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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Waushara County Health Department

Implementation Approaches

Goal: Reduce unhealthy and risky alcohol and other drug use and promote early identification of mental health needs and access to resources

Objective 1: By 2018, mass educational campaigns for residents of Waushara County on mental health, alcohol and other drugs, and bullying

Activities:

  • Create Public Service Announcements in Waushara County newspaper and church newsletters throughout the year and health displays on relevant topics for local libraries to increase awareness of health issues related to mental health, alcohol/drugs, and bullying
  • Put articles/statistics/information on social media sites (facebook, websites – Health Department, Healthy Communities, Healthy Youth, School Districts) to update the community on mental health, alcohol and other drug use
  • Provide DARE program for additional grades to educate youth on resisting drug use

Objective 2: By 2018, implement and increase 2 community-based effective alcohols and other drug use prevention programs

Activities:

  • Social Host Ordinance (AB 209)
  • National Drug Take Back Day – spread awareness program through multi-media outlets to increase proper disposal of prescription drugs that are expired or not needed
  • Increase the pounds of prescription drugs collected for Drug Take Back Days
  • Provide information on proper prescription drug use and drug disposal

Objective 3: By 2018, increase dissemination and awareness of information available on Mental Health and accessible Mental Health services

Activities:

  • Compile, create and distribute brochures of accessible mental health services plus any additional relevant information a. Provide information on what is available locally, what is available close by, how to access, current phone numbers, and websites
  • Promote use of screening tools for depression, anxiety, and suicide risk across all medical settings, community, and schools. a. Examples of tools include the Signs of Suicide (SOS), and Question-Persuade-Refer (QPR)
  • Work with directors/employees in daycare/childcare centers to identify mental health risk factors in children
  • Research what is currently being done with/for the elderly in regard to mental health and suicide risk factors 
  • Train mealsite directors on Question-Persuade-Refer (QPR) and also provide them with brochures of accessible services
  • Increase awareness of mental health services, signs and symptoms of depression and suicide through an educational presentation and a pre/post test
  • Make sure schools have an updated suicide plan and review their plans

Goal: Increase physical activity and improve access to adequate, appropriate, and safe food and nutrition in Waushara County

Objective 1: By 2018, increase by 1% the proportion of Waushara County low-income residents who have access to food outlets that offer a variety of foods that meet the Dietary Guidelines for Americans

Activities:

  • Identify the number of low income residents enrolled in supplement food programs and those that are eligible but not enrolled
  • Provide a Fresh Food Atlas to residents. A Fresh Food Atlas guide identifies fresh food outlets in Waushara County (i.e. farm stands, producers etc.)
  • Provide technical assistance to grocery stores to support present stores and to prevent food deserts. a. Food deserts are areas where there is a lack of good quality and affordable fresh foods.
  • Educate senior/WIC clients on where to redeem farmer market vouchers and what kind of foods are in season
  • FoodShare outreach – educate eligible residents through articles, presentations, and the program’s benefits to increase the number of eligible residents receiving FoodShare.

Objective 2: By 2018, facilitate and support the development of a minimum of 5 new safe, affordable and culturally appropriate physical activity opportunities provided by community-based organizations

Activities:

  • Multimedia campaigns to promote physical activity in Waushara County
  • Facilitate partnerships within community-based organizations to support and promote safe, affordable, and culturally appropriate physical activities
  • Distribute Get Active Guide and spread awareness of online link

Objective 3: By 2018, 20% of worksites that employ 100+ employees in Waushara County will establish a Wellness plan with a strong focus on physical activity and nutrition

Activities:

  • Contact the top 5 employers of Waushara county to assess if they have a wellness plan. If employers have a wellness plan, find out what the motivation was to establish one
  • Wellness plan development – educate employers on the benefit of having a worksite wellness plan
  • Encourage employers to educate their employees on insurance incentives
  • Education outreach on physical activity and nutrition

Goal: Reduce unhealthy and risky alcohol and other drug use and promote early identification of mental health needs and access to resources

Objective 1: By 2018, mass educational campaigns for residents of Waushara County on mental health, alcohol and other drugs, and bullying

Activities:

  • Heroin presentation in all Waushara County High Schools to increase the knowledge of risks associated with heroin use
  • Create Public Service Announcements in Waushara County newspaper and church newsletters throughout the year and health displays on relevant topics for local libraries to increase awareness of health issues related to mental health, alcohol/drugs, and bullying
  • Put articles/statistics/information on social media sites (facebook, websites – Health Department, Healthy Communities, Healthy Youth, School Districts) to update the community on mental health, alcohol and other drug use
  • Provide DARE program for additional grades to educate youth on resisting drug use

Objective 2: By 2018, implement and increase 2 community-based effective alcohols and other drug use prevention programs

Activities:

  • National Drug Take Back Day – spread awareness program through multi-media outlets to increase proper disposal of prescription drugs that are expired or not needed
  • Increase the pounds of prescription drugs collected for Drug Take Back Days
  • Provide information on proper prescription drug use and drug disposal

Objective 3: By 2018, increase dissemination and awareness of information available on Mental Health and accessible Mental Health services

Activities:

  • Compile, create and distribute brochures of accessible mental health services plus any additional relevant information- Provide information on what is available locally, what is available close by, how to access, current phone numbers, and websites
  • Promote use of screening tools for depression, anxiety, and suicide risk across all medical settings, community, and schools. Examples of tools include the Signs of Suicide (SOS), and Question-Persuade-Refer (QPR)
  • Work with directors/employees in daycare/childcare centers to identify mental health risk factors in children
  • Research what is currently being done with/for the elderly in regard to mental health and suicide risk factors 
  • Train mealsite directors on Question-Persuade-Refer (QPR) and also provide them with brochures of accessible services
  • Increase awareness of mental health services, signs and symptoms of depression and suicide through an educational presentation and a pre/post test
  • Make sure schools have an updated suicide plan and review their plans

