Community Health - Florida Department of Health

Chronic Conditions and Causes of

Death Prevention

Community Health

Improvement Plan

(CHIP)

Access to Care

2016-2019

Built Environment

Produced by Florida Department of Health in Orange County

& CHIP Collaborative

TABLE OF CONTENTS

ACKNOWLEDGEMENTS .......................................................................................................................................................... 1 WORDS FROM THE CHIP COLLABORATIVE ............................................................................................................................ 3 INTRODUCTION ...................................................................................................................................................................... 5 PRIORITY 1: CHRONIC DISEASES & CAUSES OF DEATH ......................................................................................................... 7

PRIORITY 1: CHRONIC DISEASES & CAUSES OF DEATH ..................................................................................................... 8 PRIORITY 1: CHRONIC DISEASES & CAUSES OF DEATH ................................................................................................. 9

PRIORITY 2: ACCESS TO CARE............................................................................................................................................... 10 PRIORITY 2: ACCESS TO CARE........................................................................................................................................... 11 PRIORITY 2: ACCESS TO CARE....................................................................................................................................... 12

PRIORITY 3: BUILT ENVIRONMENT ...................................................................................................................................... 13 PRIORITY 3: BUILT ENVIRONMENT .................................................................................................................................. 14

APPENDICES.......................................................................................................................................................................... 15 APPENDIX A: THE MAPP PROCESS ................................................................................................................................... 15 APPENDIX B: KEY MAPP FINDINGS .................................................................................................................................. 16 APPENDIX C: COMMUNITY HEALTH ASSESSMENT (CHA) ............................................................................................... 17 APPENDIX D: LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT .......................................................................................... 20 APPENDIX E: ORANGE COUNTY, FL: COMMUNITY DESCRIPTION................................................................................... 22 APPENDIX F: ANNUAL EVALUATION REPORT.................................................................................................................. 24 APPENDIX G: ASSETS & RESOURCES ................................................................................................................................ 25

WORKS CITED ....................................................................................................................................................................... 26

ACKNOWLEDGEMENTS

The following agencies actively participated in the development of the Community Health Improvement Plan (CHIP)

American Lung Association Rebecca Desir, MPH

Center for Change, Inc. Peggie Burges

Center for Disease and Control Ellen Wan, MPH

Children's Home Society of Florida Kevin Egan, Ed.D Shannon Currie, MSL, CPE

City of Orlando Mary-Stewart Droege, AICP Commissioner Samuel B. Ings Wesley Shaffer

City of Orlando Police Department Joseph Lundy

Community Coordinated Care for Children, Inc, (4C) Amy Richter

Community Members Katherine Arias Naeesha Silva

Early Learning Coalition of Orange County Anna Kinchens Karen Willis, CWDP

East Central Florida Regional Planning Council Fred Milch, AICP Tara McCue, AICP

Florida Department of Health in Orange County Angela Weister Arthur Howell, MPH, CCHW Audrey Alexandria Ben Klekamp, MSPH, CPH, CIC Daniel M. Avila, SPHR, SHRM-SCP Danielle Rankin Daphne Brewington David Overfield Deborah Collinge Ellis P?rez, MPH Jennifer Jackson Karen Clark Kariely Negron Kevin Sherin, MD, MPH, MBA Lesli Ahonkhai, MA Mirna Chamorro Vicente Araujo Wanda Back William Haubenestel Yolanda Mart?nez, EdPhD, Ph.D

Florida Department of Transportation Deborah Tyrone Judy Pizzo, MSURP

Florida Hospital Anwar Georges-Abeyie Ed Fluker, RRT Leigh Ann Kelly, BS, RN, CIC Tiffany Richens, MS, MPH, CIC

