“Health is a state of complete, physical, mental and ...

LEVY COUNTY

Community Health Improvement Plan Prepared by the Florida Department of Health in Levy County

Updated: October 2016 Originally prepared September 2012

Levy

Table of Contents

2 FLORIDA DEPARTMENT OF HEALTH IN LEVY COUNTY– COMMUNITY HEALTH IMPROVEMENT PLAN - UPDATE 2015

Executive Summary .................................................................................................................... 3 MAPP Process ......................................................................................................................... 4-6 Priority Strategic Health Issues .................................................................................................. 7 Community Health Improvement Plan ....................................................................................... 8 Goals and Objectives ............................................................................................................ 9-11 Crosswalk ............................................................................................................................ 12-14 2015 Goal and Objectives Update…………………………………………………………………………………..…15-21


Executive Summary

“Health is a state of complete, physical, mental and social well-being and not merely the absence of disease or infirmity.” - World Health Organization

In Levy County, there are areas of progress and continuing opportunity when it comes to improving the health of its residents. Access to timely, quality healthcare is just one piece of the puzzle that affects community health. The environment, interactions in schools, the workplace, and surrounding neighborhoods also determine the health of individuals and community as a whole. This is why it is important to understand the relationship between where we work, live and play and the impact these factors have on our health, and not only the interaction at the doctor’s office.

This is why more than 25 people and organizations from the county participated in the Mobilizing for Action through Planning and Partnerships (MAPP) health needs assessment to identify the unmet and emerging needs in the county. At the conclusion of the MAPP process the following four key priority strategic health issues were identified:

• Constant and uniform access to healthcare services within the county.

• Mobilize partners to impact chronic disease rates.

• Make community health a priority. • Leverage Levy County’s environmental strengths and natural resources to improve health of

community.

The aforementioned priorities are the foundation of Levy County’s 2012 Community Health Improvement Plan (CHIP). These priorities were then divided into three strategic areas: access to care, chronic disease and health promotion. Three committees were formed to work on addressing these areas. The separate committees identified the goals, objectives and strategies for each strategic area, which are addressed in the CHIP.


MAPP PROCESS

The 2012 Community Health Needs Assessment utilized the Mobilizing for Action through Planning and Partnerships (MAPP) framework, developed by the National Association of County and City Health Officials and the Centers for Disease Control and Prevention. These activities were funded by the Florida Department of Health through grant funds that originated from the U.S. Department of Health and Human Services in their efforts to promote and enhance the needs assessment and priority setting and planning capacity of the local public health systems.

The following four assessments are typical of the MAPP process and were used in Levy County:

• Community Health Status Assessment (CHSA)

• Local Public Health System Assessment (LPHSA) • Community Themes and Strengths Assessments (CTSA)

• Forces of Change Assessment (FCA)

The aforementioned assessments are the main elements of the MAPP process, which brought together a diverse group of community partners to form the MAPP partnership. The Florida Department of Health in Levy County partnered with WellFlorida Council, Inc. to lead the MAPP process.

Figure 1: MAPP: Mobilizing for Action through Planning and Partnerships Framework


Local Public Health System Assessment

The MAPP process began with the Local Public Health Assessment (LPHSA), which is intended to answer the following questions:

• What are the activities and capacities of our public health system?

• How well are we providing the Essential Public Health Services in our jurisdiction?

It essentially helps to identify the strengths, weaknesses, and opportunities for improvement in the local public health system.

A cross-sectional group representing the local public health system was convened and asked to score the system in each of the ten Essential Public Health Service Areas (EPHS). Then each ESPH was given a composite value determined by the score given to those activities that contribute to the Essential Service. These scores range from a minimum value of 0% (no activity is performed pursuant to the standards) to a maximum of 100% (all activities associated with the standards are performed at optimal levels). Essential Public Health Services scoring 50 or below, indicate an opportunity for improvement.

Out of the ten Essential Public Health Services, the LPHSA identified three areas in the direct control of the local public health system for Levy County to improve upon.

• To better mobilize community partnerships to identify and solve health problems (EPHS4)

• To enforce laws and regulations that protect health and ensure safety (EPHS 6); and

• To evaluate effectiveness, accessibility and quality of personal and population-based health services (EPHS 9)

Essential Public Health Services 8 and 10 were also identified as areas to improve upon; however, they are typically out of the direct control of the public and are more so dictated by the geographical dynamics or macroeconomic trends and circumstances.

Table 1: Summary of performance scores for local public health system by Essential Public Health Service (EPHS), Levy County, 2011.

