objective target

= reached or surpassed objective target

Revisions

The Florida Department of Health in Hernando County engaged the services of WellFlorida Council to facilitate the comprehensive Community Health Needs Assessment and the community health improvement planning process in 2016. The process of identifying health priorities and developing strategies to address these priorities in Hernando County was a year- long process that began with the development and completion of the comprehensive community health needs assessment (following the MAPP model). The development of the Community Health Improvement Plan began immediately following the completion of the Community Health Needs Assessment. Three face-to-face meetings were held with the Community Health Improvement Plan Partnership (CHIPP) to discuss, strategize, and develop the Community Health Improvement Plan. Surveys/homework assignments were used as a tool to identify priority community health issues and potential activities and strategies to impact those community health issues. At conclusion of these meetings and assignments, these goals and strategies were determined:

Goal 1: Improve access to primary care, mental health care and substance abuse services in Hernando County, Florida.

Strategy: Increase community awareness of available resources. Strategy: Increase funding. Strategy: Train and educate.

1. Determine the need for a mental health logic model to be used as framework for funding applications by March 31, 2018 (Healthy People 2020 MHMD-1 - 12) 2. Increase by 200 the number of individuals who have completed adult or youth mental health first aid training by June 30, 2018. (Healthy People 2020 MHMD-1-12) 3. Promote Hernando Cares Behavioral Health Resource Guide beginning March 1, 2017. (Healthy People 2020 MHMD-6, 9 and 10) 4. Promote substance abuse support groups for persons 25 and younger in Hernando County by August 30, 2017. (Healthy People 2020 SA 9, 12 14, 18, 21) 5. Promote low-cost/safety net primary care providers throughout Hernando County beginning February 1, 2017. (Healthy People 2020 AHS – 3,5,6) 6. By June 30, 2018, the Florida Healthy Babies Committee will promote the Edinburgh Postnatal Depression Scale screening tool and referral protocol to Pediatric, OB/GYN, and Primary Care Providers who encounter Post-Partum women.

Goal 2: Improve Quality of Life in Hernando County, Florida

Strategy: Key community stakeholders collaborate to address obesity prevention, physical activity, diabetes, substance abuse, and infant mortality in Hernando County.

1. Increase the percentage of Hernando County residents living at a healthy weight by 2% by March 15, 2018. (Healthy People 2020 NWS-8)

2. By June 30, 2018, increase the percentage of Hernando County adult residents with diagnosed diabetes that have ever taken a course or class in how to manage their diabetes from 48% to 53%. (Healthy People 2020 D-14) 3. By June 30, 2018, increase the number of Hernando County residents who have participated in the CDC National Diabetes Prevention Program (offered in Hernando County by the YMCA of the Suncoast) by 20 residents. (Healthy People 2020 D14) 4. Support and collaborate with the Hernando Healthy Babies Initiative on a quarterly basis beginning November 1, 2016. (Healthy People 2020 MICH-1) 5. At least one Hernando County organization/business will adopt a tobacco-free policy on their campus/worksite by June 30, 2018. (Healthy People 2020-TU 1, 3, 4, 5, 11) 6. Four Hernando County preschools will become 5210 Healthy Hernando Certified by June 30, 2018. (Healthy People 2020 NWS -1)

Goal 3: Increase and Enhance CHIPP Capacity

Strategy: Promote CHIPP throughout the Hernando County Community.

1. Grow CHIPP membership to include at least one representative from the School Board and one representative from Hernando County Transit by June 30, 2018. 2. Partner and support at least two resource fairs year beginning January 1, 2017. 3. Seek and apply for at least two funding opportunities per calendar year beginning January 1, 2017. 4. Maintain CHIPP member meeting attendance to at least 15 members per meeting beginning January 1, 2017. 5. By August 1 of each year, CHIPP will have promoted its accomplishments through a minimum of 2 venues/platforms.

A detailed work plan can be found in the Appendix.

