Community Health Priorities

What are the priorities for our community as it relates to health? This could include physical health, mental health, economic health priorities. How would you address these priorities and which are most critical?

Meeting Notes, May 28, 2014

Session #1

Priorities
 

  • Lack of attention to mental health, need mental health as point of attention and point of action ultimately more screenings
  • Opportunities to contribute to community, insurance – self-esteem, economics- Jobs
  • Personal responsibility i.e. Prevention, risky behavior
  • Providing medical care to seniors - Homebound aging already in place 
  • Community needs to be educated as to what is the healthcare system – resources that are available such as 911, 211
  • Teen pregnancy prevention, Getting people to the healthcare system, diversion from jails and emergency room {Look at population indicators in our community i.e. foster care}
  • Disconnect between public and private sector


Solutions
 

  • Alternative care options (One stop shop-integrated-collaborative care) Health information exchange
  • Educating employees-what is it they provide? Economic development – Bringing jobs, are they providing insurance?
  • Case management – from beginning
  • Address access for working poor
  • Be proactive – Broader focus (Prevention through education earlier screenings 6th or 7th grade)
  • Rural health model for example
  • More education about resources
  • Educate people about their benefits ex: if your pass on this coverage – results/implications


Session #2

Priorities

 

  • Obesity
  • Wellness – Prevention / Individual responsibility
  • Mental Health
  • Dental
  • Physical
  • Availability
  • Primary Care
  • Data – How many, who? Who is collecting data?
  • Is funding following the need?
  • Link between poverty and health – Prove it!
  • Jobs
  • Government
  • Association between mental health and guns – how do we address this       as a public health issue
  • Freedom
  • Prenatal Care – Teen pregnancy – healthcare follow through and prevention

Solutions
 

  • To obesity
  • Exercise – active, healthy, education wellness
  • Encourage and promote healthy lifestyles (ex. WIC)
  • Increase food stamp requirements to be more health orientated
  • Affording healthy eating >Community Gardens, EBT at farm stands, decrease costs of healthy foods
  • Community changes > Safer neighborhoods – get kids and community outside
  • Provide education and treatment (need funding for treatment i.e. sales tax hike) also identify resources for funding
  • Prevention – what’s most important, what are the greatest needs? Put funding towards these
  • Teaching children better food choices, habits in school
  • Look at best practices – prevention and primary care practices around country could be implemented here
  • Individual responsibility with vouchers for what they choose for healthcare
  • Tobacco and alcohol tax increases

Session #3

Priorities

Prevention medicine

  • Access
  • Minor care facility
  • Education
  • Health disparities
  • Specialty care
  • Mental Health and Substance Abuse
  • Dental care
  • Long term
  • Nutrition
  • People out of system lack of insurance – money resources
  • Homebound people
  • Chronic healthcare – prevention to treatment
  • Healthy life choices i.e. diet, exercise incentives, focus on wellness
  • What is available in the community? Need – Understand available resources
  • Case management
  • Polypharmacy – multi service meds and physical care (ex. VA)
  • Better integrated data systems HCIE and HIS


Solutions
 

  • Good case management
  • HIE – Health Information Exchange
  • 211 – Get information out to community through marketing and web
  • -    One place to call for referral
  • Official collaborative Head planning with power and funding – mandate (i.e. health care alliance)
  • Ask for new concepts 7-11 model – small clinics throughout county multiple sites – easy access
  • Telemedicine
  • Outpatient case management (ex. Fact Team – Sarasota, Manatee Glens Team)
  • Look at other communities even outside of state i.e. Minnesota, Vermont
  • O/C dental ER (i.e. tooth extraction) – dental school in Lakewood Ranch
  • Working with schools, recruit physicians > College sees patients at discount rate – dental students
  • Incentives at schools

Session #4

Priorities

 

  • Mental Health vs. Gun Control
  • Wellness
  • Vision
  • Prevention vs. Treatment
  • Plan on how to get there
  • Education course work (ex. Pamphlets)
  • Outreach clinics
  • Home visits
  • Easy access
  • Affordability
  • Transparency
  • Accountability
  • Access to cost of services and what services
  • Using affordable care and getting people signed up

Solutions
 

  • Legislative interaction
  • Educational campaigns toward healthy choices
  • Get people signed up for health care
  • Transportation
  • Needs to be a plan – some type of organization to guide the community
  • Collaborative alliances among stake holders
  • Expand scope of practice of practitioners

