2017 Community Health Assessment: Forces of Change in Fredericksburg City, Virginia

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The 2017 Community Health Assessment for Fredericksburg City, Virginia, highlights the forces of change impacting the local public health system. It discusses trends, factors, and events affecting the community over the next five years, with a vision for an inclusive community providing health resources and opportunities. The assessment poses critical questions to address potential threats and opportunities, emphasizing discussions on social, economic, political, technological, environmental, scientific, legal, and ethical aspects. The document also outlines key considerations for future actions and community engagement.


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  1. 2017 Community Health Assessment Forces of Change Assessment Fredericksburg City, Virginia Saba Lemma, M.P.H. Brooke Rossheim, M.D., M.P.H. June 28, 2017

  2. 2017 Fredericksburg Community Health Assessment Vision An inclusive community which will work collaboratively to provide physical and mental health resources, safe and secure housing, educational opportunities, healthy food choices and space for recreational activity to all of its residents.

  3. Forces of Change Assessment Forces of change outside of your control that affect the local public health system or community. Example of forces: Trends, factors and events Trends: growing population Factors: historic city Events: natural disaster

  4. Questions to answer What is occurring or will occur over the next five years that impacts the health of Fredericksburg City? What specific threats or opportunities are generated by these occurrences?

  5. Categories for discussion Social Economic Political Technological Environmental Scientific Legal Ethical

  6. Forces of Change Questions What has occurred recently that may affect our city? What may occur in the future? What characteristics of the city pose an opportunity or threat? What may occur or has occurred that may pose a barrier to achieving CHA vision? Are there changes in your organization that may impact the community?

  7. Questions?

  8. Next Steps CTSA and CHSA workgroup meetings. Local Public Health System Assessment (LPHSA) meeting Steering Committee meeting

  9. Thank you for your attention!! If questions, please contact Saba Lemma, M.P.H. Community Health Assessment Planner Rappahannock Area Health District Email = saba.lemma@vdh.virginia.gov Cell Phone: 540-369-3201 OR Brooke Rossheim, M.D., M.P.H. District Director Rappahannock Area Health District Email = brooke.rossheim@vdh.virginia.gov Main Office = 540-899-4797

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