hamilton county public health€¦ · community health improvement planning is a two-step process....

Page IIHAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan

HAMILTON COUNTY PUBLIC HEALTH

JUNE 2015Community Health Improvement Plan

HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage I

MISSION

VISION

Hamilton County Public Health educates, serves and protects our community for a healthier future.

Healthy choices.Healthy lives.

Healthy communities

Hamilton County Public Health250 William Howard Taft Rd.

2nd Floor,Cincinnati, Ohio 45219

Hamilton County Board of HealthTracy A. Puthoff, Esq., President

Mark Rippe, Vice PresidentThomas Chatham

Kenneth Amend, M.D.Jim Brett

Hamilton County Health CommissionerTimothy Ingram, M.S.

Page IIHAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan

TABLE OF CONTENTS

Background...............................................................................................1

The Community Health Assessment....................................................2

The Community Health Improvement Plan........................................3

Appendix A..............................................................................................17

Appendix B..............................................................................................23

Appendix C..............................................................................................24

HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement PlanPage 1

HCPH Jurisdiction

FIGURE 1: HAMILTON COUNTY PUBLIC HEALTH JURISDICTIONS

Hamilton County Public Health

Range

Hamilton County Public Health

Median

Hamilton County Ohio

Per Capita Income $15,740 - $91,697 $28,164 $29,295 $25,659

Poverty 2% - 30% 7% 17% 15%

Child Poverty 1% - 55% 14% 24% 19%

Educational Attainment

Less than High School Graduate 1%-35% 9% 12% 12%

High School Graduate (Or Equivalent) 4% - 54% 30% 28% 35%

Bachelor’s Degree or Higher 3% - 82% 34% 33% 25%

Uninsured 1% - 29% 9% 11% 12%

Unemployed 3% - 20% 7% 9% 9%

Average Life Expectancy 69 - 87 Years 78 Years 77 Years 78 Years

TABLE 1: HAMILTON COUNTY PUBLIC HEALTH SOCIOECONOMIC DEMOGRAPHICS

Hamilton County Public Health (HCPH) was established in 1919 and provides public health services for 45 of the 48 political jurisdictions within Hamilton County, Ohio shown in Figure 1. Through it’s 82-member team it addresses the well-being of residents through a community-focused approach, the examination of health and disease trends, healthcare coordination, inspections, education and by providing assistance to help communities cope with emergencies.

The demographics of the jurisdictions served are varied. Populations range from small villages with 745 residents to large townships with 58,499 residents. More importantly, there are wide-ranging differences in health indicators, shown in Table 1. Place Matters. Health is influenced not only by the choices we make, but also by where we live, learn, work and play. This understanding informed the approach used by HCPH as it developed the Community Health Improvement Plan (CHIP).

Community health improvement planning is a two-step process.Step 1. A community health assessment (CHA) is conducted. The CHA uses quantitative

and qualitative methods to systematically collect and analyze data in order to better understand health within a specific community.

Step 2. A CHIP is then developed. This plan addresses public health problems identified in the CHA. It is used by public health and community partners in order to set priorities and coordinate and target resources. It also establishes accountability to ensure that measurable health improvements are made.

BACKGROUND

HAMILTON COUNTY PUBLIC HEALTH: Community Health Improvement Plan

Hamilton County

FIGURE 2: SOUTHWEST OHIO AND SOUTHWEST INDIANA COUNTIES

The report “A.I.M. for Better Health: A Regional Community Health Needs Assessment for Southwest Ohio and Southeast Indiana” was developed in 2012. For the purposes of this report, it will be referred to as CHA. It was a collaborative effort between public health, hospitals, not-for-profits, and foundations. The CHA serves as the baseline of the health status of nine counties: Adams, Brown, Butler, Clermont, Hamilton, Highland, and Warren in Southwest Ohio, and Dearborn and Ripley in Southeast Indiana, shown in Figure 2.

The CHA is accessible to be viewed at:http://www.gchc.org/newsletter/Community_Health_Needs_Assessment.pdf

THE COMMUNITY HEALTH ASSESSMENT

http://www.gchc.org/newsletter/Community_Health_Needs_Assessment.pdf


After reviewing the CHA primary research which was provided by interviews, group level assessments and community surveys, and the secondary research which referred specifically to Hamilton County, four common themes evolved. Those themes were:

• Healthy behaviors, • Prevention, • Moving from culture of sick care to culture of wellness • Collaboration and community.

HCPH had been working to increase healthy behaviors in communities since 2009 through its WeTHRIVE! Initiative (http://www.watchusthrive.org/). HCPH engaged schools, businesses, churches, elected officials and residents in order to address chronic disease by increasing access to healthy food and physical activity opportunities, while at the same time decreasing exposure to secondhand smoke.

However, in early 2013, two things happened. First, due to staffing and budget changes, the WeTHRIVE! Initiative was in transition and HCPH started an in-depth review of the CHA in order to begin CHIP development. Secondly, HCPH realized that the common themes identified in the CHA were connected to our mission and vision and could be addressed through a revitalized WeTHRIVE! Initiative.

During 2013, we revamped the WeTHRIVE! Initiative, increasing the number of pathways from one (Chronic Disease only), to four: Chronic Disease, Community Health, Environmental Health, and Emergency Preparedness (Appendix A). Information from the CHA would directly shape the Chronic Disease, Community Health and Environmental Health pathways. HCPH knew that the time needed to complete pathways would vary from community to community based on political will, strategies selected, capacity, interest, and resources available. While it is not a quick fix to health problems, HCPH felt the WeTHRIVE! Initiative would bring meaningful changes that would last for generations.

In March 2014, HCPH introduced the WeTHRIVE! Initiative to the 45 jurisdictions in its service area. The response was overwhelmingly positive. By the end of 2014, 18 jurisdictions had agreed to participate by signing resolutions. Wellness committees were immediately established. HCPH staff began working through pathways selected by communities. Having received approval of this approach from stakeholders, the next step was to present it to community partners.

On May 14, 2014 the CHIP was presented to the Public Health Advisory Council (PHAC) (Appendix B). The PHAC (Appendix C) is part of the WeTHRIVE! Initiative and in place not only to review the CHIP, but also take part in its implementation. The latter could be done through staff assignment to a pathway, in-kind contributions, financial commitments, connections to other key organizations, or access to volunteers.

With some minor changes, the CHIP was approved and is outlined on the following pages:

THE COMMUNITY HEALTH IMPROVEMENT PLAN

http://www.watchusthrive.org/


Prio

rity

Area

1: C

OM

MU

NIT

Y EN

GAG

EMEN

T IN

PU

BLIC

HEA

LTH

Goa

l 1: T

o es

tabl

ish

sust

aina

ble

infr

astr

uctu

re in

Ham

ilton

Cou

nty

Publ

ic H

ealth

(HCP

H) j

uris

dict

ions

for a

ddre

ssin

g pu

blic

hea

lth is

sues

to

cre

ate

a cu

lture

of h

ealth

, saf

ety,

and

vita

lity

thro

ugho

ut th

e Co

unty

.

Obj

ectiv

e 1.

1: M

aint

ain

enga

gem

ent o

f the

exi

stin

g 19

WeT

HRI

VE! C

omm

uniti

es a

nd m

ove

them

into

impl

emen

tatio

n by

201

8.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

1.1.

1: P

rovi

de o

ngoi

ng c

apac

ity b

uild

ing

trai

ning

to s

uppo

rt W

eTH

RIVE

! com

mun

ity p

olic

y, sy

stem

s,

envi

ronm

enta

l, an

d pr

ogra

mm

atic

effo

rts.

Y1 -

Y3•

HCP

H J

uris

dict

ions

• H

CPH

Sta

ff•

WeT

HRI

VE! L

eade

rshi

p Te

am•

Publ

ic H

ealth

Adv

isor

y Co

unci

l•

Oth

er p

artn

ers

& re

sour

ces

to

be

iden

tified

1.1.

