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Home My WebLink AboutHealth Initiatives pptMembers of Iowa City's Invest Health Planning Team Kathryn Dorsey, Program Manager, Division of Child and Community Health Maryann Dennis, Executive Director, The Housing Fellowship Pauline Taylor, City Council Member, City of Iowa City Tracy Hightshoe, Neighborhood Services Coordinator, City of Iowa City Vickie Miene, Deputy Director of the Institute of Public Health Research and Policy Invest Health Awards 50 Mid -Sized Cities Population between 50,000 and 400,000 Too large to receive assistance from USDA rural development ( $148 billion per year) Too small to receive assistance from HUD ( $47 billion per year) Iowa received 2 INVEST Health awards �a "'SAS' AOATN , Elu DAKOTA NB'. • DIANE T ,D "OMANON- �6 ETH SCOHSIH NNOVA 9OoilA OAKOr1 TMi0W"OMING � J4 N WNEBRASKA A I IS ONI PE r �.ryw1., xrv:. v. it ed Stet" t INDIANA �oPe nangln Sen ffAlpfyo NTAI "No 0o KANSAS MI$$OV SI W DEN, G ENT V IA f.AtAO LByV "yy OKLAHOMA S$FE LINA LOyA ley 4PIE ONA AflKA $AS ., Syn OityO NEW NEXICO Oa0yy MI$$I$ CP IHA p..�\ ABXI T A$ �AGIA LOV161AX 1 �vNO: ylon *� FLORIDA y1 m + END. 'fir GIY Do in_n, MaP"OEF01BO ]4JNEol T—Aduw Akron, OH Asheville, NC Bloomington, It Buffalo, NY Canton, off Des Moines. IA Dundalk, MD Durham, NC Eau Claire, At Flint, all Framingham, MA Grafts Forks. ND Grand Rapids, Ml Greensboro, NC Gulfport, MS Hartford , CT Henderson, NV Iowa City, IA Jackson, IN Kansas City, AS Knoxvihe TN La Habra, CA Lansing, Ml Little Rock, AR Missoula. MT Nampa, ID Napa. CA New Britain, CT North Charle4on. SC Paterson. NJ Peoria, It Pontiac, Ml Portland, ME Providence, R1 Puebla, CO Richmond, VA Riverside, CA Roanoke, VA Rochester, NY Roseville CA Savannah. GA Spokane, WA Stamford, CT BE Louis, MO SC Paul, MN Syracuse, NY Tallahassee, FL Tuscaloosa, AL Westminster, CO Youngstown, OH Vision —INVEST Health All Iowa City residents deserve healthy, safe and vibrant neighborhoods that positively contribute to their physical and mental health. Goal: To reduce disparities related to poor outcomes of children and adults diagnosed with asthma, and those with mental and behavioral health issues who reside in low income neighborhoods. %40 Collective Impact 1. Agree on common goal Track progress Do what each does best while developing new ways to work together 4. Consistent communication 5. Skilled and on going resources S — collective i '"`pact 3�o.a � Local Context for Health Disparities in Iowa City Increase in poverty rates for Iowa City residents from 18% in 2005 to 28% in 2014 From 2000 to 2014, median gross rent in Iowa City increased from $572 to $861 Of all 99 counties, Johnson County has the highest percent of households (19%) with severe housing problems Asthma in the United States ➢1 in 13 people currently have asthma 17.7 million adults; 14 million missed work days per year ➢1 in 10 school age children have asthma on average 6.3 million children; Leading cause for missed school days among children ➢Accounts for >15 million office and hospital outpatient visits & 1.6 million ER visits per year ➢High Cost Burden $56 billion per year; $3,259 per person per year ➢Cost is 5x as great for severe, uncontrolled asthma as compared to milder disease Mental Health Illnesses in the U.S. ➢1 