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Understanding Your Community Needs using CHANGE

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Understanding Your Community Needs using CHANGE

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  1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> Understanding Your Community Needs using CHANGE Aisha Penson, MEd, CHES Evaluation Specialist, Program Services and EvaluationTeam CDC’s Healthy Communities Program Website: http://www.cdc.gov/HealthyCommunitiesProgram CHANGE Webinar March 13, 2012

  2. Community Health Assessment aNdGroup Evaluation (CHANGE) Agenda: • Introduce CHART to CHANGE Action Guide • Discuss how CHANGE can be used regularly to track and monitor your ACHIEVE efforts • Highlight methods that can be utilized to complete the CHANGE tool • Discuss what to bring to the Action Institute • Question & Answer…throughout!

  3. ACHIEVE Program Why are we here? ACHIEVE’ing Multi-level Impact: • Creating healthy environments • Developing community support • Influencing social norms • Facilitating healthy behaviors • Implementing high impact strategies

  4. ACHIEVE’ing Annual Success Reassessment Action Plan Evaluate Implement

  5. Emerging Vision Setting Priorities (Community Action Plan) >>>>>> >>>>>> Existing Initiatives Local Trends CHANGE Action Guide Community Assessment

  6. Community Health Assessment aNdGroup Evaluation (CHANGE) CHANGE Tool Purposes: • Capture current snapshot of the community • Group activity/consensus building

  7. CHANGE: Overview • Frame and understand the current status of community health • Provides a snapshot of policy, systems and environmental change strategies (‘assets’ and ‘needs’) • Move the community towards sustainable change • Allows communities to track progress across a 5-point scale so incremental changes can be noted • Prioritize community needs and consider appropriate allocation of resources • Used annually to assess current strategies, chart progress and offer new priorities

  8. CHANGE: BenefitsWhat have we learned… • ‘changed how people think’ • ‘helped explained what is policy’ • ‘moved people to want policy’ • ‘surprised by results’ • ‘did not realize how important data can be for us’ • ‘uncovered other assessments in my community we could tap into’

  9. CHANGE: BenefitsWhat have we learned… • ‘strengthens our existing partnerships and helps us to establish new relationships’ • ‘expedites our decision-making process’ • ‘compliments other data sources that are used in communities’ • ‘focuses our work and informs priorities for our action plan’ • ‘we are able to track and monitor over multiple years’

  10. CHANGE Action Guide Topics covered: • Data Collection (pages 13-18) • Organizing and Using CHANGE Data (pages 32-38) • Developing and Revising Your CAP (pages 39-40) • Evaluation and Reassessment (pages 43-44) • CD-ROM: Resource List, Blank Worksheets, CHANGE Sector Excel Files

  11. CHANGE Action Guide CHANGE Action Guide: proposes 8 step process

  12. Step 1: Assemble Community Team CHARTs with broad participation from community leaders:

  13. Step 2: Develop Team Strategy Deciding on how best to complete CHANGE sectors or sites: • Whole team • Splinter into smaller groups (2 or more members)

  14. Step 3: Review 5 CHANGE Sectors

  15. CHANGETool 5 Sectors -- Community-At-Large: Includes community-wide efforts that impact the social and built environments, such as food access, walkability or bikeability, smoking bans, and personal safety. Places for assessment: Grocery store, restaurant, city/county government, media, community garden, neighborhood, downtown center, retail establishment/outlet, health department, police/sheriff department

  16. CHANGETool 5 Sectors -- Community Institution/Organization (CIO): Includes entities within the community that provide a broad range of human services and access to facilities Sites for assessment: Child care facility, faith-based institution (e.g., church, synagogue, mosque), YMCA, senior center, health and wellness organization, and college, university, or technical school

  17. CHANGETool 5 Sectors -- Health Care: Includes places people go to receive preventive care or treatment, or emergency health care services Sites for assessment: Hospitals, health department, private practitioner’s office, health maintenance organization (HMO), home health agency, or community clinic

  18. CHANGETool 5 Sectors -- School: Includes all primary and secondary learning institutions Sites for assessment: Elementary, middle and high school (whether private, public, charter, or parochial)

  19. CHANGETool 5 Sectors -- Work Site: Includes places of employment Sites for assessment: Private office, school, textile factory, restaurant, retail establishment/outlet, bank, health department, post office, or manufacturing company

  20. Questions?

  21. Step 4: Gather Data Determine what information you need to collect to better understand your community…and complete CHANGE. Example Methods: • Survey data • Community dialogue • Photovoice • Community audit and observation

  22. Survey Data • Community Demographics • US Census: www.factfinder.census.gov • Morbidity/Mortality • National Health and Nutrition Examination Survey • Health Behaviors • Behavioral Risk Factor Surveillance System • Community Health Status Indicators • Social Determinants of Health Maps • Found at: http://www.cdc.gov/dhdsp/library/maps/social_determinants.htm • Chronic Disease Indicators • Found at: http://apps.nccd.cdc.gov/cdi What data already exist? Who can access them?

  23. Available at: http://communityhealth.hhs.gov

  24. Community Dialogue Methods: Interviews, focus groups, town halls, informal dialogue, brainstorming sessions • Hear community voices • Build community ownership • Identify key resources • Build feedback loops

  25. Photovoice Strengths/Assets Areas for Improvements

  26. Photovoice Community Strengths/Resources

  27. Tobacco: Signage, Comprehensive Policy CHANGE

  28. Stair Promotion CHANGE

  29. Community Audit and Observation • Windshield Survey • Walkability Audit • Pedestrian safety • Alternative routes • Environmental Checklist • Health messages • Ergonomics/safety • Food security Resource: http://www.cdc.gov/DHDSP/library/seh_handbook/

  30. Questions?

  31. Step 5: Review Gathered Data • Review all data for each site • Maintain coalition decision-making process • Determine each item response • Be consistent on using CHANGE scale • Document, Document, Document - Using comment boxes!!

  32. Glossary: Pop-Up and Appendix A

  33. Step 6: Data Entry

  34. Module %’s Automatically Transferred to Demographic Information Section

  35. Transfer these Module %s to the CHANGE Summary Statement

  36. Questions?

  37. CHANGEAction Guide CHANGE Action Guide proposes 8 step process ACHIEVE Action Institute: April 23-26, 2012

  38. ACHIEVE Timeline:Action Institute • Before Action Institute: CHART development and CHANGE • CHANGE conducted: 03/01/12 thru 05/31/12 • CHANGE Webinar: 03/13/12 • CHANGE completion: Community-At-Large sector and minimum of 1 additional sector • Minimum of 3 sites per additional sector • CHANGE Workshop at ACHIEVE AI: 4/23/12 – 4/26/12

  39. Additional Support • ACHIEVE Mentors • ACHIEVE National Partners: Program Manager and Evaluator • ACHIEVE Action Institute: CHANGE workshop, technical assistance, and support • CHANGE Community Calls: As requested to your ACHIEVE National Partner

  40. Why we do this work? • Long lasting impact and shift in norms CHANGE

  41. Questions? ACHIEVE: http://www.achievecommunities.org/

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