Accomplishments

Goal Objective Accomplishment Goal 3: Increase the By February 28, 2016, Thanks to funding secured by the Hernando awareness of mental three additional County Community Anti-Drug Coalition, five health issues and Hernando County additional facilitators were trained to provide reduce the stigma of stakeholders will be Mental Health First Aid classes to lay community mental illness in certified to facilitate members. The new facilitators hosted a total of Hernando County community “Mental ten classes and certified over 100 lay community Health First Aid” members in mental health crisis identification, classes. response and resources. This is in addition to existing MHFA trainers who facilitated three classes and certified approximately 60 law enforcement personnel. The Mental Health First Aid education program is working in Hernando County because it is an agreed upon curriculum among our stakeholders. Among the agencies hosting this program are the Hernando County Sheriff’s Office, Pasco Hernando State College, Springbrook Hospital, Baycare Behavioral Health, the Department of Health, and the Hernando County Public Library. Local organizations that have participated in classes include the Brooksville Police Department, The Dawn Center, Oak Hill Hospital, Bayfront Hospital, Hernando County School District and Hernando County Fire Rescue. The Hernando County Community Anti Drug Coalition, Baycare Behavioral Health, The Department of Health in Hernando County and Dawn Wever, LMHC, have facilitated these programs. How it’s important for our community: In 2015, The Robert Wood Johnson County Health Rankings reported Hernando County adult residents experience a higher number of “poor mental health days” per month compared to the Florida average, 5.9 vs. 3.8, respectively. Hernando ranks 66 of 67 Florida counties in terms of state funding allocations for mental health. Further, local licensed in-patient psychiatric beds for adults are limited and non-existent for pediatric patients. By equipping area residents and coordinating prevention, awareness and response efforts across various partners and sectors, access to supportive mental health services may be increased and crisis events that require acute care will be decreased.

Goal Objective Accomplishment Goal 2: Improve and By June 30, 2016, the In the 2014 CHIPP Update, the Hernando County expand central Hernando County 211 Community Health Improvement Plan Partnership community health will have its own identified accessibility issues with the existing 2- services information website/webpage 1-1 resource information website that was based and referral resources out of the 2-1-1 Tampa Bay Cares center in for both consumers Pinellas County. United Way of Hernando and providers. County, the funding agency for the local 2-1-1 service, is a strong and engaged CHIPP partner and took the lead on efforts to decrease the barriers associated with this telephone, internet and text accessible information resource. In October 2015, United Way rolled out Hernando’s very own website where viewers can easily navigate through the online database, print guides, add health and human services and conveniently search for resources. Between October 2015 and June 2016, the 2-1-1 Hernando website has received over 1500 hits, a significant increase over hits received under the previous cumbersome link that was routed through Pinellas County’s 211 website. Additionally, 211 Outreach Report data indicates that 42 health & human services have either added or updated their information during that period, also an increase over previous years.

How it’s important for our community: Increased use of the 211 system not only enables more Hernando County residents to access assistance to health and human service resources, it also provides local leaders and stakeholders with valuable data, i.e., what zip codes are experiencing highest need, what the top needs are, and who is (and is not) using 211. The top six needs identified in Hernando County from October 2015 through June 2016 were housing; government/economic assistance; utility assistance; health care; individual, family & community support; mental health services and addiction.

Conclusion

The Hernando County Community Health Improvement Plan (CHIP) serves as a roadmap for a continuous health improvement process for the local public health system by providing a framework for the chosen strategic issue areas. The document is assembled by area leaders and stakeholders who bring diverse perspectives, thoughtful insight and valuable resources to the process. The CHIP is not intended to be an exhaustive and static document but one that will evolve over time as new information and insight emerges at the local, state and national level. We will evaluate progress on an ongoing basis through CHIP implementation reports and discussion at regularly scheduled Community Health Improvement Plan Partnership meetings. We will conduct annual reviews and revisions based on input from partners and create CHIP annual reports by December 31 of each year.

By working together, we can have a significant impact on the community’s health, improving where we live, work and play and realize the vision of a healthier Hernando County.

