2023-2027 West Allis & West Milwaukee Community Health Improvement Plan

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COMMUNITY HEALTH IMPROVEMENT PLAN A Roadmap to a Healthier Community
2023-2027 WEST ALLIS & WEST MILWAUKEE
A ROADMAP TO A HEALTHIER COMMUNITY

TABLE OF CONTENTS

Common Language

Community Health Assessment & Improvement Plan

MAPP Process

Alignment with State Health Improvement Plan

Health Equity

Community-Identified Areas of Focus

Steering Committee Meeting #1: Prioritization

Data-Driven Decision Making

Steering Committee & Action Team Members

2023-2027 CHIP Focus Areas

Steering Committee Meeting #2: Goal Setting

Focus Area #1: Behavioral/Mental Health

01 02 03 04 05 06 07 08 09-10 11 12 13-14 15-16

COMMON LANGUAGE

Every discipline, including public health, has its own jargon and definitions; even common words or phrases can have different meaning for people. Establishing common language for this process is crucial for allowing effective communication and collaboration in the development of CHIP.

AREA OF FOCUS GOAL

An area of focus is a priority that has been identified as a community health concern that takes precedence over other concerns identified in the Community Health Assessment (CHA) process. The Community Health Improvement Plan (CHIP) Steering Committee will identify three areas of focus for this CHIP cycle. These areas of focus will be prioritized for resource allocation.

OBJECTIVE

An objective is a clear, measurable, specific action that needs to be achieved within a specific time frame to achieve a goal. The Public Health Accreditation Board (PHAB) requires SMART objectives, defined below:

Specific – specify what is to be achieved, by how much, and by when

Measurable – make sure that the objective can be measured (i.e., data is or will be available to measure progress)

Achievable - set objectives that are feasible for the agency

Relevant - align objectives with the mission and vision of the agency

Time-oriented - establish a timeframe for achieving the objective

A goal is a broad statement of the desired outcome or result to be accomplished by the end of this CHIP cycle.

ACTION ITEM

An action item is a discrete task, event, or activity that must be accomplished, usually by a single individual or a small group or team in order to fulfill an objective.

Example:

Area of Focus: Alcohol Misuse

Goal: Prevent and reduce alcohol misuse among youth and adults in the West Allis and West Milwaukee communities.

Objective: By December 31, 2023, implement at least five initiatives directed at adults to raise awareness of alcohol serving sizes and binge drinking.

Action Item: The West Allis-West Milwaukee Community Coalition will be the lead agency on developing one public service announcement on binge drinking in adults

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COMMUNITY HEALTH IMPROVEMENT PLAN

A Community Health Improvement Plan (CHIP) is an ongoing effort, typically updated every three to five years, to address public health issues based on the results of a Community Health Assessment (CHA). This plan is used by the health department in collaboration with community partners to set priorities and coordinate resources. With the completion of the Community Health Assessment, the community continued with the MAPP Framework (see page 3) to facilitate the development of the CHIP. The first phase of the CHIP was to determine the top health issues for the West Allis and West Milwaukee community and set in a motion a process of establishing objectives for the community to meet by 2027.

A core internal steering committee met to review the CHA, followed by two convenings of an external steering committee. This larger group consisted of key community leaders and stakeholders in addition to interested community members. Expectations of the steering committee included:

Provide expert and community input on concerns and issues related to our community's health

Set the strategic direction of CHIP and areas of focus

Establish goals, outcomes, and how success will be measured

Act as an advocate for initiatives and goals established in CHIP

Take ownership of workplans, monitor projects, and adjust accordingly to ensure sustainable change

The City of West Allis Health Department serves as chief health strategist, driving CHIP collective action forward through strategic planning and facilitation efforts. In this role, the health department will explicitly address "upstream" social determinants of health in line with the Public Health 3.0 Framework

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Prioritize the Issues
Review Health Assessment Data
Plan Ongoing Community Action Evaluate & Revise Implement
Set Goals, Objectives, and Strategies The Action Cycle

MAPP PROCESS

This CHA and CHIP process utilizes the Mobilizing For Action through Planning and Partnerships Process (MAPP) as a planning framework. This community-driven strategic planning process helps to apply strategic thinking to prioritize public health issues and identify resources to address them.

