South Carolina Initiative Inventory

Transcription

1 In response to the needs of the South Carolina Initiative External Leadership Team, the Initiative Inventory was designed to identify existing health-related initiatives in South Carolina in order to highlight opportunities for collaboration and detect gaps in coverage. At the local (county) level, the Inventory focuses on those counties within the state demonstrating the greatest need for improvement in population health. Utilizing the 2013 County Health Rankings, the 10 lowest ranking counties in both health outcomes and health factors were identified to reflect both current health status and predicted future health outcomes. For the resulting 13 counties (discounting overlap), measures for adult smoking, adult obesity and adult physical inactivity were selected as the factors emphasized as they most closely align with the goals of the South Carolina Initiative. The county-specific tables have been populated using the South Carolina Initiative year 1 and 2 letters of intent, brief proposals and budget summaries and full proposal applications. Information was also provided by Eat Smart, Move More South Carolina, South Carolina Tobacco- Collaborative, the Outpatient Quality Improvement Network, South Carolina Office of Health, Blue Cross Blue Shield of South Carolina and South Carolina Hospital Association. Website searches were conducted to identify additional activities that fall into the scope of the South Carolina Initiative. The entries demonstrate where groups are mobilized for health improvement activities in each of the least healthy counties in the state. In addition, the tables indicate where the South Carolina Initiative has awarded funding to improve the health of the county. Highest and Lowest Ranked Counties in South Carolina Rank in Health Factors and Health Outcomes % Adult Smoking (SC 21%) % Adult Obesity (SC 31%) % Physical Inactivity (SC 28%) #1 Beaufort Beaufort 16 Beaufort 21 Beaufort 18 #46 Marion Jasper 29 Marlboro 43 Dillon 38 Oral Health (SC 2,229:1) Charleston 1,076:1 Abbeville 13,128:1 Lowest Ranked Counties in Health Factors (combined to equal 13) County % Adult Smoking % Adult Obesity % Physical Inactivity Allendale Bamberg Chester Colleton Darlington Dillon Jasper Lee Marion Marlboro Orangeburg Union Williamsburg

2 Lowest Ranked Counties in Socio-Economic Factors (combined to equal 13) % 150% Poverty % County Income % Allendale 10,181 $24, Bamberg 15,975 $28, Chester 32,916 $32, Colleton 38,611 $32, Darlington 68,299 $36, Dillon 31,758 $26, Jasper 25,195 $34, Lee 18,976 $28, Marion 32,846 $27, Marlboro 28,509 $28, Orangeburg 91,910 $31, Union 28,679 $33, Williamsburg 34,084 $27, Highest Counties Counties Allendale 22 Dillon 22 Lee 22 Colleton 23 Williamsburg 23 Jasper 30 (SC 10.3%) % Graduate (SC 74%) Lexington 6.9% Darlington 89% Marion 17.3% Richland 59% Lowest Counties Counties Union 18 Bamberg 20 Chester 20 Darlington 20

3 Allendale 27 in Health Outcomes 45 in Health Factors % Physical Poor Mental % Adult Smoking % Adult Obesity Oral Health % Hypertension Inactivity Health Days ,923: % % % 10,181 $24, Eating/Active Living ESMM Allendale (13-14) ESMM Allendale-$48,000 ESMM Allendale Planning/Engagement (13-14) ESMM Allendale-$15,000 FQHC Clinic Health Clinics *Allendale County Hospital (25) Low County Health Care System--Fairfax Laffitte and Warren Med Center Carolina Medical Associates Sycamore Health Care School Districts + Tobacco = 14%

4 Bamberg 43 in Health Outcomes 30 in Health Factors % Adult % Adult Poor Mental % % Physical Inactivity Oral Health Smoking Obesity Health Days Hypertension ,870: % % % 15,975 $28, Bamberg County Partners for (13-14) Voorhees College Center of Prevention, Voorhees College Excellence-$91,430 Center of Excellence Eating/Active Living Planning/Engagement Voorhees College Center of Excellence (12-13) Voorhees College Center of Excellence-$68,580 (13-14) Voorhees College Center of Excellence-$91, FQHC Clinic Health Clinics Bamberg County Memorial (59) Family Health Centers Denmark Medical Center R Dale Padgett MD William D Glenn IV MD F Marion Dwight MD + School Districts + Tobacco = 10%

