فیلم سمینار آنلاین همکاری های جامع صحی: ابزار مقدمه‌ای بر ارزیابی سلامت جامعه

Title:Healthy Communities Collaborative Webinar: Community Health Assessment Toolkit

به اعضای مشارکتی انجمن های سالم APA و جولیا رسنیک، MPH، از انجمن بیمارستان های آمریکا بپیوندید تا در مورد بسته ابزار ارزیابی سلامت جامعه که اخیرا منتشر شده است بحث کنید. قانون مراقبت مقرون به صرفه همه بیمارستان‌های غیرانتفاعی را ملزم می‌کند که فرآیند ارزیابی نیازهای سلامت جامعه (CHNA) را هر سه سال یکبار تکمیل کنند. در حالی که CHNA یک نیاز اخیر است، ارزیابی‌های سلامت جامعه (CHA) مدت‌هاست که به عنوان ابزاری توسط بیمارستان‌ها، بخش‌های بهداشت عمومی و سایر آژانس‌های خدمات اجتماعی برای شناسایی نگرانی‌های کلیدی سلامت جامعه استفاده می‌شود. این جعبه ابزار یک فرآیند نه مرحله‌ای را برای انجام ارزیابی و توسعه استراتژی‌های پیاده‌سازی ترسیم می‌کند. در مورد انجمن های سالم APA بیشتر بدانید در:
https://www.planning.org/divisions/groups/healthycommunities/ (برچسب‌ها برای ترجمه )برنامه ریزی شهری

قسمتی از متن فیلم: Hi good afternoon or good morning depending on where you are this is Elizabeth heartache with the American Planning associations welcome to our 30-minute action-packed healthy communities collaborative webinar we’re excited to have you here today this webinar is being recorded a copy of the recording will be sent to you via email

In the next couple of days we’ll also include a link to some of the resources that you’ll hear about today you are welcome to submit questions throughout the webinar using the question box or chat box on the right hand side of your screen and with that I will go ahead and

Get things started so before we dive into the community health assessment toolkit we wanted to take a moment and introduce the healthy communities collaborative and here today we have our chair of the HCC’s Qian Kok so Kaylee resides in Newark New Jersey and wears many hats

She is currently a grant manager for a consulting firm that supports local governments with oversight of EPA group she’s also a special projects coordinator for the New Jersey chapter of the American Planning Association and of course the chair of the HDC we actually met kaeleen through plan for

Health where she was a project manager or the plan for health work in Trenton and with that I will hand things over to you kidding me thank you so much for the introduction Elizabeth so the healthy communities collaborative is an interest group of the American Planning Association the mission statement of the

Healthy community collaborative is the healthy communities collaborative is an American Planning Association interest group of planners and allied professional who are interested in fostering cross sector collaboration and increasing capacity to support building healthy community through local regional state or national level and this is really important in EPA’s Network

Because they’ve signed on to promote healthy communities in the joint call to action with seven other associations accounts across the country and it’s also a legislative priority for APA so the collaborative is something that builds upon the plan for health work that APA and we really wanted to leverage the

Work that’s already been done we want to keep the momentum going we want to provide resources for people that are getting started on this work may want to connect each other to each other today we are able to keep the momentum going and access different resources and leverage what’s already been done

The structure of the HCC is one where we have a chair and an advisor grace Kong is our advisor and she is based out of st. Louis and she was a part of plan for health as well we have quarterly calls where we report back on the progress

We’ve made throughout the past quarter and so the progress that we’re really reporting back on has to do with the working groups and so we have three working groups there’s an education working group a working group focus on partnerships and outreach and a working group focus on policy and so they have

Bimonthly calls and they are very focused on being action-oriented and the goal is to have a product or something that will be resourceful to apa network and beyond by the next national planning conference in New Orleans and we really benefit from the support staff of APA it really wouldn’t be possible without them

And they are a great resource to us and I think they also this relationship really works well because they benefit from being a part in this collaborative because they’re able to see what the members need regarding to healthy communities so this brings me to my next point we really on each quarterly call

We’d like to create a need share platform where people can share what opportunities and what they’re celebrating but they also can express their needs and hopefully it gives an opportunity members on the call and address their needs and point them in the right direction or a TA can see where their more needs

For them to focus on some opportunities to get involved or coming up real soon the next opportunity is the partnerships subcommittee call and that’s on Tuesday October 17 and I believe you download this this presentation you have links to the registration there’s also the policy one that’s on October 31st and before

