HomeMy WebLinkAbout2016/09/21 - Agenda Packet - Special r- (20 AN
C1tY Of
& CAMONGA
AGENDA
CITY COUNCIL
SPECIAL MEETING
Wednesday, September 21, 2016 -�- 3:00 p.m.
City Hall � Tri-Communities Room
10500 Civic Center Drive --�* Rancho Cucamonga, CA 91730
A. CALL TO ORDER:
Al. Pledge of Allegiance
A2. Roll Call: Mayor Michael
Mayor Pro Tern Spagnolo
Council Members Alexander, Kennedy and Williams
B. COMMUNICATION FROM THE PUBLIC:
This is the time and place for the general public to address the City Council on any item listed on the agenda.
State law prohibits the City Council from addressing any issue not previously included on the Agenda. The
City Council may receive testimony and set the matter for a subsequent meeting. Comments are to be
limited to five minutes per individual or less, as deemed necessary by the Mayor, depending upon the
number of individuals desiring to speak. All communications are to be addressed directly to the Mayor and
not to the members of the audience.This is a professional business meeting and courtesy and decorum are
expected. Please refrain from any debate between audience and speaker, making loud noises, or engaging
in any activity which might be disruptive to the decorum of the meeting.
C. ITEMS OF DISCUSSION:
Cl. VERBAL UPDATE ON THE DEVELOPMENT OF THE HEALTHY RC EVALUATION
PLAN.
D. ADJOURNMENT
I, Linda A.Troyan, City Clerk Services Director, of the City of Rancho Cucamonga, hereby certify that a true,
accurate copy of the foregoing agenda was posted on September 21, 2016, per Government Code 54954.2
at 10500 Civic Center Drive, Rancho Cucamonga, California, and on the City's website.
da A. royan, MMC
City . rk Services Director, City of Rancho Cucamonga
Healthy RC Evaluation Plan :
A Road Map for Promoting
Health, Equity, & Sustainable
Change in Rancho Cucamonga
City Council Workshop
September 21, 2016
"It is rare to recognize the beginning of great change
while you are living it because it does not present itself
as spectacular. It trickles in . Carried and cultivated by
everyday people ."
— Dr Risa Lavizzo-Mourey, Robert Wood Johnson
Foundation
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Background i History
Healthy RC Organizational
�r�rrru�ity
Core�rrwn ��€ac�t��re I�eal�h� RC � � ���rs
Corn�mee tee�rin �#����4�
[#reenTeam �+� nreret Based Or���,� Gamm�nity ����
Cornmlt�ee ' $ Cf,a.W- d I IPriorities
�Qrr�rr�enity-
thy Eairkg Education&
�er�i�gg
�� ,�� Core Team � pity NLanaer's
Office -
•F
Caimmunity
Support +
BODY. &L Safety
Y ` CITY OF RANCHO CUCAMONGA
• 19-1- m
HRC Steering Committee 9 CBO's awarded City Council adopts
developed partnership support Healthy RC
incentives Strategic Plan
SRTS program First 5 San Healthy RC
City Council adopts Healthy RC implemented in 3 Bernardino Healthy implements
goal to develop Executive schools Cities grant Secured vending machine
healthy cities Team targeting families
initiative developed C.A.S.A. program City adopts Healthy with children 0-5
RWJF Healthy developed Development Code Food and Beverage
City Council mended to+areas
Kids, Healthy Policy Community Forum
workshop Communities for community and City Council
Internal HRC funding secured gardens City adopts workshop held
Complete Streets
Core Team IELIW grant secured Policy—ranked
created for BHH top 10 in nation
11: 2009 2010 2011 20121 2014
beyond
T T I I
Funding Healthy RC begins
from San Healthy RC Youth comprehensive
Bernardino Leaders established HRC partners with strategic planning
County Campeones para Development Code SACH and a RD to process
City Council la Comunidad is amended to+areas expand HRC Dining City adopts Lactation
adopts healthy Healthy RC Dining established for farmer's Program Accommodation Policy
cities Program launched markets BHH expanded to and Program
resolution General Plan include all families
updated—health is with children 0-5
Internal audit overarching theme and pregnant
conducted on
policies, Community Forum women Mental Health
programs,and held in Southwest Media Campaign
partnerships that Cucamonga
promote health
10CITY OF
y
RANCHO ! . !
