Illinois Project for Local Assessment of Needs (IPLAN) Office of Epidemiology and Health Systems Development Division of Health Policy September 28, 2001
Dec 15, 2015
Illinois Project for Local Assessment of Needs
(IPLAN)Office of Epidemiology
and Health Systems DevelopmentDivision of Health Policy
September 28, 2001
What is IPLAN?
PPrimary goalsTo establish a process for community involvement andparticipation in community health assessment andplanningTo make local health departments accountable to theircommunities rather than to the state
PEssential elementsOrganizational capacity assessmentCommunity health needs assessmentCommunity health plan, focusing on a minimum of three priority health problems
What led to IPLAN?
1984 - The Roadmap Committee Report
PFour principles for changeService delivery should be improved.Societal benefits should be effectively communicated.Quality of services should be improved and standardized.Funding should be increased.
What led to IPLAN?
1984 - The Roadmap Committee Report
PUnderlying belief
Services are most efficiently and effectively
provided at the local level.
What led to IPLAN?
1988 - Roadmap Implementation Task Force
PExamined existing policies, statutes, regulations, funding and administration of
public healthPVisioned an optimal public health system
andcompared it with the current system
PDeveloped 29 recommendations that were published in The Road to Better Health for
Allof Illinois
What led to IPLAN?
1990 - Project Health The Illinois Public Health Improvement Project
PConducted by more than 200 public health professionals from state and local health
departments, public health academia, and public health associations
PAdopted 27 of the RITF recommendationsPCatalyzed the development of progressive rules
forcertification of local health departments in Illinois
Requirements for Certification of Illinois Local Health Departments
Before and After 1993
Before July 1993
To be recognized as a local health department in Illinois, LHDs MUST DO –
1. Potable Water2. Food Sanitation
3. Maternal Health/Family Planning4. Child Health
5. Communicable Disease Control6. Private Sewage
7. Solid Waste8. Nuisance Control9. Chronic Disease10.Administration
After July 1993To be certified as a local health
department in Illinois, LHDs MUST–1. Assess community health needs2. Investigate hazards within the community3. Analyze identified health needs for their
determinants4. Advocate and build constituencies for public
health5. Prioritize among identified community health
needs6. Develop policies and plans to respond to
priority needs7. Manage resources and organizational
structures8. Implement programs and services to respond
to priority needs9. Evaluate programs and services
10.Inform and educate the community
Illinois Administrative CodeTitle 77: Public Health
Chapter 1: Department of Public Health
Subchapter H: Local Health Departments
Part 600: Certified Local Health Department Code
Illinois Administrative CodeSection 600.400: Certified Health Department Code
Public Health Practice Standards
The local health department shall, at least
once every five years, perform an
organizational capacity self-assessment
that meets the requirements set forth in
Section 600.410.
Illinois Administrative CodeSection 600.400: Certified Health Department Code
Public Health Practice Standards
A community health needs assessment
that systematically describes the prevailing
health status and health needs of the
population within the local health
department=s jurisdiction shall be
conducted once every five years.
Illinois Administrative CodeSection 600.400: Certified Health Department Code
Public Health Practice Standards
Develop a community health plan that
addresses at least three priority health
needs, identified pursuant to Section
600.400, during each certification period.
