STRATEGIC HEALTH PLANNINGMay 16, 2003

Working Smarter

For Better Health……

STEP ONE: DEVELOPING A DRAFT LIST OF HEALTH PRIORITIES

GROUND RULESOne person speaks at a time

Be brief and to-the-point – no need to get on your soapbox, to debate, or to give long explanations

Stay on time & finish on time

Stay focused on “target“ & outcome needed for this day

Keep the big picture in mind

Be courteous & respectful of all participants

Have spin-off discussions & “debates” during lunch breaks & get back on track when its time to return to agenda

Be nice to facilitator!!!

Strategic Health Planning Timeline

May 16th, 2003 Develop “DRAFT” Health Priorities

June – August Public Feedback/Comment periodPresentation – Epi AnalysisMedia PromotionsFocus GroupsBoard member-sponsored forums

August (End) Finalize Strategic Plan to Address Health Priorities

SeptemberGo To United Board of Health and 4C’s Governing Board Meetings to Adopt Strategic Health Plan

October 1, 2003 Implement Strategic Health Plan Targeting Health Priorities in Galveston County

MISSION AND VISION

MISSION

Assuring Conditions in Which People Can be Healthy

VISION

Healthy People in Healthy Communities

PUBLIC HEALTH FUNCTIONS

1. Monitor health status 2. Diagnose and investigate 3. Inform, educate, and empower 4. Mobilize community partnerships 5. Develop policies and plans 6. Enforce laws and rules 7. Link individuals to resources8. Ensure a competent workforce for the provision of

essential public health services.9. Research insights and solutions.10. Evaluate the effectiveness, accessibility, and quality

of health services

HOW PRIORITIES WILL BE USED

• To make decisions about areas to focus our efforts (time, money and brainpower) given limited resources

• To make decisions about whether or not to apply for various grants

• To make decisions about the types of collaborations, members and workgroups to dedicated resources

• To develop district-wide, program specific measurable goals targeting each priority

• To guide the development of departmental and program operating planning process for long-term health and budget forecasting

WHAT SUCCESS LOOKS LIKE

Priorities are consistent with the Health District’s vision, mission, and legal scope of responsibilities

WHAT SUCCESS LOOKS LIKE

Priorities will guide the District’s selection of HP2010 focus areas and objectives for long-term planning and evaluation

WHAT SUCCESS LOOKS LIKE

For each priority, measurable goals will be developed, monitored, evaluated and periodically reviewed at all levels in the Health District

WHAT SUCCESS LOOKS LIKE

Priorities are fully integrated at all levels in the Health District – District-wide, 4Cs clinic, Departments, Programs, and employees (evaluations, awards, merits, recognition activities)

WHAT SUCCESS LOOKS LIKE

Public health education and prevention goals can be established for each priority as a means to prevent adverse health outcomes and costly medical treatments

WHAT SUCCESS LOOKS LIKE

Priorities address a health condition and/or a health system issue that requires long-term (3-5 yr.) planning and coordination in order to make a measurable improvement

WHAT SUCCESS LOOKS LIKE

Priorities are meaningful and are accepted as addressing the “common good” of the Galveston County general public as well as health stakeholders

KEY HEALTH ISSUES

Growing limitations in healthcare financing

Health concerns regarding air and water quality

Sedentary lifestyles, lack of fitness, and obesity

Health security and public health preparedness for disaster-type events

HEALTH DISPARITIES

• Age

• Gender

• Race/Ethnicity

• Geographic

• Risk

• Socio-Economic Status

PROGRESS IN LAST DECADE

• Infant Mortality - rates of early prenatal care in Galveston county are better than state and national averages

• Communicable Diseases – rates of syphilis and TB have been reduced, as well as health consequences and cost

• Vaccine Preventable Diseases - some improvements in childhood immunization rates (however, we do face challenges on how to better assess all children in the county)

• Access to Care – Some improvements in assessing barriers and best practices in the county’s Indigent Healthcare System via Community Assessment Program (CAP)

IMPACT OF POPULATION CHANGESGalveston County

Population has increased by over 15% in the last decade

(mostly in northern parts of county)

• An increasing proportion of Hispanics• An increasing proportion of seniors

(aging of the “baby boom” generation)• An increasing need for District services

Galveston county has an overall higher death rate than

Texas and the U.S.

Top Ten Causes of DeathGalveston County

#1 Heart Diseases

#2 Cancers

#3 Strokes

#4 Unintentional Injuries

#5 Chronic Respiratory Diseases

Top Ten Causes of DeathGalveston County

#6 Diabetes

#7 Alzheimer’s Disease

#8 Influenza & Pneumonia

#9 Septicemia

#10 Kidney Diseases

Galveston County Premature MortalityTop Three causes of Early Death in Galveston County

#1 Unintentional Injuries

#2 Cancers

#3 Heart Diseases

“Actual” Causes of Death, U.S., 1990

Cause Rate (per 100,000) Percent of all deaths

Tobacco 160.8 19

Diet / activity patterns 120.6 14

Alcohol 40.2 5

Microbial agents 36.2 4

Toxic agents 24.1 3

Firearms 14.1 2

Sexual behavior 12.1 1

Motor vehicles 10.1 1

Illicit use of drugs 8.0 < 1

Total 426.2 50

Source: McGinnis & Foege, JAMA, 11/1993

National Health Indicators

Physical Activity

Overweight and Obesity

Tobacco Use

Substance Abuse

Responsible Sexual Behavior

Mental Health

Injury and Violence

Environmental Quality

Immunization

Access to Care

www.healthypeople.gov

STATE HEALTH PRIORITIES A Focus On Health Outcomes…• Protect Texans against vaccine-preventable diseases by

improving immunization rates• Focus on fitness by promoting healthy eating and regular

physical activity; and• Eliminate disparities in health among population groups in Texas

A Focus On The Public Health System • Improve our ability to respond to disasters or disease outbreaks

whether they are intentionally caused or naturally-occurring; and• Improve the efficiency and effectiveness of TDH business

practices

DRAFT PRIORITY #1

Prevention through public awareness activities targeted towards issues such as obesity, fitness, nutrition, tobacco cessation, childhood immunizations, oral health, disease reporting, etc….

DRAFT PRIORITY #2

Identify and eliminate barriers which contribute to health disparities such as cultural/language, inequitable access to health care, transportation, lack of a coordinated indigent health care system, ability to pay.

DRAFT PRIORITY #3 Improve public health system and

business practices in order to recruit and retain competent public health employees, to increase access to technologies which will improve efficiency, to improve training programs, to improve internal and external communications, to be prepared for public health disasters/emergencies, and to comply with legal responsibilities.

DRAFT PRIORITY #4 Improve health care financing in

order to avoid loss of revenue from Medicaid, to finance medications and indigent health care, and to increase medical reimbursements in the clinic.

 

DRAFT PRIORITY #5 Improve management of chronic

conditions such as high blood pressure, heart disease, diabetes, asthma, depression, etc.

 

DRAFT PRIORITY #6 Address environmental issues involving

air, water and food to include aspects of wastewater management, enforcement, bacterial contamination, animal control violations, toxic substances monitoring, and conservation of natural resources.

 

DRAFT PRIORITY #7 Address senior health issues such

as isolation, social needs, healthcare, legal, transportation and housing.

DRAFT PRIORITY #8 Immunize children and adults to

prevent infectious diseases.