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Community Health Improvement Plan Annual Report, 2016
Florida Department of Health
in Hernando County
January 2017
Table of Contents
Introduction ..................................................................................................................... 2
Overview of Community Health Improvement Plan (CHIP).............................................. 4
Summary of CHIP Annual Review Meeting ................................................................ 6-13 Strategic Issue Area #1 ....................................................................................... 6 Strategic Issue Area #2 ..................................................................................... 10
Revisions ...................................................................................................................... 14
Accomplishments .......................................................................................................... 16
Conclusion .................................................................................................................... 18
Appendices .............................................................................................................. 19-36 Appendix A: Annual CHIP Review Meeting Agenda .......................................... 20 Appendix B: Annual CHIP Review Community Meeting Minutes .................. 21-23 Appendix C: Annual CHIP Review Community Meeting Sign-in Sheet .............. 24 Appendix D: Comprehensive List of Community Partners............................. 25-26 Appendix E: CHIP 2017-2019 Workplan ....................................................... 27-37
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Introduction This is the annual review report for the 2014 – 2016 Hernando County Community Health Improvement Plan (CHIP). The activities and collaborative efforts of the Florida Department of Health in Hernando County and community partners will be reflected within the report. This document will serve as a progress review of the strategies that were developed and the activities that have been implemented. While the CHIP is a community driven and collectively owned health improvement plan, the Florida Department of Health in Hernando County is charged with providing administrative support, tracking and collecting data, and preparing the annual review report.
The Hernando County CHIP partnership met on August 12, 2016 to review progress made on the 2015-16 strategies and to get partner input as to the success/impact of those strategies. Partners at this meeting included:
Valerie Pianta Hernando County Economic Development Tina Kinney National Alliance on Mental Health (NAMI) - Hernando Sandra Marrero Baycare Behavioral Health Dominique Holmes United Way of Hernando County Sheena Thompson Gulfcoast North Area Health Education Center Kathleen Sauskojus Florida Dept. of Health in Hernando County Marla Banta Nature Coast Community Health Center Board of Directors Mike Walker City of Brooksville Parks and Recreation Department Al Gray Florida Dept. of Health in Hernando County Robin Napier Florida Dept. of Health in Hernando County Cheryl Pollack Premier Community Health Center (Pasco) J.R. Hutchinson Hernando County Sheriff’s Office Ann-Gayl Ellis Florida Dept. of Health in Hernando County Rich Linkul Oak Hill Hospital Duane Chichester City of Brooksville Business Development Coordinator
The CHIP Annual Review Meeting included review of the 2 strategic issue areas and the goals, strategies and objectives outlined in each. Actions that took place during the year to accomplish objectives were discussed and objectives that were not accomplished were noted. Accomplishments and shortfalls in each goal area were discussed, barriers to success were identified and suggestions for improvement were shared. Following each section review, partners assessed the effectiveness of the strategies in accomplishing the respective goal and were given the opportunity to provide comment.
Strategic Issue Area 1: Community Awareness & Engagement
Goal 1: Enhance leadership on addressing community health issues by:
• mobilizing a community collaborative partnership to identify these issues • Informing and educating the community on their impact • Implementing solutions that improve these issues.
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Strategies: • Increase awareness of health status in Hernando County residents, visitors &
stakeholders • Strengthen local collaborative of community stakeholders
Goal 2: Improve and expand central community health services information and referral resources for both consumers and providers
Strategies: • Strengthen local 211 website • Strengthen local collaborative of community stakeholders
Strategic Issue Area 2: Health Promotion
Goal 3: Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County
Strategies: • Equip key stakeholders to educate and inform area residents regarding mental
health first aid and crisis intervention • Develop an effective model to address mental health funding opportunities • Strengthen local collaborative of community stakeholders
Goal 4: Increase the number of Hernando County residents living at a healthy weight. Strategies:
• Promote healthy lifestyles and reduce chronic disease • Increase the healthy weight of children and adults • Strengthen local collaborative of community stakeholders
Goal 5: Reduce diabetes morbidity and mortality in Hernando County Strategies:
• Promote healthy lifestyles and reduce chronic disease risk • Strengthen local collaborative of community stakeholders
Partner evaluation of CHIP strategy effectiveness was measured using a multiple choice (Yes, No, Unsure) survey. Survey results revealed that all participating partners felt Goal 1 and 2 strategies were effective in enhancing leadership on health issues in the community. As a whole, partners were less confident that Goal 3 strategies were effective in increasing the awareness of mental health issues and reduce the stigma of mental illness in Hernando County, specifically when it came to “developing an effective model to address mental health funding opportunities.” Only one of the eleven partners completing the survey felt that Goal 4 strategies were not effective in increasing the number of Hernando County residents living at a healthy weight. Finally, all agreed that Goal 5 strategies were effective in increasing the number of diabetics who participate in at least one disease self-management program.
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Overview of the Community Health Improvement Plan (CHIP) In 2012, the Department of Health in Hernando County formed and convened the CHIP Planning Team. The Planning Team facilitated the Community Health Improvement Plan (CHIP) process using the National Association of City and County Health Official’s Mobilizing for Action through Planning and Partnership (MAPP) strategic planning model. The planning team, made up of subject matter experts from across a diverse group of partners, conducted the four assessments suggested by the MAPP process. Individually, the assessment yielded in-depth analyses of factors and forces that impact population health. Taken together, the assessment findings contribute to a comprehensive view of health and quality of life in Hernando County.
