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TRANSCRIPT
Community Health Improvement Plan Annual Report, 2016
Florida Department of Health in Lafayette
County
July 2016 Currently being Updated
2 CHIP Annual Review Report, 2016
Table of Contents
Introduction ..................................................................................................................... 3
Overview of Community Health Improvement Plan (CHIP)........................................... 4-5
Summary of CHIP Annual Review Meeting ..................................................................... 5 Strategic Issue Area #1 – Public Health Care System ...................................... 6-7 Strategic Issue Area #2 – Healthcare Access ................................................... 7-9 Strategic Issue Area #3 – Health Status ....................................................... 10-17
Revisions ...................................................................................................................... 18
Accomplishments .......................................................................................................... 19
Conclusion .................................................................................................................... 20
Appendices .............................................................................................................. 21-31 Appendix A: Annual CHIP Review Meeting Agenda ..................................... 22-23 Appendix B: Annual CHIP Review Community Meeting Minutes .................. 24-28 Appendix C: Annual CHIP Review Community Meeting Sign-in Sheet .............. 29 Appendix D: Comprehensive List of Community Partners............................. 30-31
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Introduction This is the annual review report for the 2015 – 2016 Lafayette County Community Health Improvement Plan (CHIP). The activities and collaborative efforts of the Florida Department of Health in Lafayette County and community partners will be reflected within this report. This document will serve as a progress review of the strategies that were developed and the activities that have been implemented. While the CHIP is a community driven and collectively owned health improvement plan, the Florida Department of Health in Lafayette County is charged with providing administrative support, tracking, collecting data, and preparing the annual review report.
The community partners, also known as the Lafayette Health Improvement Partnership (LHIP) have met on a bi-monthly basis to address the issues identified in the CHIP. The strategic areas include:
• Public Health Care System Establish Community Health Improvement Partnership
• Health Care Access Improve Health Care Access for Underserved Populations
• Health Status Decrease Chronic Disease Morbidity and Mortality
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Overview of the Community Health Improvement Plan (CHIP)
2011 CHIP Summary: In 2011, the Department of Health in Lafayette County (DOH-Lafayette) partnered with the Suwannee River Area Health Education Council to complete a comprehensive community health assessment (CHA). The Mobilizing for Action through Planning and Partnerships (MAPP) framework was utilized throughout this process. MAPP is a community-driven strategic planning process focused on improving health. The MAPP process is accomplished through community visioning and by evaluating four (4) community assessments – community themes and strengths assessment; forces of change assessment; local public health system assessment; and community health status assessment. At the completion of data collection, information gathered from the MAPP assessments were analyzed and used to complete a community health improvement plan (CHIP). The resulting document is known as the 2011 Lafayette County Community Health Improvement Plan (CHIP). 2013 CHIP Summary: In 2013, the Department of Health in Lafayette County (DOH-Lafayette) contacted community partners to establish a formal health advisory group in order to monitor progress on community health improvement efforts. A charter was adopted, the Lafayette Health Advisory Group (LHIP) was formed and a CHIP Mid-Cycle Report was published. This report includes a Strategic Action Plan with measurable goals, objectives, activities, performance measures, and responsible agencies for addressing health issues. LHIP meetings are held quarterly at DOH-Lafayette from 12:00-2:00 p.m. Following development of the Lafayette County CHIP Mid-Cycle Update, DOH-Lafayette agreed to produce a CHIP Annual Report to keep health information data current and community partners abreast of activities related to the CHIP. 2014 CHIP Summary:
LHIP meetings in 2014 continued quarterly at DOH-Lafayette. The Lafayette County CHIP annual review involved an in-depth discussion of the most recent health indicator data by LHIP members. In conjunction with a review of the health data, LHIP members conducted a comprehensive review and revision of the Strategic Action Plan.
On July 21, 2014 Pamela Blackmon, LHIP Chair, presented the most up-to-date data for strategic issues listed in the 2013 Lafayette County CHIP Strategic Action Plan. LHIP Members were given the opportunity to suggest which items should be modified and/or eliminated to ensure that the Strategic Action Plan remains a living document, reflecting the most recent data available.
