1. Grant County Health District A Collaborative Approach to Assessing Community Health Needs and Improving Population Health Coalition for Children and Families of NCW

2. Key Initiatives at Community Choice Concluding WIREC & Beacon Health Benefit Exchange IPA Contract SHIBA – Medicare Benefits HCA-Health Home Contract…care coordination Chronic Disease Self-Mgt. courses Community Health Needs Assessments Facilitating ongoing regional collaboration and innovations 2

3. Overview…Agenda (see “CHNA Work” at CC website) 3

4. CHNA Outline 4

5. 5 Major Components Complete the factual CHNA- data gathering, prioritization, interpretation of data Implementation Strategy Development and Implementation-leveraging assets around priorities, community partnerships Tracking Community Benefit- Track, quantify and report Adopt, submit to IRS and publicize widely Final: Exec. Summary/Report What’s a Community Health Needs Assessment Enacted by HB 2341 and added to RCW 70.41 CHNA Ongoing Activities Tracking and reporting on changes in each indicator Tracking of investments in $s and T&E in community health An effective framework of partnerships and collaboration with entities that working with each respective indicator(s) Reports to constituent boards, governing bodies and current public website

6. What the data shows Access - # of uninsured and access to P-care, dental care Mental Health – Depression, suicides, overuse of ED and judicial system Obesity/Nutrition-diabetes, stroke, cardiovascular diseases Pre-conceptual & Perinatal care -Teen pregnancy, low b- weight, infant mortality Other Community assets, resources IPAN-get people H-coverage System navigation Local focus on ACEs Coalition partners – Parenting education in C/D – Less tabacco use in C/D (ex: Okan) Farmers mkts, better nutrition in schools Children’s village Collaborative problem solving Other 6 Areas of Concern/Disparities

7. Review Support Data on Focus Areas Observations about data limitations? Gaps in this data? Other sources of data we should consider? Tribal health population questions/concerns? Other disparities? Qualitative data gathering (focus groups)? Complete data report on website: www.communitychoice.us under CHNA Work www.communitychoice.us Email me observations in next two weeks 7

8. Initial Comparison/Alignment of Health Topics/Current Initiatives Current Local/Regional Initiatives Diabetes Collaborative Hypertension Cardiac Conditions Stroke Collaborative Opioid abuse effort Other? CHNA Focus Areas Access Mental Health Substance Abuse Obesity/Nutrition Perinatal Health Other? 8 Areas of Disparities Between Populations: Teen pregnancies; cancer mortality, poverty (below 100% of FPL); educational attainment; accident mortality; county disparities (Okanogan Co); smoking mothers.

9. CHNA Coalition Building in Chelan, Douglas, Grant and Okanogan Counties 9

10. Review Alignment of SIM and CHNA Implementation Plan Dev. Need to address population health issues collaboratively/partnerships Need for targeting of resources Multi-levels of Coordination of care and efforts Current silos: An obstacle to problem solve What’s the best collaborative framework? What organizational structure is needed? Other? 10

11. 11 Community Health Needs Assessment Steering Committee Barry Kling, Chelan/Douglas Public Health District Brad Hankins, Lake Chelan Community Hospital Cathy Meuret, Central Washington Hospital Cindy Vidano, Central Washington Hospital Carol Diede, Columbia Valley Community Health Kay Sparks, Community Member Renee Hunter, Together for Drug Free Youth/Coalition Alan Walker, United Way Anita Tuason, Family Planning RSN Rep. CWH Internal Assessment Team Cindy Vidano, Cathy Meuret, Marcy Vixie, Stephanie Grubich, Wayne Hawks, Cathy Thomas, Tracy Kasnic, Others? Broader Input Groups – Stakeholder sounding board and future partners/collaborators, District Parent Advisory Committees/PTAs

12. Questions/Input Welcomed: CHNA Lead Organization: Community Choice Contact: Jesus Hernandez Jesush@communitychoice.us Office: 509-782-5030 Direct: 509-293-7773 www.communitychoice.us Jesush@communitychoice.us www.communitychoice.us 12