DOCSLIB.ORG

2017 Washington County Community Health Improvement Plan September 2017

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
2017 Washington County Community Health Improvement Plan September 2017 2017 Washington County Community Health Improvement Plan September 2017 Live Well Washington County Dear Community Partner: It is my pleasure to share with you an update to Live Well Washington County, our community health improvement plan (CHIP). This plan was informed by the most recent regional Community Health Assessment (CHA) conducted by the Healthy Columbia Willamette Collaborative. It also builds upon the progress we’ve made since our 2014 CHIP. The CHIP was developed through over 12 months of work across the community to create a shared vision for tackling important health issues. More than 100 diverse organizations shared their thoughts about information in the CHA along with what their organizations’ priorities were. Based on these discussions, the CHIP priorities were selected. The foundational goals for the CHIP are to reduce health disparities, improve health equity and apply a trauma-informed lens to the CHIP work. Our CHIP priorities are to: • Improve access to health care, including primary care, behavioral health and oral health services. • Improve behavioral health outcomes, including mental health, suicide and addictions. • Prevent Chronic Conditions. Tackling these priorities is important for Washington County, but improving community health is not just about the work of public health and the products of this CHIP. Improving community health is the outcome of endeavors and activities of partners across many sectors of our community. Research has shown that health and well-being are greatly influenced by many complex factors and that where people live, learn, work and play has a tremendous impact. To acknowledge the many actions needed to develop and support a healthy community, we are adopting the Robert Wood Johnson Foundation’s (RWJF) Framework for a Culture of Health and Well-being as part of our CHIP. The RWJF framework “reflects a vision of health and well-being as the sum of many parts, addressing the interdependence of social, economic, physical, environmental and spiritual factors.” Use of this framework will help us as a community talk about and come together around what drives health as well as study and report on broad measures to track our progress. These measures will evolve over time to meet our changing community conditions. Our framework will incorporate local measures important to community partners and those that help us tell our story and track our progress. Thank you to the many partners focused on supporting and improving individual and community health. These partnerships make a difference in our community. Tricia Mortell Washington County Public Health Division Manager Letter from the Division Manager 2 | Table of Contents I. Acknowledgments ..................................................................................................................3 II. Executive Summary .................................................................................................................4 III. Demographics and Social Determinants of Health ...............................................................6 IV. Culture of Health and Well-being .........................................................................................9 V. CHIP Priority Areas a. Overview ...........................................................................................................................11 b. Foundational Goals: Health Equity & Disparities ...........................................................12 c. Priority 1: Access to Care ..................................................................................................13 d. Priority 2: Behavioral Health ...........................................................................................14 e. Priority 3: Chronic Conditions ..........................................................................................15 VI. CHIP Structure & Committees a. Overview ...........................................................................................................................16 b. Committee Objectives ......................................................................................................17 c. Tracking and Implementation .........................................................................................19 Table of Contents Table VII. Appendices a. CHIP Planning Process ......................................................................................................20 i. Community Health Assessment ..................................................................................22 ii. Input from Washington County Community Partners and Stakeholders ................26 iii. Health Equity Planning ...............................................................................................29 b. 2014 CHIP: Achievements and evaluation from the last cycle .......................................30 i. Progress and success stories ........................................................................................30 ii. Overview of the CHIP evaluation ...............................................................................31 c. List of partners that provided input to CHIP ..................................................................32 d. Sources and references ....................................................................................................33 e. Detailed committee work plans ......................................................................................33 2017 Community Health Improvement Plan for Washington County Acknowledgments | 3 Authors and Contributors LifeWorks Northwest Erin Jolly, MPH Lines for Life Rose Sherwood, MPH Lutheran Community Services NW Tricia Mortell, RD, MPH Meals on