HomeMy WebLinkAbout2022-01-27 Board of Health Minutes North Andover Board of Health
Meeting Minutes
Thursday—January 27,2022
7:00 p.m.
120 Main Street,Board of Select Room
Live broadcast can be heard on www.northandovercam.org
Present: Joseph McCarthy,Dr.Patrick Scanlon,Michelle Davis,Brian LaGrasse,Stephen Casey Jr,Carolyn
Lam and Toni Wolfenden
I. CALL TO ORDER
The meeting called to order at 7:00 pm.
II. PLEDGE OF ALLEGIANCE
III. NEW BUSINESS
A. 2022 Board of Health Schedule—tabled till next meeting
IV. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION
A. Brian LaGrasse—Covid19 updates and statistics See Appendix A
There has been a worldwide holiday spike due to the omicron variant. It is extremely transmissible
however it is less severe than the delta variant. The state epidemiologist Dr.Katie Brown stated that
the omicron variant seems to be more in the throat than the nasal passage which causes transmissibility
to be higher. The variant arrived in the United States around Thanksgiving which was the perfect
storm and perfect time to transmit throughout the entire nation. This caused the biggest spike seen
since the beginning of the pandemic. Currently, it has since receded and the numbers are back down
to under 100 active cases in North Andover. The town is at a 16%positivity rate. The numbers are on
the decline. Testing is holding strong,which is good. Lawrence General Hospital and Merrimack
College still do testing. Hospitalizations are down to 2500 across the state which is down from 3144
last week. In the future,the Commonwealth of Massachusetts will be separating out patients being
hospitalized due to COVID-19 and those being admitted with incidental COVID-19. The state will
also be categorizing the COVID-19 deaths with more detail. People who test at home do not have to
submit the results to the local government. Brian LaGrasse recommends for people who test at home
to follow up with a PCR test to confirm positive results. If someone tests positive on at home,do not
go out before the PCR test,isolate,get tested then wait for results. If towns people call the health
department or the school department,the results will be placed on a master list and are tracked,they
become part of the town data however,it is not part of the states. The School Committee require all
students to wear masks in schools. This mandate has been extended to February 281,2022. It is in the
process of being discussed and reviewed because the numbers are going down and the student
immunization rate is at 80%. The Department of Education is no longer implementing"Test to Stay".
The school department is now starting an optional test at home program. It is for students and staff.
Massachusetts Water Resource Authority(MWRA)has been doing ongoing sampling of wastewater
2022 North Andover Board of Health Meeting Page 1 of 3
Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member;
Dr.Patrick Scanlon,DO,Town Physician/Member;Max Tilson MD,Member, Health Department Staff:Brian LaGrasse,Health
Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department
Assistant
for concentrations of COVID-19. This is an indicator of the trends. The concentrations are going
down dramatically,which is a clear sign that the numbers are decreasing. Vaccination rates are up. As
a town,76%of the towns people are fully vaccinated with 85%partially. Greater Lawrence Family
Health Clinic will be conducting a COVID-19 vaccination clinic today at NAHS. Joe McCarthy
discusses natural immunity with Brian LaGrasse and Dr.Patrick Scanlon.
The draft of the new Animal Regulations has been tabled till a future meeting. The Community Health
Improvement Assessment and Plans for the Towns of Andover and North Andover(See Appendix B.)
has been included for the board to review. The towns have partnered together because we have similar
populations and combining the outreach,and data collection can help cut cost. The next step is to go
to bid for a Request for Proposal(RFP). Any company can put in a bid. After the bids are received,a
company will be chosen to do the assessment. These projects are in-depth,estimated completion date
is one year. The plan will give data and community input about what residents think they need and
want. Programs and outreach will be created from the data results. It will give a blueprint on what we
can do most effectively moving forward as a public health department. Earlier this week,there was an
oil spill on Foster Street. An estimation of seven to eight hundred gallons of oil was released into
Mosquito Brook. Department of Environmental Protection runs point on hazmat. They have been
notified.An emergency response crew came out. Whoever is the responsible party will get a Notice to
Responsible Party(NRP). They are in charge of the cleanup under supervision from the state.DEP has
the Massachusetts Contingency Plan(MCP)for any type of hazmat release. The MCP must be
followed completely. It is very complicated,in-depth process to complete the cleanup. Clean Harbors
has been hired for the cleanup process. The cleanup is ongoing. Brian has not received any reports at
this time.
Patrick Scanlon—explains that the COVID-19 vaccine was designed to prevent serious illness and
death with a secondary benefit of not overwhelming the health care system. The vaccine is twofold:to
protect you and to protect others. It is a public health issue and as citizens of this country we should
abide by and care for other citizens that are around us. Joseph McCarthy asks if an antibody test would
show results if a person had the virus a year or more ago which Patrick explains that you do not know.
The question is what is the level of function of those antibodies that are being tested? An antigen test
does not test the strength of those antibodies. Someone who got infected early in the pandemic,where
critically ill and recovered,had much more remaining and longer antibody response after their
recovery than somebody who had mild illness. When a new virus enters the population,it is unclear
how the populous will react. Today,with vaccine and the population having some natural immunity,
we are moving past pandemic and now becoming endemic. Brian LaGrasse explains that masks are a
mitigating factor and they play some role in reducing transmission of COVID-19. Patrick explains
about 3 weeks ago the hospitals were being backlogged with patients. There are much less people
taking up ICU beds and ventilators from COVID-19. Test kits can be ordered through USPS.com. To
find your vaccine record to go to myvaxrecords.mass.gov.
Carolyn Lam—The Town of North Andover has flu vaccine available. If interested call the health
department 978-688-9540. Carolyn has ordered one hundred Moderna booster shots. When the
vaccine arrives booster clinics will be set up at the senior center. Vaccination clinics will also be set
up for school age children. The state has done away with contract tracing. The health department has
partnered with the school nurses to work with the school age population. It is being switched from a
more active participation to surveillance and monitoring clusters which is shifting from pandemic to
endemic. The isolation and quarantine guidance as changed by the Commonwealth of Massachusetts.
Isolation and quarantine time lines are down to five days. Isolation for people who have tested
positive,on day six through ten,people can go out with a mask on if symptoms have resolved.
Quarantine is for people who have been exposed. That person needs to wear a mask for five days and
get tested if symptomatic. It is recommended to get tested after day five. The PCR test can show the
virus for up to ninety days. This has caused issues in the hospitals. If a patient needs to be transferred
to a rehabilitation facility,however,they are still testing positive can result in delays.
