Appendix B: Access t Care Hw can we ensure equal access t health care services in Pinellas Cunty? Gal AC : Prvide equal access t apprpriate health care services and prviders Plicy Cmpnent (Y/N): N Perfrmance Measures Objectives Data Surce Frequency Objective..: By Dec 3, 207, decrease the percentage f Pinellas adults wh are unable t access a health care prvider due t cst frm 6% (200) t 4.4%. BRFSS 3 years Objective.2.: By Dec 3, 207, increase the number f trained Cmmunity Health Wrkers (CHWs) in Pinellas by 25% ver baseline. Flrida Cmmunity Health Wrker Calitin/SPC As needed Objective.3.: By Dec 3, 206, decrease the percentage f Pinellas adults wh believe they wuld receive better medical care if they belnged t a different race/ethnic grup frm 7% (200) t 6.3%. Outcmes BRFSS Increase in adults wh had a medical checkup in the past year Increase in percentage f CHWs wh have enrlled in a standardized training Implementatin by at least 4 agencies f CLAS assessment and actin plan At least fur new partnerships develped between scial service and medical agencies in Pinellas Cunty. Establishment f a frum fr dialgue abut direct messaging in Pinellas Cunty. 2 agencies have implemented CLAS assessment and actin plan 3 years Alignment with Lcal, State, and Natinal Pririties Obj... Flrida SHIP AC.. Obj..2. Flrida SHIP HI3.4 Page 33
Strategy.: Address barriers in accessing existing health care services and cnsumer utilizatin in underserved cmmunities Objective..: By Dec 3, 207, decrease the percentage f Pinellas adults wh are unable t access a health care prvider due t cst frm 6% (200) t 4.4%. 2 Maintain dcument detailing existing health care prvider resurces fr lw-incme patients in Pinellas Cunty and capacity f these prviders Cllabrate with Pinellas Suncast Transit Authrity cuncil t identify and eliminate transprtatin barriers in vulnerable cmmunities and advcate fr the cnsideratin f public health in transit decisins. Crdinatin g Agency Health & Cmmunity Services DOH-Pinellas DOH-Pinellas PSTA Timeframe Prcess Measure July 204- June 205 July 204- June 205 Update resurce dcument a minimum f twice annually. A Cmmunity Health Actin Team member will serve n the PSTA Transit Advisry Cmmittee. 3 4 Prvide healthcare resurce infrmatin t exffenders enrlled at the Pinellas Cunty Ex-Offender Reentry Calitin. Share scial service and healthcare infrmatin at the Metrplitan Ministries' ht meal prgram. DOH- Pinellas, PERC Metrplitan Ministries Pinellas Cunty Lcal scial service and medical prviders July 204- June 205 July 204- June 205 Wrk with PERC t develp a set f healthcare prvider resurces and share this list with prgram participants. Recruit at least three scial service/healthcare rganizatins t table at the Metrplitan Ministries' ht meal prgram. Page 34
Strategy.2: Develp and implement a standardized training prgram fr Cmmunity Health Wrkers. Objective.2.: By Dec 3, 207, increase the number f trained Cmmunity Health Wrkers (CHWs) in Pinellas by 25% ver baseline. 2 Develp a Cmmunity Health Wrker registry and a standardized training/prfessinal develpment tlkit. Cllabrate with ther agencies in Access t Care wrkgrup and beynd t identify grups and jb psitins/titles that wuld be gd candidates fr CHW training r certificatin. Crdinating Agency Flrida Cmmunity Health Wrker Calitin (Pinellas Cunty Chapter) Flrida Cmmunity Health Wrker Calitin St. Petersburg Cllege St. Petersburg Cllege, DOH- Pinellas Timeframe July 204- June 205 July 204- June 205 Prcess Measure Determine a baseline number f Pinellas Cunty CHWs and identify their training needs. Identify at least three new agencies with CHW-like emplyees wh wuld be gd candidates fr CHW training/certificatin. Page 35