5 Chester 39 in Health Outcomes 43 in Health Factors % Adult % Adult % Physical Poor Mental Oral Health % Hypertension Smoking Obesity Inactivity Health Days ,763: % % % 32,916 $32, Eating/Active Living ESMM Chester, Catawba Regional Local Food Coalition, Chester County Community Coalition, Chester (13-14) ESMM Chester -$51,915 Healthcare Foundation Chester County Community Coalition Chester County School District Telemedicine Pilot Planning/Engagement Chester County Health Partners, ESMM Chester (12-13) ESMM Chester-$12, FQHC Clinic Health Clinics *Chester Regional Medical Center (82) (WW) North Central Family Medical Center Good Samaritan Medical Clinic + School Districts + Tobacco = 0%

6 Colleton 37 in Health Outcomes 39 in Health Factors % Adult % Physical Poor Mental % Adult Obesity Oral Health % Hypertension Smoking Inactivity Health Days ,930: % % % 32,916 $32, Eating/Active Living Planning/Engagement ESMM Colleton/Let s Go, Colleton County Economic Development Corp II Chester County Community Coalition, Coastal South Tobacco Coalition, Colleton County Economic Development Corp II OQUIN Practices=3, PCMH=1 (13-14) Colleton County Economic Development Corp II- $34,132 (13-14) Colleton County Economic Development Corp II- $34, FQHC Clinic Health Clinics *Collection Medical Center (135) (WW) Franklin C. Fetter Family Health Center Waterboro Health Center Walterboro Adult and Pediatric Medicine Walterboro Family Practice Associates Cottageville Medical Center + School Districts + Edisto Indian Clinic Tobacco = 38%

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8 Darlington 38 in Health Outcomes 29 in Health Factors % Adult % Adult Poor Mental Smoking Obesity % Physical Inactivity Oral Health Health Days % Hypertension ,666: % % % 68,299 $36, Eating/Active Living Chesterfield-Darlington Pioneering Healthier Communities, Darlington County Coordinating Council (12-13) Chesterfield-Darlington Pioneering Healthier Communities- $28,500 Coastal South Tobacco Coalition, Darlington County Coordinating Council, SCSBYWAHM/CCBPRN (Deloris Williams) OQUIN Practices= FQHC Clinics Health Clinics CareSouth Carolina Griffin Family Practice Medical Clinic of Hartsville Darlington County *Carolina Pines Regional Medical Center (116) (WW) *McLeod Medical Center Darlington (72) (WW) CareSouth Carolina Rosa Lee Gerald Center Pee Dee Health Care PA McLeod Family Medicine Center Wilson Eastern Carolina Pediatrics Dillon Medical Clinic of Hartsville

9 + School Districts + Tobacco = 14%

10 Dillon 42 in Health Outcomes 44 in Health Factors % Adult % Adult Poor Mental % % Physical Inactivity Oral Health Smoking Obesity Health Days Hypertension ,073: % % % 31,758 $26, Eating/Active Living Planning/Engagement Body Mind Alliance Families (Latina Perinatal Program) Area Leadership Institute (13-14) Area Leadership Institute-$15,000 FQHC Clinics Health Clinics *McLeod Medical Center Dillon (79) (WW) CareSouth Carolina Lake View McLeod Pediatrics Dillon Latta Internal Medicine McLeod Pediatrics Dr. Lewis Dillon County Medical Clinic School Districts + Tobacco = 17% RALI, ARCH TBB Networks EMS

