kane county community health assessment and …...the community health assessment and improvement...

November 2016

KANE COUNTY Community Health Assessment and Improvement Plan

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To the citizens of Kane County,

I would like to present the 2016-2019 Kane County Community Health Assessment and Improvement Plan. Formal community health needs assessment, prioritization, and action planning are required of certified local health departments in the state of Illinois every five years and are further recognized as part of the essential services of local public health departments by national public health authorities, such as the Public Health Accreditation Board.

The Kane County Health Department has fulfilled their obligation for certification since the inception of the Illinois requirement in 1994. We received accreditation status in 2013 as the first county in Illinois to do so.

As Kane County grows and changes, we face new challenges in improving and maintaining the health of our community. Community health needs assessment and improvement planning is essential in meeting these challenges and helping our residents improve their health.

This Community Health Improvement Plan presents the rich data collection and community engagement achieved over the past 18 months in Kane County. In coordination with the five Kane County Hospitals, the INC Board, and over 100 community stakeholders, we utilized the MAPP process – Mobilizing for Action through Planning and Partnerships. This included a community survey, focus groups, and conversations with subject matter experts, among other activities.

We have prioritized three issues as focus areas for our efforts: behavioral health; chronic disease; and income and education. Our goals for each of these priority areas will help us realize our vision that by 2030, Kane County is the healthiest county in Illinois, attained by the healthy choices of our residents and the model public health system in our community.

Throughout this process, we have relied on community collaboration and the support of our partners. On behalf of the Kane County Health Department, I would like to thank all of the local organizations and agencies who gave their time, effort, energy, and resources to this process. I would also like to extend a special thank you to those Kane County residents who participated in our surveys and focus groups. Their opinions and contributions are crucial to meaningful data collection.

Finally, thank you to Advocate Sherman Hospital, the INC Board, Northwestern Medicine Delnor Hospital, Presence Mercy Medical Center, Presence Saint Joseph Hospital, and Rush Copley Medical Center for their financial contributions and collaborative spirit.

Barbara Jeffers Executive Director

Kane County Health Department

HEALTH IS NOT SIMPLY THE ABSENCE OF DISEASE.

Hannah Green

Table of Contents

Introduction ................................................................................................................................................................ ................ 8

Mobilizing for Action through Planning and Partnerships .................................................................................. 10

Phase One: Organizing for Success/Partnership Development ................................................................ 12

Phase Two: Visioning ........................................................................................................................................................ 15

Kane County MAPP Final Vision and Values .......................................................................................................... 18

Phase Three: Assessments ............................................................................................................................................. 19

Key Findings........................................................................................................................................................................ 20

Phase Four: Identifying Strategic Issues ................................................................................................................ 31

Phase Five: Formulating Goals and Strategies.................................................................................................... 36

Phase Six: Action Cycle ..................................................................................................................................................... 39

Attachments

A: Memorandum of Agreement ........................................................................................................................ 41

B: Kane Health Counts Stakeholder Charter ............................................................................................... 43

C: Kane County Local Public Health System ............................................................................................... 47

D: Results of Visioning Exercise ....................................................................................................................... 49

E: Results of Values Exercise ............................................................................................................................. 53

F: Community Health Status Assessment .................................................................................................... 55

G: Community Themes and Strengths Assessment .............................................................................. 327

H: Local Public Health System Assessment .............................................................................................. 375

I: Forces of Change Assessment .................................................................................................................... 433

J: Public Comment Survey ............................................................................................................................... 452

K: Environmental Scan of Priority Issues ................................................................................................. 462

L: Action Team Charters .................................................................................................................................. 466

M: Kane Health Counts Membership and Meeting Participation .................................................... 480

N: Community Health Improvement Plans .............................................................................................. 488

Behavioral Health ............................................................................................................................... 489

Chronic Disease ................................................................................................................................... 495

Income and Education ...................................................................................................................... 499

Introduction Located 40 miles west of Chicago, Kane County is home to 523,643 people in 519.92 square miles.

Kane County is ranked fifth largest by population of 102 Illinois counties. The current population

represents a 27.5% increase in population between the 2000 Census and the 2010 Census. By

2040, the population is expected to reach 800,000 persons.1 The median age in Kane County is

35.7 (national average 37.5). Children younger than 18 make up 27.6% of the population and

persons 65 years and older make up 11.4% (lower than both the state and national averages).

Figure 1: Total Population

Total Population Total Land Area (Square Miles)

Population Density (Per Square Mile)

Kane County 523,643 519.92 990.33 Illinois 12,882,135 55,504.25 231.04

United States 316,128,839 3,530,998 87.55 Sources:

US Census Bureau American Community Survey 1-year estimates (2013)Community Commons (http://www.chna.org)

The demographic profile of Kane County has changed dramatically in the past decade. Between

2000 and 2010, the Hispanic population in Kane County increased by 62,467 residents, or 65.1%.

A total of 31.2% of Kane County residents are Hispanic or Latino. This is nearly double that found

statewide and nationally, and the highest proportion of Hispanic residents of all Illinois counties.

Kane County is unique in its healthcare resources and facilities. Kane County is home to five

hospitals, thirteen Federally Qualified Healthcare Centers (FQHCs) – an increase from five in 2010

– and 38 Community Health Centers. Despite this, 41.7% of Kane County residents live in

geographic areas identified by the US Department of Health and Human Services as Health

Professional Shortage Areas (HPSAs).2

With our Nation and Illinois in a budget crisis, it is increasingly important to address the issues

affecting the health of Kane County residents at a local level. Through periodic health assessments

we can examine changes to the health of our community and help Kane County residents make

choices that lead to happy, healthy lives. Combined with planning, a community health assessment

can be used to determine the overall health of the community and identify key health issues facing

the community. The community health assessment and improvement planning process is an

opportunity for traditional and non-traditional public health partners to align priorities and

activities and maximize resources to make Kane County residents the healthiest in Illinois.

Improving health is a shared responsibility not only of health care providers and public health

officials, but also a variety of other actors in the community who contribute to the well-being of

individuals and populations. Thus, it is essential to consider all the factors that contribute to the

health of a community. The definition of health now includes the quality of the community in

which we live, work, and play. We still need to go to the doctor, eat healthily, and exercise; but we

also must take into consideration the physical environment and socio-economic factors that

influence health.

1 Chicago Metropolitan Agency for Planning, 2010 2 Kane County Community Health Needs Assessment, 2015

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The Illinois Department of Public Health (IDPH) developed IPLAN (Illinois Project for Local

Assessment of Needs) in collaboration with Local Health Departments and other system partners

to meet requirements set by the Illinois Administrative Code 77, Section 600, Certified Local

Health Department Code. IPLAN outlines the five year strategic planning activities required for

certification as a “Certified Local Health Department”. It demonstrates a Local Health

Department’s commitment to providing core public health services. New IRS guidelines require

not-for-profit hospitals to conduct a community health needs assessment every three years. In

order to align ourselves with the hospitals and the community at large, and to reduce duplication

of efforts, the Kane County Health Department has also opted to participate in a community health

needs assessment and improvement planning process within the same timeframe.

In previous years, the Kane County Health Department has utilized APEX-PH (Assessment

Protocol for Excellence in Public Health) in order to meet the requirements of IPLAN. This three-

step process assesses internal capacity, identifies priority community health issues, and aids in the

development of an action plan.

The Centers for Disease Control and Prevention (CDC) and the National Association of City and

County Health Officials (NACCHO) developed the Mobilizing for Action through Planning and

Partnerships (MAPP) tool as an alternative to APEX-PH. The MAPP tool is a community-wide

strategic planning process for improving community health and strengthening local public health

systems. Facilitated by public health leadership, MAPP provides a framework that helps

communities prioritize public health issues; identify resources for addressing them; and develop

and implement community health improvement plans. The result of MAPP is not a strategic plan

for the Local Health Department, rather MAPP results in a strategic plan for the entire community

whereby local public health system partners, collectively, address priority areas.

The benefits of MAPP include increased visibility of public health within communities; more public

health advocacy and prioritization in local governments; better ability to anticipate and manage

change; stronger public health infrastructure; stronger public health partnerships; more engaged

communities; and stronger leadership roles for Local Health Departments within communities.

The anticipated outcomes of completing the MAPP process in Kane County are: strengthened

partnerships; rich data collection; genuine community input; and a community health plan to help

align planning efforts throughout the community and allow organizations to meet state, federal,

and other requirements and standards.

Continuing our focus on population health and the social determinants of health, the Kane County

Health Department (KCHD) chose to utilize MAPP in order to create a community-oriented plan

that could be implemented across the county. KCHD requested and received permission from

IDPH to utilize the MAPP process in lieu of APEX-PH to fulfill the IPLAN requirement for 2016-

2018. The IPLAN Standards and MAPP Crosswalk was utilized to ensure that all required

components of IPLAN would be completed.

The Kane County Health Department also utilizes the MAPP Process to fulfill the requirements of

accreditation through the Public Health Accreditation Board (PHAB). Throughout the process,

special consideration is given to the requirements outlined in the accreditation Standards and

Measures provided by PHAB.

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Figure 2: MAPP Process

Mobilizing for Action through Planning and Partnerships

MAPP is a community-wide strategic planning process for improving public health. The

framework was developed by the Centers for Disease Control and Prevention and the National

Association for City and County Health Officials to respond to the need for community

involvement in public health improvement planning. Public health practitioners requested a

process that was community-driven and owned.3 The MAPP framework helps communities

prioritize public health issues, identify resources for addressing them, and take action to improve

conditions that support healthy living.

The MAPP process has six steps:

1. Phase One: Organizing for Success/

Partnership Development

- Community members and

agencies form a partnership and

learn about the MAPP process

- The community is encouraged to

engage in systems thinking, collaborate,

and form partnerships outside their

own sectors

2. Phase Two: Visioning

- Those who work, learn, live, and

play in the community create a

common idea of what they want

their community to look like

- This helps stakeholders

embrace the shared

responsibility of the process

3. Phase Three: Four MAPP Assessments

- Both qualitative and quantitative data is collected from a variety of sources

o Community Health Needs Assessment

o Local Public Health System Assessment

o Community Themes and Strengths Assessment

o Forces of Change Assessment

- Provides a comprehensive picture of the health of the community

4. Phase Four: Identify Strategic Issues

- All of the data from the assessments is analyzed and underlying themes are identified

3 MAPP: User’s Handbook, 2014

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5. Phase Five: Formulate Goals and Strategies

- The community identifies goals and strategies related to the strategic issues in order to

achieve its vision

6. Phase Six: Action Cycle

- The community implements action plans outlining the identified goals and strategies

- Evaluation of the process and implementation is conducted

- The community celebrates their successes as a local public health system

These steps are similar to previous strategic planning and assessment models; however, MAPP is

unique in its amount of community involvement. MAPP calls for representation from a broad

spectrum of the local public health system. It also uses both qualitative and quantitative data to

inform the process of community health improvement planning, including evaluation. Another

unique part of MAPP is that it is considered a framework so that previous and current work within

a community can be integrated into the plan.

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Phase One: Organizing for Success/Partnership Development

Description

Organizing for Success and Partnership Development is the first phase of the MAPP process. It

answers the following questions:

1. Who should be included in the MAPP process?

2. Is the community ready to conduct a MAPP process?

3. What are the resource needs for implementing a MAPP process?

4. How will the community proceed through the MAPP process?

During this phase, the lead organization builds commitment among partners by engaging and

educating participants, designing a process that uses participants’ time wisely, setting a tone of

openness and sustained commitment, and planning to implement a successful MAPP process. This

phase of the MAPP process engages local public health system partners and community members

to ensure that a sufficient workforce exists to implement action plans.

Addressing the social determinants of health through the MAPP process requires engaging

individuals who have knowledge about social, economic, institutional, and other contextual factors

that affect health directly or indirectly. Organizing for Success and Partnership Development helps

identify both traditional and non-traditional entities with valuable insight into the health of the

community. This is also an ongoing piece throughout the MAPP process. Partners should continue

to ask “who is missing from the process?”

Process

As the lead organization for the MAPP process in Kane County, the Kane County Health

Department laid the groundwork to make the MAPP process more manageable. An internal group

of health department employees began planning in early 2014. A timeline for the process was

developed and slated to begin May 1, 2014. The core planning group held a brainstorming session

in order to determine what agencies, organizations, and individuals should be included.

Participants were identified based on their role in the community and whether or not they

contribute to the 10 Essential Public Health Services. A wide cross-section of community partners

was identified with the knowledge that participants from different sectors can provide various

resources and expertise.

On May 1, 2014 the Kane County Health Department held the first meeting of the MAPP Executive

Committee. The meeting was hosted by Cadence Health Delnor Hospital. Sixteen participants from

organizations across Kane County attended. Participating organizations included:

- Meijer

- City of Aurora

- United Way of Elgin

- Grand Victoria Foundation

- Presence Health

- Advocate Sherman Hospital

- Elgin School District U-46

- 708 INC Board

- Cadence Health Delnor Hospital

- Rush-Copley Medical Center

- Northern Illinois University

- Waubonsee Community College

- Presence Mercy Medical Center

- Gail Borden Public Library District

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Attendees were introduced to the MAPP Process. The KCHD facilitators show how the MAPP

process is different from previous community health needs assessments and improvement

planning because it is less focused on the health department and more aimed at building

partnerships and leaderships within the community. It was explained that the health department

still has a leadership role but it is really the public health system which drives the process. The

goal is to have a multi-sectorial group come together with not just health, hospitals, and INC

Board, but also education, community, private and public sector, municipalities, libraries,

businesses, and the faith community. In order to make this a more rich experience for the

community, the KCHD expressed the need to formalize this partnership as an Executive

Committee.

Memorandums of Agreement were given to all attendees and sent to additional community

partners. All were instructed to sign and return the MoAs by May 29, 2014. (See Appendix B)

Additionally, agreements were signed with each of the five hospitals and the 708 INC Board. The

new Executive Committee was tasked with the oversight of the MAPP process. A larger group of

stakeholders was recruited to participate in some of the assessment efforts. After the

identification of priorities, action teams would be formed to assist with the planning and action

phase. The Executive Committee also oversees the implementation phase.

Stakeholder Charter

The Kane County Health Department invited members of the Kane County public health system to

participate in the MAPP process as stakeholders. These individuals would be committed to

working together when possible to help Kane County residents achieve optimal health and overall

wellness. The Stakeholder Group was convened to participate in assessment and planning

activities for the 2015-2018 Kane County Community Health Assessment (CHA) and the

Community health Improvement Plan (CHIP). As priorities emerge from the assessment data,

stakeholders would work together to plan, implement, and evaluate strategies that are in

alignment with the needs of the community.

