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Mayor's Council on Health and Well-Being - 12 Oct 2022 - Minutes Revised - PdfMayor's Council on Health and Well-Being October 12, 2022 MINUTES Mayor's Council on Health and Well-Being Meeting Wednesday, October 12, 2022 - 12:00 PM Commission Chamber Present: Steve Piscitelli, Vice Chair Joyce Freeman, Member Jim Belich, Member Jessica Ring, Chair Lisa Herrold, Member Tracy Marko, Member JoAnn Wallace, Member Ellen Golombek, Member Kyle Brady, Member Michael Lanier, Member Absent: Michael Hosto, Member Also Present: Abrielle Genest, Planner 1. CALL TO ORDER Jessica Ring called the meeting to order at 11:59 a.m. 2. ROLL CALL Members went around the room to call roll. 3. APPROVAL OF MINUTES A. Approve minutes of the September 14, 2022 Mayor's Council on Health and Well- Being meeting. Jessica Ring asked if there were any changes to the minutes. There were no corrections to the minutes. MOTION: to approve the September 14, 2022 minutes. Motion: Ellen Golombek Second: Jim Belich Steve Piscitelli For Joyce Freeman For Jim Belich (Seconded By) For Jessica Ring For Lisa Herrold For Page 1 of 25 Mayor's Council on Health and Well-Being October 12, 2022 Tracy Marko For JoAnn Wallace For Ellen Golombek (Moved By) For Kyle Brady For Michael Lanier For Motion passed 10 to 0. 4. COURTESY OF THE FLOOR (5 MINS.) There were no speakers. 5. NEW BUSINESS A. Race and Equity: Baptist's Office of Community Engagement Rachel Berry and Glenwood Charles, Jr. with Baptist Medical Center gave a presentation (which is attached hereto and made part of this official record as Attachment A) about local health data generated from the Community Health Needs Assessment (CHNA) and the priorities established based on the survey results. Members asked questions about local gaps and made recommendations. Baptist- Mayor's Council on Health and Well-Being Presentation - Attachment A 6. OLD BUSINESS A. Review of Recommendations Steve Piscitelli went over recommendations added to the March and August meetings and reviewed recommendations made at the September meeting. Members provided their input and edits. Steve Piscitelli briefly reviewed the Ongoing List of Draft Recommendations. He asked members to send in comments prior to the November meeting to simplify the final review process. Abrielle Genest stated she will send the updated document to members and asked for comments to be sent back to her by October 19th. 7. ADJOURNMENT There being no further discussion, Jessica Ring declared the meeting adjourned at 1:16 p.m. Attest: Abrielle Genest Jessica Ring, Chair Page 2 of 25 Attachment A Page 3 of 25 Jacksonville Nonprofit Hospital Partnership •The 2022 CHNA for the Jacksonville Nonprofit Hospital Partnership is a collaborative approach to assessing the health status and needs across a community. •The Partnership consists of 5 health systems and 13 hospitalcampuses serving Northeast Florida. •For the 2022 CHNA process, the JNHP sought to better understandhealth disparities based on racial and ethnic inequities facing theregion and residents. •The Partnership also focused on social, economic, and environmentalfactors –also known as the Social Determinants of Health. Attachment A Page 4 of 25 BMCB Service AreaAttachment A Page 5 of 25 Respondent DemographicsAttachment A Page 6 of 25 2022 Significant Health NeedsAttachment A Page 7 of 25 2022-2024 CHNA Priorities 1.Access to Care 2.Behavioral Health 3.Maternal and Child Health 4.Social Determinants of Health Attachment A Page 8 of 25 Access to CareAttachment A Page 9 of 25 Additional Data Points •Age-adjusted rates for several chronic diseases in Duval: •Heart Failure hospitalizations Black 2X White •Diabetes hospitalizations Black 2X White •Community-wide concern cited regarding the lack of affordable and safehousing, as well as difficulty with public transportation •The age-adjusted rate for breast cancer deaths is almost 2X higher for Blackfemales than White females. •The age-adjusted rate for prostate cancer deaths is over 2X higher for Blackmales than White males. •The age-adjusted rate for prostate cancer deaths is almost 4X higher fornon-Hispanic males than Hispanic males. Attachment A Page 10 of 25 Age-Adjusted Hospitalizations for Mental Disorders, 3-Year Rolling 850 900 950 1000 1050 1100 1150 1200 1250 1300 2009-11 