In August, 2015, CHIPP members collaborated to create the 2015 CHIP Update which represented the second update since the inception of the initial plan in 2012. The 2015 CHIP Update processes entailed an electronic CHIP partnership survey of progress made on 2014 strategies; a facilitated meeting to review and discuss electronic survey results, a facilitated general membership meeting to establish consensus (or lack thereof) on new strategy areas and goals and create/revise objectives to reach those goals; and an Executive Board meeting to approve the Update.
The 2015 Hernando County Community Health Improvement Plan Update was reviewed for alignment with the following state and national guidelines:
• Florida State Health Improvement Plan 2012-2015 (April 2012) from the Florida Department of Health
• Healthy People 2020 from the United States Department of Health and Human Services • National Prevention Strategy – America’s Plan for Better Health and Wellness (June
2011) from the National Prevention Council
Each objective under each goal was reviewed to determine alignment with state or national guidelines.
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2015 Strategic Areas and Goals
STRATEGIC ISSUE AREA GOAL
Community Awareness & Engagement
Enhance leadership on addressing community health issues by mobilizing a community collaborative partnership to identify these issues; inform and educate the community on their impact; and implement solutions to improve these issues.
Improve and expand central community health services information and referral resource for both consumers and providers.
Health Promotion
Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County. Increase the number of Hernando County residents living at their healthy weight. Reduce diabetes morbidity and mortality in Hernando County.
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Summary of CHIP Annual Review Meeting Overall, CHIPP members were satisfied with the work accomplished during the 2015-16 year. Successes were noted in all strategy areas including increased partnership participation, achievement of most objectives, and improved positioning in the National County Health Rankings. There was agreement that the need for a fluid mental health logic model is critical if the community wants to be well equipped to respond to funding opportunity announcements in a timely manner. This was an unmet objective for this past year and will remain in the next strategic planning cycle.
Strategic Issue Area #1: Community Awareness & Engagement
The 2012 Hernando County Community Health Needs Assessment community themes and strengths assessment portion of the MAPP process identified the need to better mobilize community partnerships to identify and solve health problems. The CHIP partnership served as a vehicle to establish or strengthen relationships between various community partners and facilitate shared goals. This year’s “Community Awareness and Engagement” strategic issue area expands the scope of partners to include community organizations that have not yet become involved but who could have significant impact on the accomplishment of objectives.
Goal 1: Enhance leadership on addressing community health issues by:
• mobilizing a community collaborative partnership to identify these issues • Informing and educating the community on their impact • Implementing solutions that improve these issues. Strategies:
• Increase awareness of health status in Hernando County residents, visitors & stakeholders
• Strengthen local collaborative of community stakeholders
Key Partners: Duane Chichester, Rich Linkul, Tresa Watson, J.R. Hutchinson, Ann-Gayl Ellis Robin Napier, Lauren Jolly, Angie Bonfardino, Tina Kinney, Valerie Pianta and Sheena Thompson
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Hernando County continues to trend negatively in the Robert Wood Johnson County Health Rankings. A vibrant and diverse CHIP partnership can provide objective guidance for planning health improvement strategies that are relevant, effective, unified, and realistic.
Objective Indicator Current Level
Target Status Explanation of Status*
By February 1, 2016, a ‘Public Relations’ subcommittee will be established
Committee established
Committee established 12/15. Rich Linkul (chair), Katrina Butler, Jen Siem, Ann-Gayl Ellis, Barbara Manuel
By February 28, 2016, a local County Health Rankings (CHR) awareness campaign will be launched by the newly created public relations sub-committee.
A written plan for CHR results distribution in the community.
No written plan
Written plan developed
No organized plan in place prior to release. CHR results were distributed to multiple audiences. • Media
release • CHIPP
membership distribution
• Radio Show • BOCC
presentation • DOH
website
By February 28, 2016, CHIPP, Inc. a formal Community Leader Awareness and Engagement subcommittee will be established.
Committee established
No Formal Community Leader Awareness & Engagement subcommittee established
No lead recruited.
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Objective
Indicator Current Level
Target Status Explanation of Status*
By June 30, 2016, present 2015-16 accomplishments & updates to the Hernando County Board of County Commissioners at a County Board meeting.
Presentation made 1 BOCC presentation
Robin Napier (Health Officer) presented to BOCC at April 14, 2016 BOCC meeting.
By June 30, 2016, the percentage of voting members who attend at least 75% of CHIPP, Inc. General Membership Meetings will be increased.
Meeting attendance by voting members
68% >68%
71%
By June 30, 2016, a representative from Hernando County Schools will be a member of CHIPP.
Hernando County Schools will be a member of CHIPP.
No Hernando County Schools will be a member of CHIPP.
No progress made.
By June 30, 2016, a representative from County Economic Development will be a member of CHIPP.
County Economic Development representative as a CHIPP member
No County Economic Development representative as a CHIPP member
Valerie Pianta and Virginia Singer are sharing this position on CHIPP.
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Goal 2: Improve and expand central community health services information and referral resources for both consumers and providers.
Strategies • Strengthen local 211 website • Strengthen local collaborative of community stakeholders
Key Partners: Angie Bonfardino, Lauren Jolly, Marla Banta, Shannon Sokolowski, J.R. Hutchinson, Ann-Gayl Ellis, Robin Napier, Tina Kinney, Jen Siem, and Valerie Pianta. Hernando County residents need an accessible place to find current and accurate information on local resources and services that ensures health and safety.
