Operationalizing GHI

The health priorities identified in the Get Healthy Idaho planning process (Behavioral Health, Overweight & Obesity, Unintentional Injury and Diabetes) represent the focus for the division of public health through 2024.

 

2020 marked the first year of the Get Healthy Idaho initiative with funding for selected communities. Initial foundation building activities included:

 

  • Educating department staff and external partners about the the social determinants of health and GHI's focus on community led, place-based initiatives.

  • Researching effective models from other states or communities.

  • Developing an operational structure.

  • Engaging with key partners and identifying opportunities for collaboration.

  • Identifying a funding model and funding sources to support this work both internally and in the first funded community.

In December 2020, the Western Idaho Community Health Collaborative (WICHC), was awarded the first round of funding from GHI to develop community-led solutions to reduce health disparities in Elmore County.

 

In August 2021, the United Way of Southeastern Idaho, was awarded the second round of funding for work which commenced in Bannock County during the fall of 2021. GHI hopes to add an additional community each year going forward. The effort will support each community for up to four years.

Identifying Communities

The division is using a data-informed approach to identify communities with poorer health outcomes where investments in upstream approaches will be most effective. To identify these communities, the division developed a data dashboard showing county-level health outcome measures (incidence, prevalence, mortality, etc.) combined with the health determinant indices. Indices are composite measures that combine multiple social determinant of health factors into one “score”. 

Two health determinant indices (the Social Vulnerability Index (SVI) and the Concentrated Disadvantage Index (CDI)) were selected based on their ability to provide county-wide estimates, support and promotion by the Centers for Disease Control and Prevention and range of individual measures which are used to develop the index score.

The SVI has two composite groups focused on Socioeconomic Status (SES) and Housing. The SVI-SES index considers poverty levels, unemployment, income and high-school graduation. The SVI-Housing index considers multi-unit structures, mobile homes, crowding, access to vehicles and group living.

The CDI considers poverty, those receiving public assistance, female-headed households, unemployment and those younger than 18. When these indices, in combination with health outcome data, are applied to the state population, counties of highest risk are identified, as seen by the dark blue shading in the Diabetes Prevalence and SDOH Risk by County map.

Data Dashboard

The division’s data dashboard allows the counties to be ranked from 1- 44 (the number of Idaho counties).

As the division reviews competitive proposals received for Get Healthy Idaho funding, points based on a county's ranking in the dashboard will be added to each community proposal evaluation score.  Once a community is funded, the social determinants and other resource data will be reviewed, allowing for a more comprehensive, yet targeted assessment of the community’s greatest needs.

Community Engagement  

Through Get Healthy Idaho, the department will sustain investments in statewide partnerships to connect resources and opportunities for authentic engagement with funded communities and their health collaborative members. This also reflects the department’s desire to ensure place-based initiatives are led and driven by communities. Authentic engagement will promote a positive culture built on a foundation of partnership and trust, where residents feel empowered to take leadership roles, build social capital and identify resources to help the community collectively work toward impactful solutions to cultivate health, safety and resilience.

The funded organization serving as the lead of the local Get Healthy Idaho effort will engage a diverse representation of community members and leaders in a community health collaborative. Collaborative members will be empowered to both lead and drive decision-making efforts. Community member engagement will include capturing qualitative feedback to help the collaborative gain a better understanding of the known assets, barriers, challenges and opportunities that exist in the community. By combining population-level health and social determinant data with qualitative feedback from residents and organizations, the community will be tasked with selecting data-informed and evidence-based interventions that will support and enhance health, safety and resilience in their community. Through this process, the division will gain a better understanding of what matters most to the community’s health and learn about their experiences and recommendations for improvement. 


Community members will have opportunities to engage throughout the process and contribute to the planning and implementation of solutions. Continual engagement and feedback of residents will be vital to ensure the work is driven by, and meets the needs of, the community.

Community Action Plans for policy and system level change

The department will provide technical assistance to awarded communities to support community members and leaders advance their collective capacity, knowledge of best practices and implementation of meaningful solutions. Action plans will be driven by the community collaborative and informed by data specific to the community's unique challenges, needs and opportunities. The department will support awarded communities to identify relevant policy, system and environmental changes based on what is most critical to the community and will have the most impact on improving health outcomes. 

Health happens where people live so the policies, systems and environmental interventions chosen must ensure they will reduce health disparities and increase healthy opportunities for everyone in the community.

Health Improvement Plan and Priorities
for Action

The most recent update to the Get Healthy Idaho Health Improvement Plan identified four goals detailed in addition to goals and objectives within the department and division strategic plans.

Goal 1: Advance Equity

Goal 2: Enhance Partnerships

Goal 3: Financial Longevity of Place-Based Initiatives

Goal 4: Create an Equity-Centered Data System

Learn more about Get Healthy Idaho's goals and objectives by reading the following plans:

Publication of the Plan

This website was created to display the assessment and health improvement plan in an interactive format. It serves as the central location for all information related to this initiative.

At least annually, the division will convene the larger Get Healthy Idaho partner group to review the prior year implementation plan, present new data and modify the plan, as needed. Partnering agencies and the department team responsible for identified strategies will report progress. On a quarterly basis, strategy leads will meet to review progress, barriers and successes. 

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