2010-12 2011-13 2012-14 2013-15 2014-16 2015-17 2016-18 2017-19Rate per 100,000 PopulationDuval County White Black Attachment A Page 11 of 25 Age-Adjusted Suicide Deaths by Race, 3-Year Rolling 4.0 8.0 12.0 16.0 20.0 24.0 2009-11 2010-12 2011-13 2012-14 2013-15 2014-16 2015-17 2016-18 2017-19Rate per 100,000 PopulationDuval County White Black Attachment A Page 12 of 25 Age-Adjusted Drug Poisoning Deaths, 3-Year Rolling 0 10 20 30 40 50 60 2009-11 2010-12 2011-13 2012-14 2013-15 2014-16 2015-17 2016-18 2017-19Rate per 100,000 PopulationDuval County White Black Attachment A Page 13 of 25 Maternal and Child Health •The neonatal mortality rate per 1,000 live births is almost three-times higher among Black babies than White babies in Duval. •The infant mortality rate per 1,000 live births is over two-times higher among Black babies than White babies in Duval. •The child mortality rate in Duval (38.3 per 100,000 population aged 5- 19)is the highest in northeast Florida and well over the state rate. •The rate of children in foster care in Duval is 235, higher than thestate rate of 220.4. Attachment A Page 14 of 25 PovertyAttachment A Page 15 of 25 Access to Care Goal Strategies Metrics Potential Partnering Organizations Increase access to health services for un-and under- insured people in the BMCB service area Continue participation in the Beaches Health and Wellness initiative •Number of people served •Evaluate health and wellness of participants in diabetes, hypertension and mental health •BEAM •Community Health Outreach •Mission House •Muslim American Social Services •Sulzbacher Center •Volunteers in Medicine WeCareJax Support Duval free medical clinics and Federally Qualified Health Centers in collaborative efforts to increase access to care •Number of people served •Diabetes, hypertension and mental health outcomes •Agape Health •CHO •MASS •Mission House •Sulzbacher Center •VIM •WeCareJax Attachment A Page 16 of 25 Access to Care Goal Strategies Metrics Potential Partnering Organizations Ensure Beaches seniors have access to care Continue partnership with Beaches Council on Aging to provide transportation to seniors •Number of trips provided •Number of flu shots given •Beaches Council on Aging •Walgreens/Faith Based Partners & Assisted Living Ensure seniors have information about Medicare •Number of seniors receiving information/sessions •Beaches Council on Aging •ElderSource Increase knowledge of chronic diseases and where to access services Provide community partners with education on chronic diseases •Educational opportunities provided •Number of people educated •Faith Partners •Healthy Living Centers •Mission House Attachment A Page 17 of 25 Behavioral Health Goal Strategies Metrics Potential Partnering Organizations A healthy community with easy and timely access to high quality services when needed: •24-hour support and timely appointments (2 weeks – counseling, 4 weeks -psychiatry) •More providers delivering the most advanced care •Strong care continuum (enough of the right type of care) •Seamless transitions along the care continuum •Mental illness decriminalized •Stigma eliminated and crises prevented •Community advocating improvement •Non-medical needs addressed (social determinants of health) Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care •1,500 people trained by 2024 •Evaluate participant satisfaction •Baptist Health Faith Partners •Florida’s First Coast YMCA •National Council for Behavioral Health •Starting Point •The Partnership for Child Health Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action •Crisis calls (schools, EMT, police) •Evaluate the impact of each initiative according to its focus •Increased access to services •Community organizations addressing stigma and/or providing behavioral health services •Educational institutions: k-12 schools, universities, preschools •Elected officials •Health systems •Insurance companies •People with lived experience Host community-wide conferences on mental health to reduce stigma and barriers to care •Number of participants at conference •Satisfaction surveys •Community mental health providers •Faith organizations •Universities Attachment A Page 18 of 25 Behavioral Health Goal Strategies Metrics Potential Partnering Organizations Decrease isolation of seniors Friendly callers –seniors developing phone friendships