That there’s the education subcommittee call and that’s October 24 so there they are for three Tuesday’s in a row and you can join just one of them or all of them if you want to get more involved you can give me an email at Kaitlyn coke at

Gmail.com if you just simply want to join the listserv the Planning and Community Health Center who facilitate that and you can just email health at planning dot work now I have the great pleasure to introduce you to Giuliana who is a senior program manager with the Association for community health

Improvement and the health research and educational trust Julia developed the educational curriculum analyzes survey data and planning for the national conference at the association for community health improvement she works on a variety of population health related projects for the American Hospital Association health research and educational trust including leading the

Population health task force and writing guides for hospitals in pursuit of excellence she is very passionate about fostering a health care system that aims to keep people healthy Julia received her Master of Public Health at Hebrew University Braun School of Public Health and Community Medicine and a Bachelor of Arts in sociology from

Bates College so Julie have to take it from here thank you so much kaeleen and it is such a pleasure to be here I went to my first planning conference about a year and a half ago it was just really exciting for me to be there and hear people talking about the same

Issues that I care about and that we focus on in healthcare but from a slightly different angle and they’re just clearly so many synergies between the work of Community Health and what’s going on in planning that it opened up a whole new world for me so it’s exciting

For me to be here to be able to talk with you all about something that I think we’re all passionate about so thank you so much for inviting me so a little background and where I come from because I know where organizationally confusing and have lots of acronyms and

Layers which I’m sure none of you are familiar with it all I work for the American Hospital Association which is the major trade organizations that Leeds represents and serves hospitals across and health systems across America so I think somewhere over 90% of the hospitals in the country fall under our

Membership and what the work we do is support them in the field as they advance within that I work for the health research and Educational Trust which is the nonprofit arm of the American Hospital Association as their name implies they do a lot of health research and education a lot of work in

Quality improvement trying to help hospitals inside their walls treat their patients as well as possible and then within that as I was saying organ complicated organization is our Association for community health improvement which is a personal membership group that is for people who work in community health and much as the

The work of Community Health is multidisciplinary and involves a lot of sectors in order to make that happen our organization has members from across the spectrum of community health so we’ve got folks from Community Benefit and from health care working in population health and also some people in community

Development in public health and one of my goals would be to bring more community planners under our umbrella as we all work to improve the health of the populations that we serve so healthcare we hear about it a lot in the news these days including an alert that just came

Through about what’s happening with the ACA but no matter what happens there we’re in a world where there’s a new of approach for hospitals the the photo that you’re seeing on the slide is from probably my favorite ads that I’ve seen in a newspaper in the past five years

From Sinai Health System in New York saying that if our beds are filled it means we failed and that’s really flipping the healthcare model on its head and what we call here at the Association redefining the H recognizing that hospitals are no longer solely acute care facilities on the tree people

When they become sick but really they’re focusing on quality clinical integration and population health and recognizing that if they’re really serious about keeping their communities healthy that they’re going to have to look outside their walls and come up with new models and that means running in a way it is a

Way to keep people out of hospital beds and we are we are making progress towards that and to do that we have to be addressing the non-medical factors but keep people healthy and prevent them from being sick so what makes people healthy um if you’re if you’re in this

Work group I’m sure that you’re familiar with County Health Rankings and roadmaps model showing that really only 20% of health can be attributed to healthcare the rest of it comes from factors outside of hospital and clinic walls it’s about research has shown that about 20% of that comes from genetic genetics

In the other 60% are the social environmental and behavioral determinants of health and so if we’re thinking holistically about how to address health improvement it it becomes a hospital and health systems responsibility to start thinking about those determinants so our group over here has a series of issue briefs and

Guides that are coming out trying to show hospitals how they can impact all of these social determinants of health including food so food insecurity food systems and food access housing making sure people have access to stable and safe housing education we know is a major determinant of health to has both

Working on making sure that people are educated and how they can be helpful iterative being able to actually get yourself to a clinic for preventive care or specialty care is crucially important community violence of what people are experienced when they walk out their doors every day social support is a big one social

Isolation especially as our population ages has a huge impact on health health behaviors how we live every day what we decide to eat if we what we buy at grocery stores and last but not least employment so do people have jobs and professions that and all of these things

Though not directly health related determine whether or not people are healthy um so one platform that we’ve seen arise over the past few years that contributes to helping hospitals think outside of their walls with the community health needs assessment and I think a lot of you are familiar with