1
•
Barbara Marino's Story
VIDEO WAS SHOWN ON THIS SLIDE
FEATURING BARBARA MILANEZ
THE VIDEO FILE IS AVAILABLE
IN THE CITY CLERKS OFFICE
StoryMap
t..
In4
Community's Health Priorities
H ea Ithy Eating�7)1
& Active Living
*4'
Community Connections & Safety
Education & Family Support
Mental Health
4'3 Economic Development
Clean Environment
H ea Ithy Aging
Disaster Resiliency
Place - Based
• Healthy city model is different than a medical
model and more than a prevention model
• Focuses on the social, environmental, and built
determinates of health
i
1
4
Evaluating Place - Based Strategies
• Outcome metrics alone do not adequately
determine the success of these initiatives
• Integrated into the fabric of the initiative
• Designed to be nimble, flexible, and responsive to
community priorities that shift over time
• Actively address nuances to create sustainable
change
• Understand why and how change occurred
• Compelling logic for how the initiative works
Goals of the Evaluation Plan
1. Assess HRC's collaboration and readiness to
inform future implementation and evaluation
2. Provide baseline data related to specific health
indicators that are aligned with HRC strategies
3 . Assess Healthy RC's impact on community health
improvement to date and
4. Provide a framework and plan for future
evaluation activities.
Evaluation
Team
Maggie Hawkins PBH
'artners Irx setter Hedth
Barbara Marino
W°
Irene Chisholm Youth Accountability Board
Kirbee Brooks
Erika Lewis-Huntley P4.Q
CLICAMMA
James Sc h e u SAN ANTONIO REGIONAL HOSPITAL
CLAREMONT GRADUATE UNIVERSITY
r��� SCHOOL OF
Bree Hemingway �� ,COMMUNITYAND
GLOBAL HEALTH
Jordan Riddle '*"
K,l�
Mike Parmer
�R J
:OWIR
ube rambila BERNARDINO
COUNTY
Public Health
44
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4
Evaluation Approach
• Mixed-methods approach
• Secondary data collection
• Literature review
• Key stakeholder interviews
• Focus groups
• Social network analysis
• Program and policy inventory
• Community health survey
• Community involvement
• Evaluation Subcommittee, Healthy RC Steering
Committee, Community Champions, Healthy RC Youth
ders
TimelineMethods
Discovery & Evaluation Outcome Collaborative Readiness Healthy RC
Planning ( Capacity ( Assessment ( Assessment Assessment Evaluation
Building � \ Plan
2015 2016
i i,
1
4
Understanding Healthy RC
Processes
• Conducted different data collection methods :
online social network analysis (SNA) surveys with the Healthy RC
collaborative
Wilder Collaborative Factors Inventory tool
6 focus groups with Healthy RC subcommittees
32 individual interviews
29 key stakeholder interviews
�4
4
Key Findings
• Collaboration is a main staple of how Healthy RC
does their work
• Collaboration also encourages creative solutions
• Removes barriers in ways that would be difficult for
a group working in isolation
• Healthy RC created systems and practices that work
together to promote a culture of health
• Continues to be a valuable strategy to influence
long-term health outcomes
Strengths
• Healthy RC relationships are strong, rich, and
diverse
• Participants have a genuine like and appreciation
for one another
• Participants believe they have skilled leaders and
are proud of their unique direction
Common Agenda
• Members have a joint understanding of the issues
and are willing to work collectively to address these
issues
• See the collaboration as a benefit, that they share a
stake in both the process and outcomes of Healthy
RC, and that they have a unique purpose in that not
one
• organization or group can solve the issues alone. In
addition, although they all have different
• viewpoints, they all come together and agree upon
implementing similar approaches
Key Findings Continued . . .