in 5 adults & 1 in 5 children have or will have a serious mental illness ➢High Cost Burden - $647 billion ➢Depression — at least one major depressive episode in the past year 16.1 million adults, 3 million adolescents Chronic medical conditions increase risk of depression Economic cost burden - $210.5 billion ➢Anxiety 15% lifetime prevalence of any anxiety disorder; More prevalent in women A recent international study compared 11 nations on health care quality, access, efficiency, and equity, as well as indicators of healthy lives such as infant mortality. Overall Health Care Ranking CANADA U.S. Source: K. Deals. K. Stremhkb, D. Squires, and C. Schoen. Mirror. Minor on the Well; Haw the Pedmna ce Of the U.S. Health Can System Compnes InternaUonaNy, 2014 Update, The Commonwealth Fund, June 20%. The • COMMONWEALTH FUND Low !a - ';.k. N= NORWAY SWITZERLAND = SWEDEN AUSTRALIA _ GERMANY CANADA U.S. Source: K. Deals. K. Stremhkb, D. Squires, and C. Schoen. Mirror. Minor on the Well; Haw the Pedmna ce Of the U.S. Health Can System Compnes InternaUonaNy, 2014 Update, The Commonwealth Fund, June 20%. The • COMMONWEALTH FUND THE NETHERLANDS a� NEW ZEALAND N= NORWAY FRANCE CANADA U.S. Source: K. Deals. K. Stremhkb, D. Squires, and C. Schoen. Mirror. Minor on the Well; Haw the Pedmna ce Of the U.S. Health Can System Compnes InternaUonaNy, 2014 Update, The Commonwealth Fund, June 20%. The • COMMONWEALTH FUND Life expectancy in years 85 m 75 70 65 �PHE ESIFI KO SGRC CR P NLOR EU IV CHL I *USA ES ZE TU SVK O UN M LV *L ID +RUS ND RI = 0.51 0 2000 4000 6000 8000 10000 Health spending per capita (USD F Health begins where we live, and play Examples Safe and stable housing ➢Exposure to violence ➢Social support and social attitudes ➢Access to educational and economic opportunities ➢Availability of safe places to exercise ➢Access to nutritious foods and clean water earn, work Determinants of Health GENES & BIOLOGY 10% PHYSICAL ENVIRONMENT 10% CLINICAL CARE 10% HEALTH SOCIAL & ECONOMIC FACTORS BEHAVIORS 30% http://arches.uncc.edu/goals-and-objectives 40% HEALTH HAPPENS IN NEIGHBOR HOODS j4 -i "HENNEPIN '~ COUNTY S MILES *MINNEAPOLIS 3 MLLES 83+ 7[]-]j YEARS YEARS IMI r MINPICA AND SAIN MINNESOT L A N 0 LoSAINT PAUL 2 MILES 2 MILES NVEST HEALTH Strategies for Healthier Cities Zip Code Improvement Business Tyler Norris, VP of Total Health Partnerships at Kaiser Permanente • For the first time in history, children born in the US today will have a shorter life expectancy than their parents • The US currently has a sick care system (not a health syste m) • Kaiser at risk for 100% of a population's health outcomes, but clinical care determines only 20% of overall health Must partner with people in zip code improvement business Reviewed 1. Percent of Families in Poverty 2. Percent of Non -White Households Emergency Room/Hospitalizations for Asthma 4. Met with Mental Health Providers Families in poverty and non-white P0LICYHAP; . purple arms on tAe map meet fne lobwiny urtsvu Estimated pecans of all tamlbr that Im in poverty between 2010.2014. Yesr. 2016 Shaded bit Cinalw Tract, 2010 Panna UK -100% se c� Gdmidw pm" Cd a1 paoslo wbewaw ela poa *%K than YIWb batwaatt ~" 201G.2014. Yer:2014 Shaded by: Car ws Traq, 2010 .. R&W 12.6!