1. CHANGE: Using Data Strategically Jay Daniels, MPH Healthy Communities Consultant SC Dept of Health and Environmental Control 2011 Preventive Health and Health Services Block Grant Summit Presentation created by Shannon Griffin-Blake, Ph.D. Ann Ussery-Hall,MPH

2. CHAN GE CHANGE C ommunity H ealth A ssessment a N d G roup E valuation ( CHANGE ) Background – Policy, Systems and Environmental (PSE) changes CHANGE C ommunity H ealth A ssessment a N d G roup E valuation ( CHANGE )  Purpose  Overview  Methods CHANGE CHANGE Planning Tool  How to use data  Strategic dialogue

4. Important Health Consequences in Children

5. Why Policy, Systems, & Environmental (PSE) Change Strategies? Want to see community- level change More sustainable Make the healthy choice, the easy choice! Considered best practice by the CDC

6. “ It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. ” -Smedly and Syme (2000) Institute of Medicine Quote

7. What is PSE? The policies, systems, and environments around us, including our communities, worksites, transportation systems, schools, faith-based organizations, and health care settings shape the pattern of our lives and our health. Changing PSE helps make healthy choices easy, safe, and affordable can improve community health. Some examples of PSE that can impact diabetes include: attractive sidewalks, trails, bike lanes, farmers markets, school gardens, healthy vending options, tobacco-free worksites, etc. http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/poli cy/index.htm

8. Iodination of salt Fluoridation of water

9. CHANGE CHANGE Tool Purpose(s): 1)Capture current snapshot of the community 2)Group activity/consensus building

10. CHANGE: Overview Walks communities through assessment process Provides a snapshot of policy, systems and environmental change strategies (‘assets’ and ‘needs’) Frame and understand the current status of community health Allows communities to track progress across a 5-point scale so incremental changes can be noted

11. CHANGE: Overview Move the community towards implementing and sustaining policy and environmental changes Prioritize community needs and consider appropriate allocation of resources Used annually to assess current strategies, chart progress and offer new priorities

12. CHANGE: Key Benefits Allows local stakeholders to work together in a collaborative process to survey their community Offers suggestions and examples of policy and environmental change strategies Provides feedback for communities as they institute change to support healthy living

13. Emerging Vision CHANGE Tool Setting Priorities (Community Action Plan) >>>>>> Local Trends Existing Initiatives Community Assessment QUOTE: If you are going to climb, you’ve got to grab the branches, not the blossoms. -ANON >>>>>>

14. Who Completes CHANGE? Community Coalition Mayor/ City Council School Principal Health Insurer Hospital Admin. Public Health Director Media Director Parks & Rec. Dir. Foundation Executive Chamber of Commerce Corporate Executive Police Chief Coalitions with broad participation from community leaders:

15. CHANGE Tool 5 Sectors: 1.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. 2.School: Includes all primary and secondary learning institutions (e.g., elementary, middle and high schools, whether private, public, or parochial). 3.Worksite: Includes places of employment; such as private offices, restaurants, retail establishments, or government offices. 4.Healthcare: Includes places people go to receive preventive care or treatment, or emergency health care services; such as hospitals, private doctors’ offices, or community clinics. 5.Community Institution/Organization (CIO): Includes entities within the community that provide a broad range of human services and access to facilities, such as childcare settings, faith-based organizations, senior centers, boys and girls clubs, and colleges/universities.

16. CHANGE Tool Modules: Demographics, Physical Activity, Nutrition, Tobacco Use, Chronic Disease Management, Leadership, & After-School* *Note: School sector only

17. Other Potential Sources of Community Info Methods: Interviews, focus groups, town halls, informal dialogue, brainstorming sessions Hear community voices Build community ownership Identify key resources Build feedback loops

18. Other Potential Sources of Community Info Community Audit/Observation Windshield tour/survey Walkability audit Pedestrian safety Alternative routes Environmental checklist Health messages Ergonomics/safety Food security Resource: http://www.cdc.gov/DHDSP/library/seh_handbook/

19. Strengths/ResourcesAreas for Improvements

20. BeforeAfter

21. HCP Website: http://www.cdc.gov/HealthyCommunitiesProgram

22. Jay Daniels, MPH SCDHEC Healthy Communities Program danielje@dhec.sc.gov 803-545-4486 danielje@dhec.sc.gov