COMMUNITY PARTNERS MEETING

Transcription

1 PUBLIC HEALTH & SYSTEMS IN ACTION COMMUNITY PARTNERS MEETING Presenter: Amy Fagan, Assistant Director of Health Date: February 23, 2017 HEALTH DISTRICT VISION HEALTHY PEOPLE, HEALTHY COMMUNITY HEALTH COALITION VISION WICHITA COUNTY WILL BE A HEALTHY COMMUNITY WITH AN EXCELLENT QUALITY OF LIFE, HEALTHY PEOPLE, AND A CULTURE THAT SUPPORTS AND ENCOURAGES HEALTH AND WELLBEING. 1

2 MOBILIZING FOR ACTION THROUGH PLANNING & PARTNERSHIP (MAPP) GOAL: THE DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY-WIDE STRATEGIC PLAN FOR PUBLIC HEALTH IMPROVEMENT STRATEGIC APPROACH & ACTION IDENTIFICATION AND USE OF RESOURCES EFFECTIVE PARTNERSHIPS 2

3 COMMUNITY HEALTH ASSESSMENT 2011, 2012, 2016 RELEASE DATES FORCES THAT POSITIVELY AND NEGATIVELY AFFECT HEALTH STATUS (PG. 2) LEADING CAUSES OF DEATH (PG. 6) QUALITY OF LIFE (PG. 11) HEALTH BEHAVIORS (PG. 18) DATA SOURCES BOTH PRIMARY AND SECONDARY DATA SOURCES COUNTY HEALTH RANKINGS (UNIVERSITY OF WISCONSIN POPULATION AND HEALTH INSTITUTE) COMPILATION OF INFORMATION ON HEALTH/QUALITY OF LIFE RANKINGS OF COUNTIES ON VARIOUS INDICATORS TEXAS DEPARTMENT OF STATE HEALTH SERVICES (TDSHS) DATA ON DISEASE MORTALITY, MORBIDITY, HEALTHCARE FACILITIES, AND HEALTHCARE PROVIDERS BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE INFORMATION ON CURRENT INDIVIDUAL HEALTH STATUS AND BEHAVIOR OTHER SOURCES CDC 3

4 HEALTH FACTS COUNTY HEALTH RANKINGS (241 RANKED) HEALTH OUTCOMES: 144 HEALTH FACTORS: 121 (SUMMARY OF BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS & PHYSICAL ENVIRONMENT) CLINICAL CARE 13 UNINSURED: 22% SOCIAL & ECONOMIC FACTORS 132 CHILDREN IN POVERTY: 29% PHYSICAL ENVIRONMENT: 144 HEALTH FACTS HEALTH BEHAVIORS ADULT SMOKING: 19% (WICHITA) 15% (TEXAS) 14% (TOP US PERFORMERS) ADULT OBESITY: 29% (WICHITA) 28% (TEXAS) 25% (TOP US PERFORMERS) PHYSICAL INACTIVITY: 29% (WICHITA) 24% (TEXAS) 20% (TOP US PERFORMERS) EXCESSIVE DRINKING: 17% (WICHITA) 18 % (TEXAS) 12% (TOP US PERFORMERS) SEXUALLY TRANSMITTED INFECTIONS: (WICHITA) (TEXAS) (TOP US PERFORMERS) 4

5 Source: Source: Texas Department of State Health Services, 5

6 Table 12. Perception of Health as Fair or Poor by Income Level Health Rated as Fair or Poor Yes No Income Level Percent Confidence Interval Percent Confidence Interval < $25, [ ] [ ] $25,000 to $50, [ ] [ ] $50, [ ] [ ] Total [ ] [ ] Source: 2014 Texas BRFSS Available rating options were: Excellent, Very Good, Fair or Poor Table 1. Age-specific Mortality Rates per 100,000 Population for Intentional Self-Harm (Suicide) for Combined Intentional Self-Harm (Suicide) by Discharge of Firearms Intentional Self-Harm (Suicide) by Other and Unspecified Means Total Age Category Rate Confidence Interval Rate Confidence Interval Rate Confidence Interval 15 to to to to to to to to to to to to to to to to to 64 NA NA to to to 74 NA NA NA NA to to to 47.3 NA NA to and over NA NA NA NA NA NA All Ages to to to 18.2 Source: Texas Department of State Health Services, 6

