HEALTH FOCUS GROUP MEETING May 2013

1. HEALTH FOCUS GROUP MEETING May 2013

2. AGENDA • Welcome and Introduction • What is CNI? • Overview of Midtown Neighborhood • Planning Structure • Health Team • Goals/Aspirations • Issues and needs • Roles and responsibilities • Expected outcomes and metrics to measure to achievement • Collecting base-line data

3. What is a Choice Neighborhood? • PEOPLE • Improved health, safety, employment, mobility, and education • HOUSING • Energy efficient, mixed-income, one-for-one replacement • NEIGHBORHOOD • Well-functioning, economically viable, mixed-income neighborhoods

4. AGENDA Overview of CNI Planning Goals • People: Support positive outcomes for families who live in the target development and the surrounding neighborhood, particularly outcomes related to residents’ Economic Self-Sufficiency, safety, employment, and mobility; • Housing: Transform distressed public and assisted housing into energy efficient, mixed-income housing that is physically and financially viable over the long-term; • Neighborhood: Transform distressed, high-poverty neighborhoods into viable, mixed-income and sustainable neighborhoods with access to well-functioning services, high quality public schools and Economic Self-Sufficiency programs, high quality early learning programs and services, public transportation, and improved access to jobs.

5. OVERVIEW OF MIDTOWN NEIGHBORHOOD

6. PhysicalContext The CHOICE Study Area The historic center, the focus of the CN study, has many assets to build on: • A revitalizing Downtown • Major employers that are invested in the community • An excellent medical center • Cradle-to-college school facilities • An arts presence at the Renaissance Center • Natural refuges like the Kingsport Greenbelt • Great design and public spaces like Church Circle

7. PhysicalContext • The TARGET Housing

8. Overview of Neighborhood • Population • Kingsport City = 48,205 • Midtown Neighborhood = 4,399 • Larger African-American majority: • 4.1% in Kingsport City • 13.3% in Midtown Neighborhood • The Midtown population is slightly younger • Kingsport City – 44 yrs median age • Midtown Neighborhood – 40.5 yrs • Economic Self-Sufficiency levels, household income and household size are all lower in Model City . • Median household income in Midtown is just 39.4% of City-wide income. • Rate of home ownership • Kingsport City – 62.7% • Midtown Neighborhood – 35.1%

9. Overview of Neighborhood • Poverty Rate 40.02% • Part I crime rate 2.21 times that of the city • One of the five hot spots identified by the DOJ Byrne Memorial Grant • Long-term vacancy rate 17.88 versus 8.66 for Sullivan County • Need for affordable housing – estimated shortage ratio of units affordable to very low-income renter households = 1.46 (less than national avg) • Underused/unoccupied/ deteriorated structures and properties in downtown and midtown

10. Social Context Population Change 2000-2010 • Fairly stable population with very slight increase or decrease. • Downtown and north of Lee Highway/Stone Drive show increase • Neighborhoods closer to downtown and the industrial areas show decrease • Kingsport City = 48,205 • Midtown Neighborhood = 4,399 Source: ESRI thematic maps based on Census Data 2010

11. Social Context Median Age • Mostly dominated by middle-aged to older population • Younger population concentrated near downtown and midtown • Relatively younger population in KHRA neighborhoods • Kingsport City – 44 yrs • Midtown Neighborhood – 40.5 yrs Source: ESRI thematic maps based on Census Data 2010

12. Social Context Percentage of Owner-Occupied Housing • Percentage of ownership-occupied housing increases away from the historic core, with some exceptions • Kingsport City – 62.7% (13,348 housing units • Midtown Neighborhood – 35.1% (700 housing units) Source: ESRI thematic maps based on Census Data 2010

13. Social Context Median Home Value • Home values pretty consistent throughout the area • Higher value in downtown and areas near the junction of Stone Drive and John B Dennis Highway and east of John B. Dennis Highway • Median Home Value for • Kingsport City - $120,400 Source: ESRI thematic maps based on Census Data 2010

14. Social Context Median Household Income • Fairly stable population with very slight increase or decrease. • Downtown and north of Lee Highway/Stone Drive show increase • Neighborhoods closer to downtown and the industrial areas show decrease • Median Household Income for Kingsport City - $39,901 Source: ESRI thematic maps based on Census Data 2010

15. Social Context Unemployment Rate • Higher unemployment rate in downtown and midtown, except near the medical centers • Unemployment Rate in August 2012 • Tennessee – 8.3% • Kingsport City – 7.7% Source: City-data.com Source: ESRI thematic maps based on Census Data 2010

16. What’s been Accomplished? • $300,000 HUD grant • Schedule and budget approved by HUD • HUD site visit Feb 14, 2013 • Need to engage broader neighborhood • Focus on Target Area • Two planning phases: • I - Overall Neighborhood • II – Target Area • Socio economic data and assets being mapped of Midtown Neighborhood-Macro • Focus groups organized to start planning process.

17. PLANNING STRUCTURE

18. Transformation Planning Process (24 Months) • Orientation and understanding • Research and Data Collection • Examine Issues and Needs • Develop Sustainable Transformation Strategies and Indicators to Measure Outcomes, and a community Vision and Goals for • Housing • People • Neighborhood • Coalesce the Overall Vision and Planned Outcomes by Preparing Action Plans to Achieve the Long-Term Livability Objectives for Housing, People and the Neighborhood I

19. Overview of Planning Structure

20. Focus Group Planning Structure PART I: Introduction and discuss CN expectations PART II: Collect data and discuss how the data impacts the CN expectations PART III: Recommend strategies to implement programs

21. HEALTH FOCUS GROUP

22. Health Team The CNI program expectation is that the health for residents over time is as good as or better than that of other households with similar economic and demographic conditions at baseline. Health Team Members: Introductions 2. What are local health goals and aspirations for the CNI plan?

23. Defining Issues and Needs • Discuss survey which is underway • Input from participants on their perception of health needs.

24. Roles and Responsibilities • Expectations • Other CNI Examples • Discussion on how focus group members will participate • Identify other potential members

25. Collecting Baseline Data • What data do focus group members already have? • What other sources of data do members think may be available?

26. Comprehensive Needs Assessment • Metrics to Measure Achievement: • Number and percentage who have a place where they regularly go (often referred to as a medical home), other than an emergency room, when they are sick or in need of advice about their health • •Number and percentage reporting good physical health • •Number and percentage reporting low psychological distress • Number and percentage reporting healthy weight • Others? Health Outcome Children, youth and adults are physically and mentally healthy

27. Collecting Baseline Data • What data do focus group members already have available on medical homes, physical health, psychological distress and healthy weight? • What other sources of data do members think may be available on medical homes, physical health, psychological distress and healthy weight? • Next meeting • When • What

28. Project Website: http://www.kingsportchoice.com/