Cecil County Local Health Improvement Plan (LHIP) Update - - PowerPoint PPT Presentation

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Cecil County Local Health Improvement Plan (LHIP) Update - - PowerPoint PPT Presentation

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Cecil County Local Health Improvement Plan (LHIP) Update Presentation to the Community Health Advisory Committee Daniel Coulter, MPH, Health Planner daniel.coulter@maryland.gov | 443-245-3767 January 15, 2015 Healthy People. Healthy Community.

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Healthy People. Healthy Community. Healthy Future.

Cecil County Local Health Improvement Plan (LHIP) Update

Presentation to the Community Health Advisory Committee Daniel Coulter, MPH, Health Planner

daniel.coulter@maryland.gov | 443-245-3767

January 15, 2015

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Healthy People. Healthy Community. Healthy Future.

Overview

  • LHIP Background
  • LHIP Priorities
  • Summary of Activities
  • Data Summary
  • Future Directions
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Healthy People. Healthy Community. Healthy Future.

LHIP Background

State Health Improvement Process (SHIP) Launched in

  • Sept. 2011

CHAC chosen to serve as Cecil County’s Local Health Improvement Coalition (LHIC) Cecil County Local Health Improvement Plan (LHIP) released in

  • Jan. 2012

Cecil County Community Health Needs Assessment (CHNA) released in May 2013 LHIP update presented to CHAC in July 2013

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Healthy People. Healthy Community. Healthy Future.

LHIP Priorities

Priority 1: Substance Abuse: Prescription Drugs/ Pain Management Priority 2: Mental/Behavioral Health: Access to Treatment Priority 3: Substance Abuse Prevention Priority 4: Child Abuse Priority 5: Childhood Obesity: Physical Activity

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Healthy People. Healthy Community. Healthy Future.

Priority 1 Update: Substance Abuse: Prescription Drugs/ Pain Management

  • 2013 Substance Abuse Assessment
  • Local Overdose Fatality Review Team

(LOFRT)

  • Overdose Response Program
  • Drug Take Back Events
  • MD Prescription Drug Monitoring Program
  • Provider Education
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Healthy People. Healthy Community. Healthy Future.

Priority 3 Update: Substance Abuse Prevention

  • Substance Abuse Assessment
  • DAAC Plan
  • Anonymous People Screenings
  • Engagement of Governance
  • Newspaper Series
  • Educational Materials
  • Substance Abuse Prevention Forums
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SLIDE 7

Priority 1 & 3 SHIP Data

13.5 12.6 12.4 12.7 23.0 21.8 26.7 29.2

5 10 15 20 25 30 35 SHIP 2011 (2007-2009) SHIP 2012 (2008-2010) SHIP 2013 (2009-2011) SHIP 2014 (2010-2012)

Drug- Induced Death Rate per 100,000 Population

Maryland Cecil

  • HP 2020 Goal: 11.3 • MD 2014 Goal: 12.4

Source: Maryland DHMH Vital Statistics Administration (VSA)

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Priority 1 & 3 SHIP Data

29.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 Montgomery Prince George's Howard Saint Mary's Frederick Charles Carroll Maryland Washington Anne Arundel Wicomico Calvert Baltimore County Harford Allegany Caroline Baltimore City Cecil

Drug- Induced Death Rate County Comparison

SHIP 2014 (2010-2012) data

MD 2014 Goal: 12.4

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Priority 1 & 3 SHIP Data

1149.8 1275.6 1445.2 1521.8 1515.2 2088.6 2179.0 2018.4 500 1000 1500 2000 2500

SHIP 2011 (2010) SHIP 2012 (2011) SHIP 2013 (2012) SHIP 2014 (2013)

ED Visits for Addictions- Related Conditions per 100,000 Population

Maryland Cecil

  • MD 2014 Goal: 1092.3

Source: Maryland Health Services Cost Review Commission (HSCRC)

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Priority 1 & 3 SHIP Data

2018.4

1000 2000 3000 4000 5000 6000

Montgomery Howard Prince George's Garrett Queen Anne's Carroll Calvert Frederick Charles Caroline Baltimore County Allegany Talbot Kent Harford Anne Arundel Somerset Maryland Worcester Washington Saint Mary's Cecil Dorchester Wicomico Baltimore City

ED Visits for Addictions- Related Conditions County Comparison

MD 2014 Goal: 1092.3

SHIP 2014 (2013) data

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Additional Substance Abuse Data

18%

0% 5% 10% 15% 20% 25%

Prince George's Somerset Wicomico Charles Montgomery Dorchester Howard Kent Washington Maryland Allegany Baltimore Harford Talbot Baltimore City Caroline Frederick Garrett Calvert Cecil Worcester Anne Arundel

  • St. Mary's

Carroll Queen Anne's

Percentage of Adults Reporting Excessive Drinking in the Last 30 Days

Top U.S. Performers: 10%

County Health Rankings 2014 (2006- 2012) data

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Additional Substance Abuse Data

Source: Maryland Youth Risk Behavior Survey (YRBS), 2013

Substance Use Among High School Students

Alcohol/ Drug Use Cecil Maryland Percentage of students who had at least one drink of alcohol on one or more of the past 30 days 37.5% 31.2% Percentage of students who had five or more drinks of alcohol in a row, that is, within a couple of hours, on one or more of the past 30 days 23.0% 17.0% Percentage of students who used marijuana one or more times during their life 41.9% 35.9% Percentage of students who used marijuana one or more times during the past 30 days 23.9% 19.8% Percentage of students who used any form of cocaine, including powder, crack, or freebase one or more times during their life 6.5% 6.5% Percentage of students who sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life 9.1% 10.4%

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Additional Substance Abuse Data

Source: Maryland Youth Risk Behavior Survey (YRBS), 2013

Substance Use Among High School Students

Alcohol/ Drug Use Cecil Maryland Percentage of students who used heroin one or more times during their life 4.5% 4.9% Percentage of students who used methamphetamines one or more times during their life 4.1% 5.0% Percentage of students who used ecstasy one or more times during their life 7.4% 8.3% Percentage of students who took steroid pills or shots without a doctor's prescription

  • ne or more times during their life

3.9% 5.1% Percentage of students who have taken a prescription drug (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription

  • ne or more times during their life

15.7% 15.2% Percentage of students who used a needle to inject any illegal drug into their body one

  • r more times during their life

3.6% 3.9% Percentage of students who were offered, sold, or given an illegal drug by someone on school property during the past 12 months 25.6% 29.1%

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Healthy People. Healthy Community. Healthy Future.

Priority 2 Update: Mental/Behavioral Health: Access to Treatment

  • Mental Health Needs Assessment and Annual Plan
  • Eastern Shore Mobile Crisis (ESMC)
  • Emergency Room & Hospital Intervention Project
  • Crisis Intervention Team
  • Telepsychiatry Program
  • Behavioral Health Integration in Pediatric Primary

Care (B-HIPP)

  • Resource Directory
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Priority 2 SHIP Data

2792.2 3256.3 3564.8 3375.1 6864.9 9715.4 10272.8 8695.7

2000 4000 6000 8000 10000 12000

SHIP 2011 (2010) SHIP 2012 (2011) SHIP 2013 (2012) SHIP 2014 (2013)

ED Visits Related to Mental Health Disorders per 100,000 Population

Maryland Cecil

  • MD 2014 Goal: 2652.6

Source: Maryland Health Services Cost Review Commission (HSCRC)

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Priority 2 SHIP Data

8695.7

1000 2000 3000 4000 5000 6000 7000 8000 9000 10000

Prince George's Montgomery Howard Calvert Queen Anne's Baltimore County Charles Harford Kent Carroll Maryland Frederick Talbot Anne Arundel Allegany Caroline Somerset Wicomico Baltimore City Worcester Garrett Saint Mary's Washington Dorchester Cecil

