1. Vice President of Innovation and Strategic Learning
Karen R. Brown, M.P.A.
Vice President of Innovation and Strategic Learning

2. FCCF and DataHaven Why did we fund DataHaven?
Statewide reach and standardized indicators
County-level and town-specific data
Gaps in data
Bullet 1 : uniquely enable regional comparisons
Bullet 2: Need for… Make point that data for the county hides significant disparities in our county.
Bullet 3: – CT Voices for Children Youth Opportunity Index; better tools for sharing data across public and private systems
17 for Thrive
16 for Economically Secure
FWG only funds in spring so these will either be reassigned or declined.

3. FCCF and Fairfield County Health Systems
Institutions have regional reach
Health care connection to opportunity gap
Groundwork for future collaboration and co-investment

4. How will FCCF use the Community Wellbeing Index 2016?
Donor Education
Public Education
FCCF Strategic Plan Update
RBA Baseline Indicator Data
Inform regional & state-wide work
Bullet 3: – presentations at public libraries and 4 legislative forums in FY 17

5. 25 Years of Data for Community Action
Mark Abraham
Executive Director, DataHaven
Fellow, W.K. Kellogg Foundation
Tel:
2015 DataHaven Community Wellbeing Survey and 2016 Community Wellbeing Index
“Measurement as a Unifier”

6. A Focus on Neighborhoods
DataHaven is a non-profit organization with a 25-year history of public service to Greater New Haven and Connecticut, and a formal affiliate of the National Neighborhood Indicators Partnership of the Urban Institute (Washington, DC).
Our mission is to collect, share, and interpret public data to support local communities, through:
Comprehensive community indicator programs, including local-level surveys and other data collection
Published reports and analysis
Technical assistance, training, support for using data
Visit our website:

7. Recent Work

14. Measurement as a Unifier: Survey Funders

15. Measurement as a Unifier: Survey Topics Included
Cross-sector information on neighborhood quality, happiness, housing, transportation, health, economic security, etc., encourages collaboration across diverse stakeholders

16. Survey Method Survey Method
Survey designed by DataHaven and panel of national, state, and local experts
Siena College Research Institute conducted interviews with adults throughout Connecticut
Randomly-selected landline and cell phone numbers (any area code)
English and Spanish
ZIP codes targeted to supplement sample of hard-to-reach populations
Data must be statistically weighted to be representative of adults within any identified town or sub-region
Survey participants are all adults (age 18 and over), so important to note respondents differ from demographics of the total population which includes children
Results compare to other surveys (various methods)

17. Survey Method Connecticut: 16,219 interviews completed
Interviews (approximate total completed by town)*
Bridgeport, New Haven, Hartford, Stamford: 750-1,000 each
Waterbury, Norwalk: 600 each
New Britain, Danbury, Greenwich: each
Many other large and mid-sized towns throughout CT (Manchester, West Hartford, Bristol, Middletown, Meriden, Stratford, Fairfield, Trumbull, Shelton, Naugatuck, Milford, West Haven, Hamden, New Milford, Southington, New London, Groton, Norwich, Darien, Berlin, others): each
All 169 Connecticut towns included in sample

18. Age Adjustments
Sources: 2015 DataHaven Community Wellbeing Survey; (This slide is preliminary, please do not cite)

19. Percent who feel their area is a good place to raise children
By Income
Sources: 2015 DataHaven Community Wellbeing Survey; ZIP code distress levels based on 2016 Distressed Communities Index (This slide is preliminary, please do not cite)

20. Percent who feel their area is a good place to raise children
By Income
By Income and ZIP code
Sources: 2015 DataHaven Community Wellbeing Survey; ZIP code distress levels based on 2016 Distressed Communities Index (This slide is preliminary, please do not cite)

21. Not Food Insecure Food Insecure
Community Wellbeing by Household Income Level and Food Security Status
Not Food Insecure
Food Insecure
Sources: 2015 DataHaven Community Wellbeing Survey

22. Employed vs. Unemployed Workers
Community Wellbeing
Employed vs. Unemployed Workers
Data shown on this slide from 2015 DCWS are preliminary for illustration only – please do not cite
Sources: 2015 DataHaven Community Wellbeing Survey

