Jen Hames

Learning Congress

January 23, 2013

Davidson County Collaborative for Community Health Improvement

About this Team

Location: Davidson County, NCSize: 162,878

Organizations Represented: Davidson County Health Department, Thomasville Medical Center & Wake Forest Baptist Health Lexington Medical Center

Other: Davidson County Healthy Communities Coalition (serving as the steering committee)

Phase I: Initiate Action

Health Department Community Assessment

Thomasville Medical Center

WFBH Lexington Medical Center

The Past

TvilleMedical Center

WFBH Lexington Medical Center

Davidson County Health Dept

The Current State

Healthy Communities Coalition –Steering Committee

Phase II: Organize for Impact Step 1: Stakeholders met with the Institute to contract for data collection and analysis

Step 2: Tweaked the 2009 survey to update questions for current survey

Step 3: Each stakeholder recruited volunteers to assist with the survey completion

Step 4: Groups of volunteers knocked on doors to get community input (crossed traditional boundaries and worked together for the united purpose)

Step 4: Door to Door Surveys

Phase II: Organize for Impact (continued)

Communication between both Medical Centers and the Health Department has now been established and will

be maintained through the continuation of the collaborative.

Results of the surveys were taken to community forums. 4 forums were held and community

members provided input, and voted on those that were the most important to them.

Davidson Community Forum Priorities

Phase III: Sustain Action and Impact

Obesity

Tobacco

Access to Care

Community Assessment

Community forums voted – then took the results to the Davidson County Healthy Communities Coalition (steering committee for the collaborative) and this group selected the TOP 3 areas of focus

Phase III: Sustain Action and Impact (continued)

Obesity

Tobacco

Access to Care

Community Assessment

Obesity Tobacco Access

Work Groups within the Healthy Communities Coalition

Results

Assessment Completion• 20 volunteers each day for survey

completion• Advertisements, flyers, newspaper articles,

etc. to encourage community involvement

Top 10 key findings

ObesityTobacco

Access to CareMental HealthHeart Disease

Drug & Alcohol AbuseOral Health

Adolescent PregnancyInfant Mortality

Injury & Poisoning

Percent of Adults Neither Overweight nor Obese

Goal: Increase the percentage of adults who are neither overweight nor obese to 38.1%

Percentage of Adults Identified as Current Smokers

Goal: Decrease percentage of adult smokers to 13%

Cardiovascular Disease Mortality Rate/ 100,000

2020 Goal: Reduce cardiovascular disease mortality rate to 161.5 per 100,000

263.9

251.3

235.8

220

225

230

235

240

245

250

255

260

265

270

Davidson County 2010 Peer County Average North Carolina

COPD disease admission rate for Medicaid population per 100,000

700.8

239.1

534.1

429.7

0

100

200

300

400

500

600

700

800

Davidson County2010

Davidson County2005

Peer CountyAverage

North Carolina

Persons Served in Mental Health Programs per 1,000 People

Dentists per 10,000 people

Lessons Learned

Institute was the initial push to break the boundaries and

formalize the collaborative

The common Agenda and Open Communication were the easiest

for the collaborative

team.

Understanding the expectations of the collaborative was

sometimes a challenge (up-front

agendas and objectives prior to calls would help)