Phase 6: Creating Your

Community Health/ Public Health Improvement Plan

AGENDA

• Organizing

• Plan Content

• Format

• Processes

• Implementation Support

• Input and sharing recommendations

PRESENTATION CONTENT

PHIP DEVELOPMENT STEPS

Phase 6 PHIP Development Steps

Review the most current statewide PHIP

Identify a PHIP oversight committee and org structure

Develop a planning process, including stakeholders

Facilitate planning meetings

Determine strategies, goals, objectives, action steps

Write the local Public Health Improvement Plan

Submit and disseminate the local PHIP

PUBLIC HEALTH ACT REQUIREMENTS:

LOCAL PLANS SHALL, AT A MINIMUM INCLUDE OR

ADDRESS• Local health status and risk factor data • System capacity and performance

• Goals and strategies for PH improvement

• Stakeholder involvement in development, implementation

• System-wide coordination to accomplish Colorado PHIP goals

• Financial resources to meet PH needs, core services provision

CHA Results

Cap Assess Results

Phase 6 Work Plans

5

ALIGNMENT WITH PUBLIC HEALTH ACCREDITATION BOARD (PHAB) STANDARDS

CHAPS Phase 6

6PHAB ACCREDITATION &

CHAPS

Are you planning on seeking PHAB accreditation in the next 5 years?

If seeking agency accreditation, be sure to monitor the PHAB website for details on related requirements and documentation.

http://www.phaboard.org/accreditation-process/

PHAB Standard 5.2

Conduct a comprehensive planning process resulting in a state/community health improvement plan.

5.2.1 L Conduct a process to develop community health improvement plan

5.2.2 L Produce a community health improvement plan as a result of the community health improvement process

5.2.3 A Implement elements and strategies of the health improvement plan, in partnership with others

5.2.4 A Monitor progress on implementation of strategies in the community health improvement plan in collaboration with broad participation from stakeholders and partners

PHAB STANDARD 5.2.1L: CONDUCT A PROCESS TO DEVELOP COMMUNITY

HEALTH IMPROVEMENT PLAN

Complete a community health improvement planning process that includes:

a. Broad participation of community partners

b. Information from community health assessments

c. Issues and themes identified by stakeholders in the community

d. Identification of community assets and resources

e. A process to set community health priorities

9

PHAB STANDARDS & MEASURES

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10

PHAB STANDARDS & MEASURES, CONT.

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11 DEVELOPING A PHIP

Content

Community Partners

Evidence-based Strategies

CHAPS Action Plan Template

SMART Objectives

12DETERMINE THE

PURPOSE OF YOUR PHIP

What requirements do you need to meet?

Public Health Act

PHAB

CDPHE Programs (MCH)

How will your PHIP be used?

Mobilize community, align policy and programmatic efforts

Outline future work with hospital, environmental & other community partners

Provide data and information to support grant applications

A measurable and outcomes-focused roadmap

Inform State PHIP

13DETERMINE THE

AUDIENCE OF YOUR PHIP

Possible Audiences:

Community

Policy Makers

System Partners

Board of Health

Product:

Format & content should have community flavor that generates excitement

Needs to be easy to refer back to for monitoring and communication

FORMAT

Highest priority - Meet community need and lead to action

Options:

• Hard copy, bound publication

• PDF for print as needed

• Website (e.g. data dashboards, etc.)

• Presentation (PowerPoint)

• Hybrid

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CONTENTIn terms of format, what will be consistent across Colorado?

The identification of:• Priority Areas

• Indicators

• Goals

• SMART Objectives

• Strategies

• Action Steps

• Identification of Lead Agency(s)

CHAPS Action Plan

Name of LPHA or Regional Collaborative:

PRIORITY: STRATEGY:

Major Indicator:

Lead Entity: Supporting Entities:

Five Year Goal(s) SMART

ObjectivesAction Steps (Activities)

Organization

Responsible

Completion Date

Status

PHIP ADDITIONAL RECOMMENDED

CONTENT• Intro and Orientation to Purpose, Content

• Description of Jurisdiction This may also be part of the CHA or Community Health Status Report.

Characteristics: Geography, Economics, etc. Community Demographics Key Social Determinants Relevant to Area

• Summary of Priority Areas

• Indicators, Goals, Objectives, Strategies, Action Steps

• Plan for Monitoring and Evaluation

• Acknowledgements

Phase 5 Prioritization Results

FORMAT & CONTENT CONSIDERATIONS

• Community Health Assessment: If a community health status report was already produced, only references or highlights may be needed in plan

• Capacity Assessment and Core Services: LPHAs with a need to build a core service may need to include more information on this aspect

• What format(s) are most likely to be used by intended audiences?

• What format(s) can allow you to easily revise and update the action steps in years 2-5, as needed?

19DEVELOPING A WORK

PLAN FOR PRIORITY AREAS

Start with Priorities

Determine which Community Partners you need to work with for each priority

Determine structure

A POSSIBLE ORGANIZING

STRUCTURE FOR THIS PHASE

Steering Committee

Agency Director(s)

Work Group AObesity Control

Workgroup BMental Hlth,

Substance Abuse

Project Manager

Workgroup CClean Water

Facilitator, Planner

Project Mngmt Team

21STRATEGIES TO

ADDRESS PRIORITY

Determine who will lead the process

For each priority identify factors leading to priority issue

Fishbone diagram, logic model

Research & select evidence-based strategies for each priority Sources: Community Guide, CDPHE

Develop action plan

CHAPS Action Plan

Name of LPHA or Regional Collaborative:

PRIORITY: What you are trying to improve

STRATEGY: How you will improve this priority

Major Indicator: What you will measure Lead Entity: Person or Org. Supporting Entities: Person or Org.

Five Year Goal(s) SMART

ObjectivesAction Steps (Activities)

Organization

Responsible

Completion Date

Status

What you will do to accomplish your strategy

Specific, Measurable, Achievable, Realistic, Time-bound Objectives

How you will achieve your objectives

23 SMART OBJECTIVES

PHIP SampleNYC

PHIP SampleSF

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PHIP COMPLETION TIMING

Statewide Public Health Improvement Plan

On or before December 31, 2009…and…every 5 years thereafter.

Local Public Health Agencies create local plans

As soon as practicable after the approval of…statewide…plan.

Next statewide plan due 2014

Local plans to be completed by 2013

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Review &

Reporting

Process

Report and Review Process

Complete local PHIP

Submit to local Board of Health for review

Submit work plans and full report or web link to OPP for documentation, sharing, informing of statewide plan

Annual PHIP updates through Local Planning & Support contract reporting

Themes, key info. presented by OPP to State Board of Health for review

PHASE 6 SUPPORT

Priority area/winnable battle networking groups

• Obesity

• Mental Health, Substance Abuse

• Unintended Pregnancy

• Others as needed

OPP Webinar series

Tools: PHIP Sample Outline, Standard Work Plan

Ongoing connections and TA

PHASE 6 SUPPORT, CONT.

Winnable Battles Website

(data, talking pts., fact sheets)http://www.chd.dphe.state.co.us/Winnables/Default.aspx

CDPHE Winnable Battle Google Groups

Tracking and connecting of funding opportunities

SUMMARY

• Create a plan format to meet your local need

• Use action plan draft to plan and capture the detail

• Maintain internal record of key info. to be reported to OPP for SBOH report if not included in your Public Health Improvement Plan

Example: Identify financial resources available to meet identified public health needs and requirements for the provision of core public health services

• After review of plan by the Office of Planning and Partnerships, any additional information exchange may occur through follow up

THANK YOU

Congratulations on your public health improvement success.