HIP-Cuyahoga’s Efforts to Bridge Clinical Medicine and Public Health Highlighted in AMCNO Article

The November/December 2018 issue of the Academy of Medicine of Cleveland and Northern Ohio’s (AMCNO) Northern Ohio Physician profiles HIP-Cuyahoga’s efforts to bridge clinical medicine and public health on page 11. Co-written by Dr. Heidi Gullett, HIP-Cuyahoga Co-chair, and Kirstin Craciun, director of community outreach at The Center for Health Affairs and HIP-Cuyahoga Steering Committee member, the article profiles efforts over the past five years to more closely align the community health assessments that public health partners and hospitals complete.

Building on the past five years of collaboration guided by HIP-Cuyahoga, The Center for Health Affairs, and the CWRU School of Medicine, the collaborative is poised to complete a community health assessment in 2019 that includes the Cleveland Department of Public Health, Cuyahoga County Board of Health, and multiple local hospital partners. This is a significant step in the right direction to more closely link clinical medicine and public health in community health improvement efforts. A major strength of conducting the assessment and community health improvement planning process collaboratively is the potential to address complex structural determinants of health, which have previously proven intractable, but which impact both individuals and organizations through preventable differences in health outcomes. 

Achieving Transformational Change to Improve Opportunity and Health for All – Meeting Materials

The annual HIP-Cuyahoga Consortium Meeting on November 15th, “Achieving Transformational Change to Improve Opportunity and Health for All” was an inspiring and action oriented event. Eighty-eight (88) people attended, and about 27% experienced a HIP-Cuyahoga event for the first time.  We were glad to host both the newcomers and the veterans, and are encouraged that so many are interested in being involved in this transformational movement to improve the conditions for ALL residents in our county to live their healthiest lives.

Speaker Presentations

Keynote Speaker: Bobby Milstein, ReTHINK Health. Click here to download Bobby’s presentation with results from the interactive polls that he included in his talk.

Heidi Gullett and Greg Brown, HIP-Cuyahoga co-chairs, gave an overview of  Where We’ve Been and Where We’re Heading Click here for the power point.

Kirstin Craciun, Greg Brown and Heidi Gullett discussed Using an Equity Lens to Influence and Shape the Combined Health Assessment and Health Improvement Planning Efforts. Click here for the presentation.

Jacob VanSickle presented how Bike Cleveland and partners are Building an Active Transportation Culture for Better Health. Click here for the presentation.

Trevelle Harp led a presentation on the Campaign for Fair Access to High Quality Supermarkets in Cuyahoga County.  Click here for the presentation

Jonathan Lever and Jennifer Kons presented on Health Improvement for All: Accountable Health Communities and Clinic-to-Community Linkage Projects. Click here for the presentation.

Event supported by RWJF Special Contributions Fund of the Princeton Area Community Foundation

Cuyahoga County’s first joint community health assessment will help partners achieve the goal of Transforming Health Together

In the ongoing effort to improve health outcomes in Cuyahoga County, local partners, including Case Western Reserve University School of Medicine, Cleveland Department of Public Health, Cuyahoga County Board of Health, Health Improvement Partnership-Cuyahoga (HIP-Cuyahoga), The Center for Health Affairs and University Hospitals (UH), have conducted a joint community health assessment. Previously, public health and hospital community health assessments were completed independently in Cuyahoga County. The 2018 Cuyahoga County Community Health Assessment marks a turning point toward a new, more effective, and collaborative approach to identify the health needs of the community.

The 2018 Cuyahoga County Community Health Assessment is a bridge to the next assessment to be completed in 2019. This assessment enables Cleveland Department of Public Health, Cuyahoga County Board of Health, and eight hospitals in the University Hospitals health system to partner and collaborate on a smaller scale prior to conducting a more comprehensive health assessment next year.

 

This collaborative community health assessment represents a new way of working together as we highlight a shared vision of improved health for our community,” said Dr. Heidi Gullett, HIP-Cuyahoga co-chair and assistant professor at Case Western Reserve University School of Medicine. “This process brought together both local health departments and University Hospitals to focus on what matters most to our community. The relationships built during this process will enable a comprehensive and inclusive 2019 assessment which will result in new shared priorities on which we will all work together for the next three years. This is a critical step in moving toward equity, creating opportunity for everyone to be healthy, in Cuyahoga County.

 

The 2019 health assessment will include the current partners as well as additional Cuyahoga County hospitals and stakeholders that are not required to report until 2019. This will ensure that authentic community engagement is a central part of the planning and improvement process.

 

This is a really exciting moment that would not have been possible without many incredibly committed individuals working for years to build trust and create systems change within their organizations,” said Kirstin Craciun, director of community outreach at The Center for Health Affairs. “Hospital and public health stakeholders have demonstrated the ability to find tangible ways of working together, with community, with the goal of creating opportunities for all of our residents to achieve their highest health potential.” Dr. Gullett and Craciun co-chaired the 2018 health assessment steering committee.

