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Greater Manchester, New Hampshire Greater Manchester, New Hampshire Health Improvement Plan 2016 with support from the City of Manchester Health Department and the Greater Manchester Public Health Network WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE GREATER MANCHESTER REGION EXECUTIVE SUMMARY The City of Manchester Health Department and the Greater Manchester Public Health Network are pleased to present the first Health Improvement Plan for the Greater Manchester Public Health Region. Our collective vision is to transform public health in our region to an integrated system capable of seamless collaborations among all healthcare providers and public safety personnel with constructive engagement of patients, families, and communities. Through this integrated system, all people will have equitable access to timely, comprehensive, cost-effective, high-quality, and compassionate care. Public health is the practice of preventing disease and promoting good health within groups of people-- from small communities to entire countries. Public Health is YOUR health. It embodies everything from clean air to safe food and water, access to healthcare and safer communities. Through public health planning and prevention initiatives, the public gets sick less frequently, children grow to become healthy adults through adequate resources including health care, and our community reduces the impact of disasters by preparing people for the effects of catastrophes such as hurricanes, floods and terrorism. In preparing this Plan, the Public Health Network and its workgroups have reviewed needs assessments, utilizing data from many different sources such as community focus groups, key stakeholder interviews, and surveys. Building on this information, needs have been prioritized and work plans have been developed. This Health Improvement Plan identifies needs, goals, measurable objectives, and strategies to help us as we work together on solutions to important issues facing our community. We are all responsible for the health of our citizens. The importance of healthy living and safety in our homes and communities are values that we all share. We look forward to working with the entire community to better understand the health problems confronting our citizens and to implement strategies to respond to the public health needs of our community. We invite you to read through the report, study the objectives and strategies, and consider how you can become involved. The Greater Manchester Public Health Network thanks the individuals, agencies, state and local governments who have made this plan possible through their important contributions of time and effort. Greater Manchester Health Improvement Plan 2015 - 2020 Page 1 Greater Manchester Health Improvement Plan Review Organizations Catholic Medical Center City of Manchester Health Department Community Health Institute Dartmouth-Hitchcock Manchester Elliot Health Systems Makin It Happen Coalition Manchester Community Health Center/Child Health Services Mental Health Center of Greater Manchester Manchester Neighborhood Health Improvement Strategy Leadership Team Organizations (also known as Manchester’s Public Health Advisory Council) Boys & Girls Club of Manchester Catholic Medical Center Child and Family Services of NH City of Manchester, Mayor’s Office City of Manchester Health Department Cogswell Benevolent Trust Community Health Institute Dartmouth-Hitchcock Manchester Easter Seals Eisenberg, Vital & Ryze Advertising Elliot Health Systems Endowment for Health Federal Reserve Bank of Boston Granite United Way Greater Manchester Chamber of Commerce Harvard Pilgrim Health Care Foundation HNH Foundation Makin It Happen Coalition Manchester Community Health Center/Child Health Services Manchester Police Department Manchester School District Mental Health Center of Greater Manchester NeighborWorks Southern NH NH Charitable Foundation NHDHHS Office of Minority Health and Refugee Affairs Norwin S. and Elizabeth N. Bean Foundation People’s United Bank Resident Leaders The Granite YMCA Wells Fargo Advisors Additional Greater Manchester Public Health Network Partners Townships of: Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett, New Boston Greater Manchester Health Improvement Plan 2015 - 2020 Page 2 School Districts of: Auburn/Candia/Hooksett (SAU 15) Bedford (SAU 25) Goffstown/New Boston (SAU 19) Manchester (SAU 37) Community Coalitions: Crispin’s House Youth Coalition/Goffstown, NH B BOLD Coalition/Bedford, NH Colleges/Universities: SNHU UNH – Manchester Manchester Community College Massachusetts College of Pharmacy and Health Sciences, Manchester Campus St. Anselm College Additional Public Health Preparedness Partners: American Medical Response Hillsborough County Sheriff Moore Center Services NH DHHS-Public Health Lab VA Hospital - Manchester Visiting Nurse Association of Manchester and Southern NH Greater Manchester Health Improvement Plan 2015 - 2020 Page 3 Table of Contents Executive Summary ......................................................................................................................... 1 Introduction ...................................................................................................................................... 5 How Health is Produced in Communities ................................................................................ 5 Finding Solutions through the Determinants of Health .......................................................... 6 City of Manchester Health Department and the Greater Manchester Regional Public Health Network ............................................................................................................................ 7 Regional Profile ............................................................................................................................ 8 Community Health Needs Assessments ................................................................................. 11 Manchester Neighborhood Health Improvement Strategy ............................................... 12 Planning Process ........................................................................................................................ 13 Regional Health Improvement Priorities and Plans .............................................................. 14 PRIORITY AREA 1: Prevent Injuries and Violence, and Reduce Their Consequences . .15 PRIORITY AREA 2: Reduce the Burden of Asthma-related Illness Through Improved Asthma Control .............................................................................................................................. 22 PRIORITY AREA 3: Reduce the Burden of Diabetes-related Illness through Improved Diabetes Control ........................................................................................................................... 25 PRIORITY AREA 4: Reduce Substance Misuse (ATOD) and Addiction through Prevention, Treatment and Recovery ............................................................................................................. 29 PRIORITY AREA 5: Increase Public Health Emergency Preparedness ................................. 33 SUMMARY ........................................................................................................................................ 37 NEXT STEPS ....................................................................................................................................... 38 Greater Manchester Health Improvement Plan 2015 - 2020 Page 4 INTRODUCTION The Health Improvement Plan for the Greater Manchester Public Health Region reflects the understanding that the quality of the communities where we live, work, and play is as important to achieving good health as receiving regular health care services, proper nutrition, and adequate physical activity. There are many factors that influence health. The physical environment, economic and social factors, and clinical care all contribute to individual and community health outcomes and are incorporated into this plan. This Health Improvement Plan (HIP) is intended as a guide for systematic and collective efforts to address high priority health issues in our communities. The Plan recommends goals, objectives and strategies for action and is intended for collaborative use by entities across multiple community sectors including health care and public health, local government, education, social services, business, faith, and voluntary agencies and organizations. The HIP can help to guide policy, program and resource allocation decisions that optimize health and well-being. This is truly our community’s plan for health, designed to be implemented through collective action by community agencies, partners, and residents across our region. Working together we can reach our shared vision for a vibrant and healthy community characterized by accessible, integrated systems of service delivery with focused attention on meeting the needs of underserved populations. How Health is Produced in Communities The American Public Health Association defines a healthy community as one that: • Meets everyone’s basic needs such as safe, affordable and accessible food, water, housing education, health care and places to play; • Provides supportive levels of economic and social development through living wage, safe and healthy job opportunities, a thriving economy and healthy development of children and adolescents; • Promotes quality and sustainability of the environment through tobacco and smoke- free spaces, clean air, soil and water,
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