Wheels Amanda Garcia-Snell, MPH Metro West Ambulance, Inc. Kimberly Repp, PhD, MPH Migrant Head Start Eva Hawes, MPH, CHES Monika’s House Gwyn Ashcom, MPH, MCHES Morrison Child & Family Services Multnomah County Public Health Advisory Council (Appointed by the Board of Commissioners): National Association for Mental Illness Robin Bousquet – Business Representative National University of Natural Medicine Nicole Bowles – Person Representing Neighborhood Health Center Underserved/Minority Communities Northwest Regional Education Service District Larry Boxman – Public Safety Representative NW Counseling Associates Eileen Derr – Licensed Health Care Professional Oregon Child Development Coalition Migrant, Tom Engle – Consumer of Public Health Services Seasonal, and Early Head Start David Eppelsheimer – Faith Representative Oregon Community Health Worker Association Sebastian Lawler – CPO Representative Oregon Department of Human Services Lou Ogden – Elected Official Oregon Health and Science University Rachel Parker– Youth Representative Oregon Oral Health Coalition Kristine Rabii – Hospital Representative Oregon Pediatric Society Dick Stenson – Consumer of Oregon State University Extension Service Public Health Services Pacific University Leticia Vitela – Person Representing Underserved/ Project Access NOW Minority Communities Providence Health & Services Rose City Geropsychology Washington County CHIP Organizations Safe Families Adelante Mujeres Senior Health Insurance Benefits Assistance Program Adventures Without Limits Sequoia Mental Health Services, Inc. Asian Health & Service Center I. Acknowledgments Sherwood Regional Family YMCA Beaverton Full Gospel Church Sherwood School District Beaverton School District Southwest Community Health Center Borland Free Clinic The Intertwine Alliance Boys and Girls Aid Tigard Police Department Boys and Girls Clubs Tigard Turns the Tide Care Oregon Tigard-Tualatin School District Cascade Academy Tri County 911 Program Catholic Charities Tualatin Hills Park and Recreation District Cedar Hills Hospital Tualatin Together Coalition Clackamas County Tualatin Tomorrow Committee Community Action Tuality Health Alliance Domestic Violence Resource Center Tuality Healthcare Elders in Action University of Portland Family Forward Oregon Veterans Association Medical Center FamilyCare Health Virginia Garcia Memorial Health Center Forest Grove School District Voices Set Free Health Share of Oregon Washington County Administrative Office Healthier Generation Washington County Cooperative Library System Healthy Schools Program Washington County Health and Human Services Hillsboro Education Center Washington County Housing Services Hillsboro Police Department Washington County Juvenile Services Hillsboro School District Washington County Kids Home Instead Senior Center Washington County Land Use and Transportation HomePlate Youth Services Washington County Probation & Parole Jewish Family & Child Services Washington County Sheriff’s Office Kaiser Permanente Westside Transportation Alliance Legacy Health 4 | Executive Summary THE MANY partnerships focused on improving community conditions to support individual and community health can “make a difference. The Community Health Improvement Plan organizations and public health partners to (CHIP), Live Well Washington County, improve alignment in our community. The is a strategic community work plan that CHA includes population data and robust defines how Washington County Public community engagement to ensure that Health (WCPH) and community partners both are reflected in the prioritization of will come together to develop a culture health issues to inform the CHIP. The process of health and to address priority health also included a review of the priorities with issues identified by a comprehensive community
Load more

Recommended publications
  • A Randomized Controlled Trial of a Community Health Worker Intervention in a Population of Patients with Multiple Chronic Diseases: Study Design and Protocol
    Contemporary Clinical Trials 53 (2017) 115–121 Contents lists available at ScienceDirect Contemporary Clinical Trials journal homepage: www.elsevier.com/locate/conclintrial A randomized controlled trial of a community health worker intervention in a population of patients with multiple chronic diseases: Study design and protocol Shreya Kangovi a,b,⁎, Nandita Mitra c, Lindsey Turr a, Hairong Huo a,DavidGrandea, Judith A. Long a,d a Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia 19104, PA, United States b Penn Center for Community Health Workers, Penn Medicine, Philadelphia 19104, PA, United States c Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology, Philadelphia 19104, PA, United States d Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA, Philadelphia 19104, PA, United States article info abstract Article history: Upstream interventions – e.g. housing programs and community health worker interventions– address socioeco- Received 14 September 2016 nomic and behavioral factors that influence health outcomes across diseases. Studying these types of interven- Received in revised form 2 December 2016 tions in clinical trials raises a methodological challenge: how should researchers measure the effect of an Accepted 3 December 2016 upstream intervention in a sample of patients with different diseases? This paper addresses this question using Available online 10 December 2016 an illustrative protocol of a randomized controlled trial of collaborative-goal setting versus goal-setting plus com- munity health worker support among patients multiple chronic diseases: diabetes, obesity, hypertension and to- Keywords: Randomized controlled trial bacco dependence. Upstream medicine At study enrollment, patients met with their primary care providers to select one of their chronic diseases to focus Socioeconomic determinants on during the study, and to collaboratively set a goal for that disease.
