Presented By: Joel Strasz Public Health Services Manager Bay County - - PowerPoint PPT Presentation

Presented By: Joel Strasz

Public Health Services Manager Bay County Health Department 1200 Washington Avenue Bay City, MI 48708 Phone: 989-895-2018 Fax:989-895-4014 straszj@baycounty.net

 Bay County Health Department  McLaren Bay Region  Bay Health Plan  Bay Arenac Behavioral Health

Bay County Phone Survey and Focus Groups conducted by Lake Research Partners

 Results from the Community Health

Assessment

 Community Health Improvement Plan  Current and Future Opportunities  Questions

CHIP

Community Health Improvement Project

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Community Health Improvement Project

105,000 106,000 107,000 108,000 109,000 110,000 111,000 112,000 113,000

1990 1992 1994 1996 1998 2000 2002 2004 2006 2009 2010

Bay Count unty y Po Popula ulation tion Trend nd

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Community Health Improvement Project

Source: Michigan Department of Community Health; Michigan Population Trends 1990-2009, Bay County

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110,157 107,771

50,000 100,000 150,000

Bay County 2000 and 2010 Populati tion

• n for Bay County

ty

2000 2010

• 2.2%

Source: U.S. Census 2000; 2010

Community Health Improvement Project

104,580 1,389 4308 526 600 101451 1702 5093 578 564

Whites African Americans Hispanic or Latino Asian American Indian

• r Alaskan Native

20,000 40,000 60,000 80,000 100,000 120,000

Bay Count nty Populat ulation

• n – 2000 and 2010

2000 2010

CHIP

Source: U.S. Census 2000, 2010

Community Health Improvement Project

• 3%

23% 18%

• 10%
• 6%
• 7%

22% 20%

• 18%
• 18%
• 30.0%
• 20.0%
• 10.0%

0.0% 10.0% 20.0% 30.0% Whites African American Hispanic

• r Latino

Asian American Indian or Alaskan Native

Pe Percent ent Change ange in Po Popula latio ion n by Rac ace/ / Ethnicit nicity- 2000 0 to 2010

Bay County Bay City

Source: U.S. Census 2000, 2010

Community Health Improvement Project

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Community Health Improvement Project

Source: U.S. Census, 2000;2010

Bay County

ty Populati

tion

• n by Ag

Age Group

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• 7.3%
• 13.3%
• 13.7%
• 6.4%

1.2%

• 9.0%
• 25.3%

4.8% 35.5% 42.4%

• 7.4%

32.1%

• 30%
• 20%
• 10%

0% 10% 20% 30% 40% 50%

< 5 5 to 9 10 to 14 15 to 19 20 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 to 84 >85

Bay County ty Populati tion

• n by Age Group

p 2000 - 2010 2010

Source: U.S. Census 2000, 2010

Community Health Improvement Project

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20,593 17,686

5,000 10,000 15,000 20,000 25,000

Bay County

K-12 2 Enro rollment llment

2000 2010

• 14

14.0% .0%

Source: 2000 US Census, 2010 American Community Survey

Community Health Improvement Project

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Community Health Improvement Project 6.1 37 23.3 8 9.7 4.4 4.7 31.3 23.3 7 13.7 8.1

Less than 9th Grade High School Graduate Some College Associate Degree Bachelor Degree Graduate or Professional Degree

Percent cent Bay County y and Michig higan an Reside ident nts s >25: 2000

Bay County Michigan

3.4 33.1 22.2 12 13.8 6.6 3.5 30.9 24.2 8.4 15.6 9.6

Less than 9th Grade High School Graduate Some College Associate Degree Bachelor Degree Graduate or Professional Degree

Percent cent Bay County y and Michig higan an Reside ident nts s >25: 2010

Bay County Michigan

Source: 2000 US Census Source: 2010 American Community Survey

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94% 6%

Employ

• yment

ent in Bay Count nty 2000

Employed Unemployed

90.3% 9.7%

Employ

• yment

ent in Bay Count nty 2011 2011

Employed Unemployed

Community Health Improvement Project Source: 2000 US Census, 2010 American Community Survey Source: 2011 Bureau of Labor Statistics

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Community Health Improvement Project