Objective Indicator Current Level
Target Status Explanation of Status*
By June 30, 2016, the Hernando County 211 will have its own website/webpage
Local webpage live No Local webpage live
Local webpage went live in October 2015
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Strategic Issue Area #2: Health Promotion
For five consecutive years, Hernando County has trended negatively in the Robert Wood Johnson County Health Rankings. Self-reported poor mental health days, obesity, and avoidable emergency room visits are among the areas where declines are noted.
Goal 3: Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County.
Strategies
• Equip key stakeholders to educate and inform area residents regarding mental health first aid and crisis intervention
• Develop an effective model to address mental health funding opportunities • Strengthen local collaborative of community stakeholders
Key Partners: J.R. Hutchinson, Tresa Watson, Dawn Wever, Ann-Gayl Ellis & Sandra Marrero
Hernando County residents report a higher number of “poor mental health days” per month compared to the Florida average and ranks 66 of 67 Florida counties in terms of state funding allocations for mental health.
Objective Indicator Current Level
Target Status Explanation of Status
By February 28, 2016, three additional Hernando County stakeholders will be certified to facilitate community “Mental Health First Aid” classes.
Three MHFA facilitators trained
2 5 HCCADC secured funding to train 5 people in Mental Health First Aid. Current # of trainers in Hernando County: 7
By February 28, 2016, a formal Mental Health subcommittee will be established.
Subcommittee established
No Mental Health subcommittee established
CIT committee merged with CHIPP. JR Hutchinson is lead. Dawn Wever and Ann-Gayl Ellis on committee. Additional support provided by DOH Nina Mattei and
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HCSO Jason Deso.
By June 30, 2016, at least one City of Brooksville Police Department (CoBPD) employee and one Hernando County Fire Rescue (HCFR) employee will participate in a Hernando County Sheriff’s Office (HCSO) Crisis Intervention Training (CIT).
Participation in CIT from each agency
2 2 COB officer attended a week long CIT class. Held discussion with HC Fire Rescue training officer and asst. fire chief regarding HCFR participation. Established this particular CIT training not best fit for Fire Rescue personnel. An adapted version is needed.
By June 30, 2016, the components needed for the development of a Hernando county mental health data logic model will be identified.
Logic model components identified
Yes Logic model components identified
Tresa Watson was able to get much of this accomplished. Needs commitment from partners to provide data and keep the document updated.
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Goal 4: Increase the number of Hernando County residents living at a healthy weight.
Strategies: • Promote healthy lifestyles and reduce chronic disease • Increase the healthy weight of children and adults • Strengthen local collaborative of community stakeholders
Key Partners: J.R. Hutchinson, Ann-Gayl Ellis, Richard Linkul, Jen Siem/Amber Slusser
Sixty eight percent of Hernando County adults are either overweight or obese. Unhealthy weights contribute to cardiovascular disease, orthopedic complications, depression and diabetes. Obesity in children is on the rise and as a result, levels of cholesterol and glucose are elevated and hypertension is being diagnosed at earlier ages.
Objective Indicator Current Level
Target Status Explanation of Status*
By 2/28/16, a formal Healthy Weight subcommittee will be established.
Subcommittee Established
No Healthy Weight subcommittee established
Established 12/15 meeting. Ann-Gayl Ellis is lead. 5210 Healthy Hernando for preschools established.
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Goal 5: Reduce diabetes morbidity and mortality in Hernando County
Strategies: • Promote healthy lifestyles and reduce chronic disease risk • Strengthen local collaborative of community stakeholders
Key Partners: Richard Linkul, Barbara Sweinberg, Ann-Gayl Ellis
Diabetes is a major cause of death and disability in the United States and among the top ten causes of death in Hernando County. Unmanaged blood glucose levels and the illnesses that result are a significant contributor to medical care expenditures. Residents who learn to manage their disease can reduce the chances of heart attack, stroke, amputation, blindness and renal failure among other chronic conditions.
Objective Indicator Current Level
Target Status Explanation of Status*
By 2/28/16, a formal Diabetes sub-committee will be established.
Subcommittee Established
No Diabetes sub-committee established
Established 12/15 meeting. Rich Linkul is lead.
By 2/28/16, increase the percentage of Hernando County adults with diabetes who have ever had diabetes self-management education from 48.5% to 53% (Florida CHARTS).
53% 48.5% 53% Unable to establish achievement of target because updated CHARTS data has not yet been released.
* Status indicators are as follows:
= Little to no movement towards objective target
= some progress towards meeting the objective target
= reached or surpassed objective target
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Revisions The Florida Department of Health in Hernando County engaged the services of WellFlorida Council to facilitate the comprehensive Community Health Needs Assessment and the community health improvement planning process in 2016. The process of identifying health priorities and developing strategies to address these priorities in Hernando County was a year-long process that began with the development and completion of the comprehensive community health needs assessment (following the MAPP model). The development of the Community Health Improvement Plan began immediately following the completion of the Community Health Needs Assessment. Three face-to-face meetings were held with the Community Health Improvement Plan Partnership (CHIPP) to discuss, strategize, and develop the Community Health Improvement Plan. Surveys/homework assignments were used as a tool to identify priority community health issues and potential activities and strategies to impact those community health issues. At conclusion of these meetings and assignments, these goals and strategies were determined:
Goal 1: Improve access to primary care, mental health care and substance abuse services in Hernando County, Florida.