    [Show full text]
  • Arsenic, Air Pollution, and Threats to Traditional Values of the Hopi Tribe
    Journal of Community Health (2019) 44:896–902 https://doi.org/10.1007/s10900-019-00627-8 ORIGINAL PAPER Environmental Risk Perceptions and Community Health: Arsenic, Air Pollution, and Threats to Traditional Values of the Hopi Tribe Brian Mayer1 · Lorencita Joshweseoma2 · Gregory Sehongva2 Published online: 21 February 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract American Indian and Alaska Native populations experience chronic disparities in a wide range of health outcomes, many of which are associated with disproportionate exposures to environmental health hazards. In the American Southwest, many indigenous tribes experience challenges in securing access to sustainable and safe sources of drinking water, limiting air pol- lution emissions on and off tribal lands, and cleaning up hazardous contaminants left over from a legacy of natural resource extraction. To better understand how households perceive the risk of exposure to potential environmental health risks, we conducted six focus groups organized by age and geographic location on the Hopi reservation. Focus group participants (n = 41) were asked to reflect on changes in their natural and manmade environment and how their health might be influ- enced by any potential changes. By investigating these environmental risk perceptions, we were able to identify arsenic in drinking water and indoor air quality as significant exposures of concern. These risk perceptions were frequently anchored in personal and familial experiences with health problems such as cancer and asthma. Older focus group participants iden- tified ongoing shifts away from tradition and cultural practices as increasing environmental health risks. Similar to other communities economically dependent on the extraction of natural resources, focus group participants described the need for behavioral modifications regarding environmental health risks rather than eliminating the sources of potential health risks entirely.
    [Show full text]
  • Guide to Community Engagement in Wash
    OXFAM GUIDE NOVEMBER 2016 GUIDE TO COMMUNITY ENGAGEMENT IN WASH A practitioner’s guide, based on lessons from Ebola Community Health Volunteers receiving training in Clara Town, Monrovia, Liberia. Photo: Pablo Tosco/Oxfam By Eva Niederberger, Suzanne Ferron and Marion O’Reilly www.oxfam.org ABOUT THIS GUIDE This guide is a compilation of best practices and key lessons learned through Oxfam’s experience of community engagement during the 2014–15 Ebola response in Sierra Leone and Liberia. It aims to inform public health practitioners and programme teams about the design and implementation of community-centred approaches. 2 CONTENTS Acronyms .............................................................................................................................4 1. Introduction ......................................................................................................................5 1.1 About this note ............................................................................................ 5 1.2 Ten key lessons .......................................................................................... 6 2. Assessing contexts .........................................................................................................7 2.1 Pre-epidemic healthcare systems .............................................................. 8 2.2 Community history and leadership dynamics ............................................. 8 2.3 Community capacity ..................................................................................