EPHS Score

1 Monitor Health Status To Identify Community Health Problems 57

2 Diagnose And Investigate Health Problems and Health Hazards 76

3 Inform, Educate, And Empower People about Health Issues 64

4 Mobilize Community Partnerships to Identify and Solve Health Problems 30

5 Develop Policies and Plans that Support Individual and Community Health Efforts 56

6 Enforce Laws and Regulations that Protect Health and Ensure Safety 50

7 Link People to Needed Personal Health Services and Assure the Provision of Health Care when Otherwise Unavailable

53

8 Assure a Competent Public and Personal Health Care Workforce 42

9 Evaluate Effectiveness, Accessibility, and Quality of Personal and Population-Based Health Services 25

10 Research for New Insights and Innovative Solutions to Health Problems 46

Overall Performance Score 50


Forces of Change Assessment

The Forces of Change Assessment helps to identify the trends and factors that are or will be influencing the health and quality of life of the residents in the community and the work of the local public health system. These forces can be related to social, economic, environmental or political factors in the region, state or U.S. that have an impact on the local community. The information collected during the FCA was used to identify four priority strategic health issues, which will be identified in the following section.

The Levy County Healthcare Advisory Board (HCAB), appointed by the Levy County Board of County Commissioners, completed the assessment in September 2011. The HCAB identified the following forces that could affect Levy County: health reform, a new hospital in Chiefland, and limited public transportation system.

Community Themes and Strengths Assessment

A focus group was used in Levy County for the Community Themes and Strengths Assessment (CTSA). The purpose of a focus group is to listen and gather information from community members. It is a way to better understand how people feel or think about an issue, product or service. As part of the 2011 MAPP process individuals were recruited to participate in four focus groups in multiple locations in Levy County.

There was consensus from all of the groups that having access to good healthcare services and having an active lifestyle where people were physically and mentally fit were elements of a “healthy community.” Living in a healthy community with clean air, water and plenty of outdoor recreational activities were also cited as important elements for a “healthy community” by most focus groups. There was consensus from all of the groups that specialty care, hospital care and dental care were missing or limited in their community. All of the groups mentioned lack of health services and lack of health insurance as reasons there are health issues in the community.

Community Health Status Assessment

The Community Health Status Assessment (CHSA) is a report that summarizes key findings from a health needs assessment, which is the process of systematically gathering and analyzing data relevant to the health and well-being of a community. The data was compiled and tabulated from multiple sources including: the U.S. Census Bureau, the Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, the Florida Department of Health’s Office of Vital Statistics, and Florida’s Agency for Health Care Administration. Such data can help to identify unmet needs and emerging needs in the community.

The key components of the report include:

• Demographics and socioeconomics

• Mortality and morbidity

• Behavioral risk factors

• Healthcare access and utilization

• County health rankings • Life expectancy


Priority Strategic Health Issues

Once the four key MAPP assessments were completed, the MAPP partnership selected four key priorities.

• Constant and uniform access to healthcare services within the county.

o Continuum of care including specialized services o Screenings/preventative care o Focus on underserved areas like those in southern Levy County o Optimal use of existing services and resources

• Mobilize partners to impact chronic disease rates.

o Improve healthy habits of young people to improve lifelong health o Use existing infrastructure such as school facilities and natural resources

• Make community health a priority.

o Make community aware of costs/benefits of good health o Elevate importance of community health among local official and policymakers.

• Leverage Levy County’s environmental strengths and natural resources to improve health of

community. o Promote resources

o Link people to available resources o Emphasize “positive” aspects of Levy County

These priorities were further broken down into three strategic issues.

Strategic Issues

• Access to Care

• Chronic Disease

• Health promotion


Community Health Improvement Plan

Funding was provided to the Florida Department of Health in Levy County to complete a Community Health Improvement Plan in 2012. The priorities were divided and committees comprised of community partners were identified to work on the three previously identified strategic issues. Each committee reviewed and selected goals, objectives and strategies to work on during the next five years.


Goals and Objectives

Access to Care Link people to appropriate healthcare services to improve individual health

• Goal AC 1: Focus on providing a continuum of care that includes specialized services.

o Strategy AC 1.1: Assess and provide information about specialty care services in or near Levy County.

▪ Accountable person and organization: Barbara Locke, administrator, Florida Department of Health in Levy County

• Objective AC 1.1.1: By March 2015, improve referral relationship with We Care director to provide 5 percent more specialty care services for free to Levy County residents.

• Goal AC 2: Increase screenings and preventative care by focusing on underserved areas like

southern Levy County. o Strategy AC 2.1: Increase awareness and knowledge of primary healthcare services in

Levy County. ▪ Accountable person and organization: Barbara Locke, administrator, Florida

Department of Health in levy County

• Objective AC 2.1.1: By December 31, 2012, establish a dental clinic in Bronson, Florida that serves the medically underserved in Levy County.

• Objective AC 2.1.2: By August 1, 2014, hold a meeting with community partners to identify ways to improve access to care in Levy County.

• Objective AC 2.1.3: By March 31, 2014, attend a minimum of three community events to inform and educate the public about healthcare availability, resources and preventive care and screenings in Levy County.