Stephen Casey—COVID-19 Isolation&Quarantine Flow Chart. See Appendix C.
V. ADJOURNMENT
MOTION made by Michelle Davis.Dr.Patrick Scanlon seconded,all in favor,motion approved.The
meeting adjourned at 8:14 pm.
North Andover Board of Health
Meeting Minutes
Thursday—January 27,2022
7:00 p.m.
120 Main Street,Board of Select Room
Live broadcast can be heard on www.northandovercam.org
Prepared bjL
Toni K. Wolfenden, Health Dept.Assistant
Reviewed by:
All Board of Health Members&Brian LaGrasse,Health Director
&3.med :
Z�12z
vouaeu*o-
MichgLlo'Davis, Clerk of the Board Date Signed
Documents Used at Meeting:
Agenda
COVED 19—Case Numbers and Statistics
Community Health Improvement Assessment and Plans for the Towns of Andover and North Andover
Isolation&Quarantine Flow Chart
2022 North Andover Board of Health Meeting Page 3 of 3
Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member;
Dr.Patrick Scanlon,DO,Town Physician/Member;Max Tilson MD,Member, Health Department Staff:Brian LaGrasse,Health
Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department
Assistant
North Andover Board of Health
Meeting Agenda
Thursday,January 27, 2022
7:00 pm
120 Main Street
Board of Select Room
Live broadcast can be heard on www.northandoverma.gov
I. CALL TO ORDER
II. NEW BUSINESS
A. 2022 BOH Meeting Schedule
III. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSIONS
A. COVID19-Updates
IV. ADJOURNMENT
2022 North Andover Board of Health Meeting-Meeting Agenda Page 1 of 1
Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on
the agenda.
Board of Health Members: Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member;
Dr.Patrick Scanlon,D.O.Town Physician/Member;Dr.Max Tilson,MD,Member Health Department Staff:Brian LaGrasse,
Health Director;Stephen Casey,Public Health Inspector;Caroline Ibbitson,RN,Public Health Nurse;Toni K.Wolfenden,
Health Department Assistant.
Date Total Number of Cases Total Active Cases Deaths
1i20i2022 6211 171' 98
5 day isolation/active cases
(not 10 days as of 12/30121)
Cases by age North Andover Vaccination Rates I Vaccination Status
............—............_....................................................................................-_........................._....._............;................_......._................._............._........-----._---------------......................---.._...._......_._.. - .._..:..................................................................................................,................................-._..__..._............_......._.............
Age #of Positive Cases %Population Partially Vaccinated %Population Fully Vaccinated Vaccinated NOT Vaccinated
.................................................................................:.....................................................................................................................................................................................................................................................................................---.................................................................................................................................................._............................................................
0-4 8
5-11 [ 12 57% 48%
_..........................-......-.� ..-.._..-.--...._...._......-- t...__._......._..__. _-....._..._...._................ ---....._..._..?.._ _-_......................................................................_.._..___......................._�_..._
12-15 9 ! 88% 79% Breakthrough cases typically account for between 25-45%of daily totals.
_._._._._.................._............----- _.......- - _.. ..................................................................... __...... ........................................................................................._.—_...................._
16-19 16 __-F.._--•- 70% 64% Immunity does decrease over time and it is estimated to be down to 35%
...._....._...__.......................................... .........._........_.. -..-.._.................................................................
........
..................................................... ....... _ ....... ............ .. - ---......... ... -- --
20-29 25 90% 77% after 6 months.A booster brings it back up to over 95%effective.
...........-----.-.........................._....—.-.._....----......................._.. ____...........:.............. __.......... .............................-............._.................-,-._......._................... .................--..__._.._..L .................................--—
30 49 55 92% 84% Once you are vaccinated,your body has antibodies and your Immune
_................__................................................._.................................................................................................,......................................... .............................;........................................................................_..._............................—.._...................._....................._.._..._......................................................................
50-64 28 94% 86% system is ready to fight the virus so if you do contract it,your body can
65-74 9 >95% >95% fight off infection much easier and quicker,which dramatically reduces
.............._...............................................-..........._......_.....-._...-_........-......._....-__.-._..-_r_.-_.........._.._......._..._......_......_.._......_..__......._.._.................._.L__...__..._............._........_...---............_..-.---._.._............i..........-..-.......-........ -__..................................................._......................_ -
75+ € 7 >95% - >95% j your chance for severe symptoms and hospitilization.
t--.........--------_---------- ---........_._.-...._._. ......._..._.....:......_—................. -. .........................--_...........
TOTAL 171 84% 76% 10.02%of breakthrough cases end up in the hospital.
NA Household Cluster% 24% Cases linked to household or congregate living transmission.
NA Percent Positive Testing Rate: 20.41% Percent of positive tests over 14 days
NA 14 Day Incidence Rate: 237.5 Incidence rate is the number of new cases per 100K people. Rates
are used to compare data between areas with different population sizes
NA 7 Day Incidence Rate: 155.6 NA rate taken over the last 7 days
NA Two week Testing Number 5,297 Number of tests given over 14 days to NA residents,including higher ed
Total#Vaccinated in MA: 5.16M People are fully vaccinated in MA
Hospitalizations in MA: 3,144 COVID-19 hospital patients in MA(462 in ICU,280 Intubated patients)
Items to Note: 1.The weekly case totals have declined and our 7-day incidence rate has gone down to 155 from 257. Our daily average is down to 47 new cases per day.
We had a high of 97 cases one day this week with a low of 7 cases.
2.We are hoping the post holiday spike has peaked and our munbers will keep declining.
3.The CDC and MADPH have changed their isolation and quarantine recommendations.
4.You can look at DPH's new recommendations here
5.The new isolation period of 5 days and has been reflected in the 2022 dashboards.
6. You can order free at home test kits from USPS,4 tests per household. htt[)s://soecial,usos.com/testkits
7.You can also now access your digital vaccination card here.
Omicron Variant: 1.This variant is the dominant strain here in MA and accounts for 95%of the samples tested by the state.
2.All 3 vaccines and the boosters are effective against Omicron.
Vaccine Info: https://www.mass.gov/covid-19-vaccine
The BEST DEFENSE against the virus and any variant is getting vaccinated!
Vaccines are very effective at keeping you out of the hospital if you contract the virus.
Please remember that FULLY VACCINATED individuals DO NOT have to QUARANTINE if considered a close contact.
Indoor sports tend to have a lot more close contact quarantines than other activities.
5.1%of fully vaccinated people in MA have contracted the virus.