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Following the July 21st LHIP meeting, the Strategic Action Plan was revised to reflect the suggestions discussed during the meeting. The draft Annual Report, including the revised Strategic Action Plan and Timeline Summary was distributed to all LHIP members via email on July 14, 2014 for review and final approval. 2015 CHIP Summary:
In October 2014, the DOH-Suwannee Administrator retired. An interim was appointed. During the transition, one (1) LHIP meeting was held. In March 2015, a new Administrator was hired and the quarterly LHIP meetings resumed. Focus was placed on the three (3) strategic areas, three (3) goals, and eight (8) objectives.
The LHIP set priorities through a facilitated consensus process by looking for cross-cutting strategic issues that emerged from the three assessments. Community Partners reached consensus on four strategic issue areas: Public Health Care System, Healthcare Access, and Health Status. See Table below for Strategic Issue Areas with their goals.
2016 CHIP Summary:
In 2016, six (6) LHIP meetings were held with community partners. Each meeting focused on the identified core objectives and completion dates. The community partner lead that was championing the particular objective provided a status update detailing what had been accomplished and advising on future efforts.
Additionally, open forum discussions were held with community partners who provided timely information on their agency’s activities, needs, programs, and services. The collaborative efforts supported the strategic issues and provided an opportunity to ensure the goals were being met.
STRATEGIC ISSUE AREA GOAL
Public Health Care System 1. Establish Community Health Improvement Partnership
Health Care Access 1. Improve Healthcare Access for Underserved Populations
Health Status 1. Decrease Chronic Disease Morbidity and Mortality
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Strategic Issue Area #1: Public Health Care System
Public Health Care System is strategic issue area #1. It focuses on ways to create and maintain a community health care network that can engage the community to better healthy lifestyles and monitor heath care improvement progress. A system incorporates all resources, agencies, and venues that can have an impact on the health of the community
Goal: Establish Community Health Improvement Partnership
Objective 1: By July 1, 2016, establish and maintain a productive community health improvement partnership to participate in and monitor the health of the community. Strategies utilized include developing a new health care network to sustain community health improvement plans; developing health improvement group agreements; educating key community members of CHIP efforts.
OBJECTIVE 1.1.1 BASELINE OUTCOME INDICATORS CURRENT DATA By July 1, 2016, establish and maintain a productive community health improvement partnership to participate in and monitor the health of the community
Loosely organized structure remaining from 2011 CHIP development process
Established partnership structure Meeting attendance, minutes, participant directory Community awareness of CHIP focus and activities
Charter adopted; LHIP formed; LHIP Officers elected; Quarterly meetings continue with strong partnership support
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE LEAD AGENCY
1.1.1A Develop new health care network (via charter or agreement) to sustain CHIP
• Identify potential members including 2011 CHIP participants
• Recruit new members • Develop & distribute
local directory of CHIP partners
• Members recruited • Number receiving
membership list
July 1, 2013 Lead: FLDOHLC
1.1.1B Develop Health Improvement Group Agreement
• Prepare CHIP agreement
• Elect officers • Set meeting dates
• Agreement developed and adopted
• Officers elected • Meeting dates set • Duties established
July 1, 2013
Lead: FLDOHLC
1.1.1C Educate key community members of CHIP efforts
• Use CHIP to promote health changes & foster community support
• Present, promote & use CHIP at town meetings, chamber meetings, faith-based and school venues
• Link to community partner websites
• Number of community presentations
• Number of new CHIP participants
January 1, 2014
Lead: FLDOHLC Partners: All LHIP Partners
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Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Why this is important to our community: One of the main barriers to sustaining community health is the fractured support system. Lack of agency cross-coordination; limited partners, minimal community understanding and support hampers the efforts of a public health care system to advance community health.
