New Orleans Community Health Improvement Report Community Health Profile & Community Health Improvement Plan Prepared by: the New Orleans Health Department January 2013 NEW ORLEANS COMMUNITY HEALTH IMPROVEMENT REPORT LETTER FROM THE HEALTH COMMISSIONER In keeping with Mayor Mitch Landrieu’s commitment to improve the quality of life for the citizens of New Orleans, the Mayor and I are pleased to present this Community Health Improvement assessment and planning document. This booklet contains two reports, the Community Health Profile and Community Health Improvement Plan which are companion documents intended to complement each other and paint a broad picture of the state of community health in New Orleans. They are also available on the web at http://new.nola.gov/health. The reports are the result of a formal community health Improvement assessment and planning effort reflect over 18 months of collaborative work with agency partners and community stakeholders to establish a shared vision, conduct a comprehensive community health assessment, and develop an assets-based planning document. Using the Mobilizing for Action through Planning and Partnerships (MAPP) framework as our guide we conducted four interdependent assessments that, when combined, provide a comprehensive snapshot of the specific health needs and opportunities in our community. Data from the community health assessment process was used to prioritize strategic issues to be included in the Community Health Improvement Plan. We are thankful for the support of over 100 stakeholders and partners from across multiple sectors and technical assistance provided by the National Association of County & City Health Officials, the Robert Wood Johnson Foundation, the Centers for Disease Control and Prevention, and M Powered Strategies to develop this document. This is a living document and with the help of our partners, the plan will be implemented over the next five years. Through this effort we commit to rigorously measuring our processes and outcomes to evaluate and improve our planning efforts. We are also dedicated to developing data-driven targets and timely policies based on evidence-based interventions supported by sound research and/or practice. Most importantly, we are driven to see that this report is accessible to all who live, learn, work, and play in New Orleans. Our challenges are great, but so is our opportunity. We invite you to use this plan to help inform and enhance your knowledge of the work currently underway to improve community health in New Orleans. We also encourage everyone to get involved and contribute to this effort as we seek to establish New Orleans a model for community health improvement for the nation. Sincerely, Karen Bollinger DeSalvo, MD, MPH, MSc Health Commissioner NEW ORLEANS COMMUNITY HEALTH IMPROVEMENT REPORT COMMUNITY HEALTH IMPROVEMENT STEERING COMMITTEE Michelle Alletto Birth Outcomes Project, Louisiana Department of Health and Hospitals Eric Baumgartner Louisiana Public Health Institute Daesy Behrhorst Louisiana Language Access Coalition Theodore Callier Dillard University Nash Crews Recovery School District Karen DeSalvo City of New Orleans Lucas Diaz Office of Neighborhood Engagement, City of New Orleans Denise Graves Micah Project Avis Gray Louisiana Department of Health and Hospitals Stephanie Haynes Greater New Orleans Drug Demand Reduction Coalition Corey Hebert Tulane Hospital Ben Johnson New Orleans Chamber of Commerce Calvin Johnson Metropolitan Human Service District Jim Kelly Covenant House Flint Mitchell Greater New Orleans Foundation Tiffany Netters Office of Public Health, Louisiana Department of Health and Hospitals Minh Nguyen Vietnamese American Young Leaders Association Claire Norris Department of Sociology, Xavier University of Louisiana Lindsay Ordower 504HealthNet Charlotte Parent City of New Orleans, Health Department Kate Parker Prevention Research Center, Tulane University Jamilah Peters-Muhammad Ashe’ Cultural Arts Center Thena Robinson-Mock Kids Rethink New Orleans Schools Paul Salles Metropolitan Hospital Association Timolynn Sams Neighborhood Partnership Network Petrice Sams-Abiodun Lindy Boggs Literacy Center, Loyola University Liz Scheer Baptist Community Ministries Denese Shervington Institute of Women and Ethnic Studies Adrian Todd Kingsley House Yvette Wing Centers for Disease Control and Prevention Beverly Wright Deep South Center for Environmental Justice, Dillard University NEW ORLEANS COMMUNITY HEALTH IMPROVEMENT REPORT TABLE OF CONTENTS COMMUNITY HEALTH IMPROVEMENT IN NEW ORLEANS ........................................................ I BACKGROUND ................................................................................................................................... i MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ......................................... ii NEW ORLEANS COMMUNITY HEALTH PROFILE EXECUTIVE SUMMARY .................................................................................................................. 1 FOUR MAPP ASSESSMENTS ............................................................................................................. 2 COMMUNITY HEALTH INDICATORS ...................................................................................................... 3 DEMOGRAPHICS ............................................................................................................................ 4 HEALTH STATUS, HEALTH OUTCOMES, AND LIFE EXPECTANCY ........................................ 13 ACCESS TO HEALTHCARE ............................................................................................................. 17 CHRONIC DISEASE ....................................................................................................................... 19 COMMUNICABLE AND INFECTIOUS DISEASES .................................................................................. 21 MATERNAL AND CHILD HEALTH ..................................................................................................... 23 PUBLIC SAFETY ........................................................................................................................... 25 BEHAVIORAL HEALTH ................................................................................................................... 27 COMMUNITY INPUT ...................................................................................................................... 29 ASSETS AND BARRIERS TO COMMUNITY HEALTH ............................................................................... 29 COMMUNITY STRENGTHS AND ASSETS ............................................................................................. 37 Community Health Asset Map ................................................................................................... 40 NEW ORLEANS COMMUNITY HEALTH IMPROVEMENT PLAN EXECUTIVE SUMMARY .................................................................................................................. 1 UNDERSTANDING THE COMMUNITY HEALTH IMPROVEMENT PLAN ..................................... 2 What is a Community Health Improvement Plan? .......................................................................... 2 How Will We Use the CHIP? .......................................................................................................... 2 What is the relationship between the New Orleans CHIP and other Planning Efforts? .................. 2 Developing the New Orleans Community Health Improvement Plan ............................................. 3 What Policy Changes are needed for our CHIP to be Successful? ................................................ 5 ACCESS TO PHYSICAL AND BEHAVIORAL HEALTHCARE ....................................................... 6 Statement of Need....................................................................................................................... 7 Background ................................................................................................................................. 7 Objectives and Strategies ............................................................................................................ 8 SOCIAL DETERMINANTS OF HEALTH ......................................................................................... 9 Statement of Need..................................................................................................................... 10 Background ............................................................................................................................... 10 Objectives and Strategies .......................................................................................................... 10 NEW ORLEANS COMMUNITY HEALTH IMPROVEMENT REPORT VIOLENCE PREVENTION ............................................................................................................. 11 Statement of Need..................................................................................................................... 12 Background ............................................................................................................................... 12 Objectives and Strategies .......................................................................................................... 13 HEALTHY LIFESTYLES ................................................................................................................ 14 Statement of Need....................................................................................................................