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Plan for Collaborating on a Harford County Community Health Improvement Plan. Community Health Improvement Plan (CHIP) Coalition Steering Committee November 2011. Today’s Agenda. Rationale for a community health needs assessment and improvement plan Proposed approach for the planning process

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plan for collaborating on a harford county community health improvement plan

Plan for Collaborating on a Harford County Community Health Improvement Plan

Community Health Improvement Plan (CHIP) Coalition Steering Committee

November 2011

today s agenda
Today’s Agenda
  • Rationale for a community health needs assessment and improvement plan
  • Proposed approach for the planning process
  • Broad-brush review of Harford County health data and priorities
  • Next steps
who says we need a plan for improving the community s health
Who Says We Need a Plan for Improving the Community’s Health?
  • CHNA – For Hospitals
    • Federal health care reform, as well as Federal and State requirements, mandate community health needs assessment (CHNA).
  • SHIP – For State Health Departments
    • Maryland’s Health Care Reform Coordinating Council reaffirms the importance of a State Health Improvement Process (SHIP).
  • LHIP – For Local Health Departments
    • National public health accreditation requires a Local Health Improvement Plan (LHIP).
what s required
What’s Required?

Local Health Departments

State Health Improvement Process (SHIP) obligations requiring a Local Health Improvement Coalition (LHIC) and Action Plan

Obesity Prevention Task Force report due to the County Council

Public Health Accreditation Board (PHAB) prerequisite

Hospitals

State community benefits report to HSCRC

Federal IRS Form 990 Schedule H

New federal health care reform requirements for Community Health Needs Assessment (CHNA)

can we build on harford county efforts
Can We Build on Harford County Efforts?

Federal Health Care Reform Requirements

Hospital CHNA Mandates

LHD SHIP

Mandates

COMMUNITY HEALTH IMPROVEMENT PLAN

Healthy Harford Activities

a common vision and mission
A Common Vision and Mission?

VISION

To make Harford County the healthiest community in Maryland

MISSION

To protect, promote and improve the health, safety and environment of the residents of Harford County through community assessment, education, collaboration and assurance of services

what is a public health planning process
What is a Public Health Planning Process?

MAPP

  • MAPP = Mobilizing for Action through Planning & Partnerships
  • Developed by NACCHO & CDC in 2001
  • Consists of 4 assessments:
    • Quantitative data review
    • Qualitative data review
    • Internal review
    • External review
how can we get started
How Can We Get Started?

One Approach

  • Present the quantitative data we currently have to community audiences
  • Then solicit reaction, including qualitative feedback
  • In order to engage in a discussion about strengths, weaknesses, opportunities & threats
  • To gain consensus on priorities, goals, strategies & action steps
infant mortality rates harford county maryland 2001 05 to 2006 10
Infant Mortality RatesHarford County & Maryland2001-05 to 2006-10

Source: Maryland Vital Statistics

infant mortality rates harford county by race 2000 04 to 2005 09
Infant Mortality RatesHarford County, By Race2000-04 to 2005-09

Source: Maryland Vital Statistics

low birthweight rates harford county maryland 2000 04 to 2005 09
Low Birthweight RatesHarford County & Maryland2000-04 to 2005-09

Source: Maryland Vital Statistics

1 st trimester prenatal care rates harford county maryland 2004 06 to 2007 09
1st Trimester Prenatal Care RatesHarford County & Maryland2004-06 to 2007-09

Source: Maryland Vital Statistics

1 st trimester prenatal care rates harford county by race 2004 vs 2009
1st Trimester Prenatal Care RatesHarford County, By Race2004 vs. 2009

Source: Maryland Vital Statistics

heart disease mortality rates harford county maryland 2004 06 to 2007 09
Heart Disease Mortality RatesHarford County & Maryland2004-06 to 2007-09

Source: Maryland Vital Statistics

heart disease mortality rates harford county by race 2004 06 to 2007 09
Heart Disease Mortality RatesHarford County, By Race2004-06 to 2007-09

Source: Maryland Vital Statistics

cancer mortality rates harford county maryland 2004 06 to 2007 09
Cancer Mortality RatesHarford County & Maryland2004-06 to 2007-09

Source: Maryland Vital Statistics

cancer mortality rates harford county by race 2004 06 to 2007 09
Cancer Mortality RatesHarford County, By Race2004-06 to 2007-09

Source: Maryland Vital Statistics

stroke mortality rates harford county maryland 2004 06 to 2007 09
Stroke Mortality RatesHarford County & Maryland2004-06 to 2007-09

Source: Maryland Vital Statistics

stroke mortality rates harford county by race 2004 06 to 2007 09
Stroke Mortality RatesHarford County, By Race2004-06 to 2007-09