    [Show full text]
  • Challenges and Innovations in a Community-Based Participatory
    HEBXXX10.1177/1090198116639243Health Education & BehaviorGoodkind et al. 639243research-article2016 Original Article Health Education & Behavior 2017, Vol. 44(1) 123 –130 Challenges and Innovations in a © 2016 Society for Public Health Education Reprints and permissions: Community-Based Participatory sagepub.com/journalsPermissions.nav DOI: 10.1177/1090198116639243 Randomized Controlled Trial journals.sagepub.com/home/heb Jessica R. Goodkind, PhD1, Suha Amer, MA1, Charlisa Christian, MBA1, Julia Meredith Hess, PhD1, Deborah Bybee, PhD2, Brian L. Isakson, PhD1, Brandon Baca, BS1, Martin Ndayisenga, ASW1, R. Neil Greene, MA1, and Cece Shantzek, BA1 Abstract Randomized controlled trials (RCTs) are a long-standing and important design for conducting rigorous tests of the effectiveness of health interventions. However, many questions have been raised about the external validity of RCTs, their utility in explicating mechanisms of intervention and participants’ intervention experiences, and their feasibility and acceptability. In the current mixed-methods study, academic and community partners developed and implemented an RCT to test the effectiveness of a collaboratively developed community-based advocacy, learning, and social support intervention. The goals of the intervention were to address social determinants of health and build trust and connections with other mental health services in order to reduce mental health disparities among Afghan, Great Lakes Region African, and Iraqi refugee adults and to engage and retain refugees in trauma-focused
    [Show full text]
  • 15 Practices to Improve Vaccination Program Effectiveness by Reaching the People Most at Risk
    15 Practices to Improve Vaccination Program Effectiveness by Reaching the People Most at Risk Introduction The percent of the U.S. population vaccinated for COVID-19 has increased steadily over the past few weeks alongside of expansion of eligibility. As of June 2, 2021, nearly 63% of U.S. adults 18 years of age and older have received at least one dose of COVID-19 vaccine, nearly 52% are fully vaccinated and everyone 12 years of age and older is now eligible for the vaccine. But this does not tell us the whole story. There are large disparities in vaccine uptake; racial and ethnic minorities, particularly the Black and Latinx communities, are being vaccinated at much lower rates than their white counterparts. These population groups also experience a higher burden of disease and higher COVID-19 hospitalization and death rates than whites. Vaccine uptake rates are also lower among rural populations and people About Us Vital Strategies is a global public with certain political perspectives. Vaccine equity needs to be prioritized in all health organization working in counties throughout the United States, not only as a matter of justice and to save 70+ countries to strengthen public health systems. Resolve lives, but also to reduce the risk of having more dangerous variants emerge. to Save Lives, an initiative of Vital Strategies, aims to prevent at least 100 million deaths from cardiovascular disease and epidemics. Through its Prevent Epidemics program, Resolve to Save Lives has rapidly leveraged existing networks to establish a multi-disciplinary, multi-pronged effort to support countries throughout Africa and beyond.
    [Show full text]
  • Community Health Workers: What Do We Know About Them?
    Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers Evidence and Information for Policy, Department of Human Resources for Health Geneva, January 2007 Content Background........................................................................................................................1 Who are community health workers? ............................................................................1 What do community health workers do?........................................................................1 What do we know about performance of CHW programmes?.......................................2 What factors act as incentives and disincentives for CHWs?........................................3 What makes for successful CHW programmes? ...........................................................4 Conclusions ...................................................................................................................5 Background The use of community members to render certain basic health services to their communities is a concept that has existed for at least 50 years. There have been innumerable experiences throughout the world with programmes ranging from large-scale, national programmes to small-scale, community-based initiatives. We now know that CHWs can play a crucial role in broadening access and coverage of health services in remote areas and can undertake actions that lead to improved health outcomes,
    [Show full text]
  • The Role of Community Health Workers in COVID-19 Vaccination
