Healthy Community Partnership. Mahoning Valley

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1 Healthy Community Partnership Mahoning Valley

2 County Health Rankings Mahoning County 71 st in health outcomes 67 th in health factors Trumbull County 61 st in health outcomes 70 th in health factors University of Wisconsin Population Health Institute. County Health Rankings 2017

3 Mahoning County District Board of Health Community Health Assessment Priorities Priority: Healthy Eating / Active Living Goal: Increase the number of Mahoning County adults and children regularly engaged in healthy eating and active living. Priority: Infant Mortality and Birth Outcome Inequity Goal: Infant mortality in Mahoning County will meet national goals and the disparity between black and white birth outcomes will be eliminated. Priority: Chronic Disease Goal: Fewer residents of Mahoning County will be diagnosed with diabetes and those with diabetes currently will experience reduced morbidity. Priority: Substance Use Disorders Goal: Decrease deaths from substance use disorders. Priority: Health Inequities Goal: Eliminate racial and ethnic health outcome disparities.

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6 Trumbull County Combined Health District 2013 Community Health Assessment Priorities Priority 1 - How can we increase access to health care? Goals: Improve the accessibility and use of public transportation. Reduce unemployment. Increase the proportion of persons with health insurance. Priority 2 - How can we reduce community harm? Goals: Reduce drug and alcohol use. Reduce crime and violence in the community. Improve core public health services. Priority 3 - How can we protect the environment from harm? Goals: Increase safe housing awareness. Implement an environmental court to hear cases. Priority 4 - How can we promote healthy behaviors? Goals: Increase health education. Increase the use of media to promote our services. Address funding cuts through new partnership opportunities.

7 Priority 1 - How can we increase access to health care? 1. Improve the accessibility and use of public transportation. No Actions Taken. (no $/no participation) 2. Reduce unemployment. Actions Taken. (no $/no participation) Unemployment: Goal 8% by 2017, Actual 7.0% 3. Increase the proportion of persons with health insurance. Uninsured: Goal 14% by 2017, Actual (per CHA survey data) 3.0% - 6.0% Priority 2 - How can we reduce community harm? 1. Reduce drug and alcohol use. Project Dawn implemented & expanded. Start Talking implemented in several area schools. Drug Take-Back Program promoted. Alcohol-Impaired Driving Deaths: Goal 43% by 2017, Actual 40% Deaths (per 100,000) by Drug Overdose: Goal 20 by 2017, Actual Reduce crime and violence in the community. No Actions Taken. (no $/no participation) Violent Crime Rate(per 100,000): Goal 250 by 2017, Actual Improve core public health services. Home Visiting program changes implemented & campaign material distributed. Live Births w/low Birth Weight: Goal 8.9% by 2017, Actual 9% Infant Mortality (per 1000): Goal 8.9 by 2017, Actual 9 Children in Poverty: Goal 29% by 2017, Actual 28% Violent Crime Rate(per 100,000): Goal 250 by 2017, Actual 244 Maternal Smoking: Goal 23.9% by 2017, Actual 25.4% Priority 3 - How can we protect the environment from harm? 1. Increase safe housing awareness. Radon: Increase # of tests by 1%, EPA Moderate Risk Area (Radon Level predicted between 2 and 4 pci/l). No Actions Taken. (no $/no participation) 2. Implement an environmental court to hear cases. No Actions Taken. (no $/no participation) Priority 4 - How can we promote healthy behaviors? 1. Increase health education. Moving forward with smoking cessation/tobacco free programs through TCCHD and CHC. Increasing awareness/promote Farmer s Markets. Increase awareness/promote biking/walking to work. Increase awareness of physical activities in community. Limited Access to Healthy Foods: Goal 6% by 2017, Actual 7% Physical Inactivity: Goal 29% by 2017, Actual 29% Premature Deaths (per 100,000): Goal 8400 by 2017, Actual 8600 Adult Smokers: Goal 24% by 2017, Actual (per CHA survey data) 24% - 43% Obese Adults: Goal 32% by 2017, Actual 33% Diabetic Monitoring: Goal 86% by 2017, Actual 85% 2. Increase the use of media to promote our services. TCCHD implemented FB page to promote our services as well as stakeholders. JIA - No Actions Taken. (no $/no participation) 3. Address funding cuts through new partnership opportunities. Increase awareness of workplace wellness programs and diabetes programs. Public Health intern program implemented. Increase awareness of need for funding to promote public health. Same Goals listed in Health Education.

8 Trumbull County Combined Health District

9 Trumbull County Combined Health District

10 Trumbull County Combined Health District

11 Trumbull County Combined Health District

12 Trumbull County Combined Health District

13 Trumbull County Combined Health District

14 Trumbull County Combined Health District 2016 Community Health Assessment Priorities Priority 1 - How can we reduce prevalence of Chronic Disease? Goals: Increase physical activity Improve healthy eating Reduce tobacco use Priority 2 - How can we limit injury and violence? Goals: Reduce drug use Improve maternal/child safety Priority 3 - How can we reduce infant mortality? Goals: Reduce prematurity and low birthweight Reduce sleep related deaths Priority 4 - How can we integrate physical and behavior health? Goals: Improve the integration of physical and mental/behavioral health

15 Determinants of Health

16 What Brought Us Together Work is occurring in silos Not healthy, despite access to excellent medical care No collective vision Maximize efforts and resources Insight on working models Outcomes-driven approach

17 HCP Identity

18 HCP Steering Committee Community Foundation of the Mahoning Valley Eastgate Regional Council of Governments Trumbull County Combined Health District Youngstown Neighborhood Development Corporation Mahoning County District Board of Health Lake to River Food Cooperative/ Miller Livestock Co., Inc. Board of Trumbull County Commissioners Mercy Health Trumbull Neighborhood Partnership Warren City Health Department

19 Where Should We Start? Healthy Eating and Active Living

20 Reality for Residents

21 Reality for Businesses Graphic elements used courtesy of: TEAM UP Greater Cleveland

22 What Will We Focus on First?

23 What Has Been Accomplished to Date? Shared commitment Researched best practices and framework Three priority areas Funding: $1.5 million for next 3 years Partnership Coordinator

24 How Can We Move the Work Forward? Action Teams Develop measurable objectives and strategies Align work of the community Policy Surroundings Culture and values Programmatic initiatives

25 We Need Your Help!

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