0.09%of vaccinated people have gone to the hospital with symptoms.
0.02%of vaccinated individuals have passed away from covid.
As of 1/8,5.1 M people are vaccinated in MA with 262,060 breakthrough cases.Of those cases,4,553 were hospitalized and 1,054 resulted in death.
The Department of Public Health(DPH)released breakthrough data showing that 97%of COVI D breakthrough cases in Massachusetts have not resulted in
hospitalization or death.Unvaccinated individuals are five times more likely to contract COVID than fully vaccinated individuals and 31 times more likely to contract COVID than individuals
who have a booster.
Testing: If you have been exposed or are a close contact,get tested. It is still free and easy.
https://www.mass.gov/info-details/find-a-covid-1 9-test
Monoclonal Antibody Treatment for COVID-19:
Massachusetts has several public sites administering monoclonal antibody treatment,therapies that have shown to be effective in reducing severity of disease and keeping COVID-19-positive individuals from being hospitalized.
Referral from a health care provider is required for treatment,which is provided at no cost to the patient and offered regardless of immigration status or health insurance. Patients should discuss with their health care providers
whether monoclonal antibody treatment is right for them.
For more info see the press release here:
https://www.masr.aov/`news/baker-polito-administration-announces-state-supported-monoclonal-antibody-tr atm nt-sit s-in-ma sa h c tts
Booster Doses:
Reminder:CDC COVID-19 Booster Recommendations include 12 to 15 years of age.
12-17-year olds can get a Pfizer booster.People 18+can get any booster.
The CDC expanded COVID-19 booster recommendations to 12 to 15-year-olds.Information is available on the booster shots webpage and the Clinical Considerations webpage.
In Massachusetts,following the updated recommendations and guidance from the CDC,MDPH announced that all adolescents ages 16 and 17 are able get their Pfizer COVID booster if they are at least 6 months
post their initial Pfizer vaccination series.Adolescents ages 16 and 17 are able to receive the Pfizer COVID-19 booster from more than 500 locations including retail pharmacies,primary care practices,regional collaboratives,
community health centers,hospital systems,state-supported vaccination sites and mobile clinics.
Visit www.mass.gov/covidl9booster for more information.
*Active cases are now based on a 5 day isolation period. The 2021 dashboards were based on a 10 day active case load
Date Active Cases
7/8 0
7/15 4 North Andover Active COVID-19 Cases by Week - -
7/22 11
7/29 32 500
8/6 20 480 _ 457
460 ._
8/12 47 440 _.. _.
8/19 58 420
400 — _ 376-
8/26 62
380 -
9/2 82 360
_...—.__..__ _— __ _ _. 322
9/9 88 340 __�___� _. _.
320
9/16 107 300
9/23 103 z 280
9/30 105 N 260 _.____ ._. ______-__._ _ 236 240
_
240 _..... _.__....._ ._ . ..._.._. _ __.. _204
10/7 71 220
10/14 61 200 : _ _ ------ — �� 171
180
10/21 70 —
160 �:w_.� 128 133
10/28 91 140 —.. --._. ..___. 112
120 107 103 105 96 107
11/4 96 100 82 88 91
62 71 70
11/11 112 80 _. __47 58 61 _
11/18 107 60 .. _. 32 ..20.
11/25 128 20 0 4 11
12/2 133 0
12/9 204 ^�oti��,y� ��o e�^��� ��06 o�ti ono tee- ��0� ���o �o�^o�^a^o\��^o\�� ^�a^^�.^^\w^���h ���L ^�a 4�o 0�o�4�50 �o \^\�oPti
12/16 236
12/23 240 Date
12/30 457
**1/7 and later represents 5 day data instead of
1/6 322 10 day due to change in isolation guidance
1/13 376
1/20/22 171
1/27
Date Percent Positivity
7/29 2.48 _
8/6 2.95 NA 14-Day Percent Positivity of Tests
8/12 2.42 20.7^
8/19 3.68 21.0 2o.a1
20.0
8/26 4.69
19.0
9/2 4.13 18.0
9/9 2.81 17.0 _ _v_ -
16.0 -- _.._
9/16 2.48 15.0
14.0 __-__
9/23 2.31 __.,.. _ _.__.._. _._.. ..
2- 13.0
9/30 2.44 12.0
10/7 2.6 d 11.0 ___
10.0
10/14 1.84 a 9.0 --
10/21 1.74 8.0 7.0 5:93,
..____ _ __ �_ _ ___.____ _ W _
10/28 2.7 6.0 4.69413 4.434.655.11
11/4 3.22 5.0 _-- 3.68 _. 322
4.0 2.48295 2.81 .
2.42 2.482.312.44 2.6 2.7 2.42
11/11 2.42 3.0 1.841.74 2.14 2:99
11/18 2.14 2.0
1.0
11/25 2.99 0.0
HME
12/2 4.43 ��ti° ��°°�^�°��°e�0° °�� °\° ° �°\,bo °\1,°\�'.°\�°^,\o ^ .�\�°^�y`'���ti^� e \�°
12/9 4.65
12/16 5.11 Date
12/23 5.93
12/30 8.28
1/6 16.04
1/13 20.79
1/20 20.41
1/27
Date 14 Day Avg Incidence rate
7/29 6.4
8/6 9 -
8/12 8.5
8/19 14.1 14-Day North Andover Average Incidence Rate
8/26 21 250 - 237.5
9/2 19.6 227.1
9/9 22.4
9/16 29.2
9/23 27.4 200
9/30 30.4
10/7 29.2
10/14 17.5 rr 150 137.5
L)
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10/21 16.7
10/28 24.5
11/4 27.1 a 100
11/11 30.4 0 78.3
11/18 32.3 64.4 65.3
51.9
11/25 34.4 41.7
50 30.4 29.2 30.4 32.3 34.4
12/2 41.7 29.2 27.4 24.5 27.1
21 19.6 22.4
1/16 51.96.4 1117,116,7
12/16 64.4
12/23 65.3
41�1 41", e 4P 41 lb",
19^o 4 o�,4o ^off
1/6 137.5 Date
1/13 227.1
1/20 237.5 -- - ------- -- -
1/27
Date 7 Day Avg Incidence Rate
9/9 25
9/16 33.1
9/23 36.4
9/30 29.2 7-Day North Andover Average Incidence Rate
10/7 20.8 400.0
10/14 17.9
10/21 16.7 Yo
0
10/28 31.6 300.0 257.4
m
11/4 35.3
11/11 38.6 190.1
200.0 159.4 155.6
11/18 39.6
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11/25 36.7
c 86.7
12/2 52 , 100.0 66 69.3
12/9 66 > 25 33.136.429.2 31.63 5.33 8.639.63 6.7
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12/23 86.7 .0
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12/30 159.4
1/6 190.1 Date
1/13 257.4
1/20 155.6
1/27
Date 2 Week Tests R
9/9 4167
9/16 5727
9/23 5716
9/30 5972 Total Tests Administered in NA over 14 Days
10/7 5549 8,000 -- -- - ----- -
10/14 4946 _ 7046
10/21 4650 z 5972 5959
5843
10/28 4377 6,000 -- 5727 5716 5549 4946 4994
4916
11/4 4103 N '167 4650 4377 4103 4360
4262
11/11 5959 = 3885
11/18 7046 E 4,000
11/25 5386 N
12/2 4262
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12/9 4994 ,
12/16 5843 Ev.> „ ...