Objective Indicator Current Level
Target Status Explanation of Status*
By July 1, 2016, establish and maintain a productive community health improvement partnership to participate in and monitor the health of the community
Established partnership structure Meeting attendance, minutes, participant directory Community awareness of CHIP focus and activities
Loosely organized
CHIP structure
from 2011 development
process`
A productive community
health improvement partnership
Lafayette Health Improvement Partnership (LHIP) established, North Central Florida Rurual Health Network formed
Strategic Issue Area #2: Health Care Access
Health Care Access is Strategic Issue #2. It focuses on making health care services accessible to the community and reducing barriers to quality health care. Health Care Access includes the goals of increasing health care provider availability and improving access to healthcare.
Goal: Improve Health Care Access for Underserved Populations
Objective 1: By July 1, 2016 decrease percentage of persons reporting a major barrier to receiving care during the past 12 months. Strategies include increasing medical transportation options and decreasing cultural and language barriers.
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OBJECTIVE 2.1.1 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 decrease percentage of persons reporting a major barrier to receiving care during the past 12 months
No baseline data; must collect initial baseline data.
Percentage of residents reporting a major barrier to receiving care during the last year. Source: Pre and Post Surveys
No baseline data as surveys have not been conducted
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
2.1.1A Increase medical transportation options for underserved populations
• Study best-practices for volunteer transportation programs (example: cancer patient transport)
• Explore using faith-based buses and vans at churches
• Implement program
• Increased transportation options for transportation disadvantaged
• Decrease in number of underserved who report transportation barriers
December 2014
Lead: SREC Partners: Faith-based organizations; Suwannee Valley Transit; Co. Govt; American Cancer Society
2.1.1B Decrease culture and language barriers
• Deliver mobile services to where people live and work
• Develop list of high-traffic areas • Host events that target specific non-
traditional groups • Disseminate information about
health services at high traffic areas utilized by non-traditional groups
• Identify and recruit key leaders • Train and educate leaders • Get commitment from leaders • Focus efforts on relevant health
care issues • Conduct focus groups to determine
what is important to the specific population
• Increase in number of persons exposed to educational and health system information
• Number of persons who report utilizing information to engage health system
• Decrease in number of persons who experience cultural and language barriers
December 2014
Lead: Catholic Church; Three Rivers Library; District ESOL Programs Partners: Faith-based organizations; Key cultural leaders; Cultural and ethnic organizations; Agricultural employers
OBJECTIVE 2.1.1 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 decrease percentage of persons reporting a major barrier to receiving care during the past 12 months
No baseline data; must collect initial baseline data.
Percentage of residents reporting a major barrier to receiving care during the last year. Source: Pre and Post Surveys
No baseline data as surveys have not been conducted
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
2.1.1C Develop referral network and marketing plan for available services
• Use church bulletin • Develop campaigns to target
specific groups • Use social media • Provide/identify incentives to
use local health care providers • Come up with catch
phrases/slogans/marketing
• Marketing campaigns launched
• Numbers exposed to marketing campaign
• Awareness rates in baseline awareness study
July 1, 2014 Target Date Changed to July 1, 2015
Lead: Lafayette Chamber of Commerce Partners: River Valley Medical; Doctors Memorial; FLDOHLC; Chamber;
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language • Invite health care providers to
write articles for newspaper (electronic media, blogs, etc)
Local Businesses; Faith-based organizations
2.1.1D Produce and distribute comprehensive list of health care services
• Create directory of available health care providers/services; Include Spanish version
• Decide on distribution outlets (print, website, fliers) & distribute
• Completed directory • Number of directories
distributed • Number of referrals
reported that used directory as referral source
July 1, 2014
Lead: Mayo Free Press Partners: River Valley Medical; Doctors Memorial FLDOHLC; Chamber; Local Businesses; Faith-based organizations
Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Why this is important to our community: One of the main detractors to improving community-wide health outcomes is the major barriers being reported by community members to receiving care. Major barriers include lack of transportation; language/cultural misunderstanding; limited technology infrastructure (cell phone/internet service).
Objective Indicator Current Level
Target Status Explanation of Status
By July 1, 2016 decrease percentage of persons reporting a major barrier to receiving care during the past 12 months.
