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

Supermarket Strategy and Policy Coalition Meeting Announcement

You are Invited to the Supermarket Strategy and Policy Coalition Meeting

Tuesday December 5th
10:30am-12:00pm
East Cleveland Public Library – Lower Auditorium

14101 Euclid Ave.
East Cleveland, OH 44112

The purpose of the Supermarket Coalition is to organize and align residents, storeowners, local/regional governments and funders to implement and stabilize high quality supermarkets in low-income neighborhoods in Cuyahoga County.  At the meeting we will cover:

1) Active supermarket projects in Cuyahoga County including: Euclid, Bedford, Cleveland
2) Community organizing strategies to prioritize resident feedback regarding store implementation. How can we support?
3) Policies to support high quality supermarket implementation + stabilization. Funding and accountability measures such as “clawbacks” to promote good actor supermarkets (local hiring, resident feedback requirements, local entrepreneurship opportunities, living wages, time commitments, produce commitments etc.)

The Supermarket Coalition is part of HIP-Cuyahoga‘s Healthy Eating and Active Living Subcommittee.  More information about Supermarket Access in Cuyahoga County can be found at the Cuyahoga County Board of Health’s website HERE.

Contact and to RSVP: Roger Sikes at 216-903-3283 or rsikes@ccbh.net

New HIP-Cuyahoga video describes how we learn from history to make our future healthier

Throughout 2017, HIP-Cuyahoga has worked with a local film company, Cinecraft Productions to create a video series. The first video describes the problems HIP-Cuyahoga is working on and our collective efforts to ensure that Cuyahoga County is healthy for EVERYONE. HIP-Cuyahoga recognizes that opportunities are not the same for everyone in Cuyahoga County. Many racial and ethnic groups face steep obstacles and barriers to living healthy and prosperous lives. To build opportunities for everyone in the county to be healthy, HIP-Cuyahoga is learning and understanding how historical policies and practices have shaped current differences in community conditions and opportunities to be healthy, and is now thinking, understanding, valuing and taking action differently.  With this historical perspective and understanding, HIP-Cuyahoga is working with organizations, institutions, key decision makers, community leaders and others to address the structural, systemic and institutional barriers at the root of these opportunity differences.  This video was created with the generous support of the Saint Luke’s Foundation of Cleveland.

 

 

Cleveland Teens Fresh Camp remind us about lead poisoning with ‘Forgotten Homes’ video.

“Forgotten Homes” was composed and written by five area teens who are interns with Fresh Camp, an initiative that amplifies youth voices. The song was made after the interns — Cris Huff, Mecca Primm, Charles Spooney, Derrick Washington and Maurice Philpott Jr. — researched lead poisoning in Cleveland and the historical and racial factors that have allowed it to harm the futures of thousands of children in Cleveland. The song is one from a soon-to-be released CD titled “Drop the Lead” that explored the connections between two problems — gun violence and lead poisoning.

Rachel Dissell from the Cleveland Plain Dealer wrote about the lead poisoning crisis and this video project. 

One Life video sheds light on infant mortality in the Cleveland area

The One Life Documentary was developed by the Cuyahoga County Child and Family Health Service’s Ohio Infant Mortality Reduction Initiative (OIMRI). The goal of the OIMRI program is to reduce the number of Black infants that die before their first birthday by providing supportive services to families in targeted communities. Families in these under-resourced communities, which are predominantly Black communities, are challenged by poor access to quality education and jobs, healthy foods, and affordable quality housing.  This lack of access creates a stressful environment; compounding disadvantages that stand as barriers to a healthy pregnancy and birth outcome.   These stark realities emphasize the need to address these social inequities in order to create fair opportunities for healthy birth outcomes for all families.

One Life explores root causes of Ohio’s alarming high infant mortality rates through local perspectives and personal stories.  Black women, at every socioeconomic level, have higher rates of infant mortality than white women who have not finished high school. In Ohio, black babies die at more than twice the rate of its white babies, and right here in Cuyahoga County, the Black infant mortality rate is three times that of white babies.

For more information please contact Angela Newman at anewman@ccbh.net