Appendices

Appendix A Annual CHIP Review Meeting Agenda

CHIPP General Membership Meeting Annual CHIP Review August 12, 2016 AGENDA

TOPIC PRESENTER

Duane Chichester I Welcome & Introductions (5 minutes)

II Review of 2015-16 CHIP Ann-Gayl Ellis Improvement Plan Accomplishments with discussion

III CHIP Annual Survey Ann-Gayl Ellis

IV Next Steps Community Health Assessment Review (9/20) Ann-Gayl Ellis Hammering out the new plan (date(s) to be determined)

V Misc. Announcements (10 minutes)

• Great Hernando Weight Loss Challenge • NAMI Celebrity Lip Sync Competition Membership • City of Brooksville College Football Kick-off • Others?

Appendix B Annual CHIP Review Meeting Minutes August 12, 2016

Executive Board Name Organization Chairman Duane Chichester Hernando Progress / City of Brooksville Vice Chairman Rich Linkul Oak Hill Hospital Treasurer Tresa Watson Hernando County Community Anti-Drug Coalition (HCCADC) Secretary Ann-Gayl Ellis Department of Health in Hernando County (DOH) Immediate Past President J.R. Hutchinson Hernando County Sheriff’s Office (HCSO)

In attendance this meeting Name Organization Valerie Pianta Hernando County Economic Development Tina Kinney NAMI Sandra Marrero Baycare Dominique Holmes United Way of Hernando County Sheena Thompson Gulfcoast North AHEC Kathy Sauskojus DOH-Hernando Marla Banta Nature Coast Community Health Center Board of Directors Mike Walker City of Brooksville Al Gray DOH-Hernando Robin Napier Dept of Health in Hernando Cheryl Pollack Premier Community Health Center (Pasco) J.R. Hutchinson Ann-Gayl Ellis Rich Linkul Duane Chichester Tresa Watson

Speaker Topic Discussion

Duane Call to Order All attendees introduced themselves (see attendee list above) Chichester, /Introductions Chair Ann-Gayl Review of 2015-16 PowerPoint attached with comments from membership included. Ellis, Community Health Secretary Improvement Plan Accomplishments with discussion Ann-Gayl Annual CHIP survey The purpose of this survey is to assess if the membership feels the established Ellis strategic activities were accomplished. 2016 Hernando CHIP Annual Review and Update Survey Result findings :

Ann-Gayl Next Steps Ann-Gayl explained that the next step is for the partnership to establish the Ellis 2016-2019 Community Health Improvement Plan (CHIP). The new plan will be in part based on the Community Health Assessment (CHA) findings. The CHA was conducted by WellFlorida over the summer.

A review of CHA findings will be presented at the next CHIPP meeting scheduled for Tuesday, 9/20/16.

Following the 9/20 meeting, the CHIPP membership will need to identify priorities and strategic goals for the 2016-2019 CHIP. This process will begin at an October meeting and will also be facilitated by WellFlorida.

Members Announcements Rich Linkul explained the concept Great Hernando Weight Loss Challenge (beginning in January ’17). Teams of 10, each team member losing 10 pounds, over 10 weeks, at a cost of $10.00 each. Goal is to get 1,000 area residents involved (100 teams) to lose a total of 10,000 pounds. No branding or sponsorships… designed to be a community led, grassroots initiatives.

Tina Kinney announced the upcoming NAMI Celebrity Lip Sync Competition (Saturday, September10). Proceeds to go towards the Vincent House project.

Mike Walker announced the City of Brooksville College Football Kick-off (Saturday, August 27). Proceeds go to ensure local children have school supplies, equipment needed to participate in team sports, etc.