Percentage of residents reporting a major barrier to receiving care during the last year
No baseline data
Decrease percentage of persons reporting barriers
Continued out-reach efforts to community on reducing barriers; coordinating interagency services to reduce barriers; June 2016 held community wide resource fair.
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Strategic Issue Area #3: Health Status
Health Status is Strategic Issue 3. It focuses on the health condition of the community with intent on identifying triggers that cause or instigate events, occurrences and situations that are deterrents to healthy living environments. Health status includes the goals of decreasing chronic disease morbidity and mortality.
Goal: Decrease Chronic Disease Morbidity and Mortality
Objective 1: By July 1, 2016 decrease adult overweight and obesity rate to 70%. Strategies include increasing the number of physical activity options available to residents; encouraging increased consumption of fruits and vegetables and encouraging increased consumption of healthy foods and decreased consumption of junk foods.
OBJECTIVE 3.1.1 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 decrease adult overweight and obesity rate to 70%.
2010 Lafayette Rate 73.3% State 65.0% Source: BRFSS
Percentage of overweight obese adults Source: BRFSS
2013 – 71.8% State: 62.8%
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
3.1.1A Increase the number of physical activity options available to residents
• Hold community-wide challenge competition, modeled after and/or using programs such as “America on the Move” or the “Biggest Loser/Biggest Winner” TV show concept
• Offer a community wide physical activity opportunity quarterly, being held at different county locations and open to all county residents
• At least one (1) annual community challenge or event
• Number of agencies participating
• Number of participants
• Quarterly physical activities
July 1, 2014
Lead: FLDOHLC Partners: FLDOHLC; Chamber; Business Owners; Churches
3.1.1B Encourage increased consumption of fruits and vegetables
• Increase community awareness of availability of local fresh fruits and vegetables
• Link to Fresh from Florida campaign
• Awareness campaigns conducted
• Number of persons exposed to campaign
• Surveys of awareness before and after exposure to campaigns
March 1, 2014
Lead: UF/IFAS Partners: FLDOHLC; WIC; Private vendors; Grocery store; Farm Bureau; Farmer’s Market
3.1.1C Encourage increased consumption of healthy foods and decreased consumption of “junk” foods
• Establish cooking classes available to all residents, which promote healthy nutritional alternatives to traditional “southern” recipes
• Hold a community cook-off
• Number of classes held and number of attendees
• Cook-off held and number of participants
Overall: June 2014 Cooking classes: April 2014
Lead: Three River’s Library Partners: Schools; Students; Three Rivers Library;
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with healthy recipes
Cook-off: June 2014
Churches; School Wellness Program; School Health Advisory Council
Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Objective 2: By July 1, 2016 reduce percentage of adults currently smoking cigarettes to 29%. Strategies include promoting the Florida Smoking Quitline; promotion of smoking cessation resources; encouraging development of worksite smoke free policies and promoting tobacco education.
Why this is important to our community: One of the main barriers to improving community-wide health outcomes is the high percentage of adults who are overweight or obese. Causes include, but are not limited to, lack of physical activity, improper food diet, food supply chain, and low literacy rate.
Objective Indicator Current
Level Target Status Explanation of
Status By July 1, 2016 decrease adult overweight and obesity rate to 70%.
Percentage of overweight obese adults
71.8%
70% Physical activity opportunities increased; outreach efforts increased; implemented quarterly community healthy hikes; implemented Lunch & Learns.
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Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River
OBJECTIVE 3.1.2 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 reduce percentage of adults currently smoking cigarettes to 29%
2010 Lafayette Rate 30.7% State 17.1% Source: BRFSS
Percentage of adults currently smoking Source: BRFSS
2013: 19% State: 16.8% Last BRFSS 2013
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE LEAD AGENCY
3.1.2A Promote Florida Smoking Quitline
• Link on websites (School, Chamber, Library, Health Care Providers, etc.)
