Community Transformation Plan Community Vital Signs is community-driven effort in partnership with the County of San Bernardino to establish a health improvement framework. It is intended to implement the Wellness Element (10 elements) of the Countywide Vision by setting evidence-based goals and priorities for actions that encompass policy, education, environment, and systems change to ensure quality of life; improve and sustain education and workforce; and attract economic development

Community Vital Signs Community Vital Signs is a community-driven health initiative jointly developed by San Bernardino County residents, organizations and government. It builds upon the Countywide Vision by setting goals and priorities for action to improve community health in San Bernardino County. It helps agencies work together to support the community in making healthy choices.

Community Vital Signs Framework Involves a broad set of organizations and people committed to improving health and wellness Uses data to help make decisions and set priorities Focuses on making changes across the community SEVERAL COMMITTEES within Community Vital Signs Data-15 Communications-4 Community Engagement-10 MAPP- 24 Steering Committee - 13 Everybody wants better health for themselves, their children, and the neighborhoods we live. Where you live, work, play, and go to school determines how long, how well you live. It’s a personal responsibility as much as it is a community responsibility.

Community Vital Signs Activities Gathered and analyzed data on 34 health indicators Completed the Data Report & Summit Hosted community engagement meetings and prioritized health indicators Completed Final Data Report Seven Priority Areas Identified: Education, Economy, Access to Health Care, Mental Health, Nutrition/Health Food, Community Safety, Safety at School This slide summarizes the work of Vital Signs to date. Our community forums builds on the previous work of Vital Signs, including the summer of engagement last year where multiple community engagement meetings were held. Those engagements followed the same model we are using now; a select group of facilitated forums, with additional meetings held on our behalf by key stakeholders such as yourselves. This model proved very successful last year which is why we want to replicate it now.

Community Engagement Priority Areas Area Prioritization Ranking: Top Areas with the Greatest Number of Votes Indicator(s) Education (overall, educational attainment, high school graduation) Economy (overall, poverty, unemployment, economic development) Access to Health Care (overall, insurance, professionals, physicians, delays in care) Mental Health Nutrition/Access to Healthy Food Community Safety (overall, crime) Safety at School Important Facts EDUCATION: The high school graduation rate for the County at 77% is lower than the state at 79%, and when looking at educational attainment, the county had 18% of adults with bachelor degrees compared to the state rate of 30%. ECONOMY: The unemployment rate in the county has been consistently higher than the state rate since 2011. ACCESS TO HEALTHCARE: 1 in 5 sick people visit the ER for care they could have received from a primary care provider. San Bernardino County has 177 licensed physicians per 100,000 compared to 267 physicians per 100,000 in the state. MENTAL HEALTH: According to the Robert Wood Johnson Foundation, Traumatic childhood events like abuse and neglect can create dangerous levels of stress and derail healthy brain development, resulting in long-term effects on learning, behavior and physical health. NUTRITION: San Bernardino County (5.72) had the worst RFEI in the state (4.2), some cities had an index of 9. Meaning that there were 5.72 fast food/convenience store outlets for every 1 grocery store in the county. A 2 point RFEI has been correlated to a 20-25% increase in the proportion of residents with obesity or type 2 diabetes. COMMUNITY SAFETY: Many studies have linked the amount an individual walks with actual or perceived safety, where safety includes freedom from crime and pedestrian safety issues SCHOOL SAFETY: 1 in 10 kids drop out of school due to repetitive bullying.

Community Transformation Plan

Community Transformation Plan The Community Transformation Plan will ultimately help improve the health of San Bernardino County by: Addressing important issues in the County Identifying goals, objectives and strategies to improve health outcomes for County Residents Bringing together organizations to work together to achieve common goals Engaging residents to take an active role in improving the health and well-being of their communities

Community Transformation Plan Priority Areas The Community Transformation Plan was further refined to focus on four priority areas: Priority Areas Education (overall, educational attainment, high school graduation) Economy (overall, poverty, unemployment, economic development) Access to Health and Wellness (including medical home, mental health, nutrition and physical activity) Safety (including community and school safety) Important Facts EDUCATION: The high school graduation rate for the County at 77% is lower than the state at 79%, and when looking at educational attainment, the county had 18% of adults with bachelor degrees compared to the state rate of 30%. ECONOMY: The unemployment rate in the county has been consistently higher than the state rate since 2011. ACCESS TO HEALTHCARE: 1 in 5 sick people visit the ER for care they could have received from a primary care provider. San Bernardino County has 177 licensed physicians per 100,000 compared to 267 physicians per 100,000 in the state. MENTAL HEALTH: According to the Robert Wood Johnson Foundation, Traumatic childhood events like abuse and neglect can create dangerous levels of stress and derail healthy brain development, resulting in long-term effects on learning, behavior and physical health. NUTRITION: San Bernardino County (5.72) had the worst RFEI in the state (4.2), some cities had an index of 9. Meaning that there were 5.72 fast food/convenience store outlets for every 1 grocery store in the county. A 2 point RFEI has been correlated to a 20-25% increase in the proportion of residents with obesity or type 2 diabetes. COMMUNITY SAFETY: Many studies have linked the amount an individual walks with actual or perceived safety, where safety includes freedom from crime and pedestrian safety issues SCHOOL SAFETY: 1 in 10 kids drop out of school due to repetitive bullying.

Community Feedback During the summer of

Purpose and Goals Help transform your community to be a healthier place to live, work, learn and play. Share your ideas for improving health in your neighborhood. Provide feedback on the Community Transformation Plan.

What will you do today? Walk around to each poster and review the information presented. One of our volunteers will be there to help answer any questions you may have. Vote for your top two or three goals on each poster by putting tickets into the box corresponding to each goal

What will you do today? Once you have had a chance to look at all of the posters, write down any information you feel is missing from the plans on a sticky note. Place the sticky note on the large butcher paper under the correct priority area.

Group Activity

Group Activity After taking time to review the information on each poster, you will sit in small groups and discuss your thoughts about each poster. Each person will have a “placemat” to use to write down ideas.

Group Activity At the end of the activity, we will be asking for a few volunteers to report back information from their group discussion. What are some of the key points your group discussed?

What is next?

Next Steps All of your feedback will be compiled and will help improve the plan. If you are interested in helping the plan move forward by talking about strategies and action steps, write your name down on the “Action Planners” sign-up sheet and we will be sure to contact you. Find more information at communityvitalsigns.org.

Next Steps Provide additional feedback by contacting: Courtney Huff chuff@harderco.com San Bernardino County Department of Public Health: 909-387-9105