Publications

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Food Publications Rural Health Information Survey & Related Reports
Institute for Spatial Analysis
Strategic Plans Health Indicators Child Care & Schools
Needs Assessments Health Care Policy Other
Contact Information : California Center for Rural Policy – 1 Harpst Street Arcata, California 95521 – 707.826.3400


Building Healthy Communities

Del Norte County: A Look at Childhood Obesity, 2013
Report by Jessica Van Arsdale, MD, MPH

Del Norte County: A Look at Childhood Obesity, 2013

Del Norte County: A Look at Childhood Obesity, 2013

Childhood obesity has become one of the most pressing public health issues. An extensive body of research shows that being overweight or obese is associated with multiple diseases and high health care costs. Del Norte County and the adjacent tribal lands is one of fourteen places in California participating in Building Healthy Communities, a ten-year initiative of The California Endowment. The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.”6 One of the big results the initiative is aiming for is a decrease in childhood obesity. This report was prepared to provide some baseline information about childhood obesity in Del Norte County.


Del Norte County Unified School District: School Suspensions, 2012-2013
Report by Jessica Van Arsdale, MD, MPH

Del Norte County Unified School District: School Suspensions, 2012-2013

Del Norte County USD School District: School Suspensions, 2012-2013

Application of “zero tolerance” policies have led to a dramatic increase in school suspensions and expulsions across the country. These exclusionary discipline practices have sparked concern as a growing body of research provides evidence that frequent suspensions and expulsions are associated with negative outcomes for students, families, schools, and communities. Moreover, there is evidence of discipline disparities along racial, gender, and socioeconomic lines with students of color, males, and low socioeconomic status receiving a disproportionate amount of suspensions. There is no evidence to support the supposition that these subgroups of students have higher rates of misbehavior or violence. Rather, research suggests that the observed discipline disparities may be due to lack of teacher training in classroom management skills, cultural competency, and possibly “conscious or unconscious racial and gender biases at the school level.”


Del Norte County Unified School District: School Absence, 2012-2013
Report by Jessica Van Arsdale, MD, MPH

Del Norte County Unified School District: School Absence, 2012-2013

Del Norte County Unified School District: School Absence, 2012-2013

Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), a ten-year initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn”. One of the big results the initiative is aiming for is an increase in school attendance. This report was prepared by the California Center for Rural Policy (CCRP) to show trends in school attendance in the Del Norte County Unified School District.


A Community Food Assessment for Del Norte County and Adjacent Tribal Lands
Report by Danielle Stubblefield, MS and Connie Stewart

Del Norte Access to Health Care & Food Security

A Community Food Assessment for Del Norte County and Adjacent Tribal Lands

The direct connection between a healthy community and healthy food makes it critical to understand the Del Norte and Adjacent Tribal Land’s food system. A food system includes all of the people and processes that are involved in taking food from seed to table. The quality, cost and availability of the foods in every community – at stores, schools and hospitals – are determined by the food system serving it.


Community Wellness Vital Signs: Core Community Wellness Indicators for Del Norte and Adjacent Tribal Lands v1.2
Report by Jessica Van Arsdale, MD, MPH and Terry Uyeki, MSEd

Community Wellness Vital Signs: Core Community Wellness Indicators for Del Norte and Adjacent Tribal

Community Wellness Vital Signs: Core Community Wellness Indicators for Del Norte and Adjacent Tribal

(contains 20 core indicators plus contextual indicators selected from the below)
Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), a ten-year initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.”
This report presents a recommended set of 20 core community wellness indicators developed through a community based process. These core community wellness indicators are intended to give a snapshot of the past and current conditions in Del Norte County and to help guide and assess outcomes resulting from improvement efforts. Community health or wellness indicators are measures that act as barometers for underlying community health. Through regular assessments using a common set of indicators, communities can determine if policy and systems changes are making a difference.


The Rural Health Information Survey, 2006 Selected Findings for Klamath::Report by Jessica Van Arsdale, MD, MPH

Rural Health Information Survey Selected Findings for Klamath

The Rural Health Information Survey, 2006 Selected Findings for Klamath

Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), an initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.” For more information about BHC please visit The California Endowment. In order to support the work happening in DNATL, this report was created for the Healthy Klamath Coalition to provide some baseline data about Klamath residents.