4.0 11.7 9.7

5 10 15

Bay Count unty y Unemployment mployment Rates: s: 1990 1990-2011 2011

Rate

Source: Bureau of Labor Statistics

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Source: Bay Area Chamber of Commerce * Formerly Bay Regional Medical Center

Community Health Improvement Project

1,756 1,200 1,203 976 920 770 736 584 495 456 419

200 400 600 800 1000 1200 1400 1600 1800

Number ber of Employ loyees ees

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Community Health Improvement Project

Source: US Census for Poverty Levels in Bay County, 2000, 2010

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1,719 16,670 91 1,186 1,738 19,653 110 951 1,598 20,734 108 825

5,000 10,000 15,000 20,000 25,000

Family Independence Program (FIP) Food Assistance Program State Disability Assistance Child Development and Care

Total Bay County ty Recipients ts FY 2009-FY Y 2011

2009 2010 2011

Source: Michigan Department of Human Services, Trend Reports

Community Health Improvement Project

54.7 50.5 36.9 59.6 51.6 38.4 32.7 33.7 24.2 60.9 56.6 44.5

K-5th Grade 6th-8th Grade 9th-12th Grade

Bay City Schools Bangor Twp Essexville-Hampton Pinconning

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Community Health Improvement Project

Source: Michigan Department of Education

 “They (schools) say that it’s healthy food, they’re like oh

we just have a well-balanced diet but they’re giving them pizza like once or twice a week.”

• Mother

 “Well it starts with being at school for one thing.

They’re taking away all their recesses, they don’t have the recesses like we did when we were kids so they took that away. They feed them all that unhealthy fattening

• food. I mean we’re not really showing our kids much.

And then a lot of times parents are too scared to let their kids run around and play because of what media shows all the time.”

• Mother

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Community Health Improvement Project

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Community Health Improvement Project

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7,234 600 5,849 8,102 799 5,995 8,132 864 6,052

1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000

Family Medicaid Other Children Under 21 Pregnant Women & Children Under 19

Total Recipient ents: s: Bay County ty 2009 - 2011 2011

2009 2010 2011

Source: Michigan Department of Human Services, Trend Reports

Community Health Improvement Project

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14.7% 13.1% 12.1% 5.7%

2 4 6 8 10 12 14 16 Less than High School High School Graduate Some College/ Associates Bachelor's Degree or Higher

Bay Count unty: y: Aged 25+ and Unins nsur ured: ed: 2010 10

Source: 2010 American Community Survey

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3.8% 18.0% 0.0%

5 10 15 20

Under 18 18 - 64 65+

Perce cent nt Uninsur ured: : Bay County nty 2010

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Community Health Improvement Project

Source: 2010 American Community Survey

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Community Health Improvement Project

Source: Community Health Assessment Phone Survey

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Source: Community Health Assessment Phone Survey 52.0% 11.0% 12.0% 25.0% 1.0% 1.0% 7.0% 6.0%

10 20 30 40 50 60

Employer/ Spouse's Employer Yourself Medicaid Medicare Bay Health Plan Veterans' Affairs Other Don't Know/ Refused

Health h Insur surance ance Coverage verage

Community Health Improvement Project

 “Cost, if you don’t have health insurance or

maybe even transportation.”

• Mother

 “Maybe you do have health insurance but

the deductible is so much.”

• Father

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Community Health Improvement Project

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Community Health Improvement Project

2 4 6 8 10 12

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Michigan Bay County

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Community Health Improvement Project

Source: Michigan Department of Community Health, Vital Statistics, Community Health Information, Infant Mortality Trends by County and State

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10.6 40 14.9 32.8 29.2 44.9 79.9 55.8 9.5 40.1 15.4 32.5 17.8 42.1 74.3 34.6

20 40 60 80 100

Under 20 Years First Births < 12 Years

• f Education

Cesarean Delivary Rate Smoked While Pregnant Unmarried Care in 1st Trimester Breastfeeding Planned or Initiated

Matern rnal al Characte acteri risti tics cs as a Perce cent nt of Live Births: 2010

Bay County Michigan

Source: Michigan Department of Community Health, Community Health Information, Natality, Selected Characteristics.

