DOCSLIB.ORG

Alliance for Health Equity 1

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Alliance for Health Equity 1 Alliance for Health Equity1 Collaborative Community Health Needs Assessment (CHNA) for 35 Hospitals Advocate Aurora Children's Hospital Advocate Aurora Christ Medical Center Advocate Aurora Illinois Masonic Medical Center Advocate Aurora Lutheran General Hospital Advocate Aurora South Suburban Hospital Advocate Aurora Trinity Hospital AMITA Adventist Medical Center La Grange AMITA Alexian Brothers Medical Center, Elk Grove Village AMITA Holy Family Medical Center AMITA Resurrection Medical Center AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital AMITA Saint Francis Hospital AMITA Saint Joseph Hospital AMITA Saints Mary and Elizabeth Medical Center Ann & Robert H. Lurie Children's Hospital of Chicago Jackson Park Hospital The Loretto Hospital Loyola Medicine- Gottlieb Memorial Hospital Loyola Medicine- Loyola University Medical Center Loyola Medicine- MacNeal Hospital Mercy Hospital & Medical Center Northwestern Memorial Hospital Norwegian American Hospital Palos Community Hospital Roseland Community Hospital Rush Oak Park Rush University Medical Center Sinai Health System- Holy Cross Hospital Sinai Health System- Mount Sinai Hospital Sinai Health System- Schwab Rehabilitation Hospital South Shore Hospital Swedish Covenant Hospital University of Chicago Medicine University of Chicago Medicine-Ingalls Memorial Hospital University of Illinois Hospital and Health Sciences System Key Public Health Partners Chicago Department of Public Health Cook County Department of Public Health and Cook County Health Backbone Organization for the Alliance for Health Equity Illinois Public Health Institute Alliance for Health Equity2 Table of Contents Executive Summary ........................................................................................................................................ 4 Introduction ................................................................................................................................................... 21 Alliance for Health Equity Structure and Shared Leadership ........................................................................ 21 Purpose, Vision, Values ............................................................................................................................... 22 Community Engagement .............................................................................................................................. 23 Participating Hospitals and Health Departments .......................................................................................... 23 Collaborative Assessment Model and Process ........................................................................................... 26 Primary Data ................................................................................................................................................ 26 Secondary Data ........................................................................................................................................... 31 Data System Needs and Limitations ............................................................................................................ 33 Alliance for Health Equity–Implementation Activities and Accomplishments 2016-2018 ........................ 33 Community Description for Cook County .................................................................................................... 34 Community Cohesion as an Asset ............................................................................................................... 41 Priority Community Health Issues ................................................................................................................ 42 Overview of Health Inequities ....................................................................................................................... 43 The Role of Racism in Health and Structural Racism in the Chicago Metropolitan Area ............................... 43 Achieving Racial Equity ................................................................................................................................ 45 Inequities in Access to Health Care .............................................................................................................. 46 Inequities in Mortality, Life Expectancy, and Years of Potential Life Lost...................................................... 47 Inequities in Maternal and Child Health ........................................................................................................ 51 Inequities in Community Safety and Violence .............................................................................................. 56 The Relationship Between Inequities, Trauma, and Toxic Stress ................................................................. 56 Social and Structural Determinants of Health ............................................................................................. 59 Poverty ........................................................................................................................................................ 59 Unemployment and Underemployment ........................................................................................................ 65 Education ..................................................................................................................................................... 68 Food Access and Food Insecurity ................................................................................................................ 70 Housing........................................................................................................................................................ 77 Environmental Health and Environmental Justice ........................................................................................ 81 Community Safety and Violence .................................................................................................................. 84 Access to Quality Health Care ...................................................................................................................... 88 Health care coverage ................................................................................................................................... 88 Proximity to health care services .................................................................................................................. 