Members of the Stakeholder Group were asked to participate in the following activities:

May 2014: MAPP Orientation, Visioning and Values development to guide the assessment,

planning, and collective implementation and evaluation.

August 2014: Local Public Health System Assessment

November 2014: Review of all compiled and analyzed data from four assessments

including key findings to identify strategic issues facing Kane County that must be

addressed to achieve our vision.

February 2015-December 2018: Form action teams with other Kane County stakeholders

for strategic priorities that are in alignment with the work and mission of individual

stakeholder organizations, institutions, or groups conduct. Action teams work

collaboratively to develop, implement, and evaluate plans with the support of the Executive

Committee.

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The Stakeholder Group would be convened quarterly for the Community Health Assessment per

the tentative schedule listed above and will further engage in planning, implementation, and

measurement as determined by each organization, institution, or group. During implementation

the Stakeholder group would meet at least annually to share their progress. The Stakeholder

Group Charter was developed on May 29, 2014 and signed by participating representatives of

organizations, institutions, and groups serving on the Kane County Community Health Assessment

Stakeholder group as a sign of support for the MAPP process. Approximately 85 individuals from

66 different organizations and entities signed the Charter and pledged their support of the MAPP

process in Kane County.

Organizations who signed the Stakeholder Group Charter include:

AAA Advocate Sherman Hospital American Cancer Society Arden Courts of Geneva Association for Individual

Development- AID Aurora Early Learning Center Aurora Housing Authority Aurora Public Library Aurora University Batavia Park District Benedictine University Big Rock Township BlueCross Blue Shield of IL BlueCross BlueShield of IL Cadence Health Chicago Metropolitan Agency for

Planning City of Aurora City of Elgin City of St. Charles Community Contacts, Inc. Court Services Day One Network District 300 Carpentersville Dundee Apt. Elgin Hispanic Network Elgin Partnership for Early Learning Fox Valley Special Recreation

Association Fox Valley United Way Gail Borden Public Library Global Health Literacy Organization

(Benedictine University) INC Board, NFP Jennings Terrace Joseph Corporation

Kane County Kane County Board Kane County Department of

Transportation Kane County Health Department Kane County Juvenile Justice Center Kane County Medical Society Kane County Regional Office of

Education Lazarus House Marie Wilkinson Food Pantry McCloud Services Mill Creek Elementary PTO Northern Illinois Food Bank Northern Illinois University Pregnancy Information Center Presence Health Presence Mercy Medical Center Presence Saint Joseph Hospital Reflejos Publications, LLC Rush-Copley Medical Center Senior Services Association, Inc. South Elgin Parks and Recreation SPARK/ Fox Valley UW St. Charles Park District Sugar Grove Police Department Summit School Tovar Snow Professionals Tri-City Ambulance TriCity Family Services, Inc. University of Illinois Extension Village of Algonquin VNA Walgreens Williamsburg Elementary PTO YWCA

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Phase Two: Visioning Description

Visioning is the second phase of the MAPP process. This phase of the process answers two

questions:

1. Where do we, as a community, see ourselves in three years?

2. What values will support us through the MAPP process?

During this phase, participants in the MAPP process are collaboratively determining a focus,

purpose, and direction for the MAPP process that results in a shared vision and corresponding

value statements. A shared community vision provides an overarching goal for the community.

The vision and values provide a mechanism for convening the community and building

enthusiasm for the process and providing a common framework throughout subsequent phases.

Process

A meeting was set for May 29, 2014 where both the Executive Committee and community

stakeholders would develop a vision and values for the Kane County MAPP Process. The Illinois

Public Health Institute (IPHI) was contracted to facilitate this meeting.

Attendees included individuals from a variety of sectors including: municipal staff, early childhood

organizations, education, elected officials, emergency services, the business community, health

organizations, mental health organizations, and Kane County staff. Some of these individuals

represented all of Kane County; others represented specific geographic areas in the northern,

central, and southern areas of the county. Approximately 118 individuals attended the meeting.

IPHI explained to participants that the Vision (along with values) provides focus, purpose, and

direction to the MAPP Process. Statements should be both inspirational and aspirational for a

desired future based on collective action and achievement. The Vision should be an overarching

goal for the community as a whole, not any one organization. In 2008, the Vision stated that by

2030, “Kane County residents are the healthiest people in Illinois.”

Participants were asked a series of questions and asked to write down their individual answers to

the questions.

1. What needs to be in place for us to work effectively together to achieve our vision?

2. What is essential to successful partnerships and collective impact?

3. What values do we want to define who we are?

4. What principles or values should guide our work with the community?

Next, in a small group, led by a facilitator, participants sorted and discussed their individual ideas

to identify consensus around:

1. How Kane County will be improved.

2. How the Local Public Health System will be improved.

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Using the results of the small group discussion, participants drafted vision statements that were:

1. Motivating and aspirational

2. Overarching for the MAPP process

3. Describe an ideal future state

IPHI then explained to participants that values were more specific guiding principles that support

the MAPP process. Values should be collective beliefs that communicate what MAPP stakeholders

stand for and what is important to them. While thinking about the vision discussion and the

responses to the four questions, participants were instructed to individually write down their top

five values on post-it notes. These values were based on the following questions:

1. What needs to be in place for us to work effectively together to achieve our vision?

2. What is essential to successful partnerships and collective impact?

3. What values to we want to define who we are?

4. What principles or values should guide our work with the community?

In small groups, facilitators conducted a round-robin and asked each person to share one value

they recorded. The round-robin continued until everyone had shared their values. Values were

grouped together and like ideas were named with a final value or principle that captured the

essence of the affinity of the group. A discussion was facilitated to discuss the merits of each value

for the MAPP process. Participants then voted for their top three. Together in the large group,

values were consolidated into a final list. Participants used Turning Point technology to vote using

hand-held clickers.

Choices for the Vision Statement included:

1. Kane County is at the forefront of preventative health through empowerment, access, and

education.

2. All Kane County residents have the opportunity, resources, and desire to each their optimum

health.

3. Through partnership, KC will lead the way to a healthy lifestyle across all ages.

4. A healthy, happy, and safe KC through increased collaboration, awareness, education, and

sharing of resources for greater access and delivery to all residents.

5. To change the way people view and manage health through a culture shift with an emphasis

on prevention, education, environment, and collaboration that’s culturally

competent/inclusive resulting in being the healthiest people in IL by 2020.

6. KC will have integrated access to unified health systems for social-emotional, mental, physical

health of all residents regardless of geographical boundaries.

7. KC, where people live well!

8. KC is the healthiest co in IL sustained by collaborative efforts in awareness, education, and

accessibility.

9. KC will be seen as promoting holistic health through collaboration, access to care, education,

and resources.

10. Provide unrestricted access to healthy living for all KC residents by enabling the full

understanding and utilization of the county’s health systems and healthy urban environments.

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11. A community that continually supports wellness and opportunities for people to make/live

their healthy choices and become a role model for the world!

12. Through collaboration KC will be a national model of educational and health lifestyle focus to

improve all residents’ well-being.

Participants also voted on the values. Choices included:

1. Collaboration/teamwork, shared goals 5. Commitment

2. Inclusiveness/openness, acceptance 6. Innovation

3. Integrity, trust, transparency 7. Leadership

4. Evidence-based, excellence, goal-focused 8. Respect

The top choices for each, as voted by MAPP stakeholders, are highlighted.

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KANE COUNTY MAPP Final Vision and Values

Vision:

By 2030, Kane County is the healthiest county in Illinois, attained by the healthy

choices of our residents and by the model public health system in our community.

Values:

1. Teamwork

We value active teamwork and sustained collaboration in the pursuit of our shared

goals for improving our community’s health.

2. Inclusiveness

We value the inclusion of all the diverse members and sectors of our community

with openness and acceptance of all.

3. Integrity

We value integrity which fosters honesty, trust and transparency in our community

health collaboration.

4. Commitment

We value the dedicated and sustained engagement of community members and

organizational partners in efforts to improve our community’s health

5. Innovation

We value transformative, evidence-driven, cutting-edge strategies that foster

community wellness by creating sustainable improvements in our health outcomes,

systems, policies, and environments.

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Phase Three: Assessments Description

The four MAPP assessments provide a comprehensive picture of health and what is happening

related to health in the community. Community members and local public health system partners

are involved in designing, implementing, and analyzing each of the assessments. The four

assessments are designed to collect both primary and secondary data.

1. The Community Health Status Assessment (CHSA) provides quantitative information on community health outcomes. The results of the CHSA ensure that the community’s priorities consider specific health status issues, such as high rates of diabetes or low graduation rates.

2. The Community Themes and Strengths Assessment (CTSA) identifies assets in the community and issues that are important to community members. Community thoughts, opinions, and concerns are gathers, providing insights into the issues of importance to the community. Feedback about quality of life in the community and community assets is also gathered.

3. The Local Public Health System Assessment (LPHSA) measures how well different local public health system partners work together to deliver the Essential Public Health Services. The Essential Services list the ten public health activities that should be undertaken in all communities. The results of the LPHSA reveal how each partner contributes and why they are essential to building and maintaining a cohesive, effective local public health system.

4. The Forces of Change Assessment (FOCA) identifies forces that may affect a community and opportunities and threats associated with those forces.

Each of the assessments is described in more detail in their final report.

Process

Community Health Status Assessment: In June 2014, the Kane County Health Department contracted with Professional Research Consultants, Inc. to conduct a community health needs assessment including 1400 random sample telephone interviews, three focus groups, and secondary data.

Community Themes and Strengths Assessment: Kane County Health Department staff, with the help of many community partners, completed the CTSA between September of 2014 and March of 2015. This included three focus groups and a survey, asset mapping, and a Photovoice project.

Local Public Health System Assessment: The Local Public Health System Assessment was conducted as a full day assessment retreat. Organizers carefully considered how to balance participation across all sectors. Sixty-two public health system partners participated in the event.

Forces of Change Assessment: On June 30, 2014, the Executive Committee convened to participate in the Forces of Change Assessment. Twenty partners participated in the assessment. A facilitator from the Illinois Public Health Institute guided participants through the process. Executive Committee members reconvened on October 29, 2014 to review a draft of the report.

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Key Findings The key findings summarize each of the four assessments. Kane County Health Department staff, with

assistance from the Illinois Public Health Institute and Professional Research Consultants, identified key

findings to aid in the next steps of the MAPP process. Full reports can be found in the Attachments.

Community Health Status Assessment

ASSESSMENT DESCRIPTION

The Community Health Status Assessment collects quantitative and qualitative information on health status, quality of life, and risk factors. The Community Health Status Assessment answers the following questions:

1. How healthy is the community? 2. What does the health status of the community look like?

KEY FINDINGS

Demographics and Socioeconomic Characteristics

Demographics

Kane County population (2013): 523,643 people o Located within 519.92 square miles o 27.5% increase in population between 2000 and 2010 o Expected to reach 800,000 persons by 2040

Median Age: 35.7 years old Kane County’s population is broken down as follows:

o White: 72.7% o Black/African American: 5.7% o Other Race: 19.8% o Multiple Races: 1.8%

Between 2000 and 2010, the population of Hispanic/Latino residents in Kane County increased by 65.1%

14.7% of the Kane County population age 5+ live in a home in which no person age 14 or older is proficient in English (speaking only English, or speaking English “very well”).

Socioeconomics

10.7% of Kane County residents live below the federal poverty level 27.1% of Kane County residents live below 200% of the federal poverty level 16% of Kane County children age 0-17 live in very low income households (below

100% of the poverty level); about 22,847 children 17.8% of Kane County residents age 25 and older do not have a high school diploma (or

equivalent) Graduation rates are particularly low in the Elgin and Aurora districts The unemployment rate in Kane County in 2013 was 8.9%

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General Health Status and Access to Care

General Health Status

Self-reported health status o Fair/Poor: 15.7% o Good: 26.7% o Excellent/Very Good: 57.6%

Southern Kane County reported more “fair” or “poor” overall health (22% compared with 12.9% and 7.6% in the Northern and Central areas, respectively)

“Fair” and “Poor” overall health was also more prevalent in Hispanics, low income individuals, and those aged 65 and older

The age-adjusted mortality rate for Kane County (all causes) was 655.8 deaths per 100,000 population in 2010.

Together, cancers and cardiovascular disease (heart disease and stroke) accounted for one-half of all deaths in Kane County in 2010.

Mental disorders and heart disease were the leading disease-specific causes of hospitalization in Kane County between 2010 and 2012.

Life expectancy in Kane County (80.97 years) is higher than it is nationally, overall as well as by gender and race.

Mental Health

In 2010, the rate of hospitalizations due to mental disorders was 1091.9 per 100,000 residents; surpassing heart disease as the #1 cause of hospitalizations (other than newborn/delivery).

10.5% of Kane County residents reported that their overall mental health was “fair” or “poor”

In southern Kane County, 16.8% reported “fair” or “poor” mental health; they also fared worse for diagnoses of depression, days of poor mental health, and ratings of stress on a typical day.

84.6% of key informants perceived mental health as a “major problem” in the community

Substance Abuse

61.9% of Kane County adults have had at least one drink of alcohol in the past month (current drinkers)

High-risk behaviors in Kane County (chronic binge drinking) appear similar to/better than U.S.

In 2013, Kane County had 3.83 annual deaths per 100,000 population, down from 4.98 in 2012

o Heroin deaths are higher in men, adults 25-35, and southern Kane County o The cities of Aurora, Elgin, and Geneva had the highest death counts 2009-2013

50% of key informants perceived substance abuse as a “major problem” in the community (also, drugs/alcohol were the top concerns for adolescents among surveyed parents)

Access to Healthcare Services

12.6% of Kane County Adults age 18-64 report having no insurance coverage for healthcare expenses

The percentage of individuals lacking health insurance coverage in higher among low income and Hispanic populations, as well as adults aged 18-39

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The most common barriers to accessing healthcare are: cost of doctor visit, cost of prescriptions, and lack of transportation

35.5% of individuals indicated that they experienced difficulties of delays of some kind in receiving needed healthcare in the past year

In Kane County in 2011, there were 237 primary care physicians, translating to a rate of 45.6 primary care physicians per 100,000 population

Maternal and Child Health

Prenatal Care

Between 2007 and 2010, 5.3% of all Kane County births did not receive prenatal care in the first trimester of pregnancy. This is well below the national proportion.