23. Community Wellbeing by Household Income Level
Access to Information and Technology

24. Commute Time and Income versus Happiness
Data shown on this slide from 2015 DCWS are preliminary for illustration only – please do not cite

25. Within New Haven… Lacking health insurance (9% of PZ adults)*
Adults living in the “Promise Zone” (PZ), compared to those in other city neighborhoods, are about 2-4X more likely to be:
Lacking health insurance (9% of PZ adults)*
Unemployed (22%) or underemployed (29%)
Current smokers (35%)
Food insecure (33%)
Transportation insecure (31%)
Working but need more job training (42%)
Financially stressed (48%)
Not trusting neighbors (48%)
Not having a bank account (28%)
Attacked or threatened in past year (15%)
*Rough estimates -
Data shown on this slide from 2015 DCWS are preliminary for illustration only – please do not cite

26. Community Strengths CT Wealthy GNH NH PZ 66% 68% 54% 80% 89% 72% 59%CT
Wealthy
GNH NH PZ
Sometimes/ Often use arts & cultural resources
66%
78%
71%
68%
Live walking distance from stores and markets
54%
46%
63%
80%
89%
Neighborhood has parks
77%
75%
72%
Safe Sidewalks
59%
49%
84%
83%
Safe Bikeways
58%
74%
Source: Chris Randall, ilovenewhaven.org

27. Preliminary Results (Greater Stamford Area)
Sources: DataHaven Community Wellbeing Survey (2015); 2007 CT Health Data Scan and other sources. Historical data may be directly compared to 2015 data. Obese is defined as BMI > 30.

28. Preliminary Results (Greater Stamford Area)
Sources: DataHaven Community Wellbeing Survey (2015); 2007 CT Health Data Scan and other sources. Historical data may be directly compared to 2015 data.

29. Example of Survey Crosstabs on DataHaven Website

30. Dissemination Approach
Presentations and conferences in CT and nationally
DataHaven operates a modest technical assistance program that serves non-profits and community groups each year

31. DataHaven Website and Community Profiles

32. Dissemination Approach
Courant.com/wellbeing
DataHaven and 50+ partners, including all regional hospitals, have published and shared extensive multi-sector community indicator reports this year covering all of Fairfield County, and Greater New Haven, and Naugatuck Valley in 2016
In other areas, many foundations, nonprofits, and hospitals actively using results and releasing public reports
Some non-profits and agencies have been developing their own surveys and focus groups that assess smaller-size populations by borrowing a “common language” of questions from the DataHaven survey
Involvement of media (CT Mirror, Courant, national outlets) and academic institutions (UConn, Trinity, Yale, CCSU)

33. Community Health Needs Assessment

34. Community Health Needs Assessment (CHNA)
Legislation (Patient Protection and Affordable Care Act) mandates new IRS requirements:
Define the community the hospital facility serves
Assess the health needs of that community every three years
The process must include input from the community and experts
There must be a strategy adopted to address identified needs
Document the report and share with the public
Adopt an implementation strategy identified in the assessment

35. Why is this important to Hospitals/Network
Hospitals, as a tax exempt organizations must demonstrate “community benefit”
Historically, community benefit included charity care, uncompensated and subsidized health services, and activities such as research and education
Congressional, state and local scrutiny over whether nonprofit hospitals provided sufficient community benefit to justify their tax exempt status
Hospitals that fail to comply are subject a $50,000 excise tax penalty
The final IRS rule consolidating these actions was issued December 31, 2014.

36. Additional CHNA Requirements
Must address not only financial and other barriers to care, but also the need to prevent illness, and ensure adequate nutrition
Must address social, behavioral, and environmental factors that influence the community’s health or emergency preparedness.
Must include an evaluation of the impact of the actions taken to address significant health needs identified in the previous CHNA.