91 Mental Health and Substance Use Disorders .............................................................................................. 98 Key Takeaways and Priority Populations ..................................................................................................... 98 Utilization of Emergency Care .................................................................................................................... 102 Other Recent Assessments........................................................................................................................ 108 Chronic Conditions ..................................................................................................................................... 110 Prevention and Risk Factors ...................................................................................................................... 110 Mortality ..................................................................................................................................................... 112 Asthma and Diabetes ................................................................................................................................. 118 Sexually Transmitted Infections ................................................................................................................. 123 Conclusion ................................................................................................................................................... 128 References ................................................................................................................................................... 129 Alliance for Health Equity3 Executive Summary The Alliance for Health Equity is a collaborative of 37 hospitals working with health departments and regional and community-based organizations to improve health equity, wellness, and quality of life across Chicago and Suburban Cook County. The purpose of the Alliance for Health Equity is to improve population and community health by: • promoting health equity; • supporting capacity building, shared learning, and connecting local initiatives; • addressing social and structural determinants of health; • developing broad city and county wide initiatives and creating systems; • engaging community partners and working collaboratively with community leaders; • developing data systems for population health to support shared impact measurement and community assessment; and • collaborating on population health policy and advocacy. The Patient Protection and Affordable Care Act (ACA) requires every non-profit hospital to conduct Community Health Needs Assessments (CHNA) and implement plans that address identified community health needs. The Alliance for Health Equity was developed so that participating organizations can collaboratively assess community health needs, collectively develop shared implementation plans to address community health needs, more efficiently share resources, and have a greater impact on
Load more

Recommended publications
  • Chinatown and Urban Redevelopment: a Spatial Narrative of Race, Identity, and Urban Politics 1950 – 2000
    CHINATOWN AND URBAN REDEVELOPMENT: A SPATIAL NARRATIVE OF RACE, IDENTITY, AND URBAN POLITICS 1950 – 2000 BY CHUO LI DISSERTATION Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Landscape Architecture in the Graduate College of the University of Illinois at Urbana-Champaign, 2011 Urbana, Illinois Doctoral Committee: Professor D. Fairchild Ruggles, Chair Professor Dianne Harris Associate Professor Martin Manalansan Associate Professor Faranak Miraftab Abstract The dissertation explores the intricate relations between landscape, race/ethnicity, and urban economy and politics in American Chinatowns. It focuses on the landscape changes and spatial struggles in the Chinatowns under the forces of urban redevelopment after WWII. As the world has entered into a global era in the second half of the twentieth century, the conditions of Chinatown have significantly changed due to the explosion of information and the blurring of racial and cultural boundaries. One major change has been the new agenda of urban land planning which increasingly prioritizes the rationality of capital accumulation. The different stages of urban redevelopment have in common the deliberate efforts to manipulate the land uses and spatial representations of Chinatown as part of the socio-cultural strategies of urban development. A central thread linking the dissertation’s chapters is the attempt to examine the contingent and often contradictory production and reproduction of socio-spatial forms in Chinatowns when the world is increasingly structured around the dynamics of economic and technological changes with the new forms of global and local activities. Late capitalism has dramatically altered city forms such that a new understanding of the role of ethnicity and race in the making of urban space is required.
    [Show full text]
  • Immigration and Restaurants in Chicago During the Era of Chinese Exclusion, 1893-1933
    University of South Carolina Scholar Commons Theses and Dissertations Summer 2019 Exclusive Dining: Immigration and Restaurants in Chicago during the Era of Chinese Exclusion, 1893-1933 Samuel C. King Follow this and additional works at: https://scholarcommons.sc.edu/etd Recommended Citation King, S. C.(2019). Exclusive Dining: Immigration and Restaurants in Chicago during the Era of Chinese Exclusion, 1893-1933. (Doctoral dissertation). Retrieved from https://scholarcommons.sc.edu/etd/5418 This Open Access Dissertation is brought to you by Scholar Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. Exclusive Dining: Immigration and Restaurants in Chicago during the Era of Chinese Exclusion, 1893-1933 by Samuel C. King Bachelor of Arts New York University, 2012 Submitted in Partial Fulfillment of the Requirements For the Degree of Doctor of Philosophy in History College of Arts and Sciences University of South Carolina 2019 Accepted by: Lauren Sklaroff, Major Professor Mark Smith, Committee Member David S. Shields, Committee Member Erica J. Peters, Committee Member Yulian Wu, Committee Member Cheryl L. Addy, Vice Provost and Dean of the Graduate School Abstract The central aim of this project is to describe and explicate the process by which the status of Chinese restaurants in the United States underwent a dramatic and complete reversal in American consumer culture between the 1890s and the 1930s. In pursuit of this aim, this research demonstrates the connection that historically existed between restaurants, race, immigration, and foreign affairs during the Chinese Exclusion era.