Strategy: Increase community awareness of available resources. Strategy: Increase funding. Strategy: Train and educate. 1. Determine the need for a mental health logic model to be used as framework for funding
applications by March 31, 2018 (Healthy People 2020 MHMD-1 - 12) 2. Increase by 200 the number of individuals who have completed adult or youth mental health
first aid training by June 30, 2018. (Healthy People 2020 MHMD-1-12) 3. Promote Hernando Cares Behavioral Health Resource Guide beginning March 1, 2017.
(Healthy People 2020 MHMD-6, 9 and 10) 4. Promote substance abuse support groups for persons 25 and younger in Hernando County
by August 30, 2017. (Healthy People 2020 SA 9, 12 14, 18, 21) 5. Promote low-cost/safety net primary care providers throughout Hernando County beginning
February 1, 2017. (Healthy People 2020 AHS – 3,5,6) 6. By June 30, 2018, the Florida Healthy Babies Committee will promote the Edinburgh
Postnatal Depression Scale screening tool and referral protocol to Pediatric, OB/GYN, and Primary Care Providers who encounter Post-Partum women.
Goal 2: Improve Quality of Life in Hernando County, Florida
Strategy: Key community stakeholders collaborate to address obesity prevention, physical activity, diabetes, substance abuse, and infant mortality in Hernando County. 1. Increase the percentage of Hernando County residents living at a healthy weight by 2% by
March 15, 2018. (Healthy People 2020 NWS-8)
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2. By June 30, 2018, increase the percentage of Hernando County adult residents with diagnosed diabetes that have ever taken a course or class in how to manage their diabetes from 48% to 53%. (Healthy People 2020 D-14)
3. By June 30, 2018, increase the number of Hernando County residents who have participated in the CDC National Diabetes Prevention Program (offered in Hernando County by the YMCA of the Suncoast) by 20 residents. (Healthy People 2020 D14)
4. Support and collaborate with the Hernando Healthy Babies Initiative on a quarterly basis beginning November 1, 2016. (Healthy People 2020 MICH-1)
5. At least one Hernando County organization/business will adopt a tobacco-free policy on their campus/worksite by June 30, 2018. (Healthy People 2020-TU 1, 3, 4, 5, 11)
6. Four Hernando County preschools will become 5210 Healthy Hernando Certified by June 30, 2018. (Healthy People 2020 NWS -1)
Goal 3: Increase and Enhance CHIPP Capacity
Strategy: Promote CHIPP throughout the Hernando County Community. 1. Grow CHIPP membership to include at least one representative from the School Board and
one representative from Hernando County Transit by June 30, 2018. 2. Partner and support at least two resource fairs year beginning January 1, 2017. 3. Seek and apply for at least two funding opportunities per calendar year beginning
January 1, 2017. 4. Maintain CHIPP member meeting attendance to at least 15 members per meeting beginning
January 1, 2017. 5. By August 1 of each year, CHIPP will have promoted its accomplishments through a
minimum of 2 venues/platforms.
A detailed work plan can be found in the Appendix.
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Accomplishments
Goal Objective Accomplishment Goal 3: Increase the awareness of mental health issues and reduce the stigma of mental illness in Hernando County
By February 28, 2016, three additional Hernando County stakeholders will be certified to facilitate community “Mental Health First Aid” classes.
Thanks to funding secured by the Hernando County Community Anti-Drug Coalition, five additional facilitators were trained to provide Mental Health First Aid classes to lay community members. The new facilitators hosted a total of ten classes and certified over 100 lay community members in mental health crisis identification, response and resources. This is in addition to existing MHFA trainers who facilitated three classes and certified approximately 60 law enforcement personnel. The Mental Health First Aid education program is working in Hernando County because it is an agreed upon curriculum among our stakeholders. Among the agencies hosting this program are the Hernando County Sheriff’s Office, Pasco Hernando State College, Springbrook Hospital, Baycare Behavioral Health, the Department of Health, and the Hernando County Public Library. Local organizations that have participated in classes include the Brooksville Police Department, The Dawn Center, Oak Hill Hospital, Bayfront Hospital, Hernando County School District and Hernando County Fire Rescue. The Hernando County Community Anti Drug Coalition, Baycare Behavioral Health, The Department of Health in Hernando County and Dawn Wever, LMHC, have facilitated these programs.
How it’s important for our community: In 2015, The Robert Wood Johnson County Health Rankings reported Hernando County adult residents experience a higher number of “poor mental health days” per month compared to the Florida average, 5.9 vs. 3.8, respectively. Hernando ranks 66 of 67 Florida counties in terms of state funding allocations for mental health. Further, local licensed in-patient psychiatric beds for adults are limited and non-existent for pediatric patients. By equipping area residents and coordinating prevention, awareness and response efforts across various partners and sectors, access to supportive mental health services may be increased and crisis events that require acute care will be decreased.
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Goal Objective Accomplishment Goal 2: Improve and expand central community health services information and referral resources for both consumers and providers.
