Health Work Group

Lower San Antonio Collaborative
March 3, 2004
3:30-5:00pm
La Clinica de La Raza

Attendees: Owusu Amoakohene, Tamar Fendel, Kweli Gibson, Kristen Graser, Mara Guccione, Francell Haskins, Yung Ouyang, Jessica Pitt, Kenneth Wells, Anna?

Updates

• Promotoras
  • Anticipate having Kristen in the position by the beginning of April
• Mini-grants
  • County health team unable to provide support for training; Meeting on Friday with Jenny; trying to figure out how the County can support the training otherwise.
  • Casey has committed $30K to the project

Outcomes

Owusu from USC presented the Outcomes that the LLP has been working on and asked for feedback to refine them further and make them meaningful.

• Mission Statement
  • Add well-being or health
    
• Outcomes
  - Owusu asked if the list covered the outcomes as far as they knew.
  • Question: what is the timeline for the outcomes?
  • Feedback: this seems ambitious; we should have sub-goals that are more achievable benchmarks
  • Make a change to 4 & 5: What is a reasonable proportion of income (#5)? There needs to be a baseline
  • Are Outcomes equal to Goals?
    
• Theory of Change
  - Owusu asked if there was anything we had left out.
  • Health care programs – what is the % of people enrolling? What about the impact of government policies on health care? We need to think about how the indicators might change and need to adapt given socio-political trends.
  • Be careful about having too many indicators; it is a lot of work to meet all of them and report out on all of them.
  • Have the selected diseases been defined? There are many influences; we may want to choose diseases we can actually impact or decrease the incidence of. Keep in mind that diagnosing people might actually reveal an increase in the rate/incidence of the disease.
  • #3 – Improve selected health outcomes (as will be defined by needs assessment); be able to define without narrowing too specifically.
  • Immunization rates, prenatal child care – specific indicator we know we can measure.
  • We need a needs assessment.
  • Changes in indicators: #3 – have a comment that the work group will define this as the needs assessment moves forward; #1 – add “insurance;” #2 – take “s” off end of screenings.
    
• Key Strategies
  • Change the word “lifestyle” in lifestyle choices. Frame it to address exercise, diet, nutrition, etc. Maybe “promote better choices…”
  • Add Family Life Resource Center
  • Add USC as non-collaborative partner
  • Good to expand the table and pull in other groups if people think of them.
  • Goal #3 (p.25): “affordability” – this is out of our hands. We should collapse this into another indicator or change the wording.
    
• General Assessment
  • If it makes sense for Casey, it is fine.
  • Knowing our outcomes will help to guide our work.
  • Keep in mind that the Health Department does not have data for health enrollments or screening (requires definition).
  • We need to know how realistic it is to be able to gather the data we need to meet these outcomes.