Community Health
Improvement Planning for
Austin/Travis County
Strategic Comprehensive Planning
CQI Accreditation Committee
October 4, 2011
Presented by:
Veena Viswanathan, MPH
Victoria Bailey, RN, MMHS
Working in partnership with the community
to promote health, safety, and well-being.
CHA CHIP Grant News!
 A/TCHHSD received grant to complete a model community health
improvement process
 One of 12 Selected out of 127 applicants
 Funded by Robert Wood Johnson Foundation and NACCHO
 From 7/2011 to 12/2012: Training to recipients & $35,000 in funds
 Must address social determinants of health & examine disparities
 A/TCHSHD to apply for accreditation between Jan 2013 and Dec
2014
 CHA, CHIP, & Agency Strategic Plan = Accreditation Prerequisites
CHA = Community
Health Assessment
CHIP = Community Health
Improvement Plan
Phases for Success
 Phase I: Beta Accreditation Test
Nov 2009 to Dec 2010
 Phase II: CHA CHIP
July 2011 to Dec 2012
 Phase III: Accreditation
Apply between 1/13-12/14
Now
Future
What are CHAs and CHIPs?
Community Health Assessment:
1. Informs community decision-making
2. Prioritizes health problems, and
3. Assists in development and implementation of community
health improvement plans.
Community Health Improvement Plan:
1. Based on CHA Findings
2. Action-Oriented
3. Addresses issues, including strategies and measures
Source: NACCHO
Why Do a CHA and CHIP?
 Engage community members on health issues
 Collaborate with partners, meet new partners
 Helps to understand health disparities in communities
 Enables leaders to establish health priorities based on
community needs
 Satisfies requirements (grants; non-profit hospitals; HHSD
accreditation)
 Strengthens viability to successfully compete for funding
opportunities
 Partners with COA Departments (Integrated Planning)
Health Impact Pyramid
Factors that Affect Health
Examples
Smallest
Impact
Counseling
& Education
Clinical
Interventions
Long-lasting
Protective Interventions
Changing the Context
Largest
Impact
to make individuals’ default
decisions healthy
Socioeconomic Factors
Eat healthy, be
physically active
Rx for high blood
pressure, high
cholesterol, diabetes
Immunizations, brief
intervention, cessation
treatment, colonoscopy
Fluoridation, 0g trans
fat, iodization, smokefree laws, tobacco tax
Poverty, education,
housing, inequality
Source: Frieden, Thomas R. A Framework for Public Health Action: The Health Impact Pyramid. American Journal of Public Health. April
2010, Vol. 100, no. 4., pp. 590-595.
Defining Social Determinants of Health
Social Determinants of Health
 Why is it important to discuss what affects health and how we
can improve these factors?
 Health begins where we live, learn, work and play.
 Health starts—long before illness—in our homes, schools and
jobs.
 Your opportunity for health starts long before you need medical
care. The opportunity for health begins in our families,
neighborhoods, schools and jobs.
All Americans should have the opportunity to make the choices
that allow them to live a long, healthy life, regardless of their
income, education or ethnic background.
Source: Robert Wood Johnson Foundation
Working Together Model
Source: University of Wisconsin Population Health Institute. County
Health Rankings 2011. Accessible at www.countyhealthrankings.org.
Partners
City of Austin
Austin/Travis County Integral Care
Travis County Health and Human
Services and Veterans Services
UT School of Nursing
Central Health
UT School of Social Work
Seton Healthcare Family
Community Action Network
UT School of Public Health
Capital Metropolitan Transportation
Authority
St. David’s Foundation
Austin Independent School District
St. David’s Hospital
Texas Association of Local Health
Officials
And Many More!!
Community Health Planning Committee Structure
Austin / Travis County
Logistics
Data /
Research
Austin /
Travis County
Community
Engagement
CHA CHIP
Steering
Coordinating
Steering Committee Role
Steering Committee:
 Comprised of executive decision makers
 Reviews and approves the community health
improvement process
 Assures vision is maintained
 Identifies key stakeholders to be interviewed
 Convenes the larger stakeholder and partner meetings
 Assures completion of the CHA and CHIP
Point of Contact:
Core Coordinating Committee
Core Coordinating Committee:
 Develops roles, responsibilities, framework, timeline, and
process plan
 Reviews work from Subcommittees and community
groups
 Makes recommendations to the Steering Committee
 Participates in Subcommittee work
 Captures the history of decision making
Point of Contact:
Data & Research Subcommittee
Data and Research Subcommittee:
 Gathers and Analyzes HHS Quantitative Data
 Identifies priority community health issues
 Develops priority issue and geographic area specific
presentations
 Identifies key HHS indicators
 Coordinates with the Community Engagement
Subcommittee on qualitative data collection
Point of Contact:
Community Engagement Subcommittee
Community Engagement Subcommittee:
 Engages the community to participate in focus groups,
precinct/community meetings, surveys, and other
activities
 Markets and Distributes CHA CHIP process & reports
 Ensures that information is shared and solicited from
diverse geographic and socioeconomic areas
 Coordinates with the Data and Research Committee
on qualitative data collection
Points of Contact:
Logistics Subcommittee
Logistics Subcommittee:
 Supports all subcommittee meetings
 Identifies meeting resources
 Maintains contact information
 Scheduling dates and rooms,
 Captures meeting minutes
Point of Contact:
Partner & Stakeholder Group
Partner and Stakeholder Group:
 Reviews the CHA CHIP process and deliverables
 Provides feedback to ensure all groups are included
and pertinent information is solicited
 Participates in Action Planning along with the
Steering Committee during the CHIP phase
Point of Contact:
MAPP Overview
Mobilizing for
Action through
Planning and
Partnerships
NACCHO Developed MAPP
Benefits for Community and Partners





Profile and Action Plan
Strengthens Intra and Inter Agency Planning
Data Resource
Vehicle for Community Engagement
Demographics and community planning for our
plans and reports
 Strategic Planning
 Informed Decision Making
Your health is our community’s wealth.
- Health Talk with Shannon Jones
What is Needed
 Primary and Secondary Contacts for each Unit
 Names of your active program partnerships
 Division Representatives for Subcommittees:



Data and Research
Community Engagement
Logistics
 Submit your Calendar of Public Events
What is Needed
 Present at your partner/stakeholder meetings
 Go to One Size Fits All in CHA CHIP Folder
 Share CHA CHIP One-Pager
 Customize the PowerPoint
 Send the names of your active program
partnerships to Sherryl DeCampo (Logistics)
 Representation at CHA CHIP Meetings, Events, and
Activities (Invites are forthcoming)
Questions
Thank you!