Through all phases of this CHIP, the West Allis Health Department and key partners are dedicated to:

Engaging community members throughout the process

Including local public health system representatives throughout the process

Addressing social determinants of health and equity

Using quality improvement or quality planning techniques

Leveraging local and state resources

The MAPP Process has six phases for the CHA/CHIP:

Organize for Success & Partnership Development

The CHA process consisted of organizing and engaging partners to collect and analyze comprehensive data about our West Allis and West Milwaukee communities.

Visioning

After the organization phase is completed, a collaborative process is used to establish a shared community vision.

The Four Assessments

Following planning efforts, qualitative and quantitative data is collected and compiled from surveys, focus groups, and local/publicly available data sources. CHA assessment data was published in September 2022.

Identify Strategic Issues

Using this data, a CHIP steering committee meeting made up of key partners, stakeholders, West Allis Health Department staff, and community members was held in October 2022 to identify and prioritize the top 3 areas of focus for the 2023-2027 CHIP cycle. During this step, the issues were identified by exploring the CHA data and undergoing the MAPP Process.

Formulate Goals and Strategies

Once the areas of focus were identified by the steering committee, participants were asked to identify and formulate goals, objectives, and strategies related to those issues.

Action Cycle

This phase helps the community partners and members put strategies into action, to ensure sustainable improvement and change.

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1. 2. 3. 4 5. 6.

ALIGNMENT WITH THE WISCONSIN STATE HEALTH IMPROVEMENT PLAN (SHIP)

The West Allis and West Milwaukee 2023-2027 CHIP is grounded in community voice, Public Health 3.0, and guidance from the Wisconsin Department of Health Services. This CHIP cycle will have a focus on community conditions and systems, aligning with the State Health Improvement Plan. Our evolved CHIP framework is rooted in the values of improving health for all by empowering all people to take responsibility for their health and for making informed health decisions, emphasizing health education, ensuring accessible and quality care, sustaining partnerships and maintaining community collaboration, developing policy with an equity lens, and taking steps to address avoidable inequities and promote health for all.

This framework, based on the SHIP, emphasizes the importance of upstream and downstream thinking working in tandem. An upstream approach focuses on system, policy, economic, and social change, whereas a downstream approach focuses on improving health outcomes and behaviors. By working in collaboration with community partners, our priority goal for this process is to ensure that everyone has a fair and just opportunity to live their best life.

Reframing the WAWM Community Health Improvement Plan

Priority Goal: Everyone has a fair and just opportunity to live their best life.

Values and Principles Collaboration, Accountability, Respect, Education, Equity POLICY CHANGE BEHAVIORAL/ MENTAL HEALTH COMMUNITY SAFETY & VIOLENCE PREVENTION SUBSTANCE USE Improved Social and Community Conditions West Allis & West Milwaukee CHIP Areas of Focus Key Conditions (WI SHIP) Healthy Environments & Supportive Systems Transformative Change to Power Structures D O W N S T R E A M U P S T R E A M 04
Based on Wisconsin State Health Improvement Plan

HEALTH EQUITY

The CHIP intentionally integrates equity into all planning efforts. Using a health equity lens is a systematic method of finding ways to improve health for all, embed health equity in decision making, and reduce health disparities in our West Allis and West Milwaukee communities.

The term 'equity' refers to fairness and justice, whereas 'equality' means providing the same to all. Equity means recognizing that we all have access to different opportunities and resources. Equality means that everyone is given the same resources, regardless of their circumstances. Striving to achieve equity requires making adjustments to imbalances.

EQUALITY EQUITY DOESNOTMEAN

Social determinants of health are conditions under which people live, learn, work, and grow. These social, environmental, and economic factors strongly influence health outcomes and quality of life. Some examples include, but are not limited to: access to medical care, safe housing, education, and access to nutritious foods.

