CHIP Preliminary Review

Multnomah County Health Department 2013

Reviewed Community Health Improvement Plans

Multnomah County Health Department is preparing to engage the community in a collaborative process to develop a Community Health Improvement Plan (CHIP). To inform this process, the Health Department conducted a preliminary review of five completed CHIPs from several counties across the United States.

Bergen County, NJ

Population: 887,118


Core Group: A total of 9 people from the Health Department, Public Health Partnership, and Partnership for Community Health


Participating Organizations: 55 organizations made up their CHIP Committee, representing:

  • All County Services (Police, Health Department, Library, etc.)
  • Culturally Specific Organizations
  • Religious Institutions
  • Academic Institutions
  • Banks
  • Boards and Regulatory Bodies
  • Medical and Disease Specific Organizations
  • Non-Profit Partners


Process:

  1. The Core Group adopted a broad definition of health. They met quarterly as they conducted six different health assessments following an adapted version of the Mobilizing Action through Partnership and Planning (MAPP) model.
  2. Utilizing the assessment results, the Core Group identified five health priorities.
  3. The Core Group presented the five health priorities to the CHIP Committee. The priorities then were endorsed by Committee members.
  4. The Core Group and CHIP Committee developed "Problem Statements" for each of the five health priorities.
  5. The Core Group and CHIP Committee then developed templates that outlined goals, measurable objectives, risk factors, suggested strategies, resources and barriers for each Problem Statement.
  6. CHIP Committee Members declared support for one or more health issue. Issues that received a "critical mass of support" were included in the CHIP.


Health Issues:

  • Access to Health Care
  • Mental Health
  • Obesity-Nutrition and Physical Activity
  • Alcohol, Tobacco and Other Drugs
  • Communication of Health Issues


Valencia County, NM

Population: 72,000


Facilitator: Valencia Community Partnership Health Council


Participating Organizations: 40+ organizations contributed to the development of their CHIP, representing:

  • Government Services (TANF, Tribal Government, Health Department, Law Enforcement)
  • Culturally Specific Organizations
  • Religious Institutions
  • Domestic Violence-Focused Organizations
  • Schools
  • Youth-Based Organizations
  • Family Planning Organizations
  • Medical and Disease Specific Organizations
  • Non-Profit Partners


Process:

  1. The Valencia Community Partnership Health Council facilitated the CHIP process. This group began the process by adopting a definition of health and healthy communities.
  2. The Valencia Community Partnership Health Council and community partners analyzed and reviewed the Valencia County Health Profile (CHA) through a series of council meetings, town halls, community meetings and events.
  3. The VCP Health Council then conducted a VCP Community Quality of Life Survey.
  4. Through analysis of both the statistical data and community input, three health issues were identified.
  5. Through a problem analysis, the Council identified risk factors and consequences for each health issue on several levels of the Ecological Model.
  6. After conducting this problem analysis, the VCP Health Council developed a 4-year CHIP that outlined specific goals, objectives, and indicators for each priority area. Furthermore, they listed the names of specific organizations that were committed to achieving the desired health outcomes.


Health Issues:

  • Teen Pregnancy & Unplanned Pregnancy in Young Women
  • Substance Abuse & Underage Drinking
  • Access to Health Care


Pierce County, WI

Population: 39,856


Community Steering Committee: Representatives from local hospital system, United Way, the Health Department, Church, Board of Health, and Human Services.


Participating Organizations: 30+ organizations contributed to the development of their CHIP, representing:

  • County Services
  • Hospitals
  • Religious Institutions
  • Behavioral Health Service Organizations
  • Boards & Associations
  • Non-Profit Partners


Process:

  1. Developed a community steering committee.
  2. Conducted assessments using a MAPP model which identified three issues.
  3. Held meetings at local partner organizations to present the assessment results and increase awareness of the three identified issues.
  4. Conducted an Action Planning Meeting to begin the implementation phase. During this meeting, work groups formed to identify best practices. These work groups then set short and long-term goals and strategies to address each of the three issues.
  5. The identified issues were then linked to other government/organizations' goals.


