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Public Health, Policy & Planning (PHPP) has begun the process of producing a strategic plan that is focused on improving the health outcomes of those who live, work, learn, and play in San Mateo County. The first step of the strategic planning process, the Community Health Assessment (CHA), has concluded. This process included a summary of health status data presented to community members at multiple forums held throughout San Mateo County in English and in Spanish. The second step, Community Health Improvement Plan (CHIP) is actively in progress. The CHIP Kick-off held on November 1, 2023 and included community partners along with PHPP staff. The Kick-Off included a prioritization process to identify health areas to include in the CHIP. The next step is start of the CHIP working groups to develop health improvement plans for the three health areas that will be the focus of the 2024-2026 CHIP. 

Community Health Improvement Plan (CHIP)

Step two: Community Health Improvement Plan (CHIP) is officially underway!

The Community Health Improvement Plan (CHIP) describes how San Mateo County Health and community partners will work towards a shared vision to improve health and advance health equity in San Mateo County. The plan is a result of a seven-month assessment and planning process engaging more than 90 partners, including representatives from the San Mateo County Health, community-based organizations, behavioral health, hospitals, health plans, and community advocates and leaders. The plan considers findings from the county’s most recent community health assessment and outlines objectives and strategies for collective action for the three selected priority areas. This is the first CHIP for San Mateo County; however, partners have previously collaborated on multiple assessments and plans which have informed our collaborative efforts. Please see timeline below:

CHIP Timeline

 

CHIP Work Group Members

Click on any of the three work group lists below to view members.

Access to Health Care Work Group Members

Community Leads: Dr. Chris Esguerra | Health Plan of San Mateo, 
Scarleth Contreras | El Concilio of San Mateo County
Health Lead: Darryl Lampkin | San Mateo County Health, Health Policy & Planning
Members:

Alexandria Blacker	Stanford University
Dr. Anand Chabra	San Mateo County Health, Family Health
Corina Chung	San Mateo County Health, Office of Epidemiology and Evaluation
Elizabeth Campos	Peninsula Family Service
Fatima Rodriguez	Peninsula Health Care District
Gladys Melghem	San Mateo County Health, Edison & Mobile Clinics
Dr. Jack Nassar	San Mateo County Health, San Mateo Medical Center
Jonathan Shaw	Stanford University
Judith Guerrero	Coastside Hope
Julie Shanson	Belle Haven Action
Dr. Kismet Baldwin-Santana	San Mateo County Health
Lisa Tealer	Bay Area Community Health Advisory Council (BACHAC)
Luarnie Bermudo	Health Plan of San Mateo
Melieni Talakai	San Mateo County Health, Edison & Mobile Clinics
Petra Silton	Thrive Alliance
Q Smith	Community Member
Richard Moore	Health Plan of San Mateo
Sandi Winter	Sr. Coastsiders
Serena Deverich	San Mateo County Health, Edison & Mobile Clinics
Stephanie Smith	Community Member

 

Mental Health Work Group Members

Community Lead: TBD
Health Lead: TBD
Members:

Ana Avendano	El Concilio of San Mateo County
Andres Romero	YMCA
Brenda Nuñez	Star Vista
Cameron Zeller	Community Member
Cassandra Jackson	BACHAC
Chris Thibodeaux	San Mateo County Health, Edison & Mobile Clinics
Courtney Sage	Health Plan of San Mateo
Dr. Curtis Chan	San Mateo County Health
Deidre Patterson	San Mateo County Health, Office of Epidemiology and Evaluation
Donna Collins Williams	Stanford University
Edith Cabuslay	San Mateo County Health, Behavioral Health and Recovery Services
Gladys Balmas	San Mateo County Health, Aging and Adult Services
Jackie Alms	Peninsula Health Care District
Ja’Net Lawrence	One EPA
Karen Pfister	San Mateo County Health, Office of Epidemiology and Evaluation
Kique Bazan	Ayudando Latinos A Soñar (ALAS)
Leafa Taumoepeau	Taulama For Tongans
Luci Latu	Taulama For Tongans
Lucinda Dei Rossi	San Mateo County Health, Strategic Initiatives
Maria Lorente-Foresti	San Mateo County Health, Behavioral Health and Recovery Services
Rai Abileah	ALAS
Sharon Dipierro	Ravenswood Family Health Center
Shawneece Stevenson	BACHAC
Silvie Arabia	San Mateo County Health, Family Health

 