Objective 4: By 2018, increase education of professionals in regards to drug trend leading to policy change

Activities:

  • Presentation to professionals to increase knowledge on current drug trend
  • Create and facilitate a round table discussion with prescribers to change prescribing habits

Goal: Early Access to Emergency Care

Objective: Decreased EMS response times to have an ambulance on scene within 14:59 90% of the time county-wide within the calendar year of 2014

Activities:

  • Reduce out of house times to 90 seconds from time of dispatch
  • Build Hancock EMS Station
  • Monitor monthly response times
  • Work with Wild Rose Community Memorial Hospital (WRCMH) to determine number of self admitted patients
  • Review all 911 calls for response time standards. Evaluate location of EMS stations

Goal: By 2018, assure all residents have affordable access to comprehensive, patient centered health services.

Objective 1: By 2014, increase awareness of the Affordable Care Act

Activities:

  • Distribute educational material on the new insurance policy and marketplace plus any relevant information to the community
  • Educate the public health staff on how to better serve the community as a resource and referral on the Affordable Care Act.

Objective 2: By 2018, develop strategies to increase health care access

Activities:

  • Collaborate with community partners to develop strategies to assist the public in obtaining access to health care services

Objective: By 2018, increase the number of healthcare professionals involved with the Waushara County Health and Wellness Coalition

Activities:

  • Healthcare professional leadership recruitment
  • Build community partnerships – collaborate, support, network and promote community health efforts in Waushara County

Goal: Early Access to Emergency Care

Objective 1: By the end of 2016, develop and implement one public awareness campaign related to 911 utilization when experiencing signs and symptoms of stroke

Activities:

  • Research for 911 utilization when experiencing signs and symptoms of stroke public awareness campaign
  • Plan an awareness campaign for early recognition of Cerebrovascular Accident (CVA) and importance of calling 911

Objective 2: Increase number of businesses in the county that have an AED and staff trained in CPR by 2-3% within the calendar year of 2015

Activities:

  • Contact local businesses and churches that do not have AED

Goal: Improve health quality of life through prevention and management of modifiable risk factors associated with chronic disease

Objective 1: Identify baseline quality data measurements according to established evidence based on disease management strategies by 2014

Activities:

-Health Screenings

  • Run report of women ages 21-64 years who have received cervical cancer screenings within the last 3 years
  • Run report of the proportion of women between the ages of 40-69 years who have received mammogram screenings within the last 24 months
  • Run report of the proportion of adults between the ages of 50-75 years who have received colorectal screenings within the last 10 years
  • Run report of the proportion of adults with the diagnosis of diabetes or Coronary Artery Disease (CAD) who have had their blood cholesterol checked in the preceding 12 months

Wellness Programs

  • Educate physicians about community resources
  • Work with technology available to identify patients that would benefit from programs in order to increase referrals

Goal: Improve health related quality of life by mitigating the effects of chronic illness

Objective 1: Improve completion rate of Stepping On classes offered through ADRC by one class by 2014

Activities:

  • Encourage medical staff to make referrals – through educating at a medical staff meeting
  • Educate nurses on program – through medical staff meeting
  • Increase public exposure through additional press releases

Objective 2: Improve completion rate of Living Well classes offered through ADRC by one class by 2014

Activities:

  • Encourage medical staff to make referrals – through educating at a medical staff meeting
  • Educate nurses on program – through medical staff meeting
  • Increase public exposure through additional press releases

Objective 3: Implementation of one Living Healthy with Diabetes class offered through the ADRC this fall

Activities:

  • Work with the local Certified Diabetes Educator
  • Educate nurses and medical staff on program to increase referrals
  • Educate public on the new program through press releases

Objective 4: Increase the number of people attending the ADA recognized Diabetes Education program held at WRCMH by 50% (12 new patients seen in calendar year of 2014)

Activities:

  • Educate medical staff to increase referrals at medical staff meeting
  • Provide public relations to people in the WRCMH service area with an ad or article in the local paper

Objective 5: Increase public awareness of the benefits of cardiac rehabilitation program within the calendar year of 2014 (Revised 10/01/2013)

Activities:

  • Develop 4 public awareness campaigns within the calendar year of 2014

Objective: By 2018, 50% of the Waushara County schools – public, private, Amish and/or home school – will develop a plan for managing children with chronic disease

Activities:

  • Assess current chronic disease management plans in 75% of Waushara County schools
  • CPR training – support Emergency Medical Services (EMS) in their goal of training school district staff in CPR
  • Educational media outreach – education on chronic conditions and prevention through press releases, newsletters, websites, etc
  • School engagement – partner with schools to assess chronic disease management plans

Objective: By 2018, increase dissemination and awareness of information available on Mental Health and accessible Mental Health services

Activities:

  • Compile, create and distribute brochures of accessible mental health services plus any additional relevant information a. Provide information on what is available locally, what is available close by, how to access, current phone numbers, and websites
  • Promote use of screening tools for depression, anxiety, and suicide risk across all medical settings, community, and schools. a. Examples of tools include the Signs of Suicide (SOS), and Question-Persuade-Refer (QPR)
  • Work with directors/employees in daycare/childcare centers to identify mental health risk factors in children
  • Research what is currently being done with/for the elderly in regard to mental health and suicide risk factors
  • Train mealsite directors on Question-Persuade-Refer (QPR) and also provide them with brochures of accessible services
  • Increase awareness of mental health services, signs and symptoms of depression and suicide through an educational presentation and a pre/post test
  • Make sure schools have an updated suicide plan and review their plans