Health Issues:

  • Access to Health Care (Including Medical, Dental, and Mental Health Services)
  • Overweight & Obesity (Specifically Lack of Physical Activity and Inadequate Fruit and Vegetable Intake)
  • Alcohol Issues (Specifically Underage Drinking and Binge Drinking)





Kane County, IL

Population: 515,269


Facilitator: Health Department


Participating Organizations: 170+ organizations contributed to the development of their CHIP, representing:

  • County Services
  • Hospitals
  • Culturally Specific Organizations
  • Religious Institutions
  • Coalitions
  • Behavioral Health Service Organizations
  • Boards & Associations
  • Non-Profit Partners


Process:

  1. The Community Health, Transportation, and Land Use departments in Kane County hosted a series of public open houses, held both in urban and rural areas.
  2. The three departments each began to write 2040 Plan for Kane County. In addition to sections that represented each department, there were also plans for Mobility and Connectivity (written by transportation planners). Draft versions were sent to Kane County Regional Planning Commission.
  3. Second series of public open houses took place to share the 2040 Plan. Participants were given the opportunity to comment on each chapter.
  4. Launched the Kane County Planning Cooperative, whose mission was to encourage education and information sharing related to planning and to assist in local planning decisions. It was staffed from members of the three departments.
  5. The Health Department collaborated with the 5 Kane County Hospitals and 2 United Way Branches to conduct a Community Health Assessment.
  6. In addition to collecting statistical health data, qualitative input was gathered through focus groups, Community Cafes, Community Meetings, and Quality of Kane Open Houses. A comprehensive BRFSS telephone survey was conducted to collect health status information from over 1,500 adults.
  7. This assessment provided Kane County with an opportunity to evaluate the success/failure of the past 5 priorities.
  8. Kane County created a webinar was created and released to share the information found in the CHA. Two versions were created- a 15 minute executive summary & a 90 minute comprehensive review.
  9. After viewing the webinar, viewers participated in an online survey asking to prioritize the nine recommended key opportunities for community health improvement, provide input on who should be involved in addressing the issues, and comment on what resources are currently available in the community.
  10. 6 Health threats were identified in the Community Health Assessment.
  11. Four priorities were identified following a root cause analysis of the health threats. (They align with SHIP as well)
  12. For each priority, several strategies were identified to address the contributing factors leading to premature illness/death. These strategies are supported by evidence-based practice. Each strategy includes a measure as well as baseline data and a 5-year goal. All measures and goals were reviewed by stakeholders.


Priorities:

  • Support Health Behaviors that Promote Well-Being and Prevent Disease
  • Increase Access to High Quality, Holistic Preventive and Treatment Services Across the Health Care System
  • Support and Create Health Promoting Neighborhoods, Towns, and Cities
  • Promote Social, Economic, and Educational Environments that Optimize Health




Tulsa, OK

Population: 577,727


Pathways to Health Partnership Planning Group: Representatives from the Community Service council, the City of Tulsa, the Indian Nations Council of Governments, and the Tulsa Health Department.


Participating Organizations: 40+ organizations made up the Partnership and contributed to the development of the CHIP, representing:


  • Humanitarian Organization
  • City Governments
  • Education
  • Human Services
  • Religious Institutions/ Faith Community
  • Hospitals
  • Family Planning Organizations
  • County Agencies
  • Business Community
  • Grant Agencies/Trusts
  • Culturally-Specific Organizations
  • Non-Profit Partners



Process:


  1. The Planning Group analyzed the Tulsa County Health Profile data in three categories: age-adjusted death rates, birth indicators and access to healthcare.
  2. Conducted MAPP model assessments.
  3. Planning Group identified goals and metrics.


Health Issues:

  • Childhood and Adolescent Obesity
  • Nutritional Access
  • Safe, Affordable and Healthy Housing
  • Mental Health
  • Tobacco Use
  • Access to Health Care


Clinton, Eaton, & Ingham Counties, MI

Population: 520,788


Steering Committee: Representatives from each hospital system, health officer, and a representative from Michigan State University Office of Outreach and Engagement


Participating Organizations: 55+ organizations contributed to the development of their CHIP, representing:

  • Business Community
  • Religious Institutions/Faith Community
  • Education
  • Hospitals and Healthcare
  • Health Plans
  • Public Health
  • Local Government
  • Coalitions
  • Healthcare Improvement
  • Human Services
  • Local Funding Organizations
  • Transportation Organizations
  • Neighborhood Organizations
  • Community Members


Process:

  1. The three county health departments and four hospital systems collaboratively conducted a community health assessment based off of the Association for Community Health Improvement's model. The group incorporate health equity principles throughout the framing of this project.
  2. Transition phase that included community dialogues and a prioritization of health needs.
  3. "Setting a Shared Course" Phase included work to develop goals, objectives, possible strategies and measures to describe what will happen to improve the outcomes of the priorities identified.
  4. Developed and distributed the "Selection and Partnership Tool" which was a checklist for organizations, agencies, and coalitions to communicate what they have an interest in take a lead on, what they want to partner on, what they want to support in other ways, and what they don't see a role in.
  5. Selection of final strategies, objectives, and measures.


Health Issues:

  • Obesity
  • Connection to Resources
  • Access to Quality Healthcare
  • Safety & Social Connection
  • Child Health