Social Determinants: Aligning to the SHIP with Community Health Workers November 7, 2017 Erika Clark Jones, Executive Director, CelebrateOne Kiley Orchard, Connector Corp Manager DeLena Scales, Linden Intervention Manager, St. Stephen’s Community House
Overview CelebrateOne Charge Connector Corps Neighborhood Connections Questions
Intentional From the Start The Launch & Political Will •
Launch of Greater Columbus Infant Mortality Task Force led by then Columbus City Council President, Andrew J. Ginther.
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Multisector representatives, including Kirwan Institute for the Study of Race and Ethnicity and Central Ohio Hospital systems
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Infant Mortality Task Force Report (June 2014) was released with 8 recommendations
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CelebrateOne was created in November 2014 to carry out the task force recommendations.
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Report identified the need for a place based focus to address equity and social
Greater Columbus Infant Mortality Task Force Plan Overview RECOMMENDATIONS #2: Improve Women’s Health Before Pregnancy #1: Improve social and economic conditions that drive disparities across our community and in highest risk neighborhoods
#3: Improve Reproductive Health Planning #4: Improve Prenatal Care Systems And Supports
KEY DRIVERS Reduce Racial Disparities Prevent Prematurity
#5: Ensure highest quality of perinatal care #6: Reduce Maternal and Household Smoking #7: Promote Infant Safe Sleep
#8: Create accountability structure to support strategy implementation and goal attainment
OUTCOME
Reduce SleepRelated Infant Deaths
By 2020 • Decrease Franklin County infant mortality rate to 6 infant deaths per 1,000 live births • Reduce disparity gap between white and black infant mortality by %50
Learning Collaboratives and Best Practices
2007-2011
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Many Partners, One Goal •
Central Ohio Hospital Council
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Columbus Department of Development
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Columbus Public Health
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Community Based Organizations
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Federally Qualified Health Centers PrimaryOne Health, Heart of Ohio
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Franklin County Department of Job and Family Services
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Franklin County Families and Children First Council
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HandsOn Central Ohio
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Moms2B
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Ohio Better Birth Outcomes Collaborative
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Ohio Department of Medicaid Buckeye Health Plan, CareSource Healthcare of Ohio, Molina UnitedHealthcare Community Plan of Ohio
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Ohio Department of Health
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Partners for Kids
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Physicians CareConnection / StepOne
Healthcare of Ohio, Paramount Advantage,
Shared Goals CelebrateOne Goals: • Reduce Infant Mortality rate to 6.0 per 1,000 live births • Reduce Infant Mortality rate among African American babies by 50% Eliminate Preventable Infant Sleep Related Deaths Reduce the Number of Premature Births Connect the Disconnected
Public Partners • • • •
Funding Visibility Accountability Collaboration
Private Partners • Funding • Accountability • Research
Community Based Partners • Program and Intervention implementation • Reach
Place Matters •
Infant mortality affects our entire community
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Rates below 4 deaths per 1,000 live births in some neighborhoods, above 20 deaths per 1000 births in others
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Rates are highest in the most vulnerable neighborhoods
Connector Corps
Connectors: Who They Are CONNECTOR CORPS DEMOGRAPHICS African American or Black: 84% Non-Hispanic White: 7% Asian: 5% Hispanic/Latino: 5%
Race/ethnicity*
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Country of origin*
16% born outside of U.S. (4 Somalia, 2 Bhutan, 1 Mexico)
Age^
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Gender
96% female, 4% male
Highest Educational Level Attained**
*Of 44 Connectors ^Of 45 Connectors **Of 23 2017 Connectors
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18-24: 7% 25-34: 29% 35-44: 22% 45-54: 16% 55-64: 20% 65+: 7%
High school diploma/GED: 43% High school/GED + health care certification (CNA, CDCA, etc.)– 26% Bachelors– 26% Masters—4%
Connector Corps Focus Areas
• Prenatal care • Safe sleep education and resources (ex. cribs, sleep sacks, ABCs) • Reproductive health counseling/safe spacing • Smoking cessation • Home visiting AS WELL AS “other matters” (food, housing, transportation, etc.) social determinants of health
2018 CelebrateOne
CONNECTOR CORPS PARTNERS
Connector Corps – Greater Linden, Morse Road, 161
Neighborhood Profiles
Step One
• Connects women with affordable, timely and convenient prenatal care, and resources for a healthy pregnancy. • Insurance/ Medicaid Enrollment • Appointments • Transportation • Home Visiting • 50% of callers from priority
October 2016
Establishing OB Care – PrimaryOne Centering Program
Parenting Support – Brightening Little Lives Baby Nook
Partnering with Columbus Public Health
o Pack-n-Play Distribution Sites in Linden o Safe Sleep Ambassador Training o Faith Based Events – Safe Sleep Sundays
CelebrateLinden Community Partners
Greater Linden Business Network
Central Health Advisory Committee South Linden Area Commission Rosewind Resident Council 20
North Linden Area Commission
Engaging, educating and empowering In 2016, CelebrateOne and its partners expanded efforts to connect the disconnected by distributing tens of thousands of fliers, postcards and brochures offering tips and information about everything from reproductive health and prenatal care to safe sleep.
2007-2011
What Valuable Lessons Have We Learned?
Learning Collaboratives & Best Practices
2007-2011
Where are areas to improve Care Coordination within our work?
Questions?
DeLena Scales Program Manager, Linden Neighborhood Intervention St. Stephen’s Community House dscales@saintstephensch.org
Kiley Orchard Connector Corps Manager 1111 East Broad Street Columbus, OH 43205 kaorchard@columbus.gov 614-645-5002
Erika Clark Jones Executive Director 1111 East Broad Street Columbus, OH 43205 ECJones@columbus.gov 614-645-0817