• Objective AC 2.1.4: By March 31, 2015, distribute 500 dental clinic brochures and/or informational flyers to the community to inform residents about dental services.

• Objective AC 2.1.5: By June 30, 2015, create and distribute 500 Levy County healthcare resource guides to inform residents about primary and specialty care programs, providers and healthcare assistance.

• Goal AC 3: Improve access to primary care services in Levy County

o Strategy AC 3.1: Increase the healthcare workforce and reduce health disparities. ▪ Accountable person and organization: Fred Eichler, Coordinator for the Medical

Reserve Corps, Florida Department of Health in Levy County

• Objective AC 3.1.1: By March 31, 2014, increase the Medical Reserve Corps resources and volunteers by 2 percent.

• Objective AC 3.1.2: By March 31, 2014, recruit two new physicians for the Medical Reserve Corps to improve access to care.


• Objective AC 3.1.3: By March 31, 2014, expand the number of clinics the Medical Reserve Corps provides from three to four per quarter to improve access to care for the medically underserved.

Chronic Disease Prevention Mobilize partners to impact chronic disease

• Goal CD 1: Improve healthy habits of people to improve lifelong health

o Strategy CD 1.1: Strengthen the relationship with the Levy County School Board to impact the health habits of young people.

▪ Accountable person and organization: Kristina Zachry, Tobacco Prevention Specialist, Quit Doc Research and Education Foundation


• Objective CD 1.1.1: By June 30, 2013, establish one policy to restrict the sale of candy flavored tobacco products not covered by the Food and Drug Administration.

• Objective CD 1.1.2: By June 30, 2015, collaborate with community partners to increase the number of schools by one that incorporates Nutrition Day into its educational curriculum.

• Objective CD 1.1.3: By March 31, 2015, visit three or more public schools to educate students about oral hygiene.

• Objective CD 1.1.4: By March 31, 2015, collaborate with the School Health Advisory Committee to create a health and fitness club at one high school.

• Objective CD 1.1.5: By June 30, 2014, establish one policy to implement tobacco control model policies in K-12 schools.

o Strategy CD 1.2: Incorporate state-wide Healthiest Weight Initiative into local community.

▪ Accountable person and organization: Shelby Powell, planning consultant, Florida Department of Health in Levy County

• Objective CD 1.2.1: By June 30, 2015, increase # of health department employees who participate in wellness activities from 1 to 4.

• Objective CD 1.2.2: By June 30, 2015, at least 90% of new or reprint brochures, flyers, and other marketing materials and publications related to Healthiest Weight Florida will include the Healthiest Weight Florida logo and/or the official Healthiest Weight Florida hashtag #HealthiestWeightFL.

• Objective CD 1.2.3: By June 30, 2015, host a Nutrition Day in one or more schools.

• Objective CD 1.2.4: By June 30, 2015, develop and disseminate four newsletters on Healthiest Weight Florida for the community.

• Objective CD 1.2.5: By June 30, 2015, make a minimum of one presentation regarding Healthiest Weight Florida to a community organization.


Community Redevelopment and Partnerships Make community health a priority

• Goal CRP 1: Make the community aware of the costs and benefits associated with good health

good health saves dollars and lives) o Strategy CRP 1.1: Increase awareness of county health status among Levy County

residents. ▪ Accountable person and organization: Kristina Zachry, Tobacco Prevention

Specialist, Quit Doc Research and Education Foundation

• Objective CRP 1.1.1: By December 31, 2013, attend two community health fairs and provide health education information to educate the public about good health.

• Objective CRP 1.1.2: By December 31, 2014, provide educational information to the community about the costs and benefits associated with good health.

• Objective CRP 1.1.3: By June 30, 2014, one location will establish a policy to offer cessation services.

• Objective CRP 1.1.4: By June 30, 2014, establish one policy to create tobacco free multi-unit dwellings.

• Goal CRP 2: Elevate the importance of community health among local officials and policy makers.

o Strategy 2.2: Increase awareness of county health status among policymakers and community leaders.


• Objective CRP 2.2.1: By December 31, 2014, distribute the County Health Rankings & Roadmaps to 15 community leaders, policymakers and partners.

• Objective CRP 2.2.2: By June 30, 2015, establish and distribute to 10 organizations, policymakers, businesses and other community members a county-wide newsletter that highlights health issues in Levy County.

• Objective CRP 2.2.3: By August 1, 2014, facilitate a health summit to discuss the health issues identified in the Community Health Assessment and Community Health Improvement Plan.

Environmental Strengths

Leverage Levy County’s environmental strengths and natural resources to improve the health of the community

• Goal ES 1: Link people to available resources though health promotion

o Strategy ES 1.1: Use existing infrastructure and natural resources to increase physical activity by increasing awareness of resources


• Objective ES 1.1.1: By August 1, 2014, meet with community partners to identify ways to market natural resources and infrastructure.