Social Determinants of Health Work Group Members

Community Lead: Rafael Avendano | Redwood City Together
Health Lead: Veena Raghavan | San Mateo County Health, Health Policy & Planning
Members:

Alex Golding	San Mateo County Pride
Alex Navaro	Second Harvest
Amy Scribner	Health Plan of San Mateo
Ana Pulida	Peninsula Health Care District
Briana Evans	City of Redwood City
Chris Bernhardt	Novaworks
Dr. Curtis Chan	San Mateo County Health
Dr. David Chang	Stanford University
Deandra Lee	San Mateo County Health, Health Policy & Planning
Georgia Farooq	Thrive Alliance
Heather Eastwood	San Mateo County Health, Office of Epidemiology and Evaluation
Janine Bruce	Stanford University
Klealy Pineda-Mena	San Mateo County Health, San Mateo Medical Center
Maria Reyes	San Mateo County Health, Communicable Disease Control & Prevention
Marion Brown	BACHAC
Marlen Medina	El Concilio of San Mateo
Dr. Miriam Sheinbein	Health Plan of San Mateo
Ruben Abrica	City of EPA
Tamta Mchedlisvili	San Mateo County Health, Communicable Disease Control & Prevention
Vicky Avila Medrano	Peninsula Family Service

 

CHIP Work Group Priority Areas

The CHIP work groups have worked on the three priority areas: Access to Health Care Services (Access), Social Determinants of Health (SDOH), and Mental Health. The work groups are responsible for developing the vision, goal, community-level indicators, strategies, objectives, and activities for each priority area. Below is a high-level overview of the strategies developed for Access and SDOH. The Mental Health Work Group will reconvene on April 29, 2024 to continue CHIP activities.

 

 

What is the Community Health Improvement Plan (CHIP)?

The Community Health Improvement Plan (CHIP) outlines key objectives and strategies to address determinants of health that will lead to improvements in health outcomes. It serves as a roadmap for improving population health and keeping community health planning visible to decision-makers and community members. It lays out the strategic effort to address health issues based on data results of the CHA and the CHA Community Forums.

Why is the CHIP important?

The CHIP is intended to be a partnership between Public Health, Policy & Planning (PHPP) and community stakeholders. It is critical to addressing health needs identified in the CHA. The priorities, goals, objectives, and strategies developed are determined with community input. The CHIP increases community collaboration and strengthens partnerships to address health needs.

Frequently Asked Questions

What is a Community Health Assessment (CHA)?

The Community Health Assessment (CHA) is a report that highlights data gathered on the health status of San Mateo County residents. For San Mateo County, most data in the CHA comes from the Health and Quality of Life survey. This survey is important because it is not limited to physical health measures but also captures information on factors that influence health. The factors include, but are not limited to: affordable housing, childcare, education, employment, air and water quality, civic participation, neighborhood safety, access to health care services, physical activity, etc.

Why is the CHA important?

The data reported in the CHA will be used to identify health needs and priorities. The survey collected data from over 3,000 adults and included over sampling of key populations (for example, Latinos, African Americans, Pacific Islander, LGBTQ+ individuals, low-income populations, and individuals from the coast). The data set is more comprehensive than other sources of data for San Mateo County; therefore, it is an excellent source of information to make data-driven decisions. The CHA is part of a broader community engagement process to identify and implement health improvement activities.

Why should I attend the CHA Community Forum?

You should attend the forum to provide input on your community’s health needs and priorities. This is the first step in developing the Community Health Improvement Plan (CHIP). It is important to have a strong community voice in this planning process. This also provides the opportunity to hear directly from community members on health needs that might not be highlighted in the CHA that should be considered in developing the CHIP. 

Should I go to more than one CHA Community Forum?

No, the forums are being repeated in different areas of the county to make it easy for people to attend. The information and process for getting feedback will be the same at each forum, so there is no need to attend more than one.

What should I expect at the CHA Community Forum?

You should expect the following:

• An overview and summary of data from the Health and Quality of Life Survey and other sources
• An opportunity to share information about your health or the health of your community that may not have been highlighted in the data.
• You will be asked to choose health needs that should be the priority focus for health improvement for the next three years.

Dinner will be provided at the forum, and community members will be given a $25 gift card for their participation.

What will happen after the CHA Community Forums?

After the community forums, the information and health priority recommendations shared at all forums will be compiled to determine health priorities for the Community Health Improvement Plan (CHIP). A Community Health Improvement Plan kick-off meeting will be held to review the priorities identified at the CHA forums and determine three health priorities for the Community Health Improvement Plan.

