Placer County Community Health Status Update January 2014 Road To - - PowerPoint PPT Presentation

placer county community health status update
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Placer County Community Health Status Update January 2014 Road To - - PowerPoint PPT Presentation

Placer County Community Health Status Update January 2014 Road To Success Placer County Community Health Status Update All children are born healthy to healthy mothers No health status disparities among racial/ethnic, gender, MCAH


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SLIDE 1

Road To Success

Placer County Community Health Status Update

Placer County Community Health Status Update January 2014

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SLIDE 2

MCAH Goals

  • All children are born healthy to healthy mothers
  • No health status disparities among racial/ethnic, gender,

economic and regional groups

  • A safe and healthy environment for women, children,

and their families

  • Equal access for all women, children, and their families

to appropriate and needed care within an integrated and seamless system

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SLIDE 3

How Are We Doing?

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SLIDE 4

Let’s Look at the Data

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SLIDE 5

Acces ess to and Utili lizati ation of Care

Health insurance Prenatal care Doctor visits Dental visits Medi-Cal enrollment Childhood immunizations

COMPARING PLACER TO CALIFORNIA

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SLIDE 6

Access to and Utilizati tion

  • f Care

How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 7

Access to and Utilization of Care Indicators

Placer State

Uninsured per 100 population age 0 to 18 2009- 2011 5.8 9.3

Uninsured per 100 female population age 18 to 64 2009- 2011 13.1 22.1

Medi-Cal insured deliveries per 100 live births 2009- 2011 25.4 47.2

Prenatal care in the first trimester per 100 females delivering a live birth 2009- 2011 85.7 83.3

Had a doctor visit in the last year per 100 children age 0 to 17 2011- 2012 90.4+ 89.4 Had a doctor visit in the last year per 100 females age 18 and over 2011- 2012 85.7 85.9 Dental visit in the past year per 100 children age 3 to 11 2011- 2012 89.5+ 85.8 Medicaid/CHIP enrollees who receive any dental service per 100 enrollees age 1 to 20 2011 43.7 52.2a Medi-Cal enrollment per 1,000 age 0-22 2012 151.6 353.4

Kindergartners with immunizations exemptions due to personal belief, per 100 2013 8.1 2.8

Access to and Utilizati tion

  • f Care
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SLIDE 8

Maternal and Women’s Health

Births within 24 months of previous birth Caesarean births Gestational diabetes Substance abuse by pregnant women Domestic violence calls Smoking during pregnancy Mental health of women Regular mammograms and pap smears Fertility rate

COMPARING PLACER TO CALIFORNIA

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SLIDE 9

Mater ernal al and Women’s Health lth

How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 10

Maternal l and Women’s Health lth

MCAH GOALS

Maternal and Women’s Health Indicators Placer State Births within 24 months of a previous birth per 100 females age 15 to 44 delivering a live birth 2009- 2011 20.3 21.0

Cesarean births per 100 low risk females delivering a live birth 2009- 2011 23.5 27.6

Gestational diabetes per 1,000 females age 15 to 44 delivering a live or still-born infant in-hospital 2009- 2011 1.8 1.0

Substance use diagnoses per 1,000 hospitalizations of pregnant females age 15 to 44 2009- 2011 13.3 14.0

Mood disorder hospitalizations per 100,000 female population age 15 to 44 2009- 2011 1296.7 1,030.6  Assault hospitalizations per 100,000 females age 15 to 44 2009- 2011 5.1 10.6

Domestic violence calls per 100,000 population 2009- 2011 239.0 439.5

Any smoking during the 1st or 3rd trimester per 100 females with live births 2011 10.1+ 8.1

Current smoker per 100 females 18 and older 2011- 2012 11.1 11.0 Binge drinking in the last year per 100 females age 18 and older 2011- 2012 23.6 23.6

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SLIDE 11

Maternal l and Women’s Health lth

MCAH GOALS

Maternal and Women’s Health Indicators (Cont.) Placer State Birth rate per 1000 women age 15-44 2010 48.2 58.5 Percent of women age 50+ that report a mammogram in the past two years 2008- 2010 87.0 82.2

Percent of women age 18+ that report Pap test in the last three years 2008- 2010 78.9 78.2

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SLIDE 12

Infant Health lth

Infant deaths Low birth weights Premature births

COMPARING PLACER TO CALIFORNIA

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SLIDE 13

Infant Health lth

How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 14

Infant t Health lth

MCAH GOALS

Infant Health Indicators Placer State Deaths at age less than 1 year per 1,000 live births 2003- 2009 4.18 5.14 Births less than 37 weeks gestation per 100 live births 2009- 2011 7.9 8.6

Births weighing less than 2,500 grams per 100 live births 2009- 2011 5.6 6.8

Births weighing less than 1,500 grams per 100 live births 2009- 2011 1.0 1.2

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SLIDE 15

Nutrition and Physica cal Activity

Childhood overweight and obesity rates Women’s overweight and obesity rates In-hospital breastfeeding rates Physical activity

