January 23 2020 Cheryl Dalena HA CoChair Tobacco Program Coordinator Wellness and Prevention Program Alaska Native Tribal Health Consortium Dana Diehl HA Core Team Wellness and Prevention Director ID: 1021097
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1. Healthy AlaskansCelebrating Success, Partnering for ProgressJanuary 23, 2020
2. Cheryl Dalena, HA Co-ChairTobacco Program CoordinatorWellness and Prevention ProgramAlaska Native Tribal Health ConsortiumDana Diehl, HA Core TeamWellness and Prevention DirectorCommunity Health ServicesAlaska Native Tribal Health ConsortiumLisa McGuire, MPH, HA Co-ChairQuality & Performance Improvement ManagerDirector’s Office, Division of Public HealthAndrea Fenaughty, PhD, HA Data TeamDeputy Section ChiefChronic Disease Prevention and Health Promotion, Division of Public Health
3. OverviewHealthy Alaskans historyThe power of partnershipSuccesses, lessons learned from HA2020HA2030: process and current statusLooking forward
4. Healthy Alaskans HistoryCompositionWhat workedImprovements
5. Healthy Alaskans 2000More planning, coordination needed; HP 2000Health Promotion, Health Protection, Preventive Services140 indicators, targets (by subgroup)Current trends, Recommendations, Key organizationsNo regular monitoringState ledImplementation plan?
6. Healthy Alaskans 2000More planning, coordination needed; HP 2000Health Promotion, Health Protection, Preventive Services140 indicators, targets (by subgroup)Current trends, Recommendations, Key organizationsNo regular monitoringState ledImplementation plan?
7. Healthy Alaskans 2010Funding, Healthy Alaskans Partnership CouncilHealth Promotion, Health Protection, Preventive Services & Access, Infrastructure400 plus indicators & targets, 23 Leading Health Indicators (LHIs).overall targets; “developmental” objectivesTrends, Current Strategies & ResourcesState ledNo plan for monitoringVol 2: Stories of model AK programs
8. Healthy Alaskans 2010Funding, Healthy Alaskans Partnership CouncilHealth Promotion, Health Protection, Preventive Services & Access, Infrastructure400 plus indicators & targets, 23 Leading Health Indicators (LHIs).overall targets; “developmental” objectivesTrends, Current Strategies & ResourcesState ledNo plan for monitoringVol 2: Stories of model AK programs
9. Healthy Alaskans 2020Initial NPHII fundingCo-Sponsored by DHSS and ANTHC25 Leading Health IndicatorsNo “developmental” objectivesIncluded strategies and key partnersImplementation pilotCommitment to monitoring (IBIS, Scorecards)Web presenceCounty Health Rankings framework
10. Healthy Alaskans 2020Initial NPHII funding (which ended prematurely)Co-Sponsored by DHSS and ANTHC25 Leading Health IndicatorsNo “developmental” objectivesIncluded strategies and key partnersImplementation pilotCommitment to monitoring (IBIS, Scorecards)Web presenceCounty Health Rankings framework
11. County Health Rankings Model
12. What Makes HA2020 Unique?Partnership State and Tribal Government Partnership Collective Impact Model Collaborative effortsImplementation of the plan Strategies, Action, Key PartnersCommitment & Leadership
13. The Power of Partnership“To Promote the Health of Alaskans”“Alaska Native people are the healthiest people in the world”
14. Collective Impact Model
15. Successes & Lessons Learned Successes with HA2020 LHIsEvaluation of the HA2020 process
16. Progress on meeting HA2020 LHI TargetsMetCancer deathsTeen smokingBinge drinkingEducationWorseningObesitySuicideRapeWater fluoridation
17. Progress on meeting HA2020 LHI TargetsMetTeen dating violenceTeen binge drinkingHealthcare accessInsufficient ProgressPrenatal careCancerSmokingWorseningObesitySuicide (25+)Chlamydia
18. Healthy Alaskans 2020 – Evaluation (2019)Strengths:State – ANTHC PartnershipFocus on 25 LHIs – clear goalsScorecardsChallenges:Many staff transitions, lacking transition planStrategies and actions staticLack of fundingImplementation pilot was limited
19. Healthy Alaskans 2030: Process & Current Status
20. Healthy Alaskans 2030 Structure
21. Healthy Alaskans 2030Vision: Healthy Alaskans in Healthy CommunitiesMission: Provide a framework and foster partnerships to optimize health for all Alaskans and their communities
22. Strong partnerships with mutual accountabilityHealth EquityQuality of life across the lifespanUsing the best scientific research and data, and local knowledge from our diverse culturesStrengthening communities & empowering individualsHealthy Alaskans 2030Guiding Principles
23. Development of HA2030AssessmentState Health AssessmentQuantitative & QualitativeCommunity Capacity ReviewHA2020 Evaluation
24. HA2030 Indicator Selection Process Considerations:State Health AssessmentCommunity Capacity ReviewEvaluation/Lessons LearnedFrameworkData trendsHA2020 scorecardsAdvisory Team recommendationsCriteria:Important Actionable, relevantComprehensive Upstream LifespanAvailable, valid, and reliable dataAK/US comparison
25. HA2030 Indicator Selection ProcessRecommended 30IndicatorsHA2030 Leading Health IndicatorsData Team and Subject Matter Expert Input and recommendationsInput from Alaskans SurveyConferencesFocus groupsCommunity Listening SessionsEstablish targets and evidence based strategiesApproved final IndicatorsCore and Data Team Additional Research and LHI refinement
26. IntroducingHA2030 Health Topics &Leading Health Indicators