 

While the region boasts first-class health care at its highly rated healthcare institutions, Cuyahoga County ranks in the bottom third in Ohio for health outcomes. Some Cuyahoga County residents are born and live in communities where it is difficult to grow up healthy and maintain good health. Favorable living conditions and opportunities for physical, emotional, and social growth form the foundation for health; without these, people are more likely to live shorter, sicker lives.

 

Recognizing the opportunity to improve health outcomes through more coordinated, equity-grounded health planning, HIP-Cuyahoga prioritized the need to create stronger connections between public and clinical health in 2015. HIP-Cuyahoga is a cross-sector partnership working to build opportunities for everyone in Cuyahoga County to have a fair chance to be healthy.  This approach was chosen based on the belief that it will help reduce barriers and create opportunities for all to reach their fullest health potential in Cuyahoga County.

 

A critical first step in achieving more aligned community health planning in Cuyahoga County has been the development of a joint community health assessment among public health and hospital stakeholders. Certain hospitals are required to complete a community health needs assessment, commonly referred to as CHNA, and corresponding implementation strategy at least once every three years. This assessment meets federal I.R.S. requirements for the 2018 CHNA for UH Ahuja Medical Center, UH Regional Hospitals (Bedford and Richmond Campuses), The Parma Community General Hospital Association d/b/a UH Parma Medical Center, UH St. John Medical Center, UH Cleveland Medical Center, UH Rainbow Babies & Children’s Hospital, and UH Beachwood Rehabilitation Hospital, LLC. Completing a community health assessment and a corresponding community health improvement plan are also integral parts of the process that local and state health departments must undertake to obtain accreditation. Conducting collaborative assessments has shown to be an effective way to make real improvements in health outcomes in other Ohio counties and areas outside of Cuyahoga County and, most remarkably, in New York State, where they improved their state health ranking to 10th place from 40th in the U.S. over the last two decades.

 

The Cleveland Department of Public Health, Cuyahoga County Board of Health, and University Hospitals were all required to complete a community health assessment in 2018 and chose to work collaboratively to develop a single, coordinated report. This shift in the way health assessments are conducted by Cuyahoga County’s two local public health stakeholders and one of its largest healthcare systems is a deliberate attempt to work together more effectively and efficiently. Further, it demonstrates the commitment of these partners to gaining a deeper understanding of the significant health inequities that have plagued our county.

 

Based on the health needs identified in the 2018 Cuyahoga County Community Health Assessment, the following represents the list of prioritized health needs that will be the focus of the one-year equity-grounded implementation plan:

 

  1. Poverty (i.e., healthy homes, food insecurity)
  2. Opioids / substance use disorders / mental and behavioral health
  3. Infant mortality
  4. Homicides / violence / safety
  5. Chronic disease management and prevention (i.e., cancer, diabetes, COPD, asthma, cardiovascular disease, healthy eating / active living)

Click here to visit the assessment page

Achieving Transformational Change to Improve Opportunity and Health for All

Achieving Transformational Change to Improve Opportunity and Health for All

Registration is open for the HIP-Cuyahoga Consortium Meeting

Mark your calendars and plan to join HIP-Cuyahoga in our yearly convening.
Date: November 15, 2018
Time: 8:30 AM – 3:30 PM
Location: Sheet Metal Workers Hall
12515 Corporate Drive, Parma, OH 44130

Continental breakfast and lunch provided

 

Please join us for HIP-Cuyahoga’s 2018 annual Consortium Meeting! Hear from national and local leaders and join the conversation on how we can sustain our collective efforts, maximize our impact, and transform our region’s health.

Keynote Speaker: Bobby Milstein, ReTHINK Health

Bobby Milstein leads several ReThink Health projects focused on large-scale institutional change, including ongoing development of the ReThink Health Dynamics Model and other tools that allow leaders to negotiate their own scenarios for transforming regional health. Previously, Bobby spent 20 years planning and evaluating system-oriented initiatives at the Centers for Disease Control and Prevention (CDC), and was the principal architect of CDC’s framework for program evaluation. He received CDC’s Honor Award for Excellence in Innovation as well as Article of the Year awards for papers published in Health Affairs and Health Promotion Practice. Bobby earned a PhD in public health science from the Union Institute & University, and an MPH from Emory University. He once was a documentary filmmaker and also contributed storylines for The West Wing.

 

 

 

Bobby will discuss opportunities and strategies for transforming health through large-scale institutional and system change. He will underscore insights that have come from looking at how other regional multisector groups develop over time, and how it is necessary to think and act differently together to evolve into a high-functioning and transformational collaborative. Bobby will explore and open conversation about using a fuller range of financing sources to grow and sustain health improvement efforts.

