Tuesday, March 5, 2019

March 2019 Update

Dear Community Partners and Key Stakeholders,

This month we will begin to identify the voices that need to be included in defining how we will move forward to improve and expand efforts around our newly identified focus health conditions.... improved mental health and birth outcomes, keeping the focus on health equity throughout our work.  This week's CHIP Advisory Council will participate in a process to begin to tease out the different ways to consider who we need to involve and the best way to incorporate their voices.  We will also be reaching out to all our partners to inform this important first step.  This could take the form of a quick survey or community conversations, but you should be seeing opportunities to participate in the near future.

In our February Update we highlighted the importance of having a shared understanding and shared language around social determinants of health and we began to "unpack" this at our February CHIP Advisory meeting.  You can view the slides we shared at the February Advisory meeting here.  Many of those attending found helpful how we presented the "lens" you use if your definition of social determinants leans more toward a focus on health, on health care or health equity.  

We also began a conversation to identify what learning opportunities and resources we need to better understand SDoH, to know how to talk about it with leaders and stakeholders and to identify ways to begin more effectively addressing those social and economic factors that strongly influence health.  We will intentionally be sharing materials, both on our CHIP Resources page, via email and on Facebook.  We shared a recent webinar and information about a new documentary from Health Leads entitled What Counts that highlights how health care organizations are approaching the social needs of their clients and beginning to broader their conversation around social determinants of health.  You can find a link to the documentary on  our CHIP Learn Page.

The annual County Health Rankings report from University of Wisconsin and Robert Wood Johnson Foundation will be released in mid-March.  This report highlights how health is influenced by where we live, learn, work and play in individual communities across the country and offers opportunities to consider where we are doing well and where we can improve.  The media generally does stories around the Rankings and we hope that many of you will be available to highlight your work or concerns.  If you are interested in being available for interviews, please contact Zo Mpofu.  

We want to offer a shout out Maggie Adams and Cindy McMillan for sharing lessons from their work with Mothering Asheville and Sistas Caring 4 Sistas in a national webinar hosted by the Robert Wood Johnson Foundation on Policies & Programs to Help Build a Culture of Health!

Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.
In appreciation of all you do!
The CHIP Team!

Sunday, February 3, 2019

February Update


Dear Community Partners and Key Stakeholders,

Social Determinants of Health is something you increasingly hear discussed in many and diverse spaces.  However, as this term is used more frequently it becomes clear that not everyone is using it the same way. Case in point, earlier this week I shared an article from Health Affairs on our CHIP Facebook page that stressed the need to distinguish between "social needs" and "social determinants of health". It is challenging to work across organizations and disciplines if we don't have a shared understanding and aren't speaking the same language and shared language is a core element of the framework that we used to help guide our CHIP work. In February our CHIP Advisory will beginning addressing this challenge by ensuring common definition of Social Determinants of Health.  We'll also looking at what our Advisory and our partners need to better understand SDoH, know how to talk about it with leaders and stakeholders and identify ways to begin more effectively addressing those social and economic factors that strongly influence health.  For those of you on CHIP Advisory we encourage you to take a few moments to read the Health Affairs article referenced above.  We've also added this article to our CHIP Resources page for easy access in the future.   

You'll also find the link to a new documentary from Health Leads entitled What Counts. Health Leads is promoting this documentary as a tool to foster conversation in health care communities around social determinants and they are hosting an online documentary screening and discussion of the film on Thursday, February 7th.  We have a reserved a room a MAHEC if some of you would like to view it together and follow with some of our own conversation. Of course you can view the documentary and/or participate in the screening and discussion at your own computer.  You'll find the details on our CHIP Learn Page.

Collective Impact is also something being discussed a great deal in our community that is not necessarily well-understood.  CHIP has aspired to be a collective impact process although our approach has been less than perfect. (the "field" is evolving and there is still much to be learned. This year CHIP MAHEC and Buncombe HHS staff will participate in a learning cohort led by the Center for Non-profit Management based in Nashville, Tennessee.  We will be sharing resources and our learning with you as well as using this opportunity to help us more effectively guide our CHIP process so that the amazing work across our community is better aligned for success.  Again, check out our Resources Page.  

