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Appendix F: Data-Gathering Activities
Pages 441-460

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From page 441...
... F Data-Gathering Activities Between July and November 2001, representatives of the Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century conducted five site visits to two Turning Point projects and three Community Voices projects around the country. The goals of the site visits were to · Collect qualitative and anecdotal information from communitybased public health projects regarding lessons learned, best practices demonstrated, major issues and concerns, and input about the local and national governmental public health infrastructure; · Witness community partnerships in action and communicate with stakeholders; and · Conduct preliminary report dissemination by introducing the committee's charge and objectives A timeline of the site visits with a summary of key facts is provided below.
From page 442...
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From page 443...
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From page 444...
... In addition to these formal partners, VFH has informal partners, such as the Baltimore Times, a local newspaper that has been a supporter and facilitator of the community health improvement initiative from the beginning. Previously, several of these partners had been competitors, providing health care services within the same territory.
From page 445...
... In addition to the resident advisor to the VFH Consortium, several community members work as outreach workers in the community, linking people to needed health promotion and health care services. VFH and its partners continue to conduct community forums and gatherings, where residents engage with administrators and providers in dialogue about the community's health, its needs, and its accomplishments.
From page 446...
... Baltimore Health Department funds for school health centers go to the Enterprise Foundation, which then reimburses the School of Nursing for services rendered. In other areas, partner agencies donate or otherwise contribute certain services to help support the continuum of care envisioned by the collaborative and the community.
From page 447...
... Site Visit Discussion In July 2001, representatives of the Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century engaged in a daylong dialogue with staff and partners from VFH. VFH approaches community health improvement primarily from a health care emphasis.
From page 448...
... VFH partners noted that the role of the health department is to facilitate, support, bring resources to the table, and look at the community in a way that affirms assets, motivation and power for change rather than focusing on the "empty half of the glass," that is, needs and deficiencies. The local newspaper has been a noteworthy informal partner to Sandtown-Winchester's health improvement efforts.
From page 449...
... The VFH Consortium recently started a collaboration with the local police department to help newly released former inmates returning to their community make the links to care that may include sexually transmitted disease/HIV prevention and treatment, substance abuse treatment, counseling, and mental health care services. For more information about the Vision for Health Consortium, visit www.communityvoices.
From page 450...
... "to change public policy at the state and federal level for health program funding and reduce barriers to enrollment in publicly funded health insurance." Program Activities and Accomplishments The Community Voices initiative fits smoothly into the operations of Denver Health. Its main activities include: community outreach to enhance access to health care, provide health education and health promotion services, and engage communities in health improvement; facilitating enrollment to link eligible individuals to publicly sponsored health insurance programs; and case management, providing personalized care and services to vulnerable patients.
From page 451...
... health promotion and disease prevention; (4) community/public health improvement; (5)
From page 452...
... There is one public health laboratory for the entire state, and surveillance functions are covered by individual hospitals, at least in the Twin Rivers area. Unlike localities where there are health departments, a public health infrastructure, adequate facilities, and many public health workers to help facilitate and support community health improvement efforts, the Twin Rivers area does not have an easily visible public health presence.
From page 453...
... The committee heard about the potential implications posed by this specific scenario to national-level attempts to standardize local public health infrastructures and credentialing public health workers. Although the Twin Rivers community leaders present at the site visit expressed a clear vision of quality public health services, they expressed some
From page 454...
... The total grant funding is $20,000 for 3 years. HNO's diverse membership includes representatives of local community organizations, the state and local health departments, academia, faith-based organizations, non-profit health care providers, and community residents of various ages and of various backgrounds.
From page 455...
... The third phase involves implementation of the planning process, with particular attention to 17 recommendations for action developed through community workshops. The recommendations with the highest priority ratings included establishment of the Center for Empowered Decision-Making, development of community health networks, and expansion of the definition of public health to include quality-of-life indicators.
From page 456...
... Collaborative planning has been the centerpiece of HNO's activities both in terms of establishing a workable representative coalition that "owns" the process and the products and in terms of planning community health improvement in a detailed and strategic way. HNO recognized the assets and resources that the community and other partners had to contribute.
From page 457...
... The partnership among these two health care services providers, the Alameda County Health Department, and other community organizations like the Alameda Health Consortium has been fruitful and effective in addressing several of the complex and interrelated issues facing area communities, ranging from a lack of health insurance to tobacco use among minority, disadvantaged populations. Both La Clinica and Asian Health Services have an impressive history of community engagement.
From page 458...
... Activities and Accomplishments of Oakland Community Voices Noteworthy features of the project include a profound level of community involvement and representation in the process; a partnership among community clinics, community organizations, and the local health department; and exceptional attentiveness to cultural competency. Providing health promotion and health care services in a culturally and linguistically appropriate manner is a routine part of "doing business" among these Oakland partners rather than a minor "tag-on" to the services that they
From page 459...
... In addition to their educational and health promotion activities, these community workers have made it a priority to discuss issues of health access and health insurance with their communities and to help facilitate linkage to medical homes for any families and individuals who lack coverage. Through the efforts of a strategic collaborative, Oakland Community Voices has participated in the creation of a new health insurance product called Family Care, administered by Alameda Alliance for Health, the local nonprofit managed care plan The Alameda County Health Department has transformed its goals and services to become more community based and has increased staff capacity to work with the community.
From page 460...
... 2001. Denver Health: a health system integrating safety net services.


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