Community Health Indicators for Del Norte County v1.2
Report by Jessica Van Arsdale, MD, MPH, Terry Uyeki, MSEd, Connie Stewart, Jenna Barry, Alissa Leigh, Gwyn Mahony, Liz Hannig, Jennifer Oliveros, Launa Peeters-Graehl, and Kali Patterson

Community Health Indicators for Del Norte County v1.2

Community Health Indicators for Del Norte County v1.2

Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), an initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.” This report provides a set of community health indicators intended to give a snapshot of the past and current conditions in Del Norte County and to help guide and assess outcomes resulting from improvement efforts. Community health indicators are measures that act as barometers for underlying community health. Through regular assessments using a common set of indicators, communities can determine if policy and systems changes are making a difference. (contains 66 community health indicators for Del Norte County- most of the above plus additional indicators with a focus on children & families)


 Del Norte County: A Look at Educational Achievement v1.1
Report by Jessica L. Van Arsdale, MD, MPH; Alissa Leigh; and Jennifer Oliveros

Del Norte County: A Look at Educational Achievement

Del Norte County: A Look at Educational Achievement

Building Healthy Communities (BHC) is an initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.” Del Norte County and adjacent Tribal lands is one of the fourteen places embarking on this ten-year initiative with TCE. As part of the planning process, the California Center for Rural Policy (CCRP) prepared this report of past and current educational achievement data for Del Norte County.


Del Norte County Access to Health Care & Food Security
Report by Jessica Van Arsdale, MD, MPH, and Jenna J. Barry

Del Norte Educational Achievement, 04/11/2011

Del Norte Educational Achievement, Presentation 04/11/2011

Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), an initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.” For more information about BHC please visit The California Endowment. In order to support the work happening in DNATL, this report was created for the Healthy Klamath Coalition to provide some baseline data about Klamath residents.


Del Norte County Safe Routes to School Research and Policy Report
Report by Jessica Van Arsdale, MD, MPH, and Nanette Yandell, MPH

Del Norte County Safe Routes to School


Del Norte County Safe Routes to School

How children travel to and from school can significantly impact their health as well as traffic congestion and safety, air quality, and the school environment. Safe Routes to School (SRTS) is a National, State and Local movement to make it safer for children to walk and bike to and from school. In 2012, The Del Norte Local Transportation Commission coordinated an effort to assess travel to and from school among a sample of six schools in Del Norte County. Parent and classroom data were collected using forms from the National Center for Safe Routes to School (521 parent surveys were completed representing students in pre-kindergarten through 12th grade). This report was prepared by the California Center for Rural Policy (CCRP) to provide some baseline information and policy recommendations for SRTS in Del Norte County.


Food Publications

The Food Access and Pantry Services Survey
Report by Danielle Stubblefield, MS and Alissa Leigh

The Food Access and Pantry Services Survey

The Food Access and Pantry Services Survey

The Food Access and Pantry Services survey was initiated by Food for People, Humboldt County’s Food Bank to evaluate the services at its various pantry sites, assess the food security status of clients and additional needs. Food for People also included other questions regarding health care and other social service needs at the request of other community organizations.

The Community Benefits Department of St. Joseph Health System – Humboldt County generously provided funding for the survey administration and analysis. The Community Benefits Department of St. Joseph Health System – Humboldt County sponsors, develops, manages and sustains healthy community initiatives for the vulnerable populations of Humboldt County. The Humboldt County Department of Health and Human Services generously provided funding for the analysis. The Humboldt County Department of Health and Human Services aims to reduce poverty and connect people and communities to opportunities for health and wellness. The California Center for Rural Policy at Humboldt State University (CCRP) consulted on its administration and performed survey analysis and summary results. CCRP’s mission is to conduct research that informs policy, builds community and promotes the health and well-being of rural people and environments.


Humboldt County Community Food Assessment
Report by Danielle Stubblefield, MS; Sheila Lakshmi Steinberg, PhD; Alexis Ollar; Amanda Ybarra and Connie Stewart

Food Report Final

Humboldt Food Report Final

This community assessment is a profile of Humboldt County’s food system “from farm to table,” and is meant to be a tool for stakeholders — farmers, consumers, nonprofits and policy makers alike. We hope this report is a resource by providing hard data, identifying food system needs, and helping target areas for change.

Report Survey:
We are asking readers to give us feedback regarding the Humboldt County Community Food Assessment. Please answer this brief survey (< 5 minutes to complete) to let us know how you have used or intend to use the report, what you’d like to see improved, and what information was the most useful to you! If you are just downloading the Food Assessment now, please consider coming back to this site to take the survey when you have finished. Thank You!
Take Survey Now!


