1. Leticia Reyes-Nash, MBA Chief of Health Policy, IDPH June 25, 2015
Healthy Illinois 2021
Leticia Reyes-Nash, MBA
Chief of Health Policy, IDPH
June 25, 2015

2. Objectives
Outline the purpose of the State Health Assessment and the State Health Improvement Plan
Share the overall planning process and timeline
Articulate the role of IDPH, hospitals, and community organizations in the overall process
Obtain feedback on the proposed process

3. What is a SHA and SHIP? State Health Assessment or SHA:
A state health assessment is a systematic approach to collecting, analyzing, and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve the public’s health.
State Health Improvement Plan or SHIP: A state health improvement plan (SHIP) is a long-term systematic plan to address issues identified in the state health assessment. A SHIP describes how the state health department and the communities it serves will work together to improve the health of the population.

4. Timeline 2010 Second Illinois SHIP released ACA passes 2011:
SHIP Implementation Coordination Council (ICC) Convened
2013
Implementation report released
Alliance for Health Convened
Governor’s Office for Health Innovation and Transformation (GOHIT) launched
2014
Alliance for Health Transformation Plan released
Planned statewide alignment activities
2015
New SHIP ICC Members appointed
SHA/SHIP Developed
Plan for Population Health

5. SHIP Priority Health Concerns
Alcohol/Tobacco
Use of Illicit Drugs/Misuse of Legal Drugs
Mental Health
Natural and Built Environment
Obesity: Nutrition and Physical Activity
Oral Health
Patient Safety and Quality
Unintentional Injury
Violence
(note: Health concerns are not ranked in priority order.)

6. SHIP Public Health System Priorities
Improve Access to Health Services
Enhance Data and Information Technology
Address Social Determinants of Health and Health Disparities
Measure, Manage, Improve and Sustain the Public Health System
Assure a Sufficient Workforce and Human Resources
(note: System Priorities are not listed in priority order)

7. SHIP Vision
Optimal physical, mental and social well-being for all people in Illinois through a high-functioning public health system comprised of active public, private and voluntary partners.

8. SHIP Challenges Changes in the Federal landscape
Changes in the Illinois landscape
Commitment of priorities lacking alignment with commitment of resources

9. 2014 Health Transformation Summits
Series of regional events that brought together local stakeholders to:
Engage with statewide leaders and learn more about SHIP, the Alliance for Health Transformation Plan, and GOHIT
Discuss and strategize about how to make progress on locally identified priorities using these resources and infrastructure
Create new and strengthen existing collaborative partnerships to pave the way for regional health improvement collaboratives and future funding opportunities
First step in creation of SHIP 2016.

10. Other Key Initiatives
SHIP ICC Report: Aligning Illinois for Health Improvement and Equity (available on SHIP ICC web site)
We Choose Health
SHIP Video Challenge
SHIP Priority Area Metrics

11. Healthy Illinois 2021
Successes toward the last 2010 implementation have included:
Development of performance measures;
Public information campaign for organizations to demonstrate alignment with the SHIP; and
State Health Transformation Summits
Looking Forward: Concepts to consider in
Maximize existing assessment data and effectively use resources
Provide documentation to meet accreditation criteria
Design SHA/SHIP process to facilitate action
Build from past experiences and expertise
Demonstrate integration of primary prevention and clinical care in assessment, planning and implementation activities
Promote measurement & reporting of progress

12. Overall SHA/SHIP Steps
Engage stakeholders
Conduct a state health assessment:
Collect and analyze data
Collect and analyze feedback
Review and decide health priorities
Facilitate state health improvement planning:
Create action plans and performance monitoring approaches
Obtain feedback and approval; align organizational work with the plan
Launch the plan and track progress

13. Stakeholder Engagement
Data and measurement team
Executive Committee
Organizational members &
public residents
SHIP Planning Council
Organizational members &
public residents
State government agencies
Training
Health priority lead organizations
Communi-
cations
Statewide minority organizations
Local Health Department membership organizations
Data Utilization
Decision making
Healthcare system representatives
Multi-sectoral groups
Statewide Action Teams
Statewide Action Teams
Statewide Action Teams
Aligned and coordinated activities around state plans
Health improvement and increased health equity

