Passaic County Public Health Partnership Community Health Needs Assessment 2015Presented by Charlene W. Gungil, DHSc., MPHHealth Officer Passaic County Department of HealthChair, Passaic County Public Health PartnershipSeptember 16, 2015

Authority :Public Health Practice Standards for Local Boards of health in NJ ( NJAC 8:52)

▪ TITLE 8. HEALTH▪ CHAPTER 52. PUBLIC HEALTH PRACTICE STANDARDS OF PERFORMANCE

FOR LOCAL BOARDS OF HEALTH IN NEW JERSEY ▪ SUBCHAPTER 10. MONITOR HEALTH STATUS▪ 8:52-10.2 Community health assessment▪ b) A formal countywide or multi-countywide Community Health Assessment

shall be performed and continually evaluated with a formal update every four years. Existing community health assessments meeting the criteria set forth in this section shall be valid until a new assessment is performed.

Authority :Public Health Practice Standards for Local Boards of health in NJ (NJAC 8:52)

▪ (e) The results of the countywide or multi-countywide

Community Health Assessment shall be published in

a "County Health Status Indicators Report." The results

shall be presented in a manner that is sensitive and

appropriate to individual, family, and community needs,

language, and culture.

Authority :Public Health Practice Standards for Local Boards of health in NJ (NJAC 8:52)

▪ 8:52-11.2 Countywide or multi-countywide community health planning

▪ (b) Each local board of health shall assure that public health policies

promote and support the population's health and safety goals

identified in the health improvement strategies that were developed

through the countywide or multi-countywide Community Health

Improvement Plan and incorporate by reference prior planning

information obtained through other processes.

Who We Are – 2010 Data

▪ Passaic County: Population 501,226: 243,124 M, 258,102 F

▪ Demographics: White – 75.7; Hispanic: 38.9; AfAm: 14.7; Asian 5.2

▪ Languages Spoken: 250,934 English Only▪ Sp: 145,600; Indo-Eur: 22,430; Slavic: 9,521; Tagalog: 4,698

▪ Median Household Income: $51,828 (NJ $68,342)▪ Unemployment: 11.3 – (NJ 9.5)

Our Process

▪ Last Community Needs Assessment was completed in 2007

▪ Last CHIP was compiled in 2008▪ A number of changes, in leadership, locations, etc.▪ Began in 2012 – CHA/CHIP Committee▪ John Biegel,III Health Officer Clifton, Little Falls & City of

Passaic ▪ Trevor Weigel, Health Officer Paterson, Hawthorne,

Haledon, N. Haledon, Totowa, Prospect Park, Woodland Park

▪ Charlene W. Gungil, Epidemiologist Passaic County

Our Process

▪ Monthly meetings at Clifton Health Department▪ Identified the need for outside help▪ Created a request for proposals▪ Distributed to persons identified by local health officers▪ Received four proposals (Price ranged from $15,000 –

65,000)▪ Interviewed four people▪ Selected one

Invitation to StakeholdersPLEASE LEND YOUR PARTICIPATION TO THE MOBILIZING FOR ACTION THROUGH

PARTNERSHIPS AND PLANNING (MAPP) PROCESS BY JOINING THE PASSAIC COUNTY GOVERNMENTAL PUBLIC HEALTH PARTNERSHIP (GPHP) FOR THE:

- LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND - FORCES OF CHANGE ASSESSMENT

THE EVENT WILL BE HELD ON WEDNESDAY, JUNE 3, 2015, STARTING AT 9:00 AM AND ENDING APPROXIMATELY 4:00 PM

AT THE:

WAYNE MUNICIPAL BUILDING 475 VALLEY ROAD WAYNE, NJ 07470

Forces of Change Assessment Examples Discussed

▪ Accreditation – challenges include staff, financing▪ Benefits – validates work, boosts morale

▪ Aging of Public Health Workforce▪ Challenges - Changes in public employees pension, loss of

seasoned staff, attrition▪ Benefits – More students going into Public Health

▪ Evolution of the Affordable Care ActChallenges –obsolete providers

Benefits – increasing trends towards medical costs.

Our Process

▪ Health Officers identified focus groups and/or stakeholders in their jurisdiction

▪ Contractor was given the list to contact stakeholders▪ Contractor convened a meeting June 3, 2015▪ Fishbone analysis used to drive and document the

discussions▪ 9 Focus Groups Throughout the County

Top 14 topics identified by Stakeholders

▪ Obesity Dental Care▪ Mental Health Cancer▪ Heart Disease Nutrition▪ Diabetes Lack of Health Insurance▪ Asthma Prenatal Care▪ Socio-Economic status Teenage Pregnancy▪ Alcohol Drugs and Tobacco HIV/AIDS/STDs

Our Process Primary Data

▪ Survey created by UMDNJ MPH student intern at Paterson Division of Health

▪ Surveys conducted by two students from the UMDNJ – MPH program

Sources of Secondary Data

▪ 2012, 2013 and 2014 County Health Rankings (trends)▪ NJ SHAD (New Jersey State Assessment Health data)▪ St. Mary’s Hospital Needs Assessment (2013)▪ St. Joseph’s Regional Medical Center Needs Assessment

(2013)▪ Chilton Hospital ***

Topics to be Addressed by the CHIP

▪ Update and Improve Resource Directory▪ Chronic Diseases (Heart Disease, Diabetes, Mental

Health)▪ Asthma

How these topics Will be Addressed

▪ Update Services Directory and Use to Refer Patients▪ County-wide Commemoration of Chronic Disease Day▪ Hire Dedicated Person to Connect services to patients▪ Healthy Homes Initiative ▪ Nurses to Conduct Home Visits▪ Encourage police to Enforce Idling Ordinances on Roads.

Ongoing Process

▪QUESTIONS