Birth Outcomes

A total of 7.4% of 2006-2012 Kane County births were low birthweight. This is slightly better than both Illinois and the national proportion.

Between 2006 and 2010, there was an annual county average of 5.8 infant deaths per 1,000 live births.

Chronic Diseases

Cancer

Cancer was the cause of 25.7% of deaths in Kane County in 2010 Invasive breast cancer makes up the greatest share of diagnosed cancers (2007-2011) The Kane County incidence rate for female breast cancer is similar to the state, but

higher than the national rate (annual average age-adjusted incidence rate of 126.6 per 100,000 in Kane County)

There was an annual average age-adjusted incidence rate of colorectal cancer of 44.7 cases per 100,000 in the county.

The Kane County annual age-adjusted incidence rate for lung cancer was 64.1 cases per 100,000 population.

Between 2006-1020, Kane County had an average age-adjusted incidence rate of prostate cancer of 150 cases per 100,000 population.

Diabetes

In 2010, there was an annual age-adjusted diabetes mortality rate of 15.9 deaths per 100,000 population in Kane County.

Crude mortality is higher in central Kane County than elsewhere in the county. 9.4% of Kane County adults report having been diagnosed with diabetes; another 6% of

adults report that they have been diagnosed with “pre-diabetes” or “borderline diabetes”

A higher prevalence of diagnosed diabetes is reported among older adults and residents in lower income households.

Heart Disease and Stroke

The 2010 annual age-adjusted heart disease mortality rate was 145.9 deaths per 100,000 population in Kane County; and 40.8 deaths per 100,000 for stroke mortality

32.2% of adults in Kane County have been told at some point that their blood pressure was high

Among hypertensive adults, 65.2% have been diagnosed with high blood pressure more than once

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81.7% of Kane County adults report one or more cardiovascular risk factors, such as being overweight, smoking cigarettes, being physically inactive, or having high blood pressure or cholesterol.

Nutrition, Physical Activity, and Weight

65.6% of Kane County adults are overweight or obese (28.5% obese) o The prevalence of obesity is higher in southern Kane County (34.5%) o The prevalence of obesity is higher in the Hispanic population (44.3%)

16.3% of children ages 5-17 are obese (higher in southern Kane County – 22.7%) 17.8% of Kane County reported no leisure-time physical activity in the past month

o Lack of leisure-time activity is higher in lower income residents and Hispanics 56.4% of Kane County adults satisfy physical activity recommendations

o Seniors, residents in lower-income households, and Hispanics are less likely to meet physical activity requirements

44.9% of children age 2-17 are active for one or more hours per day o 13-17 year olds: 33.6% o 5-12 year olds: 37.4% o 2-4 year olds: 85% o Obesity, nutrition, and physical activity were among parents’ top concerns for

child/adolescent health o Screen time estimates were highest in southern Kane County

84.6% of key informants perceived nutrition, physical activity, and weight as “major problems” in the community

Tobacco Use

13.6% of Kane County adults currently smoke (no significant difference in demographic, socioeconomic, or geographic groups)

51.2% of smokers have stopped smoking for one day or longer in the past year in an attempt to quit

Infectious Diseases

Childhood Immunization

In 2012, 50.7% of children ages 19 to 35 months of age in Kane County received the

recommended series of vaccinations/immunizations

Infectious Diseases

In 2010, there was a prevalence of 120.9 HIV cases per 100,000 population in Kane

County.

In 2013, the rate of county residents living with AIDS was 67.6 per 100,000 population.

In 2011, incidences of both chlamydia and gonorrhea were notably below state and

national incidence rates.

Key informant input recognized Tuberculosis (lack of screening and treatment options)

as an issue in Kane County.

In 2013, the rate of adult tuberculosis cases in Kane County was 3.25 per 100,000. This is higher than both the State of Illinois and the nation.

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Environmental, Occupational, and Injury Control

Environmental Health

In 2010 in the Aurora-Elgin region, the air quality index numbers were 83% good,

16.7% moderate, and 0.3% unhealthy for sensitive groups.

As of 2010, Kane County had the fourth highest county rate of childhood lead poisoning

in the State of Illinois (nearly 1,500 children with elevated blood led levels).

Injury

The Kane County 2010 annual age-adjusted unintentional injury mortality rate was

21.5 deaths per 100,000.

Between 2007 and 2011, there was an annual average age-adjusted motor vehicle

injury deaths rate of 5.0 deaths per 100,000 population. This is better than both the

state and national rate.

Between 2007 and 2011, there was an annual average age-adjusted homicide rate of 1.9

deaths per 100,000 population in Kane County.

In 2012, there were a reported 166.0 violent crimes per 100,000 population in Kane

County.

Sentinel Events

Vaccine-Preventable Diseases

In Kane County, there were an average of 42 cases of Pertussis (whooping cough) between 2010 and 2014.

Between 2010 and 2014 in Kane County, there was an average of 72 cases of Varicella (chicken pox) per year.

Late Stage Cancer Diagnosis

In Kane County from 2008-2012, oral cavity & pharynx, colo-rectal, and cervical cancers were more likely to be diagnosed at later stages (distant stage) compared to skin, breast, and prostate cancer.

Between 2008 and 2012, 94.3% of breast cancer was diagnosed before it reached the distant stage (late stage). This is comparable to the state (93.62%).

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Community Themes and Strengths Assessment


The Community Themes and Strengths Assessment (CTSA) is conducted to form an understanding of community issues and concerns and perceptions of quality of life across the county. The CTSA seeks to answer these questions:

1. What is important to our community? 2. How is quality of life perceived in our community? 3. What assets do we have that can be used to improve community health?

KEY FINDINGS

Elburn Village Residents Focus Group

Missing services/ barriers to health include: o Wellness facilities o Community engagement opportunities o Lack of transportation services o Lace of specialty/urgent care in the village o Lack of mental health infrastructure

Community assets that support health and quality of life in Elburn include: o Locally sourced foods o Ample greenspace/open space o Quiet, close-knit community o Good EMS

Compañeros en Salud Focus Group

Subpopulations with significant unmet needs include: o Non-citizens o Caregivers of young children and aging adults o Adolescents o Individuals with specialty care needs o HIV positive individuals o LGBT individuals

Services that Latino/Hispanic residents need that are unavailable/difficult to access o Transportation o Childcare o Access to affordable/safe housing

Strengths and Resources o Compañeros en Salud o 3 FQHCs in Aurora o Family Focus Welcome Center

Kane County Mental Health Council Focus Group

Unmet mental health needs in Kane County o Services for Spanish speakers o Affordable psychiatric services o Supportive housing for vulnerable community members

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Barriers to mental health care o Low reimbursement/lack of reimbursement o Patients find the system difficult to navigate

African-American Health Fair Survey

Areas of Improvement o Mental health services o Nutrition education o Senior housing o Quality and availability of affordable housing

Barriers to health/Missing services o Lack of awareness of available services o Lack of transportation o Insurance coverage

Residents do not participate in Park District activities or employer-sponsored wellness programs

Residents have a strong family history of high blood pressure/stroke and diabetes

Cross-Cutting Focus Group/Survey Themes

Vulnerable Populations o Individuals with mental/behavioral health needs o Adolescents o Disabled individuals o Aging individuals o Undocumented/non-citizens o Non-English speaking community members

Barriers to Health o Lack of public transit o Lack of affordable housing o Challenge of navigating services

Strengths and Resources o Public health workforce o Coordination of health education

Gaps o Lack of coordinated action to prevent health problems and to address root

causes of poor health

Asset Mapping

Kane County has 5 major hospitals and 13 Federally Qualified Health Centers (FQHCs) o All of these are located in the eastern portion of the county

Health Professional Shortage Areas (HPSAs) o Southeastern Kane County (Aurora and surrounding areas) o Northeastern Kane County (Elgin and surrounding areas)

Supplemental Nutrition Assistance Program (SNAP) Users o Highest in southeastern Kane County (Aurora and surrounding areas)

Pantries, Shelters, and Soup Kitchens o 2 shelters (Aurora and Elgin) o 8 soup kitchens (1 in Aurora, 7 in Elgin) o 30 pantries located throughout the eastern portion of Kane County

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Community Gardens can be found throughout urban areas of Kane County o 1,383 plots for lease

Kane County has five major regional bike trails: the Fox River Trail, the Great Western Trail, the Virgil Gilman Trail, the four spurs of the Illinois Prairie Path, and the developing Mid-County Trail.

o Regional trails are connected to an extensive local bikeway system

Photovoice

Community Strengths o Community gardening o Walk-to-School Day o Farmer’s Markets o Bike and walking trails o Community events (marathons)

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Forces of Change Assessment


Conducting the Forces of Change Assessment (FOCA) answers the following questions:

1. What is occurring or might occur that affects the health of the community or the local public health system?

2. What specific threats or opportunities are generated by these occurrences?

Forces of Change include social, political, economic, technological, environmental, scientific, legal, and ethical issues.

KEY FINDINGS

Core Issues Emerging from the FOCA

Impact of the Affordable Care Act o Gaps still exist, insufficient providers to meet demand o Benefits are not well understood or well communicated

Changing demographics in Kane County o Increasing aging population o Increasing racial diversity = challenges of linguistically and culturally

competent services Changing workforce capacity and needs

o Workers aging out of system o Unprepared/under-educated incoming workforce o Existing employment opportunities pay less than living wage

Fostering a sense of community o Changing demographics, mixing urban/suburban/rural communities presents

challenges Digital age and growing emphasis on technology

o Lack of digital equity and literacy – digital divide Need for education on credible information sources to strengthen health literacy

o Increased reliance on web-based advice creates challenges in health literacy and health education

Supporting good health behaviors o De-stigmatization of seeking treatment for mental health issues o Promote positive behaviors through health messaging and education

Poverty o Poverty is increasing; especially children and working poor o Income inequality is associated with negative health outcomes

Strengthening the Local Public Health System o Opportunity to improve communication with and advocacy to policy-makers o Strengthen connections between resources

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Local Public Health System Assessment


Conducting the Local Public Health System Assessment (LPHSA) answers the following questions:

1. What are the activities, competencies, and capacities of the local public health system? 2. How are the 10 Essential Public Health Services being provided to the community?

This assessment is conducted using the National Public Health Performance Standards (NPHPS) Local Instrument.

KEY FINDINGS

Scoring System

MODERATE ACTIVITY (26-50%): The public health system somewhat participates in this activity, and there is opportunity for greater improvement.

SIGNIFICANT ACTIVITY (51-75%): The public health system participates a great deal in this activity, and there is opportunity for minor improvement.

OPTIMAL ACTIVITY (75-100%): The public health system is doing absolutely everything possible for this activity and there is no room for improvement.

Essential Service Performance Scores

1. Monitor health status to identify and solve community health problems: 70%

2. Diagnose and investigate health problems and health hazards in the community: 81%

3. Inform, educate, and empower people about health issues: 75%

4. Mobilize community partnerships and action to identify and solve health problems: 74%

5. Develop policies and plans that support individual and community health efforts: 65%

6. Enforce laws and regulations that protect health and ensure safety: 59%

7. Link people to needed personal health services and assure the provision of healthcare when otherwise unavailable: 69%

8. Assure competent public and personal healthcare workforce: 71%

9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services: 78%

10. Research for new insights and innovative solutions to health problems: 45%

Overall Cumulative System Performance Score: 69%

Cross-Cutting System Strengths

Partnerships and collaborations Commitment to innovation and best practice Strong health hazard surveillance and emergency preparedness Strong public support for policies that support community health

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Cross-Cutting System Weaknesses

Better understand how to serve vulnerable populations effectively Improve public health messaging, particularly in messaging to vulnerable populations

Low capacity & resources to meet increasing needs among vulnerable population

Cross-Cutting Opportunities for Improvement

Collect mental health surveillance data Strengthen efforts to collect shared, system level data Increase transparency of evaluation data Conduct a collaborative local public health system workforce assessment Build more infrastructure to enable more research

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Phase Four: Identifying Strategic Issues Description

Identifying Strategic Issues is phase four of the MAPP process. Completing this phase answers the questions:

1. What issues are critical to the success of the local public health system? 2. What fundamental policy choices or critical challenges must be addressed in order for the

community to achieve its vision?

Characteristics of strategic issues include:

May affect the entire community now and in the future

May be disproportionately affecting certain segments of the population

May require us to change the way we function

May create tensions in the community

May not have an obvious solution

May require us to work together to address (multi-sector/multi-faceted approach)

May have long-term consequences if not addressed

Strategic issues are not health conditions. Health conditions, like diabetes prevention or substance abuse, are described in the Community Health Status Assessment. Strategic issues represent underlying challenges that need to be addressed, which would lead to improvement in health conditions. Strategic issues should impact more than one health condition. Identifying strategic issues allows a community to be proactive in positioning itself for the future, rather than simply reacting to problems.4

Process

On March 11, 2015 the Executive Committee was convened to review key findings from the four assessments and identify preliminary strategic issues. Facilitators from the Illinois Public Health Institute and Professional Research Consultants, Inc. presented the material.

Members of the committee were provided with a worksheet to assist them in highlighting strengths, improvements, and important issues in the four assessments. Sixteen members were in attendance.

The top ten potential strategic issues identified at the Executive Committee meeting were:

1. Mental health

2. Substance abuse

3. Chronic disease (obesity, diabetes, etc.)

4. Income and education

5. Cardiovascular disease

6. Access to health care

7. Transportation/mobility

8. Cancer

9. Immunizations

10. Access to parks and recreational opportunities 4 MAPP: Field Guide, 2014

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On April 10, 2015, Kane County stakeholders were convened to review and discuss the assessment

data and vote on their top three strategic issues. During a facilitated group discussion,

stakeholders were asked what stood out to them during the data review and whether or not there

were additional health issues that should be highlighted.

Stakeholders used Turning Point® interactive polling devices to vote for their top three strategic

issues. The results were:

1. Mental health……………………………………………………………………………………………………………26%

2. Substance abuse……………………………………………………………………………………………………….12%

3. Chronic disease (obesity, diabetes, etc.)…………………………………………………………...…………22%

4. Income and education…………………………………………………………………………..……………………17%

5. Cardiovascular disease……………………………………………………………………………………………...…3%

6. Access to health care……………………………………………………………………………………….…………11%

7. Transportation/mobility…………………………………………………………………………………...…………2%

8. Cancer…………………………………………………………………………………………………………………………2%

9. Immunizations………………………………………………………………………………………………………….…4%

10. Access to parks and recreational opportunities…………………………………………………………….1%

Immediately following the stakeholder meeting, 18 members of the Executive Committee

reconvened to prioritize the strategic issues according to the following criteria:

Helps to achieve our vision.

