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Healthy Homes, Healthy Communities Presented by. Chris Trent U.S. Department of Housing and Urban Development. Amanda Hatherly New Mexico Energy$mart Academy at Santa Fe Community College. Noreen Beatley Healthy Housing Solutions. August 20, 2014. - PowerPoint PPT Presentation


<p>Healthy Communities Index:</p> <p>Healthy Homes, Healthy Communities</p> <p>Presented byAmanda HatherlyNew Mexico Energy$mart Academy at Santa Fe Community CollegeChris TrentU.S. Department of Housing and Urban DevelopmentNoreen BeatleyHealthy Housing Solutions</p> <p>August 20, 2014</p> <p>HUD Healthy Communities Transformation InitiativeNew Mexico Housing Summit Albuquerque, NM August 2014</p> <p>My name is Noreen Beatley and I am a Senior Project Manager at Healthy Housing Solutions and the Project Manager of the HUD Office of Lead Hazard Control and Healthy Homes Healthy Communities Transformation Initiative (HCTI).</p> <p>My background is mostly based in policy and best community development practices. Ive worked in affordable housing development, non-profit advocacy, and on green building, healthy homes and sustainable community issues for more than fifteen years.</p> <p>My organization, Healthy Housing Solutions, is a residential environmental health and safety consulting firm based in Columbia, MD. We are a subsidiary of the National Center for Healthy Housing (NCHH) and we work with clients such as HUD and the CDC to develop, manage and evaluate projects that support the creation of healthier homes across the country. </p> <p>2HUD Office of Healthy Homes and Lead Hazard ControlChris Trent, Peter AshleyHealthy Housing SolutionsNoreen Beatley, Rajiv Bhatia, Jack AndersonICF InternationalInternational City/County Management AssociationNational Center for Healthy HousingUrban InstitutePartners &amp; Acknowledgements#Healthy Communities Transformation Initiative (HCTI) August 2014I wanted to acknowledge that we are fortunate to be working with several partners on this project for HUD. In addition to Solutions, our team includes our parent company, the National Center for Healthy Housing, ICF International, the International City/ County Management Association, the Urban Institute and of course, HUDs Office of Healthy Homes. </p> <p>Solutions is also fortunate to have Dr. Rajiv Bhatia working on this project with us. Rajiv is the former Director of Environmental Health at the San Francisco Dept of Public Health and he lead the effort to create the SF Sustainable Community Index, formerly known as the Healthy Development Measurement Tool so he brings institutional knowledge and experience drawn from the development of that Index to the project</p> <p>3The LandscapeHealthy Communities Transformation Initiative (HCTI) August 2014Been a lot of discussions about health and what we can do to improve our own individual health eat right, get more sleep, get more exercise, reduce stress live in healthier housing. But there are also a lot of social and environmental conditions and factors that impact not only our personal health but the overall health of a community. Is there enough access to parks, recreation areas and green space to promote exercise and fresh air; do residents feel connected to their neighbors and safe walking around the neighborhood; does the community offer education and employment opportunities; is there access to safe, dependable transportation to get folks where they need to go?</p> <p>Its important to have and understand data that show where there may be gaps in local health resources and to examine environmental hazards hotspots to better target interventions and motivate action.</p> <p>There are a lot of neighborhood conditions that are significant determinants of health and human development outcomes that are modifiable and -- if we can identify and monitor them, we can take proactive steps towards improving the conditions and consequently, the health of our communities. </p> <p>Across the country, there are numerous communities trying to promote sustainable, healthy neighborhoods to help improve the health and well-being of their residents They are actively trying to integrate health into their community planning and development process -- many of you may be participating in these types of initiatives at home. But the difficulty in identifying the right indicators has become increasingly apparent to many communities: its a real challenge determining what neighborhood determinants of health should (and even can) be tracked and evaluated. Moreover - Many communities have found few standard, reliable measures that are designed to address the range of physical and social health determinants at the neighborhood level.