with seniors •Number of community members and volunteers •Number of phone calls •Quality of phone calls (reported by volunteers) •Total time invested in calls •AgeWell and Baptist Primary Care •Baptist Health Auxiliary •BEAM Provide home visits to seniors •Number of home visits provided •Beaches Community Kitchen •BEAM •Heart Felt Ministries •Meals on Wings Engagement in community center activities •Number of events held at community centers •Number of participants at events •Beaches Council on Aging •City of Jacksonville Senior Services Attachment A Page 19 of 25 Maternal & Child Health Goal Strategies Metrics Potential Partnering Organizations Zero preventable deaths. Zero health disparities Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies including program and policy solutions •Infant mortality •Pre-term births •Low Birth-weight babies •UF Health Jacksonville •Florida Blue •Northeast Florida Healthy Start Coalition Expand WELLcome Home initiative to Baptist Beaches •Number of moms connected through phone and/or in-home support •Home visiting programs •Northeast Florida Healthy Start Coalition Offer Ready, Set, Sleep class focused on increasing awareness of safe sleep practices and CPR to expectants mothers •Measure pre and post-test knowledge gains •Number of participants at classes •Florida Department of Health •Northeast Florida Healthy Start Coalition Attachment A Page 20 of 25 Maternal & Child Health Goal Strategies Metrics Potential Partnering Organizations Zero preventable deaths. Zero health disparities Provide education about chronic diseases for preconception •Educational opportunities provided •Number of people educated •Mission House •Sulzbacher Increase risk screening rates and refer for assistance addressing social determinants of health (SDoH) •Number of patients provided with referrals and/or material addressing SDoH •Mission House •Northeast Florida Healthy Start Coalition •Sulzbacher •BEAM Provide education on health equity, toxic stress and implicit bias for providers (L&D and all providers) •Educational opportunities provided •Number of people educated •Northeast Florida Healthy Start Coalition Attachment A Page 21 of 25 Maternal & Child Health Goal Strategies Metrics Potential Partnering Organizations Support parents with perinatal mood disorders Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis •Number of participants •Private OBGYN Practices Provide education on perinatal mood disorder (PMD) to clinicians •Number of people trained •Postpartum Support International Provide support groups to new mothers experiencing PMAD •Number of participants in support groups •Florida’s First Coast YMCA •Postpartum Support International Attachment A Page 22 of 25 Maternal & Child Health Goal Strategies Metrics Potential Partnering Organizations All children can see Provide access to screenings, exams and glasses for children in need •Number of screenings, exams and glasses provided •Percentage of students who failed a vision screening, then received an eye exam and percentage of students who received prescription glasses •Number and percent of students who fail vision screenings multiple years. •Qualitative information about the impact of vision clinics in classroom behavior and confidence in school •Departments of Health in NEFL •School districts in NEFL •Vision is Priceless Attachment A Page 23 of 25 Social Determinants of Health Goal Strategies Metrics Potential Partnering Organizations Address social needs that prevent people from achieving optimal health Increase employment /career development targeting low-life expectancy zip codes •Number of people hired in low life expectancy zip codes •BEAM •FSCJ •GoodWill •Mission House •WorkSource Increase access to healthy food •Number of people served •Beaches Community Kitchen •BEAM •Mission House •UNF Meals on Wings Ensure seniors have access to in- home and other supports for health and wellbeing including food •Number of seniors provided services •Number of meals served •Beaches Council on Aging (Dial-A-Ride) •Faith Partners •UNF Meals on Wings Implement Find Help (Aunt Bertha) referral system for patients and community members •Number of organizations receiving referrals through Find Help •Community-based organizations addressing social needs Attachment A Page 24 of 25 Feedback and Questions Attachment A Page 25 of 25