The IPLAN
Process
CommunityHealth
NeedsAssess
mentCommunityHealth Plan
Program Development
Implementation
Evaluation
What is the State’s role? Established the framework for the assessment
and plan (APEX-PH model)
Developed, enhances and maintains IPLAN data system
Conducts training and provides technical assistance
Reviews submitted assessments and plans for substantial compliance with the administrative rules
(every 5 years) and provides follow-up technical assistance
A Community Health Needs Assessment should contain--
A description of the health status and health problems most meaningful for the community in the data groupings contained in the IPLAN Data System:
$ Demographic & Socioeconomic Characteristics$ General Health & Access to Care$ Maternal & Child Health$ Chronic Disease$ Infectious Disease$ Environmental, Occupational, & Injury Control$ (Sentinel Events)
A Community Health Needs Assessment should contain--
$A description of the process and outcomes of setting priorities;
$A statement of purpose of the community health needs assessment that includes a description of
how the assessment will be used to improve health in the community;
$A description of the community participation process, a list of community groups involved in the
process, and method for establishing priorities;
Community Health Committee
Pethnic & racial groupsPmedical & hospital communityPmental health & social service
organizationsPcooperative extension service
PschoolsPlaw enforcement organizations
Pvoluntary organizationsPfaith community
Pbusinesses and economic development
PunionsPyouth, senior citizens, other
target populations
Prioritize Community Health Problems
P Hanlon MethodP Nominal Group
P Delphi TechniqueP PEARL (Propriety, Economics,
Acceptability, Resources, and Legality)
aka - NCAA Chart
Health Problem Analysis Worksheet
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Health Priority
A situation or condition of people which is considered undesirable, is likely to exist in the future, and is measured as death, disease, or
disability.
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Risk Factor
A scientifically established factor (determinant) that
relates directly to the level of a health problem.
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Direct Contributing Factor
A scientifically established factor that directly affects the level of a risk factor.
Indirect Contributing Factors
A community specific factor that directlyaffects the level of the direct contributing
factor.
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Outcome Objective
The level to which a health problem
(priority) should be reduced.
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Impact Objective
The level to which a risk factor should be
reduced.
Intervention Strategy
Demonstrated to be effective or used as national model and should address an impact
objective.
Risk Factors
Health Priority
Indirect Contributing FactorsDirect Contributing
Factors
Impact Objective
The level to which a risk factor should be
reduced.
Health Problem Outcome Objective
Risk Factor Impact Objective
Contributing Factors
Community Health Plan: Worksheet
Proven Intervention Strategies
Resources Available Barriers
Tobacco Use By 2002, reduce cigarette smoking to a prevalence of no more than 24 percent
among people aged 18 and older. (Baseline: 1996 BRFS percentage 27.3).
AddictionSedentary Lifestyle
HypertensionAdvertising (Indirect)
Coalition will implement CDC=s community-based tobacco control program,
focusing on delaying initiation, cessation programs, and advertising control.
Coalition will provide support to LHD with in-kind donations, staff,
and clinical counseling space.
Cerebrovascular Disease (Stroke) By 2004, reduce stroke deaths to no more than 70 per 100,000 (Baseline: 1997 crude rate 76.5 per 100,000).
Limited number smokers seeking counseling.
Media messages promote smoking.Peer pressure.
Health Problem Outcome Objective
Risk Factor Impact Objective
Contributing Factors
Community Health Plan: Worksheet
Proven Intervention Strategies
Resources Available Barriers
Description of the Health Problem, Risk Factors and Contributing Factors
Corrective Actions
Proposed Community Organizations
Evaluation Plan
Community Health Plan
Description of the Health Problem, Risk Factors and Contributing Factors
Corrective Actions
Proposed Community Organizations
Evaluation Plan
The problem is the high death rate associated with cerebrovascular disease (county CR = 76.5, state CR =61.7 p/100,000 or 23% above state rate). The major risk factor is cigarette smoking and county has higher percentage of
smokers (27.6%) , especially males (31%) than state (24%, 28%, respectively). Addiction appears to be the chief contributing factor.
In order to effectively address this health problem a multi-sited and multi- targeted campaign is required to delay initiation of smoking behavior, assist persons attempting to quit, and provide counter advertising to tobacco promotions.
A coalition of community groups, including the LHD, Cancer Society, Lung Association, General Hospital, Teens Against Butts will collaborate with in- kind donations, staff, and clinical counseling space to assist in meeting objectives.
Coalition will meet quarterly to assess progress in achieving goals. Coalition will use the evaluation tool developed by the CDC to determine effectiveness of
programming efforts. Surveys will be conducted amongst coalition members to ascertain stakeholder satisfaction with program.
Community Health Plan