A Community Food Assessment for Del Norte County and Adjacent Tribal Lands
Report by Danielle Stubblefield, MS and Connie Stewart

A Community Food Assessment for Del Norte County and Adjacent Tribal Lands

A Community Food Assessment for Del Norte County and Adjacent Tribal Lands

The direct connection between a healthy community and healthy food makes it critical to understand the Del Norte and Adjacent Tribal Land’s food system. A food system includes all of the people and processes that are involved in taking food from seed to table. The quality, cost and availability of the foods in every community – at stores, schools and hospitals – are determined by the food system serving it.


Food For People’s Choice Food Pantries: The Power of Choice
CCRP Note by Jenna Jo Barry Highfield

Food for People’s Choice Food Pantries: The Power of Choice

Food for People’s Choice Food Pantries: The Power of Choice

Due to the economic downturn in 2007, many non-profit agencies are re-evaluating the systems they have in place to help the community. Humboldt County has been identified as having one of the highest rates of food insecurity and hunger statewide, highlighting the need for agencies that provide food for low-income people and families. One such agency is Food for People, Inc., the food bank for Humboldt County located in Eureka, California. Once economically stable families are now in need of assistance due to unemployment and increased food costs. Food pantries have identified a need for a more dignified way of seeking assistance. Instead of handing out pre-filled boxes, the conception of Choice Food Pantries gives customers the independence to choose the food that they will use.


Humboldt County Case Study: Backpacks for Kids Programs
CCRP Note by Gwyn Mahoney

Humboldt County Case Study: Backpacks for Kids Programs

Humboldt County Case Study: Backpacks for Kids Programs

From the case study…

The Backpacks for Kids program provides food to children who are at risk of going hungry over weekends and school vacations. These breaks from school present a particularly challenging situation for children who depend on food programs such as free and reduced lunch to meet their nutritional needs. The Backpacks for Kids program seeks to fill this void and reduce the negative implications for a family without the means to meet their children’s dietary needs.


Think Twice – Food or Trash? Helping Address Food Insecurity in the Redwood Coast Region Through Increased Food Donation
Policy Conversation by Melissa Jones, JD

Think Twice – Food or Trash?

Think Twice – Food or Trash?

At the close of business, what happens to the salads and sides behind glass at the grocers deli counter? Or the tasty unserved leftovers from a catered lunch meeting? Despite the growing number of hungry people in the Redwood Coast region, edible food is ending up as compost or in the trash. Food is going by the ton into the waste stream, but this can be decreased if people donate rather than throw out edible food.


Untapped Resource: Food “Waste”
Policy Conversation by Melissa Jones, JD

An Untapped Resource: Food “Waste”

An Untapped Resource: Food “Waste”


Every year, thousands of tons of food enter the waste stream and must be shipped out of Humboldt County — instead of being used towards its intended function (to feed people), as evidenced by food insecure families in the area. There are environmental impacts as well. Producing food consumes water, another vital resource, and estimates show that more than one-quarter of water use is allocated towards food that is ultimately wasted. Aside from water, wasted food accounts for 300 million barrels of oil per year, or approximately 4% of U.S. consumption. In addition, food waste produces methane, a greenhouse gas 25 times more potent than carbon dioxide, as it decomposes in landfills.


Rural Health Information Survey & Related Reports

The Rural Health Information Survey, 2006 Selected Findings for Klamath
Report by Jessica Van Arsdale, MD, MPH

Rural Health Information Survey Selected Findings for Klamath

The Rural Health Information Survey, 2006 Selected Findings for Klamath

Del Norte County and the adjacent tribal lands (DNATL) is one of fourteen places in California participating in Building Healthy Communities (BHC), an initiative of The California Endowment (TCE). The goal of BHC is to “support the development of communities where kids and youth are healthy, safe and ready to learn.” For more information about BHC please visit The California Endowment. In order to support the work happening in DNATL, this report was created for the Healthy Klamath Coalition to provide some baseline data about Klamath residents.