Community Health Improvement Project

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8.8 1.0 9.7 95.9 8.4 1.7 9.8 96.3

Low Birth Weight Very Low Birth Weight Preterm Singleton Births

Infant nt Characte acteri risti tics cs as a Perce cent nt of Live Births hs Bay County ty and Michigan igan 2009

Bay County Michigan

Source: Michigan Department of Community Health, Community Health Information, Natality, Selected Characteristics

Community Health Improvement Project

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Community Health Improvement Project

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Community Health Improvement Project

2030 683 558 874 631

500 1000 1500 2000 2500

Bay County Saginaw County Midland County Michigan National

2011 1 Ph Physici sician an to Pa Patient nt Ratio

• County Healthy Rankings, 2011

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17.3 17.1 18.4 17.9 18.8 17.9 16 16.5 17 17.5 18 18.5 19

Percent entage ge of Childr dren en Aged 0-17 17 Living in Poverty rty: : Bay County ty

2004 2005 2006 2007 2008 2009 2,214 308 91

Number ers s of Child d Abuse se and Neglect: ct: Bay County ty 2010

Children in Investigated Families Confirmed Victims Children in Out-of-Home Care

Source: Michigan League for Human Services, 2011 Kids Count Data Center Source: Michigan League for Human Services, 2011, Kids Count Data Center, Trends in Child Well-Being

Community Health Improvement Project

 “I really think that it sort of like wanes off.

When a baby’s born then the doctor’s office makes sure you come in every, you know three weeks, six weeks, twelve weeks… then as the child gets older and older it’s just sort of like, okay you’re good, you’re not sick today and then we don’t reschedule

• ne for next year or six months and pretty

soon it’s you’re only coming when you’re sick.”

• Woman

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Community Health Improvement Project

• Among residents with children, of the 505 surveyed, nearly half have

been to the Emergency Room within the past 6 months, including 22% who have been twice or more.

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75 15 9 52 25 22 82 11 6

50 100

No Visit One Visit Two or More Visits

Perce cent nt of ER Visits in Past 6 M Months hs

Overall Children in Household No Children in Household

Source: Community Health Assessment Phone Survey

Community Health Improvement Project

67.0% 12.0% 6.0% 8.0% 6.0%

Bay Regional Covenant

• St. Mary's

Other Refuse

Hospital Emergency Room Used

CHIP

Source: Community Health Assessment Phone Survey

Hospital al Emerge rgency y Room Used

Community Health Improvement Project

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1,240 97 76 52 52 41 41 37 36 34

200 400 600 800 1,000 1,200 1,400

Top 10 Leading ding In In-Pa Patie ient nt Hospit italiz alizat atio ions: ns: Under r 18 Years rs Old: Bay County y 2009

Newborns & Neonates Injury & Poisoning Pneumonia Psychosis Asthma Infectious and Parasistic Disease Dehydration Acute Bronchitis & Bronchitis Congenital Anomalies Females with Deliveries

Source: Michigan Department of Community Health, Health Care Statistics, 2009

Community Health Improvement Project

CHIP

Community Health Improvement Project

1,120 388 345 100 95 80 61 50 47 45

200 400 600 800 1,000 1,200

Top 10 Leading ding In-Pat atie ient nt Hospit italiz alizatio ions: ns: 19 to 44 Years: s: Bay County 2009

Females with Deliveries Psychosis Injury & Poisoning Intervertebral Disc Disorder Heart Disease Diseases of the Skin Chest Pain Non-Infectious Enteritis and Colitis Asthma Infectious and Parasitic Disease

Source: Michigan Department of Community Health, Health Care Statistics, 2009

CHIP

Community Health Improvement Project

666 515 236 230 199 189 173 162 143

100 200 300 400 500 600 700

Top 10 Leading ding In In-Pa Patie ient nt Hospit italiz alizat atio ions: ns: 45-64 4 Years: rs: Bay County y 2009

Heart Disease Injury and Poisoning Psychosis Osteoarthritis & Allied Disorders Cancer Chest Pain Chronic Bronchitis Infectious and Parasitic Disease Intervertebral Disc Disorder

