Reports

Reports produced by Public Health.

 

Community Health Assessment image

Public Health - Dayton & Montgomery County (PHDMC) conducted this collaborative community health assessment (CHA) to summarize Montgomery County’s population health status and needs. The findings of this CHA will inform community decision-makers, help identify priority public health issues, and guide health improvement strategies.

937-225-5700

A Healthy, Safe, and Thriving Community

The 2016-2019 Community Health Improvement Plan (CHIP) provides the community with a plan and goals for addressing priority health issues in Montgomery County. The health priorities are:

Birth Outcomes - Chronic Disease Prevention - Behavioral Health

The CHIP reflects the collective work of many dedicated individuals and organizations who are working to improve health in our county for groups facing health disparities as well as the population as a whole. Over the next four years, organizations throughout Montgomery County plan to work collaboratively and strategically to implement evidence-based interventions that will help to achieve CHIP goals, and ultimately, improve the overall health of the residents of Montgomery County.

 

CHIP Dashboard

Updated: 27 Apr 17

Birth Outcomes header

 

Goal 1 - Reduce preterm births

Key Measure

Decrease the percent of preterm births by 10%.

Baseline Target Year 1

13.8%

12.4%

14.4%

Completed   In Progress   On Hold   Not Started  

Objective 1.1

Increase the number of outpatient clinics enrolled in the Ohio Perinatal Quality Collaborative (OPQC) Progesterone Project.

Baseline Target Year 1

1

2

1

Action Steps

  • Identify and implement evidence-based practices to increase routine preconception and inter-conception health visits for women of reproductive age.
  • Educate health care providers on the use of progesterone supplementation.
  • Expand recruitment for progesterone supplementation program engagement.

Objective 1.2

Expand implementation of evidence-based models of prenatal care.

Baseline Target Year 1

0

2 new locations

1 new location

Action Steps

  • Identify and assess innovative evidence-based models for potential implementation.
  • Identify/target prenatal practices.
  • Implement innovative models of prenatal care (i.e. Centering Pregnancy, Healthy Start) demonstrated to improve preterm birth rates and other adverse pregnancy outcomes.

Objective 1.3

Increase the number of pregnant women enrolled in evidence-based home visiting programs.

Baseline Target Year 1

815

897

845

Action Steps

  • Develop a plan to improve referral of women with risk factors to evidence-based home visiting programs.

Goal 2 - Reduce substance misuse in pregnant women

Key Measure

Decrease the percent of mothers smoking in the 3rd trimester by 10%.

Baseline Target Year 1

12.7%

11.4%

10.9%

Increase the number of new healthcare practices/settings using evidence-based screening methods to identify pregnant women using alcohol by three (3).

Baseline Target Year 1

0

3

0

Completed   In Progress   On Hold   Not Started  

Objective 2.1

Decrease the percent of mothers using tobacco during pregnancy

Baseline Target Year 1

12.7%

11.4%

10.9%

Action Steps

  • Increase capacity for evidence-based tobacco cessation support for pregnant women.
  • Build local system and networks for outreach, engagement, referral, and coordinated follow up.
  • Increase the number of health care providers referring pregnant women who smoke to pregnancy-tailored smoking cessation programs.
  • Develop and conduct effective health communication/social marketing campaigns that promote norms of healthy behaviors before, between, and during pregnancy.

Objective 2.2

Introduce evidence-based screening methods (including the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model) to address alcohol use during pregnancy in healthcare settings that see pregnant women currently not using an evidence-based screening method.

Baseline Target Year 1

0

3

0

Action Steps

  • Identify healthcare settings to implement SBIRT or other evidence-based screening methods.
  • Educate providers of health care and supportive services to ensure that they have knowledge, skills, tools, cultural competence, and motivation to effectively counsel patients on substance misuse.
  • Conduct a FASD awareness campaign to various community members.
  • Promote a referral to treatment process for women identified as needing follow up services after screening.