Mammograms among Women Residing in Del Norte, Humboldt and Trinity Counties: A Summary of Findings from the Rural Health Information Survey
Report by Jessica Van Arsdale, MD, MPH

Mammograms among Women Residing in Del Norte, Humboldt and Trinity Counties: A Summary of Findings from the Rural Health Information Survey

Mammograms among Women Residing in Del Norte, Humboldt and Trinity Counties

Pap Tests among Women Residing in Del Norte, Humboldt and Trinity Counties: A Summary of Findings from The Rural Health Information Survey
Report by: Jessica Van Arsdale, MD, MPH

Pap Tests among Women Residing in Del Norte, Humboldt and Trinity Counties: A Summary of Findings from The Rural Health Information Survey

Pap Tests among Women Residing in Del Norte, Humboldt and Trinity Counties

Selected Findings for the Redwoods Rural Health Center Service Area
Report by Jessica Van Arsdale, MD, MPH

Selected Findings for the Redwoods Rural Health Center Service Area

Selected Findings for the Redwoods Rural Health Center Service Area


Rural Poverty and its Health Impacts: A Look at Poverty in the Redwood Coast Region
Report by Jessica Van Arsdale, MD, MPH; Launa Peeters-Graehl, MA; Kali Patterson, BA; Jenna J. Barry, BA; Adrianna Bayer, MA

CCRP Rural Poverty Report

CCRP Rural Poverty Report

From the report:

This report provides a profile of rural poverty and its health impacts. It contains a review of the literature exploring the relationships between poverty and health with a focus on rural poverty and child poverty. It also contains an analysis of U.S. Census data showing the geographic distribution of poverty in the Redwood Coast Region and variation in poverty by place, age, family structure and race/ethnicity. Results from RHIS are presented to show the association between poverty and numerous health indicators. The report concludes with a discussion about implications for programs, policy and research based on dialogue with rural community leaders.

More about the Rural Health Information Survey


Del Norte County Access to Health Care & Food Security
Report by Jessica Van Arsdale, MD, MPH and Jenna J. Barry

Del Norte Access to Health Care & Food Security

Del Norte Access to Health Care & Food Security

Trinity County Access to Health Care & Food Security
Report by Jessica Van Arsdale, MD, MPH and Jenna J. Barry

Trinity County Access to Health Care & Food Security

Trinity County Access to Health Care & Food Security


Mendocino County Access to Health Care & Food Security
Report by Jessica Van Arsdale, MD, MPH and Jenna J. Barry

Mendocino Access to Health Care & Food Security

Mendocino Access to Health Care & Food Security


Humboldt County Access to Health Care & Food Security
Report by Jessica Van Arsdale, MD, MPH and Jenna J. Barry

Humboldt County Access to Health Care & Food Security

Humboldt County Access to Health Care & Food Security


Disparities in Screening for Breast Cancer in the Redwood Coast Region Research & Policy
Brief by Jessica Van Arsdale, MD, MPH & Melissa Jones, JD

Disparities in Screening for Breast Cancer in the Redwood Coast Region

Disparities in Screening for Breast Cancer in the Redwood Coast Region

From the brief:

Breast cancer is the most common type of cancer among women in the United States, other than skin cancer. It is the second-leading cause of cancer death in women after lung cancer. Humboldt County has one of the highest death rates due to female breast cancer among all California counties. There is convincing evidence that screening mammography reduces deaths from breast cancer. Results from the Rural Health Information Survey, 2006 indicate that there are disparities in utilization of mammograms in the Redwood Coast Region.


Emergency Preparedness Skills: Human & Social Capital in the Redwood Coast Region
Research & Policy Brief by Jessica Van Arsdale, MD, MPH & Melissa Jones, JD

Emergency Preparedness Skills- Human and Social Capital in the Redwood Coast Region

Emergency Preparedness Skills- Human and Social Capital in the Redwood Coast Region

From the brief…

CPR can double or triple a person’s chance of success of survival from sudden cardiac arrest. However, it is mostly successful if performed within the first 5 minutes after the collapse. In remote rural communities having a neighbor with these skills could mean the difference between life and death.


Oral Health Care Disparities in the Redwood Coast Region Research & Policy Brief
by Jessica Van Arsdale, MD, MPH; Sopagna Eap, PhD; and Connie Stewart

Oral Health Care Disparities in the Redwood Coast Region

Oral Health Care Disparities in the Redwood Coast Region

From the brief…

It is well established that oral health is integral to the overall health of the individual. Research has shown an association between poor oral health and numerous adverse health outcomes including diabetes, cancer, cardiovascular disease, and pregnancy complications. Oral health diseases are preventable and treatable with good personal oral hygiene and routine professional care. Results from the Rural Health Information Survey, 2006 indicate that there are disparities in access to oral health care in the Redwood Coast Region.


Transportation Disparities Impacting Health Needs in the Redwood Coast Region Research & Policy
Brief by Jessica Van Arsdale, MD, MPH; Connie Stewart; Launa Peeters-Graehl, MA and Adrianna Bayer,MA

Transportation

Transportation Disparities

From the brief…

Transportation is an important determinant of health affecting all spheres of community life. Results from the Rural Health Information Survey, 2006, indicate that transportation is a problem in meeting health needs for many residents in the Redwood Coast Region. Being poor, non-white or living in an area with low population density significantly increases the chance of transportation problems.


