Steps 1-3: Reflect, Strategize, Identify and Engage
Between January and April 2019, a core group of division staff reviewed the process used for the Get Healthy Idaho assessment 2015-2019. Key recommendations from the review included:
Expand the review of data to all programs in public health, regardless if they fall under accreditation guidelines
Avoid arbitrary constraints to what health and social issues Get Healthy Idaho can address, such as public health funding restrictions
Focus on the social determinants of health
Engage division programs and partners more authentically
Identify other organizations conducting health assessments and incorporate the data
Include non-traditional partners such as transportation and housing agencies
Define the community as the state, focus on state-level data and then work with high-risk communities to focus efforts based on locally-identified needs
A vision for 2022 has been created with the 2021 update to the GHI Health Improvement Plan. The plan update builds upon foundational work within the division and will enable GHI to grow into a more sustainable, impactful, and equitable initiative. As shown in the diagram the 9 step process is iterative, with each rotation building upon lessons learned, partnerships and collective work.
Step 4: Data Collection and Analysis
Data used for the 2019 Get Healthy Idaho assessment included both primary and secondary data. Primary data included key informant interviews conducted by division staff between May and July 2019. Key informants consisted of partners representing local public health districts, the Idaho Hospital Associations and Boise State University.
Additionally, the division held interviews with partners representing disparate populations such as the Idaho Foodbank, the Idaho Commission on Aging, Genesis Medical Clinic and the Center for Community Justice. Interviews engaged partners in discussions about their current involvement in community issues; their perception of key health issues related to the populations they serve; underlying issues that contribute to those health issues (such as access to care and inequities); and barriers to addressing health issues and long-term consequences of not addressing these issues. The interviews sought the key informant’s perception of the largest gaps in the state regarding health and recommendations for addressing those gaps. In all, the division conducted ten interviews.
Idaho’s Leading Health Indicators provide the framework for Get Healthy Idaho and seek to answer questions about the health of Idahoans. Data from the Idaho Behavioral Risk Factor Surveillance System (BRFSS), the Idaho Pregnancy Risk Assessment Tracking System (PRATS) and public health programs serve as primary data sources that inform the Leading Health Indicators.
Secondary data sources utilized in the assessment came from Community Health Needs Assessments (CHNA) published by hospitals and local public health districts. Major findings and local priorities helped lead the division to the state-level priorities.
The division compiled various data-sets and developed dashboards, available at www.gethealthy.dhw.idaho.gov, a public-facing website for partners to review. The division hosted two webinars walking partners through the site and providing guidance for interpreting the data. Data include the Leading Health Indicators and social determinants of health at the local public health district level and county level, when possible.
Step 5: Prioritization of Community Health Issues
On August 6, 2019, the division hosted the Get Healthy Idaho assessment partner meeting. The purpose of the meeting was to present the Get Healthy Idaho vision, review and discuss the assessment data and identify the priority areas for Get Healthy Idaho from 2020 to 2024.
Thirty-one agencies with regional or statewide scope attended the meeting. These agencies included local public health departments, hospitals, universities, rural health clinics, medical associations, health clinics, community-based organizations, associations, coalitions, other state agencies including those focused on drug policy, education and environmental quality. From the department, representatives from the Divisions of Public Health, Behavioral Health and Medicaid also attended.
Step 6: Documenting and Communicating Results
Following the partner meeting on August 6, 2019, division leadership communicated the results of the assessment with partners and department leadership. As this is a priority for the department, as well as the division, implementation of the plan began immediately.
Steps 7 and 8: Implementation and Evaluation
These steps are the foundation of the Get Healthy Idaho initiative and are further addressed in the GHI Plan update, the Get Healthy Idaho Evaluation of Progress - SFY2021, and throughout this site.
GET HEALTHY IDAHO ASSESSMENT PROCESS OVERVIEW
The Get Healthy Idaho planning committee, consisting of division leaders and data owners, identified the Community Health Assessment Toolkit, from the Association for Community Health Improvement, as the model for the 2020-2024 Get Healthy Idaho initiative.