State Health Imprvement Plan 2017-2021 Chsing Pririties, Creating a Plan DHHS DPH - SHIP Pririties (Sept2016) 1
Creating a Plan: 2017-2021 SHIP Welcme! Wh s here? What is the State Health Imprvement Plan (SHIP)? SHIP Visin Statement SHIP C-Launch Partners Chsing Pririties A five step prcess Creating a Plan Develping a plan f actin Cllective Impact fr Implementatin Next Steps DHHS DPH - SHIP Pririties (Sept2016) 2
Cllective Impact SHIP is a Cllective Impact prject t imprve the health and well-being f all Nebraskans. Cllective Impact (CI) is a structured prcess fr crss-sectr leaders t set a cmmn agenda t address a specific scial prblem, deplying a disciplined apprach. CI has 3 prerequisites: influential champins, resurces and necessity f actin. CI has 5 key elements: Cmmn agenda Shared measurement Mutually reinfrcing activities Cntinuus cmmunicatin Backbne rganizatin supprt DHHS DPH - SHIP Pririties (Sept2016) 3
State Health Imprvement Plan Visin Statement Wrking tgether t imprve the health and quality f life fr all individuals, families, and cmmunities acrss Nebraska. DHHS DPH - SHIP Pririties (Sept2016) 4
What is SHIP? The Nebraska State Health Imprvement Plan (SHIP) is a cllabrative, cmmunity driven prject, with many statewide partners wrking tgether t imprve the health and quality f life fr all individuals, families and cmmunities in Nebraska. The SHIP is develped t enhance the public health system t imprve utcmes, prmting ppulatin health and well-being f all Nebraskans. The SHIP is a data-driven plan that utlines health system and health status pririties based upn findings frm the State Health Assessment (SHA). The full Nebraska State Health Assessment 2016 reprt will sn be released. The current 2013-2016 SHIP has 5 pririties, and apprximately 82% f the activities are in prgress r are have been achieved. The new 2017-2021 SHIP als has 5 pririties, althugh the actin plans are yet t be develped. Implementatin will begin in January 2017. DHHS DPH - SHIP Pririties (Sept2016) 5
SHIP C-Launch Leadership Partners DHHS DPH - SHIP Pririties (Sept2016) 6
DHHS DPH - SHIP Pririties (Sept2016) 7
The Fur MAPP Assessments Cmmunity Themes and Strengths Assessment: Prvides an understanding f the issues residents feel are imprtant. Lcal Public Health System Assessment: Fcuses n all f the rganizatins and entities that cntribute t the public s health. Cmmunity Health Status Assessment: Identifies pririty cmmunity health and quality f life issues. Frces f Change Assessment: Fcuses n identifying frces such as legislatin, technlgy, and ther impending changes that affect the cntext in which the cmmunity and its public health system perate. DHHS DPH - SHIP Pririties (Sept2016) 8
Planning fr Pririties with Ppulatin Accuntability Quality f Life Results = Lead t SHIP pririty areas Why is this imprtant? = Basic facts: an explanatin f why this cnditin is imprtant t Nebraska cmmunities. Hw are we ding? = Stry and Perfrmance: reviewing the mst imprtant indicatrs that tell the stry f the current envirnment; can frm baselines t measure prgress frm. What will it take t d better, and what s ur rle? = Actin: Include n-cst and lw-cst ideas and the rles f system partners. DHHS DPH - SHIP Pririties (Sept2016) 9
Chsing Pririties *A five step prcess: 1. Meeting #1: Review the Nebraska State Health Assessment 2016 findings 2. Meeting #2: First rund f pririty chsing 3. Survey t rank ptential pririties 4. Meeting #3: Chse final pririties 5. Meeting #4: Prject desired results DHHS DPH - SHIP Pririties (Sept2016) 10
DHHS DPH - SHIP Pririties (Sept2016) 11
Meeting #1: Review the State Health Assessment SHA and SHIP histry, purpse Criteria selectin prcess Health Status Assessment Public Health System Assessment DHHS DPH - SHIP Pririties (Sept2016) 12
Meeting #2: First Rund f Pririty Chsing Reminder f criteria selectin prcess Health Status Criteria: Seriusness n individual health Scial/ecnmic impact Capacity f the public health system t address Readiness f plicy makers and the general pubic t address Health System Criteria: Imprtance t imprving verall public health Readiness f public health system stakehlders Changeability ver the next five years Pririty chsing grup activities DHHS DPH - SHIP Pririties (Sept2016) 13
