Where you live affects your health
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- Gladys Wade
- 5 years ago
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Transcription
1 Where you live affects your health
2 A Story
3 Health in the Story Pests (Roaches) No heat (poorly sealed) Lead Asthma triggers Lead Poisoning Childhood development High blood Pressure Kidney Disease Reduced Fertility Asthma Hospitalizations Poor Quality of Life High Utility Bills
4 Health in the Story Lead Asthma triggers No heat (poorly sealed) Pests (Roaches) Lead Poisoning Childhood development High blood Pressure Kidney Disease Reduced Fertility Asthma Hospitalizations Stress Likely Infectious Disease
5 Health in the Story Lead Asthma triggers No heat (poorly sealed) Pests (Roaches) Greenness Safety Lead Poisoning Childhood development High blood Pressure Kidney Disease Reduced Fertility Asthma Hospitalizations Stress Likely Infectious Disease Mental Health
6 Where you live affects your health 20% Healthcare 20% Genetics 60% Social, Environmental, Behavioral Factors Planning decisions influence the 60%
7 Quality & Design Stability & Affordability Location
8 Health Conditions Impacted Asthma Allergies Elder Falls Mental Health Childhood Brain Development Smoking Cardiovascular Disease Mental Health Malnutrition Childhood Development & Lifetime Health Substance Use Cardiovascular Disease Depression Mental Health Respiratory Disease Chronic Disease
9 How can we measure this? Hospitalizations/Health Care Usage/Costs Prevalence/Quantity of Conditions Health Behaviors Access & Environment
10 What can we look at, overall: Hospitalizations Conditions Behaviors/Risk Factors Asthma Chronic Obstructive Pulmonary Disease Substance Abuse Cardiovascular Disease Mental Health Obesity Diabetes Blood Lead Levels Depression Excessive Drinking Smoking Consuming 5+ Vegetables/Day Youth School Performance Social Isolation
11 Rockland HPP Example of integrating health in our plans and policies
12 Top Issues Overall Hospitalizations Conditions Behaviors/Risk Factors Asthma Chronic Obstructive Pulmonary Disease Cardiovascular Disease Substance Abuse Diabetes Mental Health Obesity Blood Lead Levels Depression Excessive Drinking Smoking Consuming 5+ Vegetables/Day Youth School Performance Social Isolation
13 Top Issues for Seniors (65+) Hospitalizations & Health Care Usage Conditions Risk Factors Physical Visits per Year Rate of Inpatient hospital stays Inpatient hospital readmissions Medicare managed care enrollees Dementias Heart Failure Heart Disease Chronic Obstructive Pulmonary Disease 4+ Chronic Conditions 0 Chronic Conditions Falls % disabled for a year or more Social Isolation
14 Housing Location Priorities Social Isolation Climate Change & Infectious Disease Lack of Access to Goods and Services Community Walkscore 67 out of 100 Hospital Stays per 10,000 People 65 Years and Older 406 vs 354
15 Housing Quality Priority: Lead Proportion of Housing with Lead 69% vs 71% Screening Rate for Children < 3 76% vs 77% Blood Lead Levels > 3.7 per 1,000 children under 3 Lower than State
16 Priorities to Focus on in Rockland 1. Ensure the maintained quality and safety of older housing stock 2. Identify causes of high respiratory disease emergency room visits and hospitalizations 3. Identify causes of high heart disease hospitalizations and related deaths 4. Retain existing greenery but monitor changes in infectious disease 5. Address risks of social isolation amongst elderly 6. Continue to be proactive about affordable, inclusive, community integrated, and aging supportive housing
17 Homes and Hospitals Community investments to reduce clinical costs
18 Clinical to Community Investments 1. Shift from fee-based to value-based care (i.e., pay for outcomes not service) 2. Investments outside of hospital settings 3. Homes and housing stability a key target 1. Key factor in reducing costs
19 Health Conditions Impacted Asthma Allergies Elder Falls Mental Health Childhood Brain Development Smoking Cardiovascular Disease Mental Health Malnutrition Childhood Development & Lifetime Health Substance Use Cardiovascular Disease Depression Mental Health Respiratory Disease Chronic Disease
20 From Homes to Health Community Design Complete Streets and Vision Zero Parks, Recreation, and Open Space Climate Resiliency Local Public Health Infrastructure And more!
21 Thank you Sharon Ron, Public Health Research Analyst, MAPC
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