Transcript Slide 1

Integration of
NPHPSP into
MAPP
Presented by:
Rosemary Bakes-Martin,
MS, MPH
El Paso County Department of Health
and Environment
Colorado Springs, CO
NPHPSP Assessment
• CDPHE: leadership, training and
coordination
• Who participated:
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56 local jurisdictions (38 county nursing
services, 12 organized HD)
CDPHE completed state assessment
• Use performance assessment results to
create plans for change
El Paso County Department of Health and Environment
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Lessons Learned
• State leadership and funding maximized
participation
• Added questions framed next steps
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Importance of ES to agency/county
Intent to engage in QI within 12 months
• CDC analysis beneficial
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Unbiased results
Created common language
Changed the dialogue
El Paso County Department of Health and Environment
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Average proportion of essential services being met
El Paso County 2003
100
93
88
80
60
60
59
55
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46
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48
40
20
rch
Rese
a
uate
Eval
Wor
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Link
rce
Enfo
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Polic
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hips
Part
Ed u c
ate
Diag
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itor
0
Mon
percent
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EPCDHE Public Health Improvement Plans
(PHIP)
• EPHS 1 (Monitoring):
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Complete a comprehensive Community
Health Status Assessment (CHSA) via
survey
Include community input
Use community groups to implement
change based on results.
El Paso County Department of Health and Environment
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CHSA Completed
NOW WHAT?
• El Paso County Health Assessment
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82 question survey – completed fall 2004
516,000 population - responses 3000
On-line and Paper
Assistance from UCHSC
• Goals
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Don’t let another survey gather dust
Use results to make a difference
MAPP was the logical answer
El Paso County Department of Health and Environment
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Internal EPCDHE MAPP Committee
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Public Health Administrator
Medical Director
Environmental Health
Epidemiology and Evaluation
Community Health Planning
Maternal Child Health
Emergency Preparedness/Bioterrrorism
El Paso County Department of Health and Environment
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Tried to Engage Broad County-wide
Participation
• Community Health Partnership
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CEOs of all health care providers
Focused on care for uninsured
• Presented results to BOH and BOCC
• Became the focus of EPCDHE annual
meeting
• Looked for a Champion
El Paso County Department of Health and Environment
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Decision Time
• Committee not moving forward
• Planning for the entire county was
difficult
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Largest county in the state
Urban – Colorado Springs
Mountain/Vacation/Resort
Ranchland
Military
Small municipalities
El Paso County Department of Health and Environment
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We Searched for Community that was Ready
and found it! Fountain, CO
• Fountain Valley Community Services started
in 1997
• Committed Citizens
• Catholic Health Initiative had funded a
Community Indicators Project
• In January 2005, EPCDHE joined Fountain
Valley Healthy Community Initiative and
introduced MAPP and PACE/EH
El Paso County Department of Health and Environment
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Fountain MAPP Community Members
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DHS representative
Attorney and Engineer
Churches and Community Center
Former County Commissioner
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Recently elected Mayor of Fountain
• Manufacturing
• School District
• Military and Businesses
El Paso County Department of Health and Environment
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MAPP Progress in Fountain, CO
• CHSA over sample of the Valley
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March 2005
15,197 population - responses 830
Paper only
Partner provided funding to mail surveys
to each household
El Paso County Department of Health and Environment
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General Health Status
Self Rated Individual Health Status
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Health was excellent, very good or good
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Percent
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Fountain EPC Survey BRFSS
Survey
Colorado
El Paso County Department of Health and Environment
Nhanes
National
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MAPP Progress in Fountain, CO
• Key Stakeholder Meeting – 7/18/05
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15 invited attendees
Reviewed CHSA preliminary results
Organized results in 5 focus areas
• Community Meeting – 7/30/05
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Endorsed results from stakeholder
meeting
Added new ideas
El Paso County Department of Health and Environment
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Fountain Colorado’s MAPP
5 Priority Areas
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Health and Healthcare
 Access to Care; Community Wellness
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Environment
 Water quality; Safe environment
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Strong Families
 Family support; Economics and family wellbeing
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Recreation/continuing Education
 Expand recreation and educational resources
improve physical activity
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* Economic Development
El Paso County Department of Health and Environment
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Community “Night Out” in Fountain
April 18, 2006
• Participants voted on top priorities
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Each attendee given 10 pennies at door
Put “2 cents worth” in jar for priority area
• Results
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Water quality - $1.20
Expanding Educational Opportunities – $1.07
Expanding recreation resources – $1.03
Increasing access to care – $0.81
El Paso County Department of Health and Environment
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Next Steps for EPCDHE
• Expand community ownership of
process
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Form task forces to address top priorities
EPCDHE provides support but does not
take the lead
• Replicate the Fountain model in other
communities in El Paso County
El Paso County Department of Health and Environment
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Insights & Lessons
• Need a champion
with the ability to
execute the plan.
• Work with the
willing.
• Enlist partners to
accomplish goals.
• Document the
process.
• Avoid “paralysis by
analysis.”
• Measure and
display results early,
often and regularly.
El Paso County Department of Health and Environment
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A Healthier El Paso County
One Community at a Time
El Paso County Department of Health and Environment
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