1. North Country Health Improvement Planning Summit Addressing & Improving the Health of Our Communities Supported By: Jessie B. Cox Fund for Health of the New Hampshire Charitable Foundation Endowment for Health University of Wisconsin Population Health Institute Robert Wood Johnson Foundation

2. North Country Health Consortium The North Country Health Consortium (NCHC) is a rural health network, created in 1997, as a vehicle for addressing common issues through collaboration among health and human service providers serving Northern New Hampshire. NCHC is engaged in activities for: Solving common problems and facilitating regional solutions Creating and facilitating services and programs to improve population health status Health professional training, continuing education and management services to encourage sustainability of the health care infrastructure Increasing capacity for local public health essential services Increasing access to health care for underserved and uninsured residents of Northern NH

3. NCHC Member Organizations 45 th Parallel EMS Ammonoosuc Community Health Services Androscoggin Valley Home Care Androscoggin Valley Hospital Center for New Beginnings City of Berlin, Public Health and Home Health Nursing Coos County Family Health Services Cottage Hospital Dartmouth Medical School Family Resource Center Franklin Pierce Physician Assistant Program Grafton County Human Services Indian Stream Health Center Jane MacKay Littleton Regional Hospital LRGHealthcare Mid-State Health Center Morrison Nursing Home NH Catholic Charities NH DHHS, Rural Health and Primary Care Section North Country Home Health & Hospice Northern Human Services Personal Touch Home Care Plymouth State University, Center for Rural Partnership ServiceLink Tri-County Community Action Program Upper Connecticut Valley Hospital Weeks Medical Center White Mountains Community College

4. Welcome Why We’re Here: We’re here today because we know that when communities come together and collaborate we can move the North Country forward to a healthier place.

5. Overall Health 18% of Coos County residents have poor to fair health Statewide only 11% of residents have poor to fair health

6. Substance Abuse The North Country has a highest number of per capita DUIs in the state. The North Country has the highest number of per capita substance abuse-related emergency room visits in the state. More than 40% of North Country High School students report drinking on one or more of the last 30 days.

7. Obesity 29.4% of North Country residents are Obese 39.4% of North Country residents are Overweight

8. You’re here today to begin the process of addressing these and other issues important to your community

9. Agenda 8:45am-9:30amCounty Health Rankings Presentation Julie Willems Van Dijk, RN, PhD 9:30am-10:15amSnapshot of New Hampshire’s Health Profile José T. Montero, MD, MPH 10:15am-10:30amBreak 10:30am-11:15amSuccess Stories: “A Healthy Community –Together We Can” Mary Kushion, MSA 11:15am-12:00pmWhat We Heard from You How our communities have prioritized health factors 12:00pm-12:45pmLunch 12:45pm-2:15pmFacilitated Breakout Sessions: How to make it work 2:15pm-2:30pmBreak 2:30pm-3:15pmPutting it All Together and Next Steps Outcomes from strategy breakout sessions 3:15pm-3:30pmEvaluation and Wrap Up

10. Goals for the Day By the end of the day, participants will be able to: Examine the major health issues facing the North Country and the Sate Discuss ways other communities have chosen to address these issues Evaluate the health issue(s) most affecting residents in your community Identify strategies to address the issue or issues Identify the next steps necessary to implement these strategies