Healthy Illinois 2021

Leticia Reyes-Nash, MBAChief of Health Policy, IDPH

June 25, 2015

Objectives

• Outline the purpose of the State Health Assessment and the State Health Improvement Plan

• Share the overall planning process and timeline• Articulate the role of IDPH, hospitals, and

community organizations in the overall process• Obtain feedback on the proposed process

What is a SHA and SHIP?

State Health Assessment or SHA:

A state health assessment is a systematic approach to collecting, analyzing, and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve the public’s health.

State Health Improvement Plan or SHIP:

A state health improvement plan (SHIP) is a long-term systematic plan to address issues identified in the state health assessment. A SHIP describes how the state health department and the communities it serves will work together to improve the health of the population.

Timeline• 2010

– Second Illinois SHIP released– ACA passes

• 2011:– SHIP Implementation Coordination Council (ICC) Convened

• 2013– Implementation report released– Alliance for Health Convened– Governor’s Office for Health Innovation and Transformation (GOHIT)

launched• 2014

– Alliance for Health Transformation Plan released– Planned statewide alignment activities

• 2015– New SHIP ICC Members appointed– SHA/SHIP Developed– Plan for Population Health

SHIP Priority Health Concerns1) Alcohol/Tobacco2) Use of Illicit Drugs/Misuse of Legal Drugs 3) Mental Health4) Natural and Built Environment5) Obesity: Nutrition and Physical Activity 6) Oral Health7) Patient Safety and Quality8) Unintentional Injury 9) Violence

(note: Health concerns are not ranked in priority order.)

SHIP Public Health System Priorities1) Improve Access to Health Services2) Enhance Data and Information Technology3) Address Social Determinants of Health and Health

Disparities 4) Measure, Manage, Improve and Sustain the Public

Health System 5) Assure a Sufficient Workforce and Human

Resources (note: System Priorities are not listed in priority order)

SHIP Vision

• Optimal physical, mental and social well-being for all people in Illinois through a high-functioning public health system comprised of active public, private and voluntary partners.

SHIP Challenges• Changes in the Federal landscape• Changes in the Illinois landscape• Commitment of priorities lacking alignment with

commitment of resources

2014 Health Transformation Summits

• Series of regional events that brought together local stakeholders to:– Engage with statewide leaders and learn more about SHIP,

the Alliance for Health Transformation Plan, and GOHIT– Discuss and strategize about how to make progress on locally

identified priorities using these resources and infrastructure– Create new and strengthen existing collaborative

partnerships to pave the way for regional health improvement collaboratives and future funding opportunities

• First step in creation of SHIP 2016.

Other Key Initiatives

• SHIP ICC Report: Aligning Illinois for Health Improvement and Equity (available on SHIP ICC web site)

• We Choose Health• SHIP Video Challenge• SHIP Priority Area

Metrics

Healthy Illinois 2021

Successes toward the last 2010 implementation have included:– Development of performance measures; – Public information campaign for organizations to demonstrate alignment

with the SHIP; and – State Health Transformation Summits

Looking Forward: Concepts to consider in 2015-2016

• Maximize existing assessment data and effectively use resources

• Provide documentation to meet accreditation criteria

• Design SHA/SHIP process to facilitate action • Build from past experiences and expertise• Demonstrate integration of primary prevention and

clinical care in assessment, planning and implementation activities

• Promote measurement & reporting of progress

Overall SHA/SHIP Steps

• Engage stakeholders

• Conduct a state health assessment: – Collect and analyze data– Collect and analyze feedback– Review and decide health priorities

• Facilitate state health improvement planning: – Create action plans and performance monitoring approaches– Obtain feedback and approval; align organizational work with the

plan– Launch the plan and track progress

SHIP Planning Council

State government

agencies

Training

Communi-cations

Data Utilization

Decision making

Local Health Department membership organizations

Healthcare system

representatives

Multi-sectoral groups

Statewide minority

organizations

Health priority lead

organizations

Executive Committee

Statewide Action Teams

Statewide Action Teams

Statewide Action Teams

Organizational members &

public residents

Organizational members &

public residents

Data and measurement team

Aligned and coordinated activities around state plansHealth improvement and increased health equity

Stakeholder Engagement

Community Health Assessment DataTypes of assessment needed

Proposed data sources

Health priority status • Based on nationally comparable indicators, present morbidity and mortality data; risk factor data; social determinants of health including income, education, and healthcare access data.