ED Visits Related to Mental Health Disorders County Comparison

MD 2014 Goal: 2652.6

SHIP 2014 (2013) data

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Priority 2 SHIP Data

9.6 8.7 9.4 9.5 13.7 12.6 17.1 14.4 2 4 6 8 10 12 14 16 18 SHIP 2011 (2009) SHIP 2012 (2010) SHIP 2013 (2011) SHIP 2014 (2012)

Suicide Rate per 100,000 Population

Maryland Cecil

  • HP 2020 Goal: 10.2 • MD 2014 Goal: 9.1

Source: Maryland DHMH Vital Statistics Administration (VSA)

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Priority 2 SHIP Data

289.1 270.5 254.2 232.2 276.9 242.9 192.7 191.3

50 100 150 200 250 300 350

SHIP 2011 (2010) SHIP 2012 (2011) SHIP 2013 (2012) SHIP 2014 (2013)

Hospitalizations Due to Alzheimer's and Other Dementias per 100,000 Population

Maryland Cecil

  • MD 2014 Goal: 274.6

Source: Maryland Health Services Cost Review Commission (HSCRC)

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Additional Mental/ Behavioral Health Data

7.80% 4.90% 17.40% 10.64% 6.24% 24.90% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% Physical Disability Mental Disability Physical, Mental, or Emotional Disabilities

Percentage of Population With a Disability

Maryland Cecil

Sources: Maryland Behavioral Risk Factor Surveillance System (BRFSS) 2007 data, U.S. Census, American Community Survey 2005-2007 data

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3.9

0.5 1 1.5 2 2.5 3 3.5 4 4.5

Howard Montgomery Charles

  • St. Mary's

Dorchester Prince George's Talbot Anne Arundel Frederick Queen Anne's Maryland Carroll Kent Wicomico Worcester Baltimore Calvert Garrett Washington Allegany Harford Baltimore City Cecil Caroline Somerset

Average Number of Mentally Unhealthy Days per 30 Day Period

Additional Mental/ Behavioral Health Data

County Health Rankings 2014 (2006-2012) data Source: CDC, Behavioral Risk Factor Surveillance System (BRFSS)

Top U.S. Performers: 2.4 days

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Additional Mental/ Behavioral Health Data

80.1% 82.8% 78.5% 79.0% 79.5% 80.0% 80.5% 81.0% 81.5% 82.0% 82.5% 83.0% 83.5%

Maryland Cecil

Percentage of Adults Receiving Sufficient Social- Emotional Support

Source: Maryland Behavioral Risk Factor Surveillance System (BRFSS) 2005-2010 data

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Additional Mental/ Behavioral Health Data

869:1

500 1000 1500 2000 2500 3000 3500

Baltimore City Talbot Montgomery Howard Baltimore Dorchester Wicomico Maryland Washington Kent Frederick Carroll Cecil Allegany Worcester Anne Arundel Calvert Somerset Harford

  • St. Mary's

Charles Prince George's Queen Anne's Garrett Caroline

Ratio of Mental Health Providers to Population

County Health Rankings 2014(2013) data

Cecil County is designated as a mental health professional shortage area (MHPSA).

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Healthy People. Healthy Community. Healthy Future.

Priority 4 Update: Child Abuse

  • Strengthening Families Program
  • Darkness to Light: Stewards of Children

Training

  • Identification of Crisis Lines
  • Anti- Bullying Educational Materials
  • Pinwheels for Prevention Campaign

(planned for April, 2015)

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Priority 4 SHIP Data

9.3 10.2 9.2 18.4 20.1 16.5

5 10 15 20 25

SHIP 2012 (2011) SHIP 2013 (2012) SHIP 2014 (2013)

Child Maltreatment Rate per 1,000 Children Under the Age of 18

Maryland Cecil

  • HP 2020 Goal: 8.5 • MD 2014 Goal: 4.8

Source: Maryland Department of Human Resources (DHR)

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16.5

5 10 15 20 25 30 35

Howard Carroll Montgomery Queen Anne's Anne Arundel Saint Mary's Garrett Prince George's Charles Baltimore County Frederick Maryland Harford Calvert Wicomico Kent Talbot Caroline Cecil Washington Baltimore City Somerset Allegany Dorchester Worcester

Child Maltreatment Rate County Comparison

Priority 4 SHIP Data

SHIP 2014 (2013) data Source: Maryland Department of Human Resources (DHR)

MD 2014 Goal: 4.8

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Additional Child Abuse Data

6.9 6.5 5.9 5.4 4.8 5.8 5.2 5.0 5.4 6.0 1 2 3 4 5 6 7 8 2009 2010 2011 2012 2013

Out of Home Placement Rate per 1,000 Children Under 18

Maryland Cecil

Source: Maryland Dept. of Human Resources, SSA StateStat Jurisdiction Data, 2009-2013.

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Healthy People. Healthy Community. Healthy Future.

Priority 5 Update: Childhood Obesity: Physical Activity

  • Community Transformation Grant
  • Just a Minute School Program
  • Other School Based Physical Fitness

Activities

  • Expansion of CCPS Breakfast Program
  • Updated Nutrition Standards for CCPS
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Priority 5 SHIP Data

11.9 11.6 11.7 11 13.4 12.7 12.1 13.2 2 4 6 8 10 12 14 16 SHIP 2011 (2008) SHIP 2012 (2010) Ship 2012 (2010- high school) SHIP 2014 (2013- high school)

Percentage of Children and Adolescents Who Are Obese

Maryland Cecil

  • HP 2020 Goal: 16.1 • MD 2014 Goal 11.3

Source: Maryland Youth Tobacco Survey (MYTS)

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Priority 5 SHIP Data

13.2%

2 4 6 8 10 12 14 16 18 20 Howard Montgomery Queen Anne's Talbot Saint Mary's Carroll Frederick Calvert Harford Worcester Maryland Washington Baltimore County Wicomico Anne Arundel Charles Cecil Allegany Prince George's Baltimore City Caroline Garrett Kent Dorchester Somerset

Children and Adolescents Who Are Obese County Comparison

SHIP 2014 (2013 high school) data Source: Maryland Youth Tobacco Survey (MYTS)

MD 2014 Goal: 11.3

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Priority 5 SHIP Data

48.7% 51.8% 48.0% 48.3% 46 47 48 49 50 51 52 53 SHIP 2012 (2011) SHIP 2013 (2012) SHIP 2014 (2013) 2011-2013

Percentage of Population That is Physically Active

Maryland Cecil

  • HP 2020 Goal: 47.9 • MD 2014 Goal 49.8

Source: Maryland DHMH Behavioral Risk Factor Surveillance System (BRFSS)

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Priority 5 SHIP Data

48.3%

10 20 30 40 50 60

Caroline Somerset Dorchester Baltimore City Queen Anne's Washington Calvert Baltimore County Garrett Kent Allegany Harford Cecil Wicomico Carroll Prince George's Anne Arundel Charles Howard Worcester Frederick Montgomery Saint Mary's Talbot

Percentage of Population That is Physically Active County Comparison

MD 2014 Goal: 49.8%

SHIP County 2011-2013 data Source: Maryland DHMH Behavioral Risk Factor Surveillance System (BRFSS)

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Additional Childhood Obesity Data

Nutrition Among High School Students

Nutrition Cecil MD

Percentage of students who ate fruits and vegetables five or more times per day during the past seven days

14.5% 20.1%

Percentage of students who ate fruits or drank 100% fruit juices less than two times per day during the past seven days

25.7% 31.9%

Percentage of students who ate vegetables less than three times per day during the past seven days