This I’ll try to go over this briefly chn a is a systematic process involving the community to identify and analyze community health needs and assets prioritize them and then implement a plan to address them and so with the passage of the ACA this became a mandatory process that all nonprofit

Hospitals have to do every three years the first random was completed in 2013 and the second one was finished in 2016 and some of them are wrapping up now so as part of this in that this is a pretty new process for hospitals for people in public health and I believe community

Planning this this community assessment project process is pretty pretty second nature but in the healthcare field this was new so that the first CHM a round I liken it to a fire drill people had to figure out how to how to get the qualitative and quantitative data about their community how to engage

Stakeholders in a new way and really set up this this new process to assess the health needs in their communities the second round it seems like it went much more smoothly and people started to think more expansively and about the social determinants of health when making their priorities so though this

Is a really important platform and a good springboard for starting to think about how hospitals can look outside of their walls we know that the CNA alone isn’t going to revolutionize how hospitals relate to their communities and to the social determinants of health it’s a starting point and a really

Important one we think to get this process moving along and create some accountability in helping hospitals do work so in order to support the work of our hospitals as their as their advancing their chn a process achi has updated our community health assessment tool kit which you can see on the slide

Here to provide it a do it do-it-yourself approach for conducting a CH a day and I think one of the key pieces about this one that is different from our original iterations that we have community engagement right in the center we know that hospitals and health systems can’t do this work alone and

That you know they shouldn’t be the ones solely responsible for improving that the health of their communities there are a lot of other players and the social sector that are in the community-based organizations that are working on this as well so having a coordinated community engaged approach

Is crucial and I’ll talk a little bit more about that the other piece of this is key this key is that it’s a cycle working on community health improvement is not something that you do once every three years then you stop and forget about it until the next cycle comes

Around once you plan your implementation strategies you have to implement them and evaluate your progress and keep working towards improving until you start the process again so we want to show that this is a continuum that that is always going on and is really necessary in order to improve the health

Of communities so a little bit about community and stakeholder engagement what we see this is really central to the CHC hna process no matter who you are and that it benefits both hospitals and the communities so in terms of the hospital it gives them a better understanding of the community that

They’re serving including the social determinants of health that are impacting that community and creates better community buy-in for the CH na implementation strategies when it straightens strengthens relationships relationships with stakeholders as hospitals are getting into this world of population and community health they’re having to to form new relationships with

Unusual suspects like potentially community planners so this is a great opportunity to get those relationships started the community also benefits greatly from being a part of this and not just in a in a token sort of way where they’re serving either part of a focus group but really

Integrated into the CH na process because they can gain a new perspective of their community from a health lens that they maybe haven’t had to think about before there’s a sense of shared commitment to improving the health of their shared community they can apply their knowledge and experiences to the

Solution and they’re also more invested in the process so then the next the next question is who to engage do you just engage the public health department or do you think more creatively so my challenge to our hospitals when they ask that is always to think more creatively

And and widen the net of who is involved in their community health work so for individuals it can be community residents people who are patients were actually receiving care at the hospital or family advocates and try not to just hit the usual suspects because we often hear that people who are involved in

Community work at over surveyed but try to reach out and get good representation from the community but also stakeholder organizations researchers like public health and housing departments between the development organizations environmental organizations schools and school districts law enforcement agencies we have seen all of these groups get involved in community health

Needs assessments and really add really add some depth and breadth to the work that is being done and that’s where I think that community planners can really play a big role by getting involved in the CNAs and then staying involved through the implementation side of it I

Will roll through these on these steps slides so these are just kind of hitting on some of the steps in the pathways to give you an idea of what’s involved in the CHEO if you haven’t been involved in one so there’s a lot of collecting and synthesizing data Hospital can go out

And get secondary quantitative data from public health departments to try to see where there are health disparities and what issues are having the greatest impact on the community but also go out and do focus groups and interviews with stakeholders and community members to try to get a more nuanced view of how

People are perceiving community health and once you have all of that information there’s a process about prioritizing community health needs and that’s to distinguish the most pressing needs based on the data that’s collected so hospitals are required to use some set some set of criteria for prioritization

They can decide what makes the most sense to them and then go through this process and identify what they want to address so the graph you see here is from a project that we did a couple years ago on the first round of community health needs assessment in

Which from a review of 300 of them gone through to code to see which were the most commonly prioritized community health needs I don’t think any of this would be particularly surprising to you obesity is of course at the top followed by access to care and behavioral health