Appendix C: Annual CHIP Review Community Meeting Sign-In Sheet

Appendix D: Comprehensive List of Community Partners

Voting Members Duane Chichester, (Chair) Robin Napier Hernando Progress, Inc Department of Health in Hernando County [email protected] [email protected]

Richard Linkul (Vice Chair) Barbara Sweinberg Oak Hill Hospital Crescent Community Clinic [email protected] [email protected]

Tresa Watson (Treasurer) Angie Bonfardino Hernando County Community Anti-Drug Coaltion United Way of Hernando County [email protected] [email protected]

Ann-Gayl Ellis (Secretary) Jennifer Siem Dept. of Health in Hernando County Bayfront Health [email protected] [email protected]

Stephanie Knight Barbara Manuel A New Generation WWJB/WXJB Radio [email protected] [email protected]

Capt. Harold Hutchinson, Jr. (Immediate Past Tina Kinney Chair) NAMI Hernando Hernando County Sheriff’s Office [email protected] [email protected]

Sheena Thompson Marla Banta Gulfcoast North AHEC Nature Coast Community Health Center Board [email protected] of Dir. [email protected] Sandra Marrero Maureen Soliman Baycare Behavioral Health Crescent Community Clinic [email protected] [email protected]

Supporting Members

Chaplain John Mitten, Sr Drew Monte Hernando County Sherriff’s Office Monte Designs, LLC [email protected] [email protected]

Mark Barry Lauren Jolly ARC Naturecoast Spherion Staffing [email protected] [email protected]

Shannon Sokolowski Valerie Pianta Dawn Center Hernando County Economic Development [email protected] [email protected]

Mike Walker Jeff Feller City of Brooksville Parks and Recreation Well Florida, Inc. [email protected] [email protected]

Eric Liberty Maureen Riser Hernando County Clerk of Court & Comptroller Home Instead Senior Care [email protected] [email protected]

Amy Anderson Virginia Singer Pasco Hernando State College Hernando County [email protected] [email protected]

Veda Ramirez Cheryl Pollock Hernando County Health & Human Services Premier Community Health Center [email protected] [email protected]

Judi Everett Deanne Karbe Hernando County School District Primerica [email protected] [email protected]

Dawn Wever Martha Maner Dawn Wever, LMHC Mid Florida Head Start [email protected] [email protected]

Lesley Hersey Amber Slusser Lutheran Services Foundation Health Systems YMCA of the Suncoast [email protected] [email protected]

Virgina Crandall Ashley Thomas Department of Health in Hernando County Department of Health in Hernando County [email protected] [email protected]

Appendix E: CHIP 2017-2019 Workplan

Goal I: Improve access to primary care, mental health care, and substance abuse services in Hernando County Florida. Strategy: Increase community awareness of available resources. Strategy: Increase funding. Strategy: Train and educate.

Lead Agencies Objectives Alignment Activities Measures Champion Lesley Hersey/Lutheran 1. Determine the need Healthy 1A. Partners meet to 1A.Meeting minutes and action TBD Services Florida, Veda for a mental health logic People 2020 discuss. items. Ramirez/HC Health & model to be used as a MHMD-1 - Human Services, Tina framework for funding 12 Kinney/NAMI applications by March 31, 2018 Lesley Hersey/Lutheran 1B. If needed, support the 1B. Logic Model TBD Services Foundation, development of a logic Veda Ramirez/HC Health model and use in future & Human Services, Tina funding applications and Kinney/NAMI planning of mental health related projects supported by CHIPP

JR Hutchinson/HC 2. Increase by 200 the Healthy 2. Assist and support in the 2. Number of first aid trainings Tresa Watson Sheriff's Office, Tresa number of individuals People 2020 provision of youth and adult provided; Number of attendees Watson/HCCADC, Sandra who have completed MHMD-1-12 first aid training by who successfully complete the Marrero/Baycare adult or youth mental promoting scheduled training (# of 2016 participants + Behavioral Health, Tina health first aid training trainings, serving as a host- 200) Kinney/NAMI by June 30, 2018. site and encouraging community-wide participation

Tresa Watson/HCCADC, 3. Promote Hernando Healthy 3. Utilize the CHIPP network 3. Number of Hernando Cares TBD Tina Kinney/NAMI, Jen Cares Behavioral Health People 2020 to promote the use of Behavioral Health Resource Siem/Bayfront Health Resource Guide MHMD-6, 9 Hernando Cares Behavioral Guide promotional beginning March 1, and 10 Resource Guide. messages/activities facilitated by 2017. CHIPP or CHIPP partners.