Health Insurance Disparities in the Redwood Coast Region  Research & Policy:: Brief by Jessica Van Arsdale, MD, MPH and Launa Peeters-Graehl, MA

Insurance Brief

Insurance Brief

From the brief…

Lack of health insurance or inadequate health insurance are significant barriers to receiving health care services. Results from the Rural Health Information Survey, 2006, indicate that insurance status plays an important role in whether or not people are able to get needed health care and receive recommended preventive health screenings.


Investigating Very Low Food Security in the Redwood Coast Region
Research & Policy:: Brief by Jessica Van Arsdale, MD, MPH and Kali Patterson

CCRP Food Security brief May 2008

CCRP Food Security brief
May 2008

From the brief:

The prevalence of very low food security in the Redwood Coast Region is more than 2 times the prevalence in California.

Very low food security is a measure of severe food insecurity resulting in reduced food intake, disrupted eating patterns or hunger. Food insecurity is associated with numerous poor health outcomes including: obesity, diabetes, heart disease, high blood pressure and poor cognitive, academic and psychosocial outcomes.

Results from the Rural Health Information Survey, 2006, indicate that there are disparities in very low food security in the Redwood Coast Region.


Disparities in Connectivity & Access to Health Care in the Redwood Coast Region
Research & Policy Brief by Jessica Van Arsdale, MD, MPH

CCRP Connectivity Research Brief December 2007

CCRP Connectivity Research Brief December 2007

From the brief:

Results from the Rural Health Information Survey, 2006, indicate that a high percentage of households in the Redwood Coast Region have poor conectivity: phones, computers and the Internet. Households with poor connectivity are about twice as likely to have poor access to health care as households with good connectivity.

Households with incomes below the federal poverty level are clearly disadvantaged with up to 14.2% reporting no phone, 45.1% reporting no computer and 55.4% reporting no internet access in their home.


Institute for Spatial Analysis

Rural Ethnic Entrepreneurship: A Spatial Networks Approach to Community Development

Rural Ethnic Entrepreneurship: A Spatial Networks Approach to Community Development

Rural Ethnic Entrepreneurship: A Spatial Networks Approach to Community Development

Report by Sheila Lakshmi Steinberg, Ph.D.; Steven J. Steinberg, Ph.D., GISP; Erick Eschker, Ph.D.; Sarah M. Keeble, M.A.; & Jason M. Barnes

From the report:

This document presents our work around ethnic entrepreneurship in rural Mendocino County, California. Mendocino was selected as a representative example for issues common to many rural communities attempting to shift their economies from traditional resource-based extraction to other forms of business by leveraging their local resources and human capital. More information about the processes and tools developed through and used in this effort, a web site, www.peopleplaceandbiz.org serves as an excellent starting point to further explore the resulting “Biz Tool” providing an overview of key steps.


McLean Community Study Final Report

McLean Community Study Final Report

McLean Community Study Final Report

Report by Sheila Lakshmi Steinberg, PhD; Dimitra Zalarvis Chase; Marian Strong & Nanette Yandell

From the report:

This project investigates issues important to five Humboldt County rural communities: Fortuna, Rio Dell, Loleta, Hydesville and Carlotta, which comprise the McLean Community Study Area. These sampled communities contain a spectrum of natural resource dependence, rural economic stability and social diversity.

This is an exploratory study commissioned by The McLean Foundation to assess topics that are of importance to people in the Eel River Valley region. The goal is to assess the socioeconomic situation for people in the region with a focus on better meeting local needs.


Rural Latino Project Final Report

Rural Latino Project Final Report

Rural Latino Project Final Report

Report by Sheila Lakshmi Steinberg, Ph.D., Marian Strong, Nanette Yandell, Adriana Guzman

From the report:

Latinos are the fastest growing minority group within the Redwood Coast Region (Mendocino, Humboldt and Del Norte counties).This project adopts a place-based perspective of Latinos and the communities in which they reside. Developing a place-based understanding means focusing on rural Latinos within the larger context of resources, environment and space. We employed multiple research methods including: key-informant interviews, content analysis of newspaper articles, field research, and spatial analysis of primary and secondary data.