Survey After Meeting #2, there were 13 ptential Health Status pririties, and 13 ptential Health Systems pririties This survey allwed participants t rank ptential pririties based upn the criteria belw: Health Status Criteria: Seriusness n individual health Scial/ecnmic impact Capacity f the public health system t address Readiness f plicy makers and the general pubic t address Health System Criteria: Imprtance t imprving verall public health Readiness f public health system stakehlders Changeability ver the next five years Survey results identified the tp 10 ttal ptential pririties fr further discussin DHHS DPH - SHIP Pririties (Sept2016) 14
Meeting #3: Chse Final Pririties Based upn the survey results and tp 10 ptential pririties = narrw t n mre than 6 Systems Assessment: pririty chsing grup activities Health Status Assessment: pririty chsing grup activities Cnsensus arund 6 pririty tpics One specific recmmendatin made fr the develpment f a centralized data query system DHHS DPH - SHIP Pririties (Sept2016) 15
Meeting #4: Prject Desired Results Vte t keep r reduce # f pririties = grup debated and eliminated 1 pririty, leaving 5 Rund 1: Ends, Means, Partners brainstrm Rund 2: Ends, Means, Partners brainstrm Rund 3: Reprt ut and gallery walk Rund 4: Cnsensus DHHS DPH - SHIP Pririties (Sept2016) 16
2017-2021 SHIP Pririties Obesity Health Equity Depressin, Suicide and Stigma Health Systems Integratin Healthcare Utilizatin and Access *DISCLAIMER: These pririty tpics are final, but the implementatin plans with specific strategies are yet t be determined. The fllwing slides prvide a high level verview f the intended fcus and general directin fr each pririty as recmmended by the SHIP Pririty Chsing Cmmunity Grup. As Implementatin Teams frm, actinable effrts will be defined and may vary depending n determined statewide need, changeability, stakehlder readiness t address and cmmitment f partners t lead initiatives. DHHS DPH - SHIP Pririties (Sept2016) 17
Pririty: Integratin DRAFT RESULT: Nebraska has an integrated health system that includes public health. GENERAL OVERVIEW: Nebraska s health system is changing with an increased fcus n imprving patient and ppulatin health utcmes. It is recmmended that the public health system, the primary care system and ther health systems t establish cnnectins and interweave partnerships fr a slid fundatin f standards and practices fr individual and ppulatin health. Effrts may fcus arund establishing a cllabrative research agenda between public health and primary care; supprting a database that track initiatives and develped mdels; prviding educatin t primary care abut the rle f public health and mechanisms t integrate; develping a statewide framewrk fr integratin and ptential supprting plicy; and supprting linkages fr sharing health data and Nebraska Health Infrmatin Initiative (NeHII) effrts. *DISCLAIMER: Actual activities are yet t be determined and may vary. DHHS DPH - SHIP Pririties (Sept2016) 18
Pririty: Obesity DRAFT RESULT: Nebraska children, adults and minrity ppulatins will have decreased rates f besity. GENERAL OVERVIEW: Nebraska seeks a measurable reductin in besity amng its citizens and a decrease f the assciated chrnic diseases and related healthcare csts. Develping a statewide crdinated apprach fr strategies at the prgram, systems, plicy and envirnmental level that prmte a healthy lifestyle is desired. Effrts may fcus arund envirnmental supprts that increase access t and prmte physical activity and nutritin; evidence-based strategies arund besity preventin; and breastfeeding initiatives. *DISCLAIMER: Actual activities are yet t be determined and may vary. DHHS DPH - SHIP Pririties (Sept2016) 19
Pririty: Utilizatin/Access DRAFT RESULT: Nebraska s underserved ppulatins will experience increased utilizatin and access t available healthcare services. GENERAL OVERVIEW: In the effrt t reach imprved health utcmes amng targeted ppulatins (lw incme, rural areas), addressing issues related t access and utilizatin f culturally respnsive services is imprtant. This pririty is directed tward effrts that reduce in the inapprpriate use f emergency care, increase utilizatin f preventive services, standardize data measures and crdinate with integratin effrts particularly related t behaviral health. Effrts may fcus arund integratin effrts; tracking barriers t care; wrkfrce capacity and utilizing cmmunity health wrkers; hme based services and patient centered medical hmes; and enhanced prvider and system partnerships. *DISCLAIMER: Actual activities are yet t be determined and may vary. DHHS DPH - SHIP Pririties (Sept2016) 20
