10-12-22 MCHWB Adopted MinutesMINUTES
Mayor's Council on Health and Well-Being
A Meeting6Y
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
Mayor's Council on Health and Well-Being
October 12,2022
Page I of 25
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:
41114 f)
Abrielle Gene Je ica Ring, Chair
Mayor's Council on Health and Well-Being
October 12,2022
Page 2 of 25
rt -,
Waft,
A
BAPTIP. r i"s,
13:00----"-------
11.,medic. 1 :
so, ff 1 III CBeienchtees
i ...,,,
b• - _______—4F----7
1.-- --,-,:,-., 7' — Mr" 4
r -A 1 ------ _ .7,.
i
air :, II _
1 i —CI.'i —1 I 1,, 1 1 J WS MIN ,I tl '11111
1
hil
NUMEMMIN W
a 7 2 Fall
IAD Mill a MI MUM MR in ' aiii '
rz-
7....,--...„,.......... .. ,:-._
of—
1..,..C.^
s
No..a.- -
I t 41-1-11.14.61
1:: --2, --- at
r5_
Changing
BAPTISTIHealth Care
for Good!
2...
J I
Jacksonville Nonprofit Hospital Partnershipp
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 hospital
campuses serving Northeast Florida.
For the 2022 CHNA process, the JNHP sought to better understand
health disparities based on racial and ethnic inequities facing the
region and residents.
The Partnership also focused on social, economic, and environmental
factors — also known as the Social Determinants of Health.
Changing
TEST Health CareLM1kdicalCcnt,•r
a•.,cI for Good'
ro
ac
O
BMCB Service Area
CD I& tp
146 21 ,528 4,803
1_
r
2 -CI ' (..
ED JI) .‘, ,
I
4gir . _ Total Observation Surgeries, both
weak
lig C, -
Licensed Beds Admissions Inpatient&Outpatient l`---i p.`sem
0 1
I
r
coadiga.....--- imm111111115a1S:
001.1111111.1
illP oft ',,)S"‘
26,778 5,252 986
ED Visits ED Patients Admitted Births
as Inpatients
Changing
1154—B PTIal ntcr Health Care
Beaches 1 for Good`
ow
O
M
N
Ispondent Demographics
r . .. . _
Respondent Race Insurance Policy Type
sil
2.46%Ill Asian American 80%
Pacific Islander
70
2.67%. Hispanic
60
0.00%Ill American
8 Indigenous 50
laill' III Black 40%
Non-Hispanic)
30%
53.80% (
Noote
iiiin-Hispanic) 20%
7.19% Prefer Not to 10%
3Answer II
3.700/. Two or More Medicaid Medicare Military/ Private Uninsured . '-' ' .:
i;''.
Races VA/Tricare
Respondent Age
30%
10% NI ilk' R-iiiiimio
im
c, 18-29 30-39 40-49 50-59 60-69 70-79 80+ Prefer Not
c to Answer
T
0
N
LA
1
2022 Significant Health Needs
4
Q
29 0Mental
30 Health
Access 1 ® -
25
17 016
20 Areas d Chror c
Poverty Disease
15 — Maternal , t
8 and
10portation Housin
Child 6
9 Health Drug
Abuse
5 — 6
Cancer
0
1 2 3 4 5 6 7 8 9
clinics,food,cost,dental,etc.
Changing
rch. BBAdPTCST Health Care
ter
for Good.
a
J
O
N
U
2022-2024 CH NA Priorities
1. Access to Care
2. Behavioral Health
3. Maternal and Child Health
4. Social Determinants of Health
Changing
BAPTIST Health CareL k•dic,l Center
ae:,ei,e, for Good'
0
Access to Care
Which of the following conditions has made it difficult for you to obtain medical services?"
Lack of ADA compliant services and accommodations 13
Lack of or limited transportation 7
Discrimination MS 20
Lack of providers MIN 25
No Insurance MEM 29
Other(please specify) MEN 30
Fear of going to the doctor =MIN 39
Long wait times 68
Cost of care (copays, prescriptions) 160
I've experienced no difficulty obtaining medical services. , 292
Changing
LMedwaiCcnter
BAPTIST Health Care
Beaches for Good'
ft
0
Attach
A ditional Data Points
Age-adjusted rates for several chronic diseases in Duval:
Heart Failure hospitalizations Black 2X White
Diabetes hospitalizations Black White
Community-wide concern cited regarding the lack of affordable and safe
housing, as well as difficulty with public transportation
The age-adjusted rate for breast cancer deaths is almost 2X higher for Black
females than White females.
