Community Engagement and Health Improvement Planning Processes

By March 1, 2011, the Logan County Health Department will improve community engagement and health improvement planning processes, as evidenced by the following: 1. Increasing the scope of partnership by 25% (two public health sectors). 2. An increase in average score from 80% to 90% on the Meeting Effectiveness Survey and maintenance of an 80% response rate on surveys. 3. Complete two of the four MAPP assessments, demonstrating progress toward a County Health Improvement Plan (CHIP). 4. Complete a strategic plan for the Logan County Health Department through the Step UP performance management Web-based system.

The Logan County Health Department formed a health improvement team to participate in a multi-county pilot project to work on quality improvement (QI). The county health improvement team developed performance measures and objectives within the constraints prescribed by the Oklahoma State Department of Health.

A total of 13.9% of Logan County residents are below the poverty level, and that number increases to 17.9% for those age 19 and under. Some 57% of school-age children are eligible for free and reduced-price lunches. A total of 84.9% of residents are white, 11.3% are black, and 3.2% are Native American. The mean travel time to work (workers age 16 and over) is 28.5 minutes. The number of persons with a disability is 6,771 (U.S. Census Bureau). Some 39.1% of adults are overweight, and 28.3% are obese (both above state averages). Estimated health care costs for the county are $3.1 billion annually (Behavioral Risk Factor Surveillance System). Of the six cities in Logan County, only two have grocery stores, and the remaining four have at least an 11-mile trip to the nearest grocery store. According to the Oklahoma State Department of Health’s 2011 County Health Report Card, Logan County’s leading causes of death were heart disease, cancer, and stroke. A total of 21.1% of residents are without health insurance, 25.4% of residents smoke, 11.9% eat the recommended amount of fruit/vegetables, and 30.2% of residents get no physical activity.

Lack of comprehensive planning for county-wide health improvement. Lack of community engagement with health improvement efforts.