America s Health Rankings Senior Report August 13, 2018

Transcription

1 America s Health Rankings 2018 Senior Report August 13, 2018

2 Overview of America s Health Rankings Annual Report Since 1990 Seniors Aged 65+ Since 2013 Women and Children Since 2016 Those Who Have Served Since 2016 Visit AmericasHealthRankings.org 2

3 Senior Report Highlights the gaps and differences across and within states when it comes to the health of our nation s seniors and spotlights opportunities for improvement. The report serves to: Drive discussion of senior health by providing a comprehensive source of information; Focus attention on the indicators that have the most potential to improve health and drive positive change; and Provide a benchmark for states to gauge their relative performance in the health of the senior population. 3

4 Senior Report Advisory Committee Soo Borson, M.D. Professor Emerita, University of Washington School of Medicine Research Professor, University of Minnesota School of Medicine Dementia Care Research and Consulting Randy Brown, Ph.D. Director, Health Policy Assessment Division Mathematica Policy Research, Inc. Julie Bynum, M.D., M.P.H. Professor of Internal Medicine Mary Terpenning Collegiate Professor of Geriatric Medicine and Palliative Care Assoc. Director for Health Policy & Research, U-M Geriatrics Center Research Professor, Institute of Gerontology University of Michigan School of Medicine Maggie Carlin, M.P.H. Senior Director, Research and Evaluation Association of State and Territorial Health Officials (ASTHO) Tom Eckstein, M.B.A. Principal Arundel Metrics, Inc. Sarah Milder, M.P.H. Principal Arundel Metrics, Inc. Rhonda Randall, D.O. Chief Medical Officer, UnitedHealthcare Retiree Solutions Senior Medical Advisor, UnitedHealth Foundation Barbara Resnick, Ph.D., R.N., C.R.N.P., F.A.A.N., F.A.A.N.P. Professor of Nursing Chairman of the Board, American Geriatrics Society Sonya Ziporkin Gershowitz Chair in Gerontology University of Maryland Anna Schenck, Ph.D., M.S.P.H. Director, Public Health Leadership Program UNC Gillings School of Global Public Health University of North Carolina at Chapel Hill Judy R. Simon, M.S., R.D., L.D.N. Nutrition and Health Promotion Programs Manager Maryland Department of Aging Past-Chair of the Healthy Aging Dietetic Practice Group Academy of Nutrition and Dietetics and Health Promotion Centers for Disease Control and Prevention 4

5 How We Measure Senior s Health Behaviors Dental Visits Excessive Drinking Obesity Pain Management Physical Inactivity Smoking Policy Geriatrician Shortfall Healthcare-associated Infection (HAI) Policies Low-care Nursing Home Residents Prescription Drug Coverage SNAP Reach Community & Environment Community Support Food Insecurity Home-delivered Meals Nursing Home Quality Poverty Volunteerism Clinical Care Dedicated Health Care Provider Diabetes Management Flu Vaccine Health Screenings Home Health Care Hospice Care Hospital Deaths Hospital Readmissions Preventable Hospitalizations Health Outcomes Able-Bodied Falls Frequent Mental Distress High Health Status Hip Fracture ICU Use Early Death Teeth Extractions Analysis of 34 measures of behaviors, community, policies as well as environment and outcomes data Model developed in collaboration with a Scientific Advisory Committee of leading senior health and aging experts Based on public-use data sets, such as the Centers for Disease Control and Prevention s Behavioral Risk Factor Surveillance System (BRFSS) 5

6 Key Findings 6

7 Seniors in Rural Areas Face Health Challenges 7

8 Suicide Rates Have Increased Nationally Florida: 2014: : % Increase 8

9 Florida Suicide Rates AK Senior Suicide Number of deaths by suicide per 100,000 adolescents aged 15 to 19 *PA, OR and AZ selected as comparison states due to similar demographic and economic characteristics. 9

10 Social Isolation Varies Across the Nation 10

11 Risk Of Social Isolation by County 11

12 2018 Senior Report State Rankings 12

13 Overall Rank and its Components Overall Rank (31) Strength: Health Outcome Measures Challenge: Behavior and Community & Environment Measures Behaviors Rank: 33 Policy Rank: 28 Community & Environment Rank: 32 Clinical Care Rank: 24 Health Outcomes Rank: 22 13

14 Florida s Strengths and Challenges AK Ranked #2 Ranked Ranked #12 #12 Ranked #9 Ranked #9 Ranked #47 Ranked #49 Ranked #48 14

15 Florida s Fall Rate Falls - Seniors AK Percentage of adults aged 65 and older who reported they had fallen in the past 12 months 15

16 Learn More about America s Health Rankings Compare and Contrast health measures by year, state and demographics Share Engaging Content on key health trends Download Data leveraged by the platform Visit AmericasHealthRankings.org 16

17 Questions? Thank You.