The consequences of not addressing the issue are severe.

There are health disparities related to this issue that must be addressed.

The issue is a root or underlying cause for multiple health/system issues.

There are strengths and assets to leverage in order to enhance impact.

The Executive Committee reviewed the input from the stakeholder meeting and identified three

strategic issues or priority areas.

1. Chronic Disease (including obesity, diabetes, and cardiovascular disease)

2. Behavioral Health (including mental health and substance abuse)

3. Income and Education (including job readiness and education)

Public Comment

Following the identification of priority areas, the Community Health Assessment results were

shared for public comment. Outreach for public comment included the following:

April 22, 2015: presentation to the Kane County Public Health Committee

April 22, 2015 thru May 30, 2015: a 17-minute webinar was posted online giving an

overview of the Community Health Assessment. A SurveyMonkey link was provided for

input and feedback on the findings.

o 20 people took the survey

April 23, 2015: the Community Health Assessment results were featured in the Health

Matters newsletter.

o 363 opens

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April 22, April 26, April 28, May 10, May 15, 2015: featured posts on Facebook

o Reach: 33; 66; 31; 30; 26

May 8, 2015: Leaders’ Summit provided a table with assessment reports and poster giving

overview of assessment; webinar played during event, and handouts were given out with

links to the assessment webpage and the webinar.

o 177 people attended

May 14, 2015: Email was sent to Health Department staff to review webinar and to

forward to any partners

o ~60 employees at the Health Department

Results

Public Comment ranked the strategic issues similarly to the Stakeholder group and the Executive

Committee:

1. Mental Health

2. Chronic Disease (obesity, diabetes, etc.)

3. Substance Abuse

4. Access to health care

5. Immunizations

6. Income and Education

7. Cardiovascular Disease

8. Transportation and Mobility

9. Cancer

10. Access to parks and recreational opportunities

Question: What information presented in the webinar was most surprising to you?

Differences between Kane County planning areas

Education rates: % with high school diploma, graduation rates, etc.

Disparities regarding the Hispanic population (diabetes, obesity, linguistically isolated

population, etc.)

Immunization rates

Importance of mental health

Question: What other information from the webinar was the most indicative of the overall health

of residents in the county?

Education

Language barriers

Mental health

Poverty link to health

Immunization

Chronic disease

Access to health care services

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Question: What should be done?

Increase low cost access to exercise and health support

Affordable metal health support for minority

Affordable opportunities for continuing education

Increase immunization education and clinic use

Improve access to health care and transportation

Question: Who should be involved?

Schools

Hospitals

Health Department

FQHCs

Colleges/Universities

Libraries

Transportation agencies

Community groups

Homeless shelters

Mental Health Organizations

Breaking Free

Renz Center

Ecker Center

Community Crisis Center

Home visit programs

Question: What resources should be used?

Taxes

Public schools

Farmers’ markets

Park Districts

Community Centers

Hospital Clinics

Open Health Fairs

Board of Health

Board of Education

Coalitions with the county

Community groups

Minority community leaders

AOK, EPEL, SPARK, etc.

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Finalization and Brainstorming

The Executive Committee was convened in June of 2015 to review the results of the Public

Comment and brainstorm next steps for the development of goals and strategies.

Data was presented related to the three potential priority areas. The results of the public comment

period were also presented. Responses to the public comment survey combined with additional

comments solidified the selection of the three proposed priority areas. The Executive Committee

agreed that the data and the results of the public comment period confirmed that chronic disease,

behavioral health, and income & education should be the strategic issues for this round of

community health improvement planning.

These three priority areas represent the most prominent findings from the assessments and the

public comment period. They align with the mission, vision, and values of the Kane County MAPP

process; they are forward-thinking and provide opportunities for innovation. Additionally, they

seize on current opportunities and align with existing plans and projects in Kane County.

In order to begin more targeted discussions about the three priority areas, KCHD staff led the

Executive Committee in a facilitated discussion to identify current activities, assets, challenges,

and opportunities around each priority issue.

Each priority area was discussed and the results were summarized. A multi-voting process was

used to determine where to focus efforts based on the brainstormed challenges and opportunities.

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Phase Five: Formulating Goals and Objectives Description

Phase five of the MAPP process is to formulate goal statements for each strategic issue, develop

objectives, and identify strategies for achieving those goals and objectives. Phase five answers the

questions:

1. What are the long-term results associated with the identified strategic issues?

2. What strategies can the community take to reach the goals?

Goals, objectives, and strategies provide a path for the community and local public health system

to travel toward their vision. It encourages alignment between community organizations and

provides a comprehensive picture of how local public health system partners will achieve a

healthier community.

Process

Prior to beginning the process of formulating goals and strategies for Kane County community

health improvement planning, branding was developed in order to ease the process of recruitment

and to give the project a community voice. The Kane County MAPP process was renamed Kane

Health Counts: Unity for a Healthy Community.

Figure 3: Kane Health Counts Logo

In September of 2015, a meeting of the Executive Committee was convened. The new branding for

the Kane County community health improvement process was discussed and approved. The vision

is to be the healthiest community in Illinois by 2030, so it was agreed that this branding

represents that concept and all of the entities in the Kane County public health system.

Additionally, the Kane County Health Department announced the launch of a new data resource

through Healthy Communities Institute. This new website (KaneHealthCounts.org) would make

Kane County data available to improve transparency in the community. A dashboard would also

be included in order to track progress as community health improvement planning moves

forward.

The Illinois Public Health Institute facilitated discussions related to the development of a shared

community health improvement plan. The framework for the Kane County Community Health

Improvement Plan was established.

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Executive Committee

Action Team:Income and Education

Action Team:Chronic Disease

Action Team:Behavioral Health Evaluation Team

KCHD BackboneSupport

Kane Health Counts Community Health Improvement Plan – Action Team Structure

Figure 4: Kane Health Counts Structure

Action teams were formed around each priority issue. Two co-chairs would lead each team.

Members would be selected based on expertise and passion for the subject. Action teams would be

tasked with developing draft plans including goals, objectives, and strategies related to their

priority issue. IPHI was contracted to provide training for action team participants as well as

facilitation for up to four meetings for each action team.

An evaluation team would also be formed to provide feedback on measurable objectives,

indicators, and data sources. The evaluation team would also be responsible for developing a

reporting and monitoring system for sharing information among action team members.

The Executive Committee brainstormed names of individuals to recruit for participation on the

action teams. Additionally, some members of the Executive Committee volunteered to co-chair the

action teams. Action team training and first meetings were scheduled for October 20th, 2015.

Action Team Training and Meetings

Stakeholders and partners were invited to participate in the Action Team Kick-Off Meeting. More

than 40 people participated. Training was conducted specifically for action team co-chairs and

then for action team participants.

The purpose of action team training was to describe action team member roles and

responsibilities, define the purpose of the community health improvement plan, describe the

action planning process, and define the action planning timeframe. Action team training also

included an overview of the MAPP/Community Health Improvement Planning process and an

overview of the assessments.




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Following the action team training, each action team gathered for their initial meeting. During the

initial meeting, each action team:

1. Completed a Team Charter

2. Reviewed and discussed data

3. Discussed the Exploring Priority Issues Worksheet; and

4. Narrowed the priority issue (if possible).

In discussing the Exploring Priority Issues Worksheet, team members identified any questions

regarding the data compiled related to their priority and described any additional data needs.

Team members built on the brainstorming work previously completed by the Executive

Committee by discussing existing assets and strengths, individuals that may be missing from this

team, potential opportunities, and possible barriers with solutions for overcoming them. Action

Teams referred to Health People 2020 objectives as a source of potential benchmarks.

From November 2015 to June 2016, each action team held 5 subsequent meetings in order to

develop their Community Health Improvement Plans. IPHI facilitated the first three meetings for

each team. The social ecological model was used to examine each issue. Team members identified

risk factors and direct and indirect contributing factors for each priority area in order to focus on

developing evidence-based, innovative strategies. Team members also developed timelines,

responsible parties, performance indicators, and budget issues. A health equity focus was

identified for each priority area’s community health improvement plan.

Social Ecological Model & Health Equity

In public health, the social ecological model takes systems thinking one step further. It looks at the

existing system and examines how the physical environment, social and cultural environment, and

personal attributes of individuals, groups, and organizations impact health. All of these

contributing factors are known as determinants of health. Poor health outcomes can be

exacerbated by the physical and social environment. Social and physical determinants of health

were given particular consideration in the Kane County improvement planning process. Social

determinants can be things like availability of jobs, quality education, living wages, or healthy

foods. Physical determinants can be things like built environment, where transportation

limitations have an impact on health.

Looking at issues through the lens of health equity can often be challenging. Health inequities are

often equated with health disparities. However, health disparities are simply differences in the

presence of disease or health outcomes between different groups. Health inequity, on the other

hand can be prevented and avoided. It is rooted in social injustices that make some groups more

vulnerable to poor health than other groups. Achieving health equity requires the examination of

social and physical determinants of health in a way that creates fair opportunities for health and

eliminates gaps in health outcomes. All of this leads to looking for non-traditional solutions to

improving health; including looking at transportation and housing to improve health in the

community. Action team participants paid special attention to these details as they created

community health improvement plans for each priority issue.

These plans were presented and approved by the Executive Committee on July 25, 2016.

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Phase Six: Action Cycle Description

The Action Cycle includes three activities: planning, implementation, and evaluation. Throughout

the Action Cycle, the following questions should be answered:

1. What will be done to realize the community’s vision?

2. Who will do it?

3. How will it be done?

4. How will we know we have made improvements?

5. How can we continually improve?

As the action teams worked through the development of their plans, they began assigning roles

and setting timelines for strategies.

The Evaluation Team began meeting in April 2015. The team was comprised of four community

partners with experience in program or project evaluation as well as three KCHD support staff.

The purpose of the Evaluation Team is three-fold:

1. Process evaluation: keeping suggestions in mind as the Kane Health Counts team moves

forward with planning the next round of community health needs assessment and

improvement;

2. Partnership evaluation: helping to ensure that participation in Kane Health Counts crosses

all sectors and includes relevant individuals; and

3. Plan evaluation: making sure that the action team plans include SMART objectives,

measures of success, reasonable timelines, and clearly defined roles and responsibilities.

The Evaluation Team met in July 2015 to review and discuss the action plans. Suggestions were

made and adopted.

Summary

The Action Cycle is an ongoing process. Continuous planning, implementation, and evaluation

must occur in order for community health improvement to be successful. As Kane Health Counts

strives to achieve its vision for a healthy Kane County, action teams will continue to carry out their

community health plans.

The Kane Health Counts Executive Committee meets bi-monthly for updates from the action

teams. The Evaluation Team will continue to monitor and offer suggestions. The Kane Health

Counts Community Health Improvement Plan is aligned with the KCHD Strategic Plan and various

other projects and programs throughout Kane County in an effort to increase communication and

collaboration and maximize resources.

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ATTACHMENT A: Memorandum of Agreement

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Memorandum of Agreement

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ATTACHMENT B: Kane Health Counts Stakeholder Charter

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Kane Health Counts Stakeholder Charter

AAA Advocate Sherman Hospital

American Cancer Society Arden Courts of Geneva

Association for Individual Development- AID Aurora Early Learning Center

Aurora Housing Authority Aurora Public Library

Aurora University Batavia Park District Benedictine University

Big Rock Township BlueCross BlueShield of IL

Cadence Health Chicago Metropolitan Agency for Planning

City of Aurora City of Elgin

City of St. Charles Community Contacts, Inc.

Court Services Day One Network

District 300 Carpentersville Dundee Apt.

Elgin Hispanic Network Elgin Partnership for Early Learning

Fox Valley Special Recreation Association Fox Valley United Way

Gail Borden Public Library Global Health Literacy Organization (Benedictine University)

INC Board, NFP Jennings Terrace

Joseph Corporation Kane County

Kane County Board

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Kane County Department of Transportation Kane County Health Department

Kane County Juvenile Justice Center Kane County Medical Society

Kane County Regional Office of Education Lazarus House

Marie Wilkinson Food Pantry McCloud Services

Mill Creek Elementary PTO Northern Illinois Food Bank Northern Illinois University

Pregnancy Information Center Presence Health

Presence Mercy Medical Center Presence Saint Joseph Hospital

Reflejos Publications, LLC Rush-Copley Medical Center

Senior Services Association, Inc. South Elgin Parks and Recreation

SPARK/ Fox Valley UW St. Charles Park District

Sugar Grove Police Department Summit School

Tovar Snow Professionals Tri-City Ambulance

TriCity Family Services, Inc. University of Illinois Extension

Village of Algonquin VNA

Walgreens Williamsburg Elementary PTO

YWCA

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ATTACHMENT C: Kane County Local Public Health System

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Kane County Local Public Health System

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ATTACHMENT D: Results of Visioning Exercise

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Kane County Community Local Public Health System

Access to overall preventive care

Mental awareness and spiritual fitness

High nutrition IQ

Healthy behaviors

Outreach effort to promote Kane County

guide to the community

Availability of wellness programs and

resources

Decrease in cancer and heart disease

Decreased infant mortality

Increased access to oral healthcare for

uninsured adults

Decrease in violence

Increased playgrounds, parks, bike trails,

overhead bridges to improve pedestrian

safety

Increased awareness of residents as to

what good health and prevention are

Electronic/social networking to be shared

Funding/services for senior population

Increased public safety

More access to affordable healthcare

Access to affordable fitness programs

Healthier food/education on nutrition

Improved health outcomes

Less chronic disease

Less obesity

Environmental safety

Access to transportation

“Green” community

Family-focused communities

Substance abuse prevention

Quality of life, multiple facets

Create a data system to be shared with all

stakeholders to streamline redundancy,

overlapping and eliminating gaps

Develop policy and procedures

Establishing medical homes and

awareness

Freestanding birth center

Sharing resources

Sharing data

Smoke-free initiatives education

More health insurance

Data (more), info given more consistency

to the community

Community outreach

Healthier school lunch

Healthier food availability at stores and

events

More counseling services available,

especially bilingual parenting classes

Breastfeeding initiatives

More physically active community

Include physical activities in community

events

More/free education

Collaboration among HC systems

Mental health access, esp. children

Find models for mental health access

Sustainability (beyond grant period)

Promoting enthusiasm

Incentives to keep initiatives going

Better communication to residents

Fix the treadmill

Increased research capacity

Health in all policies

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Behavioral services

Prevention of adverse health effects

Education to residents

Advocacy

Intervention of violence (i.e.

family/child/school/”bullying”)

Building local food system

Healthcare card swipes

Building a culture of lower healthcare

costs to reduce business costs

Build on green initiatives for sustainability

Talk about health as an economic benefit

Focus on accountability and mindset

Know why we need to “think” health

Healthier vulnerable populations

A place to go for mental health. for youth,

for all

Disease-free community

Safe

Increased life expectancy

Empower people to be physically active

Increased family-based initiatives

Citizen involvement

Decreasing chronic disease

Collaboration and cooperation of all

residents in education

Better in workplace wellness

Marketing access and communication of

community services

Increase open space and air quality

Living wage

Identify gaps

Information on access to more prevention-

based programs

Marketing (centralized) and easy to

navigate and updated regularly

Increase access to care and health

information

Gap filler and analysis

Remove silos in healthcare system

Empowering people to reach their

potential

Diversity-honoring in tune with specific

communities

Grassroots efforts

Lower healthcare costs through education

Community collaboration

Measured outcomes

County is a role model for the state/others

providing education, resources, and

encouraging health maintenance

Resources readily available

Better way to passing on education

opportunities to citizens

Consistent in education

Access to education in health resources

Resource communicating with the public

Less competition between organizations

Collaboration between hospital system in

Kane to build a better hospital delivery

system

Better communication and collaboration

among PHS

Increase hiring among community by

hiring local

Eating local foods

Collaborative campaigns

Educated policymakers

of 500


Increased amount of “green” you see

Healthier food, safer food, better food

access

Violence prevention

Stress reduction tools

Reduce crime rate

Healthy, happy, and safe Kane Co.