• PSA’s
• Number of websites linked
• Number of PSAs • Number of individuals
exposed to PSAs
July 1, 2014
Lead: Tobacco Free Lafayette Partners: SRAHEC; FLDOHLC; Churches; Library; Schools; School Wellness
3.1.2B Promote Smoking Cessation resources
• Refer patients to SRAHEC cessation classes
• SRAHEC Link on websites • Direct cessation messages
to school, faith and athletic activities
• Number of referrals • Number of persons
attending classes • Number of persons
successfully completing classes
July 1, 2014
Lead: Tobacco Free Lafayette Partners: SRAHEC; FLDOHLC; Churches; Library; Schools; School Wellness
3.1.2C Encourage development of worksite smoke free policies
• Educate worksites • Prepare policy templates &
distribute • Assist worksites with sign
development • Refer employees to
hotline, SRAHEC
• Number of site presentations
• Number of policies developed
• Number of policies implemented
• Employees referred
July 1, 2014
Lead: Tobacco Free Lafayette Partners: SRAHEC; FLDOHLC; Churches; Library; Schools; School Wellness
3.1.2D Promote tobacco education
• Develop/distribute educational materials & personal testimonials
• Offer CEUs to providers on cessation efforts
• Identify and develop best mechanisms for reaching target populations
• Number of educational materials developed
• Number of CEU programs provided
• Number of CEU participants
July 1, 2014
Lead: FLDOHLC Partners: CHIP Partners
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Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Objective 3: By July 1, 2016 reduce the percentage of youth using tobacco to 21%. Strategies include decreasing tobacco industry influences on youth; promoting school system tobacco prevention efforts and promoting youth tobacco education.
OBJECTIVE 3.1.3 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 reduce percentage of youth using tobacco to 21%
2010 Rate Lafayette 22.8% State 16.3% Source: YRBS
Percentage of middle and high school students currently using tobacco products Source: YRBS
YRBS Partners reviewed FYTS results – 2014 11.2% State: 9.2%
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
3.1.3A Decrease tobacco industry influences on youth
• Promote local policy restricting candy flavored products
• Network with local store owners to voluntarily remove candy flavored products
• Promote resolution or enforce ordinances that are passed
• Number of stores that voluntarily remove candy flavored products
July 1, 2014
Lead: Tobacco Free Lafayette Partners: Lafayette County Schools; SWAT; Churches
3.1.3B Promote School System tobacco prevention efforts
• Recruit new SWAT members annually
• Continue SWAT activities
• Viable SWAT program • Number of SWAT
activities, events, etc.
Ongoing through July 2016
Lead: Tobacco Free Lafayette Partners: Lafayette County Schools; SWAT; Churches
Why this is important to our community: One of the main barriers to improving community-wide health outcomes is the high percentage of adults who smoke. This leads to other health related issues that become physical, financial, and emotional liabilities.
Objective Indicator Current Level
Target Status Explanation of Status
By July 1, 2016 reduce percentage of adults currently smoking cigarettes to 29%.
Percent of adults who stop smoking
19% 29% Cessation classes promoted; Florida Quitline promoted; Partnered with Tobacco Free Lafayette; increased media publications
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3.1.3C Promote youth tobacco education
• Develop/distribute youth targeted educational materials
• Promote testimonial campaigns
• Number of site presentations
• Number of policies developed
• Number of policies implemented
• Number of materials developed/distributed
• Number of campaigns developed
• Number of persons exposed to campaigns
Ongoing through July 2016
Lead: Tobacco Free Lafayette Partners: Lafayette County Schools; SWAT; Churches
Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Why this is important to our community: One of the main barriers to improving community-wide health outcomes is the high percentage of youth who use tobacco products. This leads to other health related issues that become physical, financial, and emotional liabilities with long term consequences.
Objective Indicator Current Level
Target Status Explanation of Status
By July 1, 2016 reduce percentage of youth using tobacco to 21%
Percent of middle and high school students currently using tobacco products
11.2% 21% Promote smoke-out events, partner with Tobacco Free Lafayette, support Students working against tobacco (SWAT)
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Objective 4: By July 1, 2016 decrease 3 year rolling lung cancer death rate to 75.0. Strategies include promoting early screening, detection and treatment and educating the community on the importance of screening and early detection to survival chances.