Goals

The goals for this process include:

• Developing and improving engagement with community members to identify and guide health priorities
• Communicating and seeking feedback on the strategic planning process from internal and external partners 
• Creating an actionable strategic plan that will lead to improved health outcomes 
• Establishing a meaningful partnership with community for strategic planning and shared decision-making 

Process

PHPP has a three-step process to develop the PHPP strategic direction for the next three years.  Those steps include: 

Community Health Assessment (CHA) – Step One:

The CHA was developed using the Health and Quality of Life survey. Over 3,000 San Mateo County adults completed the survey with over sampling of key populations (for example, Latinos, African Americans, Pacific Islander, LGBTQ+ individuals, low-income populations, and individuals from the coast). The data set is more comprehensive than other sources of data for San Mateo County. PHPP will present a summary of the CHA data that highlights San Mateo County’s health status and needs to seek community feedback. Six CHA Community Forums will be held throughout the county (four English and two Spanish) to gather community feedback on the data. This is also an opportunity for community members to share their experience related to health needs that are included in the CHA data. 

Community Health Improvement Plan (CHIP) – Step Two:

In collaboration with community members, community partners organizations, and PHPP staff, the CHIP will highlight prioritized health concerns and outline strategies for health improvement action. The CHIP will consist of a virtual prioritization session that will result in no more than three health priorities. Workshops will be held for each identified health priority. The workshops will result in the development of goals, objectives, and strategies for each health priority. Once the priorities are identified, a CHIP steering committee will be developed to help in the development of the CHIP. The committee will consist of subject matter experts on the health priorities identified, community stakeholders, and PHPP staff.  A CHIP implementation plan will be developed to monitor, review, and update progress on the CHIP goals with community stakeholders. 

PHPP Strategic Plan – Step Three:

The PHPP Strategic Plan is an internal plan that is guided by community input through the CHA and CHIP. The CHIP will most likely include health priorities that are not under the direct scope of PHPP programs (i.e., mental health, maternal and child health, older adult health, etc.). Therefore, the CHIP will be considered in providing context for overall health improvement whereas, the PHPP strategic plan will serve as our operational workplan. The strategic plan will outline PHPP’s mission, vision, and values. It will also consist of PHPP priorities, goals, and strategies specific to the work and scope of the division’s programs.  The plan is intended to engage all levels of PHPP for input, feedback, and plan development. The plan will be developed utilizing multiple opportunities for input including but not limited to an in-person kick off session, key informant interviews, virtual listening sessions, and a staff survey. Once the plan is developed a schedule will be created to monitor, review, and share progress on the PHPP plan as well as make adjustments to the plan goals and objectives as needed. 

Timeline

Proposed timeline of PHPP Strategic Direction activities can be found below:

Step One	CHA Community Forum	Sept. – Oct. 2023
Step Two	CHIP Development	Nov. 2023 – Mar. 2024
Step Three	CHIP Implementation and Updates	Mar. 2024 – Dec. 2026

 

CHA Forum: 9/12/23

At the September 12, 2023 CHA Forum in San Mateo, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with Bay Area Community Health Advisory Council (BACHAC) came together to discuss the health needs those living in San Mateo County. Twelve (12) community members attended the meeting, and the following are the key health issues identified:

• The need to address food insecurity
• Improved access to supportive services for vulnerable populations including older adults
• Housing needs

CHA Forum: 9/20/23

At the September 20, 2023 CHA Forum in Half Moon Bay, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with Senior Coastsiders came together to discuss the health needs those living in San Mateo County. Twelve (12) community members attended the meeting, and the following are the key health issues identified:

• Access to health care services
• Transportation
• Mental health and isolation

 

CHA Forum: 9/24/23

At the September 24, 2023 CHA Forum in Daly City, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with Healthways came together to discuss the health needs those living in San Mateo County. Thirty-six (36) community members attended the meeting, and the following are the key health issues identified:

• Mental health
• Environmental impacts on health (crime, pest infestation, toxic soil)
• Diabetes and obesity

 

CHA Forum:  10/2/23

At the October 2, 2023 CHA Forum in East Palo Alto, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with One EPA (East Palo Alto) came together to discuss the health needs those living in San Mateo County. Eighteen (18) community members attended the meeting, and the following are the key health issues identified:

• Mental health
• Diabetes and obesity
• Housing

 