Health equity is achieved when every person has the opportunity to attain their full health potential and no one is disadvantaged from achieving this because social/societal circumstances. Health inequities are caused by the uneven distribution of social determinants of health.

This model from the National Academies of Medicine on creating community-driven solution shows how central health equity is to improving community health. Community-driven solutions target key social determinants of health and foster cross-collaboration in planning and actions.

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COMMUNITY IDENTIFIED AREAS OF FOCUS

CHA survey respondents were asked to select the top five issues that concern them the most about the overall health of people in our community. The below issues are the most common concerns.

MENTAL HEALTH

32.6% of CHA survey respondents feel there is adequate access to mental health services in the community.

22.5% of CHA survey respondents do not know where to access mental health resources.

65% of West Allis\ West Milwaukee (WAWM) middle school students have experienced significant anxiety in the past year.

In the West Allis-West Milwaukee area, 7% of deaths in 2018-2022 were death by suicide.

VIOLENCE

53.7% of survey respondents report domestic violence as a concern in the community.

45.2% of survey respondents report child abuse as a concern.

33% of survey respondents report elder abuse as a concern.

42.5% of survey respondents report sex trafficking as a concern in the community.

DRUG ABUSE

67.7% of CHA survey respondents feel that substance use including illegal drugs and prescription drug misuse is a problem in the community.

Drug overdose is the 2nd leading cause of death in WAWM (2018-2022).

While the rate remains consistent between 2020 and 2021 in West Allis, Milwaukee County experienced a 23% increase in Substance Use Death (SUD) fatalities in the same time frame.

CHRONIC DISEASE

The top cause of death in WAWM residents in 2018-2022 is cardiovascular diseases and incidents.

WAWM has comparable rates of diabetes, stroke, and hypertension as the county and nation.

Our residents have slightly lower routine checkup rates (73.6-75.2%) than Milwaukee County (76.2%).

72.5% of survey respondents feel that there is adequate access to health care in the community.

OBESITY ALCOHOL MISUSE

55.3% of CHA survey respondents feel that binge drinking or excessive alcohol use is a problem in the community.

Alcohol abuse is the 5th leading cause of death in WAWM (2018-2022).

More WAWM adults report binge drinking than the county and national averages.

Approximately 33% of WAWM adults are obese (compared to 35% in Milwaukee County). 22-26% of WAWM adults are currently estimated to be sedentary during the last month.

81.7% of survey respondents feel there are safe places to exercise or play outside like parks or trails in the community.

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CHIP STEERING COMMITTEE MEETING PRIORITIZATION OF AREAS OF FOCUS

The West Allis and West Milwaukee CHIP Steering Committee met October 3rd, 2022. After a small group discussion of the top 6 community-identified areas of focus and a deep dive into the CHA data, the steering committee utilized dot voting to identify the top areas of focus for the 2023-2027 CHIP cycle. Each steering committee member was given 3 dots to place on the 3 issues they felt required the most attention in the next 5 years.

Dot Voting Results

Mental Health: 31 votes

Violence & Community Safety: 25 votes

Substance Use: 21 votes

Chronic Disease: 10 votes

Obesity: 7 votes

Alcohol Misuse: 5 votes

Large group discussion of the dot voting results consisted of a general consensus that the top 3 areas of focus felt representative of the need indicated by the data and from stakeholder's experience in the community. However, the top 3 were deemed to be too broad and interconnected. Further discussion narrowed down to the following areas of focus:

BEHAVIORAL/MENTAL HEALTH COMMUNITY SAFETY & VIOLENCE PREVENTION SUBSTANCE USE

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1. 2 3. 4. 5 6
1. 2. 3.

DATA-DRIVEN DECISION MAKING

The West Allis Health Department is committed to using evidence-based strategies and best practices to ensure that the CHA and CHIP processes are representative, measurable, and data-driven. Primary and secondary data informed the prioritization process for the identified areas of focus and the establishment of their corresponding goals, objectives, and strategies. As the CHIP process progresses, the Action Teams will meet on a quarterly basis to monitor and review implementation activities and strategies, gather data and community-level impacts of strategies, and consider if quality improvement changes need to be made.