Increased and better education in school

Access to healthy lifestyle initiatives

Reduce unemployment

Reduced taxes

Encourage organic farmers

Access to inpatient substance abuse

Access to unified healthcare

Accessible transportation available

Access to universal mental health services

Availability long-term care for seniors,

affordable

Nutrition education on chronic diseases

Tobacco-free spaces

Influence land use decisions

Access to juvenile/adult mental health

services throughout county, including

increased number of providers and

affordable mental health services

Appropriate utilization of health system

Financial services

Resources to things that work

Collaboration to improve delivery

Collaboration with those outside of KC (ex.

State and federal gov’ts, Let’s Move)

Working together to improve access to

funding for needs

Support activities to improve health

Supporting workplace wellness

Housing rehab program

Access to unified healthcare

Accessible transportation available

Investment in the local health department

in substance abuse, mental health

Clinical research archaic diseases

Providing education outreach information

Affordable, sustainable transportation to

access current social services

Connecting/expanding current systems

More stakeholders

Explicit points of care

More networking

Shared priorities

of 500

ATTACHMENT E: Results of Values Exercise

of 500

VALUES

1. Collaboration/teamwork, shared goals

2. Tie: Inclusiveness/openness, acceptance

2. Tie: integrity, trusttransparency

2. Tie: Commitment

5. Tie: Integrity, trust,transparency

5. Tie: Innovation

Ability to Follow Through

Acceptance

Accepting Responsibility for Providing Services

Access to All Parties

Action-oriented

Active Engagement

Adaptability

Assets-based Approach

Aware

Backbone Organization

Being Able to Give and Take

Belief in People's Abilities

Belief in the Process

Belonging

Care for our Neighbors

Check Egos at the Door

Collaboration Between Resource Organizations

Collaborative

Collective Partnership

Collegial Respect

Commitment

Commitment to Mission

Committed Resources

Compassion

Competence

Compromise

Concern

Connected

Consistency

County Leadership on County-Wide Initiatives

Courtesy

Cultural Competence, Cultural Diversity

Cultural Sensitivity

Data-driven

Dedication

Determination

Diversity

Efficacy

Empathy

Empowering

Encouragement of Ideas

Engagement

Enthusiasm

Equality

Everyone has Equal Voice

Everyone is Important

Excellence

Fairness

Financial Resources Available

Flexibility

Focus on Ultimate Outcome

Funding and Resources

Future-Oriented

Giving Up Control

Greater Goal

Hard Work

Health Education

Health/Resources

Honest Communication

Honesty

Humility

Humor

Inclusive

Individual Talents

Innovation

Inspiration

Integrity

Interdependence

Kindness/Caring

Knowledge

Leadership

Learning

Like-mindedness

Listening

Mutual Respect

Mutual Understanding

Networking

Open Communication

Openness to Innovation

Outgoing

Outreach

Partnership

Passion

Patience

Planning

Positive Attitude

Positive Attitudes Toward All Initiatives

Problem Solving

Quality

Realizing Individual Contributions

Reassessing plan/goals

Reliability

Resourceful

Respect

Respect for Opposing Views

Responsive

Right People at the Table

Safety in Our Communities

Same Expectations

Sense of Responsibility

Share

Shared Accountability

Shared Responsibility

Sharing a Vision/Goals

Sharing Information and Resources

Sharing Resources

Social Services

Stay Focused

Stewardship

Strong Work Ethic

Success-oriented

Supportive

Teamwork

Time for Relationship-Building

Time Frame

Time Management

Tolerance

Transparency

Trust

Truth

Understanding of Roles

United

Up-to-date with Current Needs

Use Time Wisely

Valuing Diverse Backgrounds

Virtuous

Vision of What Could Be Better

Welcoming

Well-defined Goals

Willingness to Work Together

of 500

ATTACHMENT F: Community Health Status Assessment

of 500

View Assessment Online at:

http://www.kanehealthcounts.org/content/sites/kane/transfer_from_kchd/2014_Community_Health_Needs_Assessment.pdf

ATTACHMENT G: Community Themes and Strengths

Assessment

Page 326 of 500


http://www.kanehealthcounts.org/content/sites/kane/Kane_County_CTSA_Report_w_Formatting_FINAL.pdf

ATTACHMENT H: Local Public Health System Assessment

Page 374 of 500


http://www.kanehealthcounts.org/content/sites/kane/transfer_from_kchd/2014_Local_Public_Health_System_Assessment.pdf

ATTACHMENT I: Forces of Change Assessment

Page 432 of 500


http://www.kanehealthcounts.org/content/sites/kane/transfer_from_kchd/2014_Forces_of_Change_Assessment.pdf

ATTACHMENT K: Environmental Scan of Priority Issues

Page 462 of 500

Environmental Scan – Executive Committee

CHRONIC DISEASE (OBESITY AND DIABETES)

Current Activities/ Assets Challenges

Coalitions

DM Collaborative

Fit for Kids

Chronic disease money

School Interventions

Smoke-Free

Scholarships to Park programs

Shift to prevention

“Upgrade your health” (Improve foodenvironment)

Integrated Planning

Community Gardens (School)

Hospitals

FQHC’s services

Existing trails

Farmers Market

Apps

Stress (normalized)

Education—healthy lifestyles

Time

Engaging individual

Access to affordable fresh produce

Fast food

Transportation

Access to parks (some areas)

Affordable activities

Mental Health

Priorities-Housing

Insurance

Technology

Shopping habits (often, fresh)

Weather

Safety-activities

Environment

Walkability

Decreased sports in schools

Cost of sports

Convenience of activities

Denial of condition (resignation)

Get people to change when they feel fine

Normalized chronic disease

Food industry

Opportunities

Cultural awareness—Bob’s Image

Engage younger kids’ families

Engage diverse caregivers (Grandparents)

Integrated Planning

Media/ Education campaign

Encourage utilization of trails

Increase PE in schools (time quality)

Increase healthy food in schools

Technology

Increase knowledge of DM programs

Engage Doctors in guidance (follow-up)

ID culture specific interventions

Make activities part of life (bike to work)

Screening to engage prevention

Programs/ money to access medications

Engage employers

Connect healthy worksite (food environment)

Consistent messaging

Engage people in different places (libraries)

Increase individual coaching with follow-up

Connect with families

Engage lawn care

Page 463 of 500

BEHAVIORAL HEALTH


708 Boards, NAMI, Mental HealthInterfaith Council

D131—Mental Health Training

Northwestern—Behavioral HealthServices

Ecker Center

Mercy—Mental Health Services

Mental Health Agencies

Mental Health Council w/ leaders fromeach agency

Fox Valley Initiate—Justice System

Substance abuse providers (Renz andBreaking Free)

Providers that do social and emotionalscreening

Drug court

S-Latino Resource Community

Family Counseling

AID

Tri-City Family Services

Home visiting programs that do a lot

around early parenting and mental health

AOK Mental Health working group

NARCAN Program

Mental Health first aid training

KC Mental Health Advisory Board

FQHC

D300—Streamwood Behavioral Health

Services

Greater Elgin and Renz coming into

schools

Actions in court system Elgin MentalHealth Center

Substance Abuse round table

Disparities in specific areas in KC forresources

Reduce funding

Focus on treatment of existing diagnosisrather than preventative

Stigma

Insurance coverage challenges

Hard to navigate system, fragmented system

Overutilization in EO from mental healthissues

High cost of medication

High wait time for care

Getting buy-in from the community

Limited providers

Community fragmentation/ feelings ofalienation

Continuity of care

Jails are mental health centers

Opportunities

Robust jail averse program for mental health

offenders

Process for accessing services easier, more

transparent and bilingual awareness

Look at underlying causes for proactive

prevention

Collection of data to identify capacity andneed

Better action plan for women with maternal

perinatal depression

Linking mental health to other areas likephysical activity, education, etc.

Encourage bilingual youth to explore careers

in mental health

Link behavioral health with existing need

Education of what behavioral health is

Using Faith based in early prevention and

awareness

Page 464 of 500

INCOME, JOB-READY WORKFORCE, & EDUCATION


SPARK

EPEL

AOK

Early childhood—on track from birth

Alignment—Elgin cradle to career

AID—job training

High School level career center(Kaneland)

Chambers have scholarshipopportunities

Community scholarships

ESL classes

Library tutoring

Computer training—libraries

Literacy program—DominicanLiteracy Center

Literacy Connection

Fox Valley Literacy volunteers

KCDEE YWCA

Community Colleges (ECC, WCC, COD)

Aurora University and Judson

University

Quad County Urban League(training?)

Family Focus

Elgin Hispanic Network (helpscholarships)

Women on the Brink; childcare, etc.

High School counselors; guidestudents

Fermilab, lecture series for kids

STEM school Aurora

Boy-Scouts STEM committee

IMSA scholarships

Manufacturing Careers Group

Two Rivers High School parents

Library Network

Prairie State Legal

Internet

Hesed House job training

Higher Education Empowerment forthose who fall under IDEA Elgin and

D300 training

Career fairs at school districts

Graduation rates—disparities by location

College readiness is low, disparities by location

Adequate resources for students who want to goto school

Cultural differences, do not want to borrow

Educational priority in family structure

Teen parenthood — are students receiving

support?

Unemployment offices closing and consolidating

GED opportunities? (costs more)

Availability of ESL

ESL programs may not produce high enough levelof instruction to pass citizenship test

Some technical manufacturing jobs not filled—focus on college readiness

Lack of primary care, family practice physicians,and mental health practitioners in all levels of

medical field

Opportunities

Increase knowledge that there are scholarshipsavailable

Increase awareness of educational opportunitiesfor general public, not just students

Vocational school, no need for 4-year education

and money

2 years at community college, then onto 4 year

Use some of the money for scholarships to help

high schools be more college ready

COD; 3and1 program last year taught by

university professors, but at COD; university

degree

Community college relationships with 4 years

Determine capacity for ESL classes

Mentorship programs

Think tank/ group focused on tech/manufacturing careers and training

High school course on childcare, offer certificate towork after and continue education

Communications campaign to highlight options,resources, stories

Career path for medical school—come back andsave community in need

Determine what mentoring programs are available(e.g. universities in Chicago)

High school students

Page 465 of 500

ATTACHMENT L: Action Team Charters

Page 466 of 500

Team Name:

Behavioral Health Version Date: 10/23/2015

Start Date: October 20, 2015

End Date:

Purpose: Work collaboratively to develop a measurable action plan, based on data and evidence-based practices and support the implementation, monitoring and evaluation of the plan.

Meeting Schedule Date: Time/Duration: Location:

Meeting 1 October 20, 2015 1:00 PM – 5:00 PM FONA (Flavors of North America), 1900 Averill Rd, Geneva, IL 60134

Meeting 2 November 20, 2015

1:00PM-3:00PM Northern Illinois Food Bank 273 Dearborn Ct.

Geneva, IL 60134

Meeting 3 January 20, 2016 9:00AM-12:00PM Kane County Government Center Auditorium-

719 S Batavia Ave. Geneva 60134

Meeting 4 February 26, 2016 1:00PM-4:00PM Northern Illinois Food Bank 273 Dearborn Ct.

Geneva, IL 60134

Meeting 5 April 29, 2016 2:00PM-4:00PM Northern Illinois Food Bank 273 Dearborn Ct.

Geneva, IL 60134

Meeting 6 June 17, 2016 2:00PM-4:00PM Northern Illinois Food Bank 273 Dearborn Ct.

Geneva, IL 60134

Meeting 7 August 22, 2016 10:00AM-12:00PM Northern Illinois Food Bank 273 Dearborn Ct.

Geneva, IL 60134

Group Agreements List the agreements we have we made to ensure our interactions and collective work are most productive.

Start and end meetings on time – not to exceed 2 hour meetings 1 person talk at a time – respect possession of the floor Agendas for all meetings Step Up / Step Back everyone participates Use end of meeting for final thoughts or major discussions Document Decisions / Action Items / Major Discussion Items – Use template / post at

least 1 week prior to meeting Rotate note – talking role Decision-making by Consensus Use data when available – validate statements Decisions will be posted on agenda and in minutes – if you miss a meeting, it’s your

responsibility to follow-up with co-chair, especially if you have different opinion If you cannot attend a meeting, a proxy is acceptable Think outside box – be open to new ideas New members receive on-boarding

Team Members: Email Address and Phone: Area of Expertise /Team Role:

1. Michael Isaacson Community Collaborative 2. Linda Ramirez Sliwinski KCMHAC 3. Mike Lowery Co-Chair / Psychologist 4. Jerry Murphy MH, ID / DD & SUD Funding &

Planning 5. Ed Hunter Chaplain 6. Mary Smith [email protected] 7. Kimberly Svevo-Cianci Parenting / Family Development –

Violence Prevention

Page 467 of 500

8. Beth Christoffel Client needs 9. Sarah Falkman Domestic violence / Sexual assault 10. Claudia Van Delinder Relationship building / Marketing /

Graphics 11. Barbara Giloth Dr. PH Link with hospital BH 12. Alexis Slivka Collaborations in community 13. Marielle Kopasz KCHD – Community Health 14. Jennifer Simmons Analyst – Community Health Services 15. Michael Moran SUD / Co-occurrence Treatment &

Prevention 16. Barbara Jeffers Mental Health Advisory Board 17. 18. 19. 20.