2: C

onve

ne th

e W

eTH

RIVE

! Com

mun

ity L

earn

ing

Colla

bora

tive

quar

terly

to p

rovi

de c

omm

uniti

es

with

trai

ning

, res

ourc

es, a

nd n

etw

orki

ng a

imed

at s

uppo

rtin

g im

plem

enta

tion

of s

trat

egie

s to

im

prov

e he

alth

, saf

ety

and

vita

lity.

Y1 -

Y3

1.1.

3: P

rovi

de o

ngoi

ng te

chni

cal a

ssis

tanc

e to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

in th

e ju

risdi

ctio

ns.

Y1 -

Y3

1.1.

4: S

uppo

rt re

asse

ssm

ent a

nd a

ctio

n pl

an re

visi

on/r

edev

elop

men

t pro

cess

.Y1

- Y3

1.1.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d in

the

juris

dict

ions

.Y1

- Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

out

reac

h co

ntac

ts•

# of

trai

ning

s pr

ovid

ed•

# of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

str

ateg

ies

impl

emen

ted

(e.g

. tob

acco

-free

ord

inan

ces,

inst

alla

tion

of

bik

e la

nes

etc.

)•

# of

reas

sess

men

ts•

# of

act

ion

plan

s de

velo

ped

and/

or a

ctio

n pl

an re

visi

ons

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

WeT

HRI

VE! C

omm

unity

Mas

ter C

omm

unic

atio

n Da

taba

se•

WeT

HRI

VE! M

aste

r Ind

ex (i

nclu

des

key

docu

men

ts, s

uch

as p

olic

ies,

rost

ers,

act

ion

plan

s, a

sses

smen

ts, e

tc.)

• Co

mm

unity

Hea

lth A

sses

smen

t aN

d G

roup

Eva

luat

ion

(CH

ANG

E), E

Nvr

ionm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

E

valu

atio

n (E

NH

ANCE

), vi

tal s

tatis

tics,

Pho

to-v

oice

(pho

togr

aphs

to d

ocum

ent c

hang

e pr

e- a

nd p

ost-i

mpl

emen

tatio

n), d

irect

o

bser

vatio

n, s

urve

ys a

nd o

ther

eva

luat

ion

asse

ssm

ent t

ools

• Do

cum

ente

d ch

ange

s fro

m in

itial

ass

essm

ent t

o re

asse

ssm

ent


Prio

rity

Area

1: C

OM

MU

NIT

Y EN

GAG

EMEN

T IN

PU

BLIC

HEA

LTH

Goa

l 1: T

o es

tabl

ish

sust

aina

ble

infr

astr

uctu

re in

Ham

ilton

Cou

nty

Publ

ic H

ealth

(HCP

H) j

uris

dict

ions

for a

ddre

ssin

g pu

blic

hea

lth is

sues

to

cre

ate

a cu

lture

of h

ealth

, saf

ety,

and

vita

lity

thro

ugho

ut th

e Co

unty

.

Obj

ectiv

e 1.

2: In

crea

se th

e nu

mbe

r of W

eTH

RIVE

! com

mun

ities

from

19

to 2

2 by

201

8.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

1.2.

1: C

ondu

ct o

utre

ach

to H

CPH

juris

dict

ions

rega

rdin

g th

e W

eTH

RIVE

! ini

tiativ

e to

gai

n co

mm

itmen

t.Y1

- Y2

• H

CPH

Sta

ff•

WeT

HRI

VE! L

eade

rshi

p Te

am•

Publ

ic H

ealth

Adv

isor

y Co

unci

l•

Oth

er p

artn

ers

& re

sour

ces

to

be

iden

tified

1.2.

2: C

onve

ne th

e W

eTH

RIVE

! Com

mun

ity L

earn

ing

Colla

bora

tive

quar

terly

to p

rovi

de c

omm

uniti

es

with

trai

ning

, res

ourc

es, a

nd n

etw

orki

ng a

imed

at s

uppo

rtin

g im

plem

enta

tion

of s

trat

egie

s to

im

prov

e he

alth

, saf

ety

and

vita

lity.

Y1 -

Y3

1.2.

3: F

acili

tate

the

adop

tion

of th

e W

eTH

RIVE

! Ove

rall

and

Path

way

-spe

cific

(Chr

onic

Dis

ease

, Co

mm

unity

Hea

lth, E

nviro

nmen

tal H

ealth

, and

/or E

mer

genc

y Pr

epar

edne

ss) r

esol

utio

ns w

ithin

H

CPH

juris

dict

ions

.Y1

- Y2

1.2.

4: A

hea

lth &

wel

lnes

s (W

eTH

RIVE

!) te

am w

ill b

e de

sign

ated

/est

ablis

hed

to w

ork

on p

ublic

hea

lth

issu

es in

the

juris

dict

ions

Y2

1.2.

5: C

ondu

ct a

sses

smen

ts to

est

ablis

h a

base

line

in th

e ju

risdi

ctio

nsY2

1.2.

6: D

evel

op a

nd a

ppro

ve a

ctio

n pl

ans

to g

uide

impl

emen

tatio

n of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

str

ateg

ies

for e

ach

of th

e ju

risdi

ctio

ns.

Emph

asis

will

be

plac

ed o

n st

rate

gies

that

targ

et p

opul

atio

ns e

xper

ienc

ing

the

high

est b

urde

n of

hea

lth d

ispa

ritie

s.Y2

1.2.

7: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

in

the

juris

dict

ions

.Y2

- Y3

1.2.

8: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d in

the

juris

dict

ions

.Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

out

reac

h co

ntac

ts•

# of

WeT

HRI

VE! O

vera

ll Re

solu

tions

ado

pted

• #

of W

eTH

RIVE

! Pat

hway

Res

olut

ions

ado

pted

• #

of b

asel

ine

asse

ssm

ents

com

plet

ed•

# of

act

ion

plan

s es

tabl

ishe

d•

# of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

str

ateg

ies

impl

emen

ted

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

WeT

HRI

VE! C

omm

unity

Mas

ter C

omm

unic

atio

n Da

taba

se•

WeT

HRI

VE! M

aste

r Ind

ex (i

nclu

des

key

docu

men

ts, s

uch

as p

olic

ies,

rost

ers,

act

ion

plan

s, a

sses

smen

ts, e

tc.)

• Co

mm

unity

Hea

lth A

sses

smen

t aN

d G

roup

Eva

luat

ion

(CH

ANG

E), E

Nvr

ionm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

Eva

luat

ion

(EN

HAN

CE),

v

ital s

tatis

tics,

Pho

to-v

oice

(pho

togr

aphs

to d

ocum

ent c

hang

e pr

e- a

nd p

ost-i

mpl

emen

tatio

n), d

irect

obs

erva

tion,

sur

veys

and

oth

er e

valu

atio

n

a

sses

smen

t too

ls


Prio

rity

Area

2: P

ARTN

ER E

NG

AGEM

ENT

Goa

l 2: T

o en

gage

a m

ulti-

disc

iplin

ary

grou

p of

org

aniz

atio

ns a

nd a

genc

ies

to s

uppo

rt H

CPH

juris

dict

ions

with

impl

emen

tatio

n of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

str

ateg

ies

aim

ed a

t cre

atin

g a

cultu

re o

f hea

lth, s

afet

y, an

d vi

talit

y

Obj

ectiv

e 2.

1: E

ngag

e an

d m

aint

ain

a m

inim

um o

f 20

mul

ti-di

scip

linar

y pa

rtne

r org

aniz

atio

ns/a

genc

ies

to s

uppo

rt im

plem

enta

tion

of th

e co

mm

unity

hea

lth im

prov

emen

t pla

n by

201

8.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

2.1.

1: Id

entif

y an

d re

crui

t par

tner

org

aniz

atio

ns a

nd s

taff

to s

uppo

rt c

omm

unity

WeT

HRI

VE! e

ffort

s to

cr

eate

a c

ultu

re o

f hea

lth, s

afet

y, an

d vi

talit

y.Y1

- Y

3•

HCP

H S

taff

• W

eTH

RIVE

! Lea

ders

hip

Team

• Pu

blic

Hea

lth A

dvis

ory

Coun

cil

• O

ther

par

tner

s &

reso

urce

s to

b

e id

entifi

ed

2.1.

