NWTEC 2016 Survey Results P R E S E N T E D B Y: N A N E T T E S T A R YA N D E L L , M P H PROJECT DIRECTOR & EPIDEMIOLOGIST N YA N D E L L @ N PA I H B . O R G Introduction Survey conducted in Fall 2015 Completed by 26 Tribes Purpose: Feedback for EpiCenter Health Priorities Public Health Policies Northwest Portland Area Indian Health Board What is the EpiCenter doing well? Data reports http://www.npaihb.org/resource-lib/ Public health information general
Grants, financial assistance Responsive and friendly staff Northwest Portland Area Indian Health Board What can we improve? More outreach to programs outside of administrative Tribal government public health policy Provide best practices, esp. tribally adapted & culturally appropriate Tribal data warehouse Technical Assistance for NextGen Better communication of what the EpiCenter does Northwest Portland Area Indian Health Board Epicenter Services Data products such as fact sheets and health profiles were the most commonly used Have used these services Aware of but have not used
Data Fact Sheets Tribal Health Profiles Technical Assistance WEAVE-NW webinars Cancer mini-grants Requests for data Other trainings Data Literacy trainings 0% Northwest Portland Area Indian Health Board 25% 50% 75% Top Three Health Priorities 1. Overweight and obesity (10) 2. Substance Abuse (7) 3. Mental health (6) Northwest Portland Area Indian Health Board
EpiCenter could do more about Overweight and obesity 81% Mental health 74% Substance abuse 68% Maternal and child health 67% Asthma 65% Nutrition/availability of healthy food Arthritis and joint diseases 0%
Northwest Portland Area Indian Health Board 64% 57% 100% 02/07/2020 EpiCenter is doing well to address Diabetes 81% Immunizations 77% Suicide 76%
Sexual health and STIs 71% Dental health 67% Commercial tobacco use 62% Infections diseases 62% Emergency preparedness Cancer Violence and abuse 59% 57% 55% Hepatitis C
52% Public health accreditation/QI 52% 0% Northwest Portland Area Indian Health Board 100% Top Sexual Health Priorities HIV issues 5.3 Hepatitis C treatment 3.7 Reproductive health issues
3.6 Injection drug issues 3.0 Hepatitis C screening 3.0 STI issues 3.0 0 Northwest Portland Area Indian Health Board 1 2 3 4
5 6 7 Policy, Systems & Environment Policy passing of or change to a law, ordinance, resolution, regulation or rule designed to guide or influence behavior System involves change made to organizational procedures Environment change made to the physical surroundings Top 5 Physical Activity PSEs In-Place OR In-Progress 86% On-going community fitness or activities
Community recreation, fitness or wellness center 68% Walking paths 68% 64% Access to public transportation Playgrounds and other outdoor recreational space 0% Northwest Portland Area Indian Health Board 50% 100% Identified Opportunities Physical activity prescription program 52%
Bike infrastructure 45% Screen time/physical activity standards for schools, child care 29% Access to public transportation 27% Community recreation, fitness or wellness center 27% 0% Percent reporting identified as issue but not yet in-process Northwest Portland Area Indian Health Board 100% Top 5 Food & Nutrition PSEs
In-Place OR In-Progress 77% Protection and support of hunting, fishing, growing or gathering traditional foods Cooking classes 68% Community or school gardens 68% Breastfeeding support 55% Encourage access to farmers markets 55% 0% Northwest Portland Area Indian Health Board
100% Identified Opportunities Restrict food marketing Require food vendors, markets and stores to offer healthy food choices 73% 55% Healthy vending machine policies 50% Nutrition standards for food and beverages available at tribal events or meetings 50% Fruit and vegetable prescription program 0% Percent reporting identified as issue but not yet in-process Northwest Portland Area Indian Health Board
45% 100% Top 5 Commercial Tobacco PSEs Smoke-free policy inside all public places other than casinos 77% Prescriptions for tobacco cessation medication 77% 71% Tobacco cessation counseling within clinic Referrals to 1-800-QUIT-NOW Non-smoking area inside casinos 0% Northwest Portland Area Indian Health Board 68%
59% 100% Identified Opportunities Smoke-free policy inside casinos 48% Ban or restrict tobacco advertising and marketing outside or within casino Smoke-free policy in outdoor community areas 36% 27% Tobacco cessation counseling within clinic 24% Smoke-free policy outside public buildings 23%
0% Percent reporting identified as issue but not yet in-process Northwest Portland Area Indian Health Board 100% Top 5 Health System PSEs Total In-process 95% Patient education- diabetes, hypertention, CVD 90% Patient education - nutrition, physical activity, obesity Referrals to lifestyle/behavior program for at-risk patients 73% Clinic protocols for patients with hypertension or CVD
64% Policy of team-based care within the clinic 62% 0% Northwest Portland Area Indian Health Board 100% Identified Opportunities Regular monitoring of clinic metrics such as cancellations, wait times, patient satisfaction, etc. 27% Use of management tools within the clinic such as iCare 27% Clinic protocols for patients with hypertension or cardiovascular disease 23%
Empanelment of patients 23% Policy of team-based care within the clinic 0% Percent reporting identified as issue but not yet in-process Northwest Portland Area Indian Health Board 19% 100% Northwest Portland Area Indian Health Board Thank you! Indian Leadership for Indian Health
Northwest Tribal Epidemiology Center 2121 SW Broadway, Suite 300 Portland, Oregon 97201 Phone: (503) 228-4185 Fax: (503) 228-8182 Northwest Portland Area Indian Health Board
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