1. New York Institute of Technology HEALTH CHECKS “AN INNOVATIVE GRASS ROOTS COMMUNITY HEALTH ACTION PLAN TO BUILD CAPACITY AND IMPACT COMMUNITY- DRIVEN OUTCOMES”.

2. New York Institute of Technology HEALTH CHECKS THE BIG PICTURE Maria Torroella Carney, MD Susan Neville, PhD, RN Tavora Buchman, PhD PeterReinharz, JD American Public Health Association 141st Annual Meeting Community Health Planning & Policy Development. Philadelphia, Pa. Nov 5, 2013

3. New York Institute of Technology TEAM MEMBERSHIP Maria Torroella Carney, MD North Shore/LIJ Health Care System/Hofstra Medical School Susan Neville, PhD, RN, CDP New York Institute of Technology Department of Nursing Tavora Buchman, PhD Nassau County Department of Health PeterReinharz, JD Homeland Security

4. New York Institute of Technology Vision TEAM PROJECT COMMUNITY HEALTH ISSUE/OPPORTUNITY : THE NASSAU COUNTY TEAM PROJECT IS TO FULLY DEVELOP A CAPACITY BUILDING PLAN TO ADDRESS HEALTH DISPARITIES AND EMERGENCY PREPAREDNESS IN COMMUNITIES WITH PRIORITY HEALTH NEEDS AND WILLINGNESS AND/OR ABILITY TO PARTICIPATE IN AN ORGANIZED EFFORT TO PROMOTE HEALTH AND SAFETY.

5. New York Institute of Technology OVERARCHING PROJECT GOAL THE GOAL OF “HEALTH CHECKS” IS TO DEVELOP A SUSTAINABLE LOCAL ACTION COMMITTEE (LAC) IN EACH OF THE IDENTIFIED COMMUNITIES TO WORK WITH THE LEADERSHIP TEAM TO IMPROVE HEALTH OUTCOMES AND EMERGENCY PREPAREDNESS NEEDS.

6. New York Institute of Technology SUBGOALS TO PROMOTE COMMUNITY HEALTH AND SAFETY TO REDUCE RISK TO EMPOWER COMMUNITIES TO IDENTIFY EXISTING AND ANTICIPATED RESOURCES

7. New York Institute of Technology EXPECTED OUTCOME This project will tie in health and emergency preparedness needs with local action committee members with the ultimate goal of establishing MOUs (Memoranda of understanding) with community organizations and agencies

8. New York Institute of Technology BACKGROUND DECENTRALIZED GOVERNMENT DECREASED RESOURCES TO EFFECTIVELY DEVELOP, IMPLEMENT, AND SUSTAIN TARGETED PUBLIC HEALTH PROGRAMS. HIGH BURDENS OF DISEASE AND STARTLING HEALTH DISPARITIES EXIST, BUT THEY EXIST IN POCKETS SCATTERED ACROSS LOCAL GOVERNANCE AND COMMUNITY UNITS AT THE SUB-COUNTY LEVEL.

9. New York Institute of Technology PROJECT RATIONALE THE “HEALTH CHECKS” PROPOSAL IS NEEDED IN NASSAU COUNTY BECAUSE OF INCREASING BURDENS AND BARRIERS AND DECREASING GOVERNMENTAL RESOURCES FOR PUBLIC HEALTH. A PLAN TO COLLABORATE WITH EXISTING LOCAL COMMUNITY NON-GOVERNMENTAL AGENCIES AND PARTNERS TO IMPROVE THE PUBLIC’S HEALTH AND SAFETY IS NEEDED

10. New York Institute of Technology CRITICAL LEADERSHIP CHALLENGES POLITICAL: The greatest challenge will be to utilize the Nassau County Department of Health for any assistance outside any current mandated public health requirements Financial: Recent financial cuts and employee loss will possibly limit the availability of resources beyond what may be considered non-mandated work.

11. New York Institute of Technology CRITICAL LEADERSHIP CHALLENGES Cultural: Changing demographics contributes to diversity of populations, cultural beliefs as well as health disparities. Social: Reduction/loss of social support system and the changing patterns of existing resources Legal: Decentralized county government leads to jurisdictional obstacles.

12. New York Institute of Technology STAKEHOLDERS COMMUNITY MEMBERS AND LEADERS SCHOOL, VILLAGE AND PRIVATE ENTITIES

13. New York Institute of Technology PATHWAY TO CHANGE METHODOLOGY USE EXISTING EDUCATIONAL, POLITICAL, LEGAL AND HEALTH CARE RESOURCES TO SUPPORT INITIATIVES. PROVIDE EVIDENCE BASED SUPPORT AT THE COMMUNITY LEVEL BY EMPOWERING LOCAL LEADERS WITH HEALTH RELATED DATA AND HEALTH CARE RESOURCES. PROVIDE RESOURCES OF EDUCATION AND SERVICES

14. New York Institute of Technology PATHWAY TO CHANGE METHODOLOGY SUPPORT LOCAL LEADERS’ COMMUNICATION AND ADVOCATING FOR THE NEEDS OF THEIR COMMUNITY IN ORDER TO DECREASE BARRIERS AND BETTER ALIGN MEDICINE, HEALTH EDUCATION, PUBLIC POLICY AND RESOURCES TO IMPROVE HEALTH OUTCOMES. IDENTIFY EMERGENCY PREPAREDNESS NEEDS AND GOALS (E.G. MOU COMPLETION) WILL BE TIED TO LOCAL HEALTH NEEDS.

15. New York Institute of Technology DESIRED FUTURE STATE Measurable indicators of success will be: CREATION OF A COMMUNITY HEALTH ASSESSMENT SCORECARD IDENTIFICATION OF THE PRIORITY COMMUNITIES TO IMPLEMENT THE LAC, LOCAL MEMBERSHIP REQUIREMENTS IN A LAC AND/OR MEDICAL RESERVE CORPS

16. New York Institute of Technology DESIRED FUTURE STATE CREATION OF MISSION STATEMENTS AND STRATEGIES FOR THE LAC IDENTIFICATION OF POLICIES OR LACK OF POLICIES AFFECTING CHRONIC DISEASE IDENTIFICATION OF COMMUNITY RESOURCESTO IMPROVE ACCESS TO HEALTH CARE AND POLICIES AND PLANS/AGREEMENTS TO IMPROVE EMERGENCY PREPAREDNESS EFFORTS (E.G. SPECIFIC ORGANIZATIONS WITH WHOM THE COUNTY SHOULD COMPLETE MOU’S

17. New York Institute of Technology PROJECT UPDATE COMMUNITY SCORECARD DEVELOPED SELECTION OF COMMUNITY BASED ON DATA ANALYSIS & BUY IN PRESENTATION TO COMMUNITY POLITICAL LEADERS ENGAGE COMMUNITY SUPPORT TO FACILITATE LAC

18. New York Institute of Technology THANK YOU! CONTACT INFORMATION: mcarney@nshs.edu sneville@nyit.edu