By June 30, 2016, the Hernando County 211 will have its own website/webpage
In the 2014 CHIPP Update, the Hernando County Community Health Improvement Plan Partnership identified accessibility issues with the existing 2-1-1 resource information website that was based out of the 2-1-1 Tampa Bay Cares center in Pinellas County. United Way of Hernando County, the funding agency for the local 2-1-1 service, is a strong and engaged CHIPP partner and took the lead on efforts to decrease the barriers associated with this telephone, internet and text accessible information resource. In October 2015, United Way rolled out Hernando’s very own website where viewers can easily navigate through the online database, print guides, add health and human services and conveniently search for resources. Between October 2015 and June 2016, the 2-1-1 Hernando website has received over 1500 hits, a significant increase over hits received under the previous cumbersome link that was routed through Pinellas County’s 211 website. Additionally, 211 Outreach Report data indicates that 42 health & human services have either added or updated their information during that period, also an increase over previous years.
How it’s important for our community: Increased use of the 211 system not only enables more Hernando County residents to access assistance to health and human service resources, it also provides local leaders and stakeholders with valuable data, i.e., what zip codes are experiencing highest need, what the top needs are, and who is (and is not) using 211. The top six needs identified in Hernando County from October 2015 through June 2016 were housing; government/economic assistance; utility assistance; health care; individual, family & community support; mental health services and addiction.
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Conclusion The Hernando County Community Health Improvement Plan (CHIP) serves as a roadmap for a continuous health improvement process for the local public health system by providing a framework for the chosen strategic issue areas. The document is assembled by area leaders and stakeholders who bring diverse perspectives, thoughtful insight and valuable resources to the process. The CHIP is not intended to be an exhaustive and static document but one that will evolve over time as new information and insight emerges at the local, state and national level. We will evaluate progress on an ongoing basis through CHIP implementation reports and discussion at regularly scheduled Community Health Improvement Plan Partnership meetings. We will conduct annual reviews and revisions based on input from partners and create CHIP annual reports by December 31 of each year.
By working together, we can have a significant impact on the community’s health, improving where we live, work and play and realize the vision of a healthier Hernando County.
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Appendices
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Appendix A Annual CHIP Review Meeting Agenda CHIPP General Membership Meeting Annual CHIP Review August 12, 2016
AGENDA
TOPIC PRESENTER
I Welcome & Introductions (5 minutes) Duane Chichester
II Review of 2015-16 CHIP
Improvement Plan Accomplishments with discussion Ann-Gayl Ellis
III CHIP Annual Survey Ann-Gayl Ellis
IV Next Steps Community Health Assessment Review (9/20) Hammering out the new plan (date(s) to be determined)
Ann-Gayl Ellis
V Misc. Announcements (10 minutes)
• Great Hernando Weight Loss Challenge • NAMI Celebrity Lip Sync Competition • City of Brooksville College Football Kick-off • Others?
Membership
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Appendix B Annual CHIP Review Meeting Minutes August 12, 2016
Executive Board Name Organization Chairman Duane Chichester Hernando Progress / City of Brooksville Vice Chairman Rich Linkul Oak Hill Hospital Treasurer Tresa Watson Hernando County Community Anti-Drug Coalition (HCCADC) Secretary Ann-Gayl Ellis Department of Health in Hernando County (DOH) Immediate Past President J.R. Hutchinson Hernando County Sheriff’s Office (HCSO)
In attendance this meeting
Name Organization Valerie Pianta Hernando County Economic Development Tina Kinney NAMI Sandra Marrero Baycare Dominique Holmes United Way of Hernando County Sheena Thompson Gulfcoast North AHEC Kathy Sauskojus DOH-Hernando Marla Banta Nature Coast Community Health Center Board of Directors Mike Walker City of Brooksville Al Gray DOH-Hernando Robin Napier Dept of Health in Hernando Cheryl Pollack Premier Community Health Center (Pasco) J.R. Hutchinson Ann-Gayl Ellis Rich Linkul Duane Chichester Tresa Watson
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Speaker Topic Discussion
Duane Chichester, Chair
Call to Order /Introductions
All attendees introduced themselves (see attendee list above)
Ann-Gayl Ellis, Secretary
Review of 2015-16 Community Health
Improvement Plan Accomplishments with discussion
PowerPoint attached with comments from membership included.
Ann-Gayl Ellis
Annual CHIP survey The purpose of this survey is to assess if the membership feels the established strategic activities were accomplished. 2016 Hernando CHIP Annual Review and Update Survey Result findings :
Ann-Gayl Ellis
Next Steps
Ann-Gayl explained that the next step is for the partnership to establish the 2016-2019 Community Health Improvement Plan (CHIP). The new plan will be in part based on the Community Health Assessment (CHA) findings. The CHA was conducted by WellFlorida over the summer. A review of CHA findings will be presented at the next CHIPP meeting scheduled for Tuesday, 9/20/16.
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Following the 9/20 meeting, the CHIPP membership will need to identify priorities and strategic goals for the 2016-2019 CHIP. This process will begin at an October meeting and will also be facilitated by WellFlorida.
Members
Announcements Rich Linkul explained the concept Great Hernando Weight Loss Challenge (beginning in January ’17). Teams of 10, each team member losing 10 pounds, over 10 weeks, at a cost of $10.00 each. Goal is to get 1,000 area residents involved (100 teams) to lose a total of 10,000 pounds. No branding or sponsorships… designed to be a community led, grassroots initiatives. Tina Kinney announced the upcoming NAMI Celebrity Lip Sync Competition (Saturday, September10). Proceeds to go towards the Vincent House project.
Mike Walker announced the City of Brooksville College Football Kick-off (Saturday, August 27). Proceeds go to ensure local children have school supplies, equipment needed to participate in team sports, etc.