CHA Survey, Key Informant Interviews, Secondary Data Review

Community Health Assessment (CHA)

1

2

Define Areas of Focus

CHIP Areas of Focus for 2023-2027

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Learning Loop

Action Team meets quarterly to review implementation activities, to review data, and consider quality improvement changes that need to be made and/or other strategies to consider

Key

CHIP= Community Health Improvement Plan

KPI= Key Performance Indicator

VFWAC= Violence Free West Allis Collaborative

Root Cause Analysis and Key Stakeholder Feedback

Define Goals

3

4

Action Team Development

2 Meetings to Finalize Goals and Assess Evidence-Based Interventions and Strategies

6 Initiate Action Plan Implement Strategies, Gather Data, Examine KPI and VFWAC Data

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Additional Data Integration

Data utilized in quarterly Action Team meetings to help inform action items and monitor community-level impacts of strategy implementation

VFWAC Incorporation into Community Safety &Violence Prevention Action Team (Police, Fire, and Hospital Data on Domestic Violence & Community Safety)

Overdose Fatality Review recommendations incorporated into Substance Use Action Team

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Define KPIs and SMART Objectives

Primary and Secondary Data Used to Identify Target Populations, Data Sources, and Best Practice Strategies

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STEERING COMMITTEE & ACTION TEAM MEMBERS

Cross sector collaboration was essential in collecting feedback and data for our CHA and creating goals, objectives, and strategies for the CHIP. We would like to express our appreciation to all community members, stakeholders, partners, and organizations that contributed to the CHIP Process, participated in the CHIP Steering Committee meetings, and joined an Action Team.

Name Organization/Agency

Adam Livingston West Allis Fire Department

Adrienne Calcagnino West Allis Health Department- Social Worker

Allison Lancione Community Member & Employee of Rogers Behavioral Health

Amanda De Leon West Allis Community Medical Services

Amanda Wisth Froedtert Health

Ann Christiansen Advocate Aurora Healthcare

Ashley Palen West Allis Health Department- Deputy Health Commissioner

Barbara Janusiak West Allis Board of Health

Becca Kraetz West Allis Health Department- Public Health Strategist

Belinda Boyle Advocate Aurora Healthcare- Forensic Nurse Manager

Beth Dowhen Community Member

Bob Leischow West Allis Health Department- Health Commissioner

Carolyn Haass West Allis Health Department- Lead Public Health Nurse

Cheryl Davies West Allis Health Department- WIC Director

Christopher Williams West Allis Police Department, Mobile Integrated Healthcare

Claire Evers State of Wisconsin Department of Public Health

Dan Devine City of West Allis Mayor

Daniel Shine National Alliance on Mental Illness (NAMI)

Dianne Eineichner West Allis Business Improvement District (BID)

Felice Borisy-Rudin Wisconsin Alcohol Policy Project

Helen Lai Vivent Health

Jane Edgar West Allis Board of Health- West Milwaukee Trustee

Jason Schaak West Allis Fire Department, Community Risk Reduction

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Name Organization/Agency

Jennifer Ellis Granite Hills

Jennifer Hernandez-Meier Medical College of Wiscocnsin

Jessica Johnson West Allis Police Department

Joanie Luedke West Allis West Milwaukee Heroin Opiate Task Force

Johnny Clark Community Member

Kaitlin Grigoryev West Allis Community Medical Services

Kayla Fitzgerald Village of West Milwaukee

Kevin Haass West Allis Alderperson

Kevin Smith West Allis Health Department- Lead Environmentalist

Larry Leinberger West Allis West Milwaukee School District- Lead School Social Worker