• Objective ES 1.1.2: By March 31, 2015, collaborate with the media to publicize Levy County’s natural resources, hiking/walking trails, and free ways to increase physical activity through the existing infrastructure.


Crosswalk

Table 2: The following is the alignment between the community, state and national priorities.

LEVY COUNTY GOALS

STRATEGY

OBJECTIVES

FL SHIP

HEALTHY PEOPLE 2020 GOAL

NATIONAL PREVENTION STRATEGY ALIGNMENT

Focus on providing a continuum of care that includes specialized services.

Assess and provide information about specialty care services in or near Levy County.

By December 30, 2014, improve referral relationship with We Care director to provide 5 percent more specialty care services for free to Levy County residents.

SHIP AC1: Regularly access care assets and service needs.

HP 2020 AHS: Improve access to comprehensive, quality healthcare services.

Strategic Direction: Elimination of Health Disparities: Eliminate disparities, improving the quality of life for all Americans.

Increase screenings and preventative care by focusing on underserved areas like southern Levy County.

Increase awareness and knowledge of primary healthcare services in Levy County.

By December 31, 2012, establish a dental clinic in Bronson, Florida that serves the medically underserved in Levy County.

SHIP AC1: Regularly access care assets and service needs. SHIP AC2: Improve access to primary care services in Florida. SHIP AC4: Enhance access to preventative, restorative and emergency oral healthcare.

HP 2020 AHS: Improve access to comprehensive, quality healthcare services.

Strategic Direction: Clinical and Community Preventative Services: Ensure that prevention-focused healthcare and community prevention efforts are available, integrated, and mutually reinforcing. Strategic Direction: Empowered People: Support people in making healthy choices. Strategic Direction: Elimination of Health Disparities: Eliminate disparities, improving the quality of life for all Americans.

By December 31, 2013 hold a meeting with the Levy County Healthcare Advisory Board, the Board of the County Commissioners and other community partners to identify ways to improve access to care in Levy County.

By March 31, 2014, attend a minimum of three community events to inform and educate the public about healthcare availability, resources and preventive care and screenings in Levy County.

By March 31, 2014, distribute 1,000 dental clinic brochures and/or informational flyers to the community to inform residents about dental services.

By June 30, 2014, create and distribute 1,000 Levy County healthcare resource guides to inform residents about primary and specialty care programs, providers and healthcare assistance.

Improve access to primary care services in Levy County

Increase the healthcare workforce and reduce health

By March 31, 2014, increase the Medical Reserve Corps resources and volunteers by 2 percent.

SHIP AC1: Regularly access care assets and service needs.

HP 2020 AHS: Improve access to comprehensive, quality

Strategic Direction: Elimination of Health Disparities: Eliminate disparities, improving the quality of life for all Americans. Strategic Direction: Clinical and Community Preventative Services:


LEVY COUNTY GOALS

STRATEGY

OBJECTIVES

FL SHIP



disparities. By March 31, 2014, recruit two new physicians for the Medical Reserve Corps to improve access to care.

SHIP AC2: Improve access to primary care services in Florida.

healthcare services.

Ensure that prevention-focused healthcare and community prevention efforts are available, integrated, and mutually reinforcing.

By March 31, 2014, expand the number of clinics the Medical Reserve Corps provides from one to two per month to improve access to care for the medically underserved.

Improve healthy habits of young people to improve lifelong health

Strengthen the relationship with the Levy County School Board to impact the health habits of young people.

By June 30, 2013, establish one policy to restrict the sale of candy flavored tobacco products not covered by the Food and Drug Administration.

SHIP CD1: Increase the percentage of adults and children who are at a healthy weight. SHIP CD4: Reduce illness, disability and death related to tobacco use and secondhand smoke exposure.

HP 2020 PA: Improve health, fitness and quality of life through daily physical activity. HP 2020 TU:

Reduce illness, disability and death related to tobacco use and secondhand smoke.

Strategic Direction: Empowered People: Support people in making healthy choices.

By March 31, 2014, collaborate with community partners to increase the number of schools by one that incorporates Nutrition Day into its educational curriculum.

By March 31, 2014, visit three or more public schools to educate students about oral hygiene.

By March 31, 2014, collaborate with the School Health Advisory Committee to create a health and fitness club at one high school.

By June 30, 2014, establish one policy to implement tobacco control model policies in K-12 schools.

Make the community aware of the costs and benefits associated with good health (i.e. good health saves dollars and lives)

Increase awareness of county health status among Levy County residents.

By December 31, 2013, attend two community health fairs and provide health education information to educate the public about good health.

SHIP CD2: Increase access to resources that promote healthy behaviors.

HP 2020 EBCP: Increase the quality, availability, and effectiveness of educational and community- based programs designed to prevent disease and injury, improve health, and enhance quality of life.

Strategic Direction: Empowered People: Support people in making healthy choices. Health and Safe Community Environments: Communities, including homes, schools, public spaces, and work sites can be transformed to support well- being and make healthy choices easy and affordable.

