A six-county community-wide children's health assessment and planning survey: The process and the strategy for continuation

Background: In 2006 Cook Children's Health Care System made a bold step to move beyond the care of ill or injured children to the promotion of health in all children in the communities they served. This area defined by Medicaid consists of six counties in North Texas. This is one of the fastest growing areas of the nation. In 2011, the Center for Children's Health was formed to support the survey process, community health outreach, and research. Methods: The organization began with community listening sessions and focus groups to help inform and develop the Community-Wide Children's Health Assessment and Planning Survey (CCHAPS)1 that was launched in 2008 to obtain the parent's perception regarding child health and wellness. Special efforts were made to get information from the homeless population and the non-English speaking Latino population. The survey was distributed a second time in 2012. Results: From this effort a wealth of information has been distributed to the community through regional and county -specific summits; and coalitions in each of the six counties have begun to address community identified issues. Six topics have surfaced: Obesity (Child Nutrition and Physical Activity), Asthma, Mental Health (Emotional Wellness), Dental Care, Child Abuse/Prevention, and Safety. Conclusion: It is possible to have a hospital lead effort to promote child wellness that finds its strength and success in community lead coalitions. We realize the importance of sharing our experience, tools, and research. We promote the use of evidence-based programs to improve the lives of children.