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Appendix C: Annual CHIP Review Community Meeting Sign-In Sheet
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Appendix D: Comprehensive List of Community Partners
Voting Members Duane Chichester, (Chair)
Hernando Progress, Inc [email protected]
Robin Napier Department of Health in Hernando County
Richard Linkul (Vice Chair) Oak Hill Hospital
Barbara Sweinberg Crescent Community Clinic
Tresa Watson (Treasurer) Hernando County Community Anti-Drug Coaltion
Angie Bonfardino United Way of Hernando County [email protected]
Ann-Gayl Ellis (Secretary)
Dept. of Health in Hernando County [email protected]
Jennifer Siem Bayfront Health
Stephanie Knight A New Generation
Barbara Manuel WWJB/WXJB Radio
Capt. Harold Hutchinson, Jr. (Immediate Past Chair)
Hernando County Sheriff’s Office [email protected]
Tina Kinney NAMI Hernando
Sheena Thompson Gulfcoast North AHEC
Marla Banta Nature Coast Community Health Center Board
of Dir. [email protected]
Sandra Marrero Baycare Behavioral Health
Maureen Soliman Crescent Community Clinic [email protected]
Supporting Members
Chaplain John Mitten, Sr Hernando County Sherriff’s Office [email protected]
Drew Monte Monte Designs, LLC
Mark Barry ARC Naturecoast
Lauren Jolly Spherion Staffing
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Shannon Sokolowski Dawn Center
Valerie Pianta Hernando County Economic Development
Mike Walker City of Brooksville Parks and Recreation
Jeff Feller Well Florida, Inc.
Eric Liberty Hernando County Clerk of Court & Comptroller
Maureen Riser Home Instead Senior Care
Amy Anderson Pasco Hernando State College
Virginia Singer Hernando County
Veda Ramirez Hernando County Health & Human Services
Cheryl Pollock Premier Community Health Center
Judi Everett Hernando County School District
Deanne Karbe Primerica
Dawn Wever Dawn Wever, LMHC
Martha Maner Mid Florida Head Start [email protected]
Lesley Hersey
Lutheran Services Foundation Health Systems [email protected]
Amber Slusser YMCA of the Suncoast
Virgina Crandall Department of Health in Hernando County
Ashley Thomas Department of Health in Hernando County
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Appendix E: CHIP 2017-2019 Workplan
Goal I: Improve access to primary care, mental health care, and substance abuse services in Hernando County Florida. Strategy: Increase community awareness of available resources. Strategy: Increase funding. Strategy: Train and educate.
Lead Agencies Objectives Alignment Activities Measures Champion Lesley Hersey/Lutheran Services Florida, Veda Ramirez/HC Health & Human Services, Tina Kinney/NAMI
1. Determine the need for a mental health logic model to be used as a framework for funding applications by March 31, 2018
Healthy People 2020 MHMD-1 - 12
1A. Partners meet to discuss.
1A.Meeting minutes and action items.
TBD
Lesley Hersey/Lutheran Services Foundation, Veda Ramirez/HC Health & Human Services, Tina Kinney/NAMI
1B. If needed, support the development of a logic model and use in future funding applications and planning of mental health related projects supported by CHIPP
1B. Logic Model TBD
JR Hutchinson/HC Sheriff's Office, Tresa Watson/HCCADC, Sandra Marrero/Baycare Behavioral Health, Tina Kinney/NAMI
2. Increase by 200 the number of individuals who have completed adult or youth mental health first aid training by June 30, 2018.
Healthy People 2020 MHMD-1-12
2. Assist and support in the provision of youth and adult first aid training by promoting scheduled trainings, serving as a host-site and encouraging community-wide participation
2. Number of first aid trainings provided; Number of attendees who successfully complete the training (# of 2016 participants + 200)
Tresa Watson
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Tresa Watson/HCCADC, Tina Kinney/NAMI, Jen Siem/Bayfront Health
3. Promote Hernando Cares Behavioral Health Resource Guide beginning March 1, 2017.
Healthy People 2020 MHMD-6, 9 and 10
3. Utilize the CHIPP network to promote the use of Hernando Cares Behavioral Resource Guide.
3. Number of Hernando Cares Behavioral Health Resource Guide promotional messages/activities facilitated by CHIPP or CHIPP partners.
TBD
Tresa Watson/HCCADC, Tina Kinney/NAMI, Jen Siem/Bayfront Health, Sandra Marrero/Baycare Behavioral Health
4. Promote substance abuse support groups for persons 25 and younger in Hernando County by August 30, 2017.
Healthy People 2020 SA 9, 12 14, 18, 21
4A. Utilize the CHIPP network to identify substance abuse support groups for persons 25 and younger in Hernando County.
4A. List of existing substance abuse support groups for persons 25 and younger in Hernando County
Tresa Watson
Tresa Watson/HCCADC, Tina Kinney/NAMI, Jen Siem/Bayfront Health, Sandra Marrero/Baycare Behavioral Health
4B. If gaps in substance abuse support groups for persons 25 and younger in Hernando County exist, collaborate with HCCADC and other appropriate groups to support a group formation.
4B. List of new substance abuse support groups for persons 25 and younger in Hernando County
Tresa Watson
Tresa Watson/HCCADC, Tina Kinney/NAMI, Jen Siem/Bayfront Health
4C. Update information related to substance abuse support groups for persons 25 and younger in the Hernando Cares Behavioral Health Resource Guide and in 211.