%.100% \~S . Invest Health Initiatives - Target neighborhood location map W Part Na EYl^ nu r Legend I Bru. st 4 w Pheasant R dge nerghborhocc yf Town&Campus neighborhood ul'rtr4 Y � j ,1 M HtlMop&Broadway neighborhood tr z H v'NJ �' u .. ,hMwra.r Ma'nnrY^M. arar,^an Nae r = El.nw Ya. Rr I<wa A.^ iiler,d r,. Md m.Y ECWleye bl ,..�.n uw, UfYYMYIi EourYnpton it Iowa • ••. MM If M.Nw. M. w w city yp in A Yi w •• Nur.vvd Ar^ A�. I LI ♦ I 41 1 e e ^ 'd �av1.51 1 (YMN� Ahlh n �a,ll.^� Solan%: EvI. HERE. DeLom*. L*GS. Intermao. INCREMENT P. NRCan. Eul J*Z' W.-eSn Chha (Hong Kong] EW Korea Es" ITha ardl. MapMylrAa. NGCC. C CnenSTeethW COlEflbltors: am Ole GIS US& COMMUf ty 1.400 7C0 0 t.40C Rtecers Invest Health Neighborhoods include: • Broadway • Towncrest • Hilltop • Pheasant Ridge VM Q. �, rani A 6 v6 ^ U IV^A flt/ O ��ry^V 1+4R.i (441 S ArWat smaway YbB 4 2y (• 1 rola ma Ar^ whw,l., raY y laR rwd. (+� 41 1 e e ^ 'd �av1.51 1 (YMN� Ahlh n �a,ll.^� Solan%: EvI. HERE. DeLom*. L*GS. Intermao. INCREMENT P. NRCan. Eul J*Z' W.-eSn Chha (Hong Kong] EW Korea Es" ITha ardl. MapMylrAa. NGCC. C CnenSTeethW COlEflbltors: am Ole GIS US& COMMUf ty 1.400 7C0 0 t.40C Rtecers Invest Health Neighborhoods include: • Broadway • Towncrest • Hilltop • Pheasant Ridge nvest Health Timeline • April 2016 Chosen to be an Invest Health City June 2016 Philadelphia Convening Sept. 2016 Denver Convening • March — May 2017 Neighborhood Survey • April 2017 Presented Invest Health at Iowa Governor's Conference on Public Health, Des Moines, IA • April 2017 Presented Invest Health to University of Iowa College of Public Health • April 2017 Awarded Human Rights Grant for Free Wheels Program, targeting Invest Health neighborhoods • May 2017 Awarded Iowa City Healthy Homes grant ($75,000) through the Housing Trust Fund of Johnson County for Invest Health Neighborhoods • June 2017 Phoenix Convening and Presented the Behavioral Access Center to an Invest Health Panelist Board • December 2017 — Final Convening in New Orleans INVEST Health —Strategies for Healthier Living Neighborhood Survey Results' The residents of Hilltop, Broadway, and Townaest neighborhoods completed 177 surveys. a 55% (92) of respondents live in Broadway neighborhood • 13% (23) of respondents live in Hilltop neighborhood a 32% (56) of respondents live in Towncrest neighborhood The wrvey represents $65 individuals (based on the number of people reported to be living in the home. Now does your neighborhood make you reel! V� Most respondents (60%) reported that their neighborhood makes them feel happy n Towncnt residents were most likely to report feelings or stress and zooms. Broadway Residents 1110%) were the most liketf td x worried Gam high reM 45% Of reAridem report they, feel -wway— or 'ustw r safe in their neighborhood. tl Only 45% r respondents state their children nave a Fareplace to pay i -J AN neighoomootis welt eQW ay wormet: saouf eviction (20%) 110% or respondents report access to trrsprtabOh W4 healthy rood LANGUAGE OF COMPLETED SURVEYS E q'i.n ]5% vaRotwr A�falRsw praa•,atl�rr�� Ob 10NT-1'.—.� ' "A residerK Mo='e.ponoMC Indicated that they 11^0'a a few or their oe•ghoors. Gonly 12% initiated they know many of their nelghSoR. 30% D! Broadway re'Idellts RpORed they did not know any of their ne,g mars. INVEST Health - Strategies for Healthier Living Neighborhood Survey Results* Barriers to h1rCM hg healthcare ildde: 5e% of all respondents statea the biggest JrfIM o retewing health alae was her ha4irtg in;,IlMce. 