2: C

onve

ne th

e Pu

blic

Hea

lth A

dvis

ory

Coun

cil a

nnua

lly to

revi

ew th

e Co

mm

unity

Hea

lth

Impr

ovem

ent P

lan

prog

ress

and

pro

vide

feed

back

Y1 -

Y3

2.1.

3: C

onve

ne th

e pa

rtne

r im

plem

enta

tion

team

qua

rter

ly to

revi

ew p

rogr

ess,

dis

cuss

upc

omin

g op

port

uniti

es, s

hare

reso

urce

s, a

nd s

tand

ardi

ze v

ario

us p

roce

sses

rela

ted

to th

e W

eTH

RIVE

! in

itiat

ive.

Y1 -

Y3

2.1.

4: P

rovi

de q

uart

erly

upd

ates

rega

rdin

g th

e st

atus

of t

he C

omm

unity

Hea

lth Im

prov

emen

t Pla

n an

d W

eTH

RIVE

! ini

tiativ

e pr

ogre

ss to

the

Publ

ic H

ealth

Adv

isor

y Co

unci

l and

par

tner

impl

emen

tatio

n te

ams.

Y1 -

Y3

2.1.

5: C

oord

inat

e lin

kage

s be

twee

n th

e W

eTH

RIVE

! com

mun

ity te

ams

and

the

part

ner o

rgan

izat

ions

of

ferin

g te

chni

cal a

ssis

tanc

eY1

- Y3

2.1.

6: M

onito

r the

WeT

HRI

VE! c

omm

unity

tech

nica

l ass

ista

nce

need

s an

d re

crui

t add

ition

al p

artn

er

orga

niza

tions

to s

uppo

rt im

plem

enta

tion

effo

rts

(as

iden

tified

).Y1

- Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

par

tner

org

aniz

atio

ns re

crui

ted

(sig

ned

com

mitm

ent l

ette

rs)

• #

of p

artn

er o

rgan

izat

ion

impl

emen

tatio

n st

aff o

fferin

g su

ppor

t to

com

mun

ities

• Fe

edba

ck re

ceiv

ed fr

om P

ublic

Hea

lth A

dvis

ory

Coun

cil a

nnua

lly•

Tech

nica

l ass

ista

nce

need

s id

entifi

ed fr

om c

omm

unity

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Surv

eyin

g - c

omm

uniti

es a

nd p

artn

er o

rgan

izat

ions

• Do

cum

ent r

evie

w


Prio

rity

Area

2: P

ARTN

ER E

NG

AGEM

ENT

Goa

l 2: T

o en

gage

a m

ulti-

disc

iplin

ary

grou

p of

org

aniz

atio

ns a

nd a

genc

ies

to s

uppo

rt H

CPH

juris

dict

ions

with

impl

emen

tatio

n of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

str

ateg

ies

aim

ed a

t cre

atin

g a

cultu

re o

f hea

lth, s

afet

y, an

d vi

talit

y.

Obj

ectiv

e 2.

2: C

onve

ne a

gro

up o

f mul

ti-di

scip

linar

y pa

rtne

r org

aniz

atio

ns a

nd/o

r age

ncie

s to

map

exi

stin

g co

mm

unity

-leve

l hea

lth

initi

ativ

es in

an

effo

rt to

str

engt

hen

colla

bora

tion

and

iden

tify

and

equi

tabl

y al

loca

te re

sour

ces

to s

uppo

rt im

plem

enta

tion

of s

usta

inab

le p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

by

2018

.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

2.2.

1: Id

entif

y pa

rtne

r org

aniz

atio

ns th

at a

re re

spon

sibl

e fo

r pro

vidi

ng s

ervi

ces

that

impa

ct

heal

th, s

afet

y, an

d vi

talit

y ac

ross

Ham

ilton

Cou

nty

(e.g

. pub

lic h

ealth

, hea

lth c

are,

pla

nnin

g,

tran

spor

tatio

n, s

ocia

l ser

vice

s, b

usin

esse

s, e

duca

tion,

non

-pro

fits,

etc

.).Y1

• H

CPH

Sta

ff•

WeT

HRI

VE! L

eade

rshi

p Te

am•

Publ

ic H

ealth

Adv

isor

y Co

unci

l•

Oth

er p

artn

ers

& re

sour

ces

to

be

iden

tified

2.2.

2: C

onve

ne a

sub

-com

mitt

ee o

f par

tner

org

aniz

atio

ns to

col

lect

pre

limin

ary

data

rega

rdin

g co

mm

unity

-leve

l ini

tiativ

es th

at a

re b

eing

impl

emen

ted

acro

ss H

amilt

on C

ount

y th

at im

pact

he

alth

, saf

ety,

and

vita

lity.

Y1

2.2.

3: A

naly

ze a

nd m

ap p

relim

inar

y da

ta c

olle

cted

from

sub

-com

mitt

ee o

f par

tner

org

aniz

atio

ns

rega

rdin

g co

mm

unity

-leve

l ini

tiativ

es th

at a

re k

now

n to

be

impl

emen

ted

acro

ss H

amilt

on

Coun

ty th

at im

pact

hea

lth, s

afet

y, an

d vi

talit

y.Y1

2.2.

4: Id

entif

y an

d en

gage

add

ition

al p

artn

er o

rgan

izat

ions

that

impl

emen

t com

mun

ity-le

vel i

nitia

tives

th

at im

pact

hea

lth, s

afet

y, an

d vi

talit

y in

Ham

ilton

Cou

nty.

Y1 -

Y2

2.2.

5: C

olle

ct, a

naly

ze, a

nd m

ap d

ata

from

add

ition

al p

artn

er o

rgan

izat

ions

that

impl

emen

t co

mm

unity

-leve

l ini

tiativ

es th

at im

pact

hea

lth, s

afet

y, an

d vi

talit

y in

Ham

ilton

Cou

nty.

Y1 -

Y2

2.2.

6: Id

entif

y an

d pr

iorit

ize

oppo

rtun

ities

to s

tren

gthe

n co

llabo

ratio

n an

d eq

uita

bly

allo

cate

reso

urce

s to

sup

port

impl

emen

tatio

n of

sus

tain

able

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

ch

ange

str

ateg

ies

to im

prov

e he

alth

, saf

ety,

and

vita

lity

of H

amilt

on C

ount

y co

mm

uniti

es.

Y2 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

par

tner

org

aniz

atio

ns e

ngag

e•

# of

mee

tings

hel

d•

# of

com

mun

ity-le

vel i

nitia

tives

that

impa

ct h

ealth

, saf

ety,

and

vita

lity

• Re

sour

ces

allo

cate

d to

initi

ativ

es th

at im

pact

hea

lth, s

afet

y, an

d vi

talit

y at

com

mun

ity-le

vel i

dent

ified

(e.g

. fun

ding

, man

pow

er, m

ater

ials

, etc

.)•

Com

mun

ity h

ealth

initi

ativ

e as

set m

ap d

evel

oped

• O

ppor

tuni

ties

for c

olla

bora

tion

iden

tified

• St

rate

gies

for e

quita

ble

reso

urce

allo

cate

d id

entifi

ed

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Data

ana

lysi

s•

Asse

t map

ping

of c

omm

unity

-leve

l ini

tiativ

es a

nd re

sour

ces

• Su

rvey

ing,

key

info

rmat

ion

inte

rvie

ws,

inte

rnet

sea

rche

s, a

nd o

ther

str

ateg

ies

to b

e id

entifi

ed to

obt

ain

info

rmat

ion

to in

form

HCP

H a

nd

par

tner

s re

gard

ing

com

mun

ity-le

vel i

nitia

tives

that

impa

ct h

ealth

, saf

ety,

and

vita

lity

in H

amilt

on C

ount

y.