Goal 3 - Reduce the infant mortality racial disparity in zip codes: 45402, 45405, 45406, 45414, 45415, 45416, 45417, and 45426

Key Measure

Decrease the Black infant mortality rate in the targeted areas by 10%

Baseline Target Year 1

45402 - 12.3  45405 – 25.2
45406 – 16.8  45414 – 29.4
45415 – 27.9  45416 – 19.9
45417 – 14.2  45426 – 17.6

45402 – 11.1  45405 – 22.7
45406 – 15.1  45414 – 26.5
45415 – 25.1  45416 – 17.9
45417 – 12.8  45426 – 15.8

45402 – 9.5  45405 – 23.9
45406 – 21.8  45414 – 18.6
45415 – 16.9  45416 – 13.2
45417 – 11.9  45426 – 15.3

Completed   In Progress   On Hold   Not Started  

Objective 3.1

Increase awareness among the Black community regarding the infant mortality rate and infant mortality disparity and key risk factors by implementing a variety of awareness campaigns.

Baseline Target Year 1

NA

1 social media; 1 print (3 types)
1 visual; 1 audio
3 in-person presentations
3 resource booths

1 print (brochure); 1 audio;
3 in-person presentations

Action Steps

  • Implement “One Key Question” initiative at all health care visits with women age 15-44 to promote reproductive health planning and create EPIC chart items to collect data.
  • Conduct an infant mortality and prematurity awareness campaign.
  • Create a plan with the criminal justice system to reach incarcerated and recently released women.

Objective 3.2

Reduce preterm births among Blacks.

Baseline Target Year 1

45402 - 20.6%  45405 - 19.8%
45406 - 20.3%  45414 - 18.7%
45415 - 18.4%  45416 - 19.2%
45417 - 21.7%  45426 - 20.0%

45402 - 18.5%  45405 - 17.8%
45406 - 18.3%  45414 - 16.9%
45415 - 16.6%  45416 - 17.3%
45417 - 19.5%  45426 - 18.0%

45402 - 22.2%  45405 - 20.0%
45406 - 21.4%  45414 - 17.0%
45415 - 19.7%  45416 - 25.2%
45417 - 21.5%  45426 - 19.5%

Action Steps

  • Ensure that Black women who have experienced a preterm birth or other adverse pregnancy outcomes receive inter-conception health care and other supportive services to prevent subsequent preterm births.
  • Develop and implement local service networks and coordinating strategies to ensure that Black women with risk factors are linked to appropriate community resources.

Objective 3.3

Implement a plan aimed at increasing participation of Black women of reproductive age in patient-centered medical homes.

Baseline Target Year 1

NA

Plan Implemented

Not Started

Action Steps

  • Develop a plan to improve the number of women participating in patient-centered medical homes.
  • Utilize community health workers to provide enhanced social support of high-risk, preconception, inter-conception women and their families to improve practice of healthy behaviors, use of preventive health care and social services, and management of chronic medical conditions.
  • Promote adoption and integration of National Standards on Culturally and Linguistically Appropriate Services (CLAS) in clinical practices and other community service organizations to increase accessibility and effectiveness.

Objective 3.4

Implement a long-term plan/strategy to address Social Determinants of Health in majority Black communities (racial disparity).

Baseline Target Year 1

NA

Plan Implemented

Proposals submitted to PHDMC

Action Steps

  • Align with other community sectors, government agencies, etc to develop a plan to address social determinants of health: education, affordable and healthy housing, income/employment, access to food, chronic stress (including racism), and healthy community environments.
  • Implement evidence-based strategies that address infant mortality in Black communities.
  • Develop a plan to collect more timely birth outcome data.

Chronic Disease Prevention header

 

Goal 1 - Increase access to safe physical activity opportunities in zip codes: 45402 & 45406 (West Dayton), 45417 (Jefferson Township), and 45416 & 45426 (Trotwood)

Key Measure

Increase the percent of adults who reported doing any physical activity/exercise during the past 30 days (other than at work) by 10%.

Baseline Target Year 1

58.9%

64.8%

60.2%

Completed   In Progress   On Hold   Not Started  

Objective 1.1

Conduct a Safe Physical Activity study to determine safety (real and perceived) of existing parks and recreation facilities.

Baseline Target Year 1

NA

Study Results

In progress

Action Steps

  • Recruit college students to assist with research (Walking trail audits, Literature review to create measurement tool).
  • Gather existing crime and safety data from law enforcement.
  • Conduct community focus groups and/or surveys.
  • Analyze results, prepare and publish findings and recommendations.

Objective 1.2

Implement an evidence-based strategy that addresses a recommendation identified in the Safe Physical Activity study.