Matthew LaDousa West Allis Fire Department

Mason Pooler West Allis Fire Department

Melissa Feldmeyer West Allis Health Department- Business Manager

Michael Beyer Rogers Behavioral Health

Michele Strasser West Allis West Milwaukee Recreation Department

Mo Mulcahy Advocate Aurora Health

Nick Maniaci West Allis Health Department- Public Health Specialist

Nicky Glaser Advocate Aurora Health- Aurora Healing & Advocacy Services

Patricia Wikenhauser Commission on Aging

Patrick Mitchell West Allis Police Department

Patrick Schloss West Allis Department of Economic Development

Paul Taylor West Allis Police Department, Crisis Assessment Response Team

Rebecca Grill City of West Allis Administrator

Robert Hutter West Allis Department of Engineering

Rosalie L Reinke Alderperson & West Allis Board of Health

Sam Royappa First United Methodist Church

Sara Schreiber Milwaukee County Medical Examiner's Office

Shannon Byrne West Allis Senior Center

Steve Schaer West Allis Department of Planning and Zoning/Housing

Suzzette Grisham West Allis Alderperson

Terese Beauchamp Aurora West Allis Medical Center

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2023-2027 CHIP AREAS OF FOCUS

Behavioral/ Mental Health

Community Safety & Violence Prevention

Behavioral health looks at how behaviors impact someone's health and wellbeing both physical and mental. We aim to improve behavioral and mental health through preventative strategies and increased navigational assistance on accessing services.

Substance Use

How safe we feel at home, work, school, and in our neighborhood influences social, educational, and health habits and outcomes We aim to increase community safety and enhance violence prevention and response.

Substance use is associated with increased risk of negative safety, health, and social outcomes. We aim to reduce misuse and illegal substance use of drugs and alcohol among West Allis and West Milwaukee residents through education, stigma reduction, and linkage to peer and social supports.

Everyone has a fair and just opportunity to live their best life.

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CHIP STEERING COMMITTEE MEETING GOAL SETTING

The West Allis and West Milwaukee CHIP Steering Committee met for a second time on November 14, 2022. After a large group discussion of the areas of focus and further review of the data on the populations most affected by each area of focus, the group utilized asset mapping to identify strengths and gaps in our community. Following this, a 25/10 crowd sourcing activity was conducted to identify root causes or contributing factors for each area of focus. The top assets, gaps, and root causes were then presented in small groups where steering committee members finalized the goals for the areas of focus.

Behavioral/Mental Health

Enhance collaboration, understanding, and access to behavioral health resources in the community.

Community Safety & Violence Prevention

Connect populations experiencing domestic violence to supportive services and safety planning

Substance Use

Increase education on alcohol misuse and vaping.

Establish a community of mental health resiliency.

Increase awareness and understanding of healthy relationships and family supports

Increase awareness and acceptance of behavioral health issues in the 55+ adult population.

Empower the community to build a culture of respect and resiliency.

Increase understanding of Substance Use Disorder and access to harm reduction services in the community.

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FOCUS AREA #1- BEHAVIORAL/MENTAL HEALTH

IMPACT

Improve behavioral and mental health among the WAWM community through awareness strategies, collaboration with partners, and increased access to behavioral health resources in the community.

ALIGNMENT WITH EXISTING STRATEGIES

LOCAL: Advocate Aurora West Allis Medical Center

Access to Behavioral Health Services

STATE: Wisconsin State Health Plan Priority Areas

Suicide

Increase and enhance protective factors (prevention of ACEs, increase access to care, social and economic supports)

NATIONAL: Healthy People 2030

Health Conditions: Mental Health and Mental Disorders

Health Behaviors: Drug and Alcohol Use

COLLABORATIVE PARTNERS

(Action Team Organizations, Future Partners)

Advocate Aurora West Allis Medical Center

Assisted living facilities and senior apartments

City of West Allis

Faith-based communities

Granite Hills

Roger's Behavioral Health

Village of West Milwaukee

West Allis Fire Department

West Allis Police Department

West Allis Senior Center

West Allis West Milwaukee Recreation Department

West Allis West Milwaukee School District

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FOCUS AREA #1- BEHAVIORAL/MENTAL HEALTH

Goals and Objectives (subject to change based on CQI process)

Goal #1: Enhance collaboration, understanding, and access to behavioral health resources in the community.

Objective #1: By December 31, 2027, increase the number of WAWM residents that know where to find mental health resources by at least 7%.

