Healthvisions Midwest Inc

RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH US

HEALTHVISIONS MIDWEST COMMUNITY LEVEL INNOVATIONS FOR IMPROVING HEALTH OUTCOMES - THE HEALTHVISIONS MIDWEST COMMUNITY LEVEL INNOVATIONS FOR IMPROVING HEALTH OUTCOMES (CLIIHO) PROJECT ADDRESSES THE LOCAL CONDITIONS THAT CONTRIBUTE TO THE DISPROPORTIONATE BURDEN THE DIABETES EPIDEMIC HAS ON AFRICAN AMERICAN AND HISPANIC POPULATIONS RESIDING IN ALLEN AND LAKE COUNTIES INDIANA. NON-HISPANIC BLACKS (12.1%) AND HISPANICS (11.8%) LEAD THE NATION IN INCIDENCES OF NON-GESTATIONAL ADULT DIABETES (CDC, 2022.). WITH 8.4% OF AMERICANS DIAGNOSED WITH DIABETES NATIONWIDE, THE CDC FURTHER APPROXIMATES TYPE 2 DIABETES REPRESENTS BETWEEN 90% AND 95% OF ALL CASES. UNLIKE TYPE 1 WITH NO KNOWN PREVENTATIVE MEASURES, TYPE 2 IS PREVENTABLE. THE CLIIHO PROJECT’S TARGET AREA INCLUDES TWO OF THE MOST POPULOUS COUNTIES IN NORTHERN INDIANA–ALLEN AND LAKE. SOURCE: ACS, 2023. BOTH ALLEN AND LAKE COUNTIES EXPERIENCED A TREMENDOUS INCREASE IN DIAGNOSED DIABETES OVER THE PAST 20 YEARS—UP 68% (10.1%) AND 37.5% (11%) RESPECTIVELY FROM 2004 TO 2021. STATEWIDE, BLACKS AND HISPANICS FOLLOWED SUIT AT 15.6% COMBINED; UP FROM 11.5% AND 8.2% DURING THE SAME PERIOD. (USDSS, 2021.) THE DISPROPORTIONALITY IN DIAGNOSED DIABETES HAS BEEN LINKED WITH SOCIAL, ECONOMIC, AND ENVIRONMENTAL DISADVANTAGES THAT HAVE PERSISTED IN OUR TARGET COMMUNITIES FOR GENERATIONS (HP2020, PHASE 1 REPORT, 2008). THIS PROJECT HAS STRATEGICALLY IDENTIFIED THE FOLLOWING SOCIAL DETERMINANTS OF HEALTH (SDOH) AND ASSOCIATED LEADING HEALTH INDICATOR (LHI) TARGETS. THE FIRST SDOH ADDRESSES HEALTH CARE ACCESS AND QUALITY. MORE SPECIFICALLY, INCREASING THE PROPORTION OF ADULTS WHO GET RECOMMENDED EVIDENCE BASED PREVENTIVE HEALTH CARE (HP2030, AHS-08). THE SECOND SDOH TARGETS THE SOCIAL AND COMMUNITY CONTEXT DOMAIN AND CONSIDERS THE PROPORTION OF ADULTS WHO TALK TO FRIENDS OR FAMILY ABOUT THEIR HEALTH – HC/HIT-04. HEALTHVISIONS CLIIHO PROJECT WILL TARGET TWO LEADING HEALTH INDICATORS (LHI) WITH EVIDENCE-BASED PROGRAMMING AND STRATEGIES SELECTED TO MEET THE UNIQUE NEEDS OF OUR TARGET COMMUNITIES. THEY INCLUDE LHI-D-01: REDUCING THE NUMBER OF DIABETES CASES DIAGNOSED YEARLY, AND LHI-D-06: INCREASE THE PROPORTION OF PEOPLE WITH DIABETES WHO GET FORMAL DIABETES EDUCATION. OVER THE FOUR-YEAR PROJECT PERIOD HEALTHVISIONS WILL HAVE SERVED OVER 12,000 UNIQUE INDIVIDUALS WITH COMMUNITY OUTREACH AND SUPPORT SERVICES AND A MINIMUM OF 2,400 WITH DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT SERVICES UTILIZING THE DIABETES EMPOWERMENT AND EDUCATION PROGRAM.

