Community Health Assessment and Group …

1 Community Health Assessment AND Group evaluation (CHANGE) CDC s Healthy Communities Program Building a Foundation of Knowledge to Prioritize Community Needs AN ACTION GUIDE Community Assessment Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention 4770 Buford Highway, NE, Mailstop K-93 Atlanta, Georgia 30341 PHONE: 770-488-6452 FAX: 770-488-8488 E-MAIL: Suggested Citation Centers for Disease Control and Prevention. Community Health Assessment aNd Group evaluation (CHANGE) Action Guide: Building a Foundation of Knowledge to Prioritize Community Needs.

2 Atlanta: Department of Health and Human Services, 2010. The Centers for Disease Control and Prevention (CDC), an agency of the Government, authored this document, the substance of which is a work of the Government. All materials appearing in this document, except where noted, are in the public domain and may be printed or reused without permission. April 2010 CHANGE TOOL TEAM The CDC s Healthy Communities Program recognizes the following individuals for their dedication and commitment in developing the Community Health Assessment aNd Group evaluation (CHANGE) tool and related materials. Shannon Griffin-Blake, PhD Team Lead Program Services and evaluation Team Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Stella Cory, MD, MPH Health Scientist Program Services and evaluation Team Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Andrae Ivy.

3 MPH Northrop Grumman Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Ann Ussery-Hall, MPH, CHES The Ginn Group Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention CHANGE ACTION GUIDE TEAM The following individuals assisted the CHANGE tool team with step-by-step documentation and editing of the Community Health Assessment aNd Group evaluation (CHANGE) Action Guide: Building a Foundation of Knowledge to Prioritize Community Needs.

4 Hema Desai, MMedSci Keisha Edwards, MPH, CHES Booz Allen Hamilton Booz Allen Hamilton CONTRIBUTORS The CDC s Healthy Communities Program recognizes the following individuals who contributed subject matter expertise and editorial guidance to the Community Health Assessment aNd Group evaluation (CHANGE) Action Guide: Building a Foundation of Knowledge to Prioritize Community Needs. Stacy Adams Evaluator Healthy Communities Branch Alabama Department of Public Health Selma, AL Anthony Barbagallo, III MS, MBA Booz Allen Hamilton Erica Barrett, MOT, MBA The Ginn Group Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Alyssa Easton, PhD, MPH Director Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Wayne Giles, MD.

5 MS Director Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Kurt Greenlund, PhD Associate Director for Science Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Heidi Hataway Director Healthy Communities Branch Alabama Department of Public Health Montgomery, AL Bruce Hathaway Healthy Communities Program Bureau of Community Chronic Disease Prevention New York State Department of Health Albany, NY Jennie Hefelfinger, MS Action Communities for Health , Innovation, and EnVironmental changE Project Manager National Association of Chronic Disease Directors Timothy LaPier, MA Team Lead Translation and Dissemination Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Donna Burge Norkoli BS, CHES Project Coordinator Strategic Alliance for Health Sault Tribe Community Health Services Sault Ste.

6 Marie Tribe of Chippewa Indians, MI Samuel Perry, MPH Booz Allen Hamilton Richard Roman, MS Associate Director Healthy Communities Program Division of Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Anne Short Executive Director Alliance for Health in Cleveland County, Inc. Cleveland County, NC Monica Hobbs Vinluan JD Branalyn Williams, MPH Project Director Health Education Specialist Activate America: Healthier Communities Healthy Communities Program Initiatives Division of Adult and Community Health YMCA of the USA National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention We would like to thank the following organizations within the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) and the National Center for Environmental Health (NCEH) at the Centers for Disease Control and Prevention for their collaboration, teamwork, and contribution of subject matter expertise during the development of the CHANGE tool.

7 Office of the Director, NCCDPHP Division of Adolescent and School Health , NCCDPHP Division of Nutrition, Physical Activity and Obesity, NCCDPHP Office on Smoking and Health , NCCDPHP Division for Heart Disease and Stroke Prevention, NCCDPHP Division of Diabetes Translation, NCCDPHP Division of Cancer Prevention and Control, NCCDPHP Division of Emergency and Environmental Health Services, NCEH Office of the Director, NCEH In addition, we would like to recognize the following groups for their invaluable input during the development of the CHANGE tool: ACHIEVE National Partners National Association of Chronic Disease Directors, National Association of County and City Health Officials, National Recreation and Park Association, Society for Public Health Education, and YMCA of the USA, as well as Steps, Action Communities for Health , Innovation, and EnVironmental changE, and Strategic Alliance for Health communities.

8 For more information about local, state, and national partners please visit the CDC s Healthy Community Program web site at gov/healthycommunitiesprogram. TABLE OF CONTENTS ..i ..ii ..ii ..1 Why the CHANGE Tool? .. 2 Community Change Process and the CHANGE Tool .. 4 Purpose of 5 7 7 Action Step 1: Assemble The Community Team .. 8 Action Step 2: Develop Team Strategy .. 10 Action Step 3: Review All Five CHANGE Sectors .. 10 Action Step 4: Gather Action Step 5: Review Data Gathered .. 18 Action Step 6: Enter Action Step 7. Review Consolidated Action Step 8. Build the Community Action Plan.

9 39 ..42 43 ..45 evaluation .(CHANGE)..83 FIGURES 2 3 4 8 9 12 18 24 30 ( )..32 34 TABLES 20 33 40 FOREWORD Our nation faces a crisis in the burden of chronic disease. Today, 7 of the 10 leading causes of death in the United States are chronic conditions. Nearly 50% of Americans are living with at least one chronic disease. The Centers for Disease Control and Prevention (CDC) recognizes that the scope and impact of chronic disease requires transforming the places and organizations that touch people s lives every day - communities and Community organizations, work sites, Health care organizations, and schools to improve the Health of the nation.

10 To undertake this work, states and communities will need to address multiple factors through policy interventions including broad-based policies such as smoking bans and laws; targeted regulations, such as those promoting breastfeeding; and Community -wide interventions, such as Community -and street-scale urban design and land use policies. In order to effectively identify, plan, and implement needed policy, systems and environmental changes, communities need to be able to assess the current policy landscape and monitor changes over time. The Community Health Assessment aNd Group evaluation (CHANGE) Action Guide: Building a Foundation of Knowledge to Prioritize Community Health Needs was designed to meet this need.