1. CICO Maps Community Inclusion in Colorado
March 1, 2016
MFHCC
Christine Billings & Cali Zimmerman

2. Introduction to CICO

3. Vulnerability  Inclusion

4. Early Mapping Projects
Households below poverty level
Race and ethnicity
Refugee status by nationality, birth country, or language
Primary language spoken other than English/Language Isolation
Households on public assistance
Households using public transportation vs. car
Location of healthcare facilities

5. Limitations to Early Mapping
Difficult to share, bulky shapefiles
Not interactive
PDFs to enable sharing
Limited data available
Interest in community mapping by broad groups not widespread.
Lack of awareness or connection between different groups for sharing resources

6. Shift in Mindset of Emergency Planning
Whole Community Inclusion
Access and Functional Needs (C-MIST) and Influencers (Economics, Isolation)
Social Vulnerability Index (ATSDR - CDC)

7. What do we need to DO? Map where things are Map quantities
Map densities
Find out what is inside
Find out what is nearby
Model change over time
Improve Resource and Information Communication
Inform Emergency Planning
Assess Community Inclusion Factors
Inform Community Health Assessment
Measure Health Burden
Model Changes over Time
Study Interaction with Environmental Exposures and Built Environment
Inform Health and Planning Policies

8. What do we HAVE? Collaboration!
Jurisdictions
Socio-Demographics Estimates
Disability Rates
Road Networks
Fire Boundaries
Flood Zones
Emergency Responders
Planning Policies
Disease Tracking
Health Agencies
Health Care Facilities
Physicians/Pharmacies

9. How do we do it? A simple, easy-to-use, online tool of Colorado data
Complements current planning with people-centric information
Catalyzes conversations, then action, for Whole Community Inclusion
Bonus – begins to compile a registry of statewide resources and community partners

10. Result: The Community Inclusion in Colorado MapBook (CICO)

11. CICO Contents Map 1: General Indicators Map 2: Disabilities
Map 3: Aging Difficulties and Resources
Map 4: Cognitive Difficulties and Resources
Map 5: Hearing Difficulties and Resources
Map 6: Mobility Difficulties and Resources
Map 7: Vision Difficulties and Resources
History of Mapping Project
Future Phases and Current Applications
Additional Data and Resources

12. Boots on the Ground 2007 Holly Tornado 2008 Salmonella Outbreak
2012 High Park and Waldo Canyon Wildfires
2012 Aurora Theater Shooting
2013 Black Forest Wildfires
2013 Colorado Floods

13. Using CICO Maps to Strengthen the MFHCC

14. CICO Maps A simple, easy-to-use, online tool of CO data
Complements current planning with people-centric information
Catalyzes conversations, then action, for Whole Community Inclusion
Begin to compile a registry of statewide resources and community partners

15. PHEP & HPP Grant Requirement: CICO Maps
Healthcare coalitions use CICO Maps to inform their preparation for the needs of at-risk individuals and the general population in their communities in the event of a public health emergency.

16. After Action Report & Improvement Plan
Identified Gaps:
PHEP/HPP Capability 6: Information Sharing
Limited situational awareness regarding at-risk populations
Limited information shared between HCC agencies and the DPH DOC
PHEP Capability 4: Emergency Information Sharing & Warning
Unable to distribute information to at-risk populations
Timeliness
Appropriate method of communication
Based on January 21 Functional Exercise

17. MFHCC Work Group Action:
Locate high-density areas of at-risk populations

18. Gap 1: Information Sharing
Which MFHCC agencies can provide needed information to establish and maintain situational awareness related to at-risk populations?
Collect information for MFHCC Agencies:
Identify MFHCC agencies located in high-density
at-risk population areas
Identify MFHCC agencies who work specifically with these at-risk populations

19. Gap 2: Emergency Information Sharing & Warning
How will the MFHCC share information with the at-risk populations they serve?
Share information with At-Risk Population:
Identify MFHCC agencies to create targeted messages for at-risk populations
Identify MFHCC agencies to push out targeted messages – both within the geographic area and with relationships

20. Goals: Use the information to create a guide for:
Collecting information from at-risk populations
Sharing information with MFHCC partners, DOC, EOC, JIC
Pushing out information to at-risk populations

21. Steps to Accomplish Our Goal:
Locate high-density areas of at-risk populations
Identify MFHCC agencies located in high-density at-risk areas
Identify MFHCC agencies who work specifically with these at-risk populations
Identify MFHCC agencies to create targeted messages for at-risk populations
Identify MFHCC agencies to push out targeted messages
Create an at-risk population specific information sharing guide

22. Join the CICO Map Workgroup!
First Meeting: Today, 1:00 – 1:30
Next Meeting: TBD
(In-person and online meetings, as well as , can be utilized.)
Results will be shared at the
MFHCC May monthly meeting.

23. Contact Information:
Christine Billings Emergency Preparedness and Response Coordinator Jefferson County Public Health Cali Zimmerman Public Health Planner Denver Public Health