People, Place and Health: A Sociospatial Perspective of Agricultural Workers and their Environment

People, Place and Health: A Sociospatial Perspective of Agricultural Workers and their Environment

People, Place and Health: A Sociospatial Perspective of Agricultural Workers and their Environment

Report by Sheila Lakshmi Steinberg, PhD and Steven J. Steinberg, PhD

From the report…

This project employs a mixed-method, place-based approach to study agricultural worker health issues related to pesticide use in rural California. Sociospatial analysis considers space, place and social indicators in a holistic and integrated fashion (Steinberg and Steinberg 2008). This project utilizes Geographic Information System (GIS) to effectively integrate environmental and social data related to farmworker health and pesticide use.

We focus on environmental and social issues for farmworkers in the three communities in both Monterey and Tulare counties. Using this visual approach for communication and portrayal of data proves to be effective across both language and literacy barriers.

This report contains sociospatial data, consisting of both maps and interview data integrated to tell the stories of farm workers, their communities and pesticide drift. The project also incorporated extensive environmental mapping of pesticide use and application rates within the study region with associated qualitative data relating to farmworker health.


A Partnership to Deliver Integrated Health Care::

A Partnership to Deliver Integrated Health Care

A Partnership to Deliver Integrated Health Care



CCRP Note by Elizabeth Hilbig, Marcy Burstiner and Sheila Steinberg

From the brief:

Rural residents often live quite a distance from hospitals and health clinics and as a result, getting the necessary medical treatment can be difficult. This is especially true for treatment of mental health problems where the number of people with unmet mental health needs has reached crisis proportions.


Strategic Plans

Strategic Work Plan for Education Needs, Health Information Technology, Recruitment and Retention for the Diversified Healthcare Industry Cluster

Strategic Work Plan for Education Needs, Health Information Technology, Recruitment and Retention for the Diversified Healthcare Industry Cluster

Strategic Work Plan for Education Needs, Health Information Technology, Recruitment and Retention for the Diversified Healthcare Industry Cluster

Strategic Work Plan for Education Needs, Health Information Technology, Recruitment and Retention for the Diversified Healthcare Industry Cluster
Report by Terry Uyeki, Heather Bonser-Bishop, Martin Love, Connie Stewart and Pat Girczyc


Del Norte County Health Care Provider Recruiting & Retention Plan

Del Norte County Health Care Provider Recruiting & Retention Plan

Del Norte County Health Care Provider Recruiting & Retention Plan

Report by Martin Love, Erick Eschker, Jessica Van Arsdale, Julia R. West, Mike Porter and Jennifer Pollum

CCRP was granted a contract with Del Norte County to develop a healthcare provider recruitment and retention plan. The plan includes demographics of Del Norte County with GIS maps, results of community input through surveys and meetings, a summary of best practices from other rural areas, as well as an assessment of the economic impact of the health care system on the County.

To create the plan, CCRP worked with Research Associates, Martin Love (CEO of the Humboldt-Del Norte IPA, Foundation for Medical Care) and Erick Eschker, PhD (Associate Professor and Chair, Dept of Economics, HSU and Director, Index of Economic Activity for Humboldt County).


Children’s Dental Strategic Plan for Humboldt County

Children's Dental Strategic Plan for Humboldt County

Children’s Dental Strategic Plan for Humboldt County

Report by Laura McEwen, MS, RD

The North Coast Grantmaking Partnership contracted with the California Center for Rural Policy to create a new dental strategic plan. Several factors led to this request. The Pediatric Dental Institute (PDI) in Windsor reported in spring 2011 that 142 children from Humboldt used their services at their clinic with full anesthesia (called hospital based care) within the prior year. PDI is currently facing economical challenges and now must raise $400,000 each year to continue. There is interest to reduce the number of children from Humboldt that need hospital based dental care. This very intensive and expensive treatment process is an indicator of missed opportunities for oral health education, preventive services, and early restoration. Consequently, to change the number of children needing this service, every aspect of oral health for low-income children should be reviewed and integrated into a smooth continuum of evidence-based care and education.