Prior to attending our first Learning Cohort session in Nashville, Our MAHEC/Buncombe Co HHS team took a survey to assess how we are doing as a "collective impact process" as both a way to inform our learning but also as a tool to help us evaluate our process moving forward.  You're perspective in this assessment would be valuable and we would like to invite you to take this same survey.  Please let us know if you have any difficulty accessing the survey tool

In closing, we are extremely excited to introduce Hannah Legerton who we welcomed as our new Health Improvement Specialist on January 23rd.  Hannah has masters degrees in both social work and public health with extensive experience working in the fields of maternal child health and on social justice issues.  Some of you may know Hannah from 2014 when she interned with the CHIP team at Buncombe County HHS.  She is also an Asheville native.  We'll have her bio posted on our CHIP Staff page in the next few days.
In the meantime, our existing work around Birth Outcomes and Diabetes continues. Maggie Adams and Cindy Williams with Mothering Asheville shared a wonderful update on their work at our last CHIP Advisory.  You can click here to view the slides from that presentation as well as a short video clip that talks about the work of Mothering Asheville. 

We are in the middle of a roller coaster winter and our January Diabetes New Year meeting needed to be postponed due to the recent "polar vortex" event.  This group will now be meeting on February 12. For more information about that meeting contact Nicole Vertel. And you can follow updates for this group on our Diabetes Page.

Food Security partners reconvened their larger workgroup in mid-January with a great group of participants. Look for updates to this work at our Food Security Page in a couple of weeks. 

Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.

In appreciation of all you do!
The CHIP Team!

Friday, December 28, 2018

January Update

Dear Community Partners and Key Stakeholders,

As we welcome a new year and a new CHIP cycle we want to thank you so much for sharing this journey from CHA to CHIP! At our December CHIP Advisory meeting, we voted on two Focus Conditions to move forward in our 2018-2021 CHIP cycle. And on December 21st, the Buncombe County Health and Human Services Board endorsed and approved our recommendation to focus on Mental Health for this next three year CHIP cycle and Birth Outcomes and Infant Mortality as our focus for an expanded 10 year cycle!  We hope you feel that your voice has been included in this CHA/CHIP process and we are committed to continue to work to better engage the community and those most impacted by these conditions as we move forward.  

Don't forget that you can review our CHA/CHIP process notes and materials on our blog resources.  You'll find a link to a directory of CHA documents on the right-hand menu bar with links to all the meeting materials (minutes, slides and supporting materials), data summaries for standout health conditions and materials that describe (and supported) the methodology used to get us to our new Focus Health Conditions.  And, as always, feel free to reach out with your questions and data needs.

With the New Year we continue to work on improving our CHIP Operating Guidelines to provide more meaningful opportunities for engagement, broader leadership and improved communication.  We will spend time in February considering approaches to addressing the social determinants of health that influence so much of our community's health and well-being.  Beginning in March we will be reaching out to all of you to help us identify the stakeholders that need to be involved in shaping our work around Mental Health and with Birth Outcomes and Infant Mortality.  In May we will be engaging many of you along with key stakeholders across the community in in a robust process to focus this new work and identify the strategies and process that can help us change the trajectory of these Focus Health Conditions.

In the meantime, our existing work around Birth Outcomes and Diabetes continues. Our Diabetes partners shared a wonderful update on their work at our last CHIP Advisory and you can view the slides from that presentation here.  After much process work and planning their will be a meeting of our larger diabetes workgroup this month and a long awaiting reconvening of Food Security partners.  You can learn more about this at our at our separate work group blog sites:
Don't forget to visit our additional blog pages to learn more on how you can Engage on important issues related to our CHIP priorities and Social Determinants of Health, Support our many partners, Learn.  In particular, we invite you to visit the Resources page where we have posted a number of articles on Collective Impact lessons learned and best practices.  Our CHIP support team will also be participating in a learning cohort with the Center for Nonprofit Management this year  We'll be talking about this opportunity and why a renewed focus on collective impact at our January Advisory meeting.  We'll also be reaching out to you in early January to give us a baseline assessment on the status of and support for CHIP as a collective impact approach.
Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.
In appreciation of all you do!