The age-adjusted rate for prostate cancer deaths is over 2X higher for Black
males than White males.
The age-adjusted rate for prostate cancer deaths is almost higher for
non-Hispanic males than Hispanic males.
Changing
BISI Health Care1.5cMedical Center
scathe. for Good'
oa
13.°
0n
N
A ge-Adjusted Hos italizations for MentalgJp
1,. Disorders, 3-Year Rolling
Duval County
1300
1250
1200-
0 1150-
aa
a 1100-
White
1050
Black
1.
m
K 1000
950 i/
900 am-
850 T
2009-11 2010-12 2011-13 2012-14 2013-15 2014-16 2015-17 201x•'19 20'17-19
Changing
LHdicalSTHealthCare
1eCenter
b
Beaches for Good.
A>
ro
0
N
U
Age-Adjusted Suicide Deaths by Race, 3-Year
Rolling
Duval County
24.0-
20.0
1
s 18.0
d
White
Black
12.0-
8.0
4.0
2009-11 2010-12 2011-13 2012-14 2013-15 2014-16 2015-17 2016-18 2017-19
Changing
BAPTIST Health CareLMedicalCenter
Beaches for Good'
00
Age-Adjusted Drug Poisoning Deaths, 3-Year
Rolling
Duval County
60
50
40 -
a
a
a
g 30 White
Black
C 20
10
0
2009-11 2010-12 2011-13 2012-14 2013-15 2014-18 2015-17 2016-18 2017-19
Changing
BAPTIST
hanging
BAPTIST Health Care
Medical Center
Bache. for Good.
Oc
w I
N
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 the
state rate of 220.4.
Changing
L
BAP'T'\
1cdicaICrnISTtcr
Health Care
Bcachc, for Good'
Poverty
What is the top economic issue that affects health in your community?"
Lack of transportation IMMEI 14
Lack of educational opportunities 25
Lack of employment opportunities 33
Other (please specify) NMINNiMMEMENIMMI 54
Lack of affordable and healthy food options IMINNENNEMNINNIMIll= 61
Lack of affordable housing IMMIN=IilMlEMS 68
Lack of affordable healthcare/insurance INNIMMENIIMOMMINOMMINEM 103
Lack of a living wage 121
Changing
BAPTIST Health Carerich. Medical Center
Beaches for Good'
0
Access to Care
flal.....Strategie Potential Partnering
Organizations
Increase access to health Continue participation in the Number of people served • BEAM
services for un- and under- Beaches Health and Wellness • Evaluate health and wellness • Community Health Outreach
insured people in the BMCB initiative of participants in diabetes, • Mission House
service area hypertension and mental Muslim American Social
health Services
Sulzbacher Center
Volunteers in Medicine
WeCareJax
Support Duval free medical Number of people served • Agape Health
clinics and Federally Qualified • Diabetes, hypertension and • CHO
Health Centers in collaborative mental health outcomes MASS
efforts to increase access to care Mission House
Sulzbacher Center
VIM
WeCareJax
ao
t Access to Care
Potential Partnering
g
Organization
Goal Strate ies
Ensure Beaches seniors have Continue partnership with Number of trips provided • Beaches Council on Aging
access to care Beaches Council on Aging to • Number of flu shots given • Walgreens/Faith Based
provide transportation to Partners & Assisted Living
seniors
Ensure seniors have Number of seniors Beaches Council on Aging
information about Medicare receiving ElderSource
information/sessions
Increase knowledge of chronic Provide community partners • Educational opportunities • Faith Partners
diseases and where to access with education on chronic provided Healthy Living Centers
services diseases Number of people Mission House
educated
tro
J
U
e
thment A
avioral Health
I
Goal mar Potential Partnering
A healthy community with easy and Continue offering Mental Health First • 1,500 people trained by 2024 Baptist Health Faith Partners
timely access to high quality services Aid,a proven best practice to reduce • Evaluate participant satisfaction • Florida's First Coast YMCA
when needed: stigma of mental illness which National Council for Behavioral
24-hour support and timely increases the likelihood that people Health
appointments(2 weeks— will access care Starting Point
counseling,4 weeks-psychiatry) The Partnership for Child Health
More providers delivering the
Convene a leadership task force of • Crisis calls(schools, EMT, police) • Community organizations
most advanced care
providers,elected leaders and people • Evaluate the impact of each addressing stigma and/or
Strong care continuum(enough of
with lived experience to prioritize initiative according to its focus providing behavioral health
the right type of care)
identified opportunities and develop a • Increased access to services services
Seamless transitions along the
plan for action Educational institutions:k-12
care continuum
schools,universities,preschools
Mental illness decriminalized