Meeting Notes, June 3, 2014

Session #1
 

Concern of cost – retired/low income
22nd in State – healthy community, goal:  move up in ranking
 

  • Access
  • Number of doctors to treat aging
  • Complexity of health care
  • Mental Health
    • Alcohol and drug treatment
    • Younger in treatment – pain addiction, babies –teens
    • Not enough treatment
    • Funding
  • Healthy food access.  Grocery stores not located in all areas
  • What does Obama Care pay for?
  • Understand diverse population
  • Too congested more data
  • Education of healthy choices
  • Reduce isolation – share more information
  • Reduce stigma of mental health
  • Move from crisis care to community care
  • Where is $ coming from
  • Aging population – address needs
  • Emphasize prevention, screenings
  • Medical marijuana – Address if truly needed
  •  

Solutions

 

  • Petition legislature
  • Community Gardens
  • Collaboration of medical providers
  • Make information available.  Motivate incentives to learn and participate
  • Expand mental health treatment, alcohol and drug addiction.
  • Diversion from ER to clinics (urgent care).
  • Revitalize communities by Best Practices for Healthier
  • Community ownership
  • Worksite Wellness


Best Practices

 

  • Expand Medicaid @ Federal Expense – Florida is turning it down
  • Florida is 50th in mental health funding
  • Florida doesn’t cover single males - Medicaid expansion would.
  • Community gardens


3  Top Priorities

 

  • Mental Health & Addiction
  • Wellness Education
    • Obesity, alcohol, tobacco use
    • Schools, family, community
  • E.R. diversion to clinics

 

Session #2

 

  • Mental Health
  • Obesity – diabetes
  • Preventative care
  • Water sanitation – public healthy role of government
  • Substance abuse
  • Nutrition
  • Chronic Disease management
  • Controlling cost
  • Fraud, waste, abuse, public/private:  recipients, providers and government.  Accountability – personal and system
  • Education access, accurate information
  • Ban marijuana
  • Advertising facts – a lot of misinformation and role of government
  • Environmental uses related to health; food, air, water
  • Big companies not accountable
  • Ensuring everyone has medical home to prevent
  • Expand Medicaid in Florida
  • Educating all issues to know options, make aware to change habits
  • Look at local school, get information to parents – educate there
  • Waist/waste
  • Long-term benefit – prevention
  • Chronic disease prior to Medicare
  • Change behaviors
  • Care coordinate structure

Solutions

 

  • Strong educating plan through teachers and parents. Can shape how children are fed in schools and explain why to students.  Federal funding - government
  • Look at what exists and make better
  • Consistency for school nutrition and link to home nutrition – get community involved modeling proper nutrition.
  • Eliminate processed foods
  • Faith community
  • Volunteers
  • Spiritual impact on baby
  • Attract businesses that do not have
  • Model existing programs
  • Lower socio economic schools – programs for non-English speaking, focus on them.
  • Education to effect behavior
  • Case management
  • Educate primary care physicians
  • Discharge planning
  • Funds for undocumented aliens
  • Residential unit to provide services to undocumented
  • Look at:  Best Practices in health care

Top 3 Priorities

 

  • Nutrition & Education> Youth
  • Environment
  • Morality


Session #3

 

  • Establishing smoke free workplace
  • Healthy mothers and babies
  • Mental health and addiction
  • Stop legalizing marijuana
  • Physician educating on alternate medication at a lower cost
  • Cover cost of indigent
  • Youth education and prevention
  • Kids being hungry – lack of household funds
  • Affording baby formula
  • Educate on alternatives to formula
  • Physician education on prescribe marijuana
  • Dental care – effects nutrition and self esteem
  • Focus on fall injuries of seniors.  Falls prevention first of many problems as a result
  • Out of town family – One Stop for information
  • Dementia
  • Revamp 211
  • Access – limited insurance allowances
  • Priority to not judge patients
  • Transportation

Solutions

 

  • Not enough funding for programs
  • Up to date information @211 for services
  • Communicate changes to public
  • Educating about fall prevention to the seniors
  • Education of those around large groups of seniors
  • Focus education on prevention of diseases also in schools
  • Outreach
  • Community training programs
  • Regulating skate board helmets
  • Reduce stigma of mental health via education
     

Top 3 Priorities

 

  • Community education to seniors – by making plans having access and collaboration
  • Nutrition and dental services for children
  • Community resource and accessible up to date