STAFF AND COMMITTEE REPORTS
May 19, 2014

Collective Impact for Neighborhood & County Health (CINCH)

In late February the CINCH team was informed by the CDC that funding for the Community Transformation Grants was not included in the final budget approved by Congress. Although the original Community Transformation Implementation Plan was designed to last through September 2016, all CTG projects nationwide will now be funded only through September 2014. The CINCH team has worked with the community contractors to organize their scopes of work to finish up by September as follows:

Clinical Preventive Services (Leah Steimel, LLC)
The purpose of this contract is to ensure that Bernalillo County residents (particularly in underserved populations and communities of color) have increased access to trained, competent community health workers who are knowledgeable about chronic disease prevention, social determinants of health, and interventions that support CDC priority areas (e.g., tobacco-free living, healthy eating/active living, and clinical preventive services).
Healthy and Safe Environments (Mid-Region Council of Governments)
Transportation engineers, planners, policy makers, and other professionals in Bernalillo County will benefit from intensive training and educational opportunities that expand their knowledge of Complete Streets principles and emphasize the health and social benefits to communities of integrating a variety of transportation modes into street design and land use plans, policies, and programs.
Healthy Eating (Farm to Table)
The purpose of this contract is to assist schools with meeting new federal rules by augmenting school nutrition programs to provide more New Mexico-grown fruits and vegetables. In addition, the program will encourage creativity in school nutrition programs and will link to school gardening as a physical activity component linked to establishing or enhancing built environments. Activities will be focused on schools located in the three high-priority Bernalillo County neighborhoods that experience disproportionately high rates of poverty, chronic disease, and food access barriers: the International District, the South Valley/Westgate Heights, and the I-25 Corridor/Santa Barbara/Martineztown.
Healthy Eating (Agricultura Network)
The purpose of this contract is to develop and implement a mobile farmers’ market that links local producers with low-income consumers in areas designated by the USDA as having low food access, thus ensuring convenient access to fresh, healthy, and affordable fruits and vegetables. Activities will be focused on the three high-priority Bernalillo County neighborhoods that experience disproportionately high rates of poverty, chronic disease, and food access barriers: the International District, the South Valley/Westgate Heights, and the I-25 Corridor/Santa Barbara/Martineztown.
Active Living (Rosemary Romero, LLC)
Bernalillo County will negotiate a formal district-wide joint use agreement with Albuquerque Public Schools (APS), the City of Albuquerque, and other stakeholders that establishes the terms and conditions for the shared use and maintenance of school facilities and playgrounds, with the goal of reducing obesity and obesity-related diseases, and improving the public’s health. APS is the only school district within the Bernalillo County jurisdiction, and includes 89 elementary schools, some of which are located within neighborhoods that are characterized by severe poverty and high rates of chronic conditions such as obesity, heart disease, and diabetes. A district-wide joint use agreement will increase community access to elementary school playgrounds and facilities during non-school hours (especially in vulnerable low-income areas and communities of color that experience significant social and health disparities), and will promote physical activity among all residents of Bernalillo County.
Smoke-Free Environments (American Lung Association)
The purpose of this contract is to inform multi-unit housing property owners/managers and tenants in the International District about the benefits of smoke-free policies and practices. The International District is a neighborhood that experiences disproportionately high rates of poverty, chronic disease (including high hospitalization rates for childhood asthma), and racial/ethnic disparities, particularly among African Americans, Native Americans, and Hispanic residents. This intervention has the potential to make a significant impact on reducing tobacco-related health disparities among these vulnerable populations. A conversion to smoke-free properties is expected to result in decreased tobacco-use and a reduced exposure to secondhand smoke, which will contribute to a reduction in the chronic disease burden

Community Health Improvement Planning (CHIP) Process

PRIORITY: “Healthy and sustainable communities where all families and individuals have their basic needs met and prosper.”

Issues related to this priority area were the topic of discussion at several monthly Health Council meetings from November 2012 to November 2013 (Income/Poverty, Affordable Housing, Crime/Violence,Transportation,and Environmental Health). Information and input from these meetings will be incorporated into the updated Community Health Profile.

PRIORITY: “Improved health education outcomes for children/youth from pregnancy toage 25.”

Early Childhood Accountability Partnership (ECAP)–ECAPis a place-based effort to improve outcomes for children, from pregnancy to age 8, in Bernalillo County through the active collaboration of a cross-sector network that is utilizing a Collective Impact framework. Results-Based Accountability (RBA) provides the methodology for strategic planning and data-driven accountability, including tools for tracking progress towards a single, measureable result:All Bernalillo County Children Will Be Ready For and Succeed in School. It is understood that children cannot be ready for and succeed in school unless they experience supportive conditions for healthy and safe development from the time their mother is pregnant.

BCCHC has been represented on the ECAP Leadership Team since its inception and serves as an active member in alignment with this BCCHC priority area. This spring ECAP formally aligned with Mission: Graduate as the Early Childhood Collaborative Action Network component of their “cradle to career” model. ThisECAP Collaborative Action Network has held three action planning working sessions and is meeting twice a month to complete an action plan for Year 1 by June 2014, including indicators for measuring progress, specific responsibilities and activities that address agreed upon strategies. The first draft of our Action Plan has targeted the following 3 strategies (with specific activities currently being defined):

Strategy 1: Increase awareness and knowledge about importance of early childhood development

Strategy 2: Engage families in support of parenting skills/practices, support services, and transition

Strategy 3: Promote and expand early literacy

For any questions about ECAP activities or how to get involved, contact Marsha at .