Goal #2: Establish a community of mental health resiliency.

Objective #1: By December 31, 2027, increase the number of WAWM residents that report good mental health days by at least 2%

Objective #2: By December 31, 2026, decrease the number of intermediate school students who report a mental health concern by at least 5% by working with the schools to implement evidence based strategies annually.

Goal #3: Increase awareness and acceptance of behavioral health issues in the 55+ adult population.

Objective #1: By December 31, 2027, increase the number of older adult individuals that know where to locate mental health resources by at least 5%.

Objective #2: By December 31, 2027, implement at least two events per year focused on educating the older adult population on Behavioral/Mental Health.

Measuring Our Impact

% of Community Health Assessment responds that agree they know where to find mental health resources if needed

% of residents that report "not good" mental health days per month (Behavioral Risk Factor Surveillance System)

% of WAWM middle school students answered affirmatively to any of the YRBS mental health questions (anxiety, suicidal ideations, self-harm, depression) (Youth Risk Behavior Survey)

Pre and Post Intervention Surveys on: Adults 55+ years of age on behavioral health; QPR (Suicide Prevention Programming) Trainings

# of Engagements via social media, at in-person events, surveys, polls, and trainings

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FOCUS AREA #2- COMMUNITY SAFETY & VIOLENCE PREVENTION

IMPACT ALIGNMENT WITH EXISTING STRATEGIES COLLABORATIVE PARTNERS

(Action Team Organizations, Future Partners)

Improve overall community wellbeing and resiliency through connections to supportive services and safety planning, violence prevention strategies, and education on healthy relationships and family supports

LOCAL: Advocate Aurora West Allis Medical Center

Community Safety

STATE: Wisconsin State Health Plan Priority Areas

Key Conditions: Improved Social and Community Conditions

Key Conditions: Healthy Environments and Supportive Systems

NATIONAL: Healthy People 2030

Health Behaviors: Violence Prevention

Advocate Aurora Healthcare Commission on Aging

City of West Allis

First United Methodist Church

Granite Hills

Roger's Behavioral Health

Village of West Milwaukee

West Allis Alderperson(s)

West Allis Business Improvement District

West Allis Fire Department

West Allis Police Department

West Allis Senior Center

West Milwaukee Recreation Department

WAWM School District

Youth Commission

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FOCUS AREA #2- COMMUNITY SAFETY & VIOLENCE PREVENTION

Goals and Objectives

(subject to change based on CQI process)

Goal #1: Connect populations experiencing domestic violence to supportive services and safety planning.

Objective #1: Annually provide education and resources to at least 5 new organizations in domestic violence "hot spot" areas. Of participants, 95% will report increased knowledge of the victim services available and how to refer a victim to services.

Objective #2: By December of 2027, have at least 50% of city-wide staff attend at least one designated training that increases their understanding on how to support victims of domestic violence.

Goal #2: Increase awareness and understanding of healthy relationships and family supports.

Objective #1: By December of 2027, utilize the Health Department Facebook page for a social media campaign with at least 6 posts annually on healthy relationships and support systems

Objective #2: By December of 2026, work with WAWM schools to implement additional education on social/emotional learning, healthy relationships, and conflict resolution to decrease the number of students who agree that violence is a problem at their school by at least 5%.

Goal #3 Empower the community to build a culture of respect and resiliency

Objective #1: By December 31, 2027 increase the number of individuals who feel the community is inclusive and supportive for people of varied race, religion, gender, identity, age, and ability by at least 5%.

Measuring Our Impact

# Domestic Violence resource dissemination partnerships

% of City of West Allis staff who attended one or more designated trainings

# of student and staff attendees at trainings

Pre and post survey responses

# of engagements at community conversations and events

# of social media and website engagements

% of Community Health Assessment respondents that feel the community is inclusive and supportive for people of varied race, religion, gender, identity, age, and ability

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FOCUS AREA #3- SUBSTANCE USE

IMPACT

Reduce misuse of drugs and alcohol in the community through preventative strategies and increased access to harm reduction services.