Elected officials
Stigma eliminated and crises
Health systems
prevented
Insurance companies
Community advocating People with lived experience
improvement
Non-medical needs addressed Host community-wide conferences on • Number of participants at Community mental health
social determinants of health) mental health to reduce stigma and conference providers
barriers to care Satisfaction surveys Faith organizations
Universities
o
Oo
oc
0
Attachment A
avioral Health
Potential Partnering
Goal Metrics
R ..•
Decrease isolation of seniors Friendly callers—seniors Number of community AgeWell and Baptist
developing phone friendships members and volunteers Primary Care
with seniors Number of phone calls Baptist Health Auxiliary
Quality of phone calls BEAM
reported by volunteers)
Total time invested in calls
Provide home visits to seniors • Number of home visits Beaches Community
provided Kitchen
BEAM
Heart Felt Ministries
Meals on Wings
Engagement in community Number of events held at • Beaches Council on Aging
center activities community centers City of Jacksonville Senior
Number of participants at Services
events
Attach
aternal & Child Health
Potential Partnering
Zero preventable deaths. Zero Partner with the Northeast Infant mortality UF Health Jacksonville
health disparities Florida Healthy Start Coalition • Pre-term births Florida Blue
to address needs of moms and • Low Birth-weight babies • Northeast Florida Healthy
babies including program and Start Coalition
policy solutions
Expand WELLcome Home Number of moms Home visiting programs
initiative to Baptist Beaches connected through phone • Northeast Florida Healthy
and/or in-home support Start Coalition
Offer Ready, Set, Sleep class • Measure pre and post-test • Florida Department of
focused on increasing knowledge gains Health
awareness of safe sleep Number of participants at • Northeast Florida Healthy
practices and CPR to classes Start Coalition
expectants mothers
0
Maternal & Child Health
oal
Potential Partnering
Zero preventable deaths. Zero Provide education about Educational opportunities • Mission House
health disparities chronic diseases for provided Sulzbacher
preconception Number of people
educated
Increase risk screening rates • Number of patients Mission House
and refer for assistance provided with referrals Northeast Florida Healthy
addressing social determinants and/or material addressing Start Coalition
of health (SDoH) SDoH Sulzbacher
BEAM
Provide education on health • Educational opportunities • Northeast Florida Healthy
equity, toxic stress and implicit provided Start Coalition
bias for providers (L&D and all • Number of people
providers) educated
b
Attachment A
ternal & Child Health
PotentialiPartnering
Goal
Support parents with perinatal Provide a continuum of care • Number of participants Private OBGYN Practices
mood disorders including psychology and
psychiatry support on an
inpatient and outpatient basis
Provide education on perinatal • Number of people trained • Postpartum Support
mood disorder (PMD) to International
clinicians
Provide support groups to new • Number of participants in • Florida's First Coast YMCA
mothers experiencing PMAD support groups Postpartum Support
International
b
to
Maternal & Child Health
Potential Partnering
oal
d Organizations
All children can see Provide access to screenings, • Number of screenings, Departments of Health in
exams and glasses for children exams and glasses provided NEFL
in need Percentage of students School districts in NEFL
who failed a vision Vision is Priceless
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
Social Determinants of Health
Potential.919' gGoalPartnering
r
Organizations
Address social needs that Increase employment/career • Number of people hired in • BEAM
prevent people from achieving development targeting low-life low life expectancy zip codes • FSCJ
optimal health expectancy zip codes 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- • Number of seniors provided • Beaches Council on Aging
home and other supports for services Dial-A-Ride)
health and wellbeing including • Number of meals served Faith Partners
food UNF Meals on Wings
Implement Find Help (Aunt Number of organizations Community-based
Bertha) referral system for receiving referrals through organizations addressing
patients and community Find Help social needs
b members
fP
ry
y
PK
Feedback and Questions
Changing
BAPTIST Health Care
t HEALTH for Goody
bet
N
C_
N
U