</p> <p>In 2012, to address the issue, HUD launched the Healthy Communities Transformation Initiative (HCTI) as part of their Healthy Homes Strategic Plan. The HCTI is a three-year project to develop a systematic, evidence-based approach to help local jurisdictions assess the physical, social, and economic roots of community health. </p> <p>4</p> <p>OverviewHealthy Communities Transformation Initiative (HCTI)#Healthy Communities Transformation Initiative (HCTI) August 2014The goal of the HCTI is to create a comprehensive, evidence-based set of neighborhood-level health indicators that local jurisdictions can use as a foundation to evaluate the health of their community. </p> <p>These indicators form the Healthy Communities Index or HCI: Since community health is not determined by how many residents suffer from asthma or diabetes or other chronic diseases those factors may be outcomes of a unhealthy community, but they dont define a healthy community, its important to understand that the HCI is not an index of Health Indicators it is designed to be an index of health determinants -- and the indicators within the HCI go beyond what might be considered typical health indicators. </p> <p>To help communities apply the HCI, we are developing a companion Healthy Community Assessment Tool, Which I will demonstrate shortly.</p> <p>5Timeline &amp; ProcessHCIHealthy CommunitiesIndexHCATHealthy Communities Assessment ToolPILOTSPiloting the HCI and HCAT#Healthy Communities Transformation Initiative (HCTI) August 2014SCHEDULE.</p> <p>As with most projects, we have some boundaries were working within for the HCTI</p> <p>HUD wants the HCI and HCAT to be widely applicable in a range of communities from large cities to small towns.</p> <p>Because the idea is to create a core set of standard indicators accessible by any community, we looked for uniformed data sources that were readily available nationally much of the data may be local, but it is collected in a standard, uniform manner</p> <p>Additionally, to ensure that the Index is really impactful, its focus is at the neighborhood level so data resources also needed to be readily available scaled to the neighborhood level</p> <p>Communities have different priorities and issues impact them in different ways, so even though the HCI will provide a core set of standard, we also wanted to build some flexibility into the HCI and HCAT so that the tools reflect the needs and goals of the local community</p> <p>We are wrapping up the development of the Healthy Community Assessment Tool (or HCAT) to launch the tools piloting by next month.</p> <p>So Ive given you a very brief overview of what we are trying to build and why. Now Id like to walk you through the framework and criteria we used to determine what indicators should be included in the Index but before we get to that we wanted to give you a sense of our timeline for the Initiative </p> <p>Under the HCTI we are creating two tools to assist cities in assessing and comparing baseline conditions across neighborhoods:a Healthy Community Index (HCI) and A Healthy Community Assessment Tool (HCAT)And then we will be looking at how well the tools work in a few selected cities </p> <p>As I said the HCTI is a three year project -- Although it doesnt quite fall neatly into this breakdown, weve been looking at the timeline along these lines: Year 1: conduct the research and evaluation of indicators and methodology to create the Healthy Communities Index; We started our work on the project in June 2012 with the intention of having created the HCI within the first year Unfortunately -- got a little bit behind schedule so we are just finalizing the set of indicators for the HCI unfortunately the govt shutdown has added to our delay in completing that task. </p> <p>Year 2: The focus is on building the Healthy Communities Assessment Tool. Were well under way with that task but would love input from any of you if would like to provide it well tell you more about the development of the tool shortly.</p> <p>And finally during Year 3 the goal is to Test the tools: HUD Selected four pilot cities for the project and we will be spending our last year of the initiative focused on evaluating and tweaking the tools to make sure that they provide value to communities.</p> <p>NAPIn addition to the many partners we have working directly Initiative, we also designed a National Advisory Panel of experts from the diverse fields and sectors that impact community health from affordable housing and community development to transportation, public health, education, environment, etc. </p> <p>We spent a lot of time trying to make sure we had a good representative group of folks with expertise in a broad variety of fields and sectors, as well as captured the different perspectives that living in differing regions and working in differing levels of govt would bring to the table.</p> <p>Our National Advisory Panel is composed of twenty-four individuals from a range of sectors and fields . We really strived to have a good balance between advocates, academics, and practitioners to help us develop a very sound practical approach to the project.