Strategy.3: Prmte the cmpletin f a cultural and linguistic cmpetence rganizatinal self-assessment t imprve access t culturally cmpetent care. Objective.3.: By Dec 3, 206, decrease the percentage f Pinellas adults wh believe they wuld receive better medical care if they belnged t a different race/ethnic grup frm 7% (200) t 6.3%. Crdinating Agency Timeframe Prcess Measure. Create a cncept paper Prmte use f the CLAS self-assessment. Tampa Bay Healthcare Cllabrative (TBHC) and DOH-Pinellas Center fr Equal Health, Mffitt Diversity, Flrida Diversity Cuncil, TBCCN July 204- June 205 2. Supprt at least ne rganizatin in using the CLAS self-assessment tl (may include wrkshps, technical assistance, etc.) Page 36
Access t Care Hw can we ensure equal access t health care services in Pinellas Cunty? Gal AC 2: Use health infrmatin technlgy t imprve cllabratin amng prviders and increase efficiency in services t cnsumers Plicy Cmpnent (Y/N): N Perfrmance Measures Objectives Data Surce Frequency Objective 2..: By Dec. 3, 207, increase health prvider utilizatin f criteria fr Pinellas health and scial service prgram eligibility by 25% ver baseline. JWB By request Objective 2.2.: By Dec 3, 207, at least 50% f licensed prviders in Pinellas will be able t exchange data using direct messaging. Outcmes USF Health Reginal Extensin Center By request At least fur new partnerships develped between scial service and medical agencies in Pinellas Cunty. Frum established fr dialgue abut direct messaging in Pinellas Cunty. Alignment with Lcal, State, and Natinal Pririties Obj. 2.2. SHIP Strategy HI. Page 37
Strategy 2.: Streamline the eligibility prcess amng cmmunity partners t increase access t services. Objective 2..: By Dec. 3, 207, increase health prvider utilizatin f criteria fr Pinellas health and scial service prgram eligibility by 25% ver baseline. Cnvene a grup t explre a cmmn eligibility tl fr scial services that wuld be used by rganizatins in Pinellas that serve lwincme patients. Crdinating Agency Pinellas Cunty Health & Cmmunity Services JWB, DOH- Pinellas, 2 Timeframe Prcess Measure July 204 June 205 At least tw prgrams will be identified t have cmmn eligibility criteria, where eligibility fr ne prgram will by autmatically qualify them fr the secnd prgram. Page 38
Strategy 2.2: Imprve cmmunicatin amng health prviders and crdinatin f care fr cnsumers thrugh data sharing. Objective 2.2.: By Dec 3, 207, at least 50% f licensed prviders in Pinellas will be able t exchange data using direct messaging. Crdinating Agency Timeframe Prcess Measure Determine the requirements, surces, and csts fr Direct Access. USF Health DOH-Pinellas, JWB, Pinellas Cunty July 204 June 205 Create reprt detailing requirements, surces, and csts fr Direct Access. Page 39
Access t Care Hw can we ensure equal access t health care services in Pinellas Cunty? Gal AC 3: Reduce infant mrtality and mrbidity Plicy Cmpnent (Y/N): N Perfrmance Measures Objectives Data Surce Frequency Objective 3..: By Dec 3, 207, decrease the percentage f lw-birth weight (less than 2,500 grams) infants in Pinellas frm 8.9% (200-202) t 8%. Flrida CHARTS Annually Objective 3.2.: By Dec 3, 207, increase the percentage f births t Pinellas mther's receiving first trimester prenatal care frm 79.% (200-202) t 87%. Objective 3.3.: By Dec 3, 207, reduce the infant mrtality rate f Black infants in Pinellas frm 3.9 per,000 live births (200-202) t.5 per,000 live births. Flrida CHARTS Flrida CHARTS Annually Annually Objective 3.3.2: By Dec 3, 207, reduce the infant mrtality rate f Hispanic infants in Pinellas frm 8. per,000 live births (200-202) t 7.3 per,000 live births. Outcmes Flrida CHARTS Annually Recruit at least three cmmunity partners t help prmte health befre and between pregnancies. Increase membership f the CAN and Hispanic Outreach Center. Reduce the number f infant deaths due t unsafe sleeping practices." Alignment with Lcal, State, and Natinal Pririties Obj. 3.. Obj. 3.3. Other: 20-206 Pinellas Cunty Healthy Start Service Delivery Plan: Strategy B-4- (5) Flrida SHIP Objective AC5.4.4 Page 40