Baseline Target Year 1

NA

1

Not started

Action Steps

  • Create an evidence-based practice list.
  • Identify a lead agency for strategy implementation.
  • Seek funding opportunities for implementation.

Objective 1.3

Increase the number of targeted communities with local Complete Streets policies

Baseline Target Year 1

1

3

1

Action Steps

  • Recruit jurisdictions to participate Complete Streets Local Policy Development workshops.
  • Make presentations to city and township Councils and/or Trustees to provide an overview of Complete Streets Policy.
  • Assist jurisdictions in writing local Complete Streets Policies.

Objective 1.4

Implement awareness/education campaign to promote the use of existing infrastructure (especially bike trails, school gyms, and playgrounds) for physical activity.

Baseline Target Year 1

NA

Campaign Implemented

Not Started

Action Steps

  • Identify existing parks, bike trail infrastructure/ resources.
  • Identify schools with shared use policies and activity programs.
  • Identify public and non-profit fitness centers (community rec centers, senior centers, etc.).
  • Develop an awareness/education campaign.

Goal 2 - Increase access to healthy foods

Key Measure

Increase the number of locations offering healthy food options within census tracts considered to be food deserts in Montgomery County.

Baseline Target Year 1

TBD

TBD

TBD

Completed   In Progress   On Hold   Not Started  

Objective 2.1

Add healthy choice sections/options in convenience stores located in food desert communities.

Baseline Target Year 1

0

4

3

Action Steps

  • Identify and qualify potential partner stores in “food desert communities”.
  • Incentivize grocery stores with promotional advertising, resources, and materials.
  • Review local established models/initiatives.

Objective 2.2

Increase the number of farmers’ markets/community gardens located in food desert communities.

Baseline Target Year 1

27

31

27

Action Steps

  • Inventory food desert communities to document existing farmers’ markets and community gardens.
  • Partner with community schools, faith based organizations and community groups.
  • Review EBT/SNAP usage policies at farmers markets.

Objective 2.3

Identify and revitalize food gardens that are inactive or struggling in food desert communities.

Baseline Target Year 1

0

10

0

Action Steps

  • Inventory inactive food gardens in food desert communities.
  • Identify inactive gardens in areas with a strong community infrastructure.
  • Partner with community schools, faith based organizations and community groups.

Goal 3 - Decrease tobacco use

Key Measure

Reduce cigarette smoking by adults by 10%.

Baseline Target Year 1

23.8%

21.4%

16.9%

Completed   In Progress   On Hold   Not Started  

Objective 3.1

Increase the number of 100% smoke-free locations (schools, universities, public housing complexes) across Montgomery County.

Baseline Target Year 1

13 of 17 (76%)
Public School Districts

2 of 4 (50%)
Universities/Colleges

0 of 1 (0%)
Public Housing Authority

Total = 15 of 22 (68%)

15 of 17 (88%)
Public School Districts

3 of 4 (75%)
Universities/Colleges

1 of 1 (100%)
Public Housing Authority

Total = 19 of 22 (86%)

17 of 17 (100%)
Public School Districts

3 of 4 (75%)
Universities/Colleges

0 of 1 (0%)
Public Housing Authority

Total = 20 of 22 (91%)

Action Steps

  • Create complete list of Montgomery County schools, universities, and public housing complexes.
  • Determine current number of smoke free schools, universities, and public housing as baseline.
  • Identify key leaders who can make these policy changes.
  • Provide appropriate model policies and tools for implementation.
  • Work with identified leaders to make the appropriate policy changes.

Objective 3.2

Pass local legislation to increase tobacco purchase age to 21 in Montgomery County jurisdictions.

Baseline Target Year 1

0

4 of 24 (17%) jurisdictions

0

Action Steps

  • Identify key leaders who can make these policy changes.
  • Provide appropriate model policies and tools for implementation.
  • Work with identified leaders to make the appropriate policy changes.

Objective 3.3

Increase the average annual number of Montgomery County smokers enrolling in the “Ohio Quit Line.”

Baseline Target Year 1

15.3 per month

16.8 per month

33.1 per month

Action Steps

  • Identify cycles of national and state tobacco cessation campaigns.
  • Expand local media campaign advertising the “Ohio Quit Line” (billboards, bus stops, buses) during gaps in national and state campaigns.

