1. Community Themes and Strengths Assessment Preliminary Results from the Community Health Survey

2. Cook County Department of Public Health WePLAN Process Framework MAPP: Mobilizing for Action through Planning and Partnerships a strategic approach to community health improvement. community-wide and community directed planning developed by NACCHO and CDC With a new added NACCHO Health Equity supplement

3. Cook County Department of Public Health Community Themes and Strengths Assessment (CTSA) The Community Themes and Strengths Assessment identifies themes that interest and engage the community, perceptions about quality of life, and community assets. informed by NACCHO (2014), and Solar & Irwin (2010)

4. Cook County Department of Public Health Considerations in the Community Health Survey Process Commitment to health equity Partnerships with community organizations Inclusion of residents experiencing health inequities Inclusion of geographic and language diversity

5. Cook County Department of Public Health How do we define optimum health? Optimum health means: A state of physical, mental, cultural, social, spiritual and economic health that supports individuals and families.

6. Cook County Department of Public Health Strategies to Implement Community Health Survey Research CTSA surveys and develop research and survey questions Develop partnerships with groups impacted by health inequities Create communications and materials to reach suburban Cook County residents

7. Cook County Department of Public Health Data Collection Internet, mobile and paper-based survey (English & Spanish) 48 questions focusing on availability and quality of community conditions that support health equity Respondents included general public, panelists, clinic patients, low income housing residents

8. Cook County Department of Public Health Community Conditions that Support Health Equity* 1. Economic security and financial resources 2. Livelihood security and employment opportunity 3. School readiness and educational attainment 4. Quality environmental conditions 5. Availability and utilization of quality medical care 6. Adequate, affordable and safe housing 7. Community safety and security 8. Civic Engagement 9. Transportation *From NACCHO’s Conditions that Support Health Equity

9. Cook County Department of Public Health Outreach Strategy Levels of Outreach Community Outreach strategies Platinum Email to CBOs with explanation of survey, website survey link, a request to post the survey link on their website, promote the survey in their organizational publications, and a request to send out to their e-list. Silver Platinum outreach strategies + Personal contact from committee rep to discuss the intent of the survey, specifics on how best to reach their constituencies, development of individual outreach plan to include possible paper surveys, banner, fliers, etc. for distribution and display at community site. Distribution of flier at community events or community meetings. Gold Platinum, Silver outreach strategies + conducting survey administration at community site

10. Cook County Department of Public Health Content Demographics Health Status and Health Issues Rating Community Services Economic Security Food Security Personal and Community Experiences

11. Cook County Department of Public Health Sample Demographics (n=1193 respondents)

12. Cook County Department of Public Health Sample Demographics (n= 1193 respondents) 22% of respondents spoke a language other than English at home(Spanish 54%, Russian 10%) 13% were born in another country (Mexico 26%, Russia 9%, India 6%, Other 46%)

13. Cook County Department of Public Health Sample Demographics (n=1193 respondents)

14. Cook County Department of Public Health Sample Demographics (n=1193 respondents)

15. Cook County Department of Public Health Health Status 83% of those identifying a Fair or Poor overall health status had incomes <$50,000/year and 58% were either NHBlack, NHAsian or Hispanic. 69% of those identifying a Fair or Poor mental health status had incomes <$50,000/year and 57% were either NHBlack, NHAsian or Hispanic.

16. Cook County Department of Public Health Leading Health Issues Choose 5 health problems in your community that you think are most critical.

17. Cook County Department of Public Health Conditions that Support Health Choose 3 conditions that you think support health the most.

18. Cook County Department of Public Health Factors to Improve Health Choose 5 risk factors that you think are most critical to address to improve community health.

19. Cook County Department of Public Health Quality of Communities In general, how would you rate your community regarding the following qualities?

20. Cook County Department of Public Health Rating Community Services

21. Cook County Department of Public Health Rating Community Services

22. Cook County Department of Public Health Rating Community Services

23. Cook County Department of Public Health Rating Community Services

24. Cook County Department of Public Health Economic Security Of respondents making <$50K/year (20% of respondents) : 1:3 could not meet basic needs (28% S, 16-11% W, N, SW) 1:5 do not have a checking, savings or money market account (20% S, <10% W,N,SW) 2:5 do not have secure financial means to pay off a $400 emergency expenditure (33% S, <11% N, SW, W)

25. Cook County Department of Public Health Food Security

26. Cook County Department of Public Health Personal & Community Experiences

27. Cook County Department of Public Health Personal & Community Experiences

28. Cook County Department of Public Health Personal & Community Experiences

29. Cook County Department of Public Health Personal & Community Experiences

30. Cook County Department of Public Health Personal & Community Experiences

31. Cook County Department of Public Health Survey Limitations & Strengths Limitations Convenience Sample Survey doesn’t capture qualitative data Not all segments of population were fully represented Strengths Increased racial and ethnic diversity Increased geographic representation Process attempt to use validated questions Approach to expanded outreach

32. Cook County Department of Public Health Discussion What stands out/resonates for you? What is a gap/not evident? What is your reaction to this?