• Backbone Support
• Stronger, meaningful connections to the City helps
community feel important and supported
• Housing Healthy RC in the City Manager's Office helps
guide work, promote a culture of health internally (via
Health-in-All-Policies) and within the community
• Diversity of Voices Brings Added Benefits
• Adds creativity to the initiative, the ability to address
different issues, and strengthens the collaboration
Key Findings Continued . . .
• Leveraging Relationships
• Partnerships strengthen the impact Healthy RC has to
address social issues
• Public Awareness
• The Healthy RC "brand" is highly recognized within the
City
• Community Input
• Members feel they share a stake in both process and
outcomes of Healthy RC and discuss how they are a part
of the solution and that their ideas matter
• Deeper Relationships with Public Entities
• Healthy RC is building stronger collaborations and
Disseminating the work more efficiently
Data
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BODY. —
CITY OF RANCHO CUCAMONGA
• H
Healthy RC Data Indicators
• Healthy Eating, Active Living
• Prevalence of chronic diseases: obesity, diabetes, cancer,
heart disease
• Number of pedestrian traffic-related injuries and deaths
• Number of bicycle traffic-related injuries and deaths
• Community Connections & Safety
• Sense of belonging to the community.
• Education & Family Support
• % of students passing at a 3rd grade reading level
• High school graduation rates
• Mental Health
• Prevalence of mental health disorders, such as
�, de ression and suicide
"Health happens in neighborhoods."
Dr. David Erickson, Federal Reserve Bank of San
Francisco
• ' ' • ' • In
4
Linking Healthy RC to Population Health
Outcomes
Body Composition: % Students Overweight
40%
35%
30%
25%
20%
15% —
10%
5%
0%
2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015
♦Cucamonga Elementary—*--Etiwanda Elementary ♦Central Elementary
}Alta Loma Elementary --*--Chaffey Joint Union HS County
CITY OF y
RANCHO
4
Body Composition: % Students Obsese
35%
30%
25%
20%
15%
10%
5%
0%
2010-2011 2011-2012 2012-2013 2013-2014 2014-2015
tCucamonga ElementarytEtiwanda Elementary tCentral Elementary
10 Alta Loma Elementar --*--Chaffev Joint Union HS Count
CITY OF RANCHO CUCAMONGA
4
Age-Adjusted Coronary Heart Disease Hospitalization Rate
Rancho Cucamonga and San Bernardino County Residents, 2005-2013
160
c
0
140
Q
0
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0 120 —
0
0
0
v 100 —
0_
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80 —
0
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60
0
�
40
0
a 20
n,o
Q
0
2005 2006 2007 2008 2009 2010 2011 2012 2013
Rancho Cucamonga 109.4 120.1 94.9 95.5 88 91.2 70.8 67.2 76.8
San Bernardino County 133.9 119.3 114.4 115.5 110.8 109.8 99.7 92.2 91.8
i i
CITY OF y
RANCHO CUCAMONGA
1
4
Age-Adjusted Diabetes Hospitalization Rate
Rancho Cucamonga and San Bernardino County Residents, 2005-2013
25
c
0
ca
0 20
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0
0
0
0
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CL 15
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0
N
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a,
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ai
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0
2005 2006 2007 2008 2009 2010 2011 2012 2013
Rancho Cucamonga 13.1 13.9 12 13.9 12.2 11.3 12.1 10.4 12
San Bernardino County 19 18.6 19.2 19.8 18.6 18.4 18.3 18.9 18.8
i iCITY OF�
y
RANCHO CUCAMONGA
1
4
Age-Adjusted Motor Vehicle Traffic Accident Hospitalization Rate
Rancho Cucamonga and San Bernardino County Residents, 2005-2013
14
c
0
12
Q
0
0
0 10
0
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a1 8
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0
4-
N 6
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4
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21
1 2
ai
n,o
Q
0
2005 2006 2007 2008 2009 2010 2011 2012 2013
Rancho Cucamonga 10.5 8 8.3 6.5 6.3 6.5 6 5.6 3.9