12/23 5246 Z 0
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1/13 4916 Date
1/20 5297
1/27
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1/27
Hospitalizations, ICU and Intubated Patients in Massachusetts
Hospitilizations ICU ® Intubated
4000
3180 3144
3000
Z. 2524
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1954
6 2000
1636
E 1473
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439 571 567 532 528 509 527 1"62
375 378 387 416 484
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Date
0-9 0
10-19 0 North Andover Deaths by Age
20-29 0 30 29
30-39 0 30 27
40-49 2
50-59 3
60-69 7 20
70-79 27
80-89 30
E
90 + 29 _-. z
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Submitted on October 4, 2021 by
Abby Atkins, MSW, Managing Director
aatkins@hria.org
617-279-2254 Health Resources in Action
Advancing Public Health and Medical Researcl,
Health Resources in Action (HRiA) is pleased to submit this proposal to the Towns of North Andover and
Andover to conduct a Community Needs Assessment(CNA) and develop Community Health Implementation
Plan (CHIP) and Monitoring and Evaluation (M&E) Plans.This proposed process aims to engage stakeholders,
provide an updated portrait of the area's health, assets, and needs, and develop a plan for addressing these
concerns in a sustainable, collaborative way. HRiA considers this proposed scope of work a starting point for
discussion and is happy to discuss how these components can most effectively meet the needs of North
Andover,Andover and their communities.
HRiA Organizational Background and Experience
HRiA is a national 501(c)3 non-profit with expertise in developing, implementing, and evaluating solutions for
clients who share a vision of improving population health. Founded in 1957, our mission is to help people live
healthier lives and create healthy communities through prevention, health promotion, policy,and research.
For over 60 years we have worked with foundations, state and local government, health care providers, and
community-based organizations to improve population health and reduce health inequities. Our core services
include research and evaluation; capacity building assistance; and grant making.Across these core services,we
are committed to advancing health equity and racial justice.
As a non-profit public health organization, HRiA envisions a world where all people attain and experience
optimal health and well-being,yet we recognize that persistent health disparities stem from historical and
contemporary social and racial inequities.To achieve our vision of health equity,we explicitly(though not
exclusively) lead with race to ensure that all our efforts advance or consider racial equity; and, we support
communities, clients, and partners to do the same. In our work,we bring consultative expertise to develop,
implement,and evaluate solutions that address health inequities at their root causes in order to more equitably
and sustainably promote and improve population health.
At HRiA, we have developed our own health equity framework—centered on racial equity—that guides both our
internal policies and processes, as well as our work with communities, partners, and clients (Figure 1).This
framework lifts up three foundational components to operationalize and advance health equity.Together with
our clients, we:
1. Challenge assumptions and narratives about what promotes and hinders health:To understand and
address why certain health outcomes and disparities exist, we constantly reflect upon and address the
social, economic,and physical determinants of health that shape the conditions in which people live, as well
as the historical and contemporary injustices and systemic oppression that create and perpetuate these
conditions.
2. Create and sustain authentic and diverse stakeholder engagement:To advance health equity and ensure
solutions are appropriate and collectively owned,we consider ways to create and sustain authentic
engagement of diverse stakeholders, including communities, sectors, leaders, and other individuals;
furthermore, we continuously consider who should be engaged as part of the conversation,and modify
approaches wherever possible.
3. Strengthen capacity to correct power imbalances and address inequities:To transform policies and
embedded practices that can perpetuate inequities,we critically reflect upon the distribution of power in
strategic approaches and decision-making and aim to shift and correct these power dynamics through
capacity building and collaborative partnerships.
2
Figure 1: HRiA's Health Equity Framework
HRiA Health Equity Framework
EXTERNAL APPROACHES
Disrupt external inequities and injustices
COMMUNITY ENGAGEMENT
DATA
COMMUNICATIONS CHALLENGE / ENGAGE BUILD
4
INTERNAL APPROACHES
Develop and strengthen
equitable internal policies/
practices,and build staff capacity
F
allenge assumptions and Strengthen capacity to
narrativesabout what Create and sustain authentic correct power imbalances
motes and hinders health and diverse engagement and address inequities
tWIh Rasp—n Moon^
HRiA has extensive experience conducting formal community health assessments to identify the needs and
strengths of a particular community to improve its health status, inform funding decisions and collaborative
work, and help prioritize program development and implementation. HRiA believes that systematic
assessment and planning are good health care and public health practice and should be used to inform
development of initiatives,guide revisions or expansion of existing programs, and help align and coordinate
efforts across various groups with similar goals.
HRiA's work in community health assessments and planning processes helps identify the strengths and needs of
a community to improve the health of residents, inform funding decisions, and prioritize program development
areas and implementation strategies. HRiA has conducted over 80 community-based assessments and planning
processes throughout the U.S., including projects undertaken to assist health care institutions, health
departments, health centers, community collaboratives, and philanthropic foundations to comply with
regulatory requirements and ensure that community health planning and investment strategies are informed by
data.The map below(Figure 2) highlights the assessment and planning work that HRiA has conducted across the
United States over the last several years.
3
Figure 2. Map Showing Locations of HRiA Assessment and Planning Work
WA Vr
MT ND ME
OR MN p
ID SD WI NY M
WY MI Cr
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NE IA PA -NJ
NV OH _DE
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CO WV CA MD
KS MO KY VA �DC
TN NC
N OK AZ M
AR SC
MS AL GA !', Assessment Projects
L_j Planning Projects
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The following projects demonstrate specific experience and expertise that HRiA can offer to the towns of North
Andover and Andover. In all of these studies, HRiA worked closely with the institutions—and their partners
where appropriate—in an engaged process that included both qualitative and quantitative data collection.The
goals have been to not only fulfill the IRS mandate but also present results so they are comprehensive, action-
oriented, and can inform future planning and initiative development.