And substance abuse and we we have done this with the rest of the sample of about 3,000 of them and get essentially the same answers and I I don’t suspect any great differences in the 2016 one people are still working on the same health issues and we know that things

Like obesity and behavioral health and stuff like these aren’t things that you can change overnight even with the best strategies then at the population level it will take time and effort to move the needle on those and then we start to get to what is

Really the crux of the chn a process and that is planning implementation strategies and actually implementing them so we provide some tools to help to help our hospitals develop comprehensive and multifaceted strategy is to address the community health needs prioritized in their assessments and I should have mentioned on the slide before hospitals

Don’t have to develop or prioritize all of the health needs that turn up in their community recognizing that that would be physically impossible but they do still have to identify them and note that they are needs just not ones that are going to be acted on in this round

So part of what we’re trying to do in our in our social determinants series in the work that we’re doing through these associations is to show how the show approaches to address some of those trickier not traditional community health needs in order to start looking upstream and addressing those social

Determinants so I realized I’m getting to the end of my time so yeah we want to plan implementation strategies that are based in evidence and do those again collaboratively and with community because it doesn’t make doesn’t make sense to reach out to the community to do the assessment and then retrack to

Do the planning these should be joint efforts in the community and then of course implementing them there’s no reason to do this if we don’t actually implement the strategies that we design so that is really the work that gets done in the three years in between the assessments a really world where we’ll

Start seeing impact in the health of communities so to wrap up we’re in a new world of healthcare and regardless of what happens with the ACA we are we are moving in this direction towards thinking about value and population and community health and how we can keep

People healthy so the health system of the future is going to be one that’s listening to the stories of people in their communities and building trust and building a sense of community I’m in the with the communities that they serve and this really will help everyone from with hassle utilization and helping people

Get the care the right care in the right place when they need it and so that that is the new the new world of healthcare we want to see and we know that their strength and community we know that we’re all in this together that there are many sectors outside of health that

Are concerned with the health of the communities that we all serve so as we move forward through this brave new world we want to make sure that we’re doing it together as a community because we know we’re all stronger when were we’re working in the same direction

Together than apart and I’m happy to answer any questions all right Thank You Julia that was fabulous lots of great information and we do have quite a few questions rolling in so I’m going to go ahead and and just dive right in and certainly kaeleen feel free to jump in I

Did to mention in my introduction of Kaylee and that she was part of developing the first health and food system element for the trenton master plan and they really leveraged the Trenton health team and their community health needs assessment data which was a fabulous example of bringing together

Planning and public health to support one needs assessment so speaking of community health needs assessment could you take a minute Julia and just explain the difference between @ch MA and then this audience member is wondering about the chip community health improvement plan so ours do they often work together

Or it’s a public health department yeah so this that is purely an issue of like alphabet soup and acronyms so when you talk to people about community house needs assessments sometimes we may talk about the implementation phase of it they call it an implementation strategy and sometimes they call it a community

Health improvement plan so they’re all pieces of the same puzzle I tend to and if you’re looking at that community health assessment pathway I tend to think of it all is like a CH n a process that aren’t distinct from each other but I guess I think they are they’re one in

The same in my mind great thank you and on a related note if is there a central directory or locations where community health needs assessments or chips are stored or do you recommend that planners or other folks on the line just go to their local hospital website or how

Would one do this I promise I didn’t plant this question to talk about a new project that will be launching soon but as part of the work that we were doing coding all of our C agent is the other phase of that is is that we are creating

A website that is going to be housing links to all of the CH na s where you’ll be able to search for them either by region or by priority or by type of hospital there will be a map based tool called CH n a Finder we are in the final

Touches of getting that ready to launch so at that point you’ll be able to go to our site and search around try to find the need you’re looking for the hospitals you’re looking for and then we’ll be able to see what they’ve prioritized and link back to their

Website but in the meantime these community health needs assessments are all required to be publicly posted so if there’s a hospital that you’re particularly interested in you can go to their website and find it there great and actually that leads to another question what do you recommend as really

The first step so if it sounds like this individual is a local planner and wants to get involved it’s they’re typically at CH n a CH n a manager at the hospital or have you find the point of contact there typically is and that person usually sits in the Community Benefit

Office so part of the CH na is it’s an IRS and all nonprofit hospitals are required to conduct this community health needs assessment as part of their nonprofit status so that usually runs out of Community Benefit and I like to think of Community Benefit is like the public