7 Table 18. Estimated New Cancer Cases and Expected Deaths Expected New Cases Expected Deaths Type Total Male Female Total Male Female All Sites Lung and Bronchus Breast Colon excluding Rectum Prostate Melanoma of the Skin Source: Table 20. Estimated Cancer Prevalence by Income Cancer Diagnosis No Cancer Diagnosis Income Rate Confidence Interval Rate Confidence Interval < $25, [ ] [ ] $25, [ ] [ ] $50, [ ] [ ] Total 8.94 [ ] [ ] Source: 2014 Texas BRFSS 7

8 Table 1. Estimated Depression Prevalence by Income Yes No Income Rate Confidence Interval Rate Confidence Interval < $25, [ ] [ ] $25, [ ] [ ] $50, [ ] [ ] Total [ ] [ ] Source: 2014 Texas BRFSS Table25. Summary of Health Behaviors Scores from 2016 County Health Rankings Wichita County Rank 214 Wichita County Error Margin Top U.S. Performers Texas Adult smoking 19% ( %) 18-19% 14% 15% Adult obesity 29% ( %) 23-35% 25% 28% Food environment index * Physical inactivity 5.5 ( ) NA % (2015 same) 24-36% 20% 24% Access to exercise opportunities Excessive drinking Alcoholimpaired driving deaths 84% (2015 same) NA 91% 84% 17% ( %) 17-18% 12% 18% 30% ( %) 23-36% 14% 32% Sexually transmitted infections ** ( ) NA Teen births * Index of factors that contribute to a healthy food environment where 0 is worst and 10 is best. ** Rate per 100,000 population Source: Wichita County 2016 County Health Rankings 8

9 Figure 5 Source: Wichita County 2016 County Health Rankings Table 32. Summary of Clinical Care Scores from 2016 County Health Rankings Wichita County Rank 13 Uninsured Primary care physicians Dentists Mental health providers Preventable hospital stays Wichita County Error Margin Top U.S. Performers Texas 22% ( %) 20-24% 11% 25% 1,260:1 (1370:1) 1,040:1 1,680:1 1,190:1 (1282:1) 1,340:1 1,880:1 700:1 (755:1) 370:1 990:1 54 ( ) Diabetic monitoring Mammography screening 84% (same) 80-88% 90% 84% 60% (same) 55-64% 71% 58% Source: Wichita County 2016 County Health Rankings 9

10 Table 33. Proportion With Any Kind of Health Care Coverage Including Health Insurance Percent Confidence Interval Yes ( ) No ( ) Source: Source: 2014 Texas BRFSS Table 35. Summary of Social and Economic Factors Scores from 2016 County Health Rankings Wichita County Rank 132 Wichita County Error Margin Top U.S. Performers Texas High school graduation 93% (94%) 93% 88% Some college 57% (56%) 54-60% 72% 59% Unemployment 4.9% (same) 3.5% 5.1% Children in poverty 29% (28%) 25-34% 13% 25% Income inequality 4.4 (4.3) Children in single-parent households 39% (36%) 34-43% 21% 33% Social associations 10.6 (11.6) Violent crime 405 (same) Injury deaths 72 (74) Source: Wichita County 2016 County Health Rankings 10

11 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) SECOND ITERATION HEALTH COALITION SUMMARIZES 4 ASSESSMENTS AND HOW WE WORK TOGETHER TO MAKE CHANGE COMM. HEALTH ASSESSMENT LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT COMMUNITY THEMES & STRENGTHS ASSESSMENT FORCES OF CHANGE ASSESSMENT 11