HRiA has conducted numerous needs assessments and community health improvement plans for communities
similar to North Andover and Andover.These include:
• Boston, MA (http://www.bostonCNA.org/articles/category/reports/)
• Cambridge, MA(https://www.cambridgepublichealth.org/policy-practice/public-health-
accreditation/assessment.php )
• Austin,TX(https://www.austintexas.gov/sites/default/files/files/Health/CHA-
CHIP/2018 Travis County CHIP FINAL 9.12.18.pdf)
• Winchester, MA(https://www.Luinchester.us/513/Needs-Assessment)
• Issaquah, WA(https://www.issaguahwa.gov/DocumentCenter/View/4604/Issaquah-CNA-2017?bidld=)
Proposed Approach
HRiA proposes an approach that works closely with the Towns of Andover and North Andover throughout the
project to ensure an effective and efficient process.The intent of the proposed approach is to work
4
collaboratively,when appropriate,to develop an assessment and plan specific to the needs of each town.This
approach is intended to align with the evolution of the National Association of County and City Health Officials
(NACCHO's) Mobilizing for Action through Planning and Partnerships(MAPP)framework.The proposed project
is to be conducted in three phases over a timeline of twelve months, starting in January 2022 and concluding in
December 2022 (Figure 3). Due to the COVID-19 pandemic, HRiA provided costs to conduct all activities virtually.
Pending guidance from state and local health departments, HRiA will adjust the work plan and budget to include
in-person activities when appropriate. Costs for in-person activities have been provided.
Figure 3. Timeline and Milestones
Phase III: Monitoring
and Evaluation
Phase 1:Community Needs Assessment(CNA) Planning(M&E)
Partner Engagement: CNA Presentation Final Draft and
Community AdvisoryQualitative and Prioritization
Data of Assessment CNA Draft and Final
Collection Results
Committee Report Final CHIP ME Plan
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Doc
2022 M.22
Analysis and Planning
Secondary Data Community Development of Sessions
and Document Health CNA Report
Review Survey
Phase II:Community Health
Improvement Plan (CHIP)
In recognition of the need to be in alignment with PHAB requirements for accreditation, HRiA will ensure that
our assessment and planning processes meet those requirements.
1. Project Management and Partner Engagement(Ongoing)
HRiA believes in actively engaging the client and project partners in regular project updates. We recommend
check-in conference calls every other month (approximately 60 minutes in length) with the project leads from
Andover and North Andover, any other key individuals (e.g., members of the Community Advisory Committee),
and the HRiA team to provide updates on the project, ensure the process has open communication,and allow
space to discuss opportunities and challenges as they arise.
Engagement of Community Advisory Committee
To ensure that community voice is present throughout the community needs assessment process, HRiA
proposes engaging a Community Advisory Committee (CAC)for this project. Examples of individuals that could
be engaged for the CAC include key community leaders (e.g., religious leaders, members of local government),
stakeholders from target populations (e.g., leaders of cultural organizations, small business owners), and local
experts from any topics of interest(e.g.,transportation, health care, aging).The CAC will be engaged to ensure
that the needs assessment's approach, methods, and data collection tools are culturally relevant and reflective
of community needs and interest.
5
While the specific role of the CAC can be decided on at project start, examples of potential activities include
review of data collection tools (e.g., focus group guides), identification of target segments for qualitative data
collection, review, and prioritization of key findings from the assessment, and participation in the planning and
implementation process.
At the beginning of the project, HRiA will hold a kick-off meeting with North Andover and Andover project staff
and their project Community Advisory Committee to discuss the overall CNA-CHIP project approach and
timeline. Consistent with best practices for community health improvement', HRiA recommends that members
of the CAC participate in this kick-off meeting to advise on the overall approach. In addition to discussing the
overall project approach,this kick-off meeting will also be used to identify specific topics of interest to delve
deeply into through the CNA qualitative data collection and secondary data review.
Phase 1: Community Needs Assessment
HRiA will conduct a CNA that identifies the key health needs and assets of the North Andover and Andover
communities, building off and expanding upon any past work conducted by the Towns and their partners to
identify trends or differences in sub-population groups.The CNA will be structured to meet the requirements of
a Comprehensive Community Health Assessment as part of the PHAB Accreditation process. In summary, HRiA
proposes the following methods for the components of the CNA:
• Engagement of Community Advisory Committee
• Secondary data review: provide guidance on the review and analysis of social, economic, and health
indicators for the area
• Quantitative data collection: community health survey
• Qualitative data collection:
o Individual or small group key informant discussions with a range of stakeholders and community
leaders, conducted by telephone
o Focus groups conducted with a variety of audience segments, including but not limited to
different racial or ethnic groups,age groups,or issue groups, conducted virtually
For each of these activities, HRiA will document(via meeting minutes and notes)any planning meetings and/or
decision-making processes in alignment with requirements for PHAB accreditation.These will be shared with
Andover and North Andover
1. Secondary Data Review(January-April)
HRiA will manage the collection of secondary data sources and indicators for the Assessment. HRiA's staff will
oversee compiling, reviewing, synthesizing, and analyzing secondary data relevant to the target communities.
The secondary data will incorporate a social determinants of health perspective by examining the multitude of
upstream social and economic issues that have an impact on health (e.g., unemployment, education, and
housing).Where available,data will be examined by race/ethnicity to understand the ongoing impact that
systemic racism has had on individuals and community health and wellbeing. HRiA will create all graphs,tables,
maps, and other data visualizations needed for the primary CNA report and appendices.
2. Qualitative Data Collection-Key Informant Interviews& Focus Groups(February-May)
1 Association for Community Health Improvement(ACHI)Community Health Assessment Toolkit:
https://www.healthVcommu nities.org/resources/community-health-assessment-toolkit
6
While existing quantitative and survey data provide benchmarks on key indicators as well as insight on the
magnitude and severity of specific risk factors and health outcomes, it may not tell the whole story. Qualitative
data can engage community members, leaders, and organizations in the CNA process to provide insight into the
risk and protective factors that have an impact on the health of the community, identify where there are gaps in
services, programs, and policies, and elicit feedback on what the community views as the biggest needs to
address.