Prio

rity

Area

3: C

HRO

NIC

DIS

EASE

Goa

l 3: T

o m

ake

the

heal

th c

hoic

e th

e ea

sy c

hoic

e th

roug

h im

plem

enta

tion

of p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

to s

uppo

rt im

prov

ed n

utrit

ion,

incr

ease

d ac

tivity

, dec

reas

ed e

xpos

ure

to s

econ

dhan

d to

bacc

o sm

oke,

and

dec

reas

ed

burd

en o

f dis

ease

.

Obj

ectiv

e 3.

1: Id

entif

y, pr

iorit

ize,

and

impl

emen

t str

ateg

ies

to in

crea

se p

hysi

cal a

ctiv

ity a

nd a

ctiv

e liv

ing

oppo

rtun

ities

with

in 1

0 W

eTH

RIVE

! co

mm

uniti

es b

y 20

18.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

3.1.

1: B

uild

aw

aren

ess

rega

rdin

g po

licy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

bes

t pra

ctic

es fo

r in

crea

sing

phy

sica

l act

ivity

and

act

ive

livin

g.Y1

- Y3

• H

CPH

Jur

isdi

ctio

ns•

HCP

H S

taff

• W

eTH

RIVE

! Lea

ders

hip

Team

• Pu

blic

Hea

lth A

dvis

ory

Coun

cil

• O

ther

par

tner

s &

reso

urce

s to

b

e id

entifi

ed

3.1.

2: C

ompl

ete

the

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

or

ENvi

ronm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

Eva

luat

ion

(EH

ANCE

) too

l to

iden

tify

asse

ts

and

oppo

rtun

ities

for i

ncre

asin

g op

port

uniti

es fo

r phy

sica

l act

ivity

and

act

ive

livin

g w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

3.1.

3: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

actio

n pl

ans

in p

artn

ersh

ip w

ith th

e W

eTH

RIVE

! com

mun

ities

. Em

phas

is w

ill b

e pl

aced

on

stra

tegi

es th

at ta

rget

pop

ulat

ions

ex

perie

ncin

g th

e hi

ghes

t bur

den

of h

ealth

dis

parit

ies.

Y1 -

Y3

3.1.

4: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

in

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

3.1.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

phy

sica

l act

ivity

/act

ive

livin

g st

rate

gies

impl

emen

ted

(e.g

. com

plet

e st

reet

s, s

afe

rout

es to

sch

ool,

repa

iring

/mai

ntai

ning

sid

ewal

ks,

inf

rast

ruct

ure

impr

ovem

ents

, sha

red

use

agre

emen

ts, s

afet

y en

hanc

emen

ts, w

alki

ng/b

icyc

ling

trai

ls, e

tc.)

• In

crea

sed

acce

ss to

phy

sica

l act

ivity

opp

ortu

nitie

s•

Incr

ease

in th

e pe

rcen

t of a

dults

that

get

the

reco

mm

ende

d m

inut

es o

f dai

ly p

hysi

cal a

ctiv

ity•

Incr

ease

in th

e pe

rcen

t of c

hild

ren

that

get

the

reco

mm

ende

d m

inut

es o

f dai

ly p

hysi

cal a

ctiv

ity

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

Too

l and

/or E

Nvi

ronm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

Eva

luat

ion

(

ENH

ANCE

) Too

l ass

essm

ents

• Ph

oto-

voic

e (p

hoto

grap

hs to

doc

umen

t cha

nge

pre-

and

pos

t-im

plem

enta

tion

• Di

rect

obs

erva

tion

• G

reat

er C

inci

nnat

i Hea

lth S

tatu

s Su

rvey

• O

ther

eva

luat

ion

tool

s to

be

dete

rmin

ed


Prio

rity

Area

3: C

HRO

NIC

DIS

EASE

Goa

l 3: T

o m

ake

the

heal

th c

hoic

e th

e ea

sy c

hoic

e th

roug

h im

plem

enta

tion

of p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

to s

uppo

rt im

prov

ed n

utrit

ion,

incr

ease

d ac

tivity

, dec

reas

ed e

xpos

ure

to s

econ

dhan

d to

bacc

o sm

oke,

and

dec

reas

ed

burd

en o

f dis

ease

.

Obj

ectiv

e 3.

2: In

crea

se th

e av

aila

bilit

y an

d ac

cess

to a

fford

able

and

hea

lthy

food

opt

ions

in 1

0 W

eTH

RIVE

! com

mun

ities

by

2018

.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

3.2.

1: B

uild

aw

aren

ess

rega

rdin

g po

licy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

bes

t pra

ctic

es fo

r in

crea

sing

acc

ess

to h

ealth

y fo

od o

ptio

ns.

Y1 -

Y3•

HCP

H J

uris

dict

ions

• H

CPH

Sta

ff•

WeT

HRI

VE! L

eade

rshi

p Te

am•

Publ

ic H

ealth

Adv

isor

y Co

unci

l•

Oth

er p

artn

ers

& re

sour

ces

to

be

iden

tified

3.2.

2: C

ompl

ete

the

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

tool

to id

entif

y as

sets

and

opp

ortu

nitie

s fo

r inc

reas

ing

acce

ss to

hea

lthy

food

.Y1

- Y3

3.2.

3: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

actio

n pl

ans

in p

artn

ersh

ip w

ith th

e W

eTH

RIVE

! com

mun

ities

. Em

phas

is w

ill b

e pl

aced

on

stra

tegi

es th

at ta

rget

pop

ulat

ions

ex

perie

ncin

g th

e hi

ghes

t bur

den

of h

ealth

dis

parit

ies.

Y1 -

Y3

3.2.

4: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

3.2.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

hea

lthy

eatin

g st

rate

gies

impl

emen

ted

(e.g

. far

mer

’s m

arke

ts, W

IC a

nd S

uppl

emen

tal N

utrit

ion

Assi

stan

ce P

rogr

am (C

SNAP

)-EBT

a

ccep

tanc

e, g

arde

ns, h

ealth

y co

rone

r sto

res,

hea

lthy

vend

ing,

hea

lthy

conc

essi

ons,

etc

.)•

Incr

ease

d ac

cess

to h

ealth

y fo

ods

(# o

f ven

ues

offe

ring

heal

thy

food

s)•

Incr

ease

in th

e pe

rcen

t of a

dults

that

get

the

reco

mm

ende

d se

rvin

gs o

f fru

its a

nd v

eget

able

s•

Incr

ease

in th

e pe

rcen

t of c

hild

ren

that

ach

ieve

the

reco

mm

ende

d se

rvin

gs o

f fru

its a

nd v

eget

able

s

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

Too

l Ass

essm

ents

• Ph

oto-

voic

e (p

hoto

grap

hs to

doc

umen

t cha

nge

pre-

and

pos

t-im

plem

enta

tion

• Di

rect

obs

erva

tion

• Be

havi

oral

Ris

k Fa

ctor

Sur

veill

ance

Sys

tem

(BRF

SS) -

Adu

lts; Y

outh

Ris

k Be

havi

or S

urve

y (Y

RBS)

- Yo

uth

• G

reat

er C

inci

nnat

i Hea

lth S

tatu

s Su

rvey

• O

ther

eva

luat

ion

tool

s to

be

dete

rmin

ed


Prio

rity

Area

3: C

HRO

NIC

DIS

EASE

Goa

l 3: T

o m

ake

the

heal

th c

hoic

e th

e ea

sy c

hoic

e th

roug

h im

plem

enta

tion

of p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

to s

uppo

rt im

prov

ed n

utrit

ion,

incr

ease

d ac

tivity

, dec

reas

ed e

xpos

ure

to s

econ

dhan

d to

bacc

o sm

oke,

and

dec

reas

ed

burd

en o

f dis

ease

.

Obj

ectiv

e 3.

3: In

crea

se th

e nu

mbe

r of t

obac

co-fr

ee e

nviro

nmen

ts in

5 W

eTH

RIVE

! com

mun

ities

by

2018

.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

3.3.