Strategy 3.: Raise awareness amng prviders and cnsumers n the imprtance and benefits f being healthy prir t pregnancy. Objective 3..: By Dec 3, 207, decrease the percentage f lw-birth weight (less than 2,500 grams) infants in Pinellas frm 8.9% (200-202) t 8%. with cmmunity agencies t prvide healthfcused events/classes n intercnceptinal and pre-cnceptin health Crdinatin g Agency Sanderlin Center Healthy Start Calitin f Pinellas, Cmmunity Health Wrkers Calitin, and WIC, Hme Visiting Advisry Cmmittee, Pinellas Cunty Dental Calitin, Neighbrhd Family Centers Netwrk Timeframe July 204 June 205 Prcess Measure Spnsr at least 2 bi-annual events with cmmunity partners serving intercnceptinal and precnceptinal wmen. 2 Develp a prcess t educate at risk yuths in the cmmunity regarding the imprtance f their health and accessing health care services, with a fcus n high schls. Sanderlin Center All Children s Hspital, HS Federal Prject, CAN, DOH- Pinellas July 204 June 205 Cnduct three fcus grups with Neighbrhd Family Centers t btain input regarding engaging at risk yuth in learning abut their health. 206 207 Activities with health care prviders and universities t prvide educatin and research abut precnceptin health. Develp a campaign that educates wmen n the crrelatin between STDs and lw-birth weight births. Wrk tgether with medical prviders, law enfrcement and health & human service agencies t address substance abuse. Place base initiative t identify high cncentratin f lw birth weight infants. Develp plicy recmmendatins prmting full term gestatin vs. delivery prir t 39 weeks. Page 4
Strategy 3.2: Increase access t prenatal services and educatin. Objective 3.2.: By Dec 3, 207, increase the percentage f births t Pinellas mther's receiving first trimester prenatal care frm 79.% (200-202) t 87%. 206 207 Activities Educate wmen abut healthy start screenings and Healthy Start services Develp a campaign t educate wmen n prenatal ral health care services Wrk with the DOH-Pinellas Centering Pregnancy prgram fr Hispanic wmen t increase enrllment. Develp a campaign t prmte Wmen, Infants, and Children (WIC) services. Page 42
Strategy 3.3: Address disparities in Black and Hispanic infant mrtality. Objective 3.3.: By Dec 3, 207, reduce the infant mrtality rate f Black infants in Pinellas frm 3.9 per,000 live births (200-202) t.5 per,000 live births. Objective 3.3.2: By Dec 3, 207, reduce the infant mrtality rate f Hispanic infants in Pinellas frm 8. per,000 live births (200-202) t 7.3 per,000 live births. with ACH Cmmunity Actin Netwrk (CAN) and the Hispanic Outreach Center t identify strategies t engage and prvide educatin t African American/Black and Hispanic/Latina wmen abut prenatal behavirs that reduce infant mrtality and lwbirth weight infants. Crdinati ng Agency Healthy Start Federal prject DOH-Pinellas, All Children s Hspital, USF, Wmen f Distinctin, NAACP, St. Pete Cllege, ACNW, Srrities, Urban League, Hme Visiting Advisry Cuncil, Healthy Start Calitin, Neighbrhd Family Centers, Natinal Cuncil f Negr Wmen Timeframe Prcess Measure July 204 June 205 The Healthy Start Federal Prject will have cnducted at least 4 presentatins, rundtable discussins in cllabratin with minrity cmmunity based rganizatins abut the gals f the CAN and Hispanic Outreach Center. 2 Leverage Lcal Planning Team partners t address gaps in training the cmmunity n safe sleeping. Lcal Planning Team Lcal Planning Team partners, including JWB, DCF, Medical Examiner's Office - District 6, Healthy Start Calitin, BayCare July 204 June 205 Wrk with the Lcal Planning Team t develp and implement an actin plan t reduce infant deaths due t unsafe sleeping. 205 207 Activities Supprt the effrts f Addressing Racism Achieving Health Equity (ARCHE) in identifying scial factrs that cntribute t infant mrtality and premature births with therapeutic health agencies t educate staff abut the impact f racism n healthy birth utcmes within the cultural setting. Page 43