# Presentation: 476111

## From Assessment to Intervention

Presented September 30, 2004
“Community Health Assessment
Current Issues/Future Directions”
Atlanta, Georgia

**Presented September 30, 2004**
**“****Community Health Assessment**
**Current Issues/Future Directions”**
**Atlanta, Georgia**

## Slide 2

##  Monroe County, NY	

**Total Population (2000) = 735,343**
**City of Rochester (2000) = 219,773**
**Hi tech business - Kodak, Xerox, Bausch and Lomb**
**Many colleges and universities**

## Monroe County, NY

**Four hospital systems**
**Rich in providers of health care/social services**
**26% of City residents live in poverty**
**Significant health disparities between city and suburban residents**

## MISSION

_**MISSION**_
- To improve the health of Monroe County residents
_**VISION**_
- Continuous, measurable improvement in health status in Monroe County

## PUBLIC

**HEALTH**

**ACADEMIC**
**COMMUNITY**

**HEALTH CARE**
**DELIVERY**
**SYSTEM**

**INSURERS**
**HOSPITALS**
**HEALTH CENTERS**
**PROVIDERS**
**MEDICAL SOCIETY**

**UNIVERSITY MEDICAL CENTER**
**OTHER COLLEGES/UNIVERSITIES**

**LOCAL HEALTH**
**   ****DEPARTMENT**
**COMMUNITY BASED**
**   ****ORGANIZATIONS**
**SCHOOL/CHURCHES**
**WORKSITES**
**STATE/FEDERAL**
**   ****HEALTH AGENCIES**

## Slide 7

_**MATERNAL CHILD HEALTH**_
**Improve** **Birth Outcomes**
**   ****Promote** **Access to Preventive Services**

_**ADOLESCENT HEALTH**_
**Reduce ****Smoking**
**Build**** Youth Competencies to Promote a Healthy Lifestyle **

_**ADULT HEALTH**_
**Promote** **Healthy Behaviors**
**to Reduce the Risk of Chronic Disease**
**Promote** **Use of Preventive Health Services**

_**OLDER ADULT HEALTH**_
**Promote** **Behaviors that Prevent or Delay**
**Complications or Disability from Chronic Disease**
**Promote**** Use of Preventive Health Services**

_**ENVIRONMENTAL HEALTH**_
**Improve**** Water Quality**
**Reduce**** Industrial Pollution**
**Reduce**** Pollution from Small Businesses**
**Reduce**** Hazards in the Home**

## Assessment to Intervention          

**Community Education about issues**
**Advocacy building**
**Grant applications**
**Program planning**
**Funding justification**

**Data Used For****:**

## Maternal Child Health

**Improve Birth Outcomes:**
**Healthy Start Grant**** - **
**Led by Perinatal Network of Monroe Co.**
**Established “One Stop Centers”**
**Coordinated outreach services including training and networking**
**Increased consumer involvement**
**	****	**
**	**

**Assessment to Intervention****          **

## Maternal Child Health
Increase Access to Preventive Services
Facilitated Enrollment Grant 
Provides assistance in enrolling families in Child Health Plus, Medicaid and WIC

Immunization 
Outreach workers visit under-immunized children

**Increase Access to Preventive Services**
**Facilitated Enrollment Grant **
**Provides assistance in enrolling families in Child Health Plus, Medicaid and WIC**
**Immunization **
**Outreach workers visit under-immunized children**

**Assessment to Intervention****          **

## Increase Access to Preventive Services

Oral Health Coalition
Has focused attention on need to reduce disparities in dental health

Do Right by Kids
Multi-phased campaign to reduce child abuse

**Oral Health Coalition**
**Has focused attention on need to reduce disparities in dental health**
**Do Right by Kids**
**Multi-phased campaign to reduce child abuse**

**Maternal Child Health (2)**

**Assessment to Intervention****          **

## Adolescent Health

**Reduce Adolescent Tobacco Use**
**Gottaquit.com**
**Internet based intervention to help teens quit smoking**
**Build Youth Competencies to Promote a Healthy Lifestyle**
**The City of Rochester and all 18 towns have formed an Asset Partner Network **

**Assessment to Intervention****          **

## Environmental Health

- Reduce Pollution from Small Businesses
**ISO 14000 initiative**
**Goal to use large businesses as mentors to help small businesses meet ISO 14000 standards for hazardous waste management**
- Reduce Hazards in the Home
**HUD Lead Grant**

**Assessment to Intervention****          **

## Environmental Health (2)

- Improve Water Quality
**Development of Stormwater Coalition**

**Assessment to Intervention****          **

## Adult/Older Adult Health

- Be active campaign
**Step-Up**
- Worksite wellness
**Welcoa University**
- Healthy Living Program

**Assessment to Intervention****          **

## Healthy Living Program (HLP)

**Community-based program delivered through network of African American churches:**
**Physical Activity Intervention**
**Health Promotion / Behavior Change Counseling**
**Individual Care Coordination**

**Assessment to Intervention****          **

## Healthy Living Program

- Curriculum
**30-45 minutes  -2 days per week**
**Lay Health Advisors**
**Fundamental Concepts**
**Social Support**
**Empowerment**
**Goal Setting and Action Planning**

**Assessment to Intervention****          **

## Healthy Living ProgramParticipants - 9/01-4/04 (N=768)

**Mean Age:****	****	****	**** 53.5 years (22-91)**
**African-American: ****	****	****95%**
**Female:****	****	****	****	****89%**
**Education:**
**HS or less****	****	****	****43%**
**Some college****	****	****40%**
**College graduate (+)+****	****17%**
**Insurance:**
**Uninsured****	****	****	****  8%**
**Medicaid/Medicare****	****21%****	****	**
**Private****	****	****	****69%**

## Healthy Living ProgramRisk Factor Profile 

**Hypertension****	**** ****	****	****57%**
**High Cholesterol****	****	****28%**
**Diabetes****	****	****	****	****18%**
**Overweight/Obese****	****	****89%**
**   ****(BMI**_**>**_**25)**
**Current Smoking****	****	****6%**
**Heart Disease****	****	****	****6%**

## Healthy Living Program Dietary Guideline Compliance

***Self-reported compliance with USDA recommendations, measured through       dietary patterns survey. ***

## Healthy Living Program Dietary Behavior Stage

***Self-reported stage with respect to eating healthy, based on Stages of Change behavioral theory. ***

## Healthy Living Program Physical Activity Stage

***Self-reported stage with respect to being physically active, based on Stages of Change behavioral theory. ***

## Healthy Living Program Physical Fitness Level

## Summary

- Data used by MCDPH and community to:
**Identify priorities for action**
**Identify target areas for intervention**
**Plan and develop programs**
**Obtain funding to address priorities**
**Monitor progress over time**

**Assessment to Intervention****          **