Eastern Virginia Marissa J. Levine, MD MPH State Health - - PowerPoint PPT Presentation

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Eastern Virginia Marissa J. Levine, MD MPH State Health - - PowerPoint PPT Presentation

Jan 19, 2024 105 likes •455 views

Intentionally Designing Health & Well-Being in Eastern Virginia Marissa J. Levine, MD MPH State Health Commissioner Intentional Design: A Population Health Approach 2 Key Points/Assumptions Health and well-being matter to all

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Intentionally Designing Health & Well-Being in Eastern Virginia

Marissa J. Levine, MD MPH State Health Commissioner

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Intentional Design: A Population Health Approach

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Key Points/Assumptions

  • Health and well-being matter to all people in

Virginia

  • Dealing with the burden of disease and

breaking the cycle of debilitating disease must be addressed simultaneously

  • Community-led, data-driven, focused solutions

are the ideal

  • Leadership efforts should intentionally facilitate

the development and/or maintenance of these community efforts and be aligned for efficiency and impact

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Relative Contribution of Factors that Affect Health

Social and Economic Factors Health Behaviors Clinical Care Genetics Environment

Source: McGinnis et al, The Case for More active Policy Attention to Health Promotion, Health Affairs, 21, no. 2 (2002): 78-93

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Health Status Assessment Data-driven decision making and feedback Create a System of Healthcare Build Prevention Everywhere Redefine Health

Strong Start for All Children HEALTHY CONNECTED COMMUNITY

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http://www.virginiawellbeing.com

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HEALTHY, CONNECTED COMMUNITIES

  • H.S. Grads Enrolled in Higher Ed
  • Cost-Burdened Households
  • Consumer Opportunity Index
  • Economic Opportunity Index
  • Districts with Collaborative Improvement

Processes PREVENTIVE ACTIONS

  • Adults Not Participating In Physical Activity
  • Adults Who Are Overweight or Obese
  • Households That Are Food Insecure
  • Adults Using Tobacco
  • Adults Vaccinated Against Influenza
  • Adolescents Vaccinated Against HPV
  • Adults Screened for Colorectal Cancer
  • Percent of Adults With Adverse Childhood

Experiences

  • Disability-free Life Expectancy

STRONG START FOR CHILDREN

  • Teen Pregnancy Rate
  • Kindergarteners Not Meeting PALS-K Benchmark
  • Third Graders Passing Reading SOL
  • Infant Mortality Rate by Race

SYSTEM OF HEALTH CARE

  • Adults With A Regular Health-care Provider
  • Avoidable Cardiovascular Disease Deaths
  • Mental Health and Substance Abuse

Hospitalizations

  • Avoidable Hospital Stays
  • Adults Whose Poor Health Kept Them from Usual

Activities

  • Providers With Electronic Health Records
  • Health Districts With EHRs
  • Entities Connected to the Health Information

Exchange

  • Hospitals Meeting State Goal for Prevention of C.

difficile Infections

Virginia’s Plan for Well Being Metrics

Percent of Adults Who Report Positive Well-Being

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Population Health Data Framework

Drivers Drivers

State Data

Regional Data Regional Data Regional Data Regional Data

Local Data Local Data Local Data Local Data Local Data Local Data Local Data Local Data Drivers Drivers Community Health Assessment in Every District

Virginia’s Plan for Well-Being

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Aim 1: Healthy, Connected Communities

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Educational Attainment Population Density Spatial Segregation Material Deprivation Population Churning Job Participation Income Diversity Affordability of Housing and Transportation EPA Environmental Hazards Food Access Walkability Access to Care Employment Access

HOI

Health Opportunity Index

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Community Health Services

  • Network of Health Districts & Local Health Departments

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Data Source: Virginia Department of Health, Health Planning Districts.

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Aim 2: Strong Start for Children

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Source: William Hollinshead, Trajectories and MCH Checkpoints, 2007

Life Course Theory

PGY= Pregnancy

HEALTH OUTCOMES

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Quintiles

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Aim 3: Preventive Actions

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Health Impact Assessment (HIA)

A systematic process that uses an array of data sources and analytic methods and considers input from stakeholders to determine the potential effects of a proposed policy, plan, program, or project on the health of a population and the distribution of those effects within the

  • population. HIA provides recommendations on monitoring

and managing those effects.

National Research Council, Improving Health in the United States: The Role of Health Impact Assessment, 2011.

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HIA Answers the Question...

  • “How would this new

development/project affect people’s health?’.

HIA Toolkit Available at: http://www.vdh.virginia.gov/healthpolicy/healthequity /hia/index.htm

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Aim 4: System of Health Care

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* Per 100,000 Population ages 18 years and older

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* Per 100,000 Population ages 18 years and

  • lder
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http://www.virginiawellbeing.com

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Summary and Questions