1: B

uild

aw

aren

ess

rega

rdin

g po

licy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

bes

t pra

ctic

es fo

r in

crea

sing

toba

cco-

free

envr

ionm

ents

.Y1

- Y3

• H

CPH

Jur

isdi

ctio

ns•

HCP

H S

taff

• W

eTH

RIVE

! Lea

ders

hip

Team

• Pu

blic

Hea

lth A

dvis

ory

Coun

cil

• O

ther

par

tner

s &

reso

urce

s to

b

e id

entifi

ed

3.2.

2: C

ompl

ete

the

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

tool

to id

entif

y as

sets

and

opp

ortu

nitie

s fo

r inc

reas

ing

acce

ss to

toba

cco-

free

envi

ronm

ents

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

3.2.

3: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

actio

n pl

ans

in p

artn

ersh

ip w

ith th

e W

eTH

RIVE

! com

mun

ities

. Em

phas

is w

ill b

e pl

aced

on

stra

tegi

es th

at ta

rget

pop

ulat

ions

ex

perie

ncin

g th

e hi

ghes

t bur

den

of h

ealth

dis

parit

ies.

Y1 -

Y3

3.2.

4: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

3.2.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

toba

cco-

free

stra

tegi

es im

plem

ente

d (e

.g. t

obac

co-fr

ee c

ampu

s po

licy,

toba

cco-

free

play

grou

nd p

olic

y, to

bacc

o-fre

e si

gnag

e, e

tc.)

• In

crea

sed

acce

ss to

toba

cco-

free

envi

ronm

ents

/num

ber o

f ven

ues

that

pro

hibi

t tob

acco

use

• De

crea

se in

per

cent

of a

dults

who

sm

oke

• De

crea

se in

per

cent

of y

outh

who

sm

oke

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

Too

l Ass

essm

ents

• Ph

oto-

voic

e (p

hoto

grap

hs to

doc

umen

t cha

nge

pre-

and

pos

t-im

plem

enta

tion

• Di

rect

obs

erva

tion

• Be

havi

oral

Ris

k Fa

ctor

Sur

veill

ance

Sys

tem

(BRF

SS) -

Adu

lts; Y

outh

Ris

k Be

havi

or S

urve

y (Y

RBS)

- Yo

uth

• O

ther

eva

luat

ion

tool

s to

be

dete

rmin

ed


Prio

rity

Area

4: C

OM

MU

NIT

Y H

EALT

HG

oal 4

: To

prov

ide

a co

mm

unity

hea

lth a

sses

smen

t tha

t com

mun

ities

will

util

ize

in m

akin

g da

ta-d

riven

, evi

denc

ed-b

ased

dec

isio

ns th

at

resu

lt in

impl

emen

tatio

n of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

cha

nge

stra

tegi

es to

sup

port

redu

ctio

ns in

chr

onic

an

d in

fect

ious

dis

ease

and

adv

erse

out

com

es a

ssoc

iate

d w

ith in

jury

and

mat

erna

l and

chi

ld h

ealth

issu

es.

Obj

ectiv

e 4.

1: Id

entif

y, pr

iorit

ies,

and

impl

emen

t str

ateg

ies

to im

prov

e in

fect

ious

dis

ease

, chr

onic

dis

ease

, inj

ury,

and

mat

erna

l and

chi

ld

heal

th w

ithin

10

WeT

HRI

VE! c

omm

uniti

es b

y 20

18.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

4.1.

1: B

uild

aw

aren

ess

rega

rdin

g po

licy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

bes

t pra

ctic

es fo

r im

prov

ing

infe

ctio

us d

isea

se, c

hron

ic d

isea

se, i

njur

y, in

fant

mor

talit

y, an

d m

ater

nal a

nd c

hild

he

alth

.Y1

- Y3

• H

CPH

Sta

ff•

WeT

HRI

VE! L

eade

rshi

p Te

am•

Publ

ic H

ealth

Adv

isor

y Co

unci

l•

Oth

er p

artn

ers

& re

sour

ces

to

be

iden

tified

4.1.

2: C

ondu

ct a

nd re

view

com

mun

ity h

ealth

ass

essm

ent a

nd o

ther

com

mun

ity-s

peci

fic d

ata

to

iden

tify

asse

ts a

nd o

ppor

tuni

ties

for r

educ

ing

infe

ctio

us d

isea

se, c

hron

ic d

isea

se, i

njur

y, an

d m

ater

nal a

nd c

hild

hea

lth w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

4.1.

3: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

actio

n pl

ans

in p

artn

ersh

ip w

ith th

e W

eTH

RIVE

! com

mun

ities

. Em

phas

is w

ill b

e pl

aced

on

stra

tegi

es th

at ta

rget

pop

ulat

ions

ex

perie

ncin

g th

e hi

ghes

t bur

den

of h

ealth

dis

parit

ies.

Y1 -

Y3

4.1.

4: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

4.1.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

Incr

ease

d im

plem

enta

tion

of in

fect

ious

dis

ease

pre

vent

ion

stra

tegi

es (e

.g. h

and

was

hing

, im

mun

izat

ions

, syr

inge

exc

hang

e, te

stin

g, e

duca

tion/

t

rain

ing,

etc

.)•

Incr

ease

d ac

cess

to h

ealth

y fo

ods

and

phys

ical

act

ivity

opp

ortu

nitie

s (e

.g. f

arm

er’s

mar

kets

, hea

lthy

vend

ing,

saf

e ro

utes

to s

choo

l, pl

aygr

ound

i

mpr

ovem

ents

, etc

.)•

Incr

ease

in p

erce

nt o

f adu

lts a

nd c

hild

ren

that

get

the

reco

mm

ende

d m

inut

es o

f dai

ly p

hysi

cal a

ctiv

ity•

Decr

ease

in p

erce

nt o

f adu

lts a

nd y

outh

who

sm

oke

• In

crea

se im

plem

enta

tion

of in

jury

pre

vent

ion

stra

tegi

es (e

.g. h

elm

et u

sage

, in-

hom

e m

odifi

catio

ns to

pre

vent

falls

, tra

ffic

safe

ty, c

hild

pro

ofing

h

omes

, tra

inin

g/ed

ucat

ion,

etc

.)•

Incr

ease

d im

plem

enta

tion

of in

terv

entio

ns a

nd/o

r pro

gram

s th

at p

rom

ote

impr

oved

mat

erna

l and

chi

ld h

ealth

out

com

es (e

.g. i

nfan

t saf

e sl

eep,

m

ater

nal s

mok

ing

cess

atio

n, a

dequ

ate

spac

ing

betw

een

preg

nanc

ies,

ear

ly a

cces

s to

pre

nata

l car

e, b

reas

tfeed

ing,

obe

sity

pre

vent

ion,

etc

.)•

Decr

ease

in th

e pe

rcen

t of a

dults

and

chi

ldre

n w

ho a

re o

verw

eigh

t or o

bese

• De

crea

se in

hea

rt d

isea

se, t

ype

2 di

abet

es, c

hron

ic o

bstr

uctiv

e pu

lmon

ary

dise

ase,

and

can

cer m

orta

lity

rate

s


Prio

rity

Area

4: C

OM

MU

NIT

Y H

EALT

HG

oal 4

: To

prov

ide

a co

mm

unity

hea

lth a

sses

smen

t tha

t com

mun

ities

will

util

ize

in m

akin

g da

ta-d

riven

, evi

denc

ed-b

ased

dec

isio

ns th

at

resu

lt in

impl

emen

tatio

n of

pol

icy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

cha

nge

stra

tegi

es to

sup

port

redu

ctio

ns in

chr

onic

an

d in

fect

ious

dis

ease

and

adv

erse

out

com

es a

ssoc

iate

d w

ith in

jury

and

mat

erna

l and

chi

ld h

ealth

issu

es.

Obj

ectiv

e 4.

1: Id

entif

y, pr

iorit

ies,

and

impl

emen

t str

ateg

ies

to im

prov

e in

fect

ious

dis

ease

, chr

onic

dis

ease

, inj

ury,

and

mat

erna

l and

chi

ld

heal

th w

ithin

10

WeT

HRI

VE! c

omm

uniti

es b

y 20

18.