4C. Newly added substance abuse support group listings for persons 25 and younger in the Hernando Cares Behavioral Health Resource Guide and 211
Tresa Watson
Angie Bonfardino/United Way Hernando, Lauren Jolly/Spherion Staffing Services
5. Promote low-cost/safety net primary care providers in Hernando County beginning February 1, 2017.
Healthy People 2020 AHS – 3,5,6
5A. Promote utilization of United Way’s 211 system to CHIPP partners and Hernando County residents using 211 prepared messaging.
5A. Increase the number of referrals reported through 211 data collection system; Number of CHIPP partners who receive 211 prepared marketing via Community Health Improvement Plan Partnership, Inc. (CHIPP)
Angie Bonfardino
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J.R. Hutchinson/HC Sheriff's Office, Barbara Sweinberg/Crescent Community Clinic
5B. Facilitate a policy adoption to link soon-to-be released incarcerated uninsured and underinsured Hernando County residents to primary care and mental health care services within three days of release.
5B. Established referral process (written documentation); Number of successful referrals; Policy adopted
J.R. Hutchinson, Barbara Sweinberg
Rich Linkul/Oak Hill Hospital, Jen Siem/Bayfront Hospital; Federally Quality Health Center
5C. CHIPP will support efforts to promote new primary care providers/services in Hernando County by June 30, 2018
5C. Number of postings on the CHIPP website for each new primary care provider.
Rich Linkul, Jen Siem, FQHC Representative
Ginni Crandall/DOH-Hernando
6. By June 30, 2018, the Florida Healthy Babies (FHB) Committee will promote the Edinburgh Postnatal Depression Scale screening tool and referral protocol to Pediatric, OB/GYN, and Primary Care Providers who encounter Post-Partum women.
6A. The FHB Committee will plan and facilitate outreach regarding post partum depression screening policies and tools to local OB/GYNs, Pediatricians, and Primary Care Physicians
6A. Number of health care providers visited (year 1 50% of Pediatricians and OB/GYN’s, along with 20% of Primary Care Providers; year 2 50% of Pediatricians and OB/GYN’s, along with an additional 40% of Primary Care Providers; year 3 the remaining Primary Care Providers.)
Ginni Crandall
Ginni Crandall/DOH-Hernando
6B. Number of health care providers adopting screening tool and referral protocol.
Ginni Crandall
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Goal II: Improve Quality of Life in Hernando County Florida Strategy: Key community stakeholders collaborate to address obesity prevention, physical activity, diabetes, substance abuse, and infant mortality in Hernando County
Lead Agencies Objectives Alignment Activities Measures Champion
Ashley Thomas/DOH-Hernando, Rich Linkul/Oak Hill Hospital, Angie Bonfardino/United Way Hernando, Mike Walker/City of Brooksville
1: Increase the percentage of Hernando County adults living at a healthy weight by 2% by March 15, 2018. *RWJ County Health Rankings 2016 data
Healthy People 2020 NWS-8
1A. Champion the Great Hernando Weight Loss Challenge beginning November 1, 2016. Challenge scheduled for 1/14 thru 3/25/17.
1A. Number of participants; total pounds lost Rich Linkul
Ashley Thomas/DOH-Hernando
1B. Support Hernando County Healthiest Weight events and initiatives beginning November 1, 2016. Eligible events must meet predetermined guidelines.
1B. Number of Healthiest Weight events promoted
Ann-Gayl Ellis
Ann-Gayl Ellis/DOH-Hernando, JR Hutchinson/HC Sheriff's Office
1C. Champion the Brooksville Cycling Classic Community Bike Ride scheduled for 4/1/17.
1C. Number of participants JR Hutchinson
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Ann-Gayl Ellis/DOH Hernando, Rich Linkul/Oak Hill Hospital, Jen Siem/Bayfront Health
2: By June 30, 2018, increase the percentage of Hernando County adult residents with diagnosed diabetes who have taken a course or class in how to manage their diabetes from 48% to 53%. *2013 CHARTS data
Healthy People 2020 D-14
2A. Promote diabetes self-management courses/classes
2A. Number of diabetes self-management courses/classes promoted; Number of diagnosed diabetes adults who attend courses/classes
Rich Linkul
Rich Linkul/Oak Hill Hospital, Ann-Gayl Ellis/DOH-Hernando, Jen Siem/Bayfront Health
2B. Support a free annual diabetes education event available to the community.
2B. Event flyer, evidence of promotional strategies, number of attendees
Rich Linkul
Amber Slusser/ YMCA
3: By June 30, 2018, increase the number of Hernando County residents who have participated in the CDC National Diabetes Prevention Program (DPP) by 20 residents.
Healthy People 2020 D14
3A. Collaborate with the YMCA to promote the National DPP on a quarterly basis.
3A. Evidence of promotional materials and distribution methods
Amber Slusser
Amber Slusser/ YMCA
3B. Collaborate with the YMCA annually to receive the aggregate number of Hernando County residents who have enrolled in the National DPP.
3B. Number of DPP participants enrolled each year
Amber Slusser
Ginni Crandall/DOH-Hernando
4. Support and collaborate with the Hernando Healthy Babies Initiative on a quarterly basis beginning November 1, 2016.
(Healthy People 2020 MICH-1
4A. At least one CHIPP member will participate in 70% of Healthy Babies Initiative meetings and will provide updates to CHIPP.