Health brains of the hospital they’re the people who are getting out to their community and really know what’s going on outside half of the walls so if you can identify who’s working Community Benefit in a local hospital that is that would be my first step I’m speaking of

Community Benefit we are getting a few questions about Community Benefit dollars so our hospitals allowed to make investments in sidewalks and infrastructure near the hospital do you are their extraction yeah they absolutely are so that would fall under community building which is in a slightly a gray area in the world of

Community Benefit but yes hospitals are definitely allowed to do that and I think I think Community Benefit dollars are kind of a misnomer I think there’s this idea that there is this like pot of dollars that are labeled as like Community Benefit and need to be spent

As such in most hospitals it doesn’t really work that way it’s more of a seeing what the community health needs are and then making a case for investing in that and if you can link a project back to a need that’s found in the community health needs assessment that

Really helps make the case that some of the like community building or infrastructure work near the hospital is in fact a community benefit great and I know we just have another couple of minutes we’re getting a few questions around the data collection side of things and certainly it sounds like this

Particular audience member is interested in environmental health exposures and thinking about older housing maybe in the sea that may be the neighborhood surrounding the hospital are you seeing what types of data sources do you kind of see on an ongoing basis if I know of course you mentioned the Public Health

Department and focus groups and interviews are there other typical data sources around the built environment or environmental health that you tend to see you know I don’t have a good answer for that question I think that one’s trickier I’ve seen I’ve seen some instances I actually heard one recently about

Training community residents to go from house to house and check on the safety and environmental exposures in the various houses because there are a lot of issues with lead poisoning in that neighborhood but I am not familiar with existing data sets that would link to that I’m sure there are people who out

Out there who are I just am NOT great and kind of an assist data of vain here I know that some part of Kaling’s project the the planners leverage their GIS mapping skills to really bring some of this data to life is that what you’re seeing with other city HMAS our folks

Really mission the data accessible to residents who are kind of sharing the data using GIS or other mapping type of software yeah I think there’s definitely an effort to make make the data more layperson friendly realizing that if you’re going to be telling the story of

The health of your community you need to be able to present it in a way that’s accessible to people who aren’t epidemiologists and biostatisticians so yeah mapping is then a huge help for that and we’ve got a few questions around other potential partners and so are you seeing a lot of universities

Engaged in this work or academic partners and then also go ahead specific folks who are working with their disability community or others who who might not always be represented in typical surveys so in terms of universities absolutely in a lot of cases they’re able to pull in the public

Health school on this part of the process and for implementation because there’s a lot of expertise there in terms of the disability community I think that where you’re seeing that is is in this second round of chn AIDS and hospitals have become much more intentional and thoughtful about how

They’re representing community voice in trying to trying to expand who they’re hearing from and we know that that is hearing hearing the voice of that population is crucial thank you as we were discussing data forces and you were responding to the question about environmental health other folks were chatting in different data

Resources that I’ll plan to include in the follow-up email but if you if you’re on the line and you have other resources that you would like to share related to to potentially datasets data sources or other partners for us to consider definitely feel free to chat them in I

Know we’re just a couple minutes over and maybe for our final question where would you and then this isn’t setting you up but would you send folks who are who are looking for we just have a few questions around templates and tools I know use this the toolkit itself is great but are

There other maybe focus group guides or other ways that we can kind of help streamline this process or help folks get the data that they that they need sure so that tool that I showed before that successful on our website healthy communities org other people have really great resources on community health

Needs assessment is the Catholic Health Association they put together a lot of resources around community benefit that are incredibly helpful there oh there are so many resources out there a lot of them you can find on our web site as part of the toolkit the other thing that

I love to plug is our upcoming Community Health Association for community health improvement national conference which will be in Atlanta March 14 through 16 and that’s really your opportunity to hear not just about community health needs assessment but this broader picture of what’s going on in the community and population health world

And start becoming part of that conversation about how community planners can link up with all of these different sectors that are thinking about how to how to collaboratively make communities healthier well fabulous I can’t thank you enough Julia and Kayleen for being on the line this was a wonderful action-packed 30 minutes I

Will plan to include all of the links that Julia just mentioned now and that have others have chatted in in the follow-up email you’re also welcome to email health of planning gorg or me directly I’m Elizabeth heartache II Hartig har TIG at Planning org and thank you again

For your time today and we look forward to seeing you on our next HCC webinar

ID: H83wF0jlaIE
Time: 1507911806
Date: 2017-10-13 19:53:26
Duration: 00:31:06

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