Mobilizing for Action through Planning and Partnerships

Leadership Council

Visioning Reception

Thomas Jefferson Health District

1138 Rose Hill Drive, Charlottesville, VA 22906

March 16, 2016

Minutes

Introductions/Attendees:


Bertha Armstrong; Fluvanna CHA Council

Jennifer Ayers, Senior Center

Elizabeth Beasley, TJHD

Tara Blackley, TJHD

Dr. Denise Bonds; TJHD

Mozell Booker; Fluvanna CHA Council

April Carman, Open Knowledge Collaborative

Deborah Chesley; Greene Core/UVA

Sylvia Coffey; Sentara Afton Family Medicine

Jonathan Davis, Sentara Martha Jefferson Hospital (MJH)

Kaki Dimock; TJ Area Coalition for the Homeless

Janie Eckman; Sin Barreras

Sue Friedman; Alzheimer’s Association

Ruth Gaare-Bernheim; UVA MPH/UVA HS

Kathy Galvin; Charlottesville Albemarle CHA Council

Willie Gentry, Louisa Board of Supervisors

Brennan Gould, Charlottesville Area Community Foundation

Lindsay Hauser, Tobacco-Free Community Coalition

Kathy Hudson; Piedmont Virginia Community College

Barbara Hutchinson, TJ Area United Way

Elizabeth Irvin; The Women’s Initiative

Rebecca Kendall, Charlottesville Mental Health and Wellness Coalition

Catherine Lee; CATEC

Jane Lewis, Region Ten Community Service Board

Rod Manifold, Central VA Health Services, Inc.

Jackie Martin, Sentara MJH

Brandi Massie; Blue Ridge Medical Center

Linda McNeil; ROSMY

Ray Mishler, Sentara MJH

Tiffany Neal, Move2Health Planning Committee

Dr. Norm Oliver; Charlottesville Albemarle CHA Council

Dr. Aaron Pannone; UVA MPH

Jillian Regan; TJHD

Gloria Rockhold; Community Engagement, Albemarle County Public Schools

Jennifer Scofield; Performance Impact Consulting

Frannie Smedile; Sin Barreras

Pamela Sutton-Wallace, UVA Health System

Christine Thalwitz; ACAC Fitness and Wellness

Peter Thompson, Senior Center

Sharon Veith; IPO Work Group

Noelle Voges; UVA Cancer Center

Diamond Walton; UVAHS – Trauma Program

Davina Wengren; Louisa County; Speak Out Against DV

Peggy Whitehead; Blue Ridge Medical Center


I. Vision for Improving Community Health (Facilitated by Jackie Martin)

· All attendees voted on a Vision Statement

· MAPP Vision: “Together we support equitable access to resources for a healthy, safe community.”

· Our Values:

(1) Teamwork - Cooperative or coordinated effort on the part of a group of persons acting together as a team. Prominent words in word clouds: together, one another, one

(2) Accountability - The state of being accountable, liable, or answerable. Prominent words in word clouds: support, improve, supportive, helping

(3) Inclusivity - Policy of not excluding members or participants on the grounds of gender, race, class, sexuality, disability, etc. Prominent words in word clouds: everyone, including, inclusive, equal

(4) Respect - Esteem for or a sense of the worth or excellence of a person. Prominent words in word clouds: love, care, respect

II. Community Themes & Strengths Assessment and Implementation (Facilitated by Aaron Pannone)

· Question about the number of languages the survey will be available in – TJHD will pay to have survey translated into district’s top five languages (Spanish, Chinese, Arabic, French, German)

o Comment: Need to translate survey culturally

· Survey will be distributed to the community and through partnering community organizations, online link for the survey will also be made available

· Timeline for completion is end of June

· Comment: Children aged 14 years or older are able to be surveyed without a parent’s consent

· Comment: NACCHO graphic—the graphic did not show urban life well, even seemed to make it look like health was achieved outside of cities or in the wilderness

o Could make own graphic

III. Let’s Look at the Data (Facilitated by Elizabeth Beasley)

· Section 1: Who are we and what do we bring to the table?

o Demographics

§ Slight increase in number of adults with disabilities from previous year

§ Highlighted that Nelson county had the highest rate of Kindergarteners who were not School Ready

§ Louisa and Fluvanna are the only two counties reaching the Healthy People Goal for School Readiness

o Socioeconomic Indicators

§ Should look into how UVA students in Charlottesville are affecting the rate of residents in Poverty

· Section 2: Strengths and Risks in Our Community

o Community Resources

§ Number of PCPs in the data comes from AMA MPI registry

§ Number of Mental Health Providers comes from AMA MPI registry if it is noted in their profession

§ We do have data that includes NPs, PAs and Clinical Nurse Specialists—Jillian

§ Would like to look at the more recent rates of Uninsured residents since the implementation of ACA

§ Highlighted the high percentage of children in Charlottesville enrolled in Medicaid

§ Vacant Housing—Louisa and Nelson high due to the inclusion of vacation homes in Lake Anna and Wintergreen respectively

· Vacant: if there is no resident at the time of interview or if there is only temporary residency throughout the year—includes vacation homes

§ Highlighted the high rate of full service restaurants in the district

§ Food Stores by Type was not broken down by locality in this meeting, but that data is broken down for each Locality CHA Council

§ Low Access to Stores – old data but probably not much change since 2010; unfortunately no data for Greene

§ Food Insecurity – did not have reliable access to food source

§ Charlottesville did not perform well in regards to their Food Environment Indexj

§ Child Care Availability

· Numbers come from number of slots in licensed home day care centers and licensed day care centers and child population in that age range

· Less available than there was in past years

· VA DSS only knows about licensed centers but probably higher availability when including unlicensed centers

§ Physical Activity: all localities increased access

§ Data on who uses the Locations for Physical fitness opportunities coming in Section 3 with BRFSS data (limited data – warning)

§ JAUNT data – legend on slide is missing rides to medical appointments

o Community Safety

§ Reported Crime Incidents – decrease in last ten years; most dramatic in Charlottesville

§ DUI Arrest Rate – steady decrease over last eight years; rolling average rates

§ Drug/Narcotic Arrests: trend of decrease; unsure of confounding variables

Next Steps (Facilitated by Aaron Pannone)

· County Health Rankings released on March 16th (http://www.countyhealthrankings.org/)

o Albemarle ranked 4th

o Efforts should align with Virginia Department of Health’s Plan for Well-Being

§ Available for public viewing online; www.vdh.virginia.gov

§ Metrics of the Plan

· Healthy Connected Communities

· Preventive Actions

· Strong Start for Children

· Systems of Healthcare

§ Strategies on Presentation

o Breakdown being sent by Elizabeth soon

o Metrics added or tweaked each year so difficult to trend over time

· Next meeting we will review health behaviors and outcomes data and provide update on community themes assessment

Next Meeting: May 18, 2016, 8:30 – 10:30 AM, Location: Kessler Conference Room

Outpatient Care Center, 595 Martha Jefferson Drive