OBJECTIVE 3.1.4 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 decrease 3-year rolling lung cancer death rate to 75.0
2010-2012 Lafayette County Lung Cancer Death Rate 88.3 State: Lung Cancer Death Rate 45.4
3-year rolling lung cancer deaths per 100,000 population Source: Florida Charts—County Health Status Summary
2013-2015 3-year rolling rate 67.2%; Actual death count 18; Single year counts: 2015 – 9 2014 – 7 2013 – 2
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
3.1.4A Promote early screening, detection and treatment
• Explore and promote low-no cost screenings and treatment for high risk populations
• Network with community partners to provide services
• Refer patients to available screening services
• Increase utilization of any mobile screening services
• Increase in percentage of persons with early screening
• Number of persons participating in screenings
• Number of referral partners
December 2014
Lead: FLDOHLC Partners: American Cancer Society; Suwannee River Economic Council; River Valley Medical; Doctors Memorial
3.1.4B Educate community on importance of screening and early detection to survival chances
• Direct screening messages to schools, faith-based organizations
• Community education campaigns
• Educational newsletters • Community speaking
engagements • Speaker’s bureau
• Number of campaigns conducted
• Number of persons exposed to campaigns
• Number of speaking engagements
• Number of newsletters
Ongoing through July 2016
Lead: FLDOHLC Partners: American Cancer Society; Suwannee River Economic Council; River Valley Medical; Doctors Memorial
Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
Why this is important to our community:
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Objective 5: By July 1, 2016 decrease 3 year rolling colorectal cancer death rate to 25.0. Strategies include promoting early screening, detection and treatment and educating the community on the importance of screening and early detection to increase survival chances.
OBJECTIVE 3.1.5 BASELINE OUTCOME INDICATORS Current Data By July 1, 2016 decrease 3-year rolling colorectal cancer death rate to 25.0
2010-2012 Lafayette County Colorectal Cancer Death Rate: 29.5 State Colorectal Cancer Death Rate: 14.1
3-year rolling colorectal cancer deaths per 100,000 population Source: Florida Charts—County Health Status Summary
2011-2013 3-year rolling rate 37.2; Actual death count 10; Single year counts: 2013 – 3 2012 – 2 2011 – 5
STRATEGY ACTIVITY PERFORMANCE MEASURE
TARGET DATE
LEAD AGENCY
3.1.5A Promote early screening, detection and treatment
• Explore and promote low-no cost screenings and treatment for high risk populations
• Network with community partners to provide services
• Refer patients to available screening services
• Increase utilization of any mobile screening services
• Increase in percentage of persons with early screening
• Number of persons participating in screenings
• Number of referral partners
December 2014
Lead: FLDOHLC Partners: American Cancer Society; Suwannee River Economic Council; River Valley Medical; Doctors Memorial
One of the main barriers to improving community-wide health outcomes is the high percentage of deaths attributed to lung cancer. Tobacco use is the predominant cause.
Objective Indicator Current Level
Target Status Explanation of Status
By July 1, 2016 decrease 3 year rolling lung cancer death rate to 75.0
Decrease in 3-year rolling lung cancer deaths per 100,000
67.2 death rate
75 death rate
Cessation classes promoted; Florida Quitline promoted; Partnered with Tobacco Free Lafayette; increased media publications
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3.1.5B Educate community on importance of screening and early detection to survival chances
• Direct screening messages to schools, faith-based organizations
• Community education campaigns
• Educational newsletters • Community speaking
engagements • Speaker’s bureau
• Number of campaigns conducted
• Number of persons exposed to campaigns
• Number of speaking engagements
• Number of newsletters
Ongoing through July 2016
Lead: FLDOHLC Partners: American Cancer Society; Suwannee River Economic Council; River Valley Medical; Doctors Memorial
Key Partners: North Central Florida Rural Health Network, Healthcare Workforce Network, North Florida Community College, Three Rivers Regional Library, Lafayette Extension UF/IFA, Suwannee River AHEC, Youth Advocacy, Tobacco Free Lafayette, DOH-Lafayette, Lafayette County School Board, SWAT, Oak Ridge Assisted Living Facility, Haven Hospice, Lafayette County Board of County Commission, Rural Women's Health Network, Suwannee River Economic Council, Children's Home Society, United Way, Lafayette Clerk of Court, Doctors Memorial, River Valley Medical, Elder Options, Lafayette County Supervisor of Elections, Lafayette Women's Club, Lafayette County Property Appraiser.