Out

put/

Out

com

e In

dica

tors

Con

tinue

d:•

Decr

ease

in s

exua

lly tr

ansm

itted

infe

ctio

ns, H

IV, h

epat

itis,

and

vac

cine

-pre

vent

able

dis

ease

inci

denc

e ra

tes

• De

crea

se in

inte

ntio

nal a

nd u

nint

entio

nal (

acci

dent

al) i

njur

y ra

tes

• De

crea

se in

rate

s of

infa

nt m

orta

lity,

low

birt

h w

eigh

t, pr

emat

urity

, and

mat

erna

l sm

okin

g•

Incr

ease

in ra

tes

of p

regn

ancy

with

opt

imal

spa

cing

• In

crea

se in

rate

s of

pre

gnan

cies

with

acc

ess

to p

rena

tal c

are

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

Data

ana

lysi

s (p

rimar

y an

d se

cond

ary

data

)•

Dire

ct o

bser

vatio

n•

Phot

o-vo

ice

(pho

togr

aphs

to d

ocum

ent c

hang

e pr

e- a

nd p

ost-i

mpl

emen

tatio

n)•

Surv

eys


Prio

rity

Area

5: E

NVI

RON

MEN

TAL

HEA

LTH

Goa

l 5: T

o m

ake

the

heal

thy

choi

ce th

e ea

sy c

hoic

e th

roug

h im

plem

enta

tion

of p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

to s

uppo

rt im

prov

ed a

cces

s to

saf

e ou

tdoo

r act

iviti

es a

nd re

crea

tion,

dec

reas

ed e

xpos

ure

to s

econ

dhan

d to

bacc

o sm

oke,

and

incr

ease

d sa

fe h

ousi

ng.

Obj

ectiv

e 5.

1: Id

entif

y, pr

iorit

ize,

and

impl

emen

t str

ateg

ies

to im

prov

e ai

r qua

lity,

hous

ing,

phy

sica

l env

ironm

ent,

wat

er q

ualit

y, an

d w

aste

m

anag

emen

t pra

ctic

es w

ithin

10

WeT

HRI

VE! c

omm

uniti

es b

y 20

18.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

5.1.

1: B

uild

aw

aren

ess

rega

rdin

g po

licy,

syst

ems,

env

ironm

enta

l, an

d pr

ogra

mm

atic

bes

t pra

ctic

es fo

r im

prov

ing

air q

ualit

y, ho

usin

g, p

hysi

cal e

nviro

nmen

t, w

ater

qua

lity,

and

was

te m

anag

emen

t.Y1

- Y3

• H

CPH

Jur

isdi

ctio

ns•

HCP

H S

taff

• W

eTH

RIVE

! Lea

ders

hip

Team

• Pu

blic

Hea

lth A

dvis

ory

Coun

cil

• O

ther

par

tner

s &

reso

urce

s to

b

e id

entifi

ed

5.1.

2: C

ompl

ete

the

ENvi

ronm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

Eva

luat

ion

(EN

HAN

CE)

or p

hysi

cal a

ctiv

ity m

odul

e of

the

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

tool

to id

entif

y as

sets

and

opp

ortu

nitie

s fo

r im

prov

ing

air q

ualit

y, ho

usin

g, p

hysi

cal

envi

ronm

ent,

wat

er q

ualit

y, an

d w

aste

man

agem

ent w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

5.1.

3: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

actio

n pl

ans

in p

artn

ersh

ip w

ith th

e W

eTH

RIVE

! com

mun

ities

. Em

phas

is w

ill b

e pl

aced

on

stra

tegi

es th

at ta

rget

pop

ulat

ions

ex

perie

ncin

g th

e hi

ghes

t bur

den

of h

ealth

dis

parit

ies.

Y1 -

Y3

5.1.

4: P

rovi

de te

chni

cal a

ssis

tanc

e an

d tr

aini

ng to

sup

port

impl

emen

tatio

n of

act

ion

plan

str

ateg

ies

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

5.1.

5: E

valu

ate

actio

n pl

an s

trat

egie

s im

plem

ente

d w

ithin

the

WeT

HRI

VE! c

omm

uniti

es.

Y1 -

Y3

Out

put/

Out

com

e In

dica

tors

:•

# of

phy

sica

l/bui

lt en

viro

nmen

t str

ateg

ies

(e.g

. com

plet

e st

reet

s, w

alki

ng/b

icyc

ling

trai

ls, t

rans

port

atio

n pl

ans,

saf

e ro

utes

to s

choo

l,

inf

rast

ruct

ure

impr

ovem

ents

, sha

red

use

agre

emen

ts, s

afet

y en

hanc

emen

ts)

• #

of id

le-fr

ee p

olic

ies

and/

or id

le-fr

ee z

ones

• In

crea

sed

acce

ss to

phy

sica

l act

ivity

opp

ortu

nitie

s•

Incr

ease

acc

ess

to to

bacc

o-fre

e en

viro

nmen

ts•

Decr

ease

in h

ousi

ng a

nd n

uisa

nce

com

plai

nts

• In

crea

se in

com

mun

ity re

cycl

ing

and

com

post

ing

rate

s•

Incr

ease

impl

emen

tatio

n an

d ad

here

nce

to s

torm

wat

er p

ollu

tion

prev

entio

n st

rate

gies

(e.g

. tra

inin

g, m

aint

enan

ce o

f a s

torm

wat

er p

lan,

etc

.)•

Decr

ease

in th

e pe

rcen

t of c

hild

ren

who

are

ove

rwei

ght o

r obe

se•

Decr

ease

in th

e pe

rcen

t of a

dults

who

are

ove

rwei

ght o

r obe

se•

Incr

ease

d ac

cess

to c

lean

air

• In

crea

sed

acce

ss to

saf

e w

ater

• De

crea

se in

uni

nten

tiona

l (ac

cide

ntal

) inj

ury

rate

s•

Decr

ease

in h

eart

dis

ease

, typ

e 2

diab

etes

, cho

rnic

obs

truc

tive

pulm

onar

y di

seas

e, a

nd c

ance

r mor

talit

y ra

tes


Prio

rity

Area

5: E

NVI

RON

MEN

TAL

HEA

LTH

Goa

l 5: T

o m

ake

the

heal

thy

choi

ce th

e ea

sy c

hoic

e th

roug

h im

plem

enta

tion

of p

olic

y, sy

stem

s, e

nviro

nmen

tal,

and

prog

ram

mat

ic c

hang

e st

rate

gies

to s

uppo

rt im

prov

ed a

cces

s to

saf

e ou

tdoo

r act

iviti

es a

nd re

crea

tion,

dec

reas

ed e

xpos

ure

to s

econ

dhan

d to

bacc

o sm

oke,

and

incr

ease

d sa

fe h

ousi

ng.

Obj

ectiv

e 5.

1: Id

entif

y, pr

iorit

ize,

and

impl

emen

t str

ateg

ies

to im

prov

e ai

r qua

lity,

hous

ing,

phy

sica

l env

ironm

ent,

wat

er q

ualit

y, an

d w

aste

m

anag

emen

t pra

ctic

es w

ithin

10

WeT

HRI

VE! c

omm

uniti

es b

y 20

18.

Mon

itorin

g/Ev

alua

tion

Appr

oach

:•

ENvi

ronm

enta

l Hea

lth A

sses

smen

t aN

d Co

mm

unity

Eva

luat

ion

(EN

HAN

CE)/

Com

mun

ity H

ealth

Ass

essm

ent a

Nd

Gro

up E

valu

atio

n (C

HAN

GE)

t

ool

• Ph

oto-

voic

e (p

hoto

grap

hs to

doc

umen

t cha

nge

pre-

and

pos

t-im

plem

enta

tion)

• Di

rect

obs

erva

tion

• Su

rvey

s•

Vita

l Sta

tistic

s•

Oth

er re

leva

nt e

valu

atio

n an

d pr

imar

y an

d se

cond

ary

data

sou

rces

to b

e id

entifi

ed


Prio

rity

Area

6: E

MER

GEN

CY P

REPA

REDN

ESS

Goa

l 6: T

o so

lidify

a c

omm

unity

’s ca

paci

ty to

pre

pare

for a

nd re

spon

d to

a p

ublic

hea

lth e

mer

genc

y.