4. Promote substance Healthy 4A. Utilize the CHIPP 4A. List of existing substance Tresa Watson Tresa Watson/HCCADC, abuse support groups People 2020 network to identify abuse support groups for Tina Kinney/NAMI, Jen for persons 25 and SA 9, 12 14, substance abuse support persons 25 and younger in Siem/Bayfront Health, younger in Hernando 18, 21 groups for persons 25 and Hernando County Sandra Marrero/Baycare County by August 30, younger in Hernando Behavioral Health 2017. County. 4B. If gaps in substance 4B. List of new substance abuse Tresa Watson abuse support groups for support groups for persons 25 Tresa Watson/HCCADC, persons 25 and younger in and younger in Hernando Tina Kinney/NAMI, Jen Hernando County exist, County Siem/Bayfront Health, collaborate with HCCADC Sandra Marrero/Baycare and other appropriate Behavioral Health groups to support a group formation. Tresa Watson/HCCADC, 4C. Update information 4C. Newly added substance Tresa Watson Tina Kinney/NAMI, Jen related to substance abuse abuse support group listings for Siem/Bayfront Health support groups for persons persons 25 and younger in the 25 and younger in the Hernando Cares Behavioral Hernando Cares Behavioral Health Resource Guide and 211 Health Resource Guide and in 211. Angie Bonfardino/United 5. Promote low- Healthy 5A. Promote utilization of 5A. Increase the number of Angie Bonfardino Way Hernando, Lauren cost/safety net primary People 2020 United Way’s 211 system to referrals reported through 211 Jolly/Spherion Staffing care providers in AHS – 3,5,6 CHIPP partners and data collection system; Number Services Hernando County Hernando County residents of CHIPP partners who receive beginning February 1, using 211 prepared 211 prepared marketing via 2017. messaging. Community Health Improvement Plan Partnership, Inc. (CHIPP)

J.R. Hutchinson/HC 5B. Facilitate a policy 5B. Established referral process J.R. Hutchinson, Sheriff's Office, Barbara adoption to link soon-to-be (written documentation); Barbara Sweinberg/Crescent released incarcerated Number of successful referrals; Sweinberg Community Clinic uninsured and Policy adopted underinsured Hernando County residents to primary care and mental health care services within three days of release. Rich Linkul/Oak Hill 5C. CHIPP will support 5C. Number of postings on the Rich Linkul, Jen Hospital, Jen efforts to promote new CHIPP website for each new Siem, FQHC Siem/Bayfront Hospital; primary care primary care provider. Representative Federally Quality Health providers/services in Center Hernando County by June 30, 2018 Ginni Crandall/DOH- 6. By June 30, 2018, the 6A. The FHB Committee will 6A. Number of health care Ginni Crandall Hernando Florida Healthy Babies plan and facilitate outreach providers visited (year 1 50% of (FHB) Committee will regarding post partum Pediatricians and OB/GYN’s, promote the Edinburgh depression screening along with 20% of Primary Care Postnatal Depression policies and tools to local Providers; year 2 50% of Scale screening tool and OB/GYNs, Pediatricians, and Pediatricians and OB/GYN’s, referral protocol to Primary Care Physicians along with an additional 40% of Pediatric, OB/GYN, and Primary Care Providers; year 3 Primary Care Providers the remaining Primary Care who encounter Post- Providers.) Ginni Crandall/DOH- Partum women. 6B. Number of health care Ginni Crandall Hernando providers adopting screening tool and referral protocol.

