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Home My WebLink About2018 PreventionJEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 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 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned 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 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 Re-write Strategic Plan in accordance with contract, Spring 2017 Revise CPC Strategic Plan and Budget as required. Number of Coalition meetings 4 12 12 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 Life Skills classes 2012 HYS data on web Completed 7 weeks Strengthenin g 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 Neighborhoo d 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 Coalition to develop a new Strategic Plan using the Community Survey, results from the 2016 HYS, and other relevant data. Direct Services: two sessions of Strengthening Families, one in fall 2016 and one in winter 2017; ongoing online Parenting Wisely; ongoing Nurse Family Partnership; Protecting You/Protecting Me for 5th grade Winter and Fall 2018 Community and Adult Social Norms Campaign to be conducted in school district catchment area by CPC members. Methods include speaking engagements, flyers, postcards, poster campaign, drug takebacks, National Drug Facts Week participation, Focus groups. JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [2] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned summer and throughout fall of 2016. Coalition Coordinator presented to Board of Education in early 2017. in winter 2017 and Project Toward No Drug Abuse for CHS students in fall 2016 and winter 2017. Environmental Strategy: complete review of district polices in the fall of 2016; and expand CHS Youth Social Norms Campaign into the larger Chimacum community in fall 2016 and winter 2017. Public Awareness: 3-5 public awareness presentations. 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 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 400* School Nursing Program Closed 0 JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [3] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned Human Growth and Development and HIV AIDS education Number of Human growth and development classes 216 202 227 73 112 Quilcene and Brinnon from January-April; Chimacum whole year 40 Chimacum only Numbers of students served in school health classes 1046 861 1064 537 620 Chimacum, Quilcene and Brinnon only 507 Student Health Care Plans Number of Student Health Care Plans for students with chronic health conditions written by or facilitated by JCPH School Nurse 140 132 153 75 70* School Nursing Program Closed 0 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 Monthly postcard mailed to tobacco vendors through June 2013 Updated tobacco cessation program brochure 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 activities and Community Health Improvement Plan Process Education to business based on complaints by Environmental Health Food Services staff. Education to business based on complaints Education to business based on complaints. In person visits # businesses reached JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [4] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned Provide education to stakeholder regarding benefits of including vaping in Smoking in Public Places # of presentations to stakeholders 0 0 0 0 2 4 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. Reviewed Brinnon and Chimacum Wellness policy for comprehensiveness and completeness, made recommendation to improve both. Continue to work with school district wellness Committees. Provide assessment and technical assistance to local work sites for wellness activities. Provide assessment and technical assistance to local work sites for wellness activities. Continue work with school districts on wellness policy updates. Work with community organizations to increase opportunities for physical activity Increase access to Healthy Foods Wellness Policy at school district level Port Townsend School District approved Wellness policy Chimacum School District active transportatio n Policy Reviewed Brinnon and Chimacum Wellness policy for comprehensiveness and completeness, made JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [5] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned recommendation to improve both. Continue to work with school district wellness Committees. 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. Screen all pregnant women in JCPH programs for tobacco use. Use motivational Interviewing to develop goals for tobacco cessation. Track progress on goals. Continue to Screen all pregnant women in JCPH programs for tobacco use. Use motivational Interviewing to develop goals for tobacco cessation. Track progress on goals. Healthy Community Activities Increase community environments that promote and reinforce healthful behaviors Work with Jefferson County Community development updating Comprehensive Development plan. Implement 5-2-1-0 campaign in multiple community sectors. Attend Comp plan meetings and provide Community Health related 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. Worked with DCD planners to assess Jefferson Co. Comprehensive plan for and provide recommendation for opportunities to increase physical activity and access to healthy foods. Increase worksite policies, programs and communication Follow DCD process to ensure appropriate recommendation for opportunities to increase physical activity and access to healthy foods are include in comp plan update. Increase worksite policies, programs and communication related to healthy eating and healthy living JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [6] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned related to healthy eating and healthy living Implement 5-2- 1-0 campaign in multiple community sectors Continue to implement 5-2-1- 0 campaign in multiple community sectors. New for 2017- 2018 Youth Marijuana Prevention and Education Program (YMPEP) Develop and implement coordinated tobacco, vapor product, and marijuana intervention strategies to prevent and reduce tobacco, vapor, and marijuana use by youth in Jefferson County. Planning: Participate in Regional Network, hold position on Planning Team to:  Establish mission of YMPEP Region  Develop logic model to guide effort  Create Regional strategic plan to include policies, programs and practices.  