37. Assess Factors that Influence Health
Health is Influenced by More than Healthcare
Source: Schroeder, M.D., Steven A. We Can Do Better –
Improving the Health of the American People. NEJM.
2007 Sept 20; 357; 12:

38. Trends in Community Health Needs
Drivers of Health Needs:
Structural & Social Factors
Conditions of Health Needs:
Diseases & Health Concerns
HRET reviewed 300 CHNAs to identify key trends in community health needs and partnerships.
For the review, community health needs are conceptually divided into drivers and conditions. Drivers are considered the structural and social factors that correlate with health status. Conditions refer to the diseases and health concerns experienced by community members.
Source: HRET 2014

39. Steps in CHNA/CHIP Process

40. Fairfield County Hospital Collaboration
Hospital/Health Department Collaboration at a County level
Engaged Data Haven
Bi-weekly conference calls with participating hospitals: Greenwich, Bridgeport, St. Vincent’s, Stamford, Norwalk and Danbury
Held initial meeting with Health Departments on 2/17/16 and follow-up meeting 5/25/16
As a group – purchased data set from Connecticut Hospital Association (CHA)
Contributed to “shared” chapters in Fairfield County Well-being Index, as part of the CHNA, with hospital service area specific chapter for each hospital partner

41. Identified Towns & Health Dept. Partners
Each hospital identified service areas so all towns were covered, and duplication was avoided
Data was analyzed at town and service area level, and was not hospital-specific

42. Hospital Service Areas & Health Depts.
FFld County Service Area Towns for CHNA*
Health Departments/Districts
Stamford Hospital
Stamford
Darien
Stamford Health Department
Town of Darien
Norwalk Hospital
Norwalk
Westport
Weston
Wilton
New Canaan
Norwalk Health Department
Westport/Weston Health District
Town of New Canaan
Wilton Health Department
Danbury / New Milford Hospital
Danbury
Bethel
Brookfield
New Fairfield
Newtown
Redding
Ridgefield
Sherman
Southbury (New Haven)**
Roxbury (Litchfield)
Washington (Litchfield)
Woodbury (Litchfield)**
Bridgewater (Litchfield)
New Milford (Litchfield)
Bethel Health Department
Brookfield Health Department
Danbury Health and Housing Department
New Fairfield Health Department
New Milford Health Department
Newtown Health District
Town of Redding
Town of Ridgefield
Pomperaug Health District
Town of Sherman
Greenwich Hospital
Greenwich
Armonk (NY)
Bedford (NY)
Harrison (NY)
Larchmont (NY)
Mamaroneck (NY)
Port Chester (NY)
Pound Ridge (NY)
Rye (NY)
Greenwich Health Department
NY Health Departments
Bridgeport / St. Vincent’s Hospital
Bridgeport
Monroe
Trumbull
Fairfield
Stratford
Easton
Bridgeport Health Department
Town of Easton
Fairfield Health Department
Town of Monroe
Stratford Health Department
Trumbull Health Department
**Southbury, Woodbury, and Oxford are included in the Pomperaug Health District
*Note: Shelton will be included in the Griffin Hospital CHNA

43. “Duplication” of CHNA’s Across State

44. 2016 CHNA Process & Results 2016 CHNA’s & CHIPs
Community Engagement Activities
2013 CHNA & CHIP Findings
Data Collection and Analysis
Community Health Committee Norwalk Hospital
DataHaven Community Well-being Survey
Community Action Steering Committee – DH/NMH
Demographics
(Age, race/ethnicity)
Community Partners Meetings
Hospital Utilization
Key Informant Survey
Morbidity & Mortality
Hospital/Health Department Collaborative Meetings
State and National Rankings and Reports
HV Health Directors Meeting
NAACP Meeting
Social Determinants of Health & Health Behaviors
Identification & Prioritization of Needs
2016
Must address not only financial and other barriers to care, but also the need to prevent illness, and ensure adequate nutrition
Must address social, behavioral, and environmental factors that influence the community’s health or emergency preparedness.
Must include an evaluation of the impact of the actions taken to address significant health needs identified in the previous CHNA.
2016 CHNA’s & CHIPs

45. Cross Sector Involvement: Why we Our Hospitals & other Partners
Connecticut Public Health Association
November 10, 2016
Andrea Boissevain
Stratford Health Department

46. Motivation for Cross Sector Involvement in Greater Bridgeport
Community Health Needs Assessments
Health Care Reform Law, 2010
Non-profit Hospitals
Three Year Cycle
Internal Revenue Service
Public Health Accreditation Board
Local and State Health Departments
Five Year Cycle
Voluntary
Two main elements:
Assessment
Implementation Strategy
CHA and CADH joined forces and wrote a guidance document on how to pull a coalition/collaborative together. Foundational to PHAB accreditation are the 10 Essential Services. We cannot achieve all 10 without partners. Many of us in the NE do not provide clinical services—but we can connect people to those services such as the local FQHC.