By June 30, 2014, provide educational information to the community about the costs and benefits associated with good health.

By June 30, 2014 one location will establish a policy to offer cessation services.


LEVY COUNTY GOALS

STRATEGY

OBJECTIVES

FL SHIP



By June 30, 2014, establish one policy to create tobacco free multi-unit dwellings.

HP 2020 TU: Reduce illness, disability and death related to tobacco use and secondhand smoke.

Elevate the importance of community health among local officials and policymakers.

Increase awareness of county health status among policymakers and community leaders.

By December 31, 2013, distribute the County Health Rankings & Roadmaps to 15 community leaders, policy makers and partners.

SHIP CR1: Integrate planning and assessment processes to maximize partnerships and expertise of a community in accomplishing goals.

N/A

Strategic Direction: Health and Safe Community Environments: Communities, including homes, schools, public spaces, and work sites can be transformed to support well-being and make healthy choices easy and affordable.

By March 31, 2014, establish and distribute to 10 organizations, policymakers, businesses and other community members a county-wide newsletter that highlights health issues in Levy County.

Link people to available resources through health promotion

Use existing infrastructure and natural resources to increase physical activity by increasing awareness of resources.

By March 31, 2014, meet with local stakeholders to identify ways to market natural resources and infrastructure.

SHIP CD2: Increase access to resources that promote healthy behavior.

HP 2020 PA: Improve health, fitness and quality of life through daily physical activity.

Strategic Direction: Empowered People: Support people in making healthy choices.

By March 31, 2014, collaborate with the media to publicize Levy County's natural resources, hiking/walking trails, and free ways to increase physical activity though existing infrastructure.


2015 Levy County Community Health Improvement Planning Update

Update Overview Revisions to the Levy County CHIP were made after careful review of the goals, objectives, strategies and

measures of the 2012 – 2015 CHIP. The review process started in March of 2015 where members surveyed

the current status of goals and objectives. After the initial assessment revisions were formulated through a

series of meetings and interviews with local stakeholders in September and October 2015. Recommended

changes were made based on the following parameters:

• Availability of data to monitor progress – taking out target measures that were not static, such as

measures compared to state averages. This was done to more easily track progress within Levy

County. Some available data is not current.

• Availability of resources – some resources are no longer available but new resources that filled the

need are potentially available.

• Progress – Some objectives and measures were reached but were replaced by similar

objectives/measures where Levy County was lacking.

• Alignment of goals – Goals and measures were aligned to fit community organizations’ goals.

Updated Goals, Strategies and Objectives

Strategic Area #1: Access to Care Goal 1.1: Focus on providing a continuum of care that includes specialized services.

• Key Partners: Trenton Medical Center, FDOH - Levy, Levy BOCC, Meridian BHC and Levy Chamber

of Commerce

o Strategy 1.1.1: Enhance the resources in Levy County for drug abuse and mental health

counseling.

Revised Strategic

Objective Current

Strategic Objective

Indicator (Data Source) Current Level

Target Explanation for Revision

By December 31, 2016, increase the number of substance abuse clinics in the Tri-County Area from zero to one.

By March 2015, improve referral relationship with We Care director to provide 5 percent more specialty care services for free to Levy County

Number of substance abuse clinics (Meridian Behavioral Health Levy County Board of County Commissioners report.)

0 1 This is to replace the We Care initiative. Access to mental health and substance abuse in Levy is priority.


residents.

Goal 1.2: Increase screenings and preventative care by focusing on underserved areas like southern Levy County.

• Key Partners: FDOH - Levy County, Nature Coast Transit, Another Way, Suwannee River Economic Council, Cedar Key City Commission, Levy County Board of County Commissioners, City of Williston, Tri-County Resource Center

o Strategy 1.2.1: Increase awareness and knowledge of social and healthcare services in Levy County.

Revised Strategic Objective

Current Strategic Objective



By June 30, 2017 create 1 county wide online guide.

By June 30, 2015, create and distribute 500 Levy County healthcare resource guides to inform residents about primary and specialty care programs, providers and healthcare assistance.

Number of online community guides available for Levy County. (FDOH-Levy)

0 1 The current guide is an online guide focused around the Chiefland and Cedar Key area. This needs to be expanded to cover the whole county so residents can continue to learn about the resources that are available to them.

By March 31, 2017, establish a dental clinic in Levy County that serves adults on a sliding fee scale.

By December 31, 2012, establish a dental clinic in Bronson, Florida that serves the medically underserved in Levy County.

Number of dental clinics in Levy County that serves adults on a sliding fee scale. (FDOH – Levy)

0 1 Currently there is a dental clinic at FDOH – Levy that serves youth. There is a need of affordable adult dental care in Levy County.

