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HomeMy WebLinkAbout2016 PreventionJEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [1] PROGRAMS: Drug and Alcohol prevention, School Health, Healthy Community, Health Care Access and Clean Indoor Air Act MISSION: The purpose of the Population & Prevention Programs is to provide health education and public health interventions to county residents in order to promote a healthier community. Goals Objectives Performance Indicators 2012 Actual 2013 Actual 2014 Actual 2015 Actual 2016 Actual Goal 1: Improve identified social and health indicators for school age youth Convene Prevention Coalition to identify interventions to address drug and alcohol prevention in communities Strategic Plan Milestones- see CPC web page http://www.jeffersoncounty publichealth.org/index.php? c-p-c Port Townsend completed Started Chimacum Prevention Coalition (CPC) Sept. 2013 Completed CPC Strategic Plan Spring 2014 CPC Strategic Plan update Completed Spring 2015 Reviewed and revised CPC Strategic Plan completed Spring 2016 Number of Coalition meetings 6 4 12 12 12 Goal 2: Reduce favorable attitudes toward problem behaviors within the youth and adult communities Increase the perception of risk for youth and adults regarding alcohol, tobacco, marijuana and other drug use based on Health Youth Survey (HYS) Implement identified intervention strategies in the Strategic Plan Prevention Classes at Blue Heron Middle school Life Skills classes 2012 HYS data on web Completed 7 weeks Strengthening Families Parenting Program (SFP) Classes Oct- Nov. 2014 2 Public Awareness events SFP Spring and fall 2015 Complete 3 Public Awareness events Community Assessment of Neighborhood Stores spring 2015 7- week SFP classes in Spring of 2016 were canceled due to lack of registrants; Fall of 2016 were held Feb.- Mar. 2017 due to change in leadership; Public Awareness events (KLO 5/14/2016, Cultural Competency event; planned film event for early 2017). District policy 2121 was reviewed by the coalition and edited over the summer and JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [2] throughout fall of 2016. Coalition Coordinator presented to Board of Education in early 2017. Objectives Performance Indicators 2012 Actual 2013 Actual 2014 Actual 2015 Actual 2016 Actual Goal 3: Enhance overall health and safety of Jefferson County school age children School Health Screening Number of state mandated hearing and vision screenings facilitated by school nurse for students in grades K, 1, 2, 3, 5 and 7 987 initial screenings 305 rescreened 132 referred for further evaluations 1044 initially screened 284 rescreened 117 referred for further evaluation 920 initial screening 278 rescreened 102 referred for further evaluation 881 Initial * screenings 258 rescreened 92 students referred for further hearing (44) and vision (48) evaluations 531 Initial screenings 142 rescreened 68 referred for further hearing (15) and vision (53) evaluations Human Growth and Development and HIV AIDS education Number of Human growth and development classes 213.5 216 202 227 73 Numbers of students served in school health classes 1,092 1046 861 1064 537 Student Health Care Plans Number of Student Health Care Plans for students with chronic health conditions written by or facilitated by JCPH School Nurse 144 140 132 153 75 Goals Objectives Performance Indicators 2012 Actual 2013 Actual 2014 Actual 2015 Actual 2016 Actual Goal 4: Improve overall health of Jefferson County Residents Provide education regarding Clean Indoor Air Act enforcement with Environmental Health Food Services staff Smoking in Public Places awareness campaign: Newsletters 12 Monthly postcard mailed to tobacco vendors through June 2013 Updated tobacco cessation Issued tobacco control information to 21 retailers, Issued 40 “no smoking” signs to retailer upon request distributed at least 30 signs “no Smoking” signs to local businesses based on requests *See Narrative below Including Healthy Communities Grant Education to business based on complaints by Environmental Health Food Services staff. In person visits 5 # businesses reached 31 JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [3] program brochure activities and Community Health Improvement Plan Process New for 2014-2015 Updated work plan 2016 See plan for complete activities. Increase opportunity for Physical Activity Strengthen community promotion of physical activity through signage and work site policies Continue to work with school district wellness Committees Partnered with 5 work sites to perform assessment and recommendation report. Provided technical assistance to 3 worksites. Formed wellness committee for 2 worksites. Wrote Healthy eating, active living polices for adoption in 2 worksites, and provided tech assistance to implement. Increase access to Healthy Foods Wellness Policy at school district level Port Townsend School District approved Wellness policy Chimacum School District active transportation Policy Reduce % of women smoking during pregnancy % of women reporting smoking during pregnancy Smoking Cessation info the Health Care Providers Included decrease in smoking during PG as goal in CHIP. Included strategies to be implemented. Healthy Community Activities for 2016 Increase community environments that promote and reinforce healthful behaviors Work with Jefferson County Community development updating Comprehensive Development plan Attend Comp plan meetings and provide Community Health related JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [4] input. Reviewed sections of comp plan that address active transportation and access to healthy food. Met with planners and provided recommendations . Presented to Planning Commission on health in comp planning. Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual Goal 5: Increase access to health care Provide information and assistance for Washington State Health Benefits Exchange health insurance applications New 2013 Number of clients assisted with applications for health insurance 7 staff trained as In-Person Assistors, Sept. 2013 Assisted 109 Health Insurance Applications 399 Assist with Apple Health applications all year long, average of 3 a week Assist with Apple Health applications all year long, average of 3 a week Study/Analysis 2016 results: Jefferson County Public Health (JCPH) delivers programs that promote healthier communities and individuals. The above programs provide universal prevention services to youth, families and businesses in the community. Goal 1 and 2: Improve identified social and health indicators for school age youth and Reduce favorable attitudes toward problem behaviors within the youth and adult communities Nationally, preventing substance abuse and tobacco use have proven to be cost effective. The results of the 2014 Washington State Healthy Youth Survey were released in the spring of 2015 and are used to determine community needs and prioritize services based on funds available. Results were used as part of the Strategic Planning update for Chimacum Prevention Coalition May 2015 and Spring 2016. JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [5] The Drug and Alcohol Prevention Program continues to provide integrated prevention services that promote healthy behaviors, prevent harm and support youth and families in the community and in the schools. Washington State Division of Behavioral Health and Recovery (DBHR) funding/contracts “Statements of Work” require development and maintenance of a Prevention Coalition in the Chimacum School District. Funds support a Prevention Coalition Coordinator. In November 2013 DBHR received additional Federal funds through a Partnership for Success grant. Addition funds are used to increase the Coalition Coordinator position (split between two JCPH staff) and implement interventions identified in the Coalition’s Strategic plan. Partnership for Success funding continued through 2016. Spring of 2016 the Coalition updated the Strategic Plan from the previous year. Activities in 2016 were similar to 2015. Implementation Activities included: - Environmental Strategy – Review District Marijuana, Drug, Alcohol, Smoking and Vaping policies - 3 – 5 public presentations on topics related to youth alcohol and other drug use as a public awareness campaign - Direct service delivery of an evidence-based parenting education program, Strengthening Families Fall 2016 - Update Strategic Plan Spring 2017 with Healthy Youth Survey results from HYS administered Fall 2016 - Continued Coalition development 2016 update: January 2016 received DBHR Dedicated Marijuana Prevention funds for Youth Marijuana Evidence Based program. Started using funds for Nurse Family Partnership services in Chimacum School District. August 2016 hired new Coalition Coordinator. Goal 3: Enhance overall health and safety of Jefferson County school age children Spring 2015 JCPH Director negotiated School Nursing and Human Growth and Development contracts directly with Port Townsend School District and Chimacum School District for School Year Sept. 2015-June 2016. JCPH hired an addition Public Health Nurse to cover the contract and services. The school nurse provides: staff training so schools meet health and safety needs of students; creates school health care plans for children with chronic health conditions; provide consultation for communicable disease and immunizations; coordinates annual hearing and vision screening; provides information for healthy school environments; and provides individual student health education as needed. Olympic ESD School Nurse Corp contract ended June 2015, except for an Asthma grant for Port Townsend School District that started Fall 2015. June 2016 update: Port Townsend School District ended contracting with JCHP for School Nursing and Human Growth and Development classes. District is contracting with a School Nursing Services agency out of Kitsap County for 2016-2017 school year. JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [6] Chimacum School District agreed to continue contracting with JCPH for School Nursing and Human Growth and Development Classes for the 2016-2017 school year. JCPH continues to provide Health Screenings for Brinnon and Quilcene School Districts along with the Human Growth and Development classes through contracts directly with the school district. Brinnon and Quilcene have School Nurse services directly from Olympic ESD. JCPH continued in 2016 to provide Human Growth and Development classes for all Chimacum Quilcene and Brinnon School Districts. Contracts with the schools and some Federal Family Planning Title X funds support the classes and are part of the Family Planning Outreach activity. June 2017 update: JCPH ended School Nursing and Human Growth and Development Classes Contract with Chimacum, Quilcene and Brinnon School Districts. Goal 4: Improve overall Health of Jefferson County Residents Healthy Community Grant - Provided technical support for updates to tobacco polices to include language to address vaping for JCPH policy and recommended Jefferson County adopt this same policy. - Continued to assess and provided recommendations and technical assistance