Obj

ectiv

e 6.

1: Id

entif

y, pr

iorit

ize,

and

impl

emen

t str

ateg

ies

to im

prov

e co

mm

unity

pre

pare

dnes

s w

ithin

10

WeT

HRI

VE! c

omm

uniti

es b

y 20

18.

Stra

tegi

esTi

mel

ine

Y1, Y

2, Y

3Pa

rtne

r/Re

sour

ces

6.1.

1: C

ompl

ete

the

Emer

genc

y Pr

epar

edne

ss C

omm

unity

Ass

essm

ent t

o id

entif

y as

sets

and

op

port

uniti

es fo

r im

prov

ing

com

mun

ity p

repa

redn

ess

with

in th

e W

eTH

RIVE

! com

mun

ities

.Y1

- Y3

• H

CPH

Jur

isdi

ctio

ns•

HCP

H S

taff

• W

eTH

RIVE

! Lea

ders

hip

Team

• Pu

blic

Hea

lth A

dvis

ory

Coun

cil

• O

ther

par

tner

s &

reso

urce

s to

b

e id

entifi

ed

6.1.

2: P

riorit

ize

stra

tegi

es fo

r im

plem

enta

tion

and

deve

lop

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for a

nd re

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ectiv

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to im

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with

in 1

0 W

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by

2018

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and

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in p

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tanc

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d tr

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HRI

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valu

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an s

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Out

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Out

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plet

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Mon

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re, P

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anag

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data

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ost-e

vent

)•

Oth

er s

trat

egie

s to

be

dete

rmin

ed


APPENDIX A

• Overview of the WETHRIVE! initiative• WeTHRIVE! Chronic Disease Pathway overview• WeTHRIVE! Community Health Pathway overview• WeTHRIVE! Environmental Health Pathway overview• WeTHRIVE! Emergency Preparedness Pathway overview


Healthy Choices | Healthy Lives | Healthy Communities

WeTHRIVE! began in 2009 as a county-wide initiative to make healthy living easier. Hamilton County Public Health (HCPH) engaged schools, businesses, churches, elected officials and residents to address chronic disease by increasing access to healthy foods and physical activity opportunities, while decreasing exposure to secondhand smoke. This collaboration resulted in numerous policy and environmental changes that will have lasting impact in our communities. As a result, HCPH is expanding the focus of WeTHRIVE! to include additional Pathways to improve the overall health of a community.

BECOME AWeTHRIVE! COMMUNITY

What Your Community Can Do• Establish a WeTHRIVE! Team

Establishing a WeTHRIVE! team that is part of the community’s infrastructure (e.g. Council Committee, Commission) ensures that there is a sustainable group of people who are dedicated to improving the health, safety and vitality of the community.

• Adopt a ResolutionThe adoption of the WeTHRIVE! Resolution solidifies the commitment to your community’s health and well-being.

• Select a PathwayCommunities should select a minimum of one pathway to work on to get started.

There are four Pathways, which include:1. Chronic Disease 2. Emergency Preparedness 3. Community Health 4. Environmental Health

Each Pathway process includes four key steps:1. Adoption of a resolution that includes strategies specific to the selected Pathway.2. Assessment or review of the data.3. Action plan development.4. Implementation of action plan.

How to Get StartedCall (513) 946-7845 to get started!

What We Can Offer• Technical Assistance

WeTHRIVE! Communities will be assigned a public health educator who will help guide the process of getting your team started. They will provide technical assistance and will connect your team with other public health staff based on your community’s selected pathway.

• Recognition A “WeTHRIVE! Community” sign will be presented to your community that can be proudly displayed after all preliminary steps have been completed. Additional recognition will be provided by HCPH via social media (e.g. Facebook, Twitter), press releases, on the HCPH and WeTHRIVE! initiative websites, at a Board of Health meeting, and via other opportunities that may arise.

• Learning Collaborative Communities are invited to participate in the WeTHRIVE! Learning Collaborative. The Learning Collaborative provides a forum for communities to come together and discuss successes and challenges, participate in training, and stay abreast of funding opportunities.

• Data AssistanceCommunities can receive guidance on how to navigate through HCPH’s online Community Access to Hamilton County Epidemiology and Assessment Data (AHEAD) Tool. The tool provides the most current public health data available. Assistance is also offered on how the data can be used in community health planning and funding applications.

• Marketing and Promotional ResourcesResources will be provided to promote community efforts, which include:– Sample press release– Social media recommendations– WeTHRIVE! Marketing Style Guide– Customized WeTHRIVE! logo



CHRONIC DISEASE PATHWAY OVERVIEW

“WeTHRIVE! is truly a grassroots effort that is making our communityhealthier. When we build playgrounds for our children and support corner stores that sell healthy food, we are all thriving, not just surviving.This makes Lincoln Heights a healthy community in which to live, work,learn, and play.” –LaVerne Mitchell, council member

What Your Community Can Do

• Adopt a Resolution The Chronic Disease Wellness Resolution includes

strategies that address improvements to the community’s physical activity, nutrition and tobacco-related environments and policies. Adoption of the resolution solidifies the commitment to your community’s health and well-being.

• Complete a Community Health Assessment The Community Health Assessment aNd Group

Evaluation (CHANGE) Tool helps communities talk about strengths that exist, as well as areas for improvement for creating an environment that supports healthy behaviors for residents of all ages and abilities.

• Develop an Action Plan Creating an action plan provides a blueprint for how the

community will work towards the creation of a healthy environment where residents can thrive.

Burden of Chronic DiseaseChronic disease – such as heart disease, stroke, cancer and diabetes – are among the most common, costly and preventable of all health problems. Leading a healthy lifestyle (avoiding tobacco use, being physically active andeating well) greatly reduces a person’s risk for developing chronic disease. Access to high-quality and affordable prevention measures are essential steps in saving lives, reducing disability and lowering costs for medical care (CDC, 2008).

The NeedIn Hamilton County,• 59.6 percent of adults are overweight or obese.

• 24 percent of adults report no physical activity.

• 30 percent of adults smoke.

• 37.9 percent of third graders are overweight or obese.

• 74 percent of high school students report they are not physically active at least 60 minutes per day.

• 17.7 percent of high school students report eating fruits and vegetables five or more times per day.

• Students who are eligible for the free and reduced meal program are significantly more likely to be overweight or obese than children that are not eligible.

Chronic Disease Pathway GoalTo make the healthy choice the easy choice through implementation of policy, systems and environmental change strategies to support improved nutrition, increased activity, decreased exposure to secondhand tobacco smoke and decreased burden of chronic disease.

Strategies to Reduce Chronic Disease• Community or School Gardens• Farmer’s Markets• Healthy Vending and Retail • Shared Use Agreements• Complete Streets• Safe Routes to School• Playground and Park Enhancements • Sidewalks and Walking Paths• Tobacco-free policies to include outdoor venues

Sources: Ohio Department of Health and Hamilton County Youth Risk Behavior Survey.



COMMUNITY HEALTH PATHWAY OVERVIEW

“WeTHRIVE! is a whole way of thinking. It’s a way of approaching a community issue in a very holistic way and saying ‘Oh, there’s lots of different ways toapproach this. There are many positive things that can happen.’ And so WeTHRIVE! to me is really a framework, a process by which I now can approach solving problems in my community.” –Diana Porter, College Hill WeTHRIVE! Co-Leader

What Your Community Can Do• Adopt a Resolution Adoption of the resolution solidifies the commitment to complete a CHA and develop a plan of action for how to address health concerns that most impact the community. • Complete a Community Health Assessment CHAs help identify major health concerns that impact the community. The CHA will focus on chronic disease, injury, infectious disease, and the leading causes of death. Additional health topics can be included in the CHA, as requested by the community. • Prioritize Health Issues to Address Health concerns will be prioritized to help focus the community’s intervention efforts. Prioritization will be based on the specific needs, capacity, and level of interest in the community.