Afternoon Presentations

We will hear from HIP-Cuyahoga partners on their collaborative efforts to transform environments, systems and policies to improve health:

Bike Cleveland 

Building an active transportation culture for better health

 

Northeast Ohio Alliance for HOPE (NOAH) and the Cuyahoga County Board of Health

Campaign for fair access to high quality supermarkets in Cuyahoga County

 

Policy Bridge and Case Western Reserve University School of Medicine

Using an equity and structural racism lens to influence and shape the combined health assessment and health improvement planning efforts

 

Better Health Partnership and United Way of Greater Cleveland

Accountable Health Communities Project partners discuss alignment with HIP-Cuyahoga and our shared agenda for health improvement for all

Registration is now FULL!

Event supported by RWJF Special Contributions Fund of the Princeton Area Community Foundation

HIP-Cuyahoga awarded “REACH” grant to continue efforts to improve health, prevent chronic diseases, among African Americans in Cuyahoga County

HIP-Cuyahoga awarded “REACH” grant to continue efforts to improve health, prevent chronic diseases, among African Americans in Cuyahoga County

Cuyahoga County Board of Health, on behalf of HIP-Cuyahoga, was notified that they have been awarded the Racial and Ethnic Approaches to Community Health (REACH) grant from the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. This grant award will provide $792,000 annually starting this October and run the next 5 years.

This project will help to advance work that was initiated in 2007, with significant progress made during the recent REACH grant cycle (2014-2018) in the areas of healthy eating, active living, and clinical and community linkages.  HIP-Cuyahoga hopes to improve healthy food access, physical activity and active transportation opportunities, increase breastfeeding supports, and increase the use of community and health support programs among African Americans in Cuyahoga County (see project abstract).

“This REACH award reflects the tangible ways numerous community partners are doing business differently in order to achieve our shared goal of creating community conditions where everyone can reach his or her full potential.  We are very grateful to the Centers for Disease Control and Prevention for this funding and the recognition that a new level of unprecedented collaboration among REACH partners has occurred in Cuyahoga County.  These and other partners have worked tirelessly over the past 9 years to build relationships of mutual respect and trust in order to more effectively work together to improve health through tackling the toughest determinants of health in our county such as structural racism and poverty. The work of this long-term partnership enabled creation of the current scope of work aimed at preventing chronic disease through a multi-sector, five-year collaborative effort.  This partnership truly reflects the very best of what we can achieve when we work across boundaries to address the most intractable determinants of health in our community.  Through this REACH funding, we look forward to authentically engaging people throughout our community in creating sustainable change for the long-term.” –  Heidi Gullett, HIP-Cuyahoga Co-Chair.

Health Improvement Partnership-Cuyahoga (HIP-Cuyahoga) understands that neighborhoods and communities are not all created equal, and some people are born and live in places where it is difficult to grow up healthy. The conditions in which people live, and the opportunities they have, form the foundation for health and without them, people are more likely to live shorter, sicker lives. The racial disparities in chronic disease health outcomes in our community are the result of historical and contemporary injustices linked to structural racism.

Funded partners for this grant include:

The Cuyahoga County Board of Health, A Vision of Change, Better Health Partnership, Bike Cleveland, Case Western Reserve University (the Center for Community Health Integration and the Prevention Research Center for Healthy Neighborhoods), Cleveland State University School of Nursing, Fairhill Partners, Kent Cleveland Urban Design Collaborative, Neighborhood Family Practice, United Way and the YMCA of Greater Cleveland.

About HIP-Cuyahoga

Health Improvement Partnership-Cuyahoga (HIP-Cuyahoga) is a multi-sector, equity-grounded collective impact community consortium. HIP-Cuyahoga’s vision is for our county to be a place where all residents live, work, learn, and play in healthy, sustainable, and prosperous communities. The HIP-Cuyahoga mission is to inspire, influence, and advance policy, environmental and lifestyle changes that foster health and wellness for everyone, through 4 key approaches: perspective transformation, collective impact, community engagement, and health and equity in all policy (see HIP-Cuyahoga brochure).

 

Grand Opening for Simon’s Buckeye October 6th!

Simon’s Supermarket in Buckeye had their “soft opening” a couple weeks ago and are now open for business!  Stop by for the Grand Opening, taking place on Saturday, October 6th from 12 – 3 pm at 11501 Buckeye Rd.

This store was implemented through a strong partnership from community residents, city leaders, health departments and  local organizations. Community organizing and resident feedback was a key component to the success of this store opening. Over the past year, hundreds of Buckeye/Cleveland residents organized forums, walk throughs and even a job fair to make sure that store ownership hears the community’s priorities.

Residents democratically developed expectations related to quality, safety, service and local hiring and worked with store ownership to implement them.