A cross-section of key informants and focus group participants will be engaged in this process. HRiA
recommends approaching community engagement through a health equity lens to continue to build
relationships and community buy-in and maximize the success of implementation resulting from the CNA
process. Identification of interviewees and focus group segments will be informed by input from the CAC. HRiA
recommends inviting participants for the interviews and focus groups from traditionally under-served
populations and vulnerable groups in order to capture often unheard voices.Authentic and direct engagement
of community members will add to the overall understanding of community strengths and needs. For example,
HRiA has conducted assessments across the country that have included representation from the following
sectors: local non-profit community-based organizations,the faith community, parents,youth, elders,
neighborhood program planners, health center staff, members of specific racial, ethnic, or cultural groups,
school officials, business owners, elected officials,and other formal and informal community leaders.
During the qualitative data collection, HRiA will probe on specific issues including those that emerged during the
kick-off discussion and any other issues of interest identified by the Towns or by the CAC. For example,
qualitative data collection can gather information on specific disease topics (e.g., mental health, addiction,
diabetes), related social needs(e.g.,food insecurity),social and other context (e.g.,the COVID-19 pandemic;the
ongoing national movement for racial justice), specific health care or social service utilization patterns (e.g., use
of local food banks or urgent care centers), and specific populations.
HRiA proposes conducting 20 interviews with key stakeholders and 10 resident discussions with residents in the
Andover and North Andover communities. Conducting the resident discussions in languages other than English
can be discussed at project start. HRiA will work with project leadership,the CAC, and local stakeholders to
identify interviewees and focus group segments.
Interviews. Interviews of 30-60 minutes will be conducted by telephone or video. A semi-structured interview
guide will be used to guide the discussions and will include questions related to the community assets and
opportunities in Andover and North Andover, as well as prioritization of community needs. Interviewees could
represent a wide range of organizations from different sectors including health care providers, local
government, education, human services, housing,transportation, community-based organizations, and faith-
based organizations.
Resident Discussions. Resident discussions of 3-6 participants for a duration of 60-90 minutes will be conducted
by video in place of in-person focus groups.The resident discussion format will encourage group-based
qualitative data collection in a manageable and productive manner apt for a virtual format.A semi-structured
guide will be used to guide the discussions and will include questions related to the community assets and
opportunities in North Andover and Andover, as well as prioritization of community needs. Resident discussions
can explore residents' priorities for community needs to be addressed,the strengths of their community that
can be leveraged, and areas that are ripe for future action. Resident discussions can also explore the specific
challenges and barriers that residents encounter in seeking services as well as what factors have supported their
efforts. Resident discussions can be with populations segmented by different characteristics including age group,
race/ethnicity,town of residence, health care utilization, parental status, language spoken, or other important
7
characteristics. HMA's practice is to provide stipends to community-based organizations for recruiting
participants ($150/organization) and to resident discussion participants for their participation ($35 in cash or gift
card/participant).
3. Quantitative Data Collection—Community Survey(February-April)
To gather quantitative data that has not been included in secondary sources, HRiA proposes conducting an
online community survey of Andover and North Andover residents.This survey will focus on the health-related
issues, social determinants of health, and service and programming priorities among residents and would
include questions to provide information on social context and root causes of inequities. HRiA recommends
approaching the development, distribution; and analysis of the survey through a health and racial equity lens to
ensure that appropriate demographic information is gathered,that the survey reaches diverse populations,and
that the results are analyzed by subgroups as feasible.Analysis can also be conducted to distinguish between
findings between the two focus communities.
To minimize the burden placed on community organizations engaged to support survey dissemination and on
respondents themselves and increase the likelihood of response, HRiA recommends aligning this process with
the community survey conducted by Lawrence General Hospital as part of their Community Health Needs
Assessment process. Data from this survey could be analyzed in a way to look at North Andover or Andover
respondents only, with the potential to add questions specific for Andover and North Andover residents.
This scope assumes that HRiA would develop the survey in English but can discuss additional languages to meet
the needs of Andover and North Andover.There would be an additional$2,000 fee to cover translation, pilot
testing and programming for the surveys in additional languages. HRiA would program the survey into an online
link for dissemination. HRiA would then work with the Towns and the CAC to disseminate the survey to
community networks.The email link could be promoted on professional and personal list serves in the
community, sent to organizational rosters, and be advertised in the local newspaper, website, or via social
media (e.g., an advertisement on Facebook only for users from the two communities). HRiA will provide
technical assistance on survey dissemination,with an eye towards strategies to reach diverse populations and
the organizations that serve them. However, it is assumed in this scope that the Towns and their stakeholders
will conduct most of the marketing work for disseminating the online survey.
It should be noted that the online methods of survey administration do not use probability sampling and thus
produce samples that may not be representative of the town.These survey methods, however, can help engage
the community and still elicit important feedback for the assessment.
4. CNA Presentation and Prioritization of Assessment Results(June)
Once the assessment is drafted, HRiA will develop a PowerPoint presentation on key findings for presentation at
the Community Health Implementation Plan (CHIP) kick-off and prioritization meeting. Priorities are used as the
basis for developing goals, objectives,strategies and action plans to implement the CHIP. HRiA will facilitate a
prioritization process that allows for the identification for shared or overlapping priorities, as well as priorities
that may be town specific.
The prioritization process takes place once a health assessment has been conducted and key themes/strategic
issues/significant health issues have been identified for the community.The process considers priorities to be
"strategic issues". When synthesizing the data from all the Community Needs Assessment, HRiA refers to
potential priorities as"key themes" or"key health issues"that emerged from the data gathering. Identifying a
set of 3-5 priorities is important for focusing the health improvement planning efforts to best take advantage of
the resources available to make the improvements needed on the health of the community. Numerous key
8
themes/health issues/strategic issues may be identified as part of an assessment-as many as 10-15. The
prioritization process narrows that larger list to a manageable set of priorities- priorities that partners can reach
consensus on and commit to planning efforts around.
There are several methods for reaching consensus on priorities. HRiA utilizes a rating tool where each key
theme/health issue/strategic issue is rated against a set of agreed upon criteria. Participants cast votes for their
top-rated issues, and the highest voted 3-5 issues are then agreed to be the Priorities for health improvement
planning.
The PowerPoint slide deck from the assessment key themes and prioritization session will be available for North
Andover and Andover to use in any additional presentations to stakeholders such as hospital leadership,
community leaders, and policymakers. This scope assumes that project leads from North Andover and Andover
are responsible for presenting the CNA to town leadership and obtaining any necessary approvals.