4A. Health Babies Initiative meeting sign in sheets Ginni Crandall
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Ginni Crandall/DOH-Hernando, Ann-Gayl Ellis/DOH-Hernando
4B. CHIPP will support Healthy Babies Initiative by promoting strategies/activities and providing 501c3 support when applicable for funding opportunities by June 30, 2018.
4B. Date and title of supported Healthy Babies Initiative activities including how they were supported.
Ginni Crandall
Tresa Watson/HCCADC, Sheena Thompson/GNAHEC, Ashley Thomas/DOH-Hernando
5. At least one Hernando County organization/business will adopt a tobacco-free policy on their campus/worksite by June 30, 2018
Healthy People 2020-TU 1, 3, 4, 5, 11
5A. Identify potential organizations/businesses who are not currently tobacco-free.
5A. List of potential organizations/businesses Ashley Thomas
Tresa Watson/HCCADC, Sheena Thompson/GNAHEC, Ashley Thomas/DOH-Hernando
5B. Collaborate with potential organizations/business to encourage their adoption of tobacco-free policy
5B. List of organizations/businesses that have adopted a tobacco-free policy
Ashley Thomas
Ashley Thomas/DOH-Hernando, Amber Slusser/YMCA, Rich Linkul/Hernando Diabetes Alliance
6. Four Hernando County preschools will become 5210 Healthy Hernando Certified by June 30, 2018.
Healthy People 2020 NWS -1
6A. Promote 5210 Healthy Hernando Certification through outreach
6A. Copies of promotion activities Ashley Thomas
Ashley Thomas/DOH-Hernando, Amber Slusser/YMCA
6B. Identify interested preschools and provide 5210 Healthy Hernando training
6B. List of preschools; dates of trainings; attendance sheets from trainings
Ashley Thomas
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Ashley Thomas/DOH-Hernando, Amber Slusser/YMCA, Rich Linkul/Hernando Diabetes Alliance
6C. Certify preschools who have successfully adopted 5210 Healthy Hernando
6C. List of certified preschools that have adopted a 5210 Healthy Hernando policy
Ashley Thomas
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Goal III: Increase and Enhance CHIPP Capacity
Strategy: Promote CHIPP throughout the Hernando County community
Lead Agencies Objectives Alignment Activities Measures Champion
CHIPP Membership
1: Grow CHIPP membership to include at least one representative from the School Board and one representative from Hernando County Transit by June 30, 2018.
1A. Identify potential school board representatives; Identify potential Hernando County Transit representatives
1A. Names of potential representatives Ann-Gayl Ellis
Ann-Gayl Ellis/DOH-Hernando
1B. Invite identified potential school board and Hernando County Transit representatives to a CHIPP meeting by June 30, 2017
1B. Invitation email to potential representatives: Names of committed agency representatives
Ann-Gayl Ellis
Ann-Gayl Ellis/DOH-Hernando
2: Partner and support at least two resource fairs per year beginning January 1, 2017.
2A. Collaborate with partners to identify upcoming community health events.
2A. List of community health events Ann-Gayl Ellis
Rich Linkul/Oak Hill Hospital
2B. CHIPP will be represented at a minimum of two community events.
2B. Number and date of resource fairs attended by CHIPP member
Rich Linkul
CHIPP Membership
3: Seek and apply for at least two funding opportunities per calendar year beginning January 1, 2017.
3A. Identify possible funding opportunities and ensure non-compete.
3A. List of potential funding opportunities
Ann-Gayl Ellis
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CHIPP Executive Board
3B. Submit at least 2 proposals/applications per fiscal year to support and enhance goals and objectives as developed in the CHIP. CHIPP fiscal year is July 1-June 30.
3B. Number of proposals/applications submitted
Ann-Gayl Ellis
Rich Linkul/Oak Hill Hospital
4. Maintain CHIPP general member meeting attendance to at least 15 members per meeting beginning January 1, 2017.
4A. Hold general and Executive Board meetings as outlined in CHIPP bylaws.
4A. Meeting sign in sheets Duane Chichester
Valerie Pianta/HC Economic Dev't. Rich Linkul/Oak Hill Hospital, Duane Chichester/Hernando Progress
4B. Review CHIPP membership list and identify sectors (business, social services, health care systems, mental health care systems, substance abuse treatment systems) not engaged with CHIPP
4B. Identified gaps Duane Chichester
CHIPP Membership
4C. Invite identified sectors from Activity 4B to attend a CHIPP meeting by June 30, 2017.
4C. Number of invitations to unrepresented sectors
Duane Chichester
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CHIPP Executive Board
5.By August 1 of each year, CHIPP will have promoted its accomplishments through a minimum of 2 venues/platforms
5A. Assess the validity of developing a CHIPP online communication tool/platform by February 1, 2017
5A. Completed assessment Duane Chichester
Robin Napier/DOH-Hernando, CHIPP Executive Board
5B. Present CHIPP update to BOCC
5B. Presentation and Bocce meeting minutes
Robin Napier
Robin Napier/DOH-Hernando, CHIPP Executive Board
5C. Introduce CHIPP and CHIP process to Brooksville City Commission
5C. Presentation and City Commission meeting minutes
Robin Napier
Agencies:
HCCADC Hernando County Community Anti-Drug Coalition, Inc.
NAMI National Alliance on Mental Illness
GNAHEC Gulfcoast North Area Health Education Center
HC Hernando County
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