1. Community Health Assessment Report to the Community Vanessa A. Becker Principal. V Consulting & Associates Inc. November 4th, 2013

2. What we will cover tonight Why did we do a Community Health Assessment? Process & Highlights of Results Questions & Next Steps

3. Where can I find the document? http://www.umpquahealthalliance.org http://www.co.douglas.or.us/health http://www.vconsults.com Please connect with Patti at Umpqua Health Alliance for a hard/printed copy

4. Document Layout Data sources are at the end of the document-titled “data sources sheet” Click on table of contents will take you to the page Comments from Focus Groups and details about format of focus groups in Community Perceptions of Health section Anyone know where the picture on the front cover was taken?

5. Acronym Definitions CCO= Coordinated Care Organization CAC=Community Advisory Council CACC= CAC subcommittee focusing on the Community Health Assessment CHA=Community Health Assessment CHIP= Community Health Improvement Plan MAPP=Mobilizing for Action Through Planning & Partnerships SWOT=Strengths, Weaknesses, Opportunities & Threats DCO=Dental Care Organization OAR=Oregon Administrative Rule ORS=Oregon Revised Statutes IA=Innovator Agent UHA=Umpqua Health Alliance

6. Why did we do a Health Assessment? Use it to increase our understanding of health issues facing our community Help us better plan our programs & services Help us meet requirements for Coordinated Care Organization (CCO) & Public Health Accreditation

7. Who sponsored the process? Umpqua Health Alliance Douglas County Public Health Douglas County Mental Health The process is as important as the document

8. Limitations of the document It is not the first or last time we will go through this process It compliments other assessments, not intended to replace other work Not a rigorous research study Did not evaluate services or programs Does not include every possible health related problem Relies on data from other entities (secondary data) Data and focus not exclusive to people on Oregon Health Plan, but entire county

9. Data Assumptions & Priorities Data accessible online was preferable—particularly if able to save in PDF or another readable/printable format Collect data on entire community, not just on Medicaid/Oregon Health Plan population, identify county specific data when available Collect epidemiology data on health status, prevalence, incidence of disease Collect data on social determinants of health-such as poverty, unemployment, homelessness Collect data on services related to health Collect data within the last seven years, the newer the data the better Older data was allowed if there was lack of data in that particular type of data Data on chronic disease, mental and behavioral health and addictions were emphasized Data updated regularly and/or part of a larger, reliable data system effort

11. Preliminary Data Collection: Identify previous community assessments. Secondary quantitative data collection Web based search Key Informant Interviews Analysis of Secondary Data for Themes: Review and prioritize health status data Collection of Primary Data: Collect qualitative data Community Focus groups Final Inventory & Analysis Incorporate Health Status Data Priorities, Focus Group Data & Key Informant Interviews Write & share Community Health Assessment Document Site Champions (from CACC) work w/consultan t to complete Focus Groups Review by Consultant & CACC for themes, prioritizatio n of what to present and needs for future data collection Process Activity Review by consultant & CACC Document presented for approval by: 1. CACC, to 2. CAC then to 3. CCO Board Key Informant Interviews of professionals in health sector Time We ARE HERE Health Status Data Review Summer 2013Fall 2013Spring 2013 OUR PROCESS Douglas Community Health Assessment (CHA) Process Timelin e Spring 2013Fall/Winter 2012

12. Data Highlights Please review document for more content

13. Highlights-Demographics PSU Populaation Research Center

14. Highlights-Demographics U.S. Census Bureau, 2008-2010 American Community Survey

15. 1 in 4 children under 18 in Douglas County live in poverty.

16. Highlights: County Health Rankings Douglas County was ranked in the lowest percentile, 30 out of 33 counties-May 2013 www.countyhealthrankings.org

17. Highlights: Leading Causes of Death

18. Highlights: Chronic Conditions

19. Highlights: Chronic Conditions Cont.

20. Highlights: Lifestyle Factors Source: Oregon BRFSS County Combined Dataset 2006-2009

21. Highlights: Food Insecurity

22. Primary Data Collection: Focus Groups

23. Top 3 Ingredients for a Healthy Community Lifestyle Factors Access to Health Care Schools

24. Top 3 Risk Factors influencing a Healthy Community Drug Abuse Alcohol Abuse Lack of Exercise

25. Top 3 Health Problems in our Community Diabetes Child Abuse & Domestic Violence Dental

26. Solutions & Next Steps The natural progression after the Community Health Assessment is the Community Health Improvement Plan (CHIP) The Community Advisory Council (CAC) is currently developing their process for completing the CHIP

27. Solutions & Next Steps “Hope, you have to have hope, without it, without seeing options people won’t change or make choices that affect their health.” -Focus Group Participant “More things like this would be good-we have a voice and I like to talk and give my opinion (to improve health)” Focus Group Participant Interested in opportunities to be engaged in continued process? Connect with Patti LaFreniere @ Umpqua Health Alliance

28. Thank you for your time and questions today! Vanessa A. Becker, MPH Principal Consultant www.vconsults.com vanessa@vconsults.com 541-817-6552