Collaborative Health Planning to Address Urban Community Health Needs in a Limited Resource Environm

1
Collaborative Health Planning to Address Urban
Community Health Needs in a Limited Resource
Environment

• Camden City Healthy Futures

2
History of the Partnership

• Last community assessment for the city was done
  in 1995
• Role of partnership as the health advisory
  committee to the Mayor
• University leadership role
• Limited success in obtaining grant support
  (Institute for the Elimination of Health
  Disparities)
• In 2005 NJ counties were engaged in MAPP
  (Mobilizing Around Partnerships and Planning) and
  writing Community Health Improvement Plans
  (CHIP). For Camden County this included
• Prioritization of health issues with special
  focus on the city
• BRFSS study with an oversample in the city of
  Camden

3
Partners in Camden Healthy Futures

• African-American Advisory Commission
• Association for Children of New Jersey
• CamCare Health Corporation
• Camden Area Health Education Center (Camden AHEC)
  
• Camden Community Recovery/Environmental Justice
  Coalition
• Camden County Department of Health Human
  Services
• Dr. Charles E. Brimm Medical Arts High School
• City of Camden
• Community Planning and Advocacy Council
• Cooper Hospital University Medical Center
• Healthy Mothers, Healthy Babies Coalition of
  Camden City
• Hispanic Family Center of Southern NJ, Inc.
• Lourdes Health System
• Medical Mission Sisters
• N.J. Dept. of Environmental Protection - Div. of
  Air Quality Evaluation

• NJ Dept. of Health and Senior Services Asthma
  Awareness Education Program
• Planned Parenthood of Southern New Jersey
• Rowan University Urban Public Policy Institute
• Rutgers University/Camden
• Department of Public Administration
• Walter Rand Institute
• Cooperative Extension
• The South Jersey Environmental Justice Alliance
• University of Medicine and Dentistry of New
  Jersey
• Department of Government Community Affairs
• Institute for the Elimination of Health
  Disparities
• New Jersey Dental School
• Robert Wood Johnson Medical School
• School of Health Related Professions
• School of Nursing
• School of Osteopathic Medicine
• School of Public Health
• Union Organization for Social Service
• Virtua Health System

4
Universitys Role in Data Collection

• Because of the universitys rolethe partnership
  was able to use graduate students to assist with
  data collection/ analysis.
• Student projects included
• City of Camden Focus Group Study with residents
  and constituent groups (two separate student
  analyses including in-depth analysis using
  Atlas.ti-2006)
• BRFSS City/County Comparison Study
• Healthy Camden City 2010-Update 2005 (comparison
  with NJ Healthy People 2010 goals)
• Key Informant Stakeholder Study
• Provider Survey

5
Use of Other Available Sources of Data

• Camden Hospital and Emergency Room Health Data
  June 2006 (Camden Coalition of Healthcare
  Providers)
• Camden Kids Count 2004
• Camden Waterfront South Air Toxics Pilot Project
  2005 (NJDEP)
• From Data to Strategy Information for Planning
  a Smoking Cessation Program-2005 (Camden County
  Cancer Coalition)
• Health Report Card Survey-2005 (Cooper University
  Hospital Department of Family Medicine and
  CAMConnect
• Camden City Health Profile (County Report for
  CHIP)

6
Access to Health CarePercentage of Adults Who
Report They Have a Source of Primary Care

• Sources NJDHSS, Center for Health Statistics,
  Behavioral Risk Factor Survey Healthy New Jersey
  2010 Update 2005 Camden City/County Comparison
  Behavioral Risk Factor Survey Healthy Camden
  City 2010 Update 2005

7
Adolescent HealthTotal Number of Births per
1000 Females Aged 15 Through 17

• Sources NJDHSS, Center for Health Statistics
  Healthy New Jersey 2010 Update 2005 National
  Center for Health Statistics and U.S. Census
  Bureau Healthy Camden City 2010 Update 2005.