COMPARING PLACER TO CALIFORNIA

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SLIDE 16

Nutr triti tion and Phys ysical Activity ty How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 17

Nutritio tion and Physica cal l Activity

MCAH GOALS

Nutrition and Physical Activity Indicators Placer State Overweight children per 100 population age 2 to 5 enrolled in CHDP 2010 25 42.1 Overweight and obese public school students per 100 population in grades 5, 7, 9, & 11 2010 25.8 38.0 Overweight and obesity per 100 females age 15 to 44 2011- 2012 41.4 43.1 Daily folic acid use in the month before pregnancy per 100 females delivering a live birth 2011 34.9 34.4

Exclusive in-hospital breastfeeding per 100 females delivering a live birth 2012 78.9 62.6 Physical inactivity: Percentage of children in grades 5, 7, and 9 ranking within the "High Risk"

  • r “Needs Improvement” zones for aerobic

capacity on the Fitnessgram physical fitness test 2011- 2012 22.6 37.2 Overweight youth: Percentage of children in grades 5, 7, and 9 ranking within the "Needs Improvement" category (Overweight) for body composition on the Fitnessgram physical fitness test 2011- 2012 12.8 14.5

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SLIDE 18

Child/Adole lesce cent Health lth

Teen pregnancies Child deaths Youth injuries Youth substance abuse Childhood asthma

COMPARING PLACER TO CALIFORNIA

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SLIDE 19

Child / Adolescent Health th How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 20

Child / Adolescent t Health th MCAH GOALS

Child/Adolescent Health Indicators Placer State Births per 1,000 females age 15 to 17 2009- 2011 5.1 16.8

Births per 1,000 females age 15 to 19 2009- 2011 12.7 31.6

Births within 24 months of a previous birth per 100 females age less than 20 delivering a live birth 2009- 2011 52.0 56.7

Deaths per 100,000 population age 1 to 4 years 2009- 2011 31.3 22.7

Deaths per 100,000 population age 5 to 14 years 2009- 2011 8.2 11.2

Deaths per 100,000 population age 15 to 19 2009- 2011 48.7 41.7

Deaths per 100,000 population age 20 to 24 2009- 2011 95.3 70.3

Motor vehicle injury hospitalizations per 100,000 population age 0 to 14 2009- 2011 16.2 18.1

Mental health hospitalizations per 100,000 population age 15 to 24 2009- 2011 1444.5 1,281.9

Substance abuse hospitalizations per 100,000 population age 15 to 24 2009- 2011 696.8 638.7

Reported cases of chlamydia per 100,000 female population age 15 to 24 2012 1777.6 2,905.4

Self-inflicted injuries: Nonfatal hospitalized per 100,000 age 10-19 2008- 2010 35.3 48.4

Self-inflicted injuries: Fatal per 100,000 age 10-19 2008- 2010 3.5 3.0

Asthma Diagnoses age 1-17 2011- 2012 23.7 15.4

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SLIDE 21

Socio-Eco Economi mic c Determi minan ants

Poverty Children in foster care Unemployment High school dropout rates

COMPARING PLACER TO CALIFORNIA

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SLIDE 22

Socio- Economic ic Determ rmin inants

How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 23

Socio- Economic ic Healt lth

Dete termi minants ts

Socio-Economic Health Determinants Placer State Poverty (0-200% FPL) per 100 population age 18 to 64 2009- 2011 20.2 33.8

Poverty (0-200% FPL) per 100 population age 0 to 18 2009- 2011 24.3 45.5

Children in foster care per 1,000 children age 0 to 17 2009- 2011 3.3 6.8

Unemployment per 100 people in the employment market 2009- 2011 11.2 12.3

Single mothers living in poverty per 100 single mothers 2012 33.4 39.4 Children receiving free or reduced price meals at school per 100 students 2012 28.6 57.5

High school dropout per 100 students in grades 9- 12 2011 5.8 14.7

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SLIDE 24

Environmen ental al Health lth

Ozone levels Second-hand smoke exposure

COMPARING PLACER TO CALIFORNIA

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SLIDE 25

Environ

  • nmenta

tal Health th

How does Placer compare to CA?

MUCH WORSE LITTLE WORSE LITTLE BETTER MUCH BETTER

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SLIDE 26

Environ

  • nmental

Health

Environmental Health Determinants Placer State Number of days with ozone above regulatory standards 2011 21 16

Smoking in households with children < 5 per 100 enrolled in CHDP 2010 3.0 3.0

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SLIDE 27

Assessing the Data

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SLIDE 28

When You Are Re Ready to Prioritize

The issue reflects a condition or outcome that is severe

  • r affects large numbers of people

The issue reflects an unmet need (i.e. an underserved population or underserved area). There are resources or assets in the community that can be mobilized to address the problem. Political will –there are partners willing to address the problem in the community.

CRITERIA

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SLIDE 29

Time to get to work…