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Cobb & Douglas Public Health’s 2016-2017 Community Health Assessment
& Improvement Plan: A Practical Update for the Local Public Health System
Presented by: Rachel Franklin, MPHDirector, Epidemiology & Health Assessment
April 5, 2018
At the end of this presentation, participants will be able to:
Brainstorm practical, new approaches to planning and implementing the Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP) at a local level utilizing the MAPP framework
What is MAPP?
Mobilizing for Action through Planning & Partnerships (MAPP)• A community-wide strategic
planning tool for improving community health
• A community driven process• A cyclical approach built
into six-phases• A PHAB approved model
The Cobb & Douglas district is in its 2nd
Cycle of the MAPP Process.• 2011-2012:
• Organized for success through Cobb2020 & LHD partnerships
• Conducted the 4 MAPP Assessments (Community Health Assessment or CHA)
• Developed the Community Health Improvement Plan (CHIP)
• 2012-2016: Action Cycle
• 2016-2017: 2nd CHA/CHIP Process
• 2017-2021: 2nd Action Cycle
Community Health Status Assessment (CHSA)Answers the Questions:
• “How healthy are our residents?”• “What does the health status of our community look like?”
Possible Data Collection Approaches Include:• Accessing federal/state/local databases• Using previously conducted health assessments or
reports• Accessing data from other organizations• Randomized community surveys
Community Health Status Assessment
• Primary Data• KSU nursing students conducted random telephone survey of
Cobb and Douglas residents - 2,111 calls made and 274 respondents
• Online survey to GreyStone Power and Cobb EMC customers in Cobb and Douglas counties – 291 respondents
• Secondary Data• Local data from various reliable sources, primarily Georgia
Department of Public Health’s OASIS and U.S. Census Bureau
Cobb & Douglas CHSA engaged primary and secondary data collection methods
Community Themes and Strengths Assessment (CTSA)Answers the Questions:
• “What is important to our community?”• “How is quality of life perceived in our community?”• “What assets do we have that can be used to improve community
health?”
Possible Data Collection Approaches Include:• Community meetings• Community dialogues/town
hall meetings• Windshield surveys• Key informant interviews• Community surveys
• Photovoice• Focus groups
Community Themes & Strengths Assessment
• Primary Data• Same as CHSA• Cobb and Douglas County focus groups
• 6 community groups, strategized to give a voice to potentially-disparate populations
• 1 healthcare provider group• Secondary Data
• Same as CHSA• Secondary data shared by WellStar Health System’s 2016
Community Health Needs Assessment (CHNA) – Key Informant Survey and Hispanic population focus groups
Cobb & Douglas CTSA engaged primary and secondary data collection methods
Local Public Health System Assessment (LPHSA)Answers the Questions:
• “What are the components, activities, competencies, and capacities of our local public health system?”
• “How are the 10 Essential Public Health Services being provided to our community?”
Possible Data Collection Approaches Include:• CDC’s National Public Health Performance
Standards Program• Online surveys• Focus groups• Facilitated conversation
Local Public Health System Assessment
• Primary Data• Online survey to 65 local representatives (healthcare, schools,
employers, state and local public health, city government)• Rated the local public health system’s performance against
Model Standards, the gold standard on the 10 Essential Public Health Services (EPHS)
• 1.5-hour in-person meeting to discuss survey results and identify strengths, weaknesses, and opportunities
A Cobb & Douglas modified LPHSA addressed resource and time constraints
Forces of Change Assessment (FoC)
Answers the Questions:• “What is occurring or might occur that affects the health of our
community or the local public health system?”• “What specific threats or opportunities are generated by these
occurrences?”
Possible Data Collection Approaches Include:• Facilitated conversation• Small group discussions• Informal lunch meetings• Email exchanges
Forces of Change Assessment
• Primary Data• 2011 FoC findings e-mailed to Cobb2020 and Live Healthy Douglas
Steering Committees for review• 1.5 hour in-person meeting professionally facilitated with both
Steering Committees separately to discuss:• What has significantly changed in the County since 2011 and
what is expected to change in the next 5 years?• What forces now and in the next 5 years can reinforce health
equity in the community?• How can we take advantage of these forces?
FoC discussions were facilitated with local Coalition Steering Committees
The Cobb & Douglas CHIP II is built around 2 strategic priorities.
The coalitions worked with MAPP subject matter experts to create goals
and strategies that align with local, state and national priorities.
The updated CHA/CHIP applies a health equity lens.
“Our goal is to focus on the related social and economic conditions, in the
places where people work, live, learn or play, effecting health risks and
outcomes. These social determinants of health have the power to positively or
negatively affect an individual or family’s ability to achieve health.”
– Cobb & Douglas CHIP II (2017-2021)
Where are we now?
CHA and CHIP reports were published October 2017 and can be accessed at: http://www.cobbanddouglaspublichealth.com/publications/
Planning for the future, we hope to:
• Plan co-assessment with local health system partners for common CHA/CHNA data collection needs
• Revise the quantitative primary data collection approach to increase yield
• Utilize advanced web-based technology solutions to enable in-time updates for assessments and secondary data sharing to supplement the static CHA report
• Use project management methodology internally and with partners to ensure the more efficient allocation of time and resources
Q&ACDPH Contacts for questions regarding CHA/CHIP:
Rachel Franklin, Director of Epidemiology & Health Assessment [email protected]
Sabrina Mallett, Planning & Partnership [email protected]
Lisa Crossman, CDPH Deputy [email protected]