The CHIP Team!

Monday, December 3, 2018

December Update

Dear Community Partners and Key Stakeholders,

Our journey from CHA to CHIP is nearing a close. In August we received over 200 pieces of data from WNC Health Network

Our CHIP Advisory worked with our Buncombe CHA data team throughout October and early November to review the stand-out data from publicly available resources such as the NC Center for Health Statistics, the WNC Regional Telephone Survey and the Key Informant Interview that some of you participated in.  Using a filter of the relevance, impact and the feasibility of addressing these conditions, they helped narrow the list of stand out health conditions to 5.
 We further considered these health conditions in regard to what community members felt were important and pressing issues as well as information from public sources around social determinants of health. And on November 1st we revisited the data that had been shared and had conversations about what it would mean for each of these to be the Focus Health Conditions for as much as the next 10 years. Those present at that meeting voted for 2 Focus Health Conditions to move forward, with one for a 3 year CHIP cycle and another for a 10 year CHIP cycle. We also reached out to Advisory members who were not able to attend that meeting to obtain their vote.  We meet next Thursday to finalize this decision.  The Buncombe County Health and Human Services Board will be asked to endorse our recommendation at their December Meeting.


You may notice that we haven't used the term CHIP Priorities and that's intentional. We realize that it is important to stress that when health conditions are no longer the primary focus of CHIP that they are still priorities. We will continue to support community work around previous "priorities" as much as we can while giving lift to our designated Focus Health Conditions.

Throughout this process there has been a profound interest and concern in how we move forward in a way that ensures that social determinants are woven through our CHIP work. Especially as it relates to racism. We don't know exactly what type of structure or process this will require but we will be working to address this challenge over this next year. Critical to ensure that we are doing this is making sure the right voices are involved with this work. Once we confirm our Focus Health Conditions, we will spend the next couple of months identifying these voices.

You'll find a link to a page that describes and includes links to all the documents related to this process on the right-hand menu bar on our Blog, including meeting slides and minutes.

With the months-long in the weeds data process, it's helpful to remember that we are in Phase 1 of the CHA/CHIP process. We look forward to moving past the data and into the Strategic Planning process.

Don't forget to visit our additional blog pages to learn more on how you can Engage on important issues related to our CHIP priorities and Social Determinants of Health, Support our many partners, Learn, and access Resources.  

Don't forget each of our priority work groups has a separate blog page which you can find at the following links:
Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.

In appreciation of all you do!

The CHIP Team!

Wednesday, October 31, 2018

November CHIP Update

Dear Community Partners and Key Stakeholders,
Throughout October we have continued to work on our process to identify where our CHIP focus will be over the next 3+ years.  In early October, the CHIP Advisory spent time reviewing the stand-out data from publicly available resources such as the NC Center for Health Statistics, the WNC Regional Telephone Survey and the Key Informant Interview that some of you participated in.  CHIP Advisory engaged in a process to consider the health conditions that have risen to the top so far in regard to relevance, impact and the feasibility of addressing these conditions.  Later in October, the CHIP Advisory had the opportunity to hear what community members feel are important and pressing issues as well as information from public sources around social determinants of health.  On November 1st (drum roll please) we hope to narrow the list of stand-out to just 2 that will be presented to the Buncombe County Health and Human Services Board for consideration in mid November.  One of these health conditions will be a focus for the next 3 years and one for potentially 10 years.  

Throughout this process there has been a profound interest and concern in how we move forward in a way that ensures that social determinants are woven through our CHIP work.  We don't know exactly what type of structure or process this will require but will be working to address this challenge over the next couple of months. 

With the months-long in the weeds data process, it's helpful to remember that we are in Phase 1 of the CHA/CHIP process.  We look forward to moving past the data and into the Strategic Planning process.

Don't forget to visit our additional blog pages to learn more on how you can Engage on important issues related to our CHIP priorities and Social Determinants of Health, Support our many partners, Learn, and access Resources.  

Don't forget each of our priority work groups has a separate blog page which you can find at the following links:
Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.

In appreciation of all you do!

The CHIP Team!

Tuesday, October 2, 2018

October Update

Dear Community Partners and Key Stakeholders,
Our Data Team is working overtime to sift through our 2018 CHA data and compile "stand-out" data in an easily understandable format. At our next CHIP Advisory meeting on October 4th, we'll start the work of narrowing the data to determine where we will be devoting energy and resources during the upcoming CHA cycle.  This process will take place over 3 work sessions in October and early November.  This first session focuses primarily on the data collected from state and regional resources and the regional telephone survey that includes over 175 indicators in addition to the local key informant survey.  We'll be engaging our advisory in helping us consider the data that is standing out with some additional criteria such as impact and relevance.

Our community data gathered from listening sessions and other community gatherings is currently being analyzed.  Thanks SO MUCH to all of you who helped in this effort!  The conversations have been rich and informative. The second CHIP Advisory work session will help us consider the stand out data in regard to what the community has told us as well as factors such as social determinants of health. We'll come together again the first week in November to identify just a few health conditions to present to the HHS Board. In an effort to really mobilize and move the needle, this is a much smaller number than we have identified in the past.  It will be challenge to narrow our focus but we are hopeful that we can be successful.

In mid-November, we'll make our recommendations to the Buncombe Health and Human Services Board for the two health conditions that collectively we will be working to really make a difference on over the next several years.

If you serve on the Buncombe CHIP Advisory Board, please make sure that you RSVP for the series of work sessions coming up.  We are asking for 100% participation.  If you are not able to attend, we ask that you send someone who is knowledgeable about health and the conditions that impact health who can inform this process.

Don't forget to visit our additional blog pages to learn more on how you can Engage on important issues related to our CHIP priorities and Social Determinants of Health, Support our many partners, Learn, and access Resources.  

Don't forget each of our priority work groups has a separate blog page which you can find at the following links:
Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.

In appreciation of all you do!

The CHIP Team!

Tuesday, September 4, 2018

September Update

Dear Community Partners and Key Stakeholders,
 
The CHIP Advisory has been working on how we work more effectively together and how we are going to support the Community Health Assessment in the coming months. The next Advisory meeting is coming up this Thursday, September 6th. As always, you'll find meeting materials on the right-hand menu bar on the blog. 
 
Exciting news! Released on August 17 - The Community Health Assessment data workbook with a wealth of secondary data, the telephone survey data as well as the results of the key informant survey that many of you contributed to. Where possible, these data sets provide comparison to the region and the state.  WNC Healthy Impact has provided great guidance and tools on how to review this abundance of data so that our local data team can identify a manageable number of health conditions that, in turn, will be initially prioritized by the CHIP Advisory. The Advisory Council will in turn make recommendations to the Buncombe County Health and Human Services Board who will contribute to the final decision on what health priorities will be moving forward.  We continue to host listening sessions/focus groups and obtain input on our one key question with individuals across the county.  Thank you so much to those organizations and individuals that have assisted with this process!
 
It is with appreciation and sadness that we are saying farewell to our Health Improvement Specialist extraordinaire, Deanna LaMotte who will be leaving us in a little over a week.  Deanna won't be going very far so expect to still cross paths as she leads the Mission Health ACT Now! grant to address regional diabetes.

Don't forget to visit our additional blog pages to learn more on how you can Engage on important issues related to our CHIP priorities and Social Determinants of Health, Support our many partners, Learn, and access Resources.  

Don't forget each of our priority work groups has a separate blog page which you can find at the following links:
Keep up-to-date on more timely information and partner updates on our Facebook page. To share your info on our Blog and Facebook pages, send content to Terri at anytime.

In appreciation of all you do!

The CHIP Team!