1. National Partner Breakouts 8:00 – 8:40  NACCHO – Oglethorpe  NACDD – Augusta  NRPA – Dahlonega  Y-USA – Marietta Coaches Meeting February 24, 2012

2. National Center for Chronic Disease Prevention and Health Promotion Division of Community Health

3. Welcome Back!!!!!!!!!!! Coaches Meeting February 24, 2012 National Center for Chronic Disease Prevention and Health Promotion Division of Community Health

4. Using CHANGE to Create Change Shannon Griffin-Blake (CDC) Karma Edwards (NACDD) Coaches Meeting February 24, 2012

5. Using CHANGE to Create Change Shannon Griffin-Blake, PhD Acting Director, Healthy Communities Program (HCP) Program Services and Evaluation Team Lead, HCP Division of Community Health February 24, 2012

7. Community Health Assessment aNd Group Evaluation (CHANGE) Background: Can assessment be a useful part of ACHIEVE process? How does local-level data assist you in your work? What is the value of assessing Policy, Systems, and Environmental strategies? How can CHANGE help inform your ACHIEVE efforts? CHANGE Action Guide: Step-by-step process Karma Edwards: NACDD Evaluator

8. CHART development & joint ownership Capture community snapshot (local-level data) Prioritize targeted action Population-based strategies Document success COMMITMENT ASSESSMENT PLANNING IMPLEMENTATION EVALUATE ACHIEVE PROCESS

9. ACHIEVE Program Why are we here? ACHIEVE’ing Multi-level Impact: Creating healthy environments Developing community support Influencing social norms Facilitating healthy behaviors Implementing high impact strategies

10. Why Population-Based Strategies? Build on lessons learned Want to see community- level change More sustainable Make the healthy choice, the easy choice!

11. Data can guide strategic dialogue on priorities…

12. Emerging Vision CHANGE Action Guide Setting Priorities (Community Action Plan) >>>>>> Local Trends Existing Initiatives Community Assessment >>>>>>

13. ACHIEVE Process: Assessment What is a community assessment ? An examination of a community’s current assets, needs, resources, strengths, and challenges. Document community resources, infrastructures, relationships, and operations Identify potential areas for targeted action Build CHART consensus Strengthen team cohesion

14. Why are community assessments important? Consider existing community strengths that can be mobilized Identify gaps or areas for improvement Provide community ‘voice’ or insight into community context Assist in making decisions about where to focus resources and interventions in order to maximally benefit the community Guide where CHART starts: Develop a common understanding and determine what factors are needed in order to track or monitor change ACHIEVE Process: Assessment

15. How to complete a community assessment? Use as CHART activity Operationalize CHART principles Create information sharing across team members Solidify decision making Create community engagement and ownership ACHIEVE Process: Assessment

16. CHANGE Tool Purposes: 1)Capture current snapshot of the community 2)Group activity/consensus building CHA C ommunity H ealth A ssessment NGE CHANGE a N d G roup E valuation ( CHANGE )

17. “A community assessment process is not just a matter of surveying what people need, but it is a community organizing strategy. By rigorously and creatively assessing community needs, the process gives real ‘voice’ to individuals in the community…voices that can significantly influence program design.” Source: Chang, H. Drawing Strength from Diversity: Effective Services for Children, Youth, and Families. Los Angeles: California Tomorrow; 1994. Why use CHANGE ?

18. ACHIEVE’ing Success Action Plan Implement Evaluate REASSESSMENT

19. CHANGE: Overview Frame and understand the current status of community health Provides a snapshot of policy, systems, and environmental strategie s (‘assets’ and ‘needs’) Move the community towards sustainable change Allows communities to track progress across a 5-point scale so incremental changes can be noted Prioritize community needs and consider appropriate allocation of resources Used annually to assess current strategies, chart progress and offer new priorities

20. CHANGE: Gathering Local-Level Data Provide direct input to decisionmakers about community needs Establish baseline or starting point for ACHIEVE efforts Can use annually for multiple observations to monitor and track progress Inform prioritization for Community Action Plan (CAP) development

21. CHANGE: Benefits What have we learned… ‘helped coalition members get involved early’ ‘helped explained policy’ ‘changed how people think about policy’ ‘surprised by results’ ‘did not realize how important data can be for us’ ‘uncovered other assessments in my community we could tap into’

22. CHANGE Action Guide Topics covered: 1.Data Collection (pages 13- 18) 2.Organizing and Using CHANGE Data (pages 32- 38) 3.Developing and Revising Your CAP (pages 39-40) 4.Evaluation and Reassessment (pages 43- 44) 5.CD-ROM: Resource List, Blank Worksheets, CHANGE Sector Excel Files Website: http://www.cdc.gov/HealthyCommunitiesProgramhttp://www.cdc.gov/HealthyCommunitiesProgram

