2018 community health improvement plan

We Protect Lives.

Published: July 23, 2018

District 4 Public Health FY 2019

Community Health Improvement Plan (CHIP)

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2018 COMMUNITY HEALTH IMPROVEMENT PLAN | District 4 Public Health

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Record of Adoption and Changes

CHIP Adoption Date: 7/23/2018

Date of Revision / Alteration

Initials of Staff Responsible Description of Changes

9/19/19 SH Changes addressed in the CHIP Annual Report which range from page 10-18 of this document.

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Table of Contents SIGNATURE PAGE ................................................................................................................................................................................. 2

RECORD OF ADOPTION AND CHANGES ........................................................................................................................................ 3

INTRODUCTION ..................................................................................................................................................................................... 5

WHAT IS A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)? ........................................................................................................ 5 HOW WILL THIS PLAN BE USED? ................................................................................................................................................................ 5 HOW WAS THIS PLAN DEVELOPED? ........................................................................................................................................................... 5

A Chronological Overview of the CHIP Prioritization Process ......................................................................................... 5 INITIAL TOP PRIORITIES ................................................................................................................................................................................ 6 ORIGINAL TOP 5 LIST: .................................................................................................................................................................................... 7 WHAT ARE THE TOP 3 HEALTH PRIORITIES FOR DISTRICT 4? ............................................................................................................... 7 SWOT ANALYSIS FOR EACH COUNTY .......................................................................................................................................................... 9 STRATEGIC QUESTIONS IDENTIFIED BY STEERING TEAM FOR DISTRICT 4 PRIORITIES ..................................................................... 9

Poverty ...................................................................................................................................................................................................... 9 Obesity and Related Diseases ......................................................................................................................................................... 9 Access to Healthcare and Preventative Services .................................................................................................................... 9

ACTION PLAN DEVELOPMENT ..................................................................................................................................................... 10

Priority #1: Poverty ........................................................................................................................................................................... 10 Priority #2: Obesity ........................................................................................................................................................................... 12 Priority #3: Access to Healthcare and Preventative Services ......................................................................................... 15

ALIGNMENT WITH NATIONAL GOALS ....................................................................................................................................... 19

APPENDICES ........................................................................................................................................................................................ 20

APPENDIX A: CHIP COMMUNITY COALITION MEMBERS ....................................................................................................................... 21 APPENDIX B: CHIP STEERING TEAM ........................................................................................................................................................ 29 APPENDIX C: CHIP MEETING MATERIALS ............................................................................................................................................... 31 APPENDIX D: ASSET LISTS, DATA SHEETS, HEALTHY COMMUNITY FEEDBACK ................................................................................ 32

Asset Lists: ............................................................................................................................................................................................. 32 Data Sheets: ........................................................................................................................................................................................... 32 Healthy Community Feedback: .................................................................................................................................................... 32

APPENDIX E: COUNTY-LEVEL SWOT ANALYSES .................................................................................................................................... 33

REFERENCES ....................................................................................................................................................................................... 47

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Introduction

What is a Community Health Improvement Plan (CHIP)? A community health improvement plan is a long-term, systematic effort developed to address the community’s most important public health problems. The plan is based on the results of the community health assessment (CHA). Community partners interested in working toward improving the health of the residents of District 4, use the plan to identify local health issues, set priorities, and coordinate resources. The efforts of these partners are working toward the long-term goal of having healthy communities with equitable access to care.

How Will This Plan be Used? The plan guides community partners, healthcare systems, public health departments, social service agencies, and other community partners within District 4 on our collaborative efforts. We will track our progress toward completing each of the goals and improving each of the top three concerns identified in the CHIP through the use of the VMSG Dashboard (See Appendix F for more detailed description), which is capable of tracking and managing all of our planning documents. Once the subcommittees are formed, and leadership is established, we will give the subcommittee leaders access to the dashboard so that they can enter and track their individual subcommittee progress. We, as a district, will then report progress on all CHIP goals back to the community via the District 4 website (www.district4health.org) on an annual basis, beginning on July 1, 2019. While this is a long-term plan, it is also a living document that will be updated and improved upon as needed throughout this process.