    The role of community health workers in COVID-19 vaccination implementation support guide 26 April 2021 WHO and UNICEF continue to monitor the situation closely for any changes that may affect this interim guidance. Should any factors change, WHO and UNICEF will issue a further update. Otherwise, this interim guidance document will expire 2 years after the date of publication. © World Health Organization and the United Nations Children’s Fund (UNICEF), 2021. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. WHO reference number: WHO/2019-nCoV/NDVP/CHWs_role/2021.1 The role of community health workers in COVID-19 vaccination implementation support guide 26 April 2021 Contents Acknowledgements ................................................................................................................. 1 Abbreviations .......................................................................................................................... 2 Executive summary ................................................................................................................. 3 1. Introduction. 4 1.2 Background resources. 4 1.3 Document updates and constraints. 4 1.4 Target audience ............................................................................................................. 5 2. Key community health worker roles in the COVID-19 vaccines rollout. 6 2.1 Planning and coordination ............................................................................................. 6 2.2 Identification
    [Show full text]
  • Global Water, Sanitation, and Hygiene (WASH) Program Impact
    CDC’s Global Water, Sanitation, and Hygiene (WASH) Program Impact Objective The Centers for Disease Control and Prevention’s (CDC’s) global WASH program provides expertise and interventions aimed at saving lives and reducing illness through global access to safe water, adequate sanitation, and improved hygiene. These prevention and control measures reduce the impact of WASH- Where we work: related diseases by improving health, reducing poverty, and increasing economic development. Afghanistan Angola Bangladesh Program Description Burkina Faso CDC’s WASH program works with partners in every WHO region and focuses on: Burma Burundi Making Water Safe to Drink: Promoting safe water through CDC’s Safe Water System (SWS) and Cameroon development and implementation of Water Safety Plans (WSPs). Colombia D. R. of Congo Improving Hygiene and Sanitation to Prevent the Spread of Disease: Improving the efficacy, Ecuador sustainability, and integration of hygiene and sanitation interventions. El Salvador Ethiopia Responding to International Emergencies and Outbreaks: Deploying emergency response and Ghana outbreak investigation teams at the request of foreign governments. Guatemala Guinea Controlling and Eliminating Disease: Identifying WASH-related factors needed to control or Guyana eliminate Neglected Tropical Diseases (NTDs) like Guinea worm disease. Haiti Honduras Identifying and Characterizing Disease: Investigating the agents and causes of illness, such as India diarrhea, to provide critical health data for decision making. Jamaica Kenya Training and Educating about Global WASH: Developing model programs and materials for Liberia public health staff training and community health promotion. Laos Madagascar Malawi Mozambique Public Health Impact Nepal More than 20 countries treated over 90 billion liters of water – enough to meet the annual needs of Nicaragua 12 million families – using SWS programs.
    [Show full text]
  • Learning Guide: Public Health Nursing Practice for the 21St Century
    PUBLIC HEALTH NURSING PRACTICE ST FOR THE 21 CENTURY National Satellite Learning Conference Learning Guide PUBLIC HEALTH NURSING PRACTICE FOR THE 21 ST CENTURY: COMPETENCY DEVELOPMENT IN POPULATION- BASED PRACTICE Learning Guide Minnesota Department of Health Community Health Services Division Section of Public Health Nursing 121 East 7th Place, St. Paul, MN 55164 Phone 651-296-6567 This project was supported by a grant to the Minnesota Department of Health from the Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration at the Department of Health and Human Services, grant #6 D10 HP 30392. Suggested citation: Public Health Nursing Section, Minnesota Department of Health. (2000). Public Health Nursing Practice for the 21st Century; Competency Development in Population-based Practice. St. Paul, MN. Table of Contents INTRODUCTION 1 SESSION 1 SESSION 3 Learning Objectives 5 Learning Objectives 65 Content 5 Content 65 Content Outline 7 Content Outline 67 Learner Materials 11 Learner Materials 69 Handout 1 – Population-based Practice 12 Handout 1 – Public Health Nursing Process 70 Handout 2 – Levels of Prevention 14 Handout 2 – Examples from Practice 72 Handout 3 – Levels of Practice 15 Handout 3 – Discussion Questions 73 Handout 4 – Definitions of Public Health Interventions 16 Handout 4 – Selected Resources 74 Handout 5 – Discussion Questions 19 Pre test 76 Pre test 20 Post test 78 Post test 22 SESSION 2 Learning Objectives 25 BIOGRAPHICAL SKETCHES 81 Content 26 Laurel Briske 82 Content Outline 27
    [Show full text]
  • BIOSTATISTICIAN Department of Behavioral and Community Health Salary: $65,925.00
