1. Phase 6: Creating Your Community Health/ Public Health Improvement Plan

2. A GENDA Organizing Plan Content Format Processes Implementation Support Input and sharing recommendations P RESENTATION C ONTENT

3. PHIP D EVELOPMENT STEPS Phase 6 PHIP Development Steps Review the most current statewide PHIP Identify a PHIP oversight committee and org structure Develop a planning process, including stakeholders Facilitate planning meetings Determine strategies, goals, objectives, action steps Write the local Public Health Improvement Plan Submit and disseminate the local PHIP

4. P UBLIC H EALTH A CT R EQUIREMENTS : L OCAL P LANS S HALL, AT A MINIMUM I NCLUDE OR A DDRESS Local health status and risk factor data System capacity and performance Goals and strategies for PH improvement Stakeholder involvement in development, implementation System-wide coordination to accomplish Colorado PHIP goals Financial resources to meet PH needs, core services provision CHA Results Cap Assess Results Phase 6 Work Plans

5. A LIGNMENT WITH P UBLIC H EALTH ACCREDITATION B OARD (PHAB) S TANDARDS 5 CHAPS Phase 6

6. PHAB A CCREDITATION & C HAPS Are you planning on seeking PHAB accreditation in the next 5 years?  If seeking agency accreditation, be sure to monitor the PHAB website for details on related requirements and documentation.  http://www.phaboard.org/accreditation-process/ http://www.phaboard.org/accreditation-process/ 6

7. PHAB Standard 5.2 Conduct a comprehensive planning process resulting in a state/community health improvement plan. 5.2.1 L Conduct a process to develop community health improvement plan 5.2.2 L Produce a community health improvement plan as a result of the community health improvement process 5.2.3 A Implement elements and strategies of the health improvement plan, in partnership with others 5.2.4 A Monitor progress on implementation of strategies in the community health improvement plan in collaboration with broad participation from stakeholders and partners

8. PHAB S TANDARD 5.2.1L: C ONDUCT A PROCESS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLAN Complete a community health improvement planning process that includes: a. Broad participation of community partners b. Information from community health assessments c. Issues and themes identified by stakeholders in the community d. Identification of community assets and resources e. A process to set community health priorities

9. PHAB S TANDARDS & M EASURES 9

10. PHAB S TANDARDS & M EASURES, C ONT. 10

11. D EVELOPING A PHIP  Content  Community Partners  Evidence-based Strategies  CHAPS Action Plan Template  SMART Objectives 11

12. D ETERMINE THE P URPOSE OF YOUR PHIP  What requirements do you need to meet?  Public Health Act  PHAB  CDPHE Programs (MCH)  How will your PHIP be used?  Mobilize community, align policy and programmatic efforts  Outline future work with hospital, environmental & other community partners  Provide data and information to support grant applications  A measurable and outcomes-focused roadmap  Inform State PHIP 12

13. D ETERMINE THE A UDIENCE OF YOUR PHIP  Possible Audiences:  Community  Policy Makers  System Partners  Board of Health  Product:  Format & content should have community flavor that generates excitement  Needs to be easy to refer back to for monitoring and communication 13

14. FORMAT Highest priority - Meet community need and lead to action Options: Hard copy, bound publication PDF for print as needed Website (e.g. data dashboards, etc.) Presentation (PowerPoint) Hybrid

15. C ONTENT In terms of format, what will be consistent across Colorado? The identification of: Priority Areas Indicators Goals SMART Objectives Strategies Action Steps Identification of Lead Agency(s) 15

16. CHAPS Action Plan Name of LPHA or Regional Collaborative: PRIORITY: STRATEGY: Major Indicator: Lead Entity: Supporting Entities: Five Year Goal(s) SMART Objectives Action Steps (Activities) Organization Responsible Completion Date Status

17. PHIP A DDITIONAL R ECOMMENDED C ONTENT Intro and Orientation to Purpose, Content Description of Jurisdiction This may also be part of the CHA or Community Health Status Report. Characteristics: Geography, Economics, etc. Community Demographics Key Social Determinants Relevant to Area Summary of Priority Areas Indicators, Goals, Objectives, Strategies, Action Steps Plan for Monitoring and Evaluation Acknowledgements Phase 5 Prioritization Results

18. F ORMAT & C ONTENT C ONSIDERATIONS Community Health Assessment: If a community health status report was already produced, only references or highlights may be needed in plan Capacity Assessment and Core Services: LPHAs with a need to build a core service may need to include more information on this aspect What format(s) are most likely to be used by intended audiences? What format(s) can allow you to easily revise and update the action steps in years 2-5, as needed?

19. D EVELOPING A W ORK PLAN FOR P RIORITY A REAS  Start with Priorities  Determine which Community Partners you need to work with for each priority  Determine structure 19

20. A POSSIBLE ORGANIZING STRUCTURE FOR THIS PHASE Steering Committee Agency Director(s) Work Group A Obesity Control Workgroup B Mental Hlth, Substance Abuse Project Manager Workgroup C Clean Water Facilitator, Planner Project Mngmt Team

21. S TRATEGIES TO A DDRESS P RIORITY  Determine who will lead the process  For each priority identify factors leading to priority issue  Fishbone diagram, logic model  Research & select evidence-based strategies for each priority  Sources: Community Guide, CDPHE  Develop action plan 21

22. CHAPS Action Plan Name of LPHA or Regional Collaborative: PRIORITY: What you are trying to improve STRATEGY: How you will improve this priority Major Indicator: What you will measure Lead Entity: Person or Org. Supporting Entities: Person or Org. Five Year Goal(s) SMART Objectives Action Steps (Activities) Organization Responsible Completion Date Status What you will do to accomplish your strategy Specific, Measurable, Achievable, Realistic, Time- bound Objectives How you will achieve your objectives

23. SMART O BJECTIVES 23

24. PHIP Sample NYC

25. PHIP SampleS F

26. PHIP COMPLETION T IMING Statewide Public Health Improvement Plan On or before December 31, 2009…and…every 5 years thereafter. Local Public Health Agencies create local plans As soon as practicable after the approval of…statewide…plan. Next statewide plan due 2014 Local plans to be completed by 2013 26

27. Review & Reporting Process Report and Review Process Complete local PHIPSubmit to local Board of Health for review Submit work plans and full report or web link to OPP for documentation, sharing, informing of statewide plan Annual PHIP updates through Local Planning & Support contract reporting Themes, key info. presented by OPP to State Board of Health for review 27

28. P HASE 6 SUPPORT Priority area/winnable battle networking groups Obesity Mental Health, Substance Abuse Unintended Pregnancy Others as needed OPP Webinar series Tools: PHIP Sample Outline, Standard Work Plan Ongoing connections and TA

29. P HASE 6 SUPPORT, CONT. Winnable Battles Website (data, talking pts., fact sheets) http://www.chd.dphe.state.co.us/Winnables/Default.aspx CDPHE Winnable Battle Google Groups Tracking and connecting of funding opportunities

30. S UMMARY Create a plan format to meet your local need Use action plan draft to plan and capture the detail Maintain internal record of key info. to be reported to OPP for SBOH report if not included in your Public Health Improvement Plan Example: Identify financial resources available to meet identified public health needs and requirements for the provision of core public health services After review of plan by the Office of Planning and Partnerships, any additional information exchange may occur through follow up

31. T HANK Y OU Congratulations on your public health improvement success.