By June 30, 2016, attend a minimum of five community events to inform and educate the public about healthcare availability, resources and preventive care and screenings in

By March 31, 2014, attend a minimum of three community events to inform and educate the public about healthcare availability,

Community events attended to inform and educate the public about healthcare availability, resources and preventative care and screenings in Levy County.

3 5 Current initiative that will continue to be work towards.


Levy County. resources and preventive care and screenings in Levy County.



o Strategy 1.3.1: Increase the healthcare workforce and reduce health disparities. Revised Strategic Objective




By December 31, 2016, create a provider recruitment and retention plan for the MRC.

By March 31, 2014, recruit two new physicians for the Medical Reserve Corps to improve access to care.

Levy MRC yearly report. (FDOH – Levy)

0 1 With adequate physician levels there is a need for a retention plan to make sure we maintain this staffing level.

Removed By March 31, 2014, expand the number of clinics the Medical Reserve Corps provides from three to four per quarter to improve access to care for the medically underserved.

Having the extra clinic in Cedar Key was not viable.

Strategic Area #2: Chronic Disease Prevention Goal 2.1: Improve healthy habits of residents in Levy County to improve lifelong health.

• Key Partners: Levy County Tobacco Free Partnership, Levy County Students Working Against Tobacco, Levy County School Board, FDOH - Levy County, Bronson Middle/High School, Tri-County Resource Center, Tri-County Marketers Association and Local Media

o Strategy 2.1.1: Bolster the partnership with the Levy County School Board to impact the health habits of young people.






By June 30, 2017, visit three or more public schools to educate students about oral hygiene.

By March 31, 2015, visit three or more public schools to educate students about oral hygiene.

Number of schools visited to educate about oral hygiene. (FDOH – Levy)


By June 30, 2017, increase the number of schools that host a Nutrition Day to two from one.

By June 30, 2015, host a Nutrition Day in one or more schools.

Number of schools that hosted a Nutrition Day. (Levy County School District)


o Strategy 2.1.2: Incorporate state-wide Healthiest Weight Initiative into local community.





By June 30, 2016, increase the number of community events that promote healthy eating and physical activity from three to four.

None Number of community events attended to promote healthy weight initiatives. (FDOH – Levy County)

3 4 New initiative.

By December 31, 2016, make a minimum of three presentations regarding Healthiest Weight Florida to a community organization from two.

By June 30, 2015, make a minimum of one presentation regarding Healthiest Weight Florida to a community organization.

Presentations given to a community organization regarding Healthiest Weight Florida. (FDOH Levy)


By June 30, 2016, increase the number of schools that have reviewed the Comprehensive School Physical Activity Program guide furnished by the CDC and evaluate current opportunities to implement a CSPAP to 2 from 0.

None Number of school’s whose officials have reviewed the CDC’s CSPAP guide and evaluated opportunities to implement a CSPAP. (FDOH – Levy County)

0 2 New initiative.

By June 30, 2016, By June 30, FDOH - Levy 0 1 There is a need to


develop and disseminate a newsletter on

Healthiest Weight Florida for the

community.

2015, develop and disseminate four newsletters on Healthiest Weight Florida for the community.

provide local community members the initiatives of the Healthiest Weight Florida Campaign.

Strategic Area #3: Community Redevelopment and Partnerships Goal 3.1: Make the community aware of the benefits associated with good health.

• Key Partners: FDOH - Levy County, Levy County Tobacco Free Partnership, Regional General

Hospital, Palms Medical Group and Levy County Students Working Against Tobacco

o Strategy 3.1.1: Increase awareness of county health status among Levy County

residents.





By June 30, 2016, partner with Suwannee River Area Health Education Center to provide 3 Quit Smoking Now classes in levy County from 2.

By December 31, 2013, attend two community health fairs and provide health education information to educate the public about good health.

(Suwannee River AHEC) 2 3 The current objective has been moved to strategy 2.1.2. The new objective has been selected as a priority. Cessation services have been provided throughout Levy County.

By June 30, 2018, increase the number of locations that established a policy to offer cessation services from 1 to 2.

By June 30, 2014, one location will establish a policy to offer cessation services.

Number of locations that establish a policy to offer cessation services. (Levy TFP)

1 2 Objective complete and there is not feasible anymore.

o Strategy 3.1.2: Increase awareness of county health status among policymakers and

community leaders.





By December 31, 2016, distribute the County Health

By December 31, 2014, distribute the

Number of County Health Rankings & Roadmaps delivered to community

25 30 Current initiative that will continue to be work


Rankings & Roadmaps to 30 community leaders, policymakers and partners from 25.

County Health Rankings & Roadmaps to 15 community leaders, policymakers and partners.

partners. (FDOH Levy)

towards.

By June 30, 2016, establish and distribute to 10 organizations, policymakers, businesses and other community members a county-wide newsletter that highlights health issues in Levy County.

By June 30, 2015, establish and distribute to 10 organizations, policymakers, businesses and other community members a county-wide newsletter that highlights health issues in Levy County.

