Passaic County Public Health Partnership Community Health Needs Assessment 2015 Presented by Charlene W. Gungil, DHSc., MPH Health Officer Passaic County Department of Health Chair, Passaic County Public Health Partnership September 16, 2015

Authority :Public Health Practice Standards for Local Boards of health in NJ ( NJAC 8:52) ▪ TITLE 8. HEALTH ▪ CHAPTER 52. PUBLIC HEALTH PRACTICE STANDARDS OF PERFORMANCE FOR LOCAL BOARDS OF HEALTH IN NEW JERSEY ▪ SUBCHAPTER 10. MONITOR HEALTH STATUS ▪ 8: Community health assessment ▪ b) A formal countywide or multi-countywide Community Health Assessment shall be performed and continually evaluated with a formal update every four years. Existing community health assessments meeting the criteria set forth in this section shall be valid until a new assessment is performed.

Authority :Public Health Practice Standards for Local Boards of health in NJ (NJAC 8:52) ▪ (e) The results of the countywide or multi-countywide Community Health Assessment shall be published in a "County Health Status Indicators Report." The results shall be presented in a manner that is sensitive and appropriate to individual, family, and community needs, language, and culture.

Authority :Public Health Practice Standards for Local Boards of health in NJ (NJAC 8:52) ▪ 8: Countywide or multi-countywide community health planning ▪ (b) Each local board of health shall assure that public health policies promote and support the population's health and safety goals identified in the health improvement strategies that were developed through the countywide or multi-countywide Community Health Improvement Plan and incorporate by reference prior planning information obtained through other processes.

Who We Are – 2010 Data ▪ Passaic County: Population 501,226: 243,124 M, 258,102 F ▪ Demographics: White – 75.7; Hispanic: 38.9; AfAm: 14.7; Asian 5.2 ▪ Languages Spoken: 250,934 English Only ▪ Sp: 145,600; Indo-Eur: 22,430; Slavic: 9,521; Tagalog: 4,698 ▪ Median Household Income: $51,828 (NJ $68,342) ▪ Unemployment: 11.3 – (NJ 9.5)

Our Process ▪ Last Community Needs Assessment was completed in 2007 ▪ Last CHIP was compiled in 2008 ▪ A number of changes, in leadership, locations, etc. ▪ Began in 2012 – CHA/CHIP Committee ▪ John Biegel,III Health Officer Clifton, Little Falls & City of Passaic ▪ Trevor Weigel, Health Officer Paterson, Hawthorne, Haledon, N. Haledon, Totowa, Prospect Park, Woodland Park ▪ Charlene W. Gungil, Epidemiologist Passaic County

Our Process ▪ Monthly meetings at Clifton Health Department ▪ Identified the need for outside help ▪ Created a request for proposals ▪ Distributed to persons identified by local health officers ▪ Received four proposals (Price ranged from $15,000 – 65,000) ▪ Interviewed four people ▪ Selected one

Invitation to Stakeholders

Forces of Change Assessment Examples Discussed ▪ Accreditation – challenges include staff, financing ▪ Benefits – validates work, boosts morale ▪ Aging of Public Health Workforce ▪ Challenges - Changes in public employees pension, loss of seasoned staff, attrition ▪ Benefits – More students going into Public Health ▪ Evolution of the Affordable Care Act Challenges –obsolete providers Benefits – increasing trends towards medical costs.

Our Process ▪ Health Officers identified focus groups and/or stakeholders in their jurisdiction ▪ Contractor was given the list to contact stakeholders ▪ Contractor convened a meeting June 3, 2015 ▪ Fishbone analysis used to drive and document the discussions ▪ 9 Focus Groups Throughout the County

Top 14 topics identified by Stakeholders ▪ ObesityDental Care ▪ Mental HealthCancer ▪ Heart DiseaseNutrition ▪ DiabetesLack of Health Insurance ▪ AsthmaPrenatal Care ▪ Socio-Economic statusTeenage Pregnancy ▪ Alcohol Drugs and TobaccoHIV/AIDS/STDs

Our Process Primary Data ▪ Survey created by UMDNJ MPH student intern at Paterson Division of Health ▪ Surveys conducted by two students from the UMDNJ – MPH program

Sources of Secondary Data ▪ 2012, 2013 and 2014 County Health Rankings (trends) ▪ NJ SHAD (New Jersey State Assessment Health data) ▪ St. Mary’s Hospital Needs Assessment (2013) ▪ St. Joseph’s Regional Medical Center Needs Assessment (2013) ▪ Chilton Hospital ***

Topics to be Addressed by the CHIP ▪ Update and Improve Resource Directory ▪ Chronic Diseases (Heart Disease, Diabetes, Mental Health) ▪ Asthma

How these topics Will be Addressed ▪ Update Services Directory and Use to Refer Patients ▪ County-wide Commemoration of Chronic Disease Day ▪ Hire Dedicated Person to Connect services to patients ▪ Healthy Homes Initiative ▪ Nurses to Conduct Home Visits ▪ Encourage police to Enforce Idling Ordinances on Roads.

Ongoing Process ▪ QUESTIONS