Brief description of the issue, including a summary of relevant data and any population disparities.

Behavioral Health is closely tied to physical health. Mental illnesses are some of the most common causes of disability. They affect people’s ability to make healthy choices.

Mental health and substance abuse were ranked in the top four health-related issues in Kane County during the community health improvement planning process. It was highlighted as an issue in all four MAPP assessments.

During the focus groups, 84.6% of key informants stated that mental health was a major problem in Kane County.

Kane County Mental Health Council Focus Group Unmet Mental Health Needs in Kane County Services for Spanish speakers Affordable psychiatric services Supportive housing for vulnerable community members

Barriers to Mental Health Care Low reimbursement/lack of reimbursement Patients find the system hard to navigate

Page 468 of 500

of 500

RELATED HEALTHY PEOPLE 2020 OBJECTIVES

Reduce the proportion of persons who experience major depressive episodes.

Increase the proportion of adults with mental health disorders who receive treatment.

Key Reminders for Action Planning Use consensus-based decision making when decisions need to be made. Seek to understand concerns that

are keeping members from supporting the decision and what it would take for them to support the decision. Consensus is not majority rule or unanimity. Consensus is when all members agree that they can support the decision. For individual members, It may not be their first choice, but they state they can live with it.

Use data and root cause analysis to drive the selection of goals and objectives. When selecting objectives, strategies and actions, at least one member at the team must agree to take

ownership for it to be included in the action plan. Suggest developing no more than 3 goals for each priority. Suggest developing no more than 5 intermediate objectives for each goal. Use evidence-based and evidence-informed strategies, and approaches, including policy, systems and

environmental change strategies to address each objective. Action plans will be collaboratively implemented, measured, monitored and reported the Kane Health

Counts Executive Committee. This is a Kane County community health improvement plan, not a healthdepartment or hospital plan.

Team Name:

Chronic Disease Version Date: 10/23/15


End Date:


Meeting Schedule

Date: Time/Duration: Location:

Meeting 1 October 20, 2015 1:00PM–5:00PM FONA (Flavors of North America), 1900 Averill Rd, Geneva, IL 60134

Meeting 2 November19, 2015 1:00PM-3:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 3 January 21, 2015 1:00PM-4:00PM FONA (Flavors of North America), 1900 Averill Rd, Geneva, IL 60134

Meeting 4 February 18, 2015 1:00PM-4:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 5 May 2, 2016 9:00AM-11:00AM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 6 Nutrition

June 10, 2016 2:00PM-3:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 7 Physical Activity

July 8, 2016 2:00PM-3:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 8 Nutrition

August 12, 2016 2:00PM-3:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Page 471 of 500


Take turns while note taking Start on time, end on time

Respect opinions

Step up/step back

Come prepared to meeting

Ensure good meeting space/work environment

Be bold, create a safe space to participate

Make a call in option for meetings

Send representative whenever possible if we can’t attend

No Mondays

No Fridays

Either first thing or last in day

Preference for morning


21. Mary Rudnicki Heart disease 22. Dan Eder Assessment, planning, QI 23. Jessica Gadomski Registered dietician, school wellness,

P.S.E interventions 24. Claudia M. Reginato25. Mary Carol MacDonald Obesity, heart disease, diabetes 26. Chris Toth Child obesity programs 27. Kelly Brasseur Dietician 28. Mark VanKerkhoff Land use planning / Economic

development 29. Emma Cook Childhood obesity / School health 30. Marsha Conroy FQHC expertise / Co-chair role 31. Maria Aurora Diaz Diabetes Educator, R.N. 32. Tina A. Link Obesity / Heart disease 33. Anna Peterson Planning associate 34. Terese Raabe Planning / Obesity 35. Paul Cofer Grant writing 36. Jennifer Becker Transportation 37. Sharon Sillitti Health Department 38. Karen Podolski (Northwestern) Delnor Hospital

39. Uche Onwuta Health Department

40.

Brief description of the issue, including a summary of relevant data and any population disparities.

Chronic diseases are often the most costly and preventable health problems.

In Kane County, heart diseases and stroke are the second and third leading causes of death (after cancer). Fortunately, heart diseases are also preventable. Modifiable risk factors such as high blood pressure, high cholesterol, cigarette smoking, diabetes, poor diet, physical inactivity, overweight and obesity can increase individual risk of dying from cardiovascular disease. Examining and addressing these risk factors is the focus of this action team. Chronic disease does not exist in isolation. It is affected by the physical and social environment. This includes access and availability of healthy foods, physical education and extracurricular activities, opportunities for physical activity, safe and walkable communities, and community support and resources.

In focus groups, 84.6% of key informants stated that nutrition, physical activity, and weight are major problems in Kane County. Additionally, 46.2% believed heart disease and stroke were a major problem.

Page 472 of 500

of 500

RELATED HEALTHY PEOPLE 2020 OBJECTIVES

Reduce hospitalizations of older adults with heart failure as the primary diagnosis. Reduce coronary heart disease deaths. Reduce stroke deaths.

Increase the contribution of fruits to the diets of the population aged 2 years and older. Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older.

Reduce the proportion of adults who engage in no leisure time physical activity.

Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes per week, or 75 minutes/week of vigorous intensity, or an equivalent combination.


are keeping members from supporting the decision and what it would take for them to support the decision.Consensus is not majority rule or unanimity. Consensus is when all members agree that they can support thedecision. For individual members, It may not be their first choice, but they state they can live with it.


ownership for it to be included in the action plan. Suggest developing no more than 3 goals for each priority.

Page 474 of 500

Suggest developing no more than 5 intermediate objectives for each goal. Use evidence-based and evidence-informed strategies, and approaches, including policy, systems and


Counts Executive Committee. This is a Kane County community health improvement plan, not a health department or hospital plan.

Team Name:

Income / Education

Version Date: 10/23/15


End Date:


Meeting Schedule

Date: Time/Duration:

Location:

Meeting 1

October 20, 2015

1:00 PM – 5:00 PM FONA (Flavors of North America), 1900 Averill Rd, Geneva, IL 60134

Meeting 2

November 20, 2015 10:00 AM – 12 PM Northern Illinois Food Bank 273 Dearborn Ct Geneva IL 60134

Meeting 3 January 22, 2016 9:00AM-12:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 4

February 26, 2016 9:00AM-12:00PM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 5

April 22, 2016 9:00AM-11:00AM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 6

June 24, 2016 9:00AM-11:00AM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Meeting 7 August 19, 2016 9:00AM-11:00AM Kane County Government Center- Building A, Auditorium 719 S Batavia Ave, Geneva 60134

Economic Forum

June 3, 2016 9:00AM-11:00AM Northern Illinois Food Bank 273 Dearborn Ct Geneva IL 60134


Avoid immediately assigning blame Feel free to challenge ideas Accept constructive criticism Have decisions made on consensus approval Stick to the agenda, avoid tangents Ability to have a ‘parking lot’ Engage all members Be respectful of time Our work should be data evidence informed but not be constrained by the limited

data


41. Deb Dempsey Liaison for Kane County homeless students

42. Dan Barreiro 43. Kathy Fosser Workforce Development 44. Alyse Plattos AOK 45. Erin Donlan Library 46. David Stone Education / Co-chair 47. Deanna Oliver Education 48. Theresa Heaton General support 49. Jess Toussaint Co-chair 50.

Page 475 of 500

Brief description of the issue, including a summary of relevant data and any population disparities. Compared to those with higher education and income, people with lower education and income experience higher rates of morbidity and mortality, a higher burden of chronic disease, and more health risk factors. Lower rates of access to treatment and preventive care, insurance coverage also are correlated with lower income and education levels. Disparities occur across the lifespan, race, ethnicity, and gender. Kane County data relative to income and education follows:

Page 476 of 500

RELATED HEALTHY PEOPLE 2020 OBJECTIVES Proportion of persons living in poverty. Increase the proportion of students who graduate with a regular diploma 4 years after starting 9th grade. Social determinants of health


are keeping members from supporting the decision and what it would take for them to support the decision. Consensus is not majority rule or unanimity. Consensus is when all members agree that they can support the decision. For individual members, It may not be their first choice, but they state they can live with it.

Page 477 of 500


ownership for it to be included in the action plan. Suggest developing no more than 3 goals for each priority. Suggest developing no more than 5 intermediate objectives for each goal. Use evidence-based and evidence-informed strategies, and approaches, including policy, systems and


Counts Executive Committee. This is a Kane County community health improvement plan, not a health department or hospital plan.

Page 478 of 500


Page 479 of 500

ATTACHMENT M: Kane Health Counts Membership

and Meeting Participation

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Alchin, Maribel Meijer N x x

Alegria, Dalila United Way of Fox Valley N x

Amayun, Casey Elgin Partnership for Early Learning N x

Ankenbruck, Julia Kane County Juvenile Justice Council N x

Anthony, Sonja Child Services Y

Arch, Nora Kane County Health Department Y x

Arroyo, Patty Presence Saint Joseph Hospital N x

Aureden, Kathy Advocate Sherman Hospital Y x

Aurora-Diaz, Maria Presence Mercy Medical Center Y x x x x x x x x x x x x x

Barr, Laura University of Illinois - Extension Y x x

Barreiro, Dan City of Aurora Y x x x x x x x x x x

Becker, Jennifer Kane County Division of Transportation N x-SUB x x

Benberry, Laetitia Pregnancy Information Center Y x x

Beukelman, Diane Jennings Terrace Y

Biage, Phillip Illinois Department of Child and Family Services N x

Bier, John Fox Valley Police Department N x

Bohner, Brad City of Elgin N x

Bosley, Lynne United Way - Elgin N x x

Bow, Lindsay Kane County Health Department N x x x x x x x x x

Brasseur, Kelly Northern Illinois Food Bank N x

Brossman, Alex Kane County Health Department N x

Brown, Mike Presence Mercy & Presence St. Joseph N

Brown, Roy Progressive Baptist Church N

Brown, Susan Kane County Human Resources Y x x

Bryant, Don Kane County Office of Emergency Management N x

Bryant, Maureen Delnor Community Hospital, Cadence Health N

Bumba, Paul City of St. Charles Y x x

Bush, Sharon Grand Victoria Foundation N x

Cabel, Holly St. Charles Park District Y x x

Cada, Deanna Kane County Court Services Y x x

Carr, Sandra Big Rock Township Y x x

Chally, Amy AIM Center for Independent Living Y x

Chamberlain, Pat Elgin Partnership for Early Learning Y x x

Chipman, Jerad Village of Montgomery N x

Christoffel, Beth VNA (Visiting Nurses Association) N x x

Ciesla, Jim Northern Illinois University N x

Cofer, Paul Kane County Health Department N x x x x

Conlin, Therese District 129 - West Aurora N x

Conroy, Marsha Aunt Martha's Youth Services N x x x x x x

Cook, Emma Kane County Health Department N x x x

Crouch, Christine Aurora University N x

D'Arcy, Mary Alice Easter Seals - Elgin N x

Darnall, Elaine Illinois Department of Public Helalth N x x

Deering, Linda Advocate Sherman Hospital N

Demorest, Nicholas Greater Elgin Family Care Center N x

Dempsey, Deb Kane County Regional Office of Education N x x x

Donlan, Erin Gail Borden Public Library Y x x x-SUB x x x x x x x x x

Doyle, Kevin Walgreens Y x

Durham, Marion YWCA Y x

Eakins, Liz Lazarus House Y x x x

Eder, Dan Kane County Health Department N x x x x x x x x x x x x x x x x

Edwards, Julie Presence Health Y

Eichelberger, Brent Village of Sugar Grove N x

Eide, Kassia SPARK Y x x x

Falkman, Sarah Crisis Center N x x x

Fearday, Jennifer Kane County Health Department N x

Ferguson, James District 131 - East Aurora N x

Finn, Barry Rush Copley Medical Center N

Fiore, Stacy Kane County Court Services N x

Forbes, Jackie Kane County Division of Transportation N x x x x x x x x x

Fosser, Kathy Kane County Health Department Y x x x x x

Frederickson, Cheryl District 300 - Carpentersville Y x x x x x x x x x x

Name: Last, First Organization

Sign

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Ch

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Signed an Action Team charter?Executive Committee Meetings Stakeholder Meetings

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Gadomski, Jessica University of Illinois - Extension Y x x x

Garza, Raul Aunt Martha's Youth Services N

Gasca, Ricardo Renz Center N x

Gengler, Pat Kane County Sherrif's Office N x

Gianacakos, Stephanie Benedictine University N x

Giancotti, Maria Mill Creek Elementary PTO Y x

Giloth, Barbara Advocate Health Care N x

Gramirez, Joel Community Health Partnership of Illinois N x

Hanlon, Brett Kane County N x

Happ, Marissa Aurora University/Social Work Y

Heaton, Theresa Kane County Health Department N x x x x x x x x x x x x

Henry, Beverly Northern Illinois University Y x

Henson, Danielle Gail Borden Public Library N x-SUB x x

Hilderbrand, Taylor Rush Copley Medical Center Y

Hix, Sandi Day One Network Y x

Homan, Diane Rush Copley Medical Center Y x x x x x

Hottel, Patricia McClaud Services Y x

Howard, Kaitlin Kane County Health Department-Intern N x

Howe, Deb Renz Center N x

Howorth, Chrissie VNA (Visiting Nurses Association) N x-SUB x x x x x

Hunter, Ed Presence St. Joseph Hospital/Mercy Medical Center Y x x x x x x x x x x

