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Illinois Project for Local Assessment of Needs (IPLAN). Office of Epidemiology and Health Systems Development Division of Health Policy September 28, 2001. What is IPLAN ?. Primary goals To establish a process for community involvement and participation in community health assessment and

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Illinois project for local assessment of needs iplan

Illinois Project for Local Assessment of Needs (IPLAN)

Office of Epidemiologyand Health Systems DevelopmentDivision of Health PolicySeptember 28, 2001


What is iplan

What is IPLAN?

  • Primary goals

    • To establish a process for community involvement and

      participation in community health assessment and

      planning

    • To make local health departments accountable to their

      communities rather than to the state

  • Essential elements

    • Organizational capacity assessment

    • Community health needs assessment

    • Community health plan, focusing on a minimum of three

      priority health problems


What led to iplan

What led to IPLAN?

Over a decade of strategic planning in public health


What led to iplan1

What led to IPLAN?

1984 - The Roadmap Committee Report

  • Four principles for change

    • Service delivery should be improved.

    • Societal benefits should be effectively

      communicated.

    • Quality of services should be improved and

      standardized.

    • Funding should be increased.


What led to iplan2

What led to IPLAN?

1984 - The Roadmap Committee Report

  • Underlying belief

    • Services are most efficiently and effectively

      provided at the local level.


What led to iplan3

What led to IPLAN?

1988 - Roadmap Implementation Task Force

  • Examined existing policies, statutes,

    regulations, funding and administration of

    public health

  • Visioned an optimal public health system and

    compared it with the current system

  • Developed 29 recommendations that were

    published in The Road to Better Health for All

    of Illinois


What led to iplan4

What led to IPLAN?

1990 - Project Health The Illinois Public Health Improvement Project

  • Conducted by more than 200 public health

    professionals from state and local health

    departments, public health academia, and public

    health associations

  • Adopted 27 of the RITF recommendations

  • Catalyzed the development of progressive rules for

    certification of local health departments in Illinois


Requirements for certification of illinois local health departments

Requirements for Certification of Illinois Local Health Departments

Before and After 1993

After July 1993

To be certified as a local health

department in Illinois, LHDs MUST–

Before July 1993

To be recognized as a local health

department in Illinois, LHDs MUST DO –

  • Assess community health needs

  • Investigate hazards within the community

  • Analyze identified health needs for their determinants

  • Advocate and build constituencies for public health

  • Prioritize among identified community health needs

  • Develop policies and plans to respond to priority needs

  • Manage resources and organizational structures

  • Implement programs and services to respond to priority needs

  • Evaluate programs and services

  • Inform and educate the community

  • Potable Water

  • Food Sanitation

  • Maternal Health/Family Planning

  • Child Health

  • Communicable Disease Control

  • Private Sewage

  • Solid Waste

  • Nuisance Control

  • Chronic Disease

  • Administration


Illinois administrative code title 77 public health

Illinois Administrative CodeTitle 77: Public Health

Chapter 1: Department of Public Health

Subchapter H: Local Health Departments

Part 600: Certified Local Health Department Code


Illinois administrative code

Illinois Administrative Code

Section 600.400: Certified Health Department CodePublic Health Practice Standards

The local health department shall, at least once every five years, perform an organizational capacity self-assessment that meets the requirements set forth in Section 600.410.


Illinois administrative code1

Illinois Administrative Code

Section 600.400: Certified Health Department CodePublic Health Practice Standards

A community health needs assessment that systematically describes the prevailing health status and health needs of the population within the local health department=s jurisdiction shall be conducted once every five years.


Illinois administrative code2

Illinois Administrative Code

Section 600.400: Certified Health Department CodePublic Health Practice Standards

Develop a community health plan that addresses at least three priority health needs, identified pursuant to Section 600.400, during each certification period.


Illinois project for local assessment of needs iplan

Community

The IPLAN Process

Health Needs

Assessment

Community

Health Plan

Evaluation

Program Development

Implementation


What is the state s role

What is the State’s role?