    BIOSTATISTICIAN Department of Behavioral and Community Health Salary: $65,925.00 This is a highly technical position in the Department of Behavioral and Community Health responsible for obtaining and analyzing health data and related data to monitor trends in the community, support epidemiologic investigation, and evaluate behavioral and public health programs and interventions. Work requires advance knowledge of applied epidemiology and biostatistics for public health practice. The Biostatistician works under the direct supervision of the Epidemiologist and may exercise supervision over subordinate staff or interns. This is a provisional position pending a civil service examination. TYPICAL WORK ACTIVITIES: The following is indicative of the level and types of activities performed by incumbents in this title. It is not meant to be all inclusive and does not preclude a supervisor from assigning activities not listed which could reasonably be expected to be performed by an employee in this title. Assists the Epidemiologist in the collection, analysis, interpretation, visualization, and reporting of vital statistics and other health metrics to determine and evaluate community health needs; designs, manipulates, and utilizes databases for analysis of health issues and program evaluation; analyzes and interprets data using appropriate statistical methods; supports survey development, survey sampling strategy, and statistical analysis of survey results; responds to internal and external requests for health statistics; Assists department in
    [Show full text]
  • Community Health 4
    4. Community Health 4.1 OVERVIEW This chapter describes the existing conditions in the Southwest Fresno Specific Plan Area related to community health. Included are a snapshot of the regulatory framework, existing health conditions, key issues that impact health, and opportunities for improving the health of southwest Fresno residents. 4.2 REGULATORY FRAMEWORK The southwest Fresno area has been the subject of a number of planning and health studies and local initiatives over the past decade. Some are short‐term, while others are long‐term community initiatives that will last a decade or more. Key initiatives and studies include the following. EDISON COMMUNITY PLAN (1977) Adopted in 1977, the Edison Community Plan covers the southwest Fresno area. The Edison Community Plan was designed to stimulate the long‐term balanced growth of the community. Its three objectives are: 1) improve the quality of the environment and the strategic provision of public facilities improvements; 2) provide housing to accommodate the housing needs of a broad range of socio‐economic groups though new development and rehabilitation; and 3) stimulate an increase of income level through economic and employment development programs. The plan establishes eight major proposals, of which six address land use and/or urban design concerns. Key areas for change include a new community center area, urban service delivery policies, development and preservation of housing, improving commercial services, open space and recreation plan, and street improvements, and improved transit service. WEST FRESNO ASSET MAP: COMMUNITY PLAN (2009) In 2009, the City of Fresno, West Fresno Coalition for Economic Development, and Ramsay Group conducted an asset mapping study and five‐year action plan for west Fresno.
    [Show full text]
  • A Community-Based Participatory Environmental Health Survey In
    Health Education & Behavior 39(2) 198 –209 Our Environment, Our Health: A © 2012 Society for Public Health Education Reprints and permission: Community-Based Participatory sagepub.com/journalsPermissions.nav DOI: 10.1177/1090198111412591 Environmental Health Survey http://heb.sagepub.com in Richmond, California Alison Cohen, BA1, Andrea Lopez, BA2, Nile Malloy, BA2, and Rachel Morello-Frosch, PhD, MPH3 Abstract This study presents a health survey conducted by a community-based participatory research partnership between academic researchers and community organizers to consider environmental health and environmental justice issues in four neighborhoods of Richmond, California, a low-income community of color living along the fence line of a major oil refinery and near other industrial and mobile sources of pollution. The Richmond health survey aimed to assess local concerns and perceptions of neighborhood conditions, health problems, mobile and stationary hazards, access to health care, and other issues affecting residents of Richmond. Although respondents thought their neighborhoods were good places to live, they expressed concerns about neighborhood stressors and particular sources of pollution, and identified elevated asthma rates for children and long-time Richmond residents. The Richmond health survey offers a holistic, community-centered perspective to understanding local environmental health issues, and can inform future environmental health research and organizing efforts for community–university collaboratives. Keywords community-based participatory research, empowerment, environmental health, health disparities, social determinants Community-Based Participatory throughout the research process—in the doing, interpreting, Research for Environmental Justice and acting on science. One approach is known as community- based participatory research (CBPR; Israel, Schulz, Parker, The environmental justice movement seeks to address the & Becker, 1998; Minkler & Wallerstein, 2003).
    [Show full text]