1. Sandy Gill, Project Consultant Melissa Touma, MPH, Project Consultant
Healthy Connecticut 2020:
State Health Improvement Plan
SHIP 101
Sandy Gill, Project Consultant
Healthy CT2020: State Health Improvement Plan
Public Health Systems Improvement
Connecticut Department of Public Health
Melissa Touma, MPH, Project Consultant
Accreditation Coordinator
Public Health Systems Improvement
Connecticut Department of Public Health

2. HCT 2020 Implementation Timeline
HCT 2020 Interim Progress Report
Updated SHA/SHIP
HCT 2020 Evaluation
Launch Action Teams/Orientation to Lead Conveners
2016 Review
2017 Review
2018 Review
2019 Review
HCT 2030 Launch
2015
2016
2017
2018
2019
2020 Q1
Jan-Mar Q2
Apr-Jun Q3
Jul-Sep Q4
Oct-Dec
HCT 2020 Interim Progress Report – annual reports and dashboard review
Update State Health Assessment
SIM Population Health Assessment September 2016
Connecticut BRFSS Report March 2017 (2015 data)
Local Analysis of BRFSS selected indicators March 2017
OHCA Statewide Health Care Facilities Plan (under development)
Update of SHIP
2015/2016 Action Agenda
2017 Action Agenda
2018 Action Agenda
2019 Action Agenda
2020 Action Agenda
Establish and Convene Advisory Council /Executive Committee
Begin State Health Assessment Update
Complete at least 6 Action Plans from HCT 2020

3. HCT 2020 Performance Dashboard
Performance Dashboard – which is built on the concepts of results based accountability and displays how CT residents are faring on most critical health issues as identified in the SHIP
Critical for Implementation: Shared measurement, tranparency, accountability
You can view trend lines, story behind the curve, SHIP strategies, current action agendas, and what works (evidence behind the strategies).
All of our SHIP priority indicators
For Example: EH - lead poisoning in children
The dashboard is available on DPH homepage under featured links.

5. State Health Improvement Successes
Every Woman Connecticut Learning Collaborative
Distribution of media campaign to target lead poisoning disparities
Healthy Food Donation List and distribution to networks; approved by USDA and adopted by United Way of Greater New Haven
Distributed HPV educational materials to networks to support HPV vaccine as a cancer preventive
Collaboratively developed 2017 SHIP Policy Agenda
Community water fluoridation statute updated to federal standards
DPH receives accreditation designation; funding to support local health accreditation
Use of networks to disseminate, educate and build momentum for legislation and other activities – HPV as a cancer preventive,
CD – disseminating food donation list with roles for action teams and partner networks. Influence quality of food being donated.
EH – media campaign, use partners to extend the reach
Last year - - Legislation passed to adjust community water fluoridation standards
Health improvement targets surpassed for reducing the prevalence rate of lead poisoning; media campaign to address disparities
Every Woman CT pilot in 8 communities – preconception health counseling - improve birth outcomes and reduce unplanned pregnancy
Documented successes in pre-exposure prophylaxis (HIV PrEP) as a preventative measure for persons engaging in high risk behaviors.
6 more LHDs are planning to apply for accreditation based on 2016 survey results of LHA
CT communities not covered by CHNA – 14 in 2014 report. See OHCA Health Care Facilities Plan
Action Team Reports
Validated and consolidated work among partners; more support connections
Brought in many non-traditional partners including building inspectors, property owners, zoning and housing authority.
New champions (American Lung Association) taking lead in addressing Air Quality objective
Ensuring focus on addressing social determinants.
Use of networks to disseminate, educate and build momentum for legislation/other activities

6. Proposed Concepts for 2018 Policy Agenda
Comprehensive Tobacco including:
Raising the age to purchase to 21 years
Upgrade clean indoor air law to national standards
Removing pre-emption clauses that hinder local control
Seatbelts for all seating positions in automobiles
Property Maintenance Code update
Sugar Sweetened Beverages
Last year, coordinated a Summit with Coalition members - identify a policy agenda that supported the priority objectives
worked hard to focus on widest part of the pyramid to address
Long lasting protective interventions
Taxes/policies
socioeconomic factors that have the largest impact.
First time doing this as a coalition and we’ve had limited success
Still waiting for budget to pass so outcome not totally known.
For example:
CD – obj/indicator – youth smoking – tobacco legislation
Housing improvements
ID – HPV/cancer prevention

7. SHIP/CHIP Priorities Alignment
State
Manchester
Greater Bridgeport
Norwalk
Hartford
Naugatuck Valley
Central CT
Wallingford
Greater Danbury
Greater New Haven
East Shore District
Chesprocott
Hospital CHNAs*
Maternal, Infant, and Child Health X
Environmental Risk Factors and Health
Chronic Disease Prevention and Control
Infectious Disease Prevention and Control
Injury and Violence Prevention
Mental Health, Alcohol, and Substance Abuse
Health Systems
While updating and while more completed - looking to work toward greater alignment of state and local efforts – collective impact, collaboration.
Majority of CHIPS include a focus on Chronic Disease, health Systems and MHSA.
For state/local CHIPs, there is general alignment among a subset of strategies within the focus area in Chronic Disease and MHSA, but not Health Systems where there is no alignment at the strategy level.
Some CHNA/CHIP processes also identified MCH, Infectious (STI) and Injury/Violence.
Hospital CHNAs – priority health needs selected – more than 20 of the 27 hospitals identifying CD (obesity, nutrition, respiratory health), MHSA, and Access to care. Next MICH and Injury (safety).
*Connecticut Department of Public Health Statewide Healthcare Facilities and Services Plan—2016 Supplement.

9. Join the Connecticut Health Improvement Coalition!
Thank You!
Join the Connecticut Health Improvement Coalition!
For more information
and
Special Thank you to all the lead conveners, AC, and those that participate in the coalition/coalition calls