Florida State University College of Medicine Alexandra Nowakowski, PhD, MPH

Health Communications Consultant Sarah Matthews, MPH

Health Council of East Central Florida, Inc Ken Peach, MBA, FACHE

Health of Florida United Way Ray Larsen

Healthy Start Coalition of Orange County Elaine Cauther Linda Sutherland

Hunters Creek Nursing & Rehab Tristan Mohadeo, NHA, MBA

Interfaith Council of Central Florida James Coffin

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ACKNOWLEDGMENTS

LYNX Kasia Castro, MNM Myles O'Keefe

Metro Plan Orlando Elizabeth Whitton, AICP Gary Huttmann

Mt. Sinai Seventh-day Adventist Church Jackie Taylor

Mt. Zion Missionary Baptist Church Rev. Dr. Robert Spooney

National Association of Chronic Disease Directors Catherine McCann, PhD, MSPH

Orange County Drug Free Coalition Carol Burkett

Orange County Fire Rescue Dept. Kimberly Buffkin James Bates

Orange County Government Elwyn Gonzalez, AICP Marthaly Irizarry

Orange County Head Start Brenda Nieves Maria Gonzalez Parie Register

Orange County Jail Lisa Graham

Orange County Medical Examiner Marie Hansen, MD

Second Harvest Food Bank of Central Florida Karen Broussard, MSW, LCSW

Shepherd's Hope Gina Johnson

Orange County Office of Aging Mimi Reggentin

Orange County Public Schools Amanda Bot, RDN, SNS John Zerega, Ed.S Nayda I. HernandezBuitrago, RDN, - LDN, SHRMCP

Orange County Sheriff Office Pamela McKinley

Orlando Health Asim A. Jani, MD Eric Alberts, CEM, CHS V, FPEM, CHEP, FABCHS Lainie Fox-Ackerman, JD Rosana Flores Terry Roberts

Sustainable Synergy Jennifer Waxman-Loyd, MBA

True Health Janelle Dunn, MS

University of Florida Institute of Food and Agricultural Sciences (UF/IFAS) Extension Gricelle Negron, MA, MPH Jamila Adams Michael Swain

University of Central Florida Chait Renduchintala Gordon Hogan Karen Yerkes, ARNP-C, RN-C Lani Steffens Lynette Feder, PhD Mary Schmidt-Owens, PhD

Visionary Vanguard Group Lauren Josephs, PhD

Primary Care Access Network Inc. Rebecca Sayago

Winter Park Health Foundation Lisa Portelli

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WORDS FROM THE CHIP COLLABORATIVE

In an effort to capture a closing remark (from those who participated in the development of the CHIP) we asked them:

How do you see the implementation of the CHIP benefiting the community?

"The development process for Orange County's CHIP enhanced cross-sector collaboration. Implementation strengthens the collaborations and supports increased intergovernmental coordination as we strive to improve health for every resident."

Elizabeth Whitton, AICP Metro Plan Orlando

"Access to healthy food is foundational to the

health of the community. As the single largest

provider of emergency and supplemental food to

low-income people in the community, Second

Harvest is keenly aware of the multiple negative

effects of food insecurity. We believe that public

recognition of food insecurity in the CHIP is a major

step in improving access to healthy foods and

nduistprritoiopl noretidouncaEatteiolynaffofrecpteeodpbley

who are chronic diet-related

diseasei ."

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Karen Broussard, MSW, LCSW

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Second Harvest Food Bank

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"The implementation of the Community Health

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Improvement Plan (CHIP) sets the bar for Orange

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County to achieve its goals for a healthy, sustainable,

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and equitable future. By aligning our public health, transportation, housing, and healthy food assets together, we create a cohesive strategy that will address the health needs of our citizens. From our diverse backgrounds and expertise, the crafting of the CHIP will ensure that various aspects of the built environment are improved and that we are able to reduce barriers that prevent our brothers and sisters from obtaining access to healthy foods and safer

W h i t t "Iot will provide healthy alternatives in mnultiple areas of importance to all people." , Judy Pizzo, MSURP A Florida Department of Transportation I

modes of travel."

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Elwy Gonzalez, AICP

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Orange County Transportation Planning

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