S. Analysis and Development of Draft and Final CNA Report(July-August)
Data from these tasks will be analyzed to provide a portrait of the two target communities,their needs and
assets,current infrastructure, and strategic opportunities for the future.The qualitative data gathered during
the CNA will be analyzed thematically, as HRiA team members examine and code notes for similarities and
differences across responses. Extracted themes will be summarized, highlighting community and sub-group
priority concerns and perceived assets.The aggregate secondary data will be integrated with the qualitative
information.
HRiA anticipates that the CNA report will be organized by topic and will focus on the themes that emerged
across the community, noting specific differences by demographic sub-population where appropriate. The goal
will be to build off past work, identify trends and changes, and drill-down into the data to identify specific,
action-oriented findings. The CNA report will include an introduction; methodology;findings from all the data
collection activities by key theme/topic area; and a final section discussing key issues and larger strategic
directions to consider when moving forward with a planning process.
A draft assessment report will first be submitted to Andover and North Andover for review.This step will
provide an opportunity for key stakeholders to give additional input into the information being gathered for the
report. Based on this feedback, HRiA will finalize the report. HRiA aims for the final assessment report to be
salient to multiple audiences, written in lay language, and be visually interesting.To this end,we suggest that
the final report be no more than 50-60 pages (without appendices) and focus on the main findings from this
work.Any additional information that is important for Andover or North Andover but not critical for the main
report will be provided in an appendix. once the final report is reviewed and approved, HRiA will develop up to
eight(8), 1-page data infographic sheets (four(4) per town) detailing key findings on prioritized topics selected
by the two communities.These infographics can be used for public dissemination and communication.
The final report will be delivered as a Microsoft Word document including a table of contents, main report,and
appendices (including infographic sheets). The Towns of North Andover and Andover may provide
logo(s)/artwork for use on the cover page if desired. HRiA can provide an estimate for graphic design services to
develop a more elaborately illustrated and formatted final document at Andover and North Andover's request.
HRiA will also provide a PowerPoint presentation for Andover and North Andover's use in presenting the
assessment to their Boards, Leadership, and other key groups.
Phase 2:Community Health Improvement Plan (CHIP)
9
Following the completion of the community needs assessment,the work will move into development of a
community health improvement plan.
1. CHIP Kick-Off and Preplanning Meetings(August)
HRiA will conduct a virtual 90-minute meeting with Andover and North Andover project staff and their project
CAC to kick off the planning process and discuss current/emerging initiatives from the recently completed
Community Needs Assessment(CNA). During the Kick-Off Meeting, HRiA will review the CHIP process, define
outcomes, deliverables, project timeline,the roles and responsibilities for leadership and participants in the
planning process, and scheduling for the proposed prioritization process and planning session.
HRiA will also develop content and conduct a 1-1.5-hour virtual pre-planning session for all participants of the
upcoming CHIP planning session. This session will cover the identified priorities and relevant data to support the
priorities chosen. The CHIP planning process and session expectations will also be covered. This meeting
provides a foundation for participants and allows more time for priority group planning during the CHIP session.
This meeting will be recorded and shared with any invitees who are unable to attend the live virtual meeting.
Deliverables for CHIP Kick-off and Pre-Planning
• Agenda (Word document), presentation (PowerPoint document), and prioritization worksheet(Word
document) for the Prioritization Meeting
• Documented outcomes of Prioritization,Meeting(Word document)
• Agenda (Word document), presentation (PowerPoint document)for Pre-Planning Meeting
• Link to recording of the Preplanning Meeting
2. CHIP Planning Sessions (August—September)
HRiA's planning process aims to be both inclusive and focused. The goal is to engage a representative group of
stakeholders to ensure support and buy-in as well as develop a plan that is actionable and will meet the needs of
the Towns of North Andover and Andover. HRiA's facilitated approach permits in-depth conversation, ensures
feedback from multiple points of view, and allows participants to have input on all elements of the plan.
The CHIP will be a 5-year plan to address health issues that are prioritized as most appropriate for North
Andover and Andover to address. The plan will focus on developing goals and measurable objectives for the
communities' recommended initiatives,selecting strategies (including identifying what is already being
implemented by others), developing outcome indicators and targets aligned with community planning
processes, and determining which community partners will help facilitate implementation.
To this end, HRiA will design and facilitate four virtual sessions with stakeholders,to develop the CHIP that is in
alignment with current initiatives,the CHNA, and other identified priorities in the community. HRiA will then
facilitate conversations in work groups, one for each priority area, capturing key elements on flip charts to
develop the following plan components during this working meeting:
• Goals for each of the priority areas
• Measurable objectives for each of the goals(approximately 3-4 per goal)
• Outcome indicators for each objective (baseline,target, and data sources)
• Strategies to meet each of the objectives,with annual timeline benchmarks
• Potential Partners/Resources
10
Between sessions,working group participants will provide feedback on the plan components drafted for all
priority areas.
Preplanning Session Orientation and Planning Overview 1.5 hours
Session 1 Draft Goal Statements 1.5 hours
Session 2 Finalize Goal Statements, Draft Objective Statements 2.5 hours
Session 3 Finalize Objectives, Brainstorm Strategies 2.5 hours
Session 4 Finalize Strategies 1 2 hours
For the purposes of this proposal, HRiA has provided cost options for HRiA staff members to facilitate work
groups for four(4) potential priority areas, and one (1)staff to coordinate logistics, materials and technology.
Deliverables for CHIP Planning Session
• Agenda (Word document), presentation (PowerPoint document),and any handouts (Word document)
for CHIP Planning Session
• Summary notes and outcomes of priority area discussions (Word documents)
3. Draft and Final CHIP Report(October—November)
The CHIP report will synthesize the outcomes from the planning session, identify or refine the indicators that
may be helpful in tracking the success of the CHIP,and outline how organizations and agencies in Andover and
North Andover can work together to focus on common priorities. HRiA aims for the final CHIP report to be
salient to multiple audiences, with a focus on the main findings, written in lay language.To this end, the final
document will clearly articulate the health priorities and provide a "roadmap" of goals, objectives, and strategies
for how to achieve these priorities. From the collaborative, interactive nature of the CHIP process, it would also
be expected that this plan would have support and buy-in from a range of stakeholders.The CHIP will ideally
become a living document as key leaders involved in this CHIP process secure commitments from stakeholders
for CHIP implementation.