Source: Maryland Vital Statistics

copd mortality rates harford county maryland 2004 06 to 2007 09
COPD Mortality RatesHarford County & Maryland2004-06 to 2007-09

Source: Maryland Vital Statistics

copd mortality rates harford county by race 2000 07 to 2004 09
COPD Mortality RatesHarford County, By Race2000-07 to 2004-09

Source: Maryland Vital Statistics

for chronic disease outcomes harford county ranks worse than the state
For chronic disease outcomes, Harford County ranks worse than the State

Note: Rates are deaths per 100,000 population

leading actual causes of death united states 2000
Leading Actual Causes of DeathUnited States, 2000

Source: Mokdad AH, et al, JAMA, Mar 2004

adult smoking rates harford county maryland 2005 07 to 2008 10
Adult Smoking RatesHarford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

adult cigarette smoking rates harford county maryland 2000 to 2010
Adult Cigarette Smoking RatesHarford County & Maryland2000 to 2010

Source: CDC Behavioral Risk Factor Surveillance System

secondhand smoke exposure rates harford county maryland 2008
Secondhand Smoke Exposure RatesHarford County & Maryland, 2008

Source: CDC Behavioral Risk Factor Surveillance System

adult obesity overweight rates harford county maryland 2005 07 to 2008 10
Adult Obesity/Overweight RatesHarford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

physical activity rates harford county maryland 2005 07 to 2008 10
Physical Activity Rates*Harford County & Maryland2005-07 to 2008-10

* NOTE: Moderate activity 30 minutes/day, 5 days/week

Source: CDC Behavioral Risk Factor Surveillance System

physical activity rates harford county 2010 chap brfss data
Physical Activity RatesHarford County2010 CHAP & BRFSS Data

NOTE: Moderate activity 30 minutes/day, 3 days/week

NOTE: Moderate activity 30 minutes/day, 5 days/week

fruits vegetables intake rates harford county maryland 2005 07 to 2008 10
Fruits & Vegetables Intake Rates*Harford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

* NOTE: 5 or more daily servings of fruits or vegetables

fruits vegetables intake rates harford county 2010 chap brfss data
Fruits & Vegetables Intake RatesHarford County2010 CHAP & BRFSS Data

Fruits/Vegetables, 37.1%

Fruits, 18.3%

NOTE: 3 more daily servings of fruit and 3 more daily servings of vegetables

who could not afford to see m d harford county maryland 2005 07 to 2008 10
% Who Could Not Afford to See M.D.Harford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

adult influenza vaccination rates harford county maryland 2005 07 to 2008 10
Adult Influenza Vaccination RatesHarford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

childhood influenza vaccination rates county leaders 2010
Childhood Influenza Vaccination RatesCounty Leaders, 2010

Source: CDC Behavioral Risk Factor Surveillance System

anxiety disorder rates harford county maryland 2005 07 to 2008 10
Anxiety Disorder RatesHarford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

binge drinking rates harford county maryland 2005 07 to 2008 10
Binge Drinking RatesHarford County & Maryland2005-07 to 2008-10

Source: CDC Behavioral Risk Factor Surveillance System

population to provider ratios harford county maryland
Population to Provider RatiosHarford County & Maryland

Source: Maryland Primary Care Office, DHMH

which of the 39 ship objectives does harford county rank worse than the state
Which of the 39 SHIP objectives does Harford County rank worse than the State?
  • Seasonal flu vaccination rate
  • Heart disease death rate
  • Cancer death rate
  • Adult tobacco use
  • Youth tobacco use
  • Behavioral health-related admissions to E.R.
  • Alzheimer’s-related admissions to the E.R.
which of the 27 county health rankings objectives does harford county rank worse than the state
Which of the 27 County Health Rankings objectives does Harford County rank worse than the State?
  • Adult smoking
  • Adult obesity
  • Access to recreational facilities
  • Air pollution ozone days
  • Mammography screening
  • Motor vehicle crash death rate
  • Primary care physician availability
  • Preventable hospital stays
  • Poor mental health days
  • Poor physical health days
  • Unemployment
next steps
Next Steps?
  • Agree that the Community Health Improvement Plan (CHIP) Coalition will serve as the unifying framework for Community Health Needs Assessment, Local Health Improvement Plan, and the Obesity Task Force efforts.
  • Finalize membership of the CHIP Steering Committee and the larger Coalition.
  • Preliminarily select 3 to 5 priority areas of focus and identify partners for leading those improvement efforts.
  • Solicit feedback from others in the community – via meetings, website communications, and other avenues.
  • Other thoughts?
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