    [Show full text]
  • The Racial Wealth Divide in Chicago
    The Racial Wealth Divide in Chicago Optimized for Screen Readers Contents Director’s Letter ...................................................................................................................................... 3 The Racial Wealth Divide in Chicago .................................................................................................... 4 Infographic Highlights ........................................................................................................................ 4 Population ....................................................................................................................................... 4 Business Value ................................................................................................................................ 5 Unemployment Rate ....................................................................................................................... 5 Cost-Burdened Owners ................................................................................................................... 5 Immigrants & Assimilation in Chicago .................................................................................................. 5 Households of Color in Liquid Asset Poverty .................................................................................... 5 Population ........................................................................................................................................... 5 Liquid Asset Poverty by Race ............................................................................................................
    [Show full text]
  • Strategies of Resistance and Disengagement in an Ethnic Enclave: EI Barrio in Aurora, Illinois
    Ethnic Studies Review Volume 22 Strategies of Resistance and Disengagement in an Ethnic Enclave: EI Barrio in Aurora, Illinois Jack Thornburg Benedictine University This paper is a case study of a small city undergoing a process of demographic and ethnic change in com­ munity, empowerment, and political participation. For the dominant ethnic group these changes are threat­ ening, but resisting the Latino community that they fear tends to set in motion the very conditions that exacerbate the growing prevalence of poverty and the attendant problems of gangs, domestic violence, and school drop-out rates. For the Latino community the challenge to such resistance is through community organizing and bringing pressure upon the city for inclusion in the political structure to influence policy regarding these problems. 56 Thornburg-Resistance Introduction This paper addresses the failure of political ethnic mobi­ lization by a Latin American population near Chicago, Illinois, due to social and political elements beyond the control of Aurora's Mexican-American population. This essay will focus on education and the labor market as major social basics con­ tributing to the structural position of the Latino population. As the Aurora labor market continues to transform to meet the needs of the "post-industrial" economy, the educational system takes on greater significance in training people for new employment opportunities. A bifurcated educational system based on ethnicity-middle class Whites in one and working class Latinos and Blacks in the other-operates to center the social problems associated with poverty, discrimination and cultural isolation in predominantly minority schools. Aurora represents a classic case of Blauner's internal colony where an ethnic population is marginalized, impover­ ished, and discriminated against.
    [Show full text]
  • 2016 Health Impact Collaborative of Cook County CHNA North Region
    Health Impact Collaborative of Cook County Community Health Needs Assessment North Region June 2016 Participating hospitals and health departments: » Advocate Children’s Hospital » NorthShore University HealthSystem » Advocate Illinois Masonic Medical Center Highland Park Hospital » Advocate Lutheran General Hospital » NorthShore University HealthSystem Skokie Hospital » Chicago Department of Public Health » Presence Holy Family Medical Center » Cook County Department of Public Health » Presence Resurrection Medical Center » Evanston Health and Human Services Department » Presence Saint Francis Hospital » Illinois Public Health Institute » Presence Saint Joseph Hospital » NorthShore University HealthSystem Evanston Hospital » Village of Skokie Health Department » NorthShore University HealthSystem Glenbrook Hospital healthimpactcc.org/reports2016 Table of Contents Executive Summary – North Region.............................................................................................................. 3 Introduction ....................................................................................................................................................... 12 Collaborative infrastructure for Community Health Needs Assessment (CHNA) ...................... 12 Community and stakeholder engagement ......................................................................................... 14 Mission, vision, and values ........................................................................................................................
