1. Health in All Policies ALAMANCE COUNTY: A BURGEONING APPROACH TO COMMUNITY HEALTH IMPROVEMENT

2. Presenters  Ann Meletzke  Executive Director, Healthy Alamance  Stacie Saunders  Health Director, Alamance County Health Department

3. Introduction  Rich Community Assessment History in Alamance County  First Assessment conducted in 1997  Healthy Alamance established in 1997 and became a non-profit in 2007  Current Partners include  Alamance County Health Department  Healthy Alamance  United Way of Alamance County  Alamance Regional Medical Center – Cone Health  Elon University

4. Community Assessment Model

5. A community committed…  Commitment of all partners to be collective not just collaborative  Agencies align strategies to Community Assessment  For Example: United Way funding priorities  Movement to Community Health Improvement Plan

6. Community Health Improvement Plan ALAMANCE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) By connecting social determinants of health with strategies known to create health communities, agencies can leverage resources to improve community health ALAMANCE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) By connecting social determinants of health with strategies known to create health communities, agencies can leverage resources to improve community health

7. A transitioning community…  Soft launching Health in All Policies  Not an easy concept  Many years invested in the concept without knowing it  Subtle approach in implementation  Get people talking your language – Figure out what your language is  Enhance partnerships – What tables are you not sitting at but need to in order for success  Show them how they are public health - unconventional partners may not know how they fit  Be accepting – How do you fit into their priorities, make it about them

8. Examples of Health in All Policies  Burgeoning approach for Alamance County  Examples  Wellness & Food Collaborative structure  Alamance Achieves

9. Wellness Collaborative

13. Alamance Achieves – Collective Impact “ The commitment of a group of important actors from different sectors to a common agenda for solving a specific social problem.” -- John Kania & Mark Kramer, FSG Social Impact Advisors, Stanford Social Innovation Review Winter 2011

14. Alamance Achieves – Collective Impact Every child is well, healthy and prepared for school Every child succeeds in school Every student graduates, prepared for post secondary learning Every learner is on track to achieve their career goals

15. Every child is well, healthy and ready for school Every child succeeds at school Every child graduates, prepared for post- secondary learning Every child is on track to achieve career goals Outcome areas:Outcome Areas: Child health and wellbeing Kindergarten Readiness Early grades success Middle grates success High School Graduation Post-secondary entry Post-secondary Completion Employment Core indicators:Core Indicators: Well Visit Rates ABSS Kindergarten Assessment Grade 3 reading and math Grade 8 reading and math High School Graduation rates College Enrollment rates TBD: Post secondary completion TBD: Employment Contributing Indicators: Prenatal Care Number enrolled in high quality pre-k Number waiting for subsidized care Percent identified with special needs Parental education Attendance After school enrollment Language proficiency Parental engagement FAFSA completion Teen Pregnancy rate Attendance Involvement in extracurricular activities ABSS Senior Survey First year college retention Unemployment rates for young adults Military enrollment Students employed after one year of graduation GED rates for 18-24 Incarceration rates Key community factors: Child poverty rates Voter registrationPer pupil-county budget for education Median household income Voter turnoutVolunteerism ratesAffordable HousingCounty employment rates

16. Alamance Achieves – Collective Impact  Retired, NC Senate  Elon University  Impact Alamance  Alamance Burlington School System  Alamance County Government  Alamance County Commissioner  Alamance Community College  The United Way of Alamance County  Alamance County Social Services  Alamance County Health Department  First Presbyterian Church of Burlington  Glen Raven, Inc.  The Alamance Partnership for Children  Alamance Area Chamber of Commerce Executive Committee:

17. Next Steps  Completion of the Community Health Improvement Plan (CHIP)  Increased participation at “new” tables  Implementation of Report Card for County  Reinforce health, wealth and education connections  Homeless and Housing Initiatives  Mental Health Diversion in Jail System  Food Collaborative  Pediatric Nutrition Initiative