PRIORITY: “Improved healthcare access and quality of service for uninsured and indigent populations.”

Opioid Accountability Initiative–The final report for the 2013 Opioid Accountability Summit prepared by Dr. Bill Wiese has been posted along with videos and PowerPoint presentations from the proceedings on the BCCHC website at . The recommendations that emerged from the Summit are serving as a foundation for the work of the four Implementation Teams – Prevention, Harm Reduction, Treatment, and Law Enforcement/Criminal Justice/ Public Safety. The Harm Reduction Teamhas met 5 times and has been renamed Narcan Implementation Team due to its emphasis on policies and programs to expand

availability of naloxone (Narcan) to reverse overdoses. The Treatment Team and Prevention Team have met three and four times respectively and the Implementation Team addressing Law Enforcement/ Criminal Justice/ Public Safetyis in the process of being formed. A Coordinating Committee, co-chaired by Dr. Harris Silver and Dr. Bill Wiese, has begun meeting to bring together the co-chairs of the individual implementation teams in

order to avoid duplication of effort and maximize overlapping activities. A semi-annual Report Back to the Community is planned for the morning of June 12thto provide an update on progress to date, leading up to the second Summit planned for fall 2014. Anyone who would like to contribute to any of the Implementation Teams in this ongoing intiative over the next two years or who would like to be on the mailing list should contact Marsha at . (See Summary of Activities and Meetings for more information.)

NM Alliance of Health Councils (NMAHC)

The quarterly meeting of the Metro Region of Health Councils (Bernalillo, Sandoval, Torrance and Valencia Counties) was held on May 14-15 at the Hummingbird Music Camp in Jemez Springs, co-sponsored by the NMAHC, NMHealth Equity Partnership (NMHEP) and NMDOH. The agenda on the first day included a workshop from the Ocotillo Institute for Social Justice in Doña Ana County on community engagement, a workshop from Shannon Fleg of the Native Health Initiative on assets mapping, and a presentation/discussion of issues specific to rural counties by Dick Kozoll, co-chair of the Sandoval County Health Council. The second day included updates from three of the county health councils (Valencia was not present) and from NMAHC regarding movement toward setting up our 501c3 non-profit status and plans for the coming year. Michelle Skrupskis report on NMDOH’s plans for proposed deliverables for the $5,000 contracts each health council receives to support assessment and planning activities.

Urban Health Extension

Enrique Cardiel, Urban Health Extension Coordinator, continues working on the following activities:

• National Public Health Week, April 7-13. The Second Annual Public Health Walk took place last month on Saturday, April 12, walking from the San Pedro Library to Emerson Elementary in the International District where participants enjoyedspeakers, music, food and books. Also present was the Conversation Wall - a large chalkboard-like display where people could write their thoughts on the connections between literacy and health. The Conversation Wall traveled throughout the week to different locations including Vista Grande Community Center in the East Mountains, Civic Plaza, Wilson Park on San Pedro SE, and Ta Lin Market.all to allow residents to offer thoughts on the connection between literacy and health. The conversation wall is a large chalkboard-like display, where residents can write down their answers to various health-related questions that are posted on the wall. The conversation wall will be set up today from 11 a.m. - 2 p.m. at Ta Lin Market, Louisiana and Central SE and on Saturday from 12:30 to 2 p.m. near Emerson Elementary School (in John Carrillo Park), 620 Georgia Street SE.
Also on Saturday, April 12, a Public Health Week community health walk will take place beginning at the San Pedro Library, located on the SW corner of San Pedro Drive and Trumbull SE, and ending at Emerson Elementary School (John Carrillo Park), 620 Georgia Street SE, from 12:30 to 2 p.m.

• Education = Health (E=H)The contract for the E=H navigator has been finalized and she will be beginning work this month! This initiative involves working with a variety of partners from within the International District Healthy Communities Coalition (IDHCC) on educational attainment as a health promotion intervention. This is a multi-sectoral, place-based pilot intervention focusing on increasing HS Graduation, and GED attainment within the International District. This will involve a door-to-door approach to understanding neighborhood level needs and responding to barriers to education. The literature, and experience, shows us that substance abuse, housing quality, neighborhood and school safety, parental educational attainment, and other factors will need to be dealt with to change the situation. Focusing on a pilot area of approximately 425 houses will hopefully reap some learnings to scale this work successfully. The project has found much deeper need than we expected by discovering that at least 25 people on two-blocks are lacking a HS diploma and 20 are interested in attaining a diploma or GED. We have found a great need for English as a Second Language (ESL) skills and basic literacy. The Health Promotion Team has been working on collecting data to assess capacity to serve the thousands of people requiring support. Unofficially we have set the goal at everyone reading at a 12th grade level. As part of the “E=H” pilot there has been recruitment in both ESL and Adult Basic Literacy volunteers for Reading Works, ABQ GED, and the Emerson Elementary ABC Community Schools team.

• Facilitating International District Healthy Communities Coalition (IDHCC) in working toward coordinating services and policies to make the International District a great place to raise Happy, Healthy and Safe Children.

• Working with SE service providers to seek better ways to support those who are publicly intoxicated.

• Playing the game Co-Opoly and having discussions on its principles and applications.

• Supporting organizations working with the Stories of Route 66 project.