IPLAN INDICATORS

PROJECT, 2012

PURPOSE AND OBJECTIVES

Collect and analyze NIPHC members’ Illinois Project for Local Assessment of Needs (IPLAN) documents.

PART I: Identify leading health improvement priorities for the region.

Identify a set of health indicators linked to leading health priorities to be used in monitoring regional health status on priority health issues. Outcome objectives; impact objectives

PART II: Identify the range of strategies and objectives proposed for

health improvement in the region. Interventions/ strategies/ process objectives

Identify areas for synergy in focus and strategy across LHDs in the NIPHC region.

Identify potential alignments across the region or potential areas for coordination at a regional level.

PARTICIPATING LHD AND DOCUMENTS USED FOR ASSESSMENT

Local Health Department Documents used for Assessment

Chicago Department of Public Health CDPH's IPLAN, "The Chicago Plan for Public Health System Improvement 2012-2016," addresses system issues. Priority health concerns are identified and measured in "Healthy Chicago: Transforming the Health of Our City" and therefore, Healthy Chicago was used for this analysis.

Cook County Department of Public Health

"WePlan2015 : Suburban Cook County Community Health Assessment and Plan"

DuPage County Health Department "IPLAN 2015; COMMUNITY HEALTH PLAN"

Grundy County Health Department "COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN 2011-2016"

Kane County Health Department "2012-2016 Kane County Community Health Improvement Plan" (currently in draft status)

IPLAN due in September, 2012.

Kendall County Health Department Community Health Improvement Plan 2016

Lake County Health Department Community Health Status Assessment (CHSA) in progress (currently in draft status) .IPLAN due in September, 2012.

Information used in this assessment are draft and are currently in the process of ongoing development by the LC MAPP Action Teams and MAPP Steering Committee

McHenry County Health Department "McHenry County Department of Health IPLAN 2012-2017"

Skokie Health Department Skokie HD is currently in the process of establishing priorities and actions.IPLAN is due in September, 2012

Will County Health Department “Will County Community Needs Assessment and Strategic Plan” 2011 - 2015 Plan

Winnebago County Health Department

"Rockford and Winnebago County, Healthy Community Strategic Plan (2011-2015)"

HEALTH PRIORITIES FREQUENCY

Access to Care

20%

Chonic Diseases:

Cancer

10%

Chonic Diseases:

Cardiovascular

8%Obesity

12%

Communicable /

Infectious Diseases

12%

Behav. Hlth and Sub.

Abuse

10%

Health Equity

6%

Healthy Homes

5%

MCH

5%

PHS

5%

Violence

5%

Environment

2%

Percent of Health Priorities (N = 60) by Category

HEALTH PRIORITIES BY LHD FREQUENCY

Access to Care , 8

Chonic Diseases:

Cancer, 5

Chonic Diseases:

Cardiovascular, 5

Obesity , 7Communicable /

Infectious Diseases, 4

Behav. Hlth and Sub.

Abuse , 6

Health Equity , 2

Healthy Homes , 3

MCH , 3

PHS , 3

Violence , 3

Environment , 1

Number of Local Health Departments (N = 11)

by Category

PART I: LEADING HEALTH PRIORITIES

Focus: Access to Care

Chronic Diseases

Communicable / Infectious Diseases

Obesity

Identify leading health improvement goals for the

region.

Identify a set of health indicators linked to leading

health priorities to be used in monitoring regional

health status on priority health issues.

FOCUS: TOP FOUR HEALTH PRIORITIES (37/60)

Approximately 62% of the total priorities identifies were in the following categories:

Access to Care (n=12)

Chronic Diseases (n=11):

Cancer (n=6)

Cardiovascular Diseases (n=5)

Communicable / Infectious Diseases (n=7)

Obesity (n=7)

ACCESS TO CARE: COMMON GOALS

Improve availability of access to medical home /

primary care services

(medical, dental, mental, social) as measured by

capacity

Increase the number of primary care providers

who provide services to the uninsured and under-

insured

ACCESS TO CARE: POTENTIAL INDICATORS

Percentage of persons that have a “regular” Primary Care Provider.

Percent of persons under age 65 years with health (medical) insurance

Percent of population that is Medicaid/Medicare eligible

Hospitalizations/ER visits for ambulatory care sensitive conditions

Persons able to obtain medical, dental and prescription assistance.

CHRONIC DISEASES: COMMON GOALS

Reduce the burden of morbidity (i.e. disease

incidence) and premature mortality from

the major chronic diseases and related risk

factors:

Heart/ cardiovascular disease

Cancer (lung, prostate, colorectal, and breast)

Tobacco use and exposure

Obesity and sedentary lifestyle

CHRONIC DISEASES: POTENTIAL INDICATORS

Heart disease death rate, per 100,000

Coronary heart disease death rate, per 100,000

Breast cancer death (female) rate, per 100,000

Prevalence of obesity (BMI >=30)

Prevalence of obesity in children

Percent of women who receive a breast cancer screening based on the most recent guidelines, percent

Percent of adults who receive a colorectal cancer screening based on the most recent guidelines, percent

COMMUNICABLE / INFECTIOUS DISEASES: COMMON GOALS

Reduce the incidence rate of unintended pregnancies

Reduce the incidence of sexually transmitted infections

among teens (especially Chlamydia

trachomatis, HPV, HIV)

COMMUNICABLE / INFECTIOUS DISEASES: POTENTIAL INDICATORS

Incidence rate of Chlamydia trachomatis infections

in youth (15-19 years)

Teen fertility rate (15-19 years)

Youth engaging in risky sexual behaviors (need to

define) (e.g. condom use, alcohol and sex, intimate

partner violence/ bullying)

OBESITY: COMMON GOALS

Reduce overweight and obesity in Children and

Adults

Reduce the proportion adults who engage in no

leisure-time physical activity

OBESITY: POTENTIAL INDICATORS

Percentage of adults with healthy weight and BMI

Percentage of adults that consume 5 or more serving of fruits and vegetables

Percentage of adults who engage in no leisure-time physical activity

Prevalence of obesity (BMI >=30)

Prevalence of obesity in children

PART II:

INTERVENTIONS / STRATEGIES

Focus: Access to Care

Chronic Diseases

Communicable / Infectious Diseases

Obesity

Identify the range of strategies and

objectives proposed for health

improvement in the region

POTENTIAL STRATEGIES AND

RECOMMENDATIONS

Several potential strategies and recommendations were proposed under each of the four priority areas, for example:

Access: Advocate for maintenance and full funding of the PPACA to ensure expansion of Medicaid and establishment of Health Insurance Exchanges so that more people have insurance coverage

Chronic Disease: Promote healthy vending in the workplace by adopting healthy vending policies for all public buildings

Communicable/ Infectious Disease: Establish hospital prevention collaborative focused on reducing or preventing healthcare-associated infections

Obesity: Create and launch an obesity prevention mass media campaign and a campaign focused on students (such as Drop the Pop or 5-4-3-2-1 Go!)

ACKNOWLEDGMENTS

NIPHC Board and Staff

LHD staff - IPLAN, Epidemiology, Other

UIC SPH Student Epi Corps - Anh-Thu

Runez, Drs. Hershow, Dworkin, and Mehta

Cook County Department of Public Health –

Dr. Steven Seweryn