Goal II: Improve Quality of Life in Hernando County Florida Strategy: Key community stakeholders collaborate to address obesity prevention, physical activity, diabetes, substance abuse, and infant mortality in Hernando County Alignmen Lead Agencies Objectives t Activities Measures Champion Ashley 1: Increase the Healthy 1A. Champion the Great 1A. Number of participants; total pounds lost Rich Linkul Thomas/DOH- percentage of People Hernando Weight Loss Hernando, Rich Hernando County 2020 NWS- Challenge beginning Linkul/Oak Hill adults living at a 8 November 1, 2016. Hospital, Angie healthy weight by 2% Challenge scheduled for Bonfardino/United by March 15, 2018. 1/14 thru 3/25/17. Way Hernando, *RWJ County Health Mike Walker/City of Rankings 2016 data Brooksville

Ashley 1B. Support Hernando 1B. Number of Healthiest Weight events Ann-Gayl Ellis Thomas/DOH- County Healthiest promoted Hernando Weight events and initiatives beginning November 1, 2016. Eligible events must meet predetermined guidelines. Ann-Gayl Ellis/DOH- 1C. Champion the 1C. Number of participants JR Hutchinson Hernando, JR Brooksville Cycling Hutchinson/HC Classic Community Bike Sheriff's Office Ride scheduled for 4/1/17.

Ann-Gayl 2: By June 30, 2018, Healthy 2A. Promote diabetes 2A. Number of diabetes self-management Rich Linkul Ellis/DOH increase the People self-management courses/classes promoted; Number of diagnosed Hernando, Rich percentage of 2020 D-14 courses/classes diabetes adults who attend courses/classes Linkul/Oak Hill Hernando County adult residents with Hospital, Jen diagnosed diabetes Siem/Bayfront who have taken a Health course or class in how to manage their Rich Linkul/Oak Hill 2B. Support a free 2B. Event flyer, evidence of promotional Rich Linkul diabetes from 48% to Hospital, Ann-Gayl annual diabetes strategies, number of attendees 53%. *2013 CHARTS Ellis/DOH- education event data Hernando, Jen available to the Siem/Bayfront community. Health

Amber Slusser/ 3: By June 30, 2018, Healthy 3A. Collaborate with the 3A. Evidence of promotional materials and Amber YMCA increase the number People YMCA to promote the distribution methods Slusser of Hernando County 2020 D14 National DPP on a residents who have quarterly basis. participated in the CDC National Amber Slusser/ Diabetes Prevention 3B. Collaborate with the 3B. Number of DPP participants enrolled each Amber Slusser YMCA Program (DPP) by 20 YMCA annually to year residents. receive the aggregate number of Hernando County residents who have enrolled in the National DPP. Ginni 4. Support and (Healthy 4A. At least one CHIPP 4A. Health Babies Initiative meeting sign in sheets Ginni Crandall Crandall/DOH- collaborate with the People member will participate Hernando Hernando Healthy 2020 in 70% of Healthy Babies Babies Initiative on a MICH-1 Initiative meetings and quarterly basis will provide updates to beginning November CHIPP. 1, 2016.

Ginni 4B. CHIPP will support 4B. Date and title of supported Healthy Babies Ginni Crandall Crandall/DOH- Healthy Babies Initiative Initiative activities including how they were Hernando, Ann-Gayl by promoting supported. Ellis/DOH-Hernando strategies/activities and providing 501c3 support when applicable for funding opportunities by June 30, 2018. Tresa 5. At least one Healthy 5A. Identify potential 5A. List of potential organizations/businesses Ashley Thomas Watson/HCCADC, Hernando County People organizations/businesse Sheena organization/busines 2020-TU 1, s who are not currently Thompson/GNAHEC s will adopt a 3, 4, 5, 11 tobacco-free. , Ashley tobacco-free policy Thomas/DOH- on their Hernando campus/worksite by Tresa June 30, 2018 5B. Collaborate with 5B. List of organizations/businesses that have Ashley Thomas Watson/HCCADC, potential adopted a tobacco-free policy Sheena organizations/business Thompson/GNAHEC to encourage their , Ashley adoption of tobacco- Thomas/DOH- free policy Hernando Ashley 6. Four Hernando Healthy 6A. Promote 5210 6A. Copies of promotion activities Ashley Thomas Thomas/DOH- County preschools People Healthy Hernando Hernando, Amber will become 5210 2020 NWS Certification through Slusser/YMCA, Rich Healthy Hernando -1 outreach Linkul/Hernando Certified by June 30, Diabetes Alliance 2018.