San Bernardino County 11.5 9.7 9.5 7.9 7.1 6.7 6.3 6.7 6.3
i i
CITY OF y
RANCHO CUCAMONGA
1
4
Age-Adjusted Asthma Hospitalization Rate
Rancho Cucamonga and San Bernardino County Residents, 2005-2013
16
c
0
+1 14
Q
0
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0 12
0
0
v 10
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2005 2006 2007 2008 2009 2010 2011 2012 2013
Rancho Cucamonga 10 8.7 7.9 6.8 8.8 6.5 4.3 6.3 3.5
San Bernardino County 13.6 10.9 10.7 11.9 12.7 10.8 10.2 10.3 10.1
i��
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IN
CITY OF RANCHO CUCAMONGA
1
4
Challenges
• Difficulty in evaluating complex health initiatives
• External funding support
• Lack of localized data
Community Health Survey
• Embed story map
Benefits for Preventing Health
Conditions
• Chronic diseases are responsible for 7 of every 10
deaths among Americans each year and account for
75% of the nation's health spending
• Poor health is a major drain on the economy,
resulting in 69 million workers reporting missed
days due to illness each year and reducing
economic output by $260 billion per year to illness
each year
Benefits for Preventing Health
Conditions Continued . . .
• Businesses benefit because a healthier workforce
reduces long term health care costs, increases
productivity, and decreases time missed from work
• Schools benefit because healthier students are
more productive, more academically successful and
miss less school due to illness
• Communities that offer a healthy, productive,
stable workforce can be more attractive places for
families to live and for businesses to locate
Benefits for Preventing Health
Conditions Continued . . .
• Investment of $10 per person per year through
evidence-based community programs could yield a
cost savings in CA of more than $1.7 billion in
annual health care costs within afive-year period
• This saving could produce a return on investment
of $4.80 for every $ 1 spent
Benefits for Preventing Health
Conditions Continued . . .
• Investments in community-level public health
prevention efforts and social services, such as those
implemented through Healthy RC, have a
substantial return, and potentially more returns if
efforts are focused on underserved and under-
resourced communities
• Healthy RC efforts are supported by the research to
produce favorable outcomes aligned with the
Strategic Plan, and is a worthwhile investment for
4, it • • .
Conclusions and Overall Findings
• Data suggests that Healthy RC is shaping population
health outcomes
• Downward trends in childhood obesity and
overweight, coronary heart disease, diabetes, and
cancer hospitalization rates during implementation
of Healthy RC
Conclusions and Overall Findings
• Community health survey respondents reported
positively in quality of life measures with a majority
of respondents stating that Rancho Cucamonga was
a safe place to live and to raise children
Next Steps & Recommendations
• The added benefits that Healthy RC can bring to the
City of Rancho Cucamonga and surrounding areas
are worth further investment in time and resources
• Healthy RC's model as a community change
initiative that works across multiple sectors with
deep community engagement has the potential to
bring about long-lasting change and truly create a
culture of health
Next Steps & Recommendations
• Provide structure for continuous evaluation,
learning, reflection and refinement
• Set realistic evaluation goals
• Deepen community engagement and ownership
• Enhance relationships with external partners
• Additional staff is needed to build capacity
y
4
"Cities have the capability of providing something for
everybody, only because, and only when, they are
created by everybody."
— Jane JacobF, The Death and Life of Great American
Cities
�4
4
"We need to think upstream and differently so we
can improve health rather than just improving the
problems that were created by our society in not
investing."
fir. Donald Schwa ., Robert Wood Johnson
Foundation
4
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