Linda Gabruk, Chair Nancy DeLuca, Vice Chair

1. The Greater Brockton Community Health Network Area CHNA 22 Linda Gabruk, ChairNancy DeLuca, Vice Chair

2. What is a CHNA? The Greater Brockton Community Health Network Area is one of 27 Community Health Network Areas (CHNA) across Massachusetts. Established by the Massachusetts Department of Public Health in 1992, CHNAs (pronounced “cha-NAHs”) are local coalitions of public, non-profit, and private sectors working together to build healthier communities in Massachusetts through community-based prevention planning and health promotion.

3. CHNA 22 Mission The mission of the Greater Brockton CHNA is to work toward healthier communities by promoting collaboration between CHNA partners, providing support to local health initiatives and prevention programs, and educating and increasing awareness of local identified health issues throughout the ten CHNA communities.

4. CHNA 22 Catchment Area • Abington • Brockton • Bridgewater • East Bridgewater • West Bridgewater • Easton • Whitman • Stoughton • Avon • Holbrook

5. Guiding Principles • Diversity Awareness • Increase Collaboration • Maintain Continuity of CHNA • Decrease Duplication of Services • Prevention Focused • Support for All 10 CHNA Communities • Meet Community Needs • Communication • Flexible participation respecting your time

6. Members • All are welcome. Open to anyone who lives, works, or attends school in the Brockton CHNA • Diversity of membership • Health is broader than it might first appear • Members are encouraged to bring a buddy • Some community members: Signature Healthcare Brockton Hospital, South Shore Hospital, Brockton Neighborhood Health Center, Brockton Public Schools, District Attorney’s Office, Caritas Good Sam Hospital, Behavioral Health, Community Services, High Point, VA, YMCA, Elder Services, Brockton Family Planning, Community Connections, MA DPH, Self Help

7. CHNA 22 Meeting Format • First Friday of each month • 8:45 AM – 10:00

8. A Typical CHNA Meeting • Welcome and Introduction • Steering Committee Updates • Guest Speaker • Announcements • Networking

9. CHNA 22 • Monthly Health Topics • Determined by Community Health Assessment • Steering Committee makes final topic selection • Focus on Issues and Answers/Innovative Programming

10. Meeting Topics 2011-2012 • September - CHNA 22 and You: Getting the Most Out of Membership • October - Grant Program Overview • November - Asthma In Our Communities • December- Self-Care for Community Caregivers • January - Regional CHNA Meeting: Sharing Ideas and Resources • February - Substance Abuse In Our Communities • March - Healthy Eating In Our Communities • April - Oral Health In Our Communities • May - Grant Recipient Presentations

11. Steering Committee • Core that keeps things going • Provides vision & leadership • Determine by-laws and CHNA structure • Develop recruitment plan • Budget approval • Review & award grants • Develop RFP for grants

12. Steering Committee • Open meeting • 11 voting members • Chair • Vice Chair • Treasurer • Coordinator (non voting) • Meets after general CHNA meeting

13. STEERING COMMITTEE • Koren Cappiello – Mayor’s Office • Nancy DeLuca (Vice-Chair) – Signature Healthcare • John Eastman – Self Help • Linda Gabruk (Chair) – Brockton NHC • Peg Holda – South Shore Hospital • Amanda Jablonski – South Bay Mental Health

14. STEERING COMMITTEE • Juliana Langille – Community Connections • Jack Ryan (Treasurer) – BAMSI (Volunteer/ Retired) • Teresa Tapper – Stoughton Youth Commission • Janet Trask – Community Rep/VA • Kathy Ward – Brockton Family Planning • OPEN

15. CHNA Subcommittees • Website - Present • Grant Development - Present • Health Fair - Past • Community Health Assessment - Past

16. Funding of CHNA 22 • Determination of Need (DoN) • Medical Facilities must submit an application to the Department of Public Health prior to any capital expenditure. • A portion of the total cost is designated by DPH for community health initiatives via the CHNAs

17. CHNA Revenue • Brigham & Women’s $35,340 • South Shore Hospital $11,000 • Carry Over $32,825 • Total: $79,165 • FY’13 South Shore Hospital: Additional $130,00 per year

18. CHNA Expenses • Grants $20,000 • Technical Assistance/Coor $9,300 • Comm. Health Assessment $6,000 • Website $3,000 • Fiscal Agent Fee $2,375 • Operations $1,500 • Inter-CHNA $2,500 • Total: $69,875 Leftover to be Carried

19. Grants • Large grants-applications accepted twice/year in the fall and spring • Mini grants – reviewed monthly • All grants are subject to availability of funding!$!

20. New Focus for Grants • Identified as a CHNA focus via the Community Health Assessment & by applying selected criteria • Targets Policy and System Change

21. Criteria for Choosing Health Topics Criteria #1: A selected health topic must be supported by quantitative data that demonstrates a serious problem within the Greater Brockton Area. • Has a negative aspect which is greater than state or national average • Has a problem with significant consequences • Impacts many people Criteria #2: A selected health topic must be perceived as a problematic issue by people in the Greater Brockton CHNA area. • Community members perceive it as a serious problem. Criteria #3: A selected health topic must lead to an improvement in health outcomes with potential to make a positive impact on the community. • CHNA members must be convinced the topic has a potential for change. • Efforts related to a topic must have a sustainability, systems change or policy change component. • Efforts must be capable of being evaluated – e.g. process or impact evaluations

22. 4 Priority Health Topics for CHNA 22 Asthma Substance Abuse Healthy Eating Oral Health

23. Programs -one time -aimed at individual change -hard to sustain -not part of larger plan Policy -on-going -aimed at community change -sustainable -part of a bigger plan Programs vs. Policy Focus on Policy Change

24. Examples from a school setting

25. Community Change

26. CHNA 22 Questions?