to local worksites to update updates to tobacco polices to include language to address vaping, - Encouraged Peninsula College- PT Campus to adopt policy that included no vaping in SIPP policy. - JCPH continues to promote to medical personnel and the general public the WA State Quitline and its benefits. JCPH promotes to county employees the tobacco cessation benefits of their health insurer. Healthy Community Grant - Increase opportunities for physical activity: - Partnered with 5 worksites to assess current policy and make evidence based recommendations for improved policy. JCPH adopted policy, Jefferson County policy adoption is pending. - Continued to work with Department of Community Development in include health language in 2018 update to comprehensive plan for Comp plan. Presented to Planning Commission on health in comprehensive plan. Healthy Community Grant - Increase access to healthy foods - In collaboration with the Community Health Improvement Planning process used 2014 Community Health Assessment data to identify Chronic Disease Prevention as a Jefferson Co. Health Priority. The Community Health Improvement Planning process is currently setting goals, objectives and strategies that include increasing the median fruits/vegetable intake of adults and children in Jefferson Co. JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [7] - Worked with community stakeholders to ensure that the Community Health Improvement Plan included goals to increase access to healthy foods and increase physical activity. Included specific evidence based strategies to ensure these goals are met - JCPH served as an active member on the Jefferson County Food Systems Council. Their mission statement is “Working together to create, expand, and strengthen a local food system that is accessible, healthy, sustainable and economically vibrant.” - JCPH partnered with Jefferson Co. Farmers Market (JCFM) to provide the “Gimme 5”program, a monetary incentive program for WIC participants, seniors and food stamp participants. “Gimme 5” offers tokens that double the buying power of WIC/ Senior Farmers Market Nutrition Program. JCPH partnered with JCFM to submit and received local grants to sustain this program. - Continued Partnership with Jefferson Healthcare to develop a point of purchase display encouraging water consumption and decrease use of sugary beverages. - Continued partnering with Jefferson Healthcare Cardiac department to develop a Self-monitoring Blood Pressure Cuff Lending Library. Community Health Improvement Planning process used 2014 Community Health Assessment data to identify Priority areas. Some of the Priority areas are similar to the Healthy Community Grant Statement of Work activities. JCPH staff is working with CHIP Workgroups. - Mental Health and Chemical Dependency work group has included goals, objectives and strategies that will address tobacco use in Jefferson county residents. - Chronic Disease Prevention workgroup is currently developing goals that include: o Increase the percent of the population who get the appropriate activity levels throughout Jefferson County to >75% by 2020. o Created an active living section of the JCPH website that includes list of local opportunities for physical activity, and one of the most comprehensive lists of Jefferson County walking trails for downloading by residents. o Worked with Local 20/20 TLab to promote the Port Townsend Walking Times map as walking signage. Partnered with Jefferson healthcare to get the map posted in all clinic rooms at Jefferson Primary Care. These maps will serve as an opportunity to bring up the subject of physical activity in a non-threatening manner, and promote walking State Tobacco funding was totally cut July 2013. JCPH continues to be responsible to enforce Washington State’s Clean Indoor Air Act. Environmental Health staff will follow up on any enforcement. Community Health staff will continue to provide education to help businesses comply with the state law. Limited Youth Tobacco Prevention funding provided an opportunity to increase signage at 4 local school districts to reflect update to smoking policy to also includes no vaping. Multiple sources were used to inform the public of new policy that includes no vaping on school campuses. Written material aimed to increase vendors understanding of importance of youth tobacco prevention and how to read identification was mailed to all 30 tobacco retailers. Community Assessments of neighborhood stores were performed by local youth and findings presented to retailers and local stakeholders. JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2016 COMMUNITY HEALTH - POPULATION AND PREVENTION PROGRAM [8] JCPH staff continue to assist clients enroll in Apple Health, free insurance for low income individuals and families. Funding and contracting to assist with enrolling in Qualified Health Plans ended March 2015. In 2016, JCPH began referring clients who need assistance with enrollment in Qualified Health Plans to Jefferson Healthcare (JHC) Financial counseling office, or to Olympic Area on Ageing State Health Insurance Benefits Advisors (SHIBA). Starting in the fall of 2016 SHIBA and JHC quit providing assistance with applications with Qualified Health plans. Kitsap Public Health District (KPHD) took over the Health Benefit Exchange contract to assist with QHP for Kitsap, Clallam, and Jefferson County. During open enrollment fall 2016, JCPH referred clients needing assistance with QHPs to KPHD via phone. KPHD would arrange to meet clients in person if necessary at JCPH clinic space. June 20, 2017 –