ALIGNMENT WITH EXISTING STRATEGIES

LOCAL: Advocate Aurora West Allis Medical Center

Access to Behavioral Health Services

STATE: Wisconsin State Health Plan Priority Areas

Goal: Prevent and reduce excessive and underage alcohol consumption

Goal: Prevent harmful opioid use and reduce opioidrelated consequences

NATIONAL: Healthy People 2030

Health Behaviors: Drug and Alcohol Use

COLLABORATIVE PARTNERS

(Action Team Organizations, Future Partners)

Advocate Aurora Healthcare

City of West Allis

Community Medical Services

Milwaukee County Medical Examiner's Office

Village of West Milwaukee

Vivent Health

West Allis Alderperson(s)

West Allis Board of Health

West Allis Fire Department

West Allis Police Department

West Allis Senior Center

West Allis West Milwaukee Heroin Opiate Task Force

West Allis West Milwaukee School District

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FOCUS AREA #3- SUBSTANCE USE

Goals and Objectives (subject to change based on CQI process)

Goal #1 Increase education on alcohol misuse and vaping.

Objective #1: By December 31, 2027, expand educational training on substance use disorders (SUD) in all West Allis and West Milwaukee intermediate and high schools.

Objective #2: By December 31, 2027, educate adult supports of youth on dangers of alcohol and vaping.

Objective #3: By December 31, 2024 compile and utilize Place of Last Drink (POLD) data to develop appropriate interventions for places that demonstrate patterns of overservice.

Goal #2: Increase understanding of Substance Use Disorder and access to harm reduction services in the community.

Objective #1: Annually increase the number of locations in overdose hot spot areas that have harm reduction resources available to the community.

Objective #2: By December 31, 2027, change the perception and stigma surrounding substance use disorder through educational campaigns.

Measuring Our Impact

# of students attending Alcohol and Other Drug Abuse (AODA), alcohol and drug awareness, and SBIRT classes

# of attendees at educational events and Narcan administration trainings

# of interactions at events

# of establishments identified through Place of Last Drink (POLD)

# of Narcan vending machines installed in community

# of harm reduction kits distributed

# of engagements with 'Substance Use Disorder: Recovery is Possible videos, and with social media

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ADDITIONAL HEALTH ISSUES

While three areas of focus have been prioritized for resource allocation, other key issues impacting the community were identified at the CHIP Steering Committee meetings through data collection and will require continued community attention and effort. These issues include:

Obesity

Chronic conditions

Communicable disease

Environmental health

Age-related health concerns

Physical inactivity and healthy lifestyles

Racism/discrimination

Several of these issues have been linked to the newly selected CHIP areas of focus and will be incorporated in efforts to address their root causes and related social determinants of health. It is critical that community partners continue to pursue opportunities to address these issues at the individual, community, and systems level in order to improve the health of the residents of West Allis and West Milwaukee.

Thank you to the local, state, and national organizations that are actively working together to improve the health of all.

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RESOURCES & METHODOLOGY

COMMUNITY HEALTH ASSESSMENT & IMPROVEMENT PLAN

Community Health Assessments & Health Improvement Plans- CDC https://www.cdc.gov/publichealthgateway/cha/plan.html

CDC Public Health 3.0: A Call to Action for Public Health to Meet the Challenges of the 21st Century. https://www.cdc.gov/pcd/issues/2017/17 0017.htm

10 Basic Things You need to Know About Public Health 3.0 https://www.champsoftware.com/2018/08/24/10-basicthings-you-need-to-know-about-public-health-3-0/

MAPP PROCESS

Community Health Improvement Process Models and Frameworks (NACCHO)

https://www.naccho.org/uploads/downloadable-resources/Community-Health-Improvement-Process-Models-andFramework-Exercise1.docx

Mobilizing for Action through Planning and Partnerships (MAPP) https://www.naccho.org/programs/public-healthinfrastructure/performance-improvement/community-health-assessment/mapp

MAPP Process Infographic http://www healthydouglas org/about-us/what-guides-our-work-in-the-community