How Was This Plan Developed? Once the District-wide CHA was adopted on April 16th, 2018 we began forming a CHIP Community Coalition. We followed the outline suggested by Kansas Health Institute (See References for link).

A Chronological Overview of the CHIP Prioritization Process April 20, 2018: CHIP Community Coalition Meeting #1

Along with the ACT (Alliance for Community Transformation) Coalition, we held a joint meeting at the Newnan Centre from 10AM – 2PM. There were 69 attendees at this meeting. During the meeting, we provided an overview of PHAB Accreditation (what it is, why it is important, and where we are in the application process), the CHA data, Healthy People

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2020 priorities, CDC 6/18 Initiative priorities, and GA DPH SHIP priorities (See Appendix C for meeting documents). We discussed which issues overlapped, and why we should consider attempting to align with some of these priorities. Community partners were given sticky notes and asked to write their own personal top 3 concerns for their community, based on their own experiences; we also asked them to consider the following questions:

1. How many people are affected by this issue? 2. How does the issue affect quality of life, the economic burden on the community,

and any other pertinent criteria? 3. Are public health strategies available to successfully address the issue? Is the

problem responsive to interventions? 4. What is the level of community concern? 5. Consider how feasible it is to solve this issue in your community, considering

political climate, resources, and capacity.

Once partners had selected their own top 3, we asked them to place them on one of several large sheets of paper hanging on the wall. Once they were all up, we placed them into categories:

1. Diseases 2. Social Determinants of Health 3. Behaviors 4. Other

We then tallied up how many of each issue there was, and from that we established our top 10 list (which was actually a top 17 list, because several issues tied).

Initial Top Priorities 1. Obesity 2. Mental Health 3. Substance Abuse 4. Smoking 5. Hypertension 6. Diabetes 7. Transportation 8. Healthcare 9. Teen Pregnancy 10. Poverty 11. Employment 12. Housing 13. Education 14. Physical Activity 15. Infant/Maternal Mortality

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16. STD/STI 17. Child Abuse

May 9, 2018: CHIP Steering Team Meeting #1

We assembled a Steering Team that consists of subject matter experts from District 4, as well as one community partner, and our Academic Health Department partner (See Appendix B for Steering Team list). During this meeting, the 12 Steering Team members discussed the findings from the first community meeting, and went over the MAPP process. We asked the same questions of our Steering team that we asked of our Community Partners (see list 1-5 above). We used the Nominal Group Technique to narrow the top priority list down from 17 to 5 (See Appendix C for Group Scoring Page).

Original Top 5 List: 1. Obesity 2. Mental Health 3. Substance Abuse 4. Hypertension 5. Diabetes

Upon further examination of our top 5, we realized that several were very closely related, so, we chose to condense those into one priority. Diabetes and hypertension were combined as part of obesity. The next two on our list were smoking and healthcare, and it was again decided that smoking was redundant to substance abuse, so we combined them. Furthermore, we decided to alter the priority of healthcare to access to healthcare. The next priority on the list was poverty, and we decided as a group that poverty influences everything, so we chose to include it in our top 5. We then placed those top 5 into a Prioritization Matrix to narrow them down to a top 3 (See Appendix C for picture of the Prioritization Matrix).

What are the Top 3 Health Priorities for District 4? 1. Poverty 2. Obesity and Related Diseases 3. Access to Healthcare and Preventative Services

May 25th, 2018: CHIP Community Coalition Meeting #2

During this meeting, we utilized our VICS video conferencing system and had 70 participants. We reserved a room with VICS in all 12 county health departments, and had a 13-way video conference in which we discussed the top 3 priorities, and how we came to them. We also went into more detail about the MAPP Process and where we are in that process. We allowed group discussion and input about the choices, as well as any questions. There was no argument that we had an appropriate top 3 list. We then went

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around the counties and talked about the realities that the residents see every day, as they relate to our top 3 concerns. We wrote down each county’s answers. We then distributed data sheets for each individual county, as well as an asset list for each county. What ensued was a discussion about the data versus their perception. Our Chronic Disease Prevention Manager talked to the group about who needs to be “at the table” when the time comes to develop a county workplan, and what a healthy community looks like to them (See Appendix D for data sheets, asset lists, and healthy community feedback).