Health Indicators

Rural Community Vital Signs
Report by Jessica Van Arsdale, MD, MPH, Terry Uyeki, MSEd, Connie Stewart, Jenna Barry, Alissa Leigh, Gwyn Mahony, Liz Hannig, Jennifer Oliveros, Launa Peeters-Graehl, and Kali Patterson

Rural Community Vital Signs

Rural Community Vital Signs (contains 48 community health indicators for Del Norte, Humboldt, Trinity, and Mendocino Counties)

Initial work by the California Center for Rural Policy (CCRP) identified the need for a common set of community health indicators to help guide and assess outcomes resulting from improvement efforts in the region. Community health indicators are measures that act as barometers for underlying community health. In the fall of 2009, CCRP initiated a year-long process of facilitating a Working Group to develop a set of community health indicators known as the Rural Community Vital Signs.
The outcomes of this project are a set of 48 community health indicators with existing data and a “wish list” of 44 indicators that would be useful for measuring community health, but currently lack a good or readily available data source for all four counties (Del Norte, Humboldt, Trinity, and Mendocino). The Vital Signs developed in this project link to numerous issues in various arenas (social, health, environment, and economy) and are intended to track trends and inspire action initiatives aimed at improving health in the region.


Atlas of Health Indicators in the Redwood Coast Region 2

pdf file link

Atlas of Health Indicators in the Redwood Coast Region


Child Care & Schools

Humboldt County Child Care Needs Assessment

Humboldt County Child Care Needs Assessment

Humboldt County Child Care Needs Assessment

From the report:

Commissioned by the Local Child Care Planning Council of Humboldt County, this document reviews many key factors that will influence child care needs including: demographic trends, child care demand and supply, services for children in special populations, information about subsidies and cost and briefly reviews the child care workforce. It is our hope that this information will be used as a tool for local stakeholders to inform future child care planning and implementation and to target resources towards the regions within the county that need the most attention.


A Snapshot: Local Industry & the Dependence on Child Care

A Snapshot: Local Industry & the Dependence on Child Care

A Snapshot: Local Industry & the Dependence on Child Care

Policy Conversation by Melissa Jones, JD; Wendy Rowan, MA; & Connie Stewart

What makes a worry free and productive workday? If you’re a parent, knowing that your child is in safe hands. If you’re an employer, knowing that your employees will be present and aware for their full workday. Reliable child care takes care of both needs and is an essential support to local industries. However, quality child care has been threatened with decreases in public funding and providers leaving the field.
Take the Child Care Survey!


 Truancy Intervention For Teenagers

Truancy Intervention For Teenagers

Truancy Intervention For Teenagers

Policy Conversation by Melissa Jones, JD

Since teenage truancy frequently stems from social issues, its remedies include mental health and social services, health care access and behavioral counseling and tutoring– as well as law enforcement. Truancy programs are typically school-based, community-based or court-based, depending on who spearheads, funds and staffs them. But they all use similar procedures: strong attendance policies, counseling, well-trained staff and continuing internal evaluation.They also all feature collaboration, between community resource providers and the school district/county office of education, and between government and community services.


Two School Systems, Same Goal::

Two School Systems, Same Goal

Two School Systems, Same Goal

Policy Conversation by Melissa Jones, JD

Two seemingly different models of school systems aim to increase student success, graduation and continued education in the face of low test scores and high dropout rates in the four-county area of the Redwood Coast Region in California. Throughout the region schools and community organizations are discussing these important educational indicators because the indicators can impact the children’s current and future health. Relationships, both peer-to-peer and teacher-to-student, have a positive impact on these outcomes and interventions that promote learning and well-being are important.


Remedies, Not Punishment: Restorative Practices In The Schools

 Remedies, Not Punishment: Restorative Practices In The Schools

Remedies, Not Punishment: Restorative Practices In The Schools

Policy Conversation by Melissa Jones, JD

From the brief:

Repairing harm, rather than punishing violators of law, is the focus of the justice theory that has become known as restorative justice. The goal is to remedy the damage or injury to the victim–via apology, community service or restitution– instead of punishing the offender. Use of restorative justice and restorative practices have been employed with success in the school system as a way to address rule violations and prevent disciplinary problems. They have been effective in reducing violence and disobedience while increasing respect and productivity in the classroom–especially in more close-knit rural areas.


Needs Assessment

Assessment of Research Needs in Rural California

Assessment of Research Needs in Rural California

Assessment of Research Needs in Rural California

Report by Jessica Van Arsdale, MD, MPH


Health Care Policy

A Clearer View: Humboldt Steps Out of the Fog of Medical Variation

A Clearer View: Humboldt Steps Out of the Fog of Medical Variation

A Clearer View: Humboldt Steps Out of the Fog of Medical Variation

Following a 2011 California Health Care Foundation study of geographic medical variation in California, leaders in Humboldt County came together to examine the causes of variation in their region.