Goal 4 - Increase physical activity and healthy eating in children

Key Measure

Increase the percent of children who participate in one or more hours of physical activity each day by 3%.

Baseline Target Year 1

95.1%

98.1%

Data not yet available

Increase the percent of children who eat a healthy, balanced diet by 10%.

Baseline Target Year 1

50.3%

60.3%

Data not yet available

Completed   In Progress   On Hold   Not Started  

Objective 4.1

Increase the annual number of new Montgomery County childcare centers that apply for the GetUp Childcare Award.

Baseline Target Year 1

44

48

48

Action Steps

  • Conduct media and childcare center awareness campaign promoting GetUp Childcare Award.
  • Send GetUp Childcare Assessment to all Montgomery childcare centers every November.
  • Provide guidance/education to help centers improve nutritional and physical activity standards.

Objective 4.2

Increase the number of Montgomery County physical activity programs in targeted areas, outside of schools, available for children during the summer.

Baseline Target Year 1

Inventory in progress

TBD

TBD

Action Steps

  • Identify current physical activity summer programing in targeted areas (45402, 45406, 45416, 45417, & 45426) and by age groups (0-5, 6-12, & 13-18) to create baseline and target measures.
  • Identify other physical activity summer programming that could be offered in targeted areas activity programs.
  • Cross-reference which physical activity programs also offer Summer Food Service Program (SFSP).
  • Market the identified physical activity programs in the targeted areas.

Objective 4.3

Increase the number of children participating in summer meal programs in Montgomery County.

Baseline Target Year 1

Data collection in progress

TBD

TBD

Action Steps

  • Obtain data for Summer Food Service Programs (SFSP) in Montgomery County for 2015 and 2016 to create baseline and target measures
  • Send SFSP list to United Way’s Help Link
  • Cross-reference SFSP sites with sites that physical activity opportunities for children
  • Develop plan to market SFSP sites

Behavioral Health header

 

Goal 1 - Ensure access to needed behavioral health services at the right amount, at the right time, for the right person, and in the appropriate setting

Key Measure

Decrease average appointment wait time for clients with referrals for behavioral health services by 10%.

Baseline Target Year 1

Assessment in progress

TBD

TBD

Increase the number of mental health and substance abuse treatment and prevention programs by 10%.

Baseline Target Year 1

Assessment in progress

TBD

TBD

Increase the number of new healthcare practices/settings using evidence-based screening methods to identify pregnant women using opioids and other illicit substances by three.

Baseline Target Year 1

0

3

0

Completed   In Progress   On Hold   Not Started  

Objective 1.1

Conduct county-wide needs, gaps, and system barriers analysis to include primary care and behavioral health capacity and accessibility of services.

Baseline Target Year 1

NA

Completed analysis

Analysis in Progress

Action Steps

  • Determine baseline measure of current service delivery and continuum of care.
  • Create a county-wide workgroup that includes system partners and community leaders who are connected to the most vulnerable populations with multiple needs.
  • Evaluate current data on prevalence of mental health and substance abuse disorders and availability of mental health and substance abuse treatment and prevention programming.
  • Develop recommendations for future service delivery expansion.
  • Develop common performance measures and determine baseline data for change.
  • Conduct wait time study of average time between referral and appointment for clients seeking behavior health treatment.

Objective 1.2

Implement evidence-based practice models across the continuum of care that will effectively address the results of the needs, gaps, and system barrier analysis.

Baseline Target Year 1

0

2

Not started

Action Steps

  • Create an evidence-based practice list.
  • Seek funding opportunities for expansion and/or improvement.
  • Evaluate model fidelity and effectiveness to determine sustainability and replicability.
  • Advocate for regulatory changes to decrease system barriers (i.e. prescribing privileges, Medicare providers).

Objective 1.3

Implement a behavioral health public awareness campaign to reduce stigma and increase awareness of services offered.

Baseline Target Year 1

NA

Campaign implemented

Campaign in progress

Action Steps

  • Define population focus and target areas.
  • Define data evaluation points.
  • Identify resources and potential funding needed to support the campaign.
  • Hire professional media consulting firm to assist in design and implementation to expand public awareness of resources.
  • Evaluate campaign effect.

Objective 1.4

Introduce evidence-based screening methods to address the use of opioids and other illicit substances during pregnancy in three healthcare settings that see pregnant women currently not using an evidence-based screening tool.

