October 2018 | Issue 5 Community Health Needs Assessments in Action COMMUNITY Eastern Charlotte County Central New Brunswick Western Charlotte County About Eastern About Central About Western 6 Charlotte County 12 New Brunswick 16 Charlotte County Eastern Charlotte County is located in the Central NB is a diverse region Western Charlotte County is southwestern part of the province. It is both geographically and located in the southwestern part a rural area with communities scattered demographically. Salmon fishing of the province. It is a rural area along the Bay of Fundy, including the industry is a major aspect of the with communities scattered along islands of Grand Manan and Deer Island. community’s history and culture, the Bay of Fundy, including as well as a source of employment. Campobello Island. CEO Message Horizon Health In Horizon’s fifth edition of In Your Community, we are highlighting the work being done in Eastern Charlotte County, Western Charlotte County and Central New Network is Brunswick. I’m truly inspired seeing the work that’s being done in these areas, along with the other areas we’ve covered in the previous editions of In Your driven Community. The selfless work New Brunswickers are doing in their by its mission communities is undeniable and it leaves me motivated that we are working together across Horizon and with our partners, to improve health outcomes. Helping People My vision moving forward is for our many sites to come together as One Horizon. In order to do this, we need to focus our attention to every facility across our organization, Be Healthy from clinics to community health centres to hospitals so they all remain first-class Good health lies at the heart of facilities serving the needs of our patients and clients. our daily quality of life. It is what As a health care provider, we are committed to patient and client centered care, across all New Brunswickers want for One Horizon. themselves and those they love. This spring I criss-crossed the province and had the opportunity to meet with many of Helping New Brunswickers be you as part of my third CEO tour. We now have a renewed strategic focus to enhance as healthy as they can be is the our community services and improve access to care for our patients and clients. As one shared purpose that motivates large organization with multiple sites, we will work to better align our networks so they all those who work at Horizon on can all have the same level of success with no weakest link. a daily basis. To achieve the best This tour across Horizon served as reinforcement that hospitals are just one piece of results, Horizon puts patients the health-care puzzle. It’s all the pieces that come together to make health care in New and clients at the centre of the Brunswick work. health delivery system. It’s the work being done in communities to battle food insecurity, to help with senior Each New Brunswick community isolation and primary health care. The work that we focus on in In Your Community is beyond a doubt, an incredibly important piece of the health-care puzzle. served by Horizon is unique. Working with key community The featured stories in the following pages have come together as a result of the partners, clinicians, and other Community Health Needs Assessments that have been completed. These assessments stakeholders, progress has been have identified the gaps preventing citizens from living their healthiest lives, and these made to identify and address stories are showing how communities are filling those gaps, which leads to them helping their specific needs. This is an people be healthy! intentional effort initiated by Yours in health, Horizon to significantly improve community-based primary care, Karen McGrath, President and CEO and support expensive tertiary Horizon Health Network services required by an aging population. 2 A hub and spoke Table of 8 model of care Eastern Charlotte County residents offered care right in Contents their community The St. George and 10 Area Food Bank Providing programs to enrich lives of those in need in Eastern Charlotte County October 2018 | Issue 5 Keeping people healthy at home Community Health Needs 14 Assessments in Action COMMUNITY Horizon facilities in Contributor: Creative lead: Western Charlotte County • Shannon MacLeod • Fahad Farooq keep people off highways Resources: Cover credits: • Jean Daigle • Shannon MacLeod to bigger centres • Janet Hogan Printing: • Gabrielle Levesque • Advocate Printing The following documents were used as resources for this publication: • Central New Brunswick Community Health Needs Assessment Community (October 2015) 18 partnerships encourage • Eastern Charlotte County Community youth to make the right Health Needs Assessment (September 2016) choice • Community Health Needs Assessment: Students in Central NB St. Stephen, St. Andrews and Surrounding Area (October 2014) learn risks involved with tobacco, substance abuse and impaired driving Comprehensive www.HorizonNB.ca 20 geriatric assessments Addressing and embracing the complexities of seniors health 3 Health care today A well-designed