Restoring Hope Through Human Conversation

1. “To advocate human conversation as a means to restore hope to the future is as simple as I can get. I have seen there is no more powerful way to initiate significant change than to convene a conversation…It is always like this. Real change begins with the simple act of people talking about what they care about.”Margaret WheatlyAuthor of Leadership and the New Science

2. 2018 Comprehensive Community Health Needs Assessment:Selected Results for Boone County Boone County Presentation May 3, 2018 Presented by: East Central District Health Department

3. Presenters • Caitlin Schneider, MPH • Chief Public Health Officer • Chantel Sempek • Program Manager

4. Setting the Stage • MAPP – Mobilizing for Action through Planning and Partnerships • CHNA – Community Health Needs Assessment • CHIP – Community Health Improvement Plan

5. Community Driven • Mobilizing and engaging the community • Partnerships to strengthen the community • Planning driven by the community • Action with and by the community

6. The MAPP Process

7. Comprehensive Community Health Needs Assessment (CHNA) • 2018 assessment took about 12 months to complete • Repeated every three years • Available to the public – It is posted on ECDHD and the CCH website • 265 Pages and provides a profile of the district as well as each county • Identifies some top issues for each county.

8. General Demographic Information

9. 2000 to 2016 Population Change • Population losses in Boone and Nance Counties • Population growth in Platte Source: U.S. Census/American Community Survey 5-Year Estimates

10. 2016 Boone County Age Distribution As of 2016, the median age was 45.4 for Boone County. In 2016, 20.6% of the Boone County Population over 65 had dementia.

11. 2016 Four County Age Distribution

12. Hispanic/Latino Population • Hispanic/Latino population concentrated primarily in Platte and Colfax Counties (U.S. Census Bureau, American Community Survey, 5-year Estimates. Table: DP05)

13. Unemployment • *An average weighted by the population of each county. • (Nebraska Department of Labor, Labor Market Information, Local Area Unemployment Statistics)

14. Income • Nance has lowestmedian household income in the health district • Nance has the second lowest per capita income only above Colfax County • The health district has a lower per capita income compared to the state and nation but a higher median household income. *An average weighted by the population of each county. (Nebraska Department of Labor, Labor Market Information, Local Area Unemployment Statistics)

15. Veterans Data

16. Veterans Data • A survey was conducted in the East Central District between 2015-2016. A total of 149 respondents participated in the survey. Nearly two-thirds of respondents were male (64%) and 36% were female.

17. Veterans Data

18. Discussion

19. Children and Families • Poverty • Educational Attainment • Single Parent Families

20. Poverty Rate *An average weighted by the population of each county. (U.S. Census Bureau, American Community Survey, 5-year Estimates. Table DP03 – All people)

21. Change in Poverty Rate %

22. Poverty Rates for under 18 *An average weighted by the under 18 population of each county. (Source: U.S. Census/American Community Survey 5-Year Estimates. Table S1701; Census 2000 – Table DP-3)

23. High School Graduation Rates • Note: Data has been masked t*The source data are reported by school districts. County and district-level rates are calculated by taking the weighted average of all school districts within a county/district. o protect the identity of students using one the following criteria:  1) fewer than 10 students were reported in a group.    a) Fewer than 5 students were reported at a performance level.  2) All students were reported in a single group or performance category. Use extreme caution when interpreting data as several school districts in East Central were masked. (Source: Nebraska Department of Education. Table S1501)

24. Change in Household Composition The number of married couple families in the East Central district is decreasing at a faster rate compared to the state and the nation. The number of single parent families is also decreasing in East Central district, while in Nebraska is increasing.

25. Single Parent Families • Increased for all counties as a percent of total families from 2000 to 2017, but decreased for all but Boone County from 2012 to 2017. *Includes both male householder, no wife present, families with own children under 18 and female household, no husband present, families with own children under 18. (Source: U.S. Census/American Community Survey 5-Year Estimates. Table S1101)

26. Single Parent Families (Source: U.S. Census/American Community Survey 5-Year Estimates. Table S1101) 36% of Boone County single parent families have a Male Head of Household. Overall for the district this percentage is at 29%.

27. Woman Single Head of Household is Much More Likely To Live In Poverty (Source: American Community Survey 5-Year Estimates. Table B17006)

28. % Births To Unmarried Women (Sources: American Community Survey 5-Year Estimates, Table B13004. *2015 Nebraska Vital Statistics. Tables 7 and 22)

29. Child Mortality

30. Discussion

31. Access to Care • Health Insurance • Oral Health • Physical Health • Screenings • Immunizations

32. UninsuredPopulation

33. UninsuredAdults

34. UninsuredChildren

35. Access to Care (2017 Community Health Survey)

36. Health Care Satisfaction (2017 Community Health Survey)

37. Community Health (2017 Community Health Survey)

38. Diabetes

39. Pneumonia & Influenza

40. Pneumonia Immunization

41. Influenza Vaccinations

42. Rates of Colon Cancer Screening

43. Mammography

44. Cancer

45. Deaths Due to Cancer

46. Deaths Due to Stroke

47. Unintentional Injury Deaths

48. Motor Vehicle Death Rate

49. Seat Belt Usage

50. Distracted Driving Texting/cell phone use while driving was the top perceived risky behavior by survey respondents in Boone County.