3. Community health outcomes with includes concerns of smoking, diabetes, obesity, cancer and dental care 4. Funding issues surrounding County public health services 5. Implications of the Affordable Care Act, and State legislative issues such as Issue 3 legalization of marijuana. Table 3. Threats and Opportunities of Pickaway County’s Forces of Change FORCES THREATS OPPORTUNITES ECONOMIC Lack of Funding *No levy for several years *Awareness for levy *Less money available for *Health department roles; direct services and need for increased prevention programs incentive to collaborate *Decreases support system between offices and for high-risk or high-needs programs. populations *shift responsibility of *need more time seeking some programs to private grant funding sector or nonprofit *Job loss that affects the agencies or streamline infrastructure of social services. systems and public health *Create new systems to programs reach more clients efficiently. Weak economy *Increase in number of *motivation for business unemployed and development underemployed *Increase in Medicaid and in *Role of ACA uninsured or underinsured *Increase partnerships and collaborations *Increase in foreclosures and *Increase social support housing issues Global threat *Threat of economic *Increase partnerships and downturn and uncertainty social support ENVIRONMENTAL Sewage Laws *Lack of awareness *Compliance and *Contaminates water supply informing of new laws statewide *Clean and redesign public spaces and parks Water run-off *Contaminates water supply *enforcement and *Lack of awareness education *Increase community value by improving environment Foodborne outbreaks *impact on community *Increase environmental services *improve awareness Emergency Preparedness *impact on community *mandated
3. Community health outcomes with includes concerns of smoking, diabetes, obesity, cancer and dental care 4. Funding issues surrounding County public health services 5. Implications of the Affordable Care Act, and State legislative issues such as Issue 3 legalization of marijuana. Table 3. Threats and Opportunities of Pickaway County’s Forces of Change FORCES THREATS OPPORTUNITES ECONOMIC Lack of Funding *No levy for several years *Less money available for direct services and prevention programs *Decreases support system for high-risk or high-needs populations *need more time seeking grant funding *Job loss that affects the infrastructure of social systems and public health programs *Awareness for levy *Health department roles; need for increased incentive to collaborate between offices and programs. *shift responsibility of some programs to private sector or nonprofit agencies or streamline services. *Create new systems to reach more clients efficiently. Weak economy *Increase in number of unemployed and underemployed *motivation for business development *Increase in Medicaid and in uninsured or underinsured *Role of ACA *Increase partnerships and collaborations *Increase in foreclosures and housing issues *Increase social support Global threat *Threat of economic downturn and uncertainty *Increase partnerships and social support ENVIRONMENTAL Sewage Laws *Lack of awareness *Contaminates water supply *Compliance and informing of new laws statewide *Clean and redesign public spaces and parks Water run-off *Contaminates water supply *Lack of awareness *enforcement and education *Increase community value by improving environment Foodborne outbreaks *impact on community *Increase environmental services *improve awareness Emergency Preparedness *impact on community *mandated
pickaway_county_community_health_assessment_2015.docx