Choose PSE activities to address the risk and protective factors the Regional Network prioritized.  Present the plan to the communities it will serve throughout the region and gather support.  Create sustainability Plan. Education: Participate in education and skill enhancement (training 0 0 0 Begins July 1, 2017 JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [7] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned on cultural competency, programs sustainability, and other professional development needs identified during the needs assessment process). Implementation: Actively participate in implementing the PSE activities of the DOH approved strategic plan. Evaluation: Participate in state process evaluation. Calls/Meetings: Participate in conference call and webinars as scheduled; participate in strategic planning meeting hosted/facilitated by Kitsap Public Health Department (KPHD); attend and participate in Regional Network and Planning Team meetings; review correspondences related to YMPEP; respond to activity assessments/surveys administered by KPHD as appropriate per scope of work. Goal 5: Increase access to health care Provide information and assistance for Washington State Health Benefits Number of clients assisted with applications for health insurance 7 staff trained as In-Person Assistors, Sept. 2013 399 Assist with Apple Health applications all year long, Assist with Apple Health applications all year long, average of 3 a week 50 JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [8] Goals Objectives Performance Indicators 2013 Actual 2014 Actual 2015 Actual 2016 Actual 2017 Projected 2018 Planned Exchange health insurance applications New 2013 Assisted 109 Health Insurance Applicatio ns average of 3 a week 50 Summary of Key Funding / Services Issues 2018 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. 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 2016 Washington State Healthy Youth Survey were released in the spring of 2017 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 Spring 2017. 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 2018. 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 JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [9] - 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. This has continued in 2017, and will continue throughout 2018. August 2016 JCPH hired a new Coalition Coordinator who is training to earn Certified Prevention Professional credentials. In the Spring of 2017, CPC submitted a new Strategic Plan which is in the approval stages with DBHR. Goal 3: Enhance overall health and safety of Jefferson County school age children Chimacum School District agreed to continue contracting with JCPH for Human Growth and Development Classes for the 2017-2018 school year. JCPH continues to provide Health Screenings for Brinnon and Quilcene School Districts. Brinnon and Quilcene have School Nurse services directly from Olympic ESD. JCPH continued in 2016 and the first semester of 2017 to provide Human Growth and Development classes for all Chimacum, Quilcene and Brinnon School Districts. Contracts with the schools support the classes, which are philosophically in line with Family Planning Outreach activity. Goal 4: Improve overall Health of Jefferson County Residents Tobacco Prevention - 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. - Educate stakeholders on the benefits of including vaping in Smoking in Public Places ordinance - Encouraged Peninsula College- PT Campus to adopt policy that included no vaping in SIPP policy. JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [10] - 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 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. - Strengthen community promotion of physical activity through signage, worksite policies and social support. Healthy Community Grant - Increase access to healthy foods - Continue to promote the public benefits that increase access to healthy foods in farmers markets and local food retailers. - 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. - 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. - Explore establishing additional sites for blood pressure monitoring stations. 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. JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018 COMMUNITY HEALTH – POPULATION AND PREVENTION PROGRAM [11] 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 prevention funding was eliminated 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, and respond to complaints about smoking in public places ordinance. 2017 tobacco prevention funding will focus on providing education to stakeholders about benefits of including vaping in smoking in public places ordinance. 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. 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 2017, JCPH referred clients needing assistance with QHPs to KPHD via phone. KPHD arrange to meet clients in person if necessary at JCPH clinic space. JCPH Staff will assist its clients with Apple Health applications at the rate of about 1 per week. July 21, 2017 –