North Coast Health Information Network – Taking Humboldt’s Health Into the 21st Century

North Coast Health Information Network - Taking Humboldt’s Health Into the 21st Century

North Coast Health Information Network – Taking Humboldt’s Health Into the 21st Century

Policy Conversation by Melissa Jones, JD

Humboldt County is on the forefront of the medical technology trend that is transpiring across the nation. Not only have larger practices in the county begun to adopt electronic medical records (EMRs), but Humboldt is one of the few counties in the state to have an operational health information exchange (HIE). Called the North Coast Health Information Network (NCHIN), this HIE is an electronic hub that helps transfer patient information between their medical providers. NCHIN is in its beginning stages and has already made steps towards achieving a more efficient medical system. This Policy Conversation will explore the privacy framework related to electronic record keeping, explain the context for EMRs and provide an update on how NCHIN is helping Humboldt County.


It Takes a Village… to Prevent a Fall

It Takes a Village... to Prevent a Fall

It Takes a Village… to Prevent a Fall

Policy Conversation by Melissa Jones, JD

From the brief:

All of rural California, and particularly the Redwood Coast Region (Del Norte, Humboldt, Mendocino and Trinity counties), has an increasing population of older residents who are at risk of preventable falls. In fact, the Redwood Coast Region has recorded a higher percentage of falls among seniors than California as a whole. Fall prevention means that the home must be safe, but also that the community environment must be navigable so people are encouraged to venture outside and be active.
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What Are The Accommodations In A “Medical Home?”

What Are The Accommodations In A "Medical Home?"

What Are The Accommodations In A “Medical Home?”

Policy Conversation by Melissa Jones, JD

There has been much debate nationally about what should constitute a “medical home,” the notion that a central person should be designated to provide preventive care and coordinate with others about a patient’s needs. The California Center for Rural Policy embraces the widest possible definition of medical home. This is particularly critical in rural areas such as the Redwood Coast Region of California, where people are on average older, poorer, have higher rates of chronic disease—and are more likely to be medically uninsured.


The Complex Chronically Ill: Addressing the Needs of Frequent Patients and Inappropriate Emergency Room Use

The Complex Chronically Ill: Addressing the Needs of Frequent Patients and Inappropriate Emergency Room Use

The Complex Chronically Ill: Addressing the Needs of Frequent Patients and Inappropriate Emergency Room Use

Policy Conversation by Melissa Jones, JD

Over the past few years, Redwood Coast hospital and health and human services workers have observed an influx of hospital patients, between the age of 45-60, with complex chronic illnesses who are frequently utilizing the emergency room (ER) and pose significant discharge challenges.


Early Lessons From Four ‘Aligning Forces For Quality’ Communities Bolster The Case For Patient-Centered Care::

Early Lessons From Four ‘Aligning Forces For Quality’ Communities Bolster The Case For Patient-Centered Care

Early Lessons From Four ‘Aligning Forces For Quality’ Communities Bolster The Case For Patient-Centered Care

By Deborah Roseman, Jessica Osborne-Stafsnes, Christine Helwig Amy, Summer Boslaugh, and Kellie Slate-Miller
HEALTH AFFAIRS 32, NO. 2 (2013)


Restructuring Long-term Care In Humboldt County

Restructuring Long-term Care In Humboldt County

Restructuring Long-term Care In Humboldt County

Prepared by: Patty Berg, Consultant
For the North Coast Long-Term Services and Supports Coalition
On behalf of the Area I Agency on Aging

Goal: Assess from the perspective of long-term services and supports (ltss)
providers and consumers of ltss the current state of long-term care services for
seniors and adults with disabilities in the county; the gaps in services and
recommendations for change and realignment.

Specifically, we wanted to focus on five key questions:

  1. Who represents the priority population to be served?
  2. What are the core and priority services needed for ltss?
  3. What are the major gaps?
  4. Are there replications in services that could be streamlined or provided by another organization?
  5. What changes need to be made in the current system?

Community Paramedicine in Humboldt County
Community Paramedicine in Humboldt County

by Alison Newman, MPH, Policy Analyst


An Integrative Approach to Patient Engagement
Aligning Forces Humboldt

Aligning Forces Humboldt

Aligning Forces Humboldt, which is located at the California Center for Rural Policy at Humboldt State University, has developed a successful method for assessing and maintaining patient involvement in its work leading the Aligning Forces for Quality (AF4Q) initiative in Humboldt County, Calif.


Other

Comments to the Federal Communications Commission in regard to National Broadband Plan Economic Opportunity

Comments to the Federal Communications Commission in regard to National Broadband Plan Economic Opportunity

Comments to the Federal Communications Commission in regard to National Broadband Plan Economic Opportunity


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