  • Established the framework for the assessment and plan (APEX-PH model)

  • Developed, enhances and maintains IPLAN data system

  • Conducts training and provides technical assistance

  • Reviews submitted assessments and plans for substantial compliance with the administrative rules (every 5 years) and provides follow-up technical assistance


A community health needs assessment should contain

A Community Health Needs Assessment should contain--

A description of the health status and health problems most meaningful for the community in the data groupings contained in the IPLAN Data System:$ Demographic & Socioeconomic Characteristics$ General Health & Access to Care$ Maternal & Child Health$ Chronic Disease$ Infectious Disease$ Environmental, Occupational, & Injury Control$ (Sentinel Events)


A community health needs assessment should contain1

A Community Health Needs Assessment should contain--

$A description of the process and outcomes of setting priorities;

$A statement of purpose of the community health needs assessment that includes a description of how the assessment will be used to improve health in the community;

$A description of the community participation process, a list of community groups involved in the process, and method for establishing priorities;


Community health committee

Community Health Committee

  • ethnic & racial groups

  • medical & hospital community

  • mental health & social service organizations

  • cooperative extension service

  • schools

  • law enforcement organizations

  • voluntary organizations

  • faith community

  • businesses and economic development

  • unions

  • youth, senior citizens, other target populations


Prioritize community health problems

Prioritize Community Health Problems

  • Hanlon Method

  • Nominal Group

  • Delphi Technique

  • PEARL (Propriety, Economics,

    Acceptability, Resources, and Legality)


Detailed analysis of community health problems

Detailed Analysis of Community Health Problems


Illinois project for local assessment of needs iplan

Health Problem AnalysisWorksheet

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority

aka - NCAA Chart


Illinois project for local assessment of needs iplan

Health Priority

A situation or condition of people which is considered undesirable, is likely to exist in the future, and is measured as death, disease, or disability.

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority


Illinois project for local assessment of needs iplan

Risk Factor

A scientifically established factor (determinant) that relates directly to the level of a health problem.

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority


Illinois project for local assessment of needs iplan

Direct Contributing Factor

A scientifically established factor that directly affects the level of a risk factor.

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority


Illinois project for local assessment of needs iplan

Indirect Contributing Factors

A community specific factor that directly

affects the level of the direct contributing factor.

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority


Illinois project for local assessment of needs iplan

Outcome Objective

The level to which a health problem (priority) should be reduced.

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority


Illinois project for local assessment of needs iplan

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority

Impact Objective

The level to which a risk factor should be reduced.


Illinois project for local assessment of needs iplan

Indirect Contributing Factors

Direct Contributing

Factors

Risk Factors

Health Priority

Intervention Strategy

Demonstrated to be effective or used as national model and should address an impact objective.

Impact Objective

The level to which a risk factor should be reduced.


Illinois project for local assessment of needs iplan

Community Health Plan: Worksheet

Outcome Objective

Health Problem

Risk Factor

Impact Objective

Contributing Factors

Proven Intervention Strategies

Barriers

Resources Available


Illinois project for local assessment of needs iplan

Community Health Plan: Worksheet

Health Problem

Outcome Objective

By 2004, reduce stroke deaths to no more than 70 per 100,000 (Baseline: 1997 crude rate 76.5 per 100,000).

Cerebrovascular Disease (Stroke)

Risk Factor

Impact Objective

By 2002, reduce cigarette smoking to a prevalence of no more than 24 percent among people aged 18 and older. (Baseline: 1996 BRFS percentage 27.3).

Tobacco Use

Contributing Factors

Proven Intervention Strategies

Addiction

Sedentary Lifestyle

Hypertension

Advertising (Indirect)

Coalition will implement CDC=s community-based tobacco control program, focusing on delaying initiation, cessation programs, and advertising control.

Barriers

Resources Available

Limited number smokers seeking counseling.

Media messages promote smoking.

Peer pressure.

Coalition will provide support to LHD with in-kind donations, staff, and clinical counseling space.


Illinois project for local assessment of needs iplan

Community Health Plan

Description of the Health Problem, Risk Factors and Contributing Factors

Corrective Actions

Proposed Community Organizations

Evaluation Plan


Illinois project for local assessment of needs iplan

Community Health Plan

Description of the Health Problem, Risk Factors and Contributing Factors

The problem is the high death rate associated with cerebrovascular disease (county CR = 76.5, state CR =61.7 p/100,000 or 23% above state rate). The major risk factor is cigarette smoking and county has higher percentage of smokers (27.6%) , especially males (31%) than state (24%, 28%, respectively). Addiction appears to be the chief contributing factor.

Corrective Actions

In order to effectively address this health problem a multi-sited and multi- targeted campaign is required to delay initiation of smoking behavior, assist persons attempting to quit, and provide counter advertising to tobacco promotions.

Proposed Community Organizations

A coalition of community groups, including the LHD, Cancer Society, Lung Association, General Hospital, Teens Against Butts will collaborate with in- kind donations, staff, and clinical counseling space to assist in meeting objectives.

Evaluation Plan

Coalition will meet quarterly to assess progress in achieving goals. Coalition will use the evaluation tool developed by the CDC to determine effectiveness of programming efforts. Surveys will be conducted amongst coalition members to ascertain stakeholder satisfaction with program.


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