Built Environment, Health and Mental Health Gerard Clancy, MD - - PowerPoint PPT Presentation

Built Environment, Health and Mental Health

Gerard Clancy, MD President University of Oklahoma, Tulsa

2

The baby-boomers are bailing …..moving out of the labor force – Who will replace them? What is the level of talent of these replacements?

Older Americans Consume Less…… For many US cities – a perfect storm of increasing number

• f retirees and no new young talent to continue to support

tax base and basic infrastructure

Regional Vision Drives Regional Planning Efforts The Emerging “Science of Cities” - Findings:

• 1. Boomers retiring with insufficient backfill of

talented employees.

• How do we keep them active and

contributing to the vitality of the community?

• 2. Increasing Diversity.
• 3. Broader variation in educational level of next

workers.

• 4. Young, diverse, creative talent as the regional

economic development currency.

• 5. Young, diverse talent on the move – looking

for……

• Other young, creative, motivated talent.

“Cool” – Entertainment, Recreation, Arts, Diversity, Green, Walkable, Bicycles…..

OUR Emerging Vision…..

• “The Tulsa region will be an

economically strong major metropolitan area based on a collaborative entrepreneurial spirit and focused attention on the development, recruitment, retention and mentorship

• f highly motivated, young, creative,

engaged talent.”

When you move your company here, be sure to pack your hiking boots.

• The region’s outstanding quality of life translates into a productive

workforce that experiences less absenteeism and places fewer demands on the healthcare system.

• Colorado has the nation’s lowest rate of obesity and is among the

four lowest states for deaths caused by heart disease, diabetes, and cancer.

• While no state is immune to rising obesity rates, we’re curbing the

gradual expansion of our waistlines by re-adjusting our culture. Metro Denver is aiming to become "America’s Healthiest Community" by instituting strategies that support worksite wellness, school policy, and the creation of interlinked, walkable communities.

Health as Economic Development

650$ 700$ 750$ 800$ 850$ 900$ 950$ 1,000$ 1,050$ 1,100$ 1,150$ 1,200$ 1,250$ 1968$ 1972$ 1976$ 1980$ 1984$ 1988$ 1992$ 1996$ 2000$ 2004$ 2008$

1968

Iowa (11) Florida (12) Wisconsin (13) Montana (14) OKLAHOMA (15) COLORADO (16) Arizona (17) Connecticut (18) Washington (19) Texas (20)

2010

Minnesota (4) New York (5) Massachusetts (6) COLORADO (7) New Hampshire (8) New Jersey (9) Washington (10)

2010

Arkansas (45) Louisiana (46) Kentucky (47) OKLAHOMA (48) West Virginia (49) Alabama (50) Mississippi (51)

Age-adjusted Death Rates Years

Death Rates; Oklahoma = 5th Worst

United Health Foundation 2013 Rankings: Oklahoma = 7th Worst

Well-Being Scores - 2013

9th worst

2nd worst COMMONWEALTH FUND: 2009 Rankings of Health System Performance

7th worst

COMMONWEALTH FUND: 2011 Ranking Child Health System Performance

County-Level: Leisure Time Physical Inactivity, CDC

Blue is bad……

14

Tulsa County:

• 49% do not meet daily aerobic activity recommendations.
• 10% no leisure time activity in past month.

Oklahoma is ranked 6th in percentage of obesity

Adult Obesity Rates

Bright red is bad….

15

Tulsa County: 27.8% Obese

Adult Diabetes Rates

Dark blue is bad…

16

Tulsa County; 13.6% with Diabetes

Oklahoma leads the nation in deaths due to Heart Disease Dark red is bad…..

17

Commonwealth Fund 2012, Overall Health System Performance: Top 10% and Bottom 10% Cities – All 3 Oklahoma metropolitan centers rate in the bottom 10th percentile

18

Of the 306 US Hospital Referral Regions:

• Tulsa = # 281
• Lawton = # 286
• OKC = # 298

19

The Role of the Social Determinants of Health

• Health is much more

than health care.

• Must pay attention to

broader determinants of health.

• Lifestyle
• Environment
• Education Level
• Health Literacy
• Genetics
• Addiction
• Remember…..
• Adverse environments

change your genetics as a child and as an adult.

• Built environment has

influence over all these determinants

20

Robert Wood Johnson Foundation Report

Hot Spotting

Personal Relationships with Neighborhoods and Sophisticated Predictive Analysis  Know What Will Happen Before It Happens….

Hot Spotting Decreases Violent Crime Hot Spotting Decreases Emergency Room Use Camden, NJ - Non-urgent use of Emergency room by census tract

22

Clinical Services Distribution Age-Adjusted Death Rate in Tulsa

Tulsa = 14 year difference in Life Expectancy 40% of Population has access to 4%

• f Physicians

Hot Spotting Tulsa

22

Young Talent Development…

• Prenatal care – Healthy Women, Healthy Futures
• Early Childhood – Head Start, Educare I, II, III…
• K-12
• Teacher Leader Effectiveness
• Teach For America
• Knowledge Is Power Program
• Model Charter Schools
• Tulsa Area Community Schools Initiative
• Magnet Schools – BTW, Carver, Zarrow,

Eisenhower, Thoreau, Edison Prep

• Rogers Collegiate High School
• Union Collegiate Academy
• Diverse Public and Private Education

Options

• Youth Sports Network
• Leadership Youth Tulsa
• Youth Philanthropy Initiative
• Camp Any Town
• Youth Services of Tulsa
• Child Abuse Network
• Parent Child Center
• Family and Children’s Services
• Family Safety Center
• Tulsa Technology Center
• Tulsa Community College
• Tulsa Achieves
• Complete College Oklahoma
• Oklahoma Higher Learning Access Program
• Finish For Greater Tulsa
• Higher Education Undergraduate Collaborative
• Langston, TU, NSU, ORU, OSU, OU, RSU,

TCC

• Higher Education Graduate School and Research

Collaborative

• TU, NSU, ORU, OSU, OU, Langston

Recruit Talent…

• Tulsa Young Professionals – 9,000 strong
• Tulsa # 1 for young entrepreneurs – Forbes
• Oklahoma Innovation Institute
• Tulsa Research Partners
• The Forge
• Tandy Community Super Computer
• Innovation Competitions
• MOSAIC – Diversity as Economic Development
• Oklahoma Equality Center
• “Cool” Vibe Spots
• Brookside, Cherry Street, 6th and

Peoria

• Main Streets – Broken Arrow, Jenks,

Collinsville

• Riverwalk - Jenks
• Downtown Core
• Blue Dome, Brady, CAIN’s, BOK

Center, ONEOK Field, Guthrie Green, Philbrook, Zarrow, 108, Woody Guthrie, HAHA, Performing Arts Center, Jazz Hall of Fame

• Housing Options
• Walkable
• River Parks
• Urban Wilderness – Turkey Mountain
• Events
• Broken Arrow Performing Arts Ctr
• Glenpool, Bixby Spirit Event Ctr
• Hard Rock, River Spirit, Million Dollar

Elm Event Centers

• Center of the Universe, Mayfest
• Tulsa Tough, Tulsa Run, Rte 66 Run
• NCAA / Amateur Tournaments
• Drillers, Shock, Golden Eagles, Golden

Hurricane

Retain Talent………

• United Way Emerging Leaders Programs
• Schooling Options Across Region
• Safety Initiatives
• Safe suburbs
• Community / Neighborhood Policing
• Low Cost Of Living Housing Options
• Rural
• Surrounding Communities
• Tulsa Core
• Traffic Ease
• Transportation Infrastructure Improving
• Rapid Transit
• West Loop Turnpike
• Extraordinary Entertainment Variety
• Many Recreation / Parks Options
• Owasso, Skiatook, Bixby,
• Leading Work Sectors:
• Small Business, Energy, Aviation,

Manufacturing, Health Care

• Emerging Work Sectors
• Tech Development – Health

Information Systems, Neurosciences, Materials Engineering

• Inter-modal Transportation Hub
• Tourism / Convention / Conference Options
• Water
• Supply – Spavinaw
• Arkansas River – River Parks
• Numerous Lakes
• Tulsa Port of Catoosa, Kerr Channel
• Special Places:
• John Hope Franklin Reconciliation Park
• Gilcrease, Philbrook Museums
• Gathering Place, Guthrie Green
• Small Area Plans – 36th Street North

Next……

• like other great cities, increase walkability,

bicycling to create an environment where exercise is part of daily routines

– My past life….bike to school, bike to work, bike as part of work…. ‘Psych on a Bike’

• Connectivity of trials to get from one place to

the next

• 8 to 80 years old…..