Pririty: Disparities/Equity DRAFT RESULT: Nebraska will experience imprved health equity and decreased health disparities. GENERAL OVERVIEW: Nebraska experiences inequities amng its ppulatin and seeks prgram, plicy, systems and envirnmental changes t address these issues. Changing the frame frm disparity t health equity and increasing the capacity f rganizatins t advance health equity is desired. The fundatin f this wrk must include data cllectin, crdinated delivery mdels, diversified wrkfrce and leadership. Effrts may fcus arund addressing scial determinants f health, utilizing a universal medical recrd system as a data cllectin tl; studying health utcme data by ppulatin characteristics (e.g. rural, ethnicity, race, age, gender); and imprving the cultural cmpetency and health literacy f the wrkfrce. *DISCLAIMER: Actual activities are yet t be determined and may vary. DHHS DPH - SHIP Pririties (Sept2016) 21
Pririty: Depressin/Suicide DRAFT RESULT: Nebraska will have crdinated systems f care t address depressin, suicide and stigma. GENERAL OVERVIEW: Nebraska s public health system recgnizes the need fr imprved interface with the behaviral health system t supprt effrts that address depressin and suicide thrugh primary preventin, educatin and integratin. Supprting the public health wrkfrce, increasing prtective factrs amng yuth, and cllabrating between service delivery systems may strengthen ur respnse tward desired utcmes. Effrts may fcus arund universal screening practices; training fr the public health and primary care wrkfrce; envirnmental scan f the cntinuum f care; and advcacy fr preventive appraches. *DISCLAIMER: Actual activities are yet t be determined and may vary. DHHS DPH - SHIP Pririties (Sept2016) 22
Creating a Plan DHHS DPH - SHIP Pririties (Sept2016) 23
7 Ppulatin Accuntability Questins What are the quality f life cnditins we want fr the children, adults and families wh live in ur cmmunity? What wuld these cnditins lk like if we culd see them? Hw can we measure these cnditins? Hw are we ding n the mst imprtant f these measures? Wh are the partners that have a rle t play in ding better? What wrks t d better, including n-cst and lw-cst ideas? What d we prpse t d? DHHS DPH - SHIP Pririties (Sept2016) 24
Develping plans fr actin Each Pririty will begin by reviewing data, current envirnment, identifying partners and cnsidering best practices Each Pririty may have several bjectives r strategies and related wrk teams Each Pririty will craft actin plans, utcmes and perfrmance measures DHHS DPH - SHIP Pririties (Sept2016) 25
Cllective Impact fr Implementatin Cmmn Agenda: SHIP pririties Backbne Organizatin Supprt: The DHHS Divisin f Public Health, Office f Cmmunity Health and Perfrmance Management serves this rle. Influential Champins: Each Pririty will have c-initiative spnsrs t drive the implementatin. Participatin may vary depending n needed rles and respnsibilities. Partners can determine the best way t cntribute as the SHIP actin plans develp. Mutually Reinfrcing Activities: Partners may identity a variety f strategies t test t determine best use f resurces fr maximum impact. Shared Measurement: Stakehlders will determine relevant data cllectin and measures that ensure accuntability and share successes. Cntinuus Cmmunicatin: Building trust, establishing cmmn language and sharing mtivatin is an imprtant stakehlder cntributin. Sign up fr participatin and/r t receive updates abut SHIP activities and prgress. DHHS DPH - SHIP Pririties (Sept2016) 26
Next Steps: Sign up t participate! Cntribute t develping actin plans and implement strategies. Subscribe t infrmatinal updates. Be a cheerleader! DHHS DPH - SHIP Pririties (Sept2016) 27
Questins? DHHS DPH - SHIP Pririties (Sept2016) 28
Thank yu! Please cntact us at: DHHS.SHIP@Nebraska.gv Check ut the SHIP Perfrmance Dashbard at: dhhs.ne.gv/cmmunityhealthperfrmance Fr mre questins, please cntact Maya Chilese at: Email: maya.chilese@nebraska.gv Phne: 402-471-0860 DHHS DPH - SHIP Pririties (Sept2016) 29