13% said not having retalilt transportation was the Oiuert owner 27% said the biggest carrier to rearing hearth care .s that it is hard to communitatt oemi,ze pfthiaer. :per a dfrertnt language 20% said long waiting lists to see a Doctor Or a NUR* was a barrier to receiving heathtam • 20% of respondents indicate only re i diaglld.ed with Aftwaa. txthose. ea the majority of respondents reportng M a.Mme kw in the Towhees[ MlghoModd. • 20% of resoon0ents reported that they ham water damage, mold. MO prob"s with sects :Yell as mice or roaches in the twine. These ides can trigger Where do you receive ore? waent worM,1C nes oM 204 �P^ty Hoon. 29% kaem" 11aM Symptoms 51%r Fife respondents inO;ote that they have feehhgs Of worry, sadness, anger, few w:trt:s most days • TOW nest mighbrMOd residents reported the ,not mental Maim concerts with over 60% of WSOW's sym otomy. _ _ m;poroents imitating they croerience the eoove Iticl'mass the Oae"Pups(14a twin star) M per dons "Pup noYr m N doused arwiMwdbor sYb000 f pcellMr IgOD opan pgdpr Of those with mentor haft :yon Otomy. 45% of aro i r my Oodr oro ora av ways WOMPF•*PWMFIPIOVm• thhoUgdent:swd they seek help for inose �mptom: mrougn s ava. A rC:iOtK 'Prulwn nUntr•w•N•t4wJ4 beu..l res r...Jnrawfren •w4n.Mtl.rl.earOvfeed rta•e.rr, n.A rpe.udHJ �t,fder4aor4 mnbrtld powl•w •cr•q•64 vrp•Wtormr•h•rwuh• Irolrtlu,I ntlrf.so4aodrw.lU o-nrd•tl••••bw.t.M M eprwv ma`r Y 14 h nea• rea`4a'feoJ Loaf •4o..M ret d cennOrrd unralurn Example of Suggested Projects from May Stakeholder and Neighborhood Meetings ■Additional Affordable Day Care Centers ■Center for People in Mental Health or Substance ■Neighborhood Entrepreneurial Center Abuse Crisis (avoid jail and emergency room) ■Program for Pest control and Mold ■Expanded Legal Assistance ■Additional Community Space for Neighbors (coffee shop, community gardens, etc.) ■Safe Play Areas in Immediate Neighborhood for Young Families ■Increased Options for Affordable Health and Dental Care, Without Long Waits ■Walking Program — Use Social Media with Small Awards at Participating Businesses/Community Organizations ■Cooking Lessons. How to Cook with Seasonal, Local Produce (affordably) ■Program to Provide Safe, Decent housing without Increasing Rent (weatherization, improve indoor air quality, etc.) ■Summer Camps for Persons with Mental Illness to Increase Socialization and Better Health ■Neighborhood Clean Up Days followed by Sack Lunches (kids must participate) ■Broadway Police Substation as a Mini - Community Center ■Neighborhood pot -lucks with sponsorships Where do we go from here... Prioritize suggestions to improve neighborhood health this summer Develop and finalize our pipeline of projects by December Present pipeline of projects to Invest Health and other possible funders at New Orleans Convening Implement those approved projects and continue to look for community development and health collaborations I Linking Community Development and Health q'I ""[W]e are likely to look back at this time and wonder why community development and health were ever separate industries." - Risa Lavizzo-Mourey, MD, MBA President and CEO Robert Wood Johnson Foundation