47. Building a Culture of Health
Flourishes across geographic, demographic and social sectors
Valued by our entire society
Individuals and families have the means and the opportunity to make choices
No one is excluded
Health care is efficient and equitable
Guides public and private decision-making
We are all in this together (business, government, individuals, organizations)
Source: Robert Wood Johnson Foundation

48. (CHIP Steering Committee)
Primary Care
Action Group
(CHIP Steering Committee)
A community coalition that has worked to improve health for 12 years
Established a free pharmacy (Hope Dispensary)
Cardiac & Diabetes
Get Healthy Connecticut (Obesity)
Mental Health/Substance Abuse
Access to Care
Cardiac and Diabetes Provider Directory
Know Your Numbers Cardiac and Diabetes screenings
FY 15, screened 350 people at food pantries, influencing food offered
Website created to be clearinghouse of information
Healthy Eating and Physical Activity Pledges
Monthly Health Features
Local Resource Directories
Workplace Wellness Ideas for employers
Daycare centers’ health survey and best practices
High ED Utilizer Mental Health Patient Community Care Team (meets weekly)
May Mental Health Awareness Month
November Depression Screening Month
Increased # of primary care and specialty clinic visits, reduced wait time to appt.
Developed a PCMH brochure to educate patients about need for a PCMH – all clinics and EDs using it
Advocating for use of Community Health Workers
Participating in Statewide Asthma Reduction Initiative

49. Community Health Improvement Plan Partners
PROVIDERS Bridgeport Hospital/YNHHS St. Vincent’s Medical Center Optimus Healthcare Southwest Community Health Center Americares Free Clinic of Bridgeport, LLC Greater Bridgeport Medical Association Northeast Medical Group Pediatric Healthcare Associates Visiting Nurse Services of CT HEALTH DEPARTMENTS City of Bridgeport Department of Health and Social Services Fairfield Health Department Monroe Health Department Trumbull Health Department Stratford Health Department Easton Health Department
FAITH BASED
Greater Bridgeport Council of Churches
Catholic Charities
SCHOOLS
Bridgeport Public School System
Bridgeport Hospital School of Nursing
Fairfield University School of Nursing
Sacred Heart University School of Nursing
St. Vincent’s College Nursing Program
Southern CT State University
Housatonic Community College
University of Bridgeport
GOVERNMENT
City of Bridgeport/City Council
Town of Stratford/City Council
Town of Fairfield
Town of Trumbull
Town of Monroe
Local and national legislators

50. Community Health Improvement Plan Partners (Continued)
ADVOCACY GROUPS
American Diabetes Association
American Heart & Stroke Association
Bridgeport Alliance for Young Children Bridgeport Child Advocacy Coalition
Bridgeport Food Policy Council
Southwestern Area Health Education Center
DataHaven
Hispanic Health Council
STATE AGENCIES
Connecticut Department of Mental Health and Addiction Services/Greater Bridgeport Mental Health Services
CT Department of Public Health
CT Department of Social Services
Southwest CT Mental Health Board
BUSINESSES
Bridgeport Regional Business Council
HOUSING
Supportive Housing Works
SOCIAL SERVICE AGENCIES
Bridgeport Rescue Mission
Council of Churches Food Pantries
United Way of Coastal Fairfield County
Wholesome Wave
Central CT Coast YMCA
YMCA Kolbe Daycare Center
Cooking Matters
Green Village Initiative
MENTAL HEALTH PROVIDERS
Recovery Network of Programs
The Connection
Continuum of Care
Liberation Programs
PAYERS
Community Health Network
Access Health CT
Value Options

51. Shopped the data around to various organizations
EVIDENCE
ACTION
Shopped the data around to various organizations
Stratford’s School Readiness and Child Care Advisory Committee was alarmed at the childhood obesity data
Connected with Health Department to team up to address healthy eating and physical activity in the early learning environment
led to collaboration
found a connecting point
communicate & share with multiple stakeholders