11 Jasper 24 in Health Outcomes 42 in Health Factors % Adult Poor Mental % % Adult Obesity % Physical Inactivity Oral Health Smoking Health Days Hypertension ,778: % % % 25,195 $34, Eating/Active Living ESMM Lowcountry (12-13) ESMM Lowcountry-$17,000 (13-14) ESMM Lowcountry-$73,506 Coastal South Tobacco Coalition OQUIN Practices=3 Planning/Engagement Family Practice Physicians Internal Medicine Physicians Internal Medicine Physicians FQHC Clinics Health Clinics *Coastal Carolina (41) Coastal Carolina Medical BJHCHS Chelsea (WW) Associates BJHCHS Hardeeville Coastal Medical Associates BJHCHS Ridgeland BJHCHS Hurricane Alley BJHCHS Jaguar Trail Note: BJHCHS stands for Beaufort-Jasper-Hampton Comprehensive Health Services + School Districts + Tobacco = 25%

12 Lee 45 in Health Outcomes 38 in Health Factors % Adult % Physical Poor Mental % % Adult Obesity Oral Health Smoking Inactivity Health Days Hypertension ,587: % % % 18,976 $28, Eating/Active Living Planning/Engagement Lee-RLI/Interagency Council (13-14)Lee-RLI/Interagency Council-$15, FQHC Clinic Health Clinics CareSouth Carolina Bishopville CareSouth Carolina Hunt Family Practice Bishopville Pate Medical Associates + School Districts + Tobacco = 0%

13 Marion 46 in Health Outcomes 41 in Health Factors % Adult % Physical Poor Mental % % Adult Obesity Oral Health Smoking Inactivity Health Days Hypertension ,531: % % % 32,846 $27, Eating/Active Living The Berea Baptist Association Families (Latina Perinatal Program) Planning/Engagement FQHC Clinic Health Clinics *Carolina Hospital System (124) Marion Regional Hospital (213) (WW) Health Care Partners Marion McLeod Family Medicine Marion Pediatrics Pee Dee Pediatrics Advanced Medical Associates Campbell Family Practice Marion Medical Group Palmetto Medical Care Helping Hands Medical Clinic

14 + School Districts + Tobacco = 17% RALI, ARCH

15 Marlboro 44 in Health Outcomes 46 in Health Factors % Adult % Physical Poor Mental % % Adult Obesity Oral Health Smoking Inactivity Health Days Hypertension ,363: % % % 28,509 $28, Eating/Active Living Marlboro County School District, Mind Body Alliance Marlboro County Interagency Council, SCSBYWAHM/CCBPRN (12-13) Advancing Community (Deloris Williams), Advancing Health-$12,900 Community Health Planning/Engagement Place Matters (13-14) Place Matters-$15, FQHC Clinic Health Clinics *Marlboro Park Hospital (102) (WW) CareSouth Carolina McCool Center CareSouth Carolina Bennettsville Center CareSouth Carolina Bennettsville Pediatrics Clio Medical Center Marlboro Pediatrics Marlboro Primary Care + School Districts + Tobacco = 0% RALI, ARCH

16 Orangeburg 41 in Health Outcomes 32 in Health Factors % Adult % Physical Poor Mental % Smoking % Adult Obesity Inactivity Oral Health Health Days Hypertension ,985: % % % 91,910 $31, Eating/Active Living Planning/Engagement ESMM Orangeburg, Family Health Centers Inc. (Darcy dman), OC Technical College, Orangeburg-Calhoun Ways to Wellness OC Technical College, Orangeburg- Calhoun Ways to Wellness (2 people) OQUIN Practices=3, PCMH=2 (12-13) OC Technical College-$44,375 (total) (13-14) Orangeburg-Calhoun Ways to Wellness-$117,000 (total) (12-13) OC Technical College-$44,375 (total) (13-14) Orangeburg-Calhoun Ways to Wellness-$117,000 (total) FQHC Clinic Health Clinics *Regional Medical Center (286) (WW) Family Health Center Vance Family Health Center Family Health Center Norfield Medical Center Family Health Center Orangeburg R Dale Paggett MD Drs. Willamson and Gillespie William E O Quinn Singleton Health Center Medical Center of North Orangeburg Calhoun Medical Clinic

17 Medical Center of Santee Robert L Smoak Family Practice Associates Family Diagnostic Associates Edisto Family Practice James Brunson Jr. MD + School Districts + Tobacco = 8% Federal Office of Health Policy Health Information Technology Network Grant