Source: Michigan Department of Community Health, Health Care Statistics, 2009

CHIP

Community Health Improvement Project

1,843 762 762 279 258 254 231 192 188

200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000

Top 10 Leading ding In In-Pat atie ient nt Hospit italiz alizatio ions: ns: 65 Years s and Olde der: r: Bay County y 2009 2009

Heart Disease Injury and Poisoning Osteoarthritis & Allied Disorders Cebrovascular Diseases Chronic Bronchitis Infectious and Parasitic Disease Cancer Pneumonia Care Involving Rehabilitation Procedures

Source: Michigan Department of Community Health, Health Care Statistics, 2009

CHIP

Community Health Improvement Project

500 1000 1500 2000 2500 3000

Heart Disease Injury/Poisoning Newborns/Neonates Females w/Deliveries Psychoses Osteoarthrosis/Allied Disorders Infectous/Parasitic Disease Cancer Chronic Bronchitis Cerebrovascular Disease Bay County 04-08 Ave. Annual Number Bay County 2009

CHIP

349 269 60 53 36 35 51 18 17 8

50 100 150 200 250 300 350

Heart Disease Cancer Chronic Lower Respiratory Disease Stroke Unintentional Injuries Diabetes Mellitus Alzheimer's Disease Kidney Disease Pneumonia/ Influenza Intentional Self-Harm (Suicide)

Top 10 Cause ses s of Death in Bay County ty - 2009 2009

Source: Michigan Department of Community Health, Vital Statistics

Community Health Improvement Project

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162 134 27 14 25 13 6 9 5 19 187 135 30 39 11 18 12 8 3 16

20 40 60 80 100 120 140 160 180 200

Numbers ers for Top 10 Leading ng Causes es of Death th: Bay County ty - 2009 2009

Males Females

Source: Michigan Department of Community Health, Vital Statistics

Community Health Improvement Project

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14 19 20 15 8 14 5 10 15 20 25

2004 2006 2007 2008 2009 2010

Suici cide de Deaths hs in Bay County ty

Source: Michigan Department of Community Health, Vital Statistics

Community Health Improvement Project

CHIP

2,062 1,230 873 224 272 134 380 180 320 185 105 110 40 35

500 1,000 1,500 2,000 2,500

Years of Potenti ential Life Lost t –Male e and Female Below

• w Age 75 Due to

Selecte cted d Causes es of Death: : Bay County ty 2009

Cancer (2062) Diseases of the Heart (1,230) Accidents (873) Certain Conditions Originating in Perinatal Period (224) Intentional Self-Harm (Suicide) (272) Assault (Homicide) (134) Chronic Lower Respiratory Diseases (380) Congenital Malformations, Deformations, and Chromosomal Abnormalities (180) Chronic Liver Diseases and Cirrhosis (320) Cerebrovascular Diseases (185) Influenza and Pneumonia (105) Nephritis, Nephrotic Syndrome and Nephrosis (110) Septicemia (40) Other Diseases of the Respirtatory System (35) Source: Michigan Department of Community Health, Vital Statistics Note: The number of years of potential life lost is calculated as the number of years between the age at death and 75 years of age for persons dying before their 7th year.

Community Health Improvement Project

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Community Health Improvement Project

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36.7% 15.7% 3.7% 64.4% 45.8% 12.8% 82.4% 69.3% 32.3%

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Students Who Ever Drank Ever Been Drunk Had 5 or More Drinks in Past Month

Perce cent nt of Alcohol

• l Use: Bay County

ty 2010

7th 9th 11th

Source: Michigan Profile for Healthy Youth Survey , 2010

Community Health Improvement Project

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3.3% 2.4% 25.3% 12.6% 40.9% 22.8%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Ever Tried Marijuana Used Marijuana in Last 30 Days

Percen ent t of Marijuana Use by 7th, , 9th, and 11th Graders: s: Bay County ty, , 2010 2010

7th 9th 11th

Source: Michigan Profile for Healthy Youth Survey, 2010 Note: Middle school percentages are based on “ever used” and high school are based on use in the past 30 days

Community Health Improvement Project

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5.2% 3.0% 29.2% 14.2% 43.1% 25.1%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Ever Smoked a Whole Cigarette Smoked Cigarettes on 1 or more days in the last 30

Perce cent nt of Tobacco cco Use by 7 7th, 9th, and 11th h Graders: Bay County, ty, 2010 2010 7th 9th 11th

Community Health Improvement Project

Source: Michigan Profile for Healthy Youth Survey , 2010

Nearly 3 in 10 residents say their mental health has been not good at least 1 day in the last 30, including 15% who say 6 or more days. Just 14% say they are receiving treatment for mental health.