12 CHIP: PUBLIC HEALTH SYSTEM STRATEGIC GOALS GOAL 1 CREATE A CULTURE IN THE COMMUNITY THAT SUPPORTS & ENCOURAGES HEALTHY BEHAVIORS, POSITIVE ATTITUDES TOWARDS PREVENTIVE HEALTH AND ACCESS TO RESOURCES NEEDED FOR HEALTH AND WELL BEING =8 PROGRAM POR VIDA PROGRAM ACCESS TO HEALTHY FOODS DIABETES PREVENTION PROGRAM (DPP) & DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP) & IMPROVED COLLABORATION FOR DIABETES TATU, FRESH START, REDUCE EXPOSURE TO SECOND HAND SMOKE CHIP: PUBLIC HEALTH SYSTEM STRATEGIC GOALS GOAL 2 INCREASE EARLY IDENTIFICATION AND TREATMENT OF INDIVIDUALS WITH BEHAVIORAL/MENTAL HEALTH ISSUES, TO INCLUDE SUBSTANCE ABUSE MENTAL HEALTH FIRST AID PROGRAM IMPROVE ATTITUDES FOR TREATMENT IMPROVE INTEGRATION BETWEEN PHYSICAL HEALTH AND MENTAL HEALTH SERVICES 12

13 CHIP: PUBLIC HEALTH SYSTEM STRATEGIC GOALS GOAL 3 STRENGTHEN THE HEALTH SERVICE DELIVERY SYSTEM TO BETTER MEET COMMUNITY NEEDS RECRUITMENT & RETENTION COLLABORATION ACROSS THE CONTINUUM OF CARE HEALTH RESOURCES & HEALTH LITERACY STRATEGIC PLAN BROAD PICTURE OF WHAT WE PLAN TO ACCOMPLISH IN THE FUTURE PROCESS (PG. 6 & 7) DIVERSE & COMPLEX COMPONENTS ALL MOVING IN THE SAME DIRECTION 13

14 OUR STRATEGIC PLAN: STRATEGIC TARGETS (PG. 9) HEALTH STATUS TARGETS BEHAVIORAL TARGETS PUBLIC SAFETY & ENVIRONMENTAL TARGETS OPERATIONAL TARGETS PUBLIC HEALTH SYSTEM TARGETS OUR STRATEGIC PLAN: GOALS & STRATEGIES (PG. 10) GOAL 1: FOSTER AN ORGANIZATIONAL CULTURE OF EXCELLENCE AND CONTINUOUS IMPROVEMENT COMMUNICATION AND COORDINATION WITHIN DIVISIONS & PROGRAMS STAFF DEVELOPMENT USING EVIDENCE-BASED INFORMATION FOR ACTION RESOURCE CENTER QUALITY IMPROVEMENT PLAN 14

15 OUR STRATEGIC PLAN: GOALS & STRATEGIES (PG. 10) GOAL 2: BUILD KNOWLEDGE AMONG COMMUNITY MEMBERS AND STAKEHOLDER GROUPS OF THE VALUE THE HEALTH DISTRICT CONTRIBUTES TO WICHITA COUNTY CONTINUE TO SUPPORT THE HEALTH COALITION OF WICHITA COUNTY DEVELOP A SCORECARD TO HIGHLIGHT CONTRIBUTIONS CONTINUE MAPP PROCESS OUR STRATEGIC PLAN: GOALS & STRATEGIES (PG. 11) GOAL 5: STRENGTHEN THE CAPACITY FOR THE HEALTH DISTRICT TO SUSTAIN AND/OR EXPAND ITS SERVICES TO ENSURE COMMUNITY NEEDS ARE MET. REDUCE EFFECTS OF CHRONIC DISEASE ON QUALITY OF LIFE BY HELPING PEOPLE TO ENGAGE IN PRIMARY AND SECONDARY PREVENTION CONTINUE WORK WITH HEALTH COALITION TO INITIATE AND ENHANCE PREVENTION EFFORTS 15

16 ACKNOWLEDGMENTS A THANK YOU TO THE RESIDENTS OF WICHITA COUNTY, HEALTH COALITION OF WICHITA COUNTY & SUBGROUP MEMBERS, DR. KIRK HARLOW AND MEMBER AGENCIES WHO HELPED TO GUIDE AND MAKE THIS A TRUE COMMUNITY HEALTH IMPROVEMENT PROCESS. QUESTIONS? 16