Putting the Community back in the Community Health Needs Assessment

Transcription

1 Putting the Community back in the Community Health Needs Assessment Chris Michael Kirk, Ph.D. Director, Mission Development, Atlantic Health System; President & Chair, North Jersey Health Collaborative Sharon Johnson-Hakim, Ph.D. Manager, Population Health Sciences, Atlantic Health System Michelle Roers, LSW Chief Professional Officer & Director of Education Initiatives United Way of Northern New Jersey

2 Your grandma s CHNA

3 Top-Down Approach Leaders collect data ON the community and make plans FOR the community

4 Deficit-Based Emphasis on NEEDS AND PROBLEMS excludes strengths and fails to build on what is working already

5 Individual Focused Emphasis on aggregate INDIVIDUAL needs turns attention away from assessment of systems, environments and policies that inhibit health

6 Quantitative over Qualitative Randomized quantitative data tell only part of the story and leave a GAP between researchers and the community

7 Hospital-Owned Hospitals take back data and create ISOLATED plans to fulfill implementation requirements

8 How can we put the community back in the CHNA

9 Community- Based Participatory Action Research A strengths-based approach that capitalizes on personal and relational strengths and community resources and involves long-term, collaborative relationships Source: Rappaport, 1994

10 Community- Based Participatory Action Research Recognizes community as an unit of identity Builds on strengths and resources Facilitates collaborative involvement Integrates for mutual benefit of all partners Promotes empowering processes Involves a cyclical and iterative process Addresses positive and ecological perspectives Disseminates knowledge gained to all partners Involves long-term commitment by all partners Source: Israel, Schulz, Parker & Becker, 1998

11 Strategy #1: Broaden Engagement

12 Structure to Support Collaboration Shared Ownership (and power) Leverage Data & Planning Needs across Sectors Expanding beyond the usual suspects

13 Proactively Track Engagement

14 Establish Bottom-Up Process

15 Create Room for Multiple Voices: Key Informant Survey What is working for health in our community? What is not working for health in our community?

16 Strategy #2: Get Better Data

17 Use Data that Already Exist!

18 Using Mixed Methods I'd like to see more peer support programs available for youth. Peer support builds resilience, breaks down barriers, improves communication, develops leadership, and decreases isolation.

19 Data Collection Data Analysis Prioritization Planning Implementation Iterative, communitydefined process Implementation Data Collection Shared Analysis Planning Prioritization & Focus Community Feedback

20 Get Down to the Roots

21 Sharing Data Broadly & Asking for Input

22 Assessing the System

23 Strategy #3: Shared Implementation

24 Collaborative Implementation Planning

25 Challenges & Lessons Learned Getting everyone on the same page Multiple contacts within an organization Different timelines Identifying expectations Removed Assessment language

26 Questions?

27 Putting the Community back in the Community Health Needs Assessment Chris Michael Kirk, Ph.D. Director, Mission Development, Atlantic Health System; President & Chair, North Jersey Health Collaborative Sharon Johnson-Hakim, Ph.D. Manager, Population Health Sciences, Atlantic Health System Thank you for coming! Michelle Roers, LSW Chief Professional Officer & Director of Education Initiatives United Way of Northern New Jersey