June 4, 2018: CHIP Steering Team Meeting #2

At this Steering Team meeting, the 12 Steering Team members took the feedback from the community partners and the data from the CHA, and set goals, objectives, intervention strategies, performance measures, who could be responsible for implementation, and possible collaborators for Access to Care.


At this Steering Team meeting, the 10 Steering Team members reviewed the previous work on Access to Care, and then moved on to Obesity. We once again took the feedback from the community partners and the data from the CHA, and set goals, objectives, intervention strategies, performance measures, who could be responsible for implementation, and possible collaborators.


At this Steering Team Meeting, the 12 Steering Team members reviewed the work we had done on Access to Care and Obesity, and then moved on to Poverty. As with the previous two priorities, we utilized the community feedback and CHA data to set goals, objectives, intervention strategies, performance measures, who could be responsible for implementation, and possible collaborators.

June 29, 2018: CHIP Community Coalition Meeting #3

At this final meeting, we reviewed the final working draft of the CHIP document, and answered questions about the strategies, goals, and measures. We made a few edits to the content and changed a few pieces of incorrect information before the finalization of the document. A large part of the meeting was spent filling in the gaps of the SWOT analysis for each county, as I was not able to finish collecting that data at the second CHIP Community Coalition Meeting. We will use this feedback to edit/complete the SWOT analyses, which will then be used to inform the individual county workplans at a later time.

(See Appendix C for all CHIP Meeting Documentation)

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SWOT Analysis for each County Please see Appendix E for a SWOT analysis of each county. These discussions helped us to decide what our goals should be for the district over the next 5 years, and will play a large role in developing our county workplans.

Strategic Questions Identified by Steering Team for District 4 Priorities

Poverty • How does income inequality affect the overall health of a community? • What health disparities do we see that are a direct result of poverty? • How can we work together as a district to use the existing assets that we have most

effectively? • How can we bring the topic of poverty to the forefront in our communities?

Obesity and Related Diseases • How can we reduce obesity rates in our young population? • How can we increase nutrition education and availability of fresh produce to all

citizens, regardless of socioeconomic status? • How can we address obesity in each county, so that it makes sense for the

demographics for that county? • How can we get our local governments on the same page, making health a priority in

all policies?

Access to Healthcare and Preventative Services • How can we increase access to health and preventative services in all 12 counties,

without duplicating efforts? Are there resources that we can share? • How can we increase the use of telemedicine to help ease the burden of lack of

public transportation? • How can we bring wrap-around services to schools, again, eliminating the burden of

figuring out transportation? • How can we find the gaps that we have, and fill those gaps?

After answering these questions, we began developing our action plan. This plan is for the district as a whole, but we intend to work with each county, individually, to create a workplan for their specific needs. We have a diverse district, and this will be the most effective way to make a difference on a county level. As these workplans are developed, we will add them to the appendix of the CHIP for reference.

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Action Plan Development

Priority #1: Poverty

Vision: District 4 will foster a collaborative approach to poverty reduction, through the use of existing asset utilization as well as community outreach and education.

Goal 1A: Address poverty throughout District 4.

Objective 1.1: Measure and increase capacity in all 12 counties, to create a district-wide network of community partners that address poverty by 2021.

Intervention Strategies:

• Use asset lists to analyze poverty-centered resources.

• Identify gaps in poverty-centered services.

• Conduct poverty simulations and trainings.

Performance Measures:

• Publish analysis of resources

• # of gaps identified

• # of trainings conducted

Responsible for Implementation:

Circles of LaGrange

Family Connection Collaboratives

Possible Collaborators:

Local Health Depts.

United Way

Colleges/Universities

Schools Systems

DFCS

Faith-based organizations

Housing Authorities

Chambers of Commerce

Department of Labor

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Objective 1.2: By 2023, develop, implement, and evaluate a poverty reduction plan.


• Using best practices models, develop a plan that addresses poverty.

• Implement the plan on a local level through Family Connection Collaboratives.

• Evaluate the plan (Process Evaluation)

• Reduce the number of people living below the poverty line in District 4.


• # of plans written

• # of trainings given to health-serving organizations on poverty reduction strategies

• # of health disparities indicated within the Process Evaluation

• Reduced # of people in poverty


District 4 Chronic Disease Prevention Manager

Family Connection Collaboratives


Circles of LaGrange

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Priority #2: Obesity

Vision: District 4 will support obesity prevention and offer broad opportunities for all populations, regardless of socioeconomic status, to lead healthy, productive lives.

Goal 2A: Create an environment that is conducive to healthy behaviors, thus reducing the prevalence of obesity and its related maladies in District 4.

Objective 2.1: By 2021, increase the number of schools in District 4 that participate in the Georgia SHAPE program by 50%.


• Gain buy-in from local school boards and principals.

• Gain buy-in from County Boards of Health.

• Reach out to State DPH for trainings and funding.


• # of school boards or principals that sign up for the SHAPE program

• # of Boards of Health that support or endorse the program, in the form of a letter of support from the Board of Health chairperson

• # of schools added to the State DPH map of participating schools


District Health Director

County Nurse Managers

Chronic Disease Prevention Manager

Chairperson for District 4 CHIP Coalition Obesity Subcommittee


School Systems

Boards of Health

State DPH

Governor’s Office

Parks and Recreation Departments

Local Gyms

GAPHERD

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Goal 2B: Health is considered in all local policies.

Objective 2.3: By 2021, increase the number of local officials and leaders that receive education and information on the benefits of taking a health approach to traditionally

non-health policies that include components to promote health from zero to 24.


• Educate decision makers regarding the benefits of taking a health approach to all policies.


• # of local officials and leaders reached


District Health Director


County Boards of Health

Objective 2.2: By 2022, increase the accessibility of existing WIC farmers markets to residents of all 12 counties.


• Locate and begin communication with farmers who accept WIC vouchers.

• Identify locations for potential markets.

• Educate WIC participants about this service.

• Promote the program to Boards of Health.

• Include Cooking Matters demonstrations in the farmers markets.


• # of farmers who complete the certification process

• # of locations that agree to host farmers markets

• # of outreach efforts to educate WIC participants (in classes, on District 4 website, and on social media)

• # of letters of support from Board of Health chairperson

• # of Cooking Matters classes at farmers markets

• # of vouchers redeemed


District 4 WIC

State WIC


Local farmers

County government

Family Connection

Low Birth Weight Collaboratives

Georgia Organics

Faith-based organizations

4-H / County Extension Offices

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Goal 2C: Address obesity-related chronic diseases identified in the Community Health Assessment.

Objective 2.4: By 2023, reduce the rates of obesity-related chronic disease, in the five counties with the highest obesity rates, by 3%.


• Include identified chronic disease outcomes from the CHA in the county-level workplans.

• Develop action steps in the county workplans to address obesity-related chronic diseases.


• # of workplans written

• # of workplans implemented


Chronic Disease Prevention Manager


District 4 Adult Health

Family Connection

Wellness Centers in Hospitals

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Priority #3: Access to Healthcare and Preventative Services

Vision: All District 4 residents will have equal access to healthcare and preventative services, including mental healthcare, substance abuse prevention and treatment, as well as standard medical care.

Goal 3A: Increase access to quality healthcare services for vulnerable populations and the underserved.

Objective 3.1: Measure and increase capacity in all 12 counties, to create a district-wide network of community partners that address access by 2021.


• Conduct county-level assessments to identify gaps in services, and assess information flow.

• Publish assessment results on District website and social media.

• Conduct necessary trainings for community partners, based on assessment results; trainings may include cultural competency, leadership, grant writing, six sigma, telemedicine, best practices, and conflict resolution.


• Completed assessments in all 12 counties

• Reports Published

• Trainings conducted and evaluated


District 4 Chronic Disease Prevention Manager


ACT Coalition

Family Connection

Emergency Preparedness Healthcare Coalition (Hospitals and Nursing Homes)

District 4 CHIP Coalition

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Goal 3B: Build capacity for health services using telehealth.

Objective 3.2: By 2022, increase capacity for health services using telemedicine by 20%.


• Educate providers on the benefits of telehealth.

• Create peer-to-peer support system for those who use telehealth.

• Partner with State DPH for trainings and funding.

• Conduct a conference or summit for providers to share best practices and learn more about telehealth.


• Number of attendees at the summit/conference.

• Number of partners in Peer-to-Peer network.

• Number of trainings conducted by State DPH, amount of funding secured.

• Number of new telehealth sites.



Physician Network (State DPH)

IT

Local BOH Physicians

Medical Association of GA

University-level Computer Science Programs

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Goal 3C: Build capacity for school-based health programs.

Objective 3.3: By 2022, increase the number of school systems that offer school-based health services by 20%.


• Use assessment results to approach school systems regarding the implementation of school-based health services.

• Find existing (or create new) Youth Advisor Advocacy groups to build support.

• Garner support from PTA/PTO groups in individual schools.

• Present at School Nurse Summit.

• Reach out to Hospital Authority.


• Number of presentations of assessment results (including to the School Nurse Summit and the Hospital Authority).

• Number of Youth Advisor Advocacy groups.

• Number of PTA/PTO groups that support school-based health services.


GA AAP

D4 Nursing

WIC

CMS

Troup County Family Connection


School Boards

School Systems

PTA/PTO

Hospital Boards

FQHCs

Local Medical Societies

Emory School-Based Health Alliance

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Goal 3D: Build capacity for evidence-based mental health and substance abuse services.

Objective 3.4: By 2022, implement a plan to increase linkages and fill gaps in mental health and substance abuse services in public health and allied services, which were identified in

goal 3A.


• Continue to partner with ACT coalition.

• Create, Implement, and Evaluate a Communication Plan for CHIP Coalition.

• Develop a workplan to bridge linkage gaps identified in goal 3A.


• Number of ACT meetings attended

• Communication Plan published

• Linkage gap workplan converted into policy, systems, or environmental changes


ACT Coalition

HIV Linkage Coordinator


Sheila Pierce-Opioid Specialist w/State DPH

Community Service Boards

Local Law Enforcement

DBHDD- Michael Link

ASAPP

Twin Cedars

Morehouse School of Medicine

Court System (Drug Courts)

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Alignment with National Goals It is important to note the alignment of District 4 Public Health Community Health Improvement Plan (CHIP) with the overarching goals of Healthy People 2020.

https://www.healthypeople.gov/2020/about/default.aspx

Healthy People 2020 Overarching Goals

District 4 Public Health Community Health Improvement Plan Goals

Attain high-quality, longer lives, free of preventable disease,

disability, injury, and premature death.

• Address obesity-related chronic diseases identified in the Community Health Assessment.

Achieve health equity, eliminate disparities, and improve the health

of all groups.

• Address poverty throughout District 4. • Increase access to quality healthcare services

for vulnerable populations and the underserved.

Create social and physical environments that promote good

health for all.

• Health is considered in all local policies. • Create an environment that is conducive to

healthy behaviors, thus reducing the prevalence of obesity and its related maladies in District 4.

Promote quality of life, healthy development, and healthy

behaviors across all life stages.

• Build capacity for school-based health programs.

• Build capacity for evidence-based mental health and substance abuse services.

• Build capacity for health services using telehealth.

https://www.healthypeople.gov/2020/about/default.aspx

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Appendices

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Appendix A: CHIP Community Coalition Members

Name Organization County 4/20/18 5/25/18 6/29/18

Abbott, Regina

Family Connection Spalding X X

Ackerman, Don

Fayette County Environmental Health

Fayette X

Agboola, Olivia

Henry County Health Dept.

Henry X

Andoh, Joyce

Southern Crescent Tech Henry X

Andrew, Lizabeth

Meals on wheels Coweta X

Banks, Courtney

BCHD/Gordon State College

Butts X

Barge, Cindy

Carroll County Board of Health

Carroll X

Barker, Steve Coweta Board of Health and Coweta School

System

Coweta X

Barnes, Gloria Cancer Treatment Centers of America /

Coweta Board of Health

Coweta X

Bennett, Shelli

Upson County Health Dept.

Upson X

Bergeson, Robert

District 4 Public Health All D4 Counties

X

Bishop, Samantha

Lamar Board of Health / Gordon State College

Lamar X X

Blalock, Bobby

Pike County Board of Health

Pike X

Borrero, Ericka

District 4 Public Health (WIC)

Henry/Butts X X

Brownlee, Tyra Thomaston Housing Authority

Upson X

Brown, Sherri

Circles of Troup County Troup X X X

Bryan, Kim

Fayette County Board of Health

Fayette X

Buckle, Sarah

Lamar County Health Dept.

Lamar X X

Caldwell, Carmen Council on Alcohol and Drugs

Spalding, Henry, Pike

X X

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Chambers, Elaine McIntosh Trails Pike, Lamar, Butts,

X

Collins, Alexandra

Gordon State College Henry X

Conn, Laura

Gordon Nursing School Spalding X

Cope, Angelica Kinship Care Spalding, Pike, Upson,

Lamar

X

Copeland, Tongi

Meriwether County Health Dept.

Meriwether X X

Crosby, Kay Coweta County Board of Health/ Coweta Samaritan Clinic

Coweta X

Curry, Benjamin

Gordon State College Pike X

Danforth, Shawn


Davis, William

Gordon State College Lamar X

Deily, Kathy Fayette County Health Dept.

Fayette X

Dowell, Veronica Twin Cedars Troup, Meriwether

X X

Dull, Robert

Griffin Housing Authority

Spalding X

Dupree-Bright, Tisa


Henry X X X

Dudley, Latasha

GVRA Meriwether X

Elijah, Justice Columbus State University

X

Ellingten, Rhonda


Upson X

English, Renee Barnesville/Jackson Housing Authority

Lamar X

Farr, Angela

Pike County Health Dept.

Pike X X

Farr, Sherry

Lamar/Upson County Health Dept.

Lamar / Upson

X X X

Faulkner, Katlin


Upson X

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Favers, Kris Amerigroup All D4 Counties

X

Fenn, Amy

District 4 Public Health Troup X

Ferguson, Travis

Meriwether County Board of Health

Meriwether X

Fields, Duane

District 4 Public Health Coweta/ Troup

X X

Flemister, Ella

Private Citizen Spalding X

Flynn, Hannah Meriwether County Board of Health

Chairperson

Meriwether X X

Folds, Brenda

Southern Crescent Tech Spalding X

Franklin, Kat

Fayette County Health Dept.

Fayette X

Franklin, Yanine

GVRA Troup/ Heard

X

Fuller, Rhonda

Meriwether Family Connection

Meriwether X X

Garland, Peyton

Circles of Troup County Troup X

Glanton, Althina

Troup County Health Dept.

Troup X X X

Glanton, Shannon


Upson X

Green, Betty

Private Citizen Coweta X

Guerra, Mercedes


Lamar X X

Hall, Jan


Fayette X X

Hammock, Susie


X X X

Hammond, Brandi Warm Springs Medical Center

Meriwether X X

Harrington, Renee District 4 Public Health All D4 Counties

X X

Heard, Debbi


X

Hendrix, Lee


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Hill, Chris


Fayette X

Hill, Mandy

Family Connection Troup X

Hogan, Jayna Southern Crescent Technical College

Upson X

Holloway, Martha

Lamar County Board of Health

Lamar X

Jackson, Annette

Gordon State College Lamar X X

Johnston, Leland

Community Advocate Coweta X

Jones, Terry

Carroll County Board of Education / Board of

Health

Carroll X

Kee, Kaitlin


Kendall, Tamara

Lamar/Upson County Health Dept.

Lamar / Upson

X X

Kelly, Amy

Piedmont Healthcare Coweta X

Kirkland, Austin


Fayette X

Landa, Scott

Keep Troup Beautiful / Friends of The Thread

Troup X

Lawson, Paige

Coweta Samaritan Clinic

Coweta X

Lawson, Shannon Troup County Prevention Coalition

Troup X X

Lee, Lakethia


Upson X X

Leonard, Leslie

District 4 Public Health Troup X X

Lewis, Becky


LeVan, Wendy

District 4 Public Health Fayette/ Troup

X

Link, Michael

DBHDD All D4 X

Love, Milton

Columbus State University

All D4 Counties

X X X

Lucas, Don


Fayette X

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Ludlow, Pavielle

Three Rivers Spalding X

Mack, Alexus


Maddock, Sherry

Dept. of Labor Spalding X X

Marshall, Tiffany


X

Matthews, Stephanie

Three Rivers Regional Commission

All D4 Counties

X

McColley, Amy

District 4 Public Health Carroll X X

McKinley, Carolyn

Chamber of Commerce / Family Connection

Meriwether X

Melton, Nekeisha

Rescare Homecare X

Mercer, Kellie

Family Connection Lamar X X

Milstein, Michelle McIntosh Trail, New Choices

Lamar X X

Mitchem, Freda District 4 Public Health (WIC)

All D4 Counties

X X X

Mordecai, Leigh Council on Alcohol and Drugs

Henry /Pike /Spalding

X X X

Mott, Cindy

Henry County Schools Henry X

Newton, Brittney

Voices for Prevention State X

Nolan, Melanie


Henry X

Nutt, Angie Coweta County Health Dept.

Coweta X X

Obasanjo, Olugbenga


X

Parks, Jessica

Spalding Extension Spalding X

Perez, Milena District 4 Public Health (WIC)

Carroll / Heard / Troup

X X

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Pitts, Kristie


Upson X

Powell, Michael Family Connection Upson / Pike

X X X

Poythress, Brittany

Southern Crescent Technical College

Spalding X

Presley, Valerie


Lamar X X

Reese, Katie

Butts County Health Dept.

Butts X

Robert, Brantley


Roberts, Holly

Circles of Troup County Troup X

Roberts, Laurie


Meriwether / Pike

X X

Ryan, Jessica District 4 Public Health (WIC)

Coweta / Fayette /

Meriwether

X X X

Saccucci, Ryan District 4 Public Health (WIC)

X

Saunders, Antonio


Scantlin, Annetta Family Connection All D4 except

Henry and Fayette

X

Scott, Karmen


Henry X X

Smenner, Eugene


Meriwether X

Smith, Katie

State DPH State X

Smith, Lou


Upson X

Smith, Shonda

Heard County Health Dept.

Heard X X X

Stephens, Kim WellStar West GA Spalding / Fayette

X

Stepherson, Laundina

Unique Purpose Fayette X

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St Germain, Sara Coweta County Health Dept.

Coweta X X

Stokes, Cecelia


Strozier, Sandra

Newnan Housing Authority

Coweta X

Stuart, Michele

Lamar County Senior Center

Lamar X

Sweda, Cindee

UGA Extension Spalding X X

Taylor, Robert

Lamar Board of Health Lamar X X X

Thomas, Joy

Columbus State University

All D4 Counties

X X X

Tidwell, Caitlin


Lamar X X

Tidwell, Cynthia

Spalding County Health Dept.

Spalding X X X

Toles, Ted

Fayette County Board of Health

Fayette X X X

Traylor, Rhonda

Southern Crescent Tech Upson X

Vall, Emily

State DPH State X

Veal, Kacie


Vickers, Lynn

Pike County Board of Health

Pike X

Wegeienka, Melody


X

West, Donna

BB&T Coweta X

Westbrook, Joe

Boy Scouts of America Meriwether/Troup/

Heard

X X

Whitmore, Anita

Upson County Board of Health

Upson X

Whitten, Krystle

Butts County Health Dept.

Butts X

Willis, Tracy

Upson County Health Department

Upson X X

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Wood, June

Henry Co. Board of Health

Henry X X

Wright, Philip

Boy Scouts of America Troup X X

Yelvington, Bryanna

Southern Crescent Tech Coweta X

Zhilyak, Elly

Spalding Collaborative Spalding X

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Appendix B: CHIP Steering Team

NAME ORGANIZATION / DEPARTMENT

5/9/18 6/4/18 6/11/18 6/18/18

BERGESON, ROBERT D4 IT X X

BORRERO, ERICKA D4 WIC X X X X

BURKE, NICK D4 IT X X X

CROCKETT, XAVIER D4 EP X X X

FENN, AMY D4 NURSING X X X

FIELDS, DUANE D4 EH X X X

HAMMOCK, SUSIE D4 ACCREDITATION

X X X X

HEARD, DEBBI D4 ADMIN X

JONES, RYAN D4 EP X X

KILGORE, DENISE D4 NURSING X

LEVAN, WENDY D4 NURSING X

MACK, ALEXUS D4 CHRONIC DISEASE PREV.

X X X X

MCDANIEL, TERESA D4 FINANCE X

MILLER, CHRIS D4 IT X

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NAME ORGANIZATION / DEPARTMENT

5/9/18 6/4/18 6/11/18 6/18/18

MITCHEM, FREDA D4 WIC X

OBASANJO, OLUGBENGA

D4 DHD X X X X

POWELL, MICHAEL FAMILY CONNECTION

X X

STEPHENS, BARBARA D4 HR X

THOMAS, JOY COLUMBUS STATE UNIVERSITY

X X

WALTON, CONNIE D4 WFD X X X

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Appendix C: CHIP Meeting Materials

Please use the following link to access all CHIP Meeting materials. This includes:

• PowerPoint presentations • photo documentation • agendas • meeting minutes • and more.

http://www.district4health.org/accreditation/chip-meeting-documents/

http://www.district4health.org/accreditation/chip-meeting-documents/

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Appendix D: Asset Lists, Data Sheets, Healthy Community Feedback

Asset Lists: http://www.district4health.org/accreditation/community-asset-list-2/

Data Sheets: http://www.district4health.org/wp-content/uploads/2018/07/All-Counties-Data-Sheets-UPDATED-LOGO.pdf

Healthy Community Feedback: http://www.district4health.org/wp-content/uploads/2018/06/Healthy-Community_All.pdf

http://www.district4health.org/accreditation/community-asset-list-2/

http://www.district4health.org/wp-content/uploads/2018/07/All-Counties-Data-Sheets-UPDATED-LOGO.pdf

http://www.district4health.org/wp-content/uploads/2018/07/All-Counties-Data-Sheets-UPDATED-LOGO.pdf

http://www.district4health.org/wp-content/uploads/2018/06/Healthy-Community_All.pdf

http://www.district4health.org/wp-content/uploads/2018/06/Healthy-Community_All.pdf

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Appendix E: County-Level SWOT Analyses

Community partners and residents provided feedback on the Strengths, Weaknesses, Opportunities, and Threats (SWOT) that they see in their county. This was done in two parts: First, at the CHIP

Community Coalition Meeting that took place on May 9, 2018, and then during the final CHIP Community Coalition meeting on June 29, 2018. The initial feedback was used to help inform the

goals and objectives in the CHIP, and the completed SWOTs will be used to develop the county workplans.

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Appendix F: VMSG Dashboard According to a description of the dashboard on Globe News Wire, “The VMSG Dashboard is a performance management system designed specifically to assist public health departments in the development, implementation and performance management of the Strategic and Operational Planning process. The Dashboard facilitates quick and accurate planning changes and is designed to allow both internal and external users to keep their plans up-to-date in real time. For public health departments seeking PHAB accreditation, the VMSG Dashboard has been designated as "fully demonstrated" by the Public Health Accreditation Board for Standard 9.1 applicable to most U.S. public health departments.”

https://globenewswire.com/news-release/2017/09/12/1118229/0/en/Certive-Solutions-Inc-Announces-Recent-Growth-in-Knowledge-Capital-Alliance-Inc.html

Screenshot of the dashboard main page



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References

We utilized the CHIP Collaborative Handbook from the Kansas Health Institute as guidance for writing our CHIP.

http://nnphi.org/wp-content/uploads/2015/08/CHIPCollaborativeHandbook2014.pdf

http://nnphi.org/wp-content/uploads/2015/08/CHIPCollaborativeHandbook2014.pdf

2018 community health improvement plan

Documents