Presented by: Rosemary Bakes- Martin, MS, MPH El Paso County Department of Health and Environment Colorado Springs, CO Integration of NPHPSP into MAPP
Presented by: Rosemary Bakes-Martin, MS, MPH El Paso County Department of Health and Environment Colorado Springs, CO Integration of NPHPSP into MAPP.
Mar 27, 2015
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Presented by:
Rosemary Bakes-Martin, MS, MPH
El Paso County Department of Health and Environment
Colorado Springs, CO
Integration of NPHPSP into
MAPP
El Paso County Department of Health and Environment 2
NPHPSP Assessment
• CDPHE: leadership, training and coordination
• Who participated: 56 local jurisdictions (38 county
nursing services, 12 organized HD) CDPHE completed state assessment
• Use performance assessment results to create plans for change
El Paso County Department of Health and Environment 3
Lessons Learned
• State leadership and funding maximized participation
• Added questions framed next steps Importance of ES to agency/county Intent to engage in QI within 12 months
• CDC analysis beneficial Unbiased results Created common language Changed the dialogue
67
93
5559
51
88
60
4650 48
0
20
40
60
80
100
percent
Average proportion of essential services being met
El Paso County 2003
El Paso County Department of Health and Environment 5
EPCDHE Public Health Improvement Plans (PHIP)
• EPHS 1 (Monitoring): Complete a comprehensive
Community Health Status Assessment (CHSA) via survey
Include community input Use community groups to implement
change based on results.
El Paso County Department of Health and Environment 6
CHSA CompletedNOW WHAT?
• El Paso County Health Assessment 82 question survey – completed fall 2004 516,000 population - responses 3000 On-line and Paper Assistance from UCHSC
• Goals Don’t let another survey gather dust Use results to make a difference
MAPP was the logical answer
El Paso County Department of Health and Environment 7
Internal EPCDHE MAPP Committee
• Public Health Administrator• Medical Director• Environmental Health• Epidemiology and Evaluation• Community Health Planning• Maternal Child Health• Emergency
Preparedness/Bioterrrorism
El Paso County Department of Health and Environment 8
Tried to Engage Broad County-wide Participation
• Community Health Partnership CEOs of all health care providers Focused on care for uninsured
• Presented results to BOH and BOCC
• Became the focus of EPCDHE annual meeting
• Looked for a Champion
El Paso County Department of Health and Environment 9
Decision Time
• Committee not moving forward• Planning for the entire county was
difficult Largest county in the state Urban – Colorado Springs Mountain/Vacation/Resort Ranchland Military Small municipalities
El Paso County Department of Health and Environment 10
We Searched for Community that was Ready and found it! Fountain, CO
• Fountain Valley Community Services started in 1997
• Committed Citizens• Catholic Health Initiative had funded a
Community Indicators Project• In January 2005, EPCDHE joined
Fountain Valley Healthy Community Initiative and introduced MAPP and PACE/EH
El Paso County Department of Health and Environment 11
Fountain MAPP Community Members
• DHS representative• Attorney and Engineer• Churches and Community Center• Former County Commissioner
Recently elected Mayor of Fountain
• Manufacturing• School District• Military and Businesses
El Paso County Department of Health and Environment 12
MAPP Progress in Fountain, CO
• CHSA over sample of the Valley March 2005 15,197 population - responses 830 Paper only Partner provided funding to mail
surveys to each household
El Paso County Department of Health and Environment 13
General Health Status Self Rated Individual Health Status
Health was excellent, very good or good
82 87 9184
0
20
40
60
80
100
FountainSurvey
EPC Survey BRFSSColorado
NhanesNational
Perc
ent
El Paso County Department of Health and Environment 14
MAPP Progress in Fountain, CO
• Key Stakeholder Meeting – 7/18/05 15 invited attendees Reviewed CHSA preliminary results Organized results in 5 focus areas
• Community Meeting – 7/30/05 Endorsed results from stakeholder
meeting Added new ideas
El Paso County Department of Health and Environment 15
Fountain Colorado’s MAPP5 Priority Areas
Health and Healthcare Access to Care; Community Wellness
Environment Water quality; Safe environment
Strong Families Family support; Economics and family
well-being Recreation/continuing Education
Expand recreation and educational resources improve physical activity
* Economic Development
El Paso County Department of Health and Environment 16
Community “Night Out” in FountainApril 18, 2006
• Participants voted on top priorities Each attendee given 10 pennies at door Put “2 cents worth” in jar for priority area
• Results Water quality - $1.20 Expanding Educational Opportunities –
$1.07 Expanding recreation resources – $1.03 Increasing access to care – $0.81
El Paso County Department of Health and Environment 17
Next Steps for EPCDHE
• Expand community ownership of process Form task forces to address top
priorities EPCDHE provides support but does
not take the lead
• Replicate the Fountain model in other communities in El Paso County
El Paso County Department of Health and Environment 18
Insights & Lessons
• Need a champion with the ability to execute the plan.
• Work with the willing.
• Enlist partners to accomplish goals.
• Document the process.
• Avoid “paralysis by analysis.”
• Measure and display results early, often and regularly.
El Paso County Department of Health and Environment 19
A Healthier El Paso CountyOne Community at a Time
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