Some expectations from resident feedback sessions:

High quality, fresh food, priced affordably

A safe place that is well-lit, and has security

A clean, sanitary store

Friendly and professional employees

Convenient hours and adequate check out lanes

Accessibility features for people with disabilities

 

 

 

 

The City of Cleveland provided $1 million in funding support (mostly grants) and the Healthy Food for Ohio Program provided almost $1 million in loans.  Without this support, the project would not have been possible.

The store is 55,000+ square feet and will employ 80+ workers.  This store occupies the site of the Giant Eagle that closed in February 2017.  Strong resident organizing following the store closure created urgency for this project.

Campaign for Quality Supermarkets

Join the effort to ensure that all neighborhoods in Cuyahoga County have access to high quality food.

Click to sign on

HIP-Cuyahoga Fall 2018 Newsletter

We are pleased to introduce the HIP-Cuyahoga fall 2018 newsletter.

(click on image to download)

In this issue you will find:

Partner Highlight: University Hospitals
University Hospitals Approaches Community Health Improvement through a Health Equity Lens.

Community Champion Spotlight
HIP-Cuyahoga community health ambassadors lead the resident engagement work as we strive to be community led.

Subcommittee Updates 
The four subcommittees, Chronic Disease Management,
Eliminating Structural Racism, Linking Clinical and Public Health and Healthy Eating and Active Living have been busy throughout the past year.

Perspective Transformation Capacity Building
HIP-Cuyahoga co-chair, Greg Brown shares insights into one of our key approaches.

Campaign for Quality Supermarkets

The Northeast Ohio Alliance for Hope (NOAH) is organizing to implement high quality supermarkets in our neighborhoods and needs your help.

We ask for the cooperation of Cuyahoga County to allocate resources to support the implementation of high quality supermarkets and Community Benefits Agreements that seek to promote cooperation and accountability among residents, storeowners and local government.

We believe that the public sector has a responsibility to address disparate access to high quality supermarkets in our county. This petition represents the support of everyday Cuyahoga County residents who believe that fair access to supermarkets is a pressing need in our neighborhoods.

To build opportunities for everyone to have a fair chance to be healthy, we urge Cuyahoga County to support improved access to high quality supermarkets in under-resourced communities.

Residents in East Cleveland and other under-resourced communities are more likely to suffer from chronic diseases and live shorter lives compared to residents in the rest of the county.

High quality supermarkets provide jobs, an increased tax base, healthy and affordable food and attract and stabilize other local businesses. We believe that improved access to high quality supermarkets should be a strategic priority for Cuyahoga County Leadership.

There are recent successful examples in the City of Euclid and in the Buckeye Neighborhood in Cleveland of community-based supermarket implementation projects. Collaboration among local and county government and strong resident participation were integral to providing high quality, stable supermarket access for neighborhoods that previously did not exist.

We ask that Cuyahoga County considers the importance of building wealth within communities most affected by supermarket access issues.

Strategies may include the prioritization of funding for storeowners who live in or reflect the communities that they serve, or who are committed to providing meaningful community benefits such as hiring local, providing community meeting space or budget transparency.

Click here to sign the petition

Ro Digga and Haz Matt help show how HIP-Cuyahoga is creating a healthy opportunities for all

HIP-Cuyahoga successfully coordinated the collection of personal care products, and then the distribution at the Food Pantry and Care Pack Drive on Saturday, August 18th at Philemon Community Baptist Church in East Cleveland. Two local radio stations, WZAK 93.1 FM and Z107.9 FM helped promote the event and let community members know to come out and receive a helping hand. DJ Haz Matt from WZAK made announcements live on the radio from the event, and Ro Digga from Z1079 interviewed several of the coordinators of the event on Facebook Live.  The event was truly inspiring. Over 300 families received fresh, healthy food including produce, lean meats, bread and packs of personal care items. Partners who supported this event by collecting donated items from employees and/or the community include Hanson Services, The Cleveland Institute for Community Health, the Cuyahoga County Board of Health, the Prevention Research Center for Healthy Neighborhoods, The Case Western Reserve University Comprehensive Cancer Care Center, and the Cleveland Museum of Natural History. Two local retailers, Discount Drug Mart and the Dollar General of Bedford generously contributed multiple shopping cart loads of hygiene and health products from their shelves as well. Helping Hands, a service organization based at Philemon, runs food pantries, community meals, clothing drives and other projects to help neighbors in need.  Anjenette Whitted, who organized all of the volunteers and runs Helping Hands, led us through a seamless event. Cars lined up down the street, and drove through two lines of volunteers ready to load their car. In all, the day filled the hearts of recipients and volunteers with a sense of community and support.

“I help because I can. You never know when you are the one who is going to need a helping hand” ~ Anjenette Whitted.

Page 1 of 712345...Last »