Transcript No Slide Title

Population Health
for Health Professionals
SOUTH
CAROLINA
AHEC
Module 4
Building Healthy Communities
SOUTH
CAROLINA
AHEC
Module 4
Objectives
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Healthy Community movement
Successful healthy community initiatives
Strategic planning models
Impact of diversity on health and health
care
Cultural competency
SOUTH
CAROLINA
AHEC
Part I
Healthy Communities Movement
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CAROLINA
AHEC
Building Healthy Communities
Purpose
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This module is designed to introduce
the concepts of strategic planning and
healthy communities for improving the
health of diverse populations
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CAROLINA
AHEC
What is Health?
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Health is more than physical well being
World Health Organization definition:
“Health is the state of complete
physical, mental, and social well-being,
and not merely the absence of disease”.
WHO, 1947
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AHEC
What is Community?
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Defined by the people in it.
Determined by geographic lines, cultural
lines, economics or other factors.
All communities have assets.
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CAROLINA
AHEC
Discussion Time
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What is your definition of a healthy
community?
What helps us measure health?
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CAROLINA
AHEC
What Helps Us
Measure Health?
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Schools
Low crime rate
Good jobs
Access to health
care
Good race relations
Safety of all
Culture/art
Community spirit
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Lack of fear
Low teen pregnancy,
low infant mortality
Ample care for
individuals with
chronic and acute
disease
Affordable housing
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CAROLINA
AHEC
The Healthy Communities
Movement
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Community-based health and quality of
life improvement initiatives
Locally determined focus
Well-informed people work together in a
process to make local change
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CAROLINA
AHEC
Healthy Community Principles
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Broad definition of “health”
Broad definition of “community”
Shared vision from community values
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CAROLINA
AHEC
Healthy Community Principles
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Address quality of life for everyone
Diverse participation, widespread
ownership
Focus on “systems change”
Build capacity using local assets and
resources
Benchmark and measure progress
and outcomes
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CAROLINA
AHEC
Pieces of the Puzzle
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Knowledge of the
Environment
Identifying Resources
Forging Collaboration
Creating Ownership
Measuring
Performance
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CAROLINA
AHEC
Knowledge of the Environment
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Environmental Scan
Demographics
Research
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CAROLINA
AHEC
Environmental Scan
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Brief but important step in healthy
communities planning
Early in the effort, it is valuable for
stakeholders to develop a broadly
shared understanding of the major
events, trends, technologies, issues,
and forces that affect the health profile
of their community.
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CAROLINA
AHEC
Demographics
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Define a population by its age, sex, race
distribution
US Census Bureau primary data
source, reported down to the household
level. Significant trends:
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Growth in elderly population
Shift in racial mix
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CAROLINA
AHEC
Demographics
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Describe the disparities in health
outcomes of a population.
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Documented gap between majority and
minority populations
African
-Americans and Hispanics carry much
heavier burden of disease than whites
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CAROLINA
AHEC
Research
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Structured investigation which builds
and test hypotheses.
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Health status
Health determinants
Disease
Environmental threats to health
Health care systems
Other issues
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CAROLINA
AHEC
Research
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Health indicators
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Incidence
Prevalence
Mortality
Case Fatality
Proportional Mortality
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Health Statistics
Sources
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Centers for Disease
Control
National Institutes of
Health
State Budget &
Control Board
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CAROLINA
AHEC
Identifying and Mobilizing
Resources
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Asset-based community development
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Starts with what is present in the
community, the capacity of its residents,
workers, associations, and institutional
base - not with what is absent, problematic,
or needed
John McKnight
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AHEC
Identifying Strategic Partners:
The Usual Suspects
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Government
Religious leaders
Industry
Police
Healthcare community
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“Not Your Usual Suspects”
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Front porch experts
Gatekeeper to the community
Street sage
Elders
Unemployed, disenfranchised
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CAROLINA
AHEC
Forging Collaboration
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“Never doubt that a
small group of
thoughtful
committed citizens
can change the
world. Indeed it is
the only thing that
ever has.”
Margaret Mead
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CAROLINA
AHEC
Developing Relationships
For Health
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Understanding a community
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Culture, economics, assets: those things
that define it
Meeting the people and listening to their
stories
Recognizing they are the experts on their
community
Guided dialogue: A tool for getting to know
a community
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CAROLINA
AHEC
Creating Ownership
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Shared vision
Inclusion of all
Acceptances of differences
Respect for all viewpoints
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CAROLINA
AHEC
Measuring Performance
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Methods for monitoring success or
failure of community development
provide documentation
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Important in seeking additional support for
continuous improvement of health and
economics
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CAROLINA
AHEC
Successful Examples
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PRO Hampton
County Hampton,
SC
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Tillery, NC
National Award
Winning Healthy
Community
Partners for a
Healthy Community
Anderson, SC
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CAROLINA
AHEC
The PRO Hampton County
Diabetes Connection
Diane Kennedy, MS, MT(ASCP)SH
Chairperson, Diabetes Connection
Associate Director,
Low Country AHEC
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CAROLINA
AHEC
Genesis of Diabetes Connection
Healthy Communities
PRO Hampton County
Health &
Life-Styles
Education
•Boys & Girls Clubs
•Diabetes Connection
Inter-Group
Relations
Economics
Community Members
LC-AHEC
Diabetes Initiative
Interdisciplinary Students
Local community
Local health professionals
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AHEC
4 Subcommittees
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Education
Support/Service
Screening
Finance
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Duke Endowment Grant
Local and Regional Pharmaceutical
vendors
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AHEC
Community Diabetes
Education
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Banners and billboards
Newspaper articles
Radio
Grocery bags
Update local libraries
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AHEC
Support/Service
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Certified Diabetes Education (CDE)
Monthly diabetes support group
Quarterly Cooking Classes
Educational/support workshops
Hampton County diabetes registry
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CAROLINA
AHEC
Screening
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At-Risk for Diabetes
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Those with Diabetes
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ADA Risk Assessment Survey
BP, HT, WT, BMI
Fasting Plasma Glucose, Cholesterol Profile
BP, HT, WT, BMI
Hgb A1c, Cholesterol Profile, Urine Test (kidneys)
Feet, Eye, Dental Screenings
Counseling/Education
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CAROLINA
AHEC
Partners for a Healthy
Community
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Anderson, SC
Partners Healthwise Initiative
Health Ministry
“Out of the Blues”
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CAROLINA
AHEC
Healthy Communities Award
Winner: Tillery, NC
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Forty Acres and a
Mule
Citizen’s Action Group
CHAP
The Health Clinic
HELP
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CAROLINA
AHEC
Keys to Success
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Broad community
representation
Shared vision of committed
citizens
Collaboration between local
talent and outside experts
Development of action and
policy to make healthier
communities
SOUTH
CAROLINA
AHEC
Summary
Module 4, Part 1
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Building healthy communities requires
involvement of many diverse resources
The Healthy Communities Movement
has had great success in improving the
health of communities
Environment is a critical element for the
health of a community and its members
SOUTH
CAROLINA
AHEC
Summary
Module 4, Part 1
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True collaborations require
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Trust building
Conflict resolution
Listening
Following
Knowledge of the environment and those
who live in it
SOUTH
CAROLINA
AHEC
Discussion Time
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Describe what a healthy community for
you would be.
What do you and your community need
to get there?
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CAROLINA
AHEC
Module Authors
D. Beth Kennedy, M.S.
Director of Education
Laurine T. Charles, M.H.S.
Associate Professor
S.C. Area Health Education Consortium
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CAROLINA
AHEC