    [Show full text]
  • South Asian Americans in Illinois: Making Data Count
    South Asian Americans in Illinois: Making Data Count 1 CONTENTS WELCOME! 3 EXECUTIVE SUMMARY! 4 CHAPTER 1: INTRODUCTION! 5 CHAPTER 2: WHERE SOUTH ASIAN AMERICANS RESIDE! 7 CHAPTER 3: SOCIO-ECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF SOUTH ASIAN AMERICANS! 22 CHAPTER 4: RECENT TRENDS IN WEST RIDGE AND DUPAGE COUNTY! 41 2 WELCOME NOTE FROM THE AUTHORS As one of the most rapidly growing groups in Illinois and the nation, South Asian Americans have the potential to speak collectively and effectively on issues of concern. However, in order to leverage that potential, it is crucial to consider the characteristics and needs of this community and the unique challenges that it faces. Building upon the groundbreaking 2005 demographic report Making Data Count by South Asian American Policy & Research Institute (SAAPRI), this report presents new demographic data on South Asian Americans in Illinois. SAAPRI is proud to partner with Advancing Justice-Chicago, formerly the Asian American Institute, in publishing this demographic profile, utilizing data from the 2010 United States Census as well as other recent research. ABOUT US South Asian American Policy & Research Institute (SAAPRI, www.saapri.org) is a non-profit, non- partisan organization established in 2001 to improve the lives of South Asian Americans in the Chicago area, by using research to formulate equitable and socially responsible public policy recommendations. Asian Americans Advancing Justice-Chicago (Advancing Justice-Chicago, www.advancingjustice-chicago.org), formerly the Asian American Institute, was established in 1992 with a mission to empower the Asian American community through advocacy, by utilizing education, research, and coalition building. Please contact [email protected] or [email protected] with any questions regarding the report.
    [Show full text]
  • Health Impact Collaborative of Cook County, CHNA, South Region, 2016
    Health Impact Collaborative of Cook County Community Health Needs Assessment South Region June 2016 Participating hospitals and health departments: » Advocate Children’s Hospital » Mercy Hospital and Medical Center » Advocate Christ Medical Center » Provident Hospital - Cook County Health and » Advocate South Suburban Hospital Hospital System » Advocate Trinity Hospital » Roseland Community Hospital » Chicago Department of Public Health » Park Forest Health Department » Cook County Department of Public Health » Stickney Public Health District » Illinois Public Health Institute healthimpactcc.org/reports2016 Table of Contents Executive Summary – South Region ...........................................................................................3 Introduction: Health Impact Collaborative of Cook County ...................................................3 Collaborative infrastructure for CHNA in Chicago and Cook County ............................ 12 Community and stakeholder engagement ....................................................................... 14 South Leadership Team ......................................................................................................... 17 Mission, vision, and values ..................................................................................................... 18 Collaborative CHNA – Assessment Model and Process ....................................................... 19 Community Description for the South Region .......................................................................