CHA Forum: 10/10/23

At the October 10, 2023 CHA Forum (Spanish) in Redwood City, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with El Concilio came together to discuss the health needs those living in San Mateo County. Twenty (20) community members attended the meeting, and the following are the key health issues identified:

• Diabetes and obesity
• Housing
• Nutrition/food insecurity

 

CHA Forum:  10/11/23

At the October 11, 2023 CHA Forum (Spanish) in Redwood City, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with Coastside Hope​ came together to discuss the health needs those living in San Mateo County. Eleven (11) community members attended the meeting, and the following are the key health issues identified:

• Access to health care services
• Discrimination/culturally appropriate care/trust
• Housing

 

CHA Forum:  10/19/23

At the October 19, 2023 CHA Forum (virtual) in Redwood City, community members, San Mateo County Health Public Health, Policy & Planning (PHPP) in partnership with Youth Community Service​​ came together to discuss the health needs those living in San Mateo County. Forty-six (46) community members attended the meeting, and the following are the key health issues identified:

• Mental health
• Discrimination
• Access to health care services

 

CHA Forum Data Q&A

Do you have more data than what was presented at the community forums?

To find more data on different communities or health topics, you can explore the San Mateo County All Together Better (SMCATB) data portal. The data portal is sponsored by Public Health, Policy, and Planning (PHPP). This site contains San Mateo County data on health outcomes, health behaviors, health care access, and socioeconomic conditions. Indicators are disaggregated by age, sex, race/ethnicity, and/or geography. You can also view reports, including the 2023 Community Health Needs Assessment: Health & Quality of Life in San Mateo County. PHPP will also be publishing additional data briefs and uploading new indicators to the SMCATB data portal in 2024.

How many people live in San Mateo County?

According to 2023 Claritas data, there are 740,014 residents living in San Mateo County. For more population data, visit the Demographics Dashboard on the San Mateo County All Together Better data portal.

What is the Healthy Places Index?

Developed by the Public Health Alliance of Southern California, the Healthy Places Index (HPI) maps socioeconomic factors that impact life expectancy and other health conditions. A score is calculated based on 23 different indicators for various geographies including counties, zip codes, and census tracts. Scores range from 1 to 100, where lower scores indicate less healthy conditions and higher scores indicate healthier conditions. Various San Mateo County initiatives have used the HPI to guide programs and policies toward health equity-driven goals, including selecting neighborhoods for COVID testing and vaccination outreach and identifying priority neighborhoods for the Community Health Assessment.

CHIP Kick-Off:  11/1/23

The virtual CHIP kick-off event was held on 11/1/23, here’s a recap:

We had representatives from over 90 CBO partners and non-profit organizations, Hospitals (Kaiser, Sequoia, Stanford) and Health Plan of San Mateo, members of San Mateo County Health Programs (e.g., Behavioral Health & Recovery Services, Family Health, Public Health, San Mateo Medical Center), and community advocates and leaders.

The meeting was grounded with an activity to identify a shared vision and values. (please click images to enlarge) 

The purpose of the Community Health Improvement Plan (CHIP) Kick-Off was to highlight findings from the Community Health Assessment (CHA), the CHA Community Forums, and the resulting list of nine health priority areas that were created via this process. Based on the health areas identified during the CHA forums, attendees were asked to prioritize the list to develop the top five priorities for consideration in implementing the 2024-2026 CHIP.  The five health priorities identified include: Mental Health & Mental Disorders, Access to Health Care Services, Social Determinants of Health (SDOH) (Economy, Housing, Employment, Transportation), Diabetes, Substance Use (Alcohol and Drug Use, Tobacco Use). PHPP decided to focus on three health areas for the 2024-2026 CHIP. Those areas are: Mental Health & Mental Disorders, Access to Health Care Services, and Social Determinants of Health (SDOH) (Economy, Housing, Employment, Transportation).

Some participants highlight the similarities of priorities to other CHA/CHNA results. Comments in the chat included:

“We saw consistent themes with priorities across all health systems and County CHAs.”

“Based on the work that BACHAC conducted, other CHA’s showed that Mental health, economic stability, housing and homelessness, and access to care, were the top priorities.”

“I am excited for a stronger and healthier future for SMC with this great dream team/changemakers!”

See the CHIP Presentation or Watch the Kick-off Recording

CHIP Kick-off Presentation  

Next Step

The next step in the CHIP process is that an internal steering committee will further prioritize the health areas to three areas of focus for the 2024-2026 CHIP and begin holding workgroups with community partners to co-develop a health improvement plan for the three health priorities.