Iniguez, Maria Presence Mercy Medical Center Y x x

Isaacson, Michael Kane County Health Department N x x x x x x x x x x x x x x

Jackson, Sam Global Health Literacy Org (Benedictine University) Y x

Jahan, Nusrat Kane County Health Department N x

Jeffers, Barbara Kane County Health Department N x x x x x x x x x x x x x

Kannegiesser, Jeannine Northern Illinois Food Bank Y x x

Knapp, Patrick KDOT & Kane/Kendall Council of Mayors N x x

Koch, David VNA (Visiting Nurses Association) Y x x x x x x x

Kopasz, Marielle Kane County Health Department - AmeriCorp N x

Kramer, Don Kane County N x

Lara, Elisa VNA (Visiting Nurses Association) Y

Lauzen, Chris Kane County Board Y

Leiva, Eugenio YWCA N x

Letizia, Jeanne Williamsburg Elementary School PTO - Geneva Y x

Link, Tina Advocate Sherman Hospital Y x x x x x x x x x x x x x

Lopez, Bev Kane County Health Department Y x

LoVerde, Janet Aurora Univeristy Y x x x

Lowry, Mike Kane County Mental Health Advisory Committee N x x

Luebke, Lisa Greater Elgin Family Care Center N x

Lyons, Kathryn Kane County Health Department Y x

MacDonald, Mary Carol Presence St. Joseph Hospital Y x x x x

Mahmood, Sarwar Kane County Health Department N x

Maki, Karen Gail Borden Public Library N x

Mandrelle, Rajnish AID - Association for Individual Development Y x x x

Mangano, Patty Regional Transportation Authority, Chicago N x x

Mantynband, Annie Pushing the Envelope Farm, Geneva, IL N x

Marchand, Angie Buchar Family Chiropractic N x

Margulies, Trisha Pushing the Envelope Farm, Geneva, IL N x

Maxwell, Jane Kane County Health Department, Fit for Kids N x

McBride, Ann Breaking Free N x x

McKeown, Colleen Munite Clinic - South Elgin N x

McLaughlin, Marc Village of South Elgin N x

Mejia, Ana Senior Services Associations, INC Y x-SUB x x

Meyer, Michael Fox Valley United Way N

Miller, Debbie District U-46 - Elgin N x x

Page 482 of 500

Miller, Micki Senior Services Associations, INC N x-SUB

Mitchell, Maureen Meijer N x

Monnard, Kristin Illinois Public Health Institute N x x

Morales, Alfred District 131 - East Aurora N x

Moran, Mike Breaking Free N x x x x x

Morris, Jordan-Lindsay Lake County Health Department N x

Muhammad, Clayton City of Aurora N x

Murphy, Jerry INC Board, NEP Y x x x x x x x x x x x

Nagle, Carolyn Fox Valley SRA Y x

Nash, Julie Geneva Police Department N x

O'Brien, Kathy Mooseheart N x

Ochoa, Hector Old Second National Bank N

Ochoa, Maria INC Board N x

Oliver, Deanna Kane County Regional Office of Education N x x

Olson, Anna Kane County Health Department-Intern N x

O'Malley, Ann Aurora Early Learning Center Y x

Onwuta, Uche Kane County Health Department N x x x x x x x x x x x x x x x

Ortega-Ehreth, Dianha Youth Leadership Academy N x

Ostrander, Stephen Chicago Metropolitan Agency for Planning Y x x

Otepka, Kim Tricity Family Services, INC Y x

Parkhurst, Katie Village of Algonquin N x

Pascoe, Joy Private Citizen N x

Pergi, Maria Kane County Health Department N x x x x x

Peterson, Anna Rush Copley Medical Center N x-SUB x

Pina, Mari Kane County Health Department N x

Plattos, Alyse Kane County Health Department N x x x x x x x

Podolski, Karin Northwestern Medicine N x x x x x x x x x x x

Poirier, Patti GrannyCare Family Care, Geneva N x

Pokorny, Marianne YWCA and Child Care Resource and Referral N x x

Poulakos, Christopher Breaking Free N x

Prange, Nancy Northern Illinois University Y x

Preihs, Kristin Kane County Health Department N x x x

Pressley, Tammy Northwestern Medicine N x x x x x x

Raabe, Terese Rush Copley Medical Center Y x x x x x x-SUB x x x x

Race, Claudia Aurora Public Library Y x

Rackow, Drew City of Batavia N x

Ramirez-Sliwinski, Linda Kane County Mental Health Advisory Committee N x x x x x x

Ranieri, Dana Breaking Free N x

Rauschenberger, Carol City of Elgin N x

Reginato, Claudia Kane County Health Department N x

Reopelle, Randy City of Elgin Y x

Rettenmeier, Clete Aurora Fire Department N x

Reuter, Jim South Elgin Parks and Recreation Y x

Roesner, Lisa Community Contacts, INC Y x x

Rollins, Pat Sugar Grove Police Department Y x

Rooney, Trish SPARK/Fox Valley United Way Y x

Roop, Diane Kane County Health Department Y x

Rudnicki, Mary Cadence Y x x

Ryndak, Arlene Kane County Health Department Y x x x

Saylor, Emily Kane County Court Services Y x

Schaefer, Alexandra District U-46 - Elgin N x

Schleuter, Tom Kane County Health Department Y x x x x

Schmidt, Paula Kane County Medical Society Y x x x x

Schoedel, Carl Kane County Division of Transportation N x x-SUB

Schultz, John Tri-City Ambulance Y x

Seburn, Pam Arden Courts of Geneva Y x x

Sierra, Amy Kane County Juvenile Justice Council Y x

Siete, Linda Reflejos Publications, LLC Y x

Sillitti, Sharon Kane County Health Department N x x x x x

Silva, Monica Kane County Board Y

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Simmons, Jennifer Cadence Y x x x x

Sligting, Charlene AAA Y

Slivka, Alexis Kane County Health Department N x x x x

Smith, Mary Kane County Court Services Y x x x

Starrett, Susan Kane County Board Y x

Stone, David Northern Illinois University Y x x x x x x

Sullivan, Mike Kane County Division of Transportation Y x

Svevo-Cianci, Kimberly Changing Children's Worlds Foundation N x x

Syvertsen, Nel Kane County Health Department N x

Tanner, Bob Greater Elgin Family Care Center N x x

Tauscher, Georgia Kane County Breastfeeding Coalition N x

Tessmer, Katie Greencastle of North Aurora, Consecra N x

Toth, Chris Kane County Development N x x

Toussaint, Jess Waubonsee Community College N x x x x

Tsang, Alexandra Kane County Diagnostic Center N x

Turner, Michelle Kane County Health Department N x

Tyson, Elaine Marie Wilkinson Food Pantry, Aurora Y

Upshaw, Erin South Elgin Parks and Recreation Y x

Van Delinder, Claudia Greater Elgin Family Care Center N x

VanGundy, RaeAnn Kendall County Health Department N x

VanKerkhoff, Mark Kane County Development N x x x x

Verzal, Sharon Kane County Health Department Y x x

Viyuoh, Daisy Kane County Health Department Y x x

Wascher, Kim South Elgin Parks and Recreation Y

Webb, Valerie Illinois Public Health Association N x

Wiegel, Julie Kane County Health Department N x

Windel, Linnea VNA (Visiting Nurses Association) N

Zawacki, Jeanette Kane County Health Department N x

Page 484 of 500

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Alegria, Dalila Inc. Board xAnderson, Katie Gateway Foundation x

Ang, Jeanne Advocate Healthcare x xAnkenbruck, Julia Juvenile Justice Council x x x x

Banda, Karen Kane County Health Department xBarth, Leah x

Beyer, Karen Ecker Center for Mental Health x

Bouba, Janeth Family Service Association of Greater Elgin xBow, Lindsay Kane County Health Department x x x x

Buckheister, Kim Association for Individual Development x x xBuhrt, Tim Centennial Counseling Center x

Cataldo, Jennifer Ecker Center for Mental Health xChristoffel, Beth VNA Healthcare x xCowart, Annette Changing Childrens Worlds Foundation x xCumblad, Carl Mid-Valley Special Education Cooperative x x

Eakins, Liz Lazarus House x x xEiland, Lisa SPARK x

Elsbree, Denise Linden Oaks x xFalkman, Sarah Community Crisis Center x x x x xFurnas, Joanne Association for Individual Development xGiloth, Barbara Advocate Healthcare x x x xHinkle, Catrina Greater Elgin Family Care Center x x x x x

Horn, Kelly TriCity Family Services xHowe, Deb Renz Center xHunter, Ed Presence Mercy x x x

Isaacson, Michael Kane County Health Department x x x x x x xJackvani, Samroz Kane County Health Department x x x

Jeffers, Barb Kane County Health Department x x x x x xJohnson, Allison Northwestern xJohnson, Andrea Changing Childrens Worlds Foundation x

Knewitz, John Mid-Valley Mental Health Partnership xKopasz, Marielle Kane County Health Department x x

LeRoy, Jolene Interfaith Mental Health Aurora Cluster xLowery, Mike Kane County Mental Health Advisory Committee x x x x x xMaier, Perry Open Door x

May, Bernadette Family Service Association of Greater Elgin x x xMcLaughlin, Dianne Presence Mercy x x x

Moran, Michael Breaking Free x x x xMurphy, Jerry Inc. Board x x x x xNoble, Patricia Linden Oaks x x x

Olson, Anna Kane County Health Department xPergi, Maria Kane County Health Department x x x

Ramirez-Sliwinski, Linda Kane County Mental Health Advisory Committee x x x xRegan, Katelyn Renz Center x x

Sarmiento, Sarah District 131 x xSimmons, Jennifer Northwestern x

Slivka, Alexis Kane County Health Department x x x x x x xSmith, Mary Kane County Court Services x x x x

Svevo-Cianci, Kimberly Changing Childrens Worlds Foundation x xTierney, Greg Gateway Foundation x

Van Delinder, Claudia Greater Elgin Family Care Center xWard, Eric Family Counseling Services x

Behavioral Health Attendance Meeting Date

Page 485 of 500

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Anderson, Brittany Kane County Health Department x

Arroyo, Marianna Rush Copley Medical Center x

Aurora-Diaz, Maria Presence Mercy Medical Center x x x x x

Banda, Karen Kane County Health Department x x x x

Becker, Jennifer Kane County Department of Transportation x x x x x

Bow, Lindsay Kane County Health Department x x x

Brasseur, Kelly Northern Il l inois Foodbank x x

Carter, Donna Rush Copley Medical Center x x x

Cofer, Paul Kane County Health Department x x x x x x

Conroy, Marsha Aunt Martha's x x x x

Cook, Emma Kane County Health Department x x x x x

Eder, Dan Kane County Health Department x x x x x x

Firmis, Lynda Presence St. Joseph Hospital x

Forbes, Jackie Kane County Department of Transportation x

Gadomski, Jessica University of Il l inois Extension x x x

Geraci, Patrice University of Il l inois Extension x

Howorth, Chrissie VNA (Visiting Nurses Association) x x x x x x

Isaacson, Michael Kane County Health Department x x x x x

Jakvanis, Samroz Kane County Health Department

Klecka, Michelle Northwestern Delnor Hospital x

Kopasz, Marielle Kane County Health Department x x x

Link, Tina Advocate Sherman Hospital x x x x x

MacDonald, Mary Carol Presence St. Joseph Hospital x x x x x x

Manjarrez, Dianna Greater Elgin Family Care Center x x x x

Marchand, Angie Planet Health Solutions x

McBride, Rachel Northern Il l inois Foodbank x x

Onwuta, Uche Kane County Health Department x x x x x x x x

Pergi, Maria Kane County Health Department x x x

Peterson, Anna Rush Copley Medical Center x x x

Podolski, Karin Northwestern Delnor Hospital x x

Raabe, Terese Rush Copley Medical Center x x x

Reginato, Claudia Kane County Health Department x x x x x

Rudnicki, Mary Nortnern Il l inois University x x

Sill itti, Sharon Kane County Health Department x x x x

Slivka, Alexis Kane County Health Department x x x x

Tansley, Matt Kane County Department of Development x x

Tilton, Becky Kane County Health Department x

Toth, Chris Kane County Department of Development x x x x x

VanKerkhoff, Mark Kane County Department of Development x

Waters, Jennifer Rush Copley Medical Center x

Chronic Disease Attendance Meeting Date

Page 486 of 500

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Austin, Tom Department Of Employment Security x

Banda, Karen, Kopasz, Marielle Americorp at Kane County Health Department x/x x/x x x x/x

Barreiro, Dan City of Aurora x x x x x

Berger, Scott KANE Office of Redevelopment/KCDEE x

Boldt, Diane Youth Transitions ECC x

Bow, Lindsay KCHD/Evaluation x x x x

Brooks, Belinda Quad County Urban League x x x

Collins, Kristen Presence Health x x

Crouch, Chris Institute for Collaboration

Dempsey, Deb Kane County Regional Office of Education x x x x

Donlan, Erin Gail Borden Public Library x x x x x

Eide, Kassia SPARK/ United Way of Fox Valley x x x x

Eiland, Lisa SPARK United Way of Fox Valley x

Espinoza, Jackie Elgin Community College x

Floyd, Nisha WBDC x

Fosser, Kathy KCHD x x x x x x

Frederickson, Cheryl School District 300 x x x

Garber, Philip Elgin Community College x

Garcia, Imelda Senior Services

Gardner, Amanda Gail Borden Public Library x

Gaspar, Allyson Waubonsee Community College x

Gonzalez, Jenna Kane County Workforce Development x

Graff, Yvonne The Agency Staffing

Heaton, Theresa KCHD Support x x x x x x x x

Henning, Joe Aurora Regional Chamber of Commerce x

Hulley, Jayne (Paule Amenta) Elgin Community College x x x x x

Jonke, Cindy Junior Achievement x x

Juarez, Tia Women’s Business Center/Aurora Chamber of Commerce x

Ledezma, Maria Presence Health x

Longworth, Susan Federal Reserve Bank of Chicago x

Lucenko, Tony Elgin Development Group/City of Elgin

Mason, Ben Village of Algonquin x

Michaelson, Brett Invest Aurora x x x x

MeClelland, Julia YWCA of Elgin/Women on the Brink x

Munro, Amy Aurora Office of Redevelopment x

Norris, Lisa Waubonsee Community College x

Nyong, Faith Presence Health/Ministerial Alliance x x

Oliver, Deanna Kane County Regional Office of Education x x x

O'Rourke, Matthew City of St. Charles x

Pergi, Maria KCHD/Evaluation x

Plattos, Alyse KCHD/AOK x x x x x x x

Plonczynski, Jim Village of Bartlett x x

Robinson, Reneta KCDEE

Schmitt, Margo School District 131 - East Aurora x

Simmons, Terrie Women’s Business Center/Aurora Chamber of Commerce x

Smith, Gary Waubonsee Community College, Workforce Development x x

Stone, David Northern Illinois University x x x x x

Taz, George Federal Reserve Bank of Chicago x

Toth, Chris Kane County Office of Development x x

Toussaint, Jess Waubonsee Community College x x

VanKerkhoff, Mark Kane County Office of Development x

Williams, Patriciaa Neighborhood Housing Services of Fox Valley x x

Yapajian, Mary KCDEE

Income and Education Team Attendance Meeting Date

Page 487 of 500

ATTACHMENT N: Community Health Improvement Plans

Page 488 of 500

Behavioral Health Action Team

Kane County Community Health Improvement Plan

Action Team Name Behavioral Health: Community Collaboration 2030 GOAL (14 years) By 2030, improve the mental health of Kane County residents

Outcome Objective 1.0 (6 years) By August 31, 2022, reduce the number of emergency department visits

related to behavioral health by 5%.

BASELINE DATA: 108.01 per 10,000 residents

DATA SOURCE: Illinois Department of Public Health-Illinois Public Health

Community Map, 2014

Impact Objective 1.0 (3 years) By August 31, 2019, increase the % of adults aware of mental health

resources by 15%

BASELINE DATA: 60.9%

DATA SOURCE: Kane County Community Health Assessment, 2014

By August 31, 2019, reduce the % of adults who could not get mental

health services when needed in the past year by 11%

BASELINE DATA: 2.8%


By August 31, 2019, reduce the % of adults that experience “fair” or “poor” mental health by 14% BASELINE DATA: 10.5%


Disparity Focus

Strategy 1: Gain a better understanding of local collaborative efforts

Reportable Milestone Activities Timeline Identify the Activity(ies) related to the Health Disparity

Evidence of Milestone Completion

Accountabilities

1. Create list of collaborativeleaders to interview

May 2016-June 2016

Listed from April action team meeting

Alexis & Michael

2. Schedule collaborative leadersto present at future action team meetings

May 2016-July 2016

Listed on each meeting agenda

Alexis

3. Gain collaborative leader buy-inthrough participation in action team meetings

May 2016-July 2017

Continued participation

All

3.Create living document ofcollaborative presentation summaries

May 2016-

July 2017

Document to

be posted on

Basecamp

Alexis

Page 489 of 500

Strategy 3: Create linkages between existing collaboratives

1. Using the Behavioral HealthMatrix & collaborative updates, identify similar efforts and geographical areas

May 2016-July 2017

2. Identify data being collected byeach collaborative

May 2016-July 2017

Strategy 4: Plan and identify who will make up the action team

1. Identify existing groups thatcould take over responsibilities

2. Create a collaboration structure

Page 490 of 500


Action Team Name Behavioral Health: Public Education 2030 GOAL (14 years) By 2030, improve the mental health of Kane County residents




DATA SOURCE: Illinois Public Health Community Map, 2014


resources by 15%





BASELINE DATA: 2.8%




Disparity Focus

Strategy 1: Promote Resource Web Portal

Reportable Milestone Activities Timeline Identify the Activity(ies)

related to the Health Disparity

Evidence of Milestone

Completion

Accountabilities

1. Share resource withcollaboratives and community partners

1 year Access Completed

web portal &

list of where

it is posted

All

Strategy 2: Identify Resources to support Web Portal

1. Look into local money forsupport

Michael L., Linda

2. Determine who would updateportal

Michael L., Linda

Strategy 3: Expand implementation of Trainings

1. Identify all organizationsproviding MH First Aid Trainings

6 months List of training orgs

Mental Health Awareness Committee

Page 491 of 500

2. Identify population of existingtraining focus (churches, community groups, providers)

1 year

3. Prioritize list of communityleaders in need of training that are not being targeted

1 year

4. Identify what other behavioralhealth education initiatives exist

6 months

Strategy 4: Identify funding source (s) to support education

1. Identify trainings offered at nocost

2. Identify available grants that canbe used to support education initiatives

Page 492 of 500


Action Team Name Behavioral Health: Service Coordination 2030 GOAL (14 years) By 2030, improve the mental health of Kane County residents




DATA SOURCE: Illinois Public Health Community Map, 2014


resources by 15%





BASELINE DATA: 2.8%




Disparity Focus

Strategy 1: Create an up-to-date resource list for providers


related to the Health

Disparity


Completion

Accountabilities

1. Support Kane County MentalHealth Advisory Committee’s Web Portal Proposal

June 2016-December 2016

Access Web Portal Michael L., Linda

2. Survey Care Coordinators forbest platform to access information (languages, handouts, internet)

December 2016-May 2017

Documented feedback

Strategy 2: Create & Distribute information of available resources to providers using preferred method

1. Based on provider surveyresults, create/update resource guide to meet needs

Web portal, printed version, etc.

Page 493 of 500

2. Market web portal to Providersand Care Coordinators

Strategy 3: Conduct a system scan to identify gaps and duplications

1. Participate in Care4KaneInitiative to partner with students to conduct scan

2. Send semi-annual questionnaireto providers for updates on services, capacity, etc.

3. Use information to update webportal/auto populate to web portal

Strategy 4: Patient provided warm handoff between providers

1. Provider committee to reviewneeds and next steps

3-6 year

Strategy 5: Create a standardized release of information to streamline process

1. Meet with school districts asseparate group to identify needs

1 year

2. Meet with BH agencies foropportunities to discuss release process

1 year

Strategy 6: Develop linkage agreements/shortcuts between providers

1. Create a list of providers thatwork closely together

1 year

2. Determine if linkage agreementsexist to review

1 year

Page 494 of 500

Chronic Disease Action Team


Action Team Name Chronic Disease: Nutrition 2030 GOAL (14 years) By 2030, reduce chronic disease in Kane County.

Outcome Objective 1.0 (6 years) By August 31, 2022, decrease the number of hospitalizations due to heart

disease by 5%.


DATA SOURCE: Illinois Department of Public Health EMS Reporting System,

Annual Estimates of the Resident Population: 2014

Impact Objective 1.0 (3 years) By August 31, 2019, increase the % of Kane County adults consuming 5+

servings of fruits and/or vegetables a day by 2.5%.



Disparity Focus Varies depending on activity-income, language, etc.

Goal of Strategies Increase access & consumption of healthy foods

Strategy 1: Access to Local Foods

Reportable Milestone Activities

Timeline Identify the Activity(ies) related to the Health Disparity


Accountabilities

1. Locate existing map of allfarmers markets, farm stands, & CSA programs in Kane County

2 months Access for low SES

Map of farmer’ markets, farm stands & CSA program submitted: http://www.foodandfarmskc.org/?page_id=17

Michael and Matt will pull list from Food & Farm Blog and compare to existing map

2. Identify areas of Kane Countylacking access to farmers markets

2 months Location Map showing

areas lacking

access to

farmer’s

market

Michael & Matt

3. Expand year round access tolocal foods

3 years Location/access Evidence of year round farmer’s markets

Michael & Matt

4. Expand Fruit and VegetablePrescription Program

3 years Low SES New prescription programs created

Michael & Matt

Page 495 of 500

5. Expand pop-up markets/mini-markets

3 years Location of EBT markets

New pop-up markets and mini-markets created

Strategy 2: Community Gardens

1. Inquire on usage (how many,who is using them, what are they growing)

2 months Refugee pop., low SES

Report on community garden usage

Michael collecting info

2. Create system foroverabundance of food being donated to food pantry

2 months Donation to FB Over-abundance system created

Michael

3. “Adopt my garden” program toprevent neglected gardens and produce

1 year Increase access to sold out gardens

Create adopt-a-garden program

Chrissie

4. Develop list of licensed sharedkitchens (VNA, Foodbank, ECC etc.)

2 months Donations Evidence of list of licensed shared kitchens

Dan

5. Create kitchen program forexcess produce

3 years Donations Kitchen program for excess produce created

Chrissie & Donna

Strategy 3: Workplace Environment

1. Establish WorkplaceRecognition program (ex: Will County)

1 year-continue annually

Creation of workplace recognition program

Alexis & Michael, Tina Link share workplace survey

2. Promote Fit for KidsWorkplace Criteria

3 years Marketing plan for FFK workplace criteria

Alexis & Michael-share IPHI & AHA toolkits and chamber info by next meeting

3. Partner with workplaces toprovide access to nutritional foods

1 year Access to nutritional foods created for workplaces

Alexis & Michael

Page 496 of 500


Action Team Name Chronic Disease: Physical Activity 2030 GOAL (14 years) By 2030, reduce the rate of chronic disease in Kane County.

Outcome Objective 1.0 (6 years) By August 31, 2022, decrease the number of hospitalizations due to heart

disease by 5%.


DATA SOURCE: Illinois Department of Public Health EMS Reporting System,

Annual Estimates of the Resident Population: 2014

Impact Objective 1.0 (3 years) By August 31, 2019, increase the % of Kane County adults who engage in

30 minutes of moderate physical activity, five or more times per week by

2.5%.



By August 31, 2019, decrease the % of Kane County adults reporting no

leisure-time physical activity in the past month by 2.5 %.



Disparity Focus Varies depending on activity-income, language, etc.

Goal of Strategies Enhance the built environment

Strategy 1: Sidewalks


related to the Health

Disparity


Completion

Accountabilities

1. Make sidewalks accessible andopen for walking and biking

3 years Bike/pedestrian map, KDOT Master Plan

KDOT

2. Identify existing sidewalk gaps& encourage application to funding opportunities

3 years List of gaps, available sources of funding

KDOT, Fit for Kids

3. Encourage municipalities toapply for funding opportunities

3 years Funding applications

KCHD, KDOT

3.Bike rental programs(implemented in Aurora)

3 years ridership data,

# of rentals

KCHD, City of Aurora

4. Walk to School Day 1 year # of schools registered

Fit For Kids, KCHD

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5. Bike to Work Week 1 year Location Total mileage, # of participants

Kane County Dept. of Sustainability, KCHD

Strategy 2: Trails

1. Provide more lights at strategicpoints on trails (trail heads, parking areas, etc.)

3 years # of lights installed

KC Forest Preserve District, Fox Valley Park District

2. Provide signs on trails that statemileage and estimated calories to be burned that are linguistically appropriate

3 years # of signs installed

KDOT, Fox Valley Park District

4. Post signage/decision pointwith work out activities (ex: work out stations)

3 years # of signs installed

KCHD

5. Create organized groupwalks/walking clubs or promote existing walking clubs

2 years inventory of existing walking clubs

KCHD

6. Create linguistically appropriatetrail maps

3 years Completed trail map

KCHD connect with KC Forest Preserve District

Strategy 3: Workplace

Environments

1. Post point of decisions signsnear elevators to prompt use of stairs

3 years Posted signage Presence, KCHD with CDASH grant

2. Create workplace/break timepolicies

3 years Created/amended policies

KCHD with CDASH grant

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Income and Education Action Team


Action Team Name Income & Education

Goal Increase the education and income of Kane County adults 2030 Objective 1.0 (14 years) By August 31, 2030, reduce the proportion of Kane County residents living at

or below 100% of poverty by 25% (Baseline = 10.7% SAIPE, 2014).

Outcome Objective 1.0 (6 years) By August 31, 2022, improve the 4-year graduation rate of all public school

districts with a baseline rate <87% by 5 percentage points.* (Baseline in

2015 = 3 districts are under 87%, Illinois State Board of Education,

2015).

*Healthy People 2020 objective AH-5.1 tracks the 4-year adjusted cohort

graduation rate (ACGR) in public high schools. The Healthy People target is

87%.

Impact Objective 1.0 (3 years) By August 31, 2019, active, collective community engagement in improving

income and education as evidenced by completion of a social network

analysis. (No baseline available).

Disparity Focus The environmental scan will address disparities in order to create an action plan with an equity focus.

Strategy 1: Complete an environmental scan that identifies the current strengths, assets, barriers, and forces impacting income and education in Kane County in order to identify collective impact interventions that will

improve income and education among residents. Reportable Milestone Activities Timeline Identify the

Activity(ies) related to the Health Disparity


Accountabilities

1. Identify Key Questions/Issues tofocus the environmental Scan

June 30, 2016

Include the disparate populations

Key Issue Document

All team members

2. Validate key issues withcommunity experts as needed.

Include the

disparate

populations

Key Issue Document

All team members

3. Complete Secondary Data

Collection (Local. State, national)

relative to Key Issues and

community perspectives

Oct, 2016 Include the

disparate

populations

Data analysis forms

All team members and data work group members.

4. Analyze secondary data and assess

for usefulness, relevance, and

Identify community perspective (s).

Dec, 2016 Include the

disparate

populations

Data analysis forms


5. Identify target groups for primarydata collection-surveys & focus groups

Feb 2017 Include the

disparate

populations

Primary data plan


6. Design and implement surveys. April 2017

Include the

disparate

populations

Surveys All team members and survey group work group members.

7. Analyze survey data. June 2017 Include the Analysis report All team members and survey work group

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disparate

populations members.

8. Design and implement focus groups.

August 2017

Include the

disparate

populations

Focus group plans

All team members and focus group work group members.

9. Analyze focus group data. Oct 2017 Include the

disparate

populations

Analysis report All team members and focus group work group members.

10. Complete SWOT and Gap

Analyses to identify action plan

priorities.

Dec 2017 Include the

disparate

populations

SWOT Analysis All team members

11. Complete an intervention plan

based on the priorities that uses a

collective impact approach.

Feb 2018 Include the disparate populations

Action Plan All team members

Strategy 2: Complete a matrix of economic and educational initiatives that indicate the Kane assets applied

toward the improvement of education and income among Kane County residents.

Reportable Milestone Activities Timeline Identify the Activity(ies) related to the Health Disparity


Accountabilities

1. Identify key issues for income and education.

June 30, 2016

Include the

disparate

populations

Key Issue Document

All team members and matrix work group

2. Identify programs and initiatives that address the key issues.

Oct. 2016 Include the

disparate

populations

Matrix document


2. Seek engagement of programs and initiatives in ongoing CHIP work.

ongoing Include the disparate populations

Attendance rosters


3. Promote the matrix in the community.

ongoing Include the disparate populations

Publication registry


4. Update the matrix Oct 2017 Include the

disparate

populations

Key Issue Document


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kane county community health assessment and …...the community health assessment and improvement...

Documents