    [Show full text]
  • A Portrait of Inclusion in Chicago Area Ethnoburbs
    INCLUSIVE ETHNOBURBIA? A PORTRAIT OF INCLUSION IN CHICAGO AREA ETHNOBURBS BY BENJAMIN C. CHENG DISSERTATION Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Geography in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Doctoral Committee: Professor David Wilson, Chair Associate Professor Julie Cidell Associate Professor Stacy Harwood Professor Dick Simpson, University of Illinois at Chicago ABSTRACT This dissertation studies inclusion in Chicago area ethnoburbs. The beginning point for this study is geographer Wei Li’s conception of ethnoburbs, which are multiracial, multiethnic suburbs that haved formed in large metropolitan areas across North America in recent decades. My study asks a straightforward question about how newly arrived racial and ethnic groups in these ethnoburbs are broadly included within the exisiting political and civic structures in these communities, a question not extensively explored in the literature on ethnoburbs. In order to measure inclusion, I develop a framework that determines the degree to which local governances in these ethnoburbs are inclusive of racial and ethnic groups in terms of three dimensions of local policymaking: Political incorporation, housing equality, and programs and policies. As I am inherently skeptical that the increased presence of racial and ethnic groups in the suburbs necessarily signals inclusion, a primary aim of this study is to develop a newer understanding about how local governances exclude these groups in the post-Civil Rights era of today. To do this, I draw upon theories and studies from related social science disciplines in order to investigate what new forms of exclusion exist today at the local level in an age when explicit forms of discrimination – like redlining and restrictive covenants – are illegal.
    [Show full text]
  • Report to the Chicago Community Trust
    Progress Report to the Chicago Community Trust Grant ID# C2005-01173 October 2006 Translating Sinai’s Improving Community Health Survey Into ACTION Urban Health Institute Steve Whitman, Ph.D. Ami M. Shah, M.P.H. Progress Report to the Chicago Community Trust By the Sinai Urban Health Institute October 2006 The impact of Sinai’s Improving Community Health Survey on efforts toward improved health in some of Chicago’s most vulnerable communities has been substantial. Since completing the Sinai survey in April 2003, community-level health data have documented the health status of six Chicago community areas and identified important racial/ethnic and geographic disparities that were previously unknown. Furthermore, with generous support from the Chicago Community Trust during the past two years, we have had the opportunity to disseminate survey findings widely, translate results into creative new interventions and empower others to do the same. This is a narrative report prepared for the Chicago Community Trust under Grant ID# C2005- 01173. We highlight major successes and challenges for the extended 16-month grant period, July 1, 2005 through October 30, 2006 and present results in three major categories: (1) Data Analysis; (2) Dissemination; and (3) the Creation of Effective Interventions. A financial report is also attached (Appendix A). While this grant was awarded in September 2005, it was post-dated to start on July 1, 2006. Thus, expenses reported reflect the grant-period: July 1, 2005-June 30, 2006. Funds supporting activities from June 30, 2006 to present come from another Chicago Community Trust award along with other sources that have helped support activities since June 30, 2006 to the present.
    [Show full text]
  • ADVERTIMENT. Lʼaccés Als Continguts Dʼaquesta Tesi Doctoral I La Seva Utilització Ha De Respectar Els Drets De La Persona Autora
    ADVERTIMENT. Lʼaccés als continguts dʼaquesta tesi doctoral i la seva utilització ha de respectar els drets de la persona autora. Pot ser utilitzada per a consulta o estudi personal, així com en activitats o materials dʼinvestigació i docència en els termes establerts a lʼart. 32 del Text Refós de la Llei de Propietat Intel·lectual (RDL 1/1996). Per altres utilitzacions es requereix lʼautorització prèvia i expressa de la persona autora. En qualsevol cas, en la utilització dels seus continguts caldrà indicar de forma clara el nom i cognoms de la persona autora i el títol de la tesi doctoral. No sʼautoritza la seva reproducció o altres formes dʼexplotació efectuades amb finalitats de lucre ni la seva comunicació pública des dʼun lloc aliè al servei TDX. Tampoc sʼautoritza la presentació del seu contingut en una finestra o marc aliè a TDX (framing). Aquesta reserva de drets afecta tant als continguts de la tesi com als seus resums i índexs. ADVERTENCIA. El acceso a los contenidos de esta tesis doctoral y su utilización debe respetar los derechos de la persona autora. Puede ser utilizada para consulta o estudio personal, así como en actividades o materiales de investigación y docencia en los términos establecidos en el art. 32 del Texto Refundido de la Ley de Propiedad Intelectual (RDL 1/1996). Para otros usos se requiere la autorización previa y expresa de la persona autora. En cualquier caso, en la utilización de sus contenidos se deberá indicar de forma clara el nombre y apellidos de la persona autora y el título de la tesis doctoral.