27. HA2030 Leading Health Indicators Chronic Disease1. Reduce the cancer mortality rate per 100,000 populationEnvironmental Health2. Increase the percentage of rural community housing units with water and sewer services3. Increase the percentage of the Alaskan population served by community water systems with optimally fluoridated water
28. HA2030 Leading Health Indicators Healthcare AccessReduce the percentage of women delivering live births who have not received prenatal care beginning in first trimester of pregnancy Reduce the percentage of adults (aged 18 years and older) reporting that they could not afford to see a doctor in the last 12 months Reduce the rate of preventable hospitalizations per 1,000 adults (hospitalizations that could have been prevented with high quality primary and preventive care) based on the Agency for Healthcare Research and Quality (AHRQ) definition Increase the percentage of 3-year olds who have had a well-child checkup in the last 12 months Reduce the percentage of the population without health insurance
29. HA2030 Leading Health Indicators Healthy WeightIncrease the percentage of children (students in grades K-8) who meet criteria for healthy weightInfectious DiseaseIncrease the vaccination coverage level of 4 doses of diphtheria-tetanus-acellular pertussis (DTaP) vaccine among children by age 2 yearsReduce the incidence rate of gonorrhea per 100,000 populationInjury PreventionReduce the unintentional injury mortality rate per 100,000 population
30. HA2030 Leading Health Indicators Mental HealthReduce the percentage of adolescents (high school students in grades 9-12) who felt so sad or hopeless every day for 2 weeks or more in a row that they stopped doing some usual activities during the past 12 monthsReduce the mean number of days in the past 30 days adults (aged 18 years and older) report being mentally unhealthyNutritionReduce the percentage of 3-year olds who drink any sugary drinks on a given day
31. HA2030 Leading Health Indicators Physical ActivityIncrease the percentage of adolescents (high school students in grades 9-12) who meet the Physical Activity Guidelines for Americans (2008 US DHHS Physical Activity Guidelines: adolescents who do at least 60 minutes of physical activity a day, every day of the week)Protective FactorsIncrease the percentage of adolescents (high school students in grades 9-12) with 3 or more adults (besides their parent(s)) who they feel comfortable seeking help fromIncrease the percentage of adolescents (high school students in grades 9-12) who feel like they matter to people in their community
32. HA2030 Leading Health Indicators Social Determinants of HealthIncrease the percentage of high school students who graduate within 4 years of starting 9th gradeReduce the percentage of rental occupied households that exceed 50 percent of household income dedicated to housingIncrease the percentage of residents (all ages) living above the federal poverty level (as defined for AK)
33. HA2030 Leading Health Indicators Substance MisuseReduce the alcohol-induced mortality rate per 100,000 populationReduce the drug-induced mortality rate per 100,000 populationReduce the percentage of adults needing but not receiving substance use disorder treatmentSuicide PreventionReduce the suicide mortality rate per 100,000 population, among the population aged 15 and older
34. HA2030 Leading Health Indicators Tobacco UseReduce the percentage of adolescents (high school students in grades 9-12) who have used electronic vapor products, cigarettes, smokeless tobacco, or other tobacco products in the last 30 daysReduce the percentage of adults (aged 18 years and older) who currently smoke cigarettes or use electronic vapor products, smokeless tobacco, or other tobacco products
35. HA2030 Leading Health Indicators Violence PreventionReduce the percentage of repeated substantiated child maltreatment within last 12 monthsReduce the rate of reported and attempted rape per 100,000 populationReduce the percentage of adolescents (high school students in grades 9-12) who were ever hit, slammed into something, injured with an object or weapon, or physically hurt on purpose by someone they were dating or going out with during the past 12 months.
36. HA2030 Strategies and Actions for SuccessHealthy Alaskans is more than 30 Leading Health IndicatorsEvidence Based Strategies and ActionsImplementation Framework
37. Healthy Alaskans 2030: Full Steam AheadJanuary 2020 - Completion of strategies and actionsFebruary 2020 - New Website https://www.healthyalaskans.orgFebruary 2020 - Public comment period of Healthy Alaskans 2030, State Health Improvement Plan March 2020 - Comprehensive State Health Improvement Plan document finalized & published2020-2030 - Focus on structured, sustained implementation efforts and monitor progress
38. YOU can get involved!Visit the Healthy Alaskans websiteSign up to receive updates on news and activitiesJoin or initiate an implementation teamAlign your work with HA2030 goals and strategiesUse Healthy Alaskans data Spread the word about HA2030!
39. Connect with Healthy AlaskansCheryl Dalena cadalena@anthc.orgDana Diehldadiehl@anthc.orgAndrea Fenaughty, PhDAndrea.Fenaughty@alaska.govLisa McGuire, MPHLisa.mcguire@alaska.govHealthy Alaskans Emailhealthyalaskans@alaska.govNew Website Coming Soon!!https://www.healthyalaskans.org