* Status indicators are as follows:
= Little to no movement towards objective target
= some progress towards meeting the objective target
= reached or surpassed objective target
Why this is important to our community: One of the main barriers to improving community-wide health outcomes is the high percentage of deaths attributed to colorectal cancer. Improper diet, lack of rectal screening, and limited awareness are contributing factors.
Objective Indicator Current Level
Target Status Explanation of Status
By July 1, 2016 decrease 3 year rolling colorectal cancer death rate to 25.0
Decrease in 3-year rolling colorectal cancer deaths per 100,000
19.1 death rate
25 death rate
Limited staff to provide targeted outreach;
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Revisions The Community Health Improvement Plan for 2016 was reviewed. Community Partners determined that progress was being made to meet the established goals and objectives. However, due to the retirement of the DOH-Lafayette Administrator in October 2014 and the arrival of the new Administrator in March 2015, plan implementation had slowed significantly.
The new Administrator quickly reconvened the community partners and refocused the group’s effort on the identified strategies. Meetings resumed on a scheduled basis and currently great progress is being made on addressing the community health issues.
Work to update the CHIP and new strategies is currently in progress.
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Accomplishments
1. Establish a community health improvement partnership (LHIP)
By July 1, 2016 maintain a productive community health improvement partnership to participate in and monitor the health of the community
The Community Partner membership base has increased by 30%. There are currently over 30 partners of the LHIP from various sectors of the community to include city and county representation.
How it’s important for our community: Partners are key to the success of the LHIP. By aligning and coordinating efforts across various partners and sectors, efforts and improvements in health are amplified. With over 30 partners from various sectors – government, health, academic, nonprofit, and private –LHIP is better positioned to tackle various health issues collaboratively to ensure residents make better health choices and live healthier lives.
Goal Objective Accomplishment
Goal Objective Accomplishment 2. Decrease chronic disease morbidity and mortality
Reduce percentage of youth using tobacco to 21%
In Partnership with Tobacco Free Lafayette, supported and promoted the development of a YouTube video by Lafayette High School students on not smoking or using tobacco products
How it’s important for our community: Reducing the percentage of kids using tobacco products redirects a large population to improved healthy lifestyles. These students are the future workforce for Lafayette County. Developing positive lifestyle choices sustains the population base, increases the workforce pool, and reduces financial strains on community services.
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Conclusion The CHIP serves as a roadmap for a continuous health improvement process for the local public health system by providing a framework for the chosen strategic issue areas. It is not intended to be an exhaustive and static document. We will evaluate progress on an ongoing basis through quarterly CHIP implementation reports and bi-monthly discussion sessions with community partners. We will conduct annual reviews and revisions based on input from partners and create CHIP annual reports each year by the end of the year. The CHIP will continue to change and evolve over time as new information and insight emerge at the local, state and national levels.
By working together, we can have a significant impact on the community’s health, improving where we live, work and play and realize the vision of a healthier Lafayette County.