Number of organizations or community members who were sent a newsletter. (FDOH – Levy)


By February 1, 2017, facilitate a health summit to discuss the health issues identified in the Community Health Assessment and Community Health Improvement Plan.

By August 1, 2014, facilitate a health summit to discuss the health issues identified in the Community Health Assessment and Community Health Improvement Plan.

Number of summits held to discuss Levy's CHA and CHIP. (FDOH Levy)


Strategic Issue Area #4: Environmental Strengths Goal 4.1: Link people to available resources through health promotion.

• Key Partners: FDOH – Levy, Florida DEP, Levy County Emergency Services, Levy County School

District, Levy County Rotary, Levy County Chamber of Commerce, City of Cedar Key and Levy

County Board of County Commissioners.

o Strategy 4.1.1: Use existing infrastructure and natural resources to increase physical

activity.






By December 31, 2016, host 1 community walk/run/bike event utilizing the Florida Greenway.

None Number of community walk/run/bike events utilizing the Florida Greenway. (FDOH – Levy County)

1 1 New initiative. Levy County has a wealth of natural resources that can be used to promote physical activity and health education.

By December 31, 2017, increase the number of health education signs along the Florida Greenway to 5 from 0.

None Number of health education signs along the Florida Greenway in Levy County. (FDOH – Levy County)

0 5 New initiative. Levy County has a wealth of natural resources that can be used to promote physical activity and health education.

By March 31, 2017, collaborate with the media to create two publications about Levy County’s natural resources, hiking/walking trails, and free ways to increase physical activity through the existing infrastructure from 1.

By March 31, 2015, collaborate with the media to publicize Levy County’s natural resources, hiking/walking trails, and free ways to increase physical activity through the existing infrastructure.

Number of publications that highlight Levy's ways to increase physical activity. (FDOH – Levy)



2016 Levy County Community Health Improvement Planning Update

Update Overview Revisions to the Levy County CHIP were made after careful review of the goals, objectives, strategies and

measures of the 2012 – 2016 CHIP. Revisions were made and approved at the September 2016 CHIP

Meeting. Recommended changes were made based on the following parameters:

• Availability of data to monitor progress – taking out target measures that were not static, such as

measures compared to state averages. This was done to more easily track progress within Levy

County. Some available data is not current.

• Availability of resources – some resources are no longer available but new resources that filled the

need are potentially available.

• Progress – Some objectives and measures were reached but were replaced by similar

objectives/measures where Levy County was lacking.

• Alignment of goals – Goals and measures were aligned to fit community organizations’ goals.

Updated Goals, Strategies and Objectives

Strategic Area #1: Access to Care Goal 1.1: Focus on providing a continuum of care that includes specialized services.

• Key Partners: Trenton Medical Center, FDOH - Levy, Levy BOCC, Meridian BHC and Levy Chamber

of Commerce

o Strategy 1.1.1: Enhance the resources in Levy County for drug abuse and mental health

counseling.

Revised Strategic

Objective Current

Strategic Objective



No changes from 2015.

By December 31, 2016, increase the number of substance abuse clinics in the Tri-County Area from zero to one.

Number of substance abuse clinics (Meridian Behavioral Health Levy County Board of County Commissioners report.)

0 1 No revision for 2016.

Goal 1.2: Increase screenings and preventative care by focusing on underserved areas like southern Levy


County.


o Strategy 1.2.1: Increase awareness and knowledge of social and healthcare services in Levy County.






By June 30, 2017 create 1 county wide online guide.

Number of online community guides available for Levy County. (FDOH-Levy)



By March 31, 2017, establish a dental clinic in Levy County that serves adults on a sliding fee scale.

Number of dental clinics in Levy County that serves adults on a sliding fee scale. (FDOH – Levy)


By June 30, 2017, attend a minimum of 6 community events to inform and educate the public about healthcare availability, resources and preventive care and screenings in Levy County.

By June 30, 2016, attend a minimum of five community events to inform and educate the public about healthcare availability, resources and preventive care and screenings in Levy County.

Community events attended to inform and educate the public about healthcare availability, resources and preventative care and screenings in Levy County.

5 6 Voted to continue objective.



o Strategy 1.3.1: Increase the healthcare workforce and reduce health disparities. Revised Strategic Objective





By December 31, 2016,

Levy MRC yearly report. (FDOH – Levy)

0 1 No revisions for 2016.


create a provider recruitment and retention plan for the MRC.

Strategic Area #2: Chronic Disease Prevention Goal 2.1: Improve healthy habits of residents in Levy County to improve lifelong health.

• Key Partners: Levy County UF IFAS Extension Office, Levy County Tobacco Free Partnership, Levy County Students Working Against Tobacco, Levy County School Board, FDOH - Levy County, Bronson Middle/High School, Tri-County Resource Center, Tri-County Marketers Association and Local Media

o Strategy 2.1.1: Bolster the partnership with the Levy County School Board to impact the health habits of young people.