    [Show full text]
  • The Latino Neighborhoods Report: Issues and Prospects for Chicago
    The Latino Neighborhoods Report: Issues and Prospects for Chicago José Miguel Acosta-Córdova Produced for: Metropolitan Family Services October 11, 2017 Institute for Research on Race and Public Policy Great Cities Institute University of Illinois at Chicago Institute for Research on Race and Public Policy & Great Cities Institute 412 South Peoria Street, Suite 400, Chicago, Illinois 60607-7067 Phone (312) 996-8700 • Fax (312) 996-8933 • greatcities.uic.edu • [email protected] Author José Miguel Acosta-Córdova Research Assistant, Institute for Research on Race and Public Policy James J. Stukel Student Fellow, Great Cities Institute Masters Candidate, UIC Urban Planning and Policy President, Latino Planning Organization for Development, Education, and Regeneration (LPODER) Prepared for Metropolitan Family Services Ricardo Estrada, President and CEO One North Dearborn, Suite 1000 Chicago, IL 60602 Phone (312) 986-4000 Fax (312) 986-4289 metrofamily.org [email protected] Published by Institute for Research on Race and Public Policy (MC 347) Amanda Lewis, Ph.D., Director 412 South Peoria Street, Suite 315 Chicago, Illinois 60607-7067 Phone (312) 996-6339 Fax (312) 413-2091 irrpp.uic.edu [email protected] Great Cities Institute (MC 107) Teresa Córdova, Ph.D., Director 412 South Peoria Street, Suite 400 Chicago, Illinois 60607-7067 Phone (312) 996-8700 Fax (312) 996-8933 greatcities.uic.edu [email protected] Acknowledgments I want to thank Ricardo Estrada, President and CEO of Metropolitan Family Services for the opportunity to share this report. My participation in the Great Cities Institute James J. Stukel Student Fellows program provided the environment that enabled me to further develop my interests in the issues reflected in this report.
    [Show full text]
  • Healthy Chicago 2025 Data Compendium
    HEALTHY CHICAGO 2025 DATA COMPENDIUM OCTOBER 2019 1 TABLE OF CONTENTS PAGE Introduction 2 Chicago Health Atlas 3 Population & Demographics 4 Demographic Profiles 4 Population Changes 5 Mortality 15 Life Expectancy 15 Drivers of Life Expectancy 18 Leading Causes of Death 28 Disease & Injury 33 Behavioral Health 33 Chronic Disease 44 Communicable Disease 54 Injury 58 Maternal & Child Health 61 Oral Health 64 General Health 67 Risk Behaviors 72 Smoking 72 Nutrition & Physical Activity 75 Sleep 78 Alcohol Use 80 Living Conditions 82 Physical Environment 82 Land Use 82 Transportation 87 Housing 96 Exposure to Toxins 114 Economic & Work Environment 124 Employment 127 Income 132 Social Environment 141 Experience of Class, Racism and Gender 141 Culture and Media 146 Violence 155 Service Environment 159 Health Care 159 Education 166 Institutional & Social Inequities 179 Appendix 197 TABLE OF CONTENTS 2 INTRODUCTION HEALTHY CHICAGO 2025 The Chicago Department of Public Health (CDPH) Office of Epidemiology developed this data compendium as a tool to facilitate the prioritization, planning and implementation of VISION goals and strategies for Chicago’s new community health A city where all people and all improvement plan, Healthy Chicago 2025. This compendium is communities are empowered, meant to be an overview of some of the rich quantitative data free from oppression and available describing the current situation in Chicago. It is strengthened by equitable impossible to capture all available data, and we hope that this access to resources, document prompts further exploration. Much of the environments and information is pulled from other reports; we have provided opportunities that promote source information and encourage users to visit the original optimal health and well-being.
    [Show full text]