Upon receipt of each draft, North Andover and Andover project leadership and the CAC will disseminate the
CHIP to the appropriate subject matter experts (SME's) and other reviewers for their input. North Andover and
Andover project leadership will identify and assign a team of subject matter experts (SMEs) and/or
epidemiologists (EPIs)to do the following review and refinement of the planning session outcomes as part of
each feedback/review cycle:
• Refine strategies for evidence-base and feasibility
• Add to partners and resources list
• Identify current, relevant plans for CHIP alignment
• Identify appropriate baselines,targets and data sources for outcome indicators for each defined
objective (data table)
For each feedback/review cycle, project leadership will identify one point person for each priority area to collect
and organize feedback from the multiple reviewers into one submission to HRiA. For the purposes of this
proposal, HRiA has budgeted for two (2) review/feedback cycles. Following each electronic review and feedback
cycle, HRiA will incorporate recommended changes into a revised and ultimately final draft of the CHIP. HRiA
11
will be happy to conduct additional review/feedback cycles at the client's request for a mutually agreed upon
cost.
The drafts and final report will be delivered as Microsoft Word documents including a table of contents, main
report,and appendices. The main body of the report will be formatted with headings, written narrative, and
tables containing the plan components. The client may provide logo(s)/artwork for use on the cover page if
desired. HRiA can provide an estimate for graphic design services to develop a more elaborately illustrated and
formatted final document at the client's request.
HRiA will also develop a PowerPoint presentation for use in communicating the CHIP to the community and
other stakeholders.
Deliverables for Draft and Final CHIP Report
• First Draft of the 2022 Community Health Improvement Plan (Word document)
• Instructions for review/feedback cycles (emails)
• Second Draft of the 2022 Community Health Improvement Plan (Word document)
• Final 2021 Community Health Improvement Plan (Word document)
• CHIP presentation (PowerPoint)
4. CHIP Year 1 Action Planning& Report Development(December)
HRiA will design and facilitate virtual planning sessions,working with a diverse group of stakeholders to:
• Identify which objectives and/or strategies will be implemented in Year 1 of the CHIP Action Plan.
• Develop the components of the Action Plan that include specific activities to accomplish strategies,
target dates, resources available and/or required, lead person/organization, potential partners, and
anticipated product or result.
For the purpose of this proposal, HRiA would provide facilitators for a three,two-hour virtual planning sessions,
one facilitator for each of the priority area work groups.
HRiA will use the work outputs of the action planning sessions, as well as input from Andover and North
Andover leadership,to develop a draft Year One Action Plan to include:goals, objectives,strategies from the
CHIP, and the Action Plan components for the Year 1 strategies(specific activities,target dates, resources
available and/or required, lead person/organization, potential partners,and anticipated product or result).The
goal of the Year One Action Plan will be to provide a realistic blueprint of activities and action steps that can be
implemented and tracked as well as indicate roles and responsibilities to which organizations can be held
accountable.
Upon receipt of the draft, North Andover and Andover leadership will disseminate the plan to the appropriate
reviewers/subject matter experts for their input. Project leadership will then collect/organize feedback from the
multiple reviewers into one submission to HRiA. HRiA recommends conducting one (1) review and feedback
cycle. Following the feedback cycle, HRiA will incorporate recommended changes into a revised/final draft of the
Action Plan.
The draft and final report will be delivered as a Microsoft Word document including a table of contents, main
report, and appendices.The report will contain minimal narrative.The client may provide logos)/artwork for
use on the cover page if desired.
12
Deliverables for Year 1 Action Plan
t
• Agendas and materials for Action Planning Sessions (Word and PowerPoint documents).
• Recommendations for set-up, logistics, and supplies/materials required for session.
• Draft of the Year 1 Action Plan (Word document)
• Final Year 1 Action Plan (Word document)
Phase 3. Monitoring and Evaluation Plan .
The goal of the monitoring and evaluation will be to provide Andover and North Andover with an actionable
plan to monitor the implementation of the CHIP, identify and address any challenges that may arise, and to
identify and celebrate successes from implementation.
1. Monitoring and Evaluation Plan(December)
Following the completion of the CHIP, HRiA will create a standalone monitoring and evaluation plan to measure
the progress-and impact of the programs and initiatives selected for implementation. HRiA will work with North
Andover and Andover to identify relevant tools and success measures. HRiA will work with project leads from
North Andover and Andover to identify relevant partners,timelines, and reporting mechanism to facilitate use
of the monitoring and evaluation plan.
13
Isolation & Quarantine Flow Chart
December 29, 2021 Isolation is for persons who test positive.
Name: (Quarantine is for persons who are close contacts of a positive
person.
Isolation (for people who test positive)
Test Positive or Leave [solation
Isolate for 5 Have any Yes,or there
symptom onset & Mask for 5 Release on
date. whichever Days- symptoms Were never any Dav 11
DAYS 0 to 5 resolved:? Days
is (first. symptoms DAYS 6 to 10
DAY 0
Remain in isolation until 24 hours after
No - symptoms resolved, then «year mask
around others througgh Day 10
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vaccinated leave quarantine Days
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6 months'' through day 10
«`ear a mask Recommend Fnd mask use
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BOARD OF HEALTH - 2022 Community&Economic Development
• HEALTH Main DEPARTMENT
MEETING SCHEDULE Streetr.
MA 01845
TOWN OF NORTH ANDOVER,
MASSACHUSETTS
MEETING TIME& MEETING AGENDA
MEETING DATE LOCATION DEADLINE
All meeting dates are held on the unless otherwise indicated,all All requests to be on the agenda
4th Thursday ofeach month at meetings will be held in the must be submitted
7:00 p.m.,unless otherwise notified.* Second Floor Selectman's IN WRITING-10 business
Meeting Room at Town days prior to the meeting date.
HaR 120 Main Street See dates indicated below.
January 27,2022 See above January 13,2022
*March 3,2022 See above February 16,2022
March 24,2022 See above March 10,2022
April 28,2022 See above April 14,2022
May 26,2022 See above May 12,2022
June 23,2022 See above June 09,2022
July 28,2022 See above July 14,2022
August 25,2022 See above August 11,2022
September 22,2022 See above September 8,2022
October 27,2022 See above October 13,2022
*November 17,2022 See above November 3,2022
*December 15,2022 See above December 1,2022
**Please note that the regular monthly meetings of the Board of Health will be held at the Selectmen's MeetingRoom at 120 Main
Street. Due to unforeseen scheduling conflicts,it may be possible that the meeting location will change. In the event of a meeting
location change,a notice will be posted on the Town of North Andover Website under the Municipal Calendar Section and Public
Notice Section. Please check with the Health Dept.Assistant at:978.688.9540 or e-mail at:healthdept@northandoverma.gov if you
have any questions.
i