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Creating and Evaluating Systems Change through a Participatory Planning and Evaluation Model Ron Hale, MS, NM Department of Health Office of Community Health Partnerships; Victoria Sanchez, DrPh, University of New Mexico; Yolanda Cruz, San Miguel Family and Community Health Council Background: New Mexico’s Community Health Councils are community-based health coalitions located in each of the state’s 33 counties and in several Native American tribal communities. New Mexico is one of 13 states that have centralized (non-county-based) health departments, resulting in a need for community health assessment, planning, and coordination at the local level. Community Health Councils support public health core functions, including assessment, policy development, and assurance. Health councils mobilize communities to address locally-identified priority issues, such as diabetes and obesity prevention, teen pregnancy prevention, substance abuse and mental health issues, and access to primary health care. Theoretical framework: Our goal was to develop and implement a statewide planning and evaluation model as a way of organizing and describing the work of community health coalitions around common, systems-level outcomes—programs, policies, services, and practices. The model was developed through a participatory process that has allowed for local identification of community needs, strategies, and health priorities. Hypothesis/research questions: Community Health Councils can accomplish changes in community systems and capacity that are likely to contribute to community health improvement. A central research question is: Can a statewide planning framework tied to intermediate, systems-level outcomes be designed and implemented for use with allvolunteer community coalitions with minimal staffing and training? A secondary question is: Can evaluation data be collected from diverse communities through the use of a web-based data reporting system? Methods/interventions: Over the last four years, the NM Dept. of Health (NMDOH), faculty from the Master of Public Health Program (University of New Mexico) and health council coordinators and members have co-developed and implemented a statewide planning and evaluation framework. The purpose of the planning framework was to guide the development of community health plans in each of 37 communities. The plans incorporated common elements: community assessment, problem analyses, identification of priorities, system outcomes, objectives, and partnerships. We developed an online data collection system for councils to report on their systems-level outcomes and indicators. Results/conclusion/implications for practice: Evaluation results show that community health councils can be an effective strategy for accomplishing community capacity and systems outcomes. Results of a Participatory Policy Study in a Northern New Mexico Community Yolanda Cruz, San Miguel Family and Community Health Council; Ron Hale, MS, San Miguel Family and Community Health Council; Victoria Sanchez, DrPh, University of New Mexico; Perdita Wexler, MA, NM Department of Health/Diabetes Prevention and Control Program Background and theoretical basis: Community partnerships are a common mechanism to bring public health agencies, CBOs, citizen associations, university researchers and others together to assess, plan and act to ameliorate health problems in geographic or relational communities. We report on results of a university/community/agency participatory research study to examine school health policy, analyze success, gaps, and identify policy areas to serve as a foundation for community mobilization to reduce youth obesity. Methods and interventions: We conducted key informant interviews with school administrators to learn about formal and informal nutrition and physical activity policies. We also conducted two focus groups with middle school and high school students to examine how school policies influence students’ eating and physical activity during the school day. Community and agency research partners co-developed the interview guides and conducted the interviews. Research team members reviewed interview transcripts and contributed to the coding scheme and interpretation of the data. Our preliminary analysis focused on: 1) barriers and facilitators of physical activity and nutrition policies; 2) recommendations to improve policy implementation in the school districts and; 3) recommendations for health council involvement. Key facilitators included grant funding and a wellness policy champion; key barriers included limited understanding and accountability for enforcement of the policies. Our analysis identified ways that the Community Health Council could serve as a linking agent with the broader community to improve the implementation of school health and wellness policies, including outreach and education to parents and community and strengthening the communication linkages among existing groups to support school wellness policies. Our team has continued to work with the community health council and school districts to co-develop next steps in support of physical activity and nutrition policies. Partnerships: We are a university-community-state health agency partnership engaged in a long-term collaboration with one of New Mexico’s 37 community health councils. Implications for improved research, policy & practice: Integrating a community-based, participatory research approach to inform public health programs and practice in communities offers an important resource to improve the link between research and practice. 32 SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting
3:15 PM- 4:45 PM Plenary 2 Weaving New Multi-Cultural Approaches to Diabetes Prevention & Control Hector Balcazar, PhD, MS, University of Texas School of Public Health, El Paso Regional Campus; Leonard Jack, Jr., PhD, MSc, CHES, Xavier University of Louisiana; Alexis Williams, MPH, CHES, CDC/National Diabetes Education Program; Dorinda Wiley- Bradley RN, CDE, Albuquerque Indian Health Center In 2000, American Indians and Alaska Natives were 2.6 times more likely to have diagnosed diabetes compared with non-Hispanic Whites, African Americans were 2.0 times more likely, and Hispanics were 1.9 times more likely. While further scientific research will help understand the underlying biomedical mechanisms, we know that culturally appropriate, community-driven programs are critical for eliminating the current epidemic of diabetes health disparities. Establishing these programs will also require new and innovative partnerships among federal, state, local, and tribal governments and communities and the private sector. A one size fits all approach, however, will not be appropriate for all populations. This panel will reveal the emerging theories, models and programs that are working for successful diabetes prevention and treatment and new approaches for working with diverse populations. WEDNESDAY / MAY 4 Concurrent Session D 9:00 AM-10:30 AM Concurrent Session D1 Planning to Action: Initiatives in Environmental Health and Emergency Preparedness Healthy Home Environment Self-Management Asthma Program Serina Gaston, M.Ed., CHES, Division of Nutrition & Physical Activity, Pennsylvania Department of Health into an ideal setting to educate, review medication plans, and help families to identify environmental factors in their homes that may contribute to the severity of asthma. The Pennsylvania Departments of Health and Public Welfare and the Medicaid Program within the University of Pittsburgh Medical Center Health Plan have joined in a collaborative to assist Medicaid recipients and their families to identify and mitigate the effects of exposure to environmental triggers in the home and medication adherence through self-management strategies. Many studies have shown that improvement in self-management skills and reduction of asthma triggers lead to improved asthma control. Reducing home environmental asthma triggers reduce the length of hospital stays, reliance on clinical care in the ED, and the number of primary care sick visits due to asthma. The primary purpose of this initiative is to offer asthma education to families with poorly controlled asthma in their homes as a policy of the Managed Care plan. HHEP has the potential to improve the quality of life for those individuals and to stimulate system change within the Managed Care Plans who adopt the program. HHEP aims to reduce hospital visits and hospitalizations, increase a person’s quality of life and reduce the health plan’s cost of care. As of December 2010, our program targets approximately 90 homes. Major components of the program include: »» Basic Asthma Education- what is asthma, what happens during an asthma attack »» Patient skills- self-monitoring of asthma symptoms, recognizing signs of worsening, utilizing an action plan »» Resources- smoking cessation, suppliers of remediation products, pest management services or case management services. Preliminary results show that there is often not an asthma action plan, individuals have no knowledge about how to administer asthma medication, and housing conditions are not conducive for constant asthma management. Initiative for Emergency Preparedness This session includes several presenters from within the arena of emergency preparedness and environmental health. It will highlight specific practices in public health including education regarding environmental factors controlling asthma, outreach and planning for the homeless in emergency situations, and an introduction to radiation preparedness from the public health perspective. Overarching themes include outreach to vulnerable populations and public health education. Title: Healthy Home Environment Self–Management Asthma Program Subthemes: Policy, Systems and Environmental Change Home visits are one way to give individuals with asthma the tools they need to address their asthma effectively as part of a comprehensive disease management program incorporating medical and environmental management techniques. Pennsylvania’s Asthma Healthy Home Environment Program’s (HHEP) goal is to integrate routine medical care for Medicaid recipients diagnosed with poorly controlled asthma Including People Who are Experiencing Homelessness in Emergency Preparedness Planning Sabrina Edgington, MSSW, National Healthcare for the Homeless Council SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 33
Page 1 and 2: Change A Tapestry for Addressing Ch
Page 3 and 4: Welcome Dear Conference Attendees:
Page 5 and 6: Conference Supporters Alzheimer’s
Page 7 and 8: Leonard Jack, Jr, PhD, MSc, Xavier
Page 9 and 10: Meeting Highlights Albuquerque Fies
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Page 15 and 16: Health Communication Campaigns That
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Page 61 and 62: 3:15 pm - 4:45 pm Plenary II Alvara
Page 63 and 64: Hotel Floor Plan Grand Pool Area EX

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