Raising the Bar: Education is Key to Improving Economic and Health Status Among Women in Shasta County

1. 1 Raising the Bar: Education is Key to Improving Economic and Health Status Among Women in Shasta County A presentation by Dean Germano, FAHCE, CEO, Shasta Community Health Center to the Women�s Fund Community Forum: Barriers to Employment � December 8th, 2009.

2. 2 Shasta Community Health Center Located in Redding, California SCHC an FQHC with sites in Redding and four other locations along the I-5 Corridor of the County of Shasta Serving approximately 35,000 patients (one in four residents of Shasta County) & 130,000 annual patient visits. 92% of patients below federal poverty

3. 3 Mission Shasta Community Health Center�s mission is to provide quality health care services to the medically underserved populations of our community CHCs provide family oriented primary and preventive health care services for people living in underserved communities. We exist were economic geographic or cultural barriers limit access to primary health care for a substantial portion of the population; and we tailor services to the needs of the community. MISSION STATEMENT Shasta Community Health Center�s mission is to provide quality health care services to the medically underserved populations of our community. � VISION STATEMENT SCHC, working with private and public health partners, will help to create a seamless system of access to compassionate, high quality primary and preventive health care for all residents of the community it serves. Shasta Community Health Center strives to improve the health status within the community it serves, particularly for those residents who are economically or otherwise disadvantaged. � OPERATING STATEMENT To accomplish SCHC�s �Vision� and �Mission�, SCHC has chosen a preferred method of operating its healthcare practice. These �operational� principles include: � SCHC will continue to give priority and focus to primary-preventive healthcare services. � SCHC will provide leadership locally and regionally for the organization and delivery of health services for the disadvantaged. � SCHC will also be an active partner and will act �interdependently� with other healthcare organizations and systems that support its mission. � SCHC will employ a �medical group practice� model as its preferred method of delivering accountable, high quality healthcare services. � SCHC will strive to provide complete and comprehensive care to its patients, either independently or in partnership with others, within the limits of its resources. � SCHC supports the �continuing quality improvement� process and will strive to �empower� its employees to achieve on-going improvements in the delivery of healthcare services for its patients. � � CHCs provide family oriented primary and preventive health care services for people living in underserved communities. We exist were economic geographic or cultural barriers limit access to primary health care for a substantial portion of the population; and we tailor services to the needs of the community. MISSION STATEMENT Shasta Community Health Center�s mission is to provide quality health care services to the medically underserved populations of our community. � VISION STATEMENT SCHC, working with private and public health partners, will help to create a seamless system of access to compassionate, high quality primary and preventive health care for all residents of the community it serves. Shasta Community Health Center strives to improve the health status within the community it serves, particularly for those residents who are economically or otherwise disadvantaged. � OPERATING STATEMENT To accomplish SCHC�s �Vision� and �Mission�, SCHC has chosen a preferred method of operating its healthcare practice. These �operational� principles include: � SCHC will continue to give priority and focus to primary-preventive healthcare services. � SCHC will provide leadership locally and regionally for the organization and delivery of health services for the disadvantaged. � SCHC will also be an active partner and will act �interdependently� with other healthcare organizations and systems that support its mission. � SCHC will employ a �medical group practice� model as its preferred method of delivering accountable, high quality healthcare services. � SCHC will strive to provide complete and comprehensive care to its patients, either independently or in partnership with others, within the limits of its resources. � SCHC supports the �continuing quality improvement� process and will strive to �empower� its employees to achieve on-going improvements in the delivery of healthcare services for its patients. � �

