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Midcoast Community Health Assessment 2018: Addressing Needs and Building Community

Join us for the Midcoast Community Health Needs Assessment forum to discuss the health priorities and resources of the Waldo County community. Explore the data and participate in interactive discussions to identify the top needs and develop a plan for improvement.

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Midcoast Community Health Assessment 2018: Addressing Needs and Building Community

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  1. Maine Shared Community Health Needs Assessment2018 Community Events Midcoast Public Health District: WALDO County

  2. Welcome and Introductions

  3. Thank you to the following sponsors of this forum!

  4. Forum Agenda

  5. Why are we here?

  6. Guidance, Regulations & the Law Maine Shared Community Health Needs Assessment Images of PHAB and IRS from the internet

  7. Maine Shared CHNA Governance

  8. Health Improvement Process Partners Partners Partners Partners Partners Partners

  9. Local Activities and Accomplishments

  10. Midcoast Public Health District Midcoast Public Health Council (MPHC) • The Midcoast Public Health District is one of nine public health districts in Maine. The district includes Waldo, Lincoln, Knox and Sagadahoc counties. • The Midcoast Public Health Council is the District Coordinating Council (DCC) for public health in the Midcoast with council membership or representation from the district’s four counties, as well as Brunswick and Harpswell. • Current District Public Health Improvement Plan (DPHIP) created in 2016

  11. Midcoast District – Waldo CountyHospital and District priority areas of work since the 2016 Shared CHNA

  12. Health Improvement

  13. Cancer Screening & Prevention William Fabricius, MD, Rachael McCormick and Jill Coyle, RN teaching the “Fight Cancer in the Kitchen” cooking class

  14. Elevated Blood Lead Levels

  15. Obesity & Diabetes

  16. Substance Use

  17. Tobacco Use

  18. How to Read County Health Profile EXAMPLE

  19. How to Read County Health Profile EXAMPLE

  20. Key Findings

  21. Demographics Waldo: Age Distribution Percent of Population Living in Rural Areas, 2012-2016

  22. Demographics • Change in Percent of Population Age 25+ With Associates Degrees or Higher, 2000-2016

  23. Demographics • Waldo County: Gay, Lesbian, and Bisexual High School Students 12% Maine 11% 2011 2017

  24. Health Equity Data Handouts include selected data for: Sex Race Ethnicity Sexual orientation Education Income Rurality

  25. Years of Potential Life Lost Waldo: Years of Potential Life Lost Per 100,000 Population YPLL measures premature death, or the years of potential life lost before the age of 75. 10,000 Maine 6529.2

  26. Social Determinants of Health Waldo County: Percent of Individuals Living in Poverty (2000-2016) • Unemployment rate (2012-2016) • Unemployment rate (2012-2016) 25% Maine 14% 2009-2011 2012-2016

  27. Social Determinants of Health • Waldo County: Housing Insecure (High School) • Adverse Childhood Experiences, 2017 12% Waldo County Maine

  28. Health Behaviors - Obesity • Waldo County: • Obesity (Adults) • Waldo County: • Obesity (High School) 35% 35% Maine 30% Maine15% 2011 2016 2011 2017

  29. Health Behaviors- Smoking Current Smoking (Adults), 2016

  30. Health Behaviors- Smoking • Waldo County: Past-30-Day Cigarette Smoking (High School) • Waldo County: Past-30-Day • E-Cigarette Use (High School) 25% 25% Maine 15%

  31. Health Behaviors- Alcohol and Marijuana • Waldo County: Past-30-day Alcohol, Marijuana, and Non-Medical Rx Drug Use (High School) Waldo County: Binge Drinking (High School) 25% 35% Maine 12%

  32. Health Outcomes-Cancer All Cancer Deaths, 2012-2016

  33. Health Outcomes-Adult Chronic Disease Waldo County: Asthma Prevalence Waldo County: Diabetes Prevalence 15% 15% Maine 12% Maine 10%

  34. Health Outcomes-Adult Chronic Disease Waldo County: High Cholesterol Waldo County: High Blood Pressure Maine 39%

  35. Health Outcomes – Heart Disease Waldo County vs. State: Heart Failure Hospitalizations Per 10,000 (2016) Waldo County: Coronary Heart Disease Deaths Per 100,000 120 120 2017 114 Maine 84.1

  36. Health Outcomes - Mental Health Current Depression (Adults), 2014-2016 Waldo County: Sad/Hopeless 2+ Weeks in a Row (High School) 35% Maine 27% 2011 2017

  37. Health Outcomes - Substance Use Overdose Deaths Per 100,000 2012-2016

  38. Health Access and Quality Unable to Obtain Care Due to Cost, 2014-2016

  39. Facilitated Discussion

  40. Small Group Discussion Questions Based on your own knowledge and experiences, are there any major health issues that are not represented in the data? (10 mins) Based on the data, past priorities, and your observations, what do you see as the top needs of our community? (20 mins) What community resources are available to address these needs, and what more may be needed? (5mins)

  41. Assets/Resources and Needs

  42. Prioritization Exercise

  43. Wrap Up and Next Steps

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