18 Union 34 in Health Outcomes 40 in Health Factors % Physical Poor Mental % % Adult Smoking % Adult Obesity Oral Health Inactivity Health Days Hypertension ,880: % % % 28,679 $33, Eating/Active Living Planning/Engagement Catawba Regional Local Food Coalition, Union County Commission of Alcohol and Drug Abuse (UCCADA) Union County Commission of Alcohol and Drug Abuse (UCCADA), Spartanburg Regional Foundation FQHC Clinic Health Clinics *Wallace Thompson Hospital (143) (WW) Wilson Medical Center (294) CHA Family Practice Associates CHA Upstate Pediatrics UHD Carolinas Health Associates + School Districts + Tobacco = 14%

19 Williamsburg 40 in Health Outcomes 37 in Health Factors % Adult Poor Mental % % Adult Obesity % Physical Inactivity Oral Health Smoking Health Days Hypertension ,958: % % % 28,679 $33, Eating/Active Living ESMM Williamsburg (use paper mail), Palmetto Project (13-14) Palmetto Project-$8,457 Williamsburg County Interagency Council OQUIN Practices=3, PCMH=1, Families (Latina Perinatal Program) Planning/Engagement ESMM Williamsburg (12-13) ESMM Williamsburg-$12, FQHC Clinic Health Clinics *Williamsburg Regional Hospital (25) Hope Health Williamsburg Medical Associates Hemingway Medical Park Kingstree Family Medicine + School Districts + Tobacco = 0% RALI, ARCH

20 Endnotes Adult smoking rates: Behavioral Risk Factor Surveillance System (2005-) Adult obesity rate: National Center for Chronic Disease Prevention and Health Promotion (2009) ARCH: Advancing Community Health Health Service: Provides comprehensive billing services to practices at a minimal charge, in hopes to enhance final status of provide which will in turn increase the quality of rural health care to residents. Dentists: HRSA Area Resource File (-2012) Electronic Health Records and Meaningful Use: Assist physicians to applying EHR incentive program by providing technical assistance EMS Emergency Medical Service: Support through a variety of technical assistance and education programs Low Country : Works with high risk communities to reduce the devastating and costly consequences of infants born too soon, who weigh too little and those infants who begin, and too often live their lives with less than optimum health. The program focuses on reducing infant mortality and eliminating perinatal disparities. Graduate Ration: Primarily state-specific sources, supplemented with National Center of Education Statistics (State-Specific) with asterisk (*) are associated with the South Carolina Hospital Association, Hypertension: DHEC County Profile Sheets () Resolving Program: Assist rural health care facilities and providers in accessing affordable capital to meet their financial needs. Medium : Small Area Income and Poverty Estimates () Networks South Carolina Health Networks: Five rural health networks dedicated to improving access to health care and securing healthcare safety nets. Lakelands: Abbeville, Edgefield, Greenwood, Laurens, McCormick, Saluda; Upper Midlands: Chester and Fairfield; Coastal Plain: Clarendon, Marion, Florence, Williamsburg; Northeastern: Chesterfield, Marlboro Percent 150% Poverty: Census Poverty Estimates ()

21 Physical inactivity rates: National Center for Chronic Disease Prevention and Health Promotion (2009) Poor mental health days: Behavioral Risk Factor Surveillance System (2005-) : Census Estimates () Physician Services: Connects physicians with rural jobs and employers across South Carolina. RALI: Area Leadership Initiative : Ensures access to reliable health care services in rural communities by supporting and building strong, viable systems of health care throughout rural South Carolina. TBB The Benefit Bank of South Carolina: A program that uses technology and collaboration to improve the financial, health, and household stability of SC families. Within one interview clients can complete applications for: Medicaid, Low Income Subsidy, State and Federal taxes, SNAP, TANF, FAFSA, Voter Registration, Lifeline. : Bureau of Labor Statistics () 2012: Bureau of Labor Statistics (2012) : Small Area Health Insurance Estimates (2010) WW: Working Well South Carolina Hospital Association