4. 4 Shasta CHC�s Satellites

5. 5 Activities Services that include primary and preventive health care, limited mental health, outreach and dental care. Ancillary services such as lab, x-ray, pharmacy as well as health education and prenatal services. Links to social services, Medi-Cal, mental health and substance abuse treatment and other related services. Access to a full range of special care services. Adolescent Medicine Behavioral Health/Psychiatry Case Management Child Sexual Assault Medical Examinations Chronic Disease Management Dental Diabetes Education Early Intervention Services Family Practice General Laboratory Services General Radiology Immunizations Internal Medicine Language Services Obesity Obstetrics Pediatrics/Newborn School Based Clinics Social Work Specialty Care Telemedicine Women�s Health Specialty Services Cardiology (Pediatric) Endocrinology E.N.T (Ear, Nose and Throat) General Surgery G.I. (Gastrointestinal) Gynecology Hepatology Neurology Neurosurgery Orthopedics Pediatric Cardiology Plastic Surgery Podiatry Proctology Pulmonology Rheumatology Urology Adolescent Medicine Behavioral Health/Psychiatry Case Management Child Sexual Assault Medical Examinations Chronic Disease Management Dental Diabetes Education Early Intervention Services Family Practice General Laboratory Services General Radiology Immunizations Internal Medicine Language Services Obesity Obstetrics Pediatrics/Newborn School Based Clinics Social Work Specialty Care Telemedicine Women�s Health Specialty Services Cardiology (Pediatric) Endocrinology E.N.T (Ear, Nose and Throat) General Surgery G.I. (Gastrointestinal) Gynecology Hepatology Neurology Neurosurgery Orthopedics Pediatric Cardiology Plastic Surgery Podiatry Proctology Pulmonology Rheumatology Urology

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7. 7 The Uninsured Estimates of the uninsured in Shasta County vary but current estimates (2005 �from UCLA Study) show the rate to be about 26%. Estimates of Uninsured and Underinsured in Shasta County are impacted by the relatively low rate of year round employment that provides benefits (about 40%).

8. 8 Health Status Linked to Education Research shows that those with higher education attainment live longer and healthier lives. Difference related to types of work; risk taking behaviors; differences in stress levels related to obtaining the basics of life.

9. 9 The Link Between Education and Health Benefits How might educational attainment benefit health? Yen & Moss (1999) suggest that there are skills and social benefits which come with increasing educational levels. "Skills may include: 1) ability to process certain kinds of information or critical thinking and 2) ability to interact with bureaucracies, institutions, and health practitioners.

10. 10 The Link Between Education and Social Benefits Social benefits may include: 1) credentials and the economic access they provide; 2) social networks and extension of cultural capital; 3) socialization to adopt health-promoting behaviors; and 4) enhanced expectations for the future leading to helpfulness, planning, self-efficacy, and a sense of control."

11. 11 The Good, The Bad, and Where We Need to Go! The Good: Excellent High School Graduation Rates compared to State Rates! The Bad: So few of our High Schoolers go on to 4 year Universities (estimates less than 5%) What to do: We need a prolonged and sincere �community campaign� to drive expectations that higher education is critical to greatly improve our individual/community economic, societal and health status.

12. 12 Shasta County vs. California High School Graduation Rates

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17. 17 Shasta County Public Health Report � Recommendations Education is a strong determinant of socioeconomic success and health outcomes. Increasing educational attainment will improve economic and health status for individuals and our community.

18. 18 Future Challenges: Education is the Key!! Young women need to be encouraged at the earliest ages that they can achieve in professions/jobs in the areas of health/science and engineering. Role Models? Young women need to see opportunity for themselves beyond high school. When achieved, this reduces early pregnancy/childbirth that hampers educational attainment. Young people in general, women in particular, need to feel comfortable about leaving the community. Our community�s insularity is detrimental to our young people and community.

19. 19 Future Challenges: Education is the Key!! In the advanced health professions, we import a disproportionate number of practitioners and health professionals who grew up outside our community other than nursing and dental hygienists. We send too few our young people out to four year universities from high school. We need to have higher expectations of our young people, particularly our young women, our schools and ourselves.

20. 20 Healthcare Industry Offers Good Paying Jobs for Women The healthcare sector in Shasta County is one business sector where good paying job opportunities exist for women. Need to continue to motivate young women in Shasta County in the areas of math and science. In order to compete for jobs, we need an educated workforce!!

21. 21 Some Baby Steps Shasta CHC is starting a �reach out and read program� for children/families 0-5! Start outreach at a youngest point. Chamber of Commerce, large/small businesses, and educational institutions need an annual event, like �breast cancer awareness week� to raise the profile of the need for higher educational expectations. Young people need HOPE for a future. Start a �viral� electronic campaign on educational attainment. Make being smart (or at least working hard at school) COOL. We need more than just AP classes to reach kids.

22. Our 2009 Summer Interns

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