The Strategic Planning Committee identified our strengths, weakness and gaps that impact the delivery of service to the community. They are as follows: Strengths Weakness Gaps Core public health focus Community Health Education Strong partnerships and collaboration Competent well trained staff Support for continuing education for employees Comprehensive clinical services Technology used to improve services Access to bilingual staff Grant funding-allows innovation Preparedness coordination through county government Ability to fill vacant professional positions in a timely manner Adequate staffing for timely appointments Clinical health education Grant Writer to look for more grants so that we can provide more programs. Lack of public transportation Full-time preparedness coordinator Extended operational hours Funding foealth related educational programs Funding for new technology
Facebook Offer On-Site Interpreter Services (no fee) Child Health Coordinator E- Interpreters Ongoing Goal 1 To improve the health status and prevent premature death for all residents of Bladen County. Objective #3 Decrease low birth rate by 2% Baseline Data 2009-2013 Infant Death rates per (1,000) Bladen County rate of 9.9 compared to the NC rate 7.3. http://www.schs.state.nc.us/data/keyindicators/reports/Bladen.pdf CHA Priority addressed Low Birth Weight Activities Lead Person Partners N=new; E=existing Timeframe Community Education -Health Educators E- Schools, DSS, E-Healthy Bladen Ongoing Educational programs on importance of early prenatal care -Maternity Coordinator -Health Educators -WIC Staff -Young Families Connect Educators -YFC Peer Encouragers E- DSS E-Employment Security Commission E-BCC E-NC Cooperative Extension E-Healthy Bladen Ongoing Encourage early prenatal care through media and community education programs and county-wide health fair -Health Educators -WIC Staff -On-Site Interpreters -Young Families Connect E –Local Newspaper E-Online Newspaper N-YFC Facebook and BCHD Facebook Ongoing Bladen County Public Health Department Strategic Action Plan – 2016 – 2019
NC 2020 Objective Current 2020 Target Based On Data Sources Reduce the cardiovascular disease mortality rate (per 100,000 population). 216.5 (2014) 161.5 Maintaining NC's current trend SCHS, CDC, WONDER Decrease the percentage of adults with diabetes. 10.8% (2014) 8.6% 10% improvement in NC's current percent BRFSS (CDC) Increase the percentage of adults who are neither overweight nor obese 34.4% (2014) 38.1% 10% improvement in NC's current percent BRFSS (CDC) Increase the percentage of adults getting the recommended amount of physical activity. 57.1% (2013) 60.6% Best state (AK) BRFSS (CDC) Increase the percentage of adults who report they consume fruits and vegetables five or more times per day. 76.3% (2013) 29.3% Best state (VT) BRFSS (CDC) Increase the percentage of high school students who are neither overweight nor obese. * 72.3% (2013) 79.2% 10% improvement in current percent YRBSS (CDC) Increase the percentage of children aged 19-35 months who receive the recommended vaccines. * 83% (2014) 91.3% Best state (MD) NIS (CDC) Increase average life expectancy (years). * 78.3 (2014) 79.5 Maintaining NC's current trend SCHS, US Census Decrease the percentage of adults who are current smokers. *# 19.1% (2014) 13.0% Best pace (WA) BRFSS (CDC) Decrease the percentage of high school students reporting current use of any tobacco product. 29.7% (2013) 15.0% NC's pace +10% improvement YRBSS Decrease the percentage of people exposed to secondhand 8.6% (2012) 0% Surgeon General, Guide to Community NCPH
program Faithful Families Program Young Families Connect Program WIC Nutrition Education for Moms and Children Associates E- Bladen County Wellness Committee E-YFC Case Managers Goal 1 To improve the health status and prevent premature death for all residents of Bladen County. Objective #7 Reduce the rate of Adult and Childhood obesity by 2% Baseline Data 2012 Bladen’s Healthy Weight Children 2-4 years old was (per 1,000) 60.4% compared to the NC rate of 63.5%. 2012 Bladen’s Overweight Children 2-4 years old rate was (per 1.000) 15% compared to the NC rate of 16.1%. 2012 Bladen’s Obese Children 2-4 years old rate was (per 1.000) 16% compared to NC rate of 15.6%. www.eatsmartmovemorenc.com/Data/Texts CHA Priority addressed Chronic Disease-Obesity/Weight Problem Activities Lead Person Partners N=new; E=existing Timeframe School Health Advisory Committee/Healthy Bladen -School Nurse -Director Healthy Bladen -Health Educators E-Bladen County Schools E-Parks and Recreation E-NC Cooperative Extension Ongoing