8
Adult HealthPercentage of Persons Aged 18 Who
Are Overweight But Not Obese.

• Sources
• NJDHSS, Center for Health Statistics, Behavioral
  Risk Factor Surveillance System Camden
  City/County Comparison/Behavioral Risk Factor
  Survey Breakdown Healthy New Jersey 2010
  Update 2005 Healthy Camden City 2010 Update
  2005

9
Preventing and Reducing Major Diseases Cancer
age-adjusted mortality rate from colorectal
cancer per 100,000 standard population
Sources New Jersey Department of Health and
Senior Services, Center for Health
Statistics. Healthy New Jersey 2010 Update
2005 Healthy Camden City 2010 Update 2005
10
Mental HealthMortality Rate From Suicide per
100,000 Male Population

• Sources NJDHSS, Center for Health Statistics
  Healthy New Jersey 2010 Update 2005 Healthy
  Camden City 2010 Update 2005.

11
Challenges .

• In 2003 almost all residents can identify a
  primary health care provider and 93 of residents
  report having health insurance. So.why are so
  many residents still utilizing the Emergency
  Departments every year? One out of two residents
  use the ED for care.
• Source Camden Hospital and Emergency Room Health
  Data June 2006
• Camden Coalition of Healthcare Providers
  and CAMConnect

12
Setting Health Goals

• Created spreadsheet with data from the 11 studies
• Partners worked through all of the data (where
  there were overlaps and what were priorities) and
  identified Five General Categories
• Community Health/Healthy Lifestyles
• Family Health and Parenting Concerns
• Safety and Violence Prevention
• Mental Health
• Environmental Health Concerns

13
Creating Action Plans

• Action planning grids were developed based on
  MAPP design.
• Teams then identified actionable items that
  aligned with partner agencies agendas
• All data/reports were put on CD as well as posted
  online at www.camconnect.org
• Executive Summary was developed for the community

14
SUBCOMMITTEE-Camden CityCamden City Community
Health Task ForceTopic/Issue-High mortality rate
for cancer in the City 11/15/07
15
(No Transcript)
16
(No Transcript)
17
Year One Camden City Health Priorities

• Community Health? Diabetes (Obesity, Physical
  Activity, Nutrition) and Cancer
• Environmental Health? Lead Poisoning and Asthma
• Safety Violence Prevention? Street Violence
• Mental Health? Depression
• Family Health? Adolescent Pregnancy

18
Efforts to Address Camden City Health Priorities

• All five priorities?
• Creation of Camden High School Public Health Club
  which focuses on our priorities
• Cable TV public health series on how to access
  resources
• Diabetes/Obesity and Nutrition?
• Farmers Markets
• Coalition of HealthCare Providers -Merck Grant
  formed Diabetes Collaborative
• Health Information Exchange Coordination of
  Treatment
• Partnership grant applications for Community
  Putting Prevention to Work
• Mental Health? Open Community Forums on Dual
  Diagnosis (Mental Health and Substance Abuse) and
  Integration of Care.
• Environment? Camden City designated as NJ Model
  Lead-Safe City
• Safety and Violence Prevention? Mayors
  Prevention of Youth Violence Program-Campaign
  Against Youth Violence as a Public Health Problem

19
2009 Public Health Cable TV Series

• Dateline Education Moderated by Bart Leff
• Cable Channel 19
• Adolescent Pregnancy
• Diabetes--Nutrition/Physical exercise/Obesity
• Public Safety and Street Violence
• Lead Prevention
• Mental Health-Depression
• DVDs in clinics physician waiting rooms
• Follow-up booklets on each topic distributed
  throughout the city posted online at
  www.camconnect.org

20
(No Transcript)
21
(No Transcript)
22
Lessons Learned

• Targeted efforts must not only inform the
  community about the issue but also how to access
  available resources
• Because not all priorities can be accomplished in
  Year Oneset goals for Year Two
• Start where resources are available and build.
  This includes staff resources and money
• Use the community health needs assessment
  priorities for seeking grant funding
• There is essential support in partnering with
  academic health centers (school of public health)
• Educate the community to use available benchmarks
  whenever possible
• There is strength in the value of the partnership
  
• Push forward despite limitations? progress will
  begin to take shape