CHANGE: CHANGE: Using Data StrategicallyUsing Data Strategically

Jay Daniels, MPHJay Daniels, MPHHealthy Communities ConsultantHealthy Communities Consultant

SC Dept of Health and Environmental ControlSC Dept of Health and Environmental Control2011 Preventive Health and Health Services Block Grant Summit2011 Preventive Health and Health Services Block Grant Summit

Presentation created by Presentation created by Shannon Griffin-Blake, Ph.D.Shannon Griffin-Blake, Ph.D.

Ann Ussery-Hall,MPHAnn Ussery-Hall,MPH

CCommunity HHealth AAssessment aNNd GGroup EEvaluation (CHANGECHANGE)

• Background – Policy, Systems and Environmental (PSE) changes

• CCommunity HHealth AAssessment aNNd GGroup EEvaluation (CHANGE) Purpose Overview Methods

• CHANGECHANGE Planning Tool How to use data Strategic dialogue

Important Important Health Health ConsequenceConsequences in Childrens in Children

Why Policy, Systems, & Environmental Why Policy, Systems, & Environmental (PSE) Change Strategies?(PSE) Change Strategies?

• Want to see community-level change

• More sustainable• Make the healthy choice,

the easy choice!• Considered best practice

by the CDC

“It is unreasonable to expect that people will change their

behavior easily when so many forces in the social, cultural, and physical environment

conspire against such change.”-Smedly and Syme (2000)

Institute of Medicine Quote

What is PSE?The policies, systems, and environments around us, including our communities, worksites, transportation systems, schools, faith-based organizations, and health care settings shape the pattern of our lives and our health.

Changing PSE helps make healthy choices easy, safe, and affordable can improve community health.

Some examples of PSE that can impact diabetes include: attractive sidewalks, trails, bike lanes, farmers markets, school gardens, healthy vending options, tobacco-free worksites, etc.

http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/policy/index.htm

Iodination

of salt

Fluoridation of water

CHANGECHANGE Tool Purpose(s):1) Capture current snapshot of the community

2) Group activity/consensus building

CHANGE: Overview• Walks communities through assessment process• Provides a snapshot of policy, systems

and environmental change strategies (‘assets’ and ‘needs’)

• Frame and understand the current status of community health

• Allows communities to track progress across a 5-point scale so incremental changes can be noted

CHANGE: Key Benefits

• Allows local stakeholders to work together in a collaborative process to survey their community

• Offers suggestions and examples of policy and environmental change strategies

• Provides feedback for communities as they institute change to support healthy living

Emerging Vision

CHANGE Tool

Setting Priorities(Community Action Plan)

>>>>>>

Local Trends

ExistingInitiatives

Community Assessment

QUOTE: If you are going to climb, you’ve got to grab the branches, not the blossoms. -ANON

>>

>>

>>

Who Completes CHANGE?

Police Chief

CorporateExecutive

Chamber of Commerce

FoundationExecutive

Parks &

Rec. Dir.Media

Director

Public Health Director

Hospital Admin.

HealthInsurer

School Principal

Mayor/City

Council

Community Coalition

Coalitions with broad participation from community leaders:

CHANGE Tool5 Sectors:

1. Community-At-Large: Includes community-wide efforts that impact the social and built environments; such as food access, walkability or bikeability, smoking bans, and personal safety.

2. School: Includes all primary and secondary learning institutions (e.g., elementary, middle and high schools, whether private, public, or parochial).

3. Worksite: Includes places of employment; such as private offices, restaurants, retail establishments, or government offices.

4. Healthcare: Includes places people go to receive preventive care or treatment, or emergency health care services; such as hospitals, private doctors’ offices, or community clinics.

5. Community Institution/Organization (CIO): Includes entities within the community that provide a broad range of human services and access to facilities, such as childcare settings, faith-based organizations, senior centers, boys and girls clubs, and colleges/universities.

CHANGE ToolModules:

• Demographics, • Physical Activity, • Nutrition, • Tobacco Use, • Chronic Disease Management,

Leadership, & • After-School* *Note: School sector only

Other Potential Sources of Community Info

Methods: Interviews, focus groups, town halls, informal dialogue, brainstorming sessions

• Hear community voices• Build community ownership• Identify key resources• Build feedback loops

Other Potential Sources of Community Info

Community Audit/Observation• Windshield tour/survey

• Walkability audit• Pedestrian safety• Alternative routes

• Environmental checklist• Health messages• Ergonomics/safety• Food security

Resource: http://www.cdc.gov/DHDSP/library/seh_handbook/

Strengths/Resources Areas for Improvements

Before After

HCP Website: http://www.cdc.gov/HealthyCommunitiesProgram

Jay Daniels, MPHSCDHEC

Healthy Communities Programdanielje@dhec.sc.gov

803-545-4486