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

CHIP Community Health Improvement Project

Bay Count unty y Po Popula ulation tion Trend nd 113,000 112,000 111,000 110,000 109,000 108,000 107,000 106,000 105,000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2009 2010 Source: Michigan Department of Community Health; Michigan Population Trends 1990-2009, Bay County CHIP Community Health Improvement Project

2000 and 2010 Populati tion on for Bay County ty 150,000 -2.2% 110,157 107,771 100,000 2000 2010 50,000 0 Bay County Source: U.S. Census 2000; 2010 CHIP Community Health Improvement Project

Bay Count nty Populat ulation on – 2000 and 2010 120,000 104,580 101451 100,000 80,000 60,000 40,000 20,000 5093 4308 1,389 1702 526 578 600 564 0 Whites African Americans Hispanic or Latino Asian American Indian or Alaskan Native 2000 2010 Source: U.S. Census 2000, 2010 CHIP Community Health Improvement Project

Pe Percent ent Change ange in Po Popula latio ion n by