Fairfax Community Health Assessment 2017
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Fairfax Community Health Assessment 2017 #fairfax CHAvirginia Acknowledgments #fairfax CHA This Community Health Assessment reflects the work and contributions of many community stakeholders and governmental partners across the Fairfax community. Sincere appreciation is extended to those who so graciously shared their expertise on the 12 assessment resources referenced in this document. Finally, a special note of gratitude is owed to the following individuals for their time, commitment, and insight in the development of this report. Partnership for a Healthier Fairfax Steering Committee Fairfax County Health Gloria Addo-Ayensu, MD, MPH Gary Kreps Department Community Health Director Director Fairfax County Health Department Center for Health and Risk Communication Assessment Team George Mason University Sherryn Craig Marlene Blum Health Planner Chairman, Health Care Advisory Board Chair, Communications Committee Co-Chair, Partnership for a Healthier Fairfax Rachel Lynch Marie Custode Strategic Planner Lane Browning Program Outreach Administrator Strategic Projects Coordinator Inova Community Health Services Tina Dale Fairfax County Health and Human Services Co-Chair, Health Workforce Communications Specialist Co-Chair, Health Workforce Sara Pappa Elina Guralnik Jesse Ellis Regional Tobacco Control Coordinator Masters of Public Health Student Intern Prevention Manager Fairfax County Health Department George Mason University Tobacco-Free Living Fairfax County Department of Neighborhood Shawn Kiernan and Community Services Terri Siggins Epidemiology Manager Chair, Access to Health Services Program Coordinator Fairfax Food Council Susan Sanow Chris Garris Partnership Program Coordinator Programs Director Fairfax County Health Department Britepaths Robert Weiler Robin Wilson Chair, Fairfax Food Council Chair and Professor Senior Public Health Analyst Joe Gorney Global and Community Health Senior Planner George Mason University Fairfax County Department of Planning and Co-Chair, Partnership for a Healthier Fairfax Zoning Co-Chair, Healthy Environment and Active Living Samantha Hudson Senior Planner Fairfax County Park Authority Co-Chair, Healthy Environment and Active Living #fairfax Table of Contents CHA I. Approach ..................................................................................................................................1 A. Assessment Process ...................................................................................................2 B. Summary of Assessments ..........................................................................................4 C. Community Engagement ...........................................................................................7 D. Prioritization Process .................................................................................................8 II. Community Profile ..................................................................................................................9 A. Demographics ..........................................................................................................10 B. Health Indicators ...................................................................................................... 13 III. Priority Issues ........................................................................................................................ 15 A. Healthy Eating .........................................................................................................16 B. Healthy Environment ...............................................................................................18 C. Behavioral Health .................................................................................................... 20 IV. Next Steps .............................................................................................................................23 References ........................................................................................................................................25 Appendix A: Acronyms ..................................................................................................................27 Appendix B: Assessment Methods .............................................................................................. 28 Appendix C: Assessment Participation ........................................................................................ 29 Appendix D: Assessment Themes................................................................................................ 39 Approach 1 Approach Assessment Process #fairfaxCHA Nearly a decade ago, the Fairfax County Health Department convened stakeholders from across the Fairfax community to conduct its first comprehensive Community Health Assessment (CHA) process. This diverse group of individuals, community organizations, schools, healthcare providers, businesses, faith communities, and government agencies formed the Partnership for a Healthier Fairfax (PFHF) in 2010. Since then, this coalition has employed a cyclical community strategic planning framework known as Mobilizing for Action through Planning and Partnerships (MAPP). MAPP outlines a process to assess the health of the community, identify priority issues, and develop a Community Health Improvement Plan (CHIP) every five years. The final phase of the MAPP process is ongoing as the plan is implemented and evaluated over time. The first iteration of the MAPP assessment process involved identifying external forces of change, recognizing the strengths and weaknesses of the local public health system, collecting community perspectives on assets and needs, and compiling quantitative data on health indicators. The data presented in the original MAPP assessments have been refreshed through several initiatives. First, implementation of the 2013-2018 CHIP1 resulted in gathering additional data to inform the work and acquiring an online data platform of health indicators called the Community Health Dashboard. Second, federal regulations were implemented requiring tax-exempt hospitals to conduct Community Health Needs Assessments every three years, providing new sources of recent, relevant data. Third, many of the partners involved in the coalition conducted their own research to better understand health-related issues in the community. After a review of available data, 12 assessment resources were identified that together provide a comprehensive profile of the Fairfax community. It was determined that these existing studies would provide the necessary information to fulfill the assessment phase of the MAPP process and to inform the development of the 2019-2023 CHIP. Fairfax – An engaged and empowered community Visit the Community Health Dashboard working together to achieve at www.livehealthyfairfax.org to view the most current data available for more optimal health and well- than 100 health-related indicators. being for all those who live, work, and play here. 2 Approach Assessment Process, continued #fairfaxCHA Mobilizing for Action Through Planning & Partnerships (MAPP) 2010 Partnership Vision & Values 2011 & 2017 Development Creation Community Health Assessment 2013-2018 Implementation Strategic & & Evaluation Issues 2012 & 2017 2019-2023 Identification Community Health Improvement Planning 2013 & 2018 Adapted from the National Association of County and City Health Officials MAPP Framework2 3 Approach Summary of Assessments #fairfaxCHA The five general assessments below were conducted to examine a broad range of health-related indicators across the Fairfax community. The data included in these sources provide insight into community strengths and needs related to a variety of health issues. See Appendix B for more information on assessment methods. Assessment Purpose Sponsor Date Major Data Sources 3 To achieve the goal outlined in Community Health Dashboard Launched in May the CHIP to facilitate access to Data from national, state, and local sources, Fairfax County 2015, with data up- A web-based data resource center with over 100 multiple sources of health-related including comparison values, disparities, Health Department dated continuously, indicators from various sectors available to the data in a centralized online and maps as available public platform To assess the prevalence of Fairfax County Youth Survey4 risky behavior and protective Fairfax County Published in An annual, voluntary, anonymous survey of factors among youth to better Government and September 2017 A snapshot of the behaviors, experiences, and all Fairfax County Public Schools 6th, 8th, understand the community’s Fairfax County Public for school year other factors that influence the health and 10th, and 12th grade students wellbeing of youth in Fairfax County effectiveness in fostering healthy Schools 2016-2017 choices in young people To identify key needs and The Path Toward Tomorrow: The 2016 Fairfax Data from national and state surveys, 5 challenges currently facing County Human Services Needs Assessment Fairfax County information from local programs and residents, especially among Published in Health and Human services, community feedback from A review of changes in the county and the resulting specific populations (e.g., by age, May 2016 Services residents and stakeholders, and a needs in the areas of housing, economic self- income, disability status, race, community survey sufficiency, health, and connections to resources and ethnicity) To identify significant 6 community health needs to Approved by the Inova