1. Community Transformation Plan
Community Vital Signs is community-driven effort in partnership with the County of San Bernardino to establish a health improvement framework.
It is intended to implement the Wellness Element (10 elements) of the Countywide Vision by setting evidence-based goals and priorities for actions that encompass policy, education, environment, and systems change to ensure quality of life; improve and sustain education and workforce; and attract economic development

2. Community Vital Signs
Community Vital Signs is a community-driven health initiative jointly developed by San Bernardino County residents, organizations and government.
It builds upon the Countywide Vision by setting goals and priorities for action to improve community health in San Bernardino County.
It helps agencies work together to support the community in making healthy choices.

3. Community Vital Signs Framework
Involves a broad set of organizations and people committed to improving health and wellness
Uses data to help make decisions and set priorities
Focuses on making changes across the community
SEVERAL COMMITTEES within Community Vital Signs
Data-15
Communications-4
Community Engagement-10
MAPP- 24
Steering Committee - 13
Everybody wants better health for themselves, their children, and the neighborhoods we live.
Where you live, work, play, and go to school determines how long, how well you live.
It’s a personal responsibility as much as it is a community responsibility.

4. Community Vital Signs Activities
Gathered and analyzed data on 34 health indicators
Completed the Data Report & Summit
Hosted community engagement meetings and prioritized health indicators
Completed Final Data Report
Seven Priority Areas Identified:
Education, Economy, Access to Health Care, Mental Health, Nutrition/Health Food, Community Safety, Safety at School
This slide summarizes the work of Vital Signs to date. Our community forums builds on the previous work of Vital Signs, including the summer of engagement last year where multiple community engagement meetings were held. Those engagements followed the same model we are using now; a select group of facilitated forums, with additional meetings held on our behalf by key stakeholders such as yourselves. This model proved very successful last year which is why we want to replicate it now.

5. Community Engagement Priority Areas
Area Prioritization Ranking: Top Areas with the Greatest Number of Votes
Indicator(s)
Education (overall, educational attainment, high school graduation)
Economy
(overall, poverty, unemployment, economic development)
Access to Health Care
(overall, insurance, professionals, physicians, delays in care)
Mental Health
Nutrition/Access to Healthy Food
Community Safety
(overall, crime)
Safety at School
Important Facts
EDUCATION: The high school graduation rate for the County at 77% is lower than the state at 79%, and when looking at educational attainment, the county had 18% of adults with bachelor degrees compared to the state rate of 30%.
ECONOMY: The unemployment rate in the county has been consistently higher than the state rate since 2011.
ACCESS TO HEALTHCARE: 1 in 5 sick people visit the ER for care they could have received from a primary care provider. San Bernardino County has 177 licensed physicians per 100,000 compared to 267 physicians per 100,000 in the state.
MENTAL HEALTH: According to the Robert Wood Johnson Foundation, Traumatic childhood events like abuse and neglect can create dangerous levels of stress and derail healthy brain development, resulting in long-term effects on learning, behavior and physical health.
NUTRITION: San Bernardino County (5.72) had the worst RFEI in the state (4.2), some cities had an index of 9. Meaning that there were 5.72 fast food/convenience store outlets for every 1 grocery store in the county. A 2 point RFEI has been correlated to a 20-25% increase in the proportion of residents with obesity or type 2 diabetes.
COMMUNITY SAFETY: Many studies have linked the amount an individual walks with actual or perceived safety, where safety includes freedom from crime and pedestrian safety issues
SCHOOL SAFETY: 1 in 10 kids drop out of school due to repetitive bullying.

6. Community Transformation Plan

7. Community Transformation Plan
The Community Transformation Plan will ultimately help improve the health of San Bernardino County by:
Addressing important issues in the County
Identifying goals, objectives and strategies to improve health outcomes for County Residents
Bringing together organizations to work together to achieve common goals
Engaging residents to take an active role in improving the health and well-being of their communities

8. Community Transformation Plan Priority Areas
The Community Transformation Plan was further refined to focus on four priority areas:
Priority Areas
Education (overall, educational attainment, high school graduation)
Economy
(overall, poverty, unemployment, economic development)
Access to Health and Wellness
(including medical home, mental health, nutrition and physical activity)
Safety
(including community and school safety)
Important Facts
EDUCATION: The high school graduation rate for the County at 77% is lower than the state at 79%, and when looking at educational attainment, the county had 18% of adults with bachelor degrees compared to the state rate of 30%.
ECONOMY: The unemployment rate in the county has been consistently higher than the state rate since 2011.
ACCESS TO HEALTHCARE: 1 in 5 sick people visit the ER for care they could have received from a primary care provider. San Bernardino County has 177 licensed physicians per 100,000 compared to 267 physicians per 100,000 in the state.
MENTAL HEALTH: According to the Robert Wood Johnson Foundation, Traumatic childhood events like abuse and neglect can create dangerous levels of stress and derail healthy brain development, resulting in long-term effects on learning, behavior and physical health.
NUTRITION: San Bernardino County (5.72) had the worst RFEI in the state (4.2), some cities had an index of 9. Meaning that there were 5.72 fast food/convenience store outlets for every 1 grocery store in the county. A 2 point RFEI has been correlated to a 20-25% increase in the proportion of residents with obesity or type 2 diabetes.
COMMUNITY SAFETY: Many studies have linked the amount an individual walks with actual or perceived safety, where safety includes freedom from crime and pedestrian safety issues
SCHOOL SAFETY: 1 in 10 kids drop out of school due to repetitive bullying.

9. Community Feedback
During the summer of

10. Purpose and Goals
Help transform your community to be a healthier place to live, work, learn and play.
Share your ideas for improving health in your neighborhood.
Provide feedback on the Community Transformation Plan.

11. What will you do today?
Walk around to each poster and review the information presented.
One of our volunteers will be there to help answer any questions you may have.
Vote for your top two or three goals on each poster by putting tickets into the box corresponding to each goal

12. What will you do today?
Once you have had a chance to look at all of the posters, write down any information you feel is missing from the plans on a sticky note.
Place the sticky note on the large butcher paper under the correct priority area.

13. Group Activity

14. Group Activity
After taking time to review the information on each poster, you will sit in small groups and discuss your thoughts about each poster.
Each person will have a “placemat” to use to write down ideas.

15. Group Activity
At the end of the activity, we will be asking for a few volunteers to report back information from their group discussion.
What are some of the key points your group discussed?

16. What is next?

17. Next Steps
All of your feedback will be compiled and will help improve the plan.
If you are interested in helping the plan move forward by talking about strategies and action steps, write your name down on the “Action Planners” sign-up sheet and we will be sure to contact you.
Find more information at communityvitalsigns.org.

18. Next Steps Provide additional feedback by contacting:
Courtney Huff
San Bernardino County Department of Public Health: