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Anne Arundel County Department of Health Co-Occurring Disorders Steering Committee June 15, 2012 Dr. Angela M. Wakhweya PowerPoint Presentation
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Anne Arundel County Department of Health Co-Occurring Disorders Steering Committee June 15, 2012 Dr. Angela M. Wakhweya Health Officer Anne Arundel County Department of Health. DOH VISION.

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slide1

Anne Arundel CountyDepartment of Health

Co-Occurring Disorders Steering Committee

June 15, 2012

Dr. Angela M. Wakhweya

Health Officer

Anne Arundel County Department of Health

doh vision
DOH VISION

Our vision is a vibrant Anne Arundel County in which healthy people reside in healthy communities

Anne Arundel County Department of Health

doh mission 1
DOH MISSION (1)

Our mission is to preserve, promote and protect the public health for Anne Arundel County residents

Anne Arundel County Department of Health

doh mission 2
DOH MISSION (2)

We are committed to providing leadership, guidance and information to ensure that all residents have seamless access to public health services

Anne Arundel County Department of Health

doh mission 3
DOH MISSION (3)

Criticalto achieving our vision and mission are strong, sustainable partnerships with public sector agencies, individuals, community-based organizations, health care providers and payers, academic institutions, businesses and other private sector agencies

Anne Arundel County Department of Health

healthy anne arundel coalition

Healthy Anne Arundel Coalition

“A Ripple Effect”

Healthy Anne Arundel Coalition

healthy anne arundel coalition vision
Healthy Anne Arundel CoalitionVISION

Healthy County,

Healthy People!

Healthy Anne Arundel Coalition

healthy anne arundel coalition mission
Healthy Anne Arundel Coalition MISSION

Working together as a community to promote the health and wellness of Anne Arundel County residents

Healthy Anne Arundel Coalition

anne arundel county who are we
Anne Arundel County ~Who Are We?

Area: 416 square miles

Population 537,656 (2010)§

Geography:

  • Rural south county
  • Urban/suburban northern and mid-county

§ US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011

Healthy Anne Arundel Coalition

public health context
Public Health Context
  • Reductions in federal, state and local funding for public health has required a collaborative approach to leveraging local resources to improve the public’s health
  • Economic and policy incentives (inc. Health Care Reform) will require public and private sector providers to promote:
    • Prevention and wellness
    • Health equity and reduction in health disparities
    • Patient satisfaction

Healthy Anne Arundel Coalition

background to the ship
Background to the SHIP
  • Maryland’s Health Reform Coordinating Council has recognized the importance of local health improvement coalitions (LHICs)
  • The Maryland Governor and Legislature have committed State support to LHICs in SFY 2012 budget
  • The Maryland Hospital Association provided start-up funds to LHICs
  • The Maryland Community Health Resources Commission provided implementation funding to LHICs
  • Local health improvement plans are a prerequisite for local health department accreditation

Healthy Anne Arundel Coalition

rationale for ship and lhics
Rationale for SHIP and LHICs
  • Federal goals related to Healthy People 2020
  • Reductions in federal, state and local funding for public health
  • Increased health care costs related to preventable health conditions
  • Increased focus on prevention and wellness

Healthy Anne Arundel Coalition

state health improvement process ship
State Health Improvement Process (SHIP)
  • Provides a framework for accountability, local action, and public engagement
  • Identifies 39 critical health measures
  • Requires each County to develop a Local Health Improvement Coalition (LHIC)
  • Requires each LHIC to develop and implement a Local Health Improvement Action Plan

Healthy Anne Arundel Coalition

what affects good health
What Affects “Good Health?”

Human Biology

Management of Illness

Environment

Lifestyle

Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007

Healthy Anne Arundel Coalition

public monies spent on good health
Public Monies Spent on “Good Health”

Lifestyle

Human

Biology

Environment

Management

of Illness

Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007

Healthy Anne Arundel Coalition

a paradigm shift from treatment to prevention
A Paradigm Shift “From Treatment To Prevention”

PayNow

for PREVENTION

Instead of Paying

Later for Care and

Treatment

Healthy Anne Arundel Coalition

anne arundel county ship data
Anne Arundel County SHIP Data

Anne Arundel County High Impact Objectives

  • High Morbidity Impact
    • Reduce ED visits from:
      • Asthma
      • Diabetes
      • Hypertension
      • Behavioral health conditions (mental health and substance abuse)
  • High Mortality Impact
    • Reduce deaths from cancer and heart disease
  • Multiple Impact
    • Reduce overweight/obesity
    • Improve maternal and infant health
    • Reduce tobacco use
    • Increase access to health care

Healthy Anne Arundel Coalition

selected ship measures 1 obesity
Selected SHIP Measures (1)Obesity

Healthy Anne Arundel Coalition

selected ship measures 2 behavioral health
Selected SHIP Measures (2)Behavioral Health

Healthy Anne Arundel Coalition

selected ship measures 3 disparities
Selected SHIP Measures (3)Disparities

For many indicators, the story is in the health-related disparities(race/ethnic, gender, age, location etc.)

Anne Arundel County

Healthy Anne Arundel Coalition

leading causes of death anne arundel county 2010
Leading Causes of Death Anne Arundel County, 2010
  • Heart Disease
  • Cancer
  • Stroke
  • Chronic Lower Respiratory Diseases
  • Diabetes
  • Unintentional Injuries
  • Influenza and Pneumonia
  • Septicemia
  • Alzheimer’s Disease
  • Suicide

Anne Arundel County Report Card available at www.aahealth.org/statistics

Healthy Anne Arundel Coalition

slide22

Rank Health Outcomes RankHealth Factor

1 Howard 1 Howard

2 Montgomery 2 Montgomery

3 Queen Anne's 3 Frederick

4 Frederick 4 Talbot

5 Carroll 5 Carroll

6 Calvert 6 Calvert

7 St. Mary's 7 Anne Arundel

8 Talbot 8 Harford

9 Harford 9 Queen Anne's

10 Anne Arundel 10 Baltimore

11 Charles 11 Charles

12 Washington 12 St. Mary's

13 Baltimore 13 Kent

14 Worcester 14 Garrett

15 Prince George's 15 Worcester

16 Garrett 16 Washington

17 Kent 17 Prince George's

18 Cecil 18 Allegany

19 Wicomico 19 Wicomico

20 Caroline 20 Cecil

21 Somerset 21 Caroline

22 Dorchester 22 Dorchester

23 Allegany 23 Somerset

24 Baltimore City 24 Baltimore City

Source: County Health Rankings 2012, available at www.countyhealthrankings.org

Healthy Anne Arundel Coalition

slide23

Source: County Health Rankings 2012, available at www.countyhealthrankings.org

Healthy Anne Arundel Coalition

public health partnerships
Public Health Partnerships

Successful public health initiatives often have multiple and diverse partners including:

  • Public Sector
  • Health Care Providers/Payers **
  • Community Based Partners
  • Employers/Business Community
  • Academic Partners
  • Philanthropy

** Health Care Providers/Payers

  • Hospitals
  • FQHCs
  • Pharmacies
  • Insurers
  • Community Health Centers
  • Health Care Professionals

Healthy Anne Arundel Coalition

healthy anne arundel coalition structure
Healthy Anne Arundel Coalition Structure

Coalition

Steering Committee

Coalition

Network

Boards, Coalitions, Councils and Committees

Examples

County Agencies, Offices, Departments and Partners

Examples

Anne Arundel County Public Schools

School Health Advisory Council

County and City Recreation and Parks

American Heart Association

Drug and Alcohol Abuse Council

City Housing Authority & County Housing Commission

Mental Health Agency

Department of Aging and Disabilities

Large Employers & Businesses

County Board of Education

County Detention and Corrections Facilities

Co-Occurring Steering Committee

Department of Social Services

Arundel Community Development Services

CBOs/FBOs/ Volunteers/ Community Reps

Partnership for Children, Youth, & Families

County and City Police and Fire Department

Conquer Cancer Coalition

Healthy Anne Arundel Coalition

slide27

Healthy Anne Arundel Coalition Implementation Structure

Leadership Team and Finance Subcommittee

Healthy Anne Arundel Coalition

healthy anne arundel coalition levels of engagement
Healthy Anne Arundel CoalitionLevels of Engagement
  • Steering Committee Member
  • Sub-Committee Member
  • Network Group Member
  • Network-Steering Committee Liaison
  • Resource Partner
  • Consumer/Client/ Former Patient
  • Community Representative
  • Observer
  • Volunteer
  • Technical Assistance
  • Presenter

Healthy Anne Arundel Coalition

healthy anne arundel coalition management and staffing
Healthy Anne Arundel CoalitionManagement and Staffing
  • Chair and Chair Designees
  • Vice Chairs
  • Steering Committee
  • Sub-Committees
  • Network Members
  • Staffing Support

Healthy Anne Arundel Coalition

healthy anne arundel coalition guiding principles
Healthy Anne Arundel CoalitionGuiding Principles
  • Utilize Existing Groups
  • Flexibility
  • Inclusive and Welcoming
  • Embrace Change
  • Transparent

Healthy Anne Arundel Coalition

healthy anne arundel coalition strategies
Healthy Anne Arundel CoalitionStrategies
  • COMMUNICATING- exchanging informationthrough networking for mutual benefit and to achieve a common purpose
  • COORDINATING - exchanging information andaltering activities for mutual benefit and to achieve a common purpose
  • COOPERATING - exchanging information, altering activities, & sharing resourcesfor mutual benefit and to achieve a common purpose
  • COLLABORATING - exchanging information, altering activities, sharing resources, and enhancing the capacityof another for mutual benefit and to achieve a common purpose

Healthy Anne Arundel Coalition

healthy anne arundel coalition intervention framework
Healthy Anne Arundel CoalitionIntervention Framework
  • Individual/Group level
  • Community/Societal
  • Structural/Policy

Healthy Anne Arundel Coalition

healthy anne arundel coalition social ecological model
Healthy Anne Arundel CoalitionSocial-Ecological Model

Source: Marjorie Buchanan, RN, MS, CPH, Clinical Director, Community and Public Health Nursing, University of Health School of Nursing

Healthy Anne Arundel Coalition

healthy anne arundel coalition measures of success
Healthy Anne Arundel Coalition Measures of Success
  • Decreased emergency department visits
  • Decreased preventable hospitalizations
  • Decreased hospital readmissions
  • Decreased pharmaceutical costs
  • Increased quality of life

Joint Community Needs Assessment to gain a baseline and monitor success

Healthy Anne Arundel Coalition

coalition influence and reach 1
Coalition Influence and Reach (1)

Preliminary Data – Healthy Anne Arundel Coalition May 2012

Healthy Anne Arundel Coalition

coalition influence and reach 2
Coalition Influence and Reach (2)

Preliminary Data – Healthy Anne Arundel Coalition May 2012

Healthy Anne Arundel Coalition

coalition influence and reach 3
Coalition Influence and Reach (3)

Preliminary Data – Healthy Anne Arundel Coalition May 2012

Healthy Anne Arundel Coalition

healthy anne arundel coalition health improvement focus areas
Healthy Anne Arundel Coalition Health Improvement Focus Areas
  • Obesity*
  • Mental Health & Substance Abuse as Co-Occurring Disorders*
  • Cancer and Tobacco Use
  • Dental Care
  • Sexual Health
  • Housing and Environmental Conditions

*Designated Priority Areas

Healthy Anne Arundel Coalition

priority 1 obesity prevention

Priority # 1Obesity Prevention

Healthy Anne Arundel Coalition

adult obesity not sustainable
Adult Obesity – Not Sustainable!

Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US

Data source: National BRFSS

Bend the obesity curve ~ a call to action!

Healthy Anne Arundel Coalition

adult obesity
Adult Obesity

Weight Status by Race for Anne Arundel County, 2007

Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007

Healthy Anne Arundel Coalition

childhood obesity
Childhood Obesity

Weight Distribution by Age Group for Children and Adolescents, 2006

Data source: Anne Arundel County Department of Health Provider-based County Survey of Children and Adolescents, 2006

Healthy Anne Arundel Coalition

health disparities
Health Disparities

disparities

Source: Maryland Health Services Cost Review Commission

Healthy Anne Arundel Coalition

health disparities1
Health Disparities

disparities

Source: Maryland Health Services Cost Review Commission

Healthy Anne Arundel Coalition

priority 2 mental health and substance abuse as co occurring disorders

Priority # 2Mental Health and Substance Abuse as Co-Occurring Disorders

Healthy Anne Arundel Coalition

slide46

Rate of Emergency Department Visits for Substance Abuse* by ZIP Code of Residence, Anne Arundel County,

July 2010 – June 2011

Substance Abuse

*Includes alcohol, illegal drugs and nonmedical use of prescription drugs.

Data Source: Rates calculated based on 2010 U.S. Census; MD Health Services Cost Review Commission.

Healthy Anne Arundel Coalition

suicide
Suicide

Rate* of Suicide-related Emergency Department Visits by Age Group.

Anne Arundel County, July 2010 – June 2011

* Crude rate calculated based on 2010 U.S. Census.

Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission

Rate per 100,000 persons

Healthy Anne Arundel Coalition

suicide1
Suicide

Age-Adjusted Suicide Death Rates, Anne Arundel and Maryland, 2005-2010

Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission

Rate per 100,000 persons

Healthy Anne Arundel Coalition

health disparities2
Health Disparities

disparities

Source: Maryland Health Services Cost Review Commission

Healthy Anne Arundel Coalition

healthy anne arundel coalition contacts
Healthy Anne Arundel Coalition Contacts

Laurie Fetterman, MSW

Phone: 410-222-7203

Email: HDFETT00@aacounty.org

Charis Jones, MPH

Phone: 410-222-4495

Email: HDJONE11@aacounty.org

www.HealthyAnneArundel.org

Healthy Anne Arundel Coalition

slide51

County Executive John R. Leopold

Department of Health

J. Howard Beard Health Services Building

3 Harry S. Truman Parkway

Annapolis, Maryland 21401

Phone: 410-222-7375 Fax: 410-222-4433

Maryland Relay (TTY): 1-800-735-2258

www.aahealth.org

Steering Committee Member Organizations:

A.A. Co. Office of the County Executive

A.A. Co. Dept. of Aging and Disabilities

A.A. Co. Dept. of Detention Facilities

A.A. Co. Dept. of Health

A.A. Co. Dept. of Recreation & Parks

A.A. Co. Dept. of Social Services

A.A. Co. Public Schools

A.A. Co. Mental Health Agency, Inc.

Anne Arundel Community College

Anne Arundel Economic Development Corporation

Anne Arundel Health System

Arundel Community Development Services, Inc.

Baltimore Washington Medical Center

CareFirst BlueCross BlueShield

City of Annapolis Mayor’s Office

Johns Hopkins Bloomberg School of Public Health

MedStar Harbor Hospital

Northrop Grumman

People’s Community Health Centers, Inc.

Rite Aid Corporation

School of Public Heath, University of Maryland

Walmart

Anne Arundel County Department of Health Representatives:

Angela M. Wakhweya, M.D., MSc.Econ., Health Officer

Jinlene Chan, M.D., M.P.H., Deputy Health Officer, Healthy Families Administration

Kelly Russo, M.D., M.P.H., Deputy Health Officer, Healthy Communities Administration

Ronna Gotthainer, Deputy Health Officer, Operations

Antigone Vickery, M.P.H., Director,

Office of Assessment, Planning and Response

Laurie Fetterman, M.S.W., Health Planner,

Office of Assessment, Planning and Response

Charis Jones, M.P.H., Technical Advisor,

Office of Assessment, Planning and Response

Healthy Anne Arundel Coalition