Objective #8 To ensure all children served by Bladen County Health Department are properly immunized and listed in NCIR Baseline Data NCIR data Evaluated on 1/01/2016, Bladen County Health Department’s immunization rate was 96% for 0- 24 months of age. CHA Priority addressed Communicable Disease Activities Lead Person Partners N=new; E=existing Timeframe Continue collaboration with school health nurses and local providers Immunization Program Nurse Coordinator E- School Health Nurses, Local Providers Ongoing Documentation in NCIR Immunization Program Nurse Coordinator Staff Nurses E- State NCIR Consultant Ongoing Continue outlying immunization clinic Immunization Program Nurse Coordinator E- Bladen County Schools Ongoing Community education through festivals, website, and health fair Health Director Health Education E- Community Partners – Schools, Churches, Fire Departments, Businesses Ongoing Continue documentation of vaccines in NCIR given by private providers from the Vaccine Administration Log Immunization Coordinator E- Local Physicians Ongoing Encourage private providers to participate in the NCIR Immunization Coordinator E- Local Physicians Ongoing Goal 1 To improve the health status and prevent premature death for all residents of Bladen County. Objective #9 Decrease the number of Bladen County residents including teenagers, that smoke or are exposed to second hand smoke by 2%
N=new; E=existing Ongoing inspections within regulated facilities at required frequencies Environmental Health Program Specialist E- DHHS, NCDA As prescribed by State Regulation Offer Food Safety Training for food handlers and Day Care Providers (Serve Safe) Environmental Health Supervisor E- NC Cooperative Agricultural Extension, DHHS, Partnership for Children Yearly Ongoing staff education, development and credentialing of staff Environmental Health Supervisor E- SOP Workshops, EMS, NCPHA, RS Board, State Universities Annual Permitting and Monitoring of wells and septic tank systems Environmental Health Specialist E-DHHS, Division of Water Quality (DWQ), Technology Services Daily Training for contractors on wells and septic systems/ Pool operators Environmental Health Supervisor E- State Certification Boards Yearly Ongoing staff development Environmental Health Supervisor E-HR, State of Practice (SOP) Committee, State Universities Ongoing Childhood Lead Poisoning Investigations Environmental Health Specialist E- DHHS, Building Inspections As Needed Public Information and Presentations regarding Environmental Health Program Environmental Health Supervisor E- News Media, EMS First Team, Law Enforcement, DHHS Ongoing Emergency Response Environmental Health Supervisor E- EMS, E-Emergency Services E-Epi Team As Needed Goal 4 Maintain a competent Public Health workforce that has had training on HIPAA, OSHA, Public Health Law, and any necessary training to perform
according to job descriptions Objective #1 Recruit and retain competent staff. Baseline Data Maintain current funded positions. CHA Priority addressed Public Health Preparedness Personnel Training Activities Lead Person Partners N=new; E=existing Timeframe Provide comprehensive orientation for new employees Administrative Department Health Director E- County Human Resources Department Ongoing Provide for ongoing educational opportunities Health Director E- State sponsored programs, HR Ongoing Maintain Orientation Manual for all employees Administrative Assistant N/A Ongoing Maintain Employee Health Program Human Resources E- Human Resources Ongoing Encourage Continuing Education Health Director PH Nursing Director Health Department Managers E- UNC, Wake AHEC, NC Board of Nursing, Office of Public Health Nursing and Professional Development Ongoing Staff will meet departmental educational requirements Health Director PH Nursing Director E-UNC, Wake AHEC, NC Board of Nursing, Office of Public Health Nursing and Professional Development Ongoing