HEALTHWAYS ALLIANCE PARTNERSHIPS FOR SUCCESS - HEALTHVISIONS MIDWEST, DBA HEALTHWAYS ALLIANCE (HWA) WILL IMPLEMENT THE STRATEGIC PREVENTION FRAMEWORK-PARTNERSHIPS FOR SUCCESS (SPF-PFS) PROJECT IN LAKE COUNTY, INDIANA, TO STRENGTHEN COMMUNITY PREVENTION CAPACITY AND REDUCE YOUTH SUBSTANCE USE. THROUGH DATA DRIVEN ASSESSMENT, COALITION BUILDING, YOUTH ENGAGEMENT, AND EVIDENCE-BASED STRATEGIES, THE PROJECT WILL ADDRESS ALCOHOL, MARIJUANA, PRESCRIPTION DRUG MISUSE, AND OTHER EMERGING SUBSTANCE USE CONCERNS AMONG YOUTH AGES 12-19. THE PROJECT WILL BUILD SUSTAINABLE INFRASTRUCTURE, STRENGTHEN CROSS-SECTOR PARTNERSHIPS, AND INCREASE THE CAPACITY OF LOCAL PREVENTION PROVIDERS TO REDUCE RISK FACTORS, STRENGTHEN PROTECTIVE FACTORS, AND PROMOTE YOUTH WELL-BEING. THE HWA SPF-PFS PROJECT WILL SERVE LAKE COUNTY, INDIANA, INCLUDING THE COMMUNITIES OF WHITING, EAST CHICAGO, HAMMOND, GARY, LAKE STATION, HOBART, HIGHLAND, AND MUNSTER. THE POPULATION OF FOCUS INCLUDES YOUTH AGES 12-19, THEIR FAMILIES, SCHOOLS, AND COMMUNITY STAKEHOLDERS. LAKE COUNTY REQUIRES STRONGER COORDINATION AMONG PREVENTION PARTNERS, INCREASED YOUTH INVOLVEMENT IN PREVENTION PLANNING, EXPANDED LANGUAGE ACCESS AND OUTREACH EFFORTS, AND ENHANCED CAPACITY TO USE LOCAL DATA TO IDENTIFY AND ADDRESS SUBSTANCE USE CONCERN. USING THE STRATEGIC PREVENTION FRAMEWORK, HWA WILL CONDUCT A COMPREHENSIVE NEEDS ASSESSMENT TO IDENTIFY SUBSTANCE USE PRIORITIES, POPULATIONS AT ELEVATED RISK, SERVICE GAPS, COMMUNITY READINESS, AND KEY RISK AND PROTECTIVE FACTORS. YOUTH AND COMMUNITY STAKEHOLDERS WILL PARTICIPATE THROUGH COALITION WORKGROUPS AND A YOUTH ADVISORY COMMITTEE. HWA WILL COLLABORATE WITH SCHOOLS, HEALTHCARE PROVIDERS, LAW ENFORCEMENT, COMMUNITY ORGANIZATIONS, STATE PREVENTION PARTNERS, AND OTHER LOCAL PREVENTION INITIATIVES TO COORDINATE EFFORTS AND MAXIMIZE RESOURCES. ASSESSMENT FINDINGS WILL GUIDE THE DEVELOPMENT OF A PREVENTION PLAN, LOGIC MODEL, IMPLEMENTATION PLAN, AND EVALUATION PLAN. STRATEGIES INCLUDE COALITION DEVELOPMENT, STAKEHOLDER TRAINING, YOUTH LEADERSHIP INITIATIVES, POSITIVE SOCIAL NORMS CAMPAIGNS, PARENT AND COMMUNITY EDUCATION, STICKER SHOCK CAMPAIGNS, PRESCRIPTION DRUG TAKE-BACK EVENTS, MENTAL HEALTH FIRST AID TRAINING, LANGUAGE ACCESS INITIATIVES, AND EVIDENCE-BASED PROGRAMS SUCH AS MEDIA READY AND OVERDOSE LIFELINE. PREVENTION ACTIVITIES WILL BEGIN WITHIN THE FIRST 6-9 MONTHS OF THE PROJECT PERIOD AND WILL BE REFINED THROUGH ONGOING EVALUATION AND COMMUNITY FEEDBACK. PROJECT GOALS ARE TO STRENGTHEN PREVENTION INFRASTRUCTURE, INCREASE COLLABORATION AMONG COMMUNITY PARTNERS, EXPAND ACCESS TO EVIDENCE-BASED PREVENTION SERVICES, AND REDUCE FACTORS ASSOCIATED WITH YOUTH SUBSTANCE USE. OBJECTIVES INCLUDE INCREASING COALITION FUNCTIONALITY BY 40% BY SEPTEMBER 2031, INCREASING COALITION MEMBER COMPETENCY BY 20%, ADDING AT LEAST FIVE NEW PREVENTION PARTNERS ANNUALLY, EXPANDING THE REACH OF PREVENTION ACTIVITIES EACH YEAR, AND DEMONSTRATING ANNUAL IMPROVEMENTS IN RISK, PROTECTIVE, CONSUMPTION, AND CONSEQUENCE MEASURES. THROUGH SUSTAINED COMMUNITY COLLABORATION AND CONTINUOUS QUALITY IMPROVEMENT, HWA WILL ESTABLISH A STRONGER PREVENTION SYSTEM THAT SUPPORTS LONG-TERM REDUCTIONS IN YOUTH SUBSTANCE USE THROUGHOUT LAKE COUNTY.