23. CHANGE Action Guide CHANGE Action Guide proposes 8 step process

24. Step 1: Assemble Community Team CHARTs with broad participation from community leaders:

25. Step 2: Develop Team Strategy Deciding on how best to complete CHANGE sectors or sites: 1.Whole team 2.Splinter into smaller groups (2 or more members)

26. Step 3: Review 5 CHANGE Sectors

27. CHANGE CHANGE Tool 5 Sectors -- Community-At-Large: Includes community-wide efforts that impact the social and built environments, such as food access, walkability or bikeability, smoking bans, and personal safety. Places for assessment: Grocery store, restaurant, media, city/county government, community garden, neighborhood, park, downtown center, retail establishment/outlet, health department, police/sheriff department

28. CHANGE CHANGE Tool 5 Sectors -- Community Institution/Organization (CIO): Includes entities within the community that provide a broad range of human services and access to facilities Sites for assessment: Child care facility, faith-based institution (e.g., church, synagogue, mosque), YMCA, senior center, health and wellness organization, and college or university

29. CHANGE CHANGE Tool 5 Sectors -- Health Care: Includes places people go to receive preventive care or treatment, or emergency health care services Sites for assessment: Hospital, health department, private practitioner’s office, health maintenance organization (HMO), home health agency, or community clinic

30. CHANGE CHANGE Tool 5 Sectors -- School: Includes all primary and secondary learning institutions Sites for assessment: Elementary, middle and high school (whether private, public, charter, or parochial)

31. CHANGE CHANGE Tool 5 Sectors -- Work Site: Includes places of employment Sites for assessment: Private office, school, textile factory, restaurant, retail establishment/outlet, bank, health department, post office, or manufacturing company

32. Step 4: Gather Data Determine what information you need to collect to better understand your community…and complete CHANGE. Example Methods: Survey data Community dialogue Photovoice Community audit and observation

33. CHANGE Action Guide CHANGE Action Guide proposes 8 step process CHANGE Webinar: March 13, 2012

34. Step 5: Review Gathered Data Consistent use of CHANGE scale Determine item responses (for policy & environment) Document, document, document: Collect and maintain photos, checklists, and surveys in comprehensive data file

35. Step 6: Data Entry CHANGE Sector Excel Files Quantitative data: Item response selection (using scale) Qualitative data: Comment boxes for documentation on each item (for policy & environment)

37. CHANGE Action Guide CHANGE Action Guide proposes 8 step process ACHIEVE Action Institute: April, 2012

38. ACHIEVE Timeline Before Action Institute: CHART development and CHANGE CHANGE conducted: 03/01/12 thru 05/31/12 CHANGE webinar: 03/13/12 CHANGE Completion: Community-At-Large Sector and minimum of 1 additional sector Minimum of 3 sites per additional sector CHANGE Workshop at ACHIEVE AI: 04/23-26/12

39. CHANGE Point-of-Contact

40. National Partner Role Technical Assistance Lead: Point-of-Contact for CHANGE communication – Assessment process – CHANGE requirements – Facilitate any questions from coaches (involve CDC if necessary) – Collect CHANGE Summary Sheets – Conduct Review of Summary Sheets – CHANGE follow-up

41. CHANGE Technical Assistance National Partner:Type of Guidance Provided: CDC CHANGE Webinar: March 13 th at 2:00 p.m. EST CHANGE Tool Action Guide CHANGE Workshop at ACHIEVE AI Group calls with NPs & Coaches as requested NACCHO Group/1-on-1 calls as needed/requested In-depth review of CHANGE Summary Sheets NACDD CHANGE Webinar Group/1-on-1 calls as needed/requested Community Site Visits In-depth review of CHANGE Summary Sheets NRPA Group/1-on-1 calls as needed/requested In-depth review of CHANGE Summary Sheets Y-USA Group/1-on-1 calls as needed/requested In-person CHANGE TA Site Visit if needed In-depth review of CHANGE Summary Sheets

42. Reasons why we do this work!!

43. Break – LET’S Move (20 minutes) (20 minutes) Coaches Meeting February 24, 2012

44. Getting Started Sandra Silva (NACCHO) Erika Lehmann (NRPA) Karma Edwards (NACDD) Coaches Meeting February 24, 2012

46. Success Stories from the Field Rachael Banks (NACDD Coach, Multnomah, OR) Paula McDevitt (Y-USA Coach, Bloomington, IN) Regina Stout (NACDD Coach, Ashland, KY) Coaches Meeting February 24, 2012

47. Critical Next Steps: Mapping Out the Next 3 Months Chris Paterson (CI) Coaches Meeting February 24, 2012

48. Next Steps & Closing Reflections Coaches Meeting February 24, 2012

49. Launch Party

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54. I think we're going to the moon because it's in the nature of the human being to face challenges. It's by the nature of his deep inner soul... we're required to do these things just as salmon swim upstream. -Neil Armstrong

55. Safe Tfavels!! Safe Travels!

56. National Center for Chronic Disease Prevention and Health Promotion Division of Community Health