Baseline Target Year 1

0

3

0

Action Steps

  • Identify Behavioral Health resources targeted toward pregnant women using opioids and illicit substances.
  • Identify evidence-based screening tools used to screen and refer to treatment pregnant women using opioids or illicit substances.

Goal 2 - Increase integration of primary and behavioral healthcare services

Key Measure

Increase the number of primary care providers who screen for behavioral health disorders by 10%.

Baseline Target Year 1

Data collection in progress

TBD

TBD

Completed   In Progress   On Hold   Not Started  

Objective 2.1

Identify the number of primary care and behavioral health providers in Montgomery County who screen for both physical and behavioral health disorders.

Baseline Target Year 1

In progress

# of providers screening

TBD

Action Steps

  • Utilize screening survey method to establish baseline number of primary care and behavioral health providers who are screening for both physical and behavioral health disorders.
  • Identify the number of physicians and behavioral health organizations who have adopted integrated screening process.
  • Identify the number of individuals who are interested in future training opportunities.

Objective 2.2

Increase the knowledge base of behavioral health and primary care providers in integrated care models.

Baseline Target Year 1

NA

15% gain in provider knowledge

Not Started

Action Steps

  • Develop a local learning community to expand integrated care through training opportunities and technical assistance in implementation.
  • Provide Screening, Brief Intervention and Referral to Treatment (SBIRT); Mental Health First Aid and Trauma Informed Care and Integrated Care training.
  • Utilize a pretest-posttest design methodology to measure the effectiveness of training.

Goal 3 - Enhance care coordination and information sharing across behavioral health and other system partners

Key Measure

Implement cross-system coordination protocols

Baseline Target Year 1

NA

Protocol implemented

Not Started

Completed   In Progress   On Hold   Not Started  

Objective 3.1

Release a request for proposals (RFP) to conduct a feasibility study to explore the capability of improving cross-systems care coordination between physical and behavioral health care providers.

Baseline Target Year 1

NA

Feasibility study results

Process in progress

Action Steps

  • Create a county-wide workgroup that includes system partners.
  • Conduct a review analysis of current and past initiatives and practice by gathering information from system partners, task forces, coalitions, and county-wide workgroup plans.
  • Evaluate the effectiveness of current care coordination methods used.
  • Identify effective care coordination models that focus on collective impact system approach for possible implementation.

Objective 3.2

Release a request for proposals (RFP) to develop and implement a cross-systems coordination model.

Baseline Target Year 1

NA

Coordination model implemented

Not started

Action Steps

  • Write protocols that include goals and a plan of action that outlines mutually reinforcing activities and data driven change efforts with clear targeted outcomes and processes.
  • Educate providers on the protocols by offering live community presentations.
  • Implement protocols across systems of care and measure success and identify areas of improvement through performance measurement data.

Goal 4 - Reduce the use of opioids and other illicit substances

Key Measure

Decrease the number of drug overdose deaths per year.

Baseline Target Year 1

259

246

349

Completed   In Progress   On Hold   Not Started  

Objective 4.1

Finalize the Incident Management System framework of the Community Overdose Action Team (COAT), collective impact collaborative formed to address the present opioid epidemic.

Baseline Target Year 1

NA

Completed framework

Framework complete

Action Steps

  • Convene a Steering Committee as part of the opioid epidemic collaborative.
  • Select stakeholders to serve as the Backbone Support.
  • Select stakeholders to serve on the Operations and Planning Sections and the Joint Information Center.
  • Select stakeholders to serve on the Data Sharing Committee (branch of Planning Section).

Objective 4.2

Develop and implement the Incident Action Plans developed as part of the Community Overdose Action Team (COAT).

Baseline Target Year 1

NA

NA

Monthly Incident Action Plan

Action Steps

  • Create broad objectives to address the opioid epidemic.
  • Identify current actions occurring to address opioid misuse in the county.
  • Identify short and long terms goals for the incident.
  • Schedule situational updates to cover the identified operational period.
  • Provide progress updates to the community quarterly.

Montgomery County Flu Activity Level image

Public Health – Dayton & Montgomery County tracks local seasonal influenza activity on a weekly basis. We have created color-coded levels of flu activity to help you understand how much flu is going on in our county.

937-225-4550

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