</p> <p>I have to say that the NAP has been very instrumental in helping us determine the indicators for the HCI and they are helping guide our development of the Healthy Communities Assessment Tool -- which will employ the Healthy Communities Index - to help communities evaluate gaps in their planning and investment strategies through a health lens. </p> <p>The NAP has gone through a couple of lengthy review processes which Amanda will tell you about shortly and they came to DC for a very intense two-day Summit to meet with HUD and discuss the indicators and how the tools would work within communities. Four of the 24 NAP members are representatives from the Pilot Cities that HUD has chosen to test the Index and tool. </p> <p>6HCI ConstructionNexus to HealthData AvailabilityActionabilityCommunity Relevance#Healthy Communities Transformation Initiative (HCTI) August 2014Defining a neighborhood level indicatorNeighborhood-level health indicators may have multiple structural forms:The absolute quantity of an outcome (e.g., pollutant levels, transit service frequency, acres of open space, etc.).A relative measure of an outcome relative to the distribution (e.g., a schools rank among all schools with regard to student academic performance).A relative measure of an outcome relative to a standard (e.g., the ratio between a health indicator and the Healthy People 2020 target level for that indicator).A binary measure relative to a standard or benchmark (e.g., whether a noise level is above or below an authoritative noise standard).</p> <p>To develop our HCI Framework we defined the range and scope of neighborhood-level conditions that support health and human development and determined ten categories or domains under which these conditions fell in many ways this was also just to help us divide the workload among our partner based on their own expertise.</p> <p>We reviewed existing tools and conducted a fairly extensive literature review to develop the HCI straw man of indicators that HUD first reviewed and then after gaining their input and making revisions based on their feedback formed the NAP Structured review.</p> <p>Key Conditions for Indicator Selection</p> <p>HCI IndicatorsHave strong research to support them, i.e., theyre evidence-based, and there are data sources at the neighborhood level which will allow a community to measure the indicator.</p> <p>Are relevant at the community or neighborhood level because thats where they can make the greatest impact;i.e., they have a connection to established community priorities, theres a track record of them being used in planning and contributing to positive change.</p> <p>Identify systems and structures that support healthy living and healthy behaviors theyll help us understand what the community looks like does it have access to transportation options beyond owning a car, are there places to buy healthy food, what is the local employment situationhave the potential to create actionable policy and program activities to help improve the health and quality of life for community residents.</p> <p>Nexus to Health Relationship to multiple health outcomes Relationship to 2020 Healthy People Objectives Strength of the Relationship including: Magnitude of effect Prevalence Severity of Health Outcomes Type of evidence available</p> <p>ActionabilityCapacity to improve indicator at the community levelTechnically feasibleAssignable to responsible authorityImplementable in a reasonable time frame (&lt; 5 years)</p> <p>These set of standard indicators were designed to help communities establish baseline conditions, prioritize investments, and evaluate progress towards improving the sustainability, health and well-being of their communities </p> <p>Nexus to Health Relationship to multiple health outcomes Relationship to 2020 Healthy People Objectives Strength of the Relationship including: Magnitude of effect Prevalence Severity of Health Outcomes Type of evidence available</p> <p>Data AvailabilityNeighborhoods resolutionNationally availableUniform methodologyEasy to assess and processComputer readable formatLevel of necessary manipulation</p> <p>ActionabilityCapacity to improve indicator at the community levelTechnically feasibleAssignable to responsible authorityImplementable in a reasonable time frame (&lt; 5 years)</p> <p>Community RelevanceRelates to established community prioritiesTrack record of use in planningTrack record of contributing to positive change Core indicators could be easily calculated by a majority of communities using readily available data and relatively simple analysis methods</p> <p>Stretch version, which may be preferable to the core, relies on data and/or analytical capacity that may not be available in every community.</p> <p>Data manipulation. For each indicator, SMEs considered the level of manipulation a potential indicator would require, i.e., is the indicator readily available through a single data source, or does it involve collecting data from a variety of data sources and require some level of computation using the combined data.</p> <p>The indicator selection process was very iterativeMost indicators didnt satisfy all criteria SMEs had to use professional judgment to ensure a good mix of indicators within and across domains and we confirmed this using multiple tools including literature review; environmental scan of other indicator systems, and qualitative and quantitative reviews of individual indicators and of the indicators as a group.</p> <p>Before the first round: An extensive literature...</p>


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