9.8% 13.8%

Percentage of students who drank soda one or more times per day during the past seven days

21.1% 18.0%

Percentage of students who ate breakfast on all of the past seven days

33.4% 33.0%

Percentage of students who ate breakfast on none of the past seven days

13.8% 15.7%

Source: Maryland Youth Risk Behavioral Survey (YRBS), 2013

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Additional Childhood Obesity Data

Physical Activity Among High School Students Physical Activity Cecil MD Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 42.5% 40.1% Percentage of students who were physically active for a total of at least 60 minutes per day on 0 of the past seven days 16.2% 18.0% Percentage of students who attended physical education (PE) classes on one or more days in an average week when they were in school 35.2% 39.1% Percentage of students who attended physical education (PE) classes daily in an average week when they were in school 27.6% 18.2%

Source: Maryland Youth Risk Behavioral Survey (YRBS), 2013

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Additional Childhood Obesity Data

79%

0% 20% 40% 60% 80% 100% 120%

Queen Anne's Somerset Caroline Kent

  • St. Mary's

Garrett Talbot Dorchester Calvert Wicomico Allegany Charles Washington Cecil Worcester Carroll Frederick Maryland Anne Arundel Harford Baltimore Howard Prince George's Baltimore City Montgomery

Percentage of Population With Adequate Access to Locations for Physical Activity

County Health Rankings 2014 (2010 & 2012) data Sources: OneSource Global Business Browser, Delorme map data, ESRI, & US Census Tigerline Files

Top U.S. Performers: 85%

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Additional Childhood Obesity Data

9/10

2 4 6 8 10 Baltimore City Somerset Allegany Dorchester Prince George's Washington Wicomico Worcester Maryland Anne Arundel Baltimore Calvert Caroline Cecil Charles Garrett Harford Kent Montgomery

  • St. Mary's

Talbot Carroll Frederick Howard Queen Anne's

Food Environment Index

Cecil County is a top U.S. Performer. Access to Healthy Food: 95% Food Security: 90%

County Health Rankings 2014 (2011 (MtMG) & 2010 (USDA)) data Source: USDA Food Environment Atlas, Map the Meal Gap from Feeding America

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Healthy People. Healthy Community. Healthy Future.

Future Directions

  • Short Term:
  • FY 14 LHIP Annual Report
  • Revision of LHIP
  • Setting New Objectives through FY16
  • Collecting more data
  • Formally adding Chronic Disease to the Plan
  • Access to Care Workgroup
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Healthy People. Healthy Community. Healthy Future.

Future Directions

  • Long Term:
  • The next Community Health Needs Assessment is

planned to begin during Q4 of FY15.

  • Union Hospital must complete the CHNA and Community

Benefit Implementation Plan by June 30, 2016

  • The CHNA will inform the creation of new health

priorities and LHIP for Cecil County.

  • The priorities and objectives in the LHIP and the

Implementation Plan should align.

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Healthy People. Healthy Community. Healthy Future.

Important Links

  • Cecil County Community Health Needs Assessment:

https://uhcc.thehcn.net/content/sites/uhcc/UHCC_CHNA_Report_FY12-FY13.pdf

  • Cecil County Local Health Improvement Plan:

http://www.cecilcountyhealth.org/ccdhxx/pdf/LHIC%20Memo%20Attachment%20Ceci l%20County%20Final_2.pdf

  • Cecil County Substance Abuse Assessment:

http://wrangler.websitewelcome.com/~hdadmin/1221/wp- content/uploads/2013/08/Cecil-County-Substance-Abuse-Assessment-Report- FINAL.pdf

  • State Health Improvement Process: http://cecil.md.networkofcare.org/ph/
  • Community Benefit Implementation Plan, UHCC:

https://www.uhcc.com/getattachment/About/Community-Benefit/UHCC-CBIP_FY13- FY14.pdf.aspx