• Develop an Action Plan Creating an action plan provides a blueprint for how the community will work towards the creation of a healthy environment where residents can thrive. Strategies to Improve Community Health • Complete a CHA in partnership with HCPH. • Prioritize health concerns for intervention. • Select evidence-based strategies to address the health concern(s).• Develop an action plan. • Engage multiple community sectors to address community health concern(s).

Improving Community HealthAddressing healthy living and disease prevention at the community-level brings the greatest health benefits to the greatest number of people (CDC, 2014). Community health assessments (CHAs) provide information for problem and asset identification and policy formation, implementation and evaluation (NACCHO, 2014). Healthy communities make good business sense. Residents that live in a community that supports a healthy lifestyle are more productive, which can increase the vitality of the community.

The NeedIn Hamilton County, • Chronic diseases represent 4 of the top 5 leading causes of death.• Rates for deaths due to unintentional poisonings and falls are higher than state and national rates.• The rate of motor vehicle crashes is nearly double the rate of the state. • The infant mortality rate for 2009-2013 is nearly 1.5 times higher than that of the state.• The Syphilis rate is 4.5 times higher than the state rate and nearly 3.5 times higher than the national rate.• The rate of Acute Hepatitis B has increased nearly 2.5 times from 2012 to 2013.• The rates of Pertussis have been increasing since 2007.

Community Health Pathway GoalTo strengthen community-level efforts to prevent disease and promote healthy living.



ENVIRONMENTAL HEALTH PATHWAY OVERVIEW

“Environmental Health is often considered the backbone of public health. From food service to housing and health nuisance complaints, environmental health looks at all of the environmental factors contributing to a disease and ultimately, its prevention. Following the Environmental Health Pathway process will prepare communities to tackle some of the most preventable diseases facing us today.” –Greg Kesterman, Assistant Health Commissioner, Hamilton County Public Health, Department of Environmental Health Services

What Your Community Can Do • Adopt a Resolution The Environmental Health Resolution includes strategies

that address improvements to the community’s housing, air, water, solid waste, and physical environments. Adoption of the resolution solidifies the commitment to your community’s health and well-being.

• Complete an Environmental Health Assessment The ENvironmental Health Assessment aNd Community

Evaluation (ENHANCE) Tool helps communities talk about strengths that exist, as well as areas for improvement for creating an environment that supports healthy-living, disease, and injury prevention.

• Develop an Action Plan Creating an action plan provides a blueprint for how the

community will work towards the creation of a healthy environment where residents can thrive.

The NeedIn Hamilton County,• 1,198 nuisance complaints were received by Hamilton County Public Health in 2013.• 4,604 tires have been removed from open dump sites since 2009.• Idling vehicles waste over 73 gallons of gasoline per vehicle each year, creating additional air pollution. • There are >19,000 sewage treatment systems with as many as 1 in 5 not operating correctly at any given time.• 41 percent of recyclable goods are sent to the landfill rather than being diverted to a recycling center.• 23 percent of what residents landfill could be composted in a backyard composting system. • There were 289 crashes involving pedestrians within a half mile of a K-8 school, resulting in 334 injuries and 4 deaths in 2013.

Strategies to Improve Environmental Health• Housing and nuisance code enforcement• Idle-free campaigns• Tobacco-free policies to include outdoor venues• Recycling, composting, and tire collection • Complete Streets• Safe Routes to School• Playground and Park Enhancements • Sidewalks and Walking/Bicycling Paths• Awareness of stormwater pollution prevention strategies • Community education and engagement in environmental health strategies

Sources: Hamilton County Public Health, Hamilton County Department of Environmental Services, and Ohio Department of Transportation

Environmental HealthEnvironmental Health focuses on conditions in the environment that affect our health. Environmental factors, such as the physical living conditions, air and water quality, efficiency of waste removal, safety, and general environmental conditions play a role in determining who is most healthy. The Environmental Health Pathway addresses these determinants of health in an effort to prevent disease and create health-supportive environments where people can thrive.

Environmental Health Pathway GoalTo create environments that promote healthy living and reduce the risk of disease, injury, and disability.

10/2/14



EMERGENCY PREPAREDNESSPATHWAY OVERVIEW

“Prior to our partnership with Hamilton County Public Health, we were not prepared for public health emergencies – we did not have the knowledge or ability to offer mass prophylaxis or mass immunizations to our community. The benefits from our inter-agency partnership have gone beyond our Community POD Program – the lessons learned have also helped us improve our preparedness for other types of community emegencies.” –Chief Douglas Witsken, Green Township Fire & EMS

Emergency Preparedness Disasters can be both naturally occurring and man-made. Public health emergencies can fall under each of these categories. Response to a public health emergency often includes the distribution of medicine to the community. Hamilton County communities have a partnership with Hamilton County Public Health (HCPH) to respond to these public health emergencies by establishing Points of Dispensing (POD) sites that provide medication to residents where they live, work, and learn.

The NeedPOD plans were developed to provide guidance on the response in the event of a public health emergency. Routine review of the plan assures that the community’s response will be quick, and resources are accessible. To further enhance the community’s ability to respond to public health emergencies and other natural or man-madeevents, recruitment and training of community volunteers isnecessary. Community and personal disaster preparednessconsists of eduction, planning, training, and practice to develop skills and keep them sharp.

Emergency Preparedness Pathway GoalTo improve the community’s capacity to respond in the event of a public health emergency.

What Your Community Can Do• Adopt a Resolution The Emergency Preparedness Resolution includes strategies to improve the community’s ability to respond in the event of an emergency. Adoption of the resolution solidifies the commitment to an aware, prepared, and volunteering community. • Sign a Memorandum of Understanding (MOU) The signed MOU states that the community agrees to operate a Point of Dispensing (POD) during public health events/emergencies in partnership with HCPH. • Complete Emergency Preparedness Assessments Assessment tools will be utilized to review and enhance community and personal preparedness.

• Develop an Action Plan Creating an action plan provides an opportunity to reduce the gaps found in the assessments and provide a blueprint on how to towards a whole community approach to emergency preparedness. Strategies to Improve Emergency Preparedness • Review and exercise POD plans• Train core staff to manage POD• Recruit community volunteers• Educate the community about individual preparedness


APPENDIX B

PUBLIC HEALTH ADVISORY COUNCIL MEETING ATTENDEES

May 14, 2015

Name Organization Laura Allerding UC Health Jeffry Armada Mercy Health Holly Christmann Hamilton County Department of Environmental Services Nick Crossley Hamilton County Emergency Management Agency Ken Dirr Hamilton County Educational Service Center Sister Cheryl Erb Mercy Health Kristee Griffith Hamilton County Department of Developmental Disabilities Mary Haag PreventionFIRST! Reverend Alfonza Jones Lincoln Heights Missionary Baptist Church Todd Kinskey Hamilton County Regional Planning Commission Dolores Lindsay The HealthCare Connection Ross Meyer United Way Mark Miller Hamilton County Job and Family Services Reverend Frank Nation TriHealth Jim Schwab Interact for Health Bill Sears Hamilton County Educational Service Center Christian Sigman Hamilton County Administration Shelley Spencer Christ Hospital Mary Stagaman Cincinnati Chamber Sarah Theodore Cincinnati Children’s Hospital Medical Center Pat Tribbe Hamilton County Mental Health Hamilton County Public Health Staff | WeTHRIVE! Leadership Team Members Tim Ingram Health Commissioner Kathy Lordo Assistant Health Commissioner, Community Health Services Greg Kesterman Assistant Health Commissioner, Environmental Health Services Rebecca Stowe Director of Health Promotion and Education Craig Davidson Director of Epidemiology and Assessment John Sherrard Emergency Response Supervisor Mike Samet Public Information Officer


APPENDIX CW

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HAMILTON COUNTY PUBLIC HEALTH250 William Howard Taft Rd, 2nd Floor,Cincinnati, Ohio 45219P: 513-946-7800F: 513-946-7890

hamilton county public health€¦ · community health improvement planning is a two-step process....

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