health system With our province’s aging unique needs of the people in each should feature both strong centres of population, southern migration, community. hospital-based care and appropriate and shift from rural to urban The good news is that work is community-based care “close to living, health care as we know it is underway. Horizon Health Network home” for New Brunswick residents. changing. Government and non- (Horizon) is working in partnership It’s a system that would ensure every government organizations and with communities to provide better New Brunswicker has access to the communities alike are looking for preventive, primary, and long-term services they need to be as healthy as ways to deliver care in a way that care to community members, as close they can be. does a better job of meeting the to home as possible. Community Health Needs Assessments Since 2012, Horizon has been address the other 90%. The CHNA Table 1: Determinants of Health working with communities to gain a process provides an opportunity as categorized by the Public Health Agency of Canada better understanding of their health to get everyone around the table care needs using Community Health to look at all areas that are known Needs Assessments (CHNAs). A to impact our health – health 1 Income and Social Status CHNA is a dynamic and ongoing determinants (Table 1). 2 Social Support Networks process that identifies the unique CHNAs help identify priority 3 Education and Literacy strengths and needs of a community. areas in the community that This information provides both Employment and need attention and support the 4 Horizon and the communities with development of action plans to Working Conditions a roadmap to achieving a common address them. This work influences 5 Social Environment goal: to improve the overall health of programming that better serves New Brunswick communities. the population and often supports 6 Physical Environment Have you ever considered how the efforts of primary health care Personal Health Practices 7 housing or access to transportation providers like family physicians, and Coping Skills might affect the health of an nurse practitioners, and pharmacists. Healthy Child 8 individual? You may not know it, Nobody knows a community better Development but measuring community health than the people who live there. This Biology and Genetic 9 goes far beyond studying rates of work to address priority areas is Endowment disease and the availability of health being driven by a local committee 10 Health Services care services. Health services account that is passionate about the well- for only 10% of what influences our being of the community. With 11 Gender health (see pie chart), which is why support from Horizon and other Horizon is working with individuals stakeholders, they are advocating for 12 Culture and agencies at a community level to your health. What influences our health? 40% Health What is primary Behaviours health care? 40% Social & Economic Factors Primary health care refers to an approach to health and a spectrum of services beyond the traditional health care 10% Physical system. It includes all services that play a part in health, Environment such as income, housing, education, and environment. Primary care refers to health promotion, illness and 10% Health injury prevention, and the diagnosis and treatment of Services 4 illness and injury. (Health Canada) 17 Community Common Themes Emerging Health Needs REGIONAL PRIORITY Assessments Awareness of completed Food Insecurity Services & System Navigation Social Supports to Transportation Help Individuals Move Out of Poverty Mental Resiliency and Coping Skills Housing Among Children & Youth Collaboration Addictions & with First Nations Mental Health Services Supporting the Alcohol and New Family Reality The province is divided into Drug Use/Abuse 33 unique communities to ensure a better Expansion of Senior Isolation and perspective of regional Sexual Health Lack of Community/ and local differences. Services & Sexual Social Supports for Abuse Treatment/ Seniors Community Health Needs Prevention Assessments have been Senior Home Care completed wherever Access to Primary and Outreach Horizon is located. Health Care Services Services • Oromocto and Area • Fredericton and Surrounding A Shift to More Area Comprehensive, Recreation • St. Stephen, St. Andrews and Team-Based Primary Health Care Surrounding Area Enhanced • Petitcodiac, Salisbury and More Focus on Collaboration, Surrounding Area Chronic Disease Communication & • Saint John Prevention Connectedness • Moncton and Surrounding Area Healthy Eating Continual • Grand Lake Area & Physical Activity Community • Neguac Area Engagement • Miramichi Area • Tantramar Area In your community • Central New Brunswick Knowing what is happening in your community is important. In the previous four issues of In Your Community, Horizon worked with the Fredericton and Oromocto; • Albert County Area Petitcodiac, Salisbury, Elgin and Havelock; Saint John and Grand Lake; Miramichi • Carleton County Area and Neguac Areas; and Albert County and Carleton County.