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Florida Department of Health in Lafayette County LHIP Community Meeting
DOH-Lafayette Conference Room January 25, 2016 1:30PM
AGENDA Purpose: Solicit input from the community on community health needs through open two-way dialogue. Topic Lead
Welcome/Call to Order • Introductions • Sign-in Sheet
Waldron/Morgan
Review Previous Minutes-November 16, 2105 Waldron/Morgan
Status Update of Previous Actions. • Community Garden (Fall)
Evans/Bolton
Accreditation submission • CHIP- Healthiest Weight: a)School based exercise; b) Teen
reduction in tobacco use • Quality Improvement-a) Rapid Process Initiative (Budget); b)
Employee Satisfaction Survey
Waldron/Evans Waldron
Discuss Supporting Information CHIP • 1.1.1-Health Improvement Partnership • 2.1.1-Major barrier to health care • 3.1.1-Adult obesity/overweight • 3.1.2-Adults currently smoking • 3.1.3-Youth using tobacco • 3.1.4-Lung cancer death rate • 3.1.5-Colorectal cancer death rate QI • RPI-streamline budget process • Employee Satisfaction Survey-increase mean rate by 10% • Strategic Plan
Waldron Waldron
Community Input • Partner/Agency updates Community Members
Possible Directions-list strategies or policy needs Waldron/Morgan/Evans
Actions • 2016 Strategic Plan Revision • 2016 CHIP Update • Partner Actions
Waldron Waldron
Meeting Evaluation Next meeting/Host- 3/21/16 @ 1:30p
Waldron
30 CHIP Annual Review Report, 2016
Name Organization Phone No. Email Address
Cheryl Harris Oak Ridge ALF (386) 294-5052 [email protected]
Cheryl Pulliam 3 Rivers Library (386) 294-3858 [email protected]
Cindy Morgan DOH Lafayette County (386) 294-1321 [email protected]
Colleen Cody DOH Suwannee/Lafayette (386) 362-2708 [email protected]
Darren Driver LCSB (386) 294-3413 [email protected]
Debbie French Haven Hospice (386) 688-3766 [email protected]
Donnie Hamlin Lafayette BOCC (386) 294-1600 [email protected]
Eva Bolton UF Extension Service (386) 294-1279 [email protected]
Fran Ricardo Rural Women’s Health (386) 752-5604 [email protected]
Frances Terry SREC (386) 362-4115 [email protected]
Gail Garrard Lafayette BOCC (386) 294-1600 [email protected]
Jack Byrd Lafayette BOCC (386) 294-1600 [email protected]
Jana Hart UF/IFAS (386) 294-1279 [email protected]
Jeff Walker LCSB (386) 294-1351 [email protected]
Jennifer Anchors Children’s Home Society (352) 334-0955 [email protected]
John-Walt Boatright North Florida Workforce Dev. (850) 973-1671 [email protected]
Kerry Waldron DOH-Suwannee/Lafayette (386) 362-2708 [email protected]
Maggie Evans DOH-Suwannee/Lafayette (386) 362-2708 [email protected]
Mary Taylor Tobacco Free Lafayette (386) 362-2272 [email protected]
Matt Pearson SREC (386) 294-2202 [email protected]
Melissa Pearson DOH Lafayette County (386) 362-2708 [email protected]
Michael Mitchell DOH Lafayette County (386) 294-1321 [email protected]
Comprehensive List of Community Partners
31 CHIP Annual Review Report, 2016
Nancy Roberts United Way Board (386) 364-8658 [email protected]
Polly Tyler Haven Hospice (386) 752-9191 [email protected]
Ricky Lyons Lafayette Clerk of Court (386) 294-1600 [email protected]
Robby Edwards LCSB-Superintendent (386) 294-1351 [email protected]
Samantha Land Doctors Memorial (386) 294-2475 [email protected]
Sheryl Rehberg N.FL Workforce Dev. (850) 973-2672 [email protected]
Stella Buchanan River Valley Medical (386) 294-1226 [email protected]
Stephanie Cox UF Child Protection Team (352) 334-1300 [email protected]
Tim Walker Property Appraiser (386) 294-1991 [email protected]
Timothy Pearson LCSB (386) 294-1351 [email protected]
Travis Hart Supervisor of Elections (386) 294-1261 [email protected]
Velma Chandler Elder Options (352) 378-6649 [email protected]
Vicki Wilcox Lafayette Women’s Club (386) 294-3635 [email protected]