Accreditation & community health improvement plan (CHIP)

1. Accreditation & community health improvement plan (CHIP) Unified Government public Health Department  presentation to the county commission august 30, 2018, 5:00PM, city hall Terry Brecheisen, Director & juliann van liew, planning coordinator

2. Purpose & Objectives Public Health Department Accreditation • Review accreditation, requirements, and timeline • Understand the Commission's involvement in accreditation Community Health Improvement Plan • Review the process, partners, and strategies • Consider adoption

3. Social determinants of health OUTCOMES FACTORS Food insecure: 18% (14%) Adult smoking: 23% (18%) Uninsured adults: 28% (17%) High school graduation: 72% (85%) Children in poverty: 35% (18%) Violent crimes: 592 (360) Severe housing problems: 21% (13%) Primary Care Physicians: 2,360: 1 (1,330:1) • Child mortality (deaths per 100,000) • Black: 110 • White: 60 • Diabetes: 13% (10%) • Poor or Fair Health: 21% (15%) • Life expectancy: 75.7 (78.3, ) • HIV prevalence: 378 (119)

4. Life expectancy

5. Moving to Public Health 3.0 Model • Chief Health Strategist for our community • Build and leverage strategic partnerships • Flexible and sustainable funding • Timely and locally relevant data, metrics, and analytics • Foundational infrastructure

6. "The measurement of health department performance against a set of nationally recognized, practice-focused and evidenced-based standards." Accredited Health Departments • Kansas Department of Health and Environment • Johnson County, Kansas • Lawrence-Douglas, Kansas • Sedgwick County, Kansas • Kansas City, Missouri • Jackson County, Missouri • Clay County Missouri

7. Scope of accreditation Assess Investigate Inform & Educate Community engagement Policies & plans Public health laws Access to care Workforce Quality improvement Evidence-based practices Administration & management Governance

8. Accreditation Timeline

9. WYANDOTTE COUNTY Community health assessment &Community health improvement plan

10. "There is nothing ‘natural’ about today’s community health landscape or the challenges itpresents.” —Health Equity Action Transformation (H.E.A.T.) report,  Community Health Council of Wyandotte County

11. community health assessment

12. Priority areas

13. Chip planning committees • Nonprofit and service organizations • Foundations • Clinical systems • Private businesses • Local residents • Unified Government (Health, Knowledge, Police, Economic Development, Livable Neighborhoods, Public Works, Transportation, County Commissioners) 

14. Lead agencies Jobs and Education: • Wyandotte Economic Development Council, Greg Kindle Health Access • Vibrant Health, Patrick Sallee Safe and Affordable Housing • Livable Neighborhoods, Andrea Genereux Violence Prevention: • Metropolitan Organization to Counter Sexual Assault, Vanessa Crawford Aragon

15. Community health dashboard

16. Jobs and education strategies Increase access to quality and affordable child care opportunities. • Support the economic development of childcare centers • Support the implementation of a county-wide quality improvement system for early education facilities Increase proficiency in English tailored to industry-specific communication. • Develop a multi-faceted, customized Business ESL training program • Increase the number of students enrolled in KCKCC's ESL training program Improve accessibility and frequency of public and alternative transportation options for Wyandotte workforce. • Pilot an employer transportation council in Edwardsville. • Encourage government policy and incentives to increase business investment in transportations solutions for job access Increase hiring of individuals with criminal history. • Increase training and education opportunities for people during their period of incarceration and while under supervision. • Establish trainings to educate employers about the incentives for hiring ex-offenders. • Promote and expand summer youth employment opportunities. • Expand the availability of appropriate expungement services. Increase attainment of post-secondary education/industry-recognized training. • Support and expand college and career readiness efforts across all school districts. • Streamline and expand the use of Individualized Plans of Study (IPS). • Build supportive systems to remove barriers and improve ease of access to continuing education and livable wage job opportunities.

17. Jobs & education

18. health access strategies Assure access to health care for all • Increase city/county investment in primary care/safety net healthcare services. • Expand KanCare (Medicaid) • Assure clinic locations and service hours match the needs of Wyandotte County residents. • Educate the community about health literacy, the availability of local health services, and how to access those services. • Establish School-based (physical/mental) health centers and dental programs in underserved areas. Improve capacity of the health care system • Improve coordination of patient care among primary care and behavioral health care providers • Increase the availability and capacity of outpatient therapy/counseling services, in English, Spanish, and other needed languages. • Provide training in cultural humility and trauma-informed care for staff of health and human service organizations. • Create an education-to-employment pipeline for Wyandotte County students in the health care professions, connected to Wyandotte County employers

19. Health access

20. safe and affordable housing strategies Increase quantity of quality housing for low-moderate income people in high opportunity areas. • Engage the KCK Housing Authority in identifying mutual goals. • Explore the development of a community land trust. • Explore the development of a local affordable housing fund. • Promote the use of multi-unit, infill, and use of empty lots. • Implement local inclusionary zoning policies. • Promote affordable housing as a positive community goal, utilizing community engagement approaches Reduce the cost of accessing housing and the associated cost of living in the home. • Work with utility companies (BPU, WESTAR, Kansas Gas, Atmos) to make reforms that prevent shut-offs • Build coordination and financial capacity for minor home repair • Promote safe and affordable housing through educational efforts, including campaigns about fraudulent financing instruments, eviction prevention programs, lead poisoning and remediation, and use of city arbitration staff. • Develop policy options that require displacement analysis for new development.

21. Safe and affordable housing

22. Violence prevention strategies Foster safer neighborhoods, free from violence. • Implement Crime Prevention Through Environmental Design (CPTED) • Add evidence-based violence prevention components (e.g. CPTED) to existing community programs (e.g. Safe Routes to School, Neighborhood Watch) • Concentrate all violence prevention strategies, including preventive community services that target risk factors (e.g. youth employment opportunities), in KCKPD districts with the highest rates of violent crime Foster and promote community connectedness and resident supports. • Support creation of a Youth Community Advisory Board that focuses on promoting community development and reducing violence • Develop a Violence Prevention Community Health Worker program • Increase coordination among hospital-based violence intervention/survivor advocacy programs • Evaluate and improve communication and relations among residents and law enforcement agencies, other first responders, and the justice system. Address cultural norms that tolerate or promote violence. • Develop and implement a violence prevention campaign among UG agencies for UG employees. • Convene a community-based committee to develop an effective cultural norms change campaign.

23. Violence prevention

24. Mechanisms for success Action teams • Lead agencies • MOUs • Strategy leads • Subcommittees • Reporting mechanisms Health Department support • Data • Mapping • Evaluation • Maintenance of the Community Health Dashboard • Assistance seeking funding

25. Requests for the ug commission • Participation in community engagement and education • Participation in accreditation preparation and site visit • UG Commission resolution adopting the Community Health Improvement Plan

26. Wyandotte Health Foundation • Lead Agencies • Community partners • Residents • Unified Government partners THANK YOU!

27. Unified Government public Health Department Terry Brecheisen tbrecheisen@wycokck.org Juliann Van Liew Jvanliew@wycokck.org