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IPLAN Community Health Plan 2007-2012 Download Entire Plan(approx. 150 pages)(PDF) Download Executive Summary (PDF) Download Brochure (PDF) What is IPLAN? The Illinois Project for Local Assessment of Needs (IPLAN) is a community health assessment and planning process that is conducted every five years by local health jurisdictions in Illinois. Based on the Assessment Protocol for Excellence in Public Health (APEX-PH) model, IPLAN is grounded in the core functions of public health and addresses public health practice standards. The completion of IPLAN fulfills most of the requirements for Local Health Department certification under Illinois Administrative Code Section 600.400: Certified Local Health Department Code Public Health Practice Standards.
The essential elements of IPLAN are: - an organizational capacity assessment;
- a community health needs assessment;
- a community health plan, focusing on a minimum of three priority health problems.
Understanding the IPLAN process A group of McLean County Health Department (MCHD) employees and other health leaders from partner agencies in McLean County serve as the Community Health Advisory Committee (CHAC).Over the past year, CHAC has analyzed data from a variety of sources to assess the health problems for which McLean County residents are at highest risk. Data analyzed includes: - Statistics from MCHD environmental health, maternal child health, communicable disease and mental health programs
- U.S. Census Data
- Community Analysis from the McLean County Community Advocacy Network (CAN Report)
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Deciding on Priority Health Concerns After determining the top 8 health concerns from these data, CHAC applied the Hanlon Method for Prioritizing Health Problems, which gives each health problem a score based on several factors. The Hanlon Method asks these questions: - Size: How many residents are at risk or currently live with the problem?
- Seriousness: To what extent does the problem result in death, hospitalization, disability or economic loss? Is this an emerging or urgent problem?
- Effectiveness of Intervention Are there means to prevention or early intervention?
- Propriety: Is the problem within MCHD’s mission?
- Economic Feasibility: Does it make economic sense to address it?
- Acceptability: Will the community accept the problem?
- Resources: Are resources available to address it
- Legality: Does the law allow the problem to be addressed?
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Heart Disease, Stroke and Cancer
After CHAC applied the Hanlon method, it was deterimined that heart disease, stroke and cancer were the priority health concerns.
Shared Risk Factors
Heart disease, stroke and cancer share some of the same risk factors including: - family history
- smoking
- high cholesterol
- lack of exercise
- excessive drinking
- inadequate nutrition
- abdominal obesity
Heart disease and stroke also share in common high blood pressure and
diabetes as risk factors.
Shared Interventions
The McLean County Health Department will build partnerships to address these health concerns.
Heart disease, stroke and cancer can all be tackled with the following
intervention strategies:
- Increase awareness of risk factors and access to screenings and
education
- Assist coordination of community-based health and wellness activities such as screenings, counseling and weight loss programs
- Support government and school policies on nutrition, smoking and alcohol
- Promote awareness of health hazards linked to obesity
Heart Disease Facts - Heart disease is the leading cause of death in McLean County, in Illinois and across the nation
- In 2004, 27% of McLean County deaths were due to heart disease
- Coronary heart disease, a specific type of heart disease, accounted for 19% of McLean County deaths in 2004; 23% of those deaths were considered “premature,” occurring before age 65
- The death rate for heart disease in McLean County is172 per 100,000 people
- Heart disease ranked first using the Hanlon Method, with a priority score of 210 and earned a 10/10 score for seriousness
- Over 80% of people older than 15 are at risk for heart disease
Unique Interventions - Promote awareness and access to early interventions such as AED use, CPR training and symptom identification
- Assist schools in assessing overweight youth and promoting weight loss measures
- Establish a reliable means to assess high blood pressure status
Stroke Facts- Stroke, also known as cerebrovascular disease, is the third leading cause of death in McLean County and is amenable to prevention methods
- In 2004, 6% of deaths in McLean County resulted from stroke
- 80% of strokes are preventable
- The death rate for stroke in McLean County is 37 per 100,000 people
- Stroke ranked second using the Hanlon Method with a priority score of 175 and earned a 9/10 score for seriousness
- Approximately 15% of McLean County residents are at risk for stroke
- Research has shown that eliminating tobacco use, controlling high blood pressure and cholesterol levels and
maintaining a healthy weight significantly reduce risk of stroke
Unique Interventions - Increase awareness of controllable risk factors such as diabetes
Cancer Facts - Cancer is the the second leading cause of death in McLean County and is amenable to prevention methods
- In 2004, 22% of deaths in McLean County were due to some type of cancer
- 80% of strokes are preventable
- The death rate for cancer in McLean County is 139 per 100,000 people
- Cancer ranked third using the Hanlon method, with a priority score of 168 and earned a 10/10 score for seriousness
- Lung cancer leads cancer deaths in McLean County, followed by breast cancer, colorectal cancer, cervical cancer and prostate cancer
Unique Modifiable Risk Factors - Lack of early detection
- Environmental exposure to sunlight, radon and secondhand smoke
Unique Interventions - Promote early detection and prevention
- Partner with Community Cancer Center to facilitate screenings
- Work with grant programs to assure access to screenings and treatments
- Promote awareness of environmental hazards
- Encourage knowledge of family cancer history
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