By June 30, 2017, visit three or more public schools to educate students about oral hygiene.

Number of schools visited to educate about oral hygiene. (FDOH – Levy)



By June 30, 2017, increase the number of schools that host a Nutrition Day to two from one.

Number of schools that hosted a Nutrition Day. (Levy County School District)


o Strategy 2.1.2: Incorporate state-wide Healthiest Weight Initiative into local community.





By June 30, 2017, increase the number of community events that promote healthy eating and physical activity from 4 to 5.

By June 30, 2016, increase the number of community events that promote healthy eating and physical activity from

Number of community events attended to promote healthy weight initiatives. (FDOH – Levy County)



three to four.


By December 31, 2016, make a minimum of three presentations regarding Healthiest Weight Florida to a community organization from two.

Presentations given to a community organization regarding Healthiest Weight Florida. (FDOH Levy)




Number of school’s whose officials have reviewed the CDC’s CSPAP guide and evaluated opportunities to implement a CSPAP. (FDOH – Levy County)


By June 30, 2017, develop and

disseminate a newsletter on

Healthiest Weight Florida for the

community.

By June 30, 2016, develop and disseminate a newsletter on Healthiest Weight Florida for the community.

FDOH - Levy 0 1 Voted to continue objective.

Strategic Area #3: Community Redevelopment and Partnerships Goal 3.1: Make the community aware of the benefits associated with good health.

• Key Partners: FDOH - Levy County, Levy County Tobacco Free Partnership, Regional General

Hospital, Palms Medical Group and Levy County Students Working Against Tobacco

o Strategy 3.1.1: Increase awareness of county health status among Levy County

residents.








(Suwannee River AHEC) 3 6 Voted to continue objective.


By June 30, 2018, increase the number of locations that established a policy to offer cessation services from 1.

Number of locations that establish a policy to offer cessation services. (Levy TFP)


o Strategy 3.1.2: Increase awareness of county health status among policymakers and

community leaders.






By December 31, 2016, distribute the County Health Rankings & Roadmaps to 30 community leaders, policymakers and partners from 25.

Number of County Health Rankings & Roadmaps delivered to community partners. (FDOH Levy)



By February 1, 2017, facilitate a health summit to discuss the health issues identified in the Community Health

Number of summits held to discuss Levy's CHA and CHIP. (FDOH Levy)



Assessment and Community Health Improvement Plan.

Strategic Issue Area #4: Environmental Strengths Goal 4.1: Link people to available resources through health promotion.

• Key Partners: FDOH – Levy, Florida DEP, Levy County Emergency Services, Levy County School

District, Levy County Rotary, Levy County Chamber of Commerce, City of Cedar Key and Levy

County Board of County Commissioners.

o Strategy 4.1.1: Use existing infrastructure and natural resources to increase physical

activity.






By December 31, 2016, host 1 community walk/run/bike event utilizing the Florida Greenway.

Number of community walk/run/bike events utilizing the Florida Greenway. (FDOH – Levy County)



By December 31, 2017, increase the number of health education signs along the Florida Greenway to 5 from 0.

Number of health education signs along the Florida Greenway in Levy County. (FDOH – Levy County)



By March 31, 2017, collaborate with the media to create two publications about Levy County’s natural resources, hiking/walking trails, and free ways to increase

Number of publications that highlight Levy's ways to increase physical activity. (FDOH – Levy)



physical activity through the existing infrastructure from 1.

Strategic Issue Area #5: Infant Health Goal 5.1: Eliminate or Reduce Infant Mortality

• Key Partners: FDOH – Department of Health Levy County, Levy UF IFAS Extension Office,

Healthy Babies Florida, Healthy Start, Healthy Families GLDS, Tri-County Resource Center, Tri-

County Pregnancy Centers.

o Strategy 5.1.1: Promote Breastfeeding within Levy County.





By June 30, 2018 increase the breastfeeding initiation by 5 percentage points, from 60.4% to 65.4%, in the black population.

None. Florida Charts 60.4% 65.4% Florida Healthy Babies review of infant health data found a disparity in the black population in initiation of breastfeeding data.

o Strategy 5.1.2: Increase the percentage of births to women who received 1st

trimester prenatal care.





By June 30, 2018 increase the percentage of births to women who received 1st trimester prenatal care 5 percentage points from 74.6 to 79.6.

None. Florida Charts 74.6% 79.6% Florida Healthy Babies review of infant health data found a gap in 1st trimester prenatal care initiation.


o Strategy 5.1.3: Reduce women who smoke during pregnancy.





By June 30, 2018 decrease the births to women who smoke during pregnancy by 5 percentage points, from 19.8% to 14.8%.

None. Florida Charts 19.8% 14.8% Florida Healthy Babies review of infant health data found a gap in that a high percentage of women who are pregnant smoke in Levy County.

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