14. Community Health Assessment Data
Types of assessment needed
Proposed data sources
Health priority status
Based on nationally comparable indicators, present morbidity and mortality data; risk factor data; social determinants of health including income, education, and healthcare access data.
IPLAN assessments/CHNA assessments and comparisons
Planning Council interviews and meetings; and focus groups and organizational presentations.
Community Themes and Strengths
Existing statewide reports and documents relevant to health
Health Systems Data
IDPH Satisfaction Survey organized around the National Public Health Performance Standards, Year 1 and 2 data;
Forces of Change

15. Planning Steps Engage stakeholders State health assessment:
Collect and analyze data
Collect and analyze feedback
Review and decide health priorities
State health improvement plan:
Create action plans and performance monitoring approaches
Obtain feedback and approval; align organizational work with the plan
Launch the plan and track progress

16. Collect primary data and conduct secondary data analysis
Phase 1
Health Priority Status
Community Themes and Strengths
Health Systems Change
Forces of Change
Collect primary data and conduct secondary data analysis
Phase 2 &3
Planning Council reviews data and decides early findings and vision
Data and measurement team
Statewide Vision for Population Health Improvement Proposed
SHA data
SHA data
SHA data
SHA data
Phase 4
Focus groups and organizational presentations occur; data, indicators, and measures are presented; and findings are summarized into final SHA document
Planning Council reviews SHA; decides SHIP priorities; works to align priorities; and develops action plans
Phase 5
Statewide Action Teams
Statewide Action Teams
Phase 6 & 7
Planning Council finalizes statewide plans; Public hearings occur; and Board of Health reviews and recommends the final documents
Plans submitted and launched
Phase 8

17. Brief State Innovation Model (SIM) Overview
CMMI providing financial and technical support for state-led projects seeking to achieve;
Multi-payer health care payment and service delivery models
Improved health system performance, increase quality of care and reduced costs
Impacting all state residents

18. SHIP Planning Action Team(s)
Healthy Illinois 2021: Improving Quality, Reducing Costs and Community-Driven
Organizational Structure
Outcomes
Executive Committee
Oversight
Governor’s Office
Department of Public Health
Department of Healthcare and Family Services
Department of Insurance
Department of Human Services
Department on Aging
SHIP Planning Council
State Health Improvement Plan
Plan for Population Health
State Health Assessment
State Government Agencies
Local Health Department Membership Organizations
Health Priority Lead Organizations
Commercial Payers/Purchasers
Healthcare Providers/Systems
Statewide Minority Organizations
Higher Education
Multi-Sectoral Groups
SHIP Planning Action Team(s)
SIM Action Team
SIM Action Plan
Waivers
Regulatory Changes (e.g., State Plan, Rules)
Legislation

19. Plan for Population Health
State Health Improvement Plan Planning Council will develop:
State Health Assessment
State Health Improvement Plan
Plan for Population Health
Plan for Population Health will use:
Quality improvement indicators developed in October 2014 for current SHIP, including healthcare associated infection data and AHRQ Preventable Quality Indicators
Various state Agencies are engaged in the process

20. Sample Core Health Indicators Balanced Portfolio Examples

21. How can hospitals and community organizations engage with the SHA/SHIP?
Local IPLAN Data will be utilized in SHA
Attend/or Listen in to SHIP Planning Council Meetings (all subject to Open Meeting Act)
SHA presentations can be requested – feedback will be gathered at all presentations
Participate in a Focus Group
Submit feedback when requested

22. Other Resources SHA Guidance SHIP Guidance 2010 IPLAN ASTHO
NACCHO MAPP
Read about our progress through regular updates provided in our IDPH internal newsletter
Monitor our website at for informational updates such as focus group dates

23. Questions?
Contact: Leticia Reyes-Nash Office: