Abc heat roadshow june 2010 t scharmen

• 1.Albuquerque - Bernalillo County Health Equity Assessment Tool ABC HEAT Bernalillo County Place Matters Team Thomas N. Scharmen , MA, MPH, Epidemiologist Regions 1 & 3, Office of Community Assessment, Planning and Evaluation Public Health Division, New Mexico Department of Health North Valley Public Health Office 7704-A 2nd St, NW Albuquerque, NM 87107 Telephone: 897-5700 ext 126; Fax: 897-1010 E-mail:[email_address]

2. MOST OF THIS PRESENTATION IS AVAILABLE ON-LINE AT: NMPHA.ORG >>> PRIORITY AREAS >>> SOCIAL DETERMINANTS >>> ABC HEAT ABC HEAT 3. A Project of the Bernalillo CountyPlace Matters Team ABC HEATis a collaborative health equity initiative with the goal of providing communities and decision-makers in our city & county withevidence to build healthinto public and private policies and practices. We believe that decision-makers must have reliable dataon health status, disparities, and the effects of social determinants of health.These data must be monitored at thelocal levelin collaboration with the people and families who live there, andfundingmust be available to promotecommunity participatory assessmentto understand these health effects and to promote the application of findings to decision-makers. ABC HEAT ALBUQUERQUE - BERNALILLO COUNTYHEALTH EQUITY ASSESSMENT TOOL 4. Place Matters CommunitiesEliminating Health Disparitiesby Addressing the Social Determinants of Health BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 5. Source: World Health Organization,Report of the Commission on the Social Determinants of Health , 2008. See also Robert Wood Johnson Foundation Report,Beyond Health Care: New Directions to a Healthier Americaand CDC,Healthy People 2020 . BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 6. Definitions

• Health Disparities : Statistical differences in disease, health outcomes or health access that occur among populations defined by specific characteristics

• Health Inequity :Differences in health that are systematic and avoidable, unfair, or stemming from injustice

• Research : Discovery, via scientific methods, of new knowledge (e.g., causation) that will have broad applications

• Public Health Surveillance : Information for action and policy advocacy

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 7.

• Social Determinants of Health

• • • • Land Use Planning

• • • • Economic Development

• • • • Housing

• • • • Parks and Recreation

• • • • Education

• • • • Crime

• • • • Racism/Discrimination

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL Definitions 8. Upstream . . . Downstream 9. Defining Community Geography at Neighborhood Level Building Capacity and ResourcesDefining Key Indicators Data Access and Acquisition Data Quality Geo-Coding, Building Tools & Denominators Disseminating InformationSocial Media, Community Engagement Building Comprehensive Indexes COMMUNITY ASSESSMENT FOR CHANGEKEY WORK COMPONENTS THIS IS HARD WORK! 10. A MODEL AREA-BASED INDICATORS PROJECT TheHealthy Development Measurement Toolis a comprehensive evaluation metric to consider health needs in urban San Francisco development plans and projects.TheHDMTexplicitly connects public health to urban development planning in efforts to achieve a higher quality social and physical environment that advances health. http://www.thehdmt.org/ 11. http://www.thehdmt.org/ 12. http://www.thehdmt.org/master_list.php SAN FRANCISCO,HDMT ALBUQUERQUE,HEAT http://www.nmpha.org/Social_Determinants.html BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 13. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL ALBUQUERQUE AND THEHEATCOMMUNITY BOUNDARIES HOW DO YOU DEFINE YOUR COMMUNITY? Community Boundaries &Numbers Downtown Albuquerque Big I Rio Grande River Interstate Highways NW To Santa Fe NE SE SW Airport 14. 33 HEAT COMMUNITIES 141 Census Tracts were aggregated into 33 communities representing coherent neighborhoods in the city of Albuquerque and surrounding county. Each HEAT community contains roughly 3 to 6 whole census tracts. Social determinant and health outcome data are calculated for each of those 33 communities to produce data tables and maps for community decision makers. ABC HEAT will explore other definitions of communities, for example: coalitions of neighborhood associations, police beats, state representative districts, etc. The table at right gives the names and codes for each of the 33 communities.Each name corresponds to a major intersection within the community. The adjacent map points out familiar landmarks in Albuquerque. Red lines mark the HEAT Communities Input is appreciated regarding better ways to define the geography of your community. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 15. 33 HEAT COMMUNITIES? Or 19 SUB-DIVISIONS FOR THE COUNTY, AND 64 FOR THE STATE A working group of state epidemiologists is studying ways of subdividing the state into 64 areas in order to produce a finer focus in standard reports: STATEWIDE SMALL AREA ANALYSIS GROUP BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 16. http://map4change.org/ ABC HEAT WILL SOON BE ONLINE BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 17.

• What is the Health Equity Assessment Tool?

• A large inventory of datasets (> 90 indicators currently)

• Information on the social and health conditions of local communities

• Geo-coded birth & death files (16 yrs)

• Organized by Bernalillo County Census Tracts (141), and by

• Aggregations of tracts into meaningful community boundaries (33)

BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL

• The indicators are being developed as multi-purpose, rapid response tools , ready for

• • participatory research,

• • program planning,

• • priority setting and targeting,

• • grant proposals,

• • policy discussions,

• • environmental and health impact assessments,

• • . . .and multiple other forms of community decision-making.