Ashley 6B. Identify interested 6B. List of preschools; dates of trainings; Ashley Thomas Thomas/DOH- preschools and provide attendance sheets from trainings Hernando, Amber 5210 Healthy Hernando Slusser/YMCA training

Ashley 6C. Certify preschools 6C. List of certified preschools that have adopted Ashley Thomas Thomas/DOH- who have successfully a 5210 Healthy Hernando policy Hernando, Amber adopted 5210 Healthy

Slusser/YMCA, Rich Hernando Linkul/Hernando Diabetes Alliance

Goal III: Increase and Enhance CHIPP Capacity

Strategy: Promote CHIPP throughout the Hernando County community Alignme Lead Agencies Objectives nt Activities Measures Champion CHIPP 1: Grow CHIPP membership to include 1A. Identify 1A. Names of potential representatives Ann-Gayl Ellis Membership at least one representative from the potential school School Board and one representative board from Hernando County Transit by representatives; June 30, 2018. Identify potential Hernando County Transit representatives Ann-Gayl 1B. Invite 1B. Invitation email to potential Ann-Gayl Ellis Ellis/DOH- identified potential representatives: Names of committed Hernando school board and agency representatives Hernando County Transit representatives to a CHIPP meeting by June 30, 2017 Ann-Gayl 2: Partner and support at least two 2A. Collaborate 2A. List of community health events Ann-Gayl Ellis Ellis/DOH- resource fairs per year beginning with partners to Hernando January 1, 2017. identify upcoming community health events. Rich Linkul/Oak 2B. CHIPP will be 2B. Number and date of resource fairs Rich Linkul Hill Hospital represented at a attended by CHIPP member minimum of two community events. CHIPP 3: Seek and apply for at least two 3A. Identify 3A. List of potential funding Ann-Gayl Ellis Membership funding opportunities per calendar possible funding opportunities year beginning January 1, 2017. opportunities and ensure non- compete.

CHIPP Executive 3B. Submit at least 3B. Number of proposals/applications Ann-Gayl Ellis Board 2 submitted proposals/applicati ons per fiscal year to support and enhance goals and objectives as developed in the CHIP. CHIPP fiscal year is July 1-June 30. Rich Linkul/Oak 4. Maintain CHIPP general member 4A. Hold general 4A. Meeting sign in sheets Duane Hill Hospital meeting attendance to at least 15 and Executive Chichester members per meeting beginning Board meetings as January 1, 2017. outlined in CHIPP bylaws.

Valerie Pianta/HC 4B. Review CHIPP 4B. Identified gaps Duane Economic Dev't. membership list Chichester Rich Linkul/Oak and identify Hill Hospital, sectors (business, Duane social services, Chichester/Herna health care ndo Progress systems, mental health care systems, substance abuse treatment systems) not engaged with CHIPP CHIPP 4C. Invite 4C. Number of invitations to Duane Membership identified sectors unrepresented sectors Chichester from Activity 4B to attend a CHIPP meeting by June 30, 2017.

CHIPP Executive 5.By August 1 of each year, CHIPP will 5A. Assess the 5A. Completed assessment Duane Board have promoted its accomplishments validity of Chichester through a minimum of 2 developing a venues/platforms CHIPP online communication tool/platform by February 1, 2017 Robin 5B. Present CHIPP 5B. Presentation and Bocce meeting Robin Napier Napier/DOH- update to BOCC minutes Hernando, CHIPP Executive Board Robin 5C. Introduce 5C. Presentation and City Commission Robin Napier Napier/DOH- CHIPP and CHIP meeting minutes Hernando, CHIPP process to Executive Board Brooksville City Commission

Agencies: Hernando County Community Anti-Drug HCCADC Coalition, Inc. NAMI National Alliance on Mental Illness

GNAHEC Gulfcoast North Area Health Education Center

HC Hernando County