SOCIAL DETERMINANTS OF HEALTH

Robert Wood Johnson Foundation, 2018. https://www.rwjf.org/en/how-we-work/building-a-culture-of-health.html

Community Health Assessment and Improvement Planning - NACCHO https://www.naccho.org/programs/publichealth-infrastructure/performance-improvement/community-health-assessment

Centers for Disease Control. Health Equity. https://www.cdc.gov/chronicdisease/healthequity/index.htm

HEALTH EQUITY

Communities In Action: Pathways to Health Equity The National Academies of Sciences Engineering and Medicine https://nap nationalacademies org/resource/24624/CoHConceptual-Model pdf

Equity Vs Equality: What's the Difference United Way NCA https://unitedwaynca org/blog/equity-vs-equality/

PHAB PROCESS

PHAB Standards and Measures for Reaccreditation Version 2022 https://phaboard.org/wpcontent/uploads/Standard-Measures-Version-2022-Reaccreditation.pdf

ALIGNMENT OF PLANS

Aurora West Allis Medical Center Communityu Health Implementation Strategy January 1,2023 - December 31, 2025. https://www.aurorahealthcare.org/assets/documents/community-benefits/hospitals/2022-west-allisimplementation-strategy.pdf

Healthy People 2030 Drug and Alcohol Use

https://health.gov/healthypeople/objectives-and-data/browseobjectives/drug-and-alcohol-use

Healthy People 2030 Mental Health and Mental Disorders https://health gov/healthypeople/objectives-anddata/browse-objectives/mental-health-and-mental-disorders

Healthy People 2030 Violence Prevention https://health gov/healthypeople/objectives-and-data/browseobjectives/violence-prevention

Wisconsin State Health Improvement Plan- Transitional Report 2022

https://www dhs wisconsin gov/publications/p01791 pdf

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Articles inside

ADDITIONAL HEALTH ISSUES

1min
page 22

FOCUS AREA #3- SUBSTANCE USE

1min
page 21

FOCUS AREA #2- COMMUNITY SAFETY & VIOLENCE PREVENTION

1min
page 19

FOCUS AREA #1- BEHAVIORAL/MENTAL HEALTH

1min
page 17

CHIP STEERING COMMITTEE MEETING GOAL SETTING

1min
page 15

2023-2027 CHIP AREAS OF FOCUS

1min
page 14

DATA-DRIVEN DECISION MAKING

1min
page 11

CHIP STEERING COMMITTEE MEETING PRIORITIZATION OF AREAS OF FOCUS

1min
page 10

VIOLENCE

1min
page 9

COMMUNITY IDENTIFIED AREAS OF FOCUS

1min
page 9

HEALTH EQUITY

1min
page 8

ALIGNMENT WITH THE WISCONSIN STATE HEALTH IMPROVEMENT PLAN (SHIP)

1min
page 7

MAPP PROCESS

1min
page 6

COMMUNITY HEALTH IMPROVEMENT PLAN

1min
page 5

COMMON LANGUAGE

1min
page 4

ADDITIONAL HEALTH ISSUES

1min
page 22

FOCUS AREA #2- COMMUNITY SAFETY & VIOLENCE PREVENTION

1min
page 19

FOCUS AREA #1- BEHAVIORAL/MENTAL HEALTH

1min
page 17

CHIP STEERING COMMITTEE MEETING GOAL SETTING

1min
page 15

2023-2027 CHIP AREAS OF FOCUS

1min
page 14

DATA-DRIVEN DECISION MAKING

1min
page 11

CHIP STEERING COMMITTEE MEETING PRIORITIZATION OF AREAS OF FOCUS

1min
page 10

VIOLENCE

1min
page 9

COMMUNITY IDENTIFIED AREAS OF FOCUS

1min
page 9

HEALTH EQUITY

1min
page 8

ALIGNMENT WITH THE WISCONSIN STATE HEALTH IMPROVEMENT PLAN (SHIP)

1min
page 7

MAPP PROCESS

1min
page 6

COMMUNITY HEALTH IMPROVEMENT PLAN

1min
page 5

COMMON LANGUAGE

1min
page 4
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