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70% 14% 15% 14.0% 86.0%

None 1-5 Days 6+ Days Yes No

# of Days Mental Health was Not Good In Past 30 days Receiving Treatment for mental health?

Community Health Improvement Project

Source: Community Health Assessment Phone Survey

8% 16% 14% 18% 8% 11% 14% 23% 29% 37% 20% 30% 22% 27% 32% 39% Men Under 50 Women Under 50 Men 50+ Women 50+ Married Men Married Women Unmarried Men Unmarried Women

Getting treatment Mental Health not good 1 or more days in last 30

Nearly 4 in 10 women under 50 say their mental health has not been good at least 1 day in the past 30, while only 16% of women under 50 have received any treatment for mental health.

CHIP

Community Health Improvement Project

Source: Community Health Assessment Phone Survey

 “From everyone I have talked to, this area is lacking

a severe amount of psychologists, psychiatrists.”

• Mother

CHIP

Community Health Improvement Project

8,277 7,725 4,128

5,000 10,000

Bay County Saginaw County Midland County

Rat atio

• of Mental

tal Heal alth h Pr Provid viders rs

Bay County Saginaw County Midland County

74.0% 26.0%

Yes No

Dental Visit For Child With Past 12 Months– Among Those With Children 78.0% 22.0%

Yes No

Annual Pediatrician Checkups– Among Those With Children

CHIP

Source: Community Health Assessment Phone Survey, 2011 Source: Community Health Assessment Phone Survey, 2011

Community Health Improvement Project

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Community Health Improvement Project

79.0% 52.0% 42.0% 50.0% 38.0% 58.0% 46.0% 79.0% 35.0%

20 40 60 80 100

Vaccination for Child(ren) Flu Shot Dental Check- Up Cholesterol Screening High Blood Pressure Screening Pap Smear Mammogram Colonoscopy Routine Physical Exam

Perce centag ntage of Peop

• ple

le Not Rece ceiving ving Prevent ventat ative ive Service vices in the Last 12 Months hs: Bay County nty 2011

Source: Community Health Assessment Phone Survey, 2011

 “I always thought the Health Department

should come to the school for immunizations.”

• Teacher/Administrator

 “I think the successes we’ve had, when we try

alone as a school we fail and when the health department does an initiative, no offense, but they fail. But whenever we work together then it works. So that’s where we have the captive audience, you guys have the services. So come to our place and let’s work together on this.”

• Teacher/Administrator

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Community Health Improvement Project

 “What is your most important health care need?”

• Access to Affordable Medicine/Care (17.6%)
• Prevention/ Wellness (15.2%)
• Education (8.8%)
• Mental Health (4.8%)

 “What other services would you like to see provided

locally?”

• Increased Physician Services (23.7%)
• Access to Affordable Dental Services (21.1%)
• Preventative Services (18.4%)
• Mental Health Services (10.5%)

Source: Web survey from the Community Health Assessment

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Community Health Improvement Project

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Community Health Improvement Project

 The Obvious

• Heart Disease, Cancer, Diabetes, Injuries

 Prevention is the Key

• Building Services vs. Bringing Services to the

Community

• Where is the Community? Schools, Churches, Not

For Profit Organizations, etc.

• More Education
• Looking at Health Differently

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Community Health Improvement Project

 Robert Wood Johnson Foundation

• Roadmaps to Health Community Grant

CHIP

Community Health Improvement Project

Partners: Bay County Health Department, McLaren Bay Region, Bay Arenac Behavioral Health, & Bay Health Plan

Presented By: Joel Strasz

Public Health Services Manager Bay County Health Department 1200 Washington Avenue Bay City, MI 48708 Phone: 989-895-2018 Fax:989-895-4014 straszj@baycounty.net