1. Presented by: Rosemary Bakes-Martin, MS, MPH El Paso County Department of Health and Environment Colorado Springs, CO Integration of NPHPSP into MAPP

2. El Paso County Department of Health and Environment 2 NPHPSP Assessment CDPHE: leadership, training and coordination Who participated: 56 local jurisdictions (38 county nursing services, 12 organized HD) CDPHE completed state assessment Use performance assessment results to create plans for change

3. El Paso County Department of Health and Environment 3 Lessons Learned State leadership and funding maximized participation Added questions framed next steps Importance of ES to agency/county Intent to engage in QI within 12 months CDC analysis beneficial Unbiased results Created common language Changed the dialogue

4. Average proportion of essential services being met El Paso County 2003

5. El Paso County Department of Health and Environment 5 EPCDHE Public Health Improvement Plans (PHIP) EPHS 1 (Monitoring): Complete a comprehensive Community Health Status Assessment (CHSA) via survey Include community input Use community groups to implement change based on results.

6. El Paso County Department of Health and Environment 6 CHSA Completed NOW WHAT? El Paso County Health Assessment 82 question survey – completed fall 2004 516,000 population - responses 3000 On-line and Paper Assistance from UCHSC Goals Dont let another survey gather dust Use results to make a difference MAPP was the logical answer

7. El Paso County Department of Health and Environment 7 Internal EPCDHE MAPP Committee Public Health Administrator Medical Director Environmental Health Epidemiology and Evaluation Community Health Planning Maternal Child Health Emergency Preparedness/Bioterrrorism

8. El Paso County Department of Health and Environment 8 Tried to Engage Broad County-wide Participation Community Health Partnership CEOs of all health care providers Focused on care for uninsured Presented results to BOH and BOCC Became the focus of EPCDHE annual meeting Looked for a Champion

9. El Paso County Department of Health and Environment 9 Decision Time Committee not moving forward Planning for the entire county was difficult Largest county in the state Urban – Colorado Springs Mountain/Vacation/Resort Ranchland Military Small municipalities

10. El Paso County Department of Health and Environment 10 We Searched for Community that was Ready and found it! Fountain, CO Fountain Valley Community Services started in 1997 Committed Citizens Catholic Health Initiative had funded a Community Indicators Project In January 2005, EPCDHE joined Fountain Valley Healthy Community Initiative and introduced MAPP and PACE/EH

11. El Paso County Department of Health and Environment 11 Fountain MAPP Community Members DHS representative Attorney and Engineer Churches and Community Center Former County Commissioner Recently elected Mayor of Fountain Manufacturing School District Military and Businesses

12. El Paso County Department of Health and Environment 12 MAPP Progress in Fountain, CO CHSA over sample of the Valley March 2005 15,197 population - responses 830 Paper only Partner provided funding to mail surveys to each household

13. El Paso County Department of Health and Environment 13 General Health Status Self Rated Individual Health Status Health was excellent, very good or good

14. El Paso County Department of Health and Environment 14 MAPP Progress in Fountain, CO Key Stakeholder Meeting – 7/18/05 15 invited attendees Reviewed CHSA preliminary results Organized results in 5 focus areas Community Meeting – 7/30/05 Endorsed results from stakeholder meeting Added new ideas

15. El Paso County Department of Health and Environment 15 Fountain Colorados MAPP 5 Priority Areas Health and Healthcare Access to Care; Community Wellness Environment Water quality; Safe environment Strong Families Family support; Economics and family well- being Recreation/continuing Education Expand recreation and educational resources improve physical activity * Economic Development

16. El Paso County Department of Health and Environment 16 Community Night Out in Fountain April 18, 2006 Participants voted on top priorities Each attendee given 10 pennies at door Put 2 cents worth in jar for priority area Results Water quality - $1.20 Expanding Educational Opportunities – $1.07 Expanding recreation resources – $1.03 Increasing access to care – $0.81

17. El Paso County Department of Health and Environment 17 Next Steps for EPCDHE Expand community ownership of process Form task forces to address top priorities EPCDHE provides support but does not take the lead Replicate the Fountain model in other communities in El Paso County

18. El Paso County Department of Health and Environment 18 Insights & Lessons Need a champion with the ability to execute the plan. Work with the willing. Enlist partners to accomplish goals. Document the process. Avoid paralysis by analysis. Measure and display results early, often and regularly.

19. El Paso County Department of Health and Environment 19 A Healthier El Paso County One Community at a Time