• IPLAN assessments/CHNA assessments and comparisons• Planning Council interviews and meetings; and focus groups and

organizational presentations.

Community Themes and Strengths

• Existing statewide reports and documents relevant to health• Planning Council interviews and meetings; and focus groups and

organizational presentations.

Health Systems Data • IDPH Satisfaction Survey organized around the National Public Health Performance Standards, Year 1 and 2 data;

• Planning Council interviews and meetings; and focus groups and organizational presentations.

Forces of Change • Existing statewide reports and documents relevant to health• Planning Council interviews and meetings; and focus groups and

organizational presentations.

• Engage stakeholders

• State health assessment: – Collect and analyze data– Collect and analyze feedback– Review and decide health priorities

• State health improvement plan: – Create action plans and performance monitoring approaches– Obtain feedback and approval; align organizational work with the

plan– Launch the plan and track progress

Planning Steps

Statewide Vision for Population Health Improvement Proposed

Health Priority Status

Community Themes and Strengths

Health Systems Change

Planning Council reviews data and decides early findings and vision

SHA data

SHA data

SHA data

Planning Council reviews SHA; decides SHIP priorities; works to align priorities; and develops action plans

Statewide Action Teams

Statewide Action Teams

Phase 1

Phase 4

Phase 2 &3

Phase 5

Phase 6 & 7

Phase 8Plans submitted and launched

Planning Council finalizes statewide plans; Public hearings occur; and Board of Health reviews and recommends the final documents

Focus groups and organizational presentations occur; data, indicators, and measures are presented; and findings are summarized into final SHA document

SHA data

Data and measurement team

Collect primary data and conduct secondary data analysis

Forces of Change

Brief State Innovation Model (SIM) Overview

• CMMI providing financial and technical support for state-led projects seeking to achieve;

• Multi-payer health care payment and service delivery models• Improved health system performance, increase quality

of care and reduced costs• Impacting all state residents

SHIP Planning Council

Executive Committee

Healthy Illinois 2021: Improving Quality, Reducing Costs and Community-Driven

• Department of Insurance• Department of Human

Services• Department on Aging

• Healthcare Providers/Systems• Statewide Minority

Organizations• Higher Education• Multi-Sectoral Groups

SHIP Planning Action Team(s)

SIM Action Team

•Oversight

•State Health Improvement Plan•Plan for Population Health•State Health Assessment

•SIM Action Plan•Waivers •Regulatory Changes (e.g., State Plan, Rules)•Legislation

OutcomesOrganizational Structure

• State Government Agencies• Local Health Department Membership

Organizations• Health Priority Lead Organizations• Commercial Payers/Purchasers

• Governor’s Office• Department of Public Health• Department of Healthcare and Family

Services

Plan for Population Health

• State Health Improvement Plan Planning Council will develop:– State Health Assessment– State Health Improvement Plan – Plan for Population Health

• Plan for Population Health will use:– Quality improvement indicators developed in October

2014 for current SHIP, including healthcare associated infection data and AHRQ Preventable Quality Indicators

• Various state Agencies are engaged in the process

Sample Core Health Indicators Balanced Portfolio Examples

How can hospitals and community organizations engage with the SHA/SHIP?

• Local IPLAN Data will be utilized in SHA• Attend/or Listen in to SHIP Planning Council

Meetings (all subject to Open Meeting Act)• SHA presentations can be requested –

feedback will be gathered at all presentations• Participate in a Focus Group• Submit feedback when requested

Other Resources

• 2010 IPLAN• ASTHO

– SHA Guidance– SHIP Guidance

• NACCHO MAPP• Read about our progress through regular updates provided

in our IDPH internal newsletter• Monitor our website at

http://www.healthycommunities.illinois.gov/ for informational updates such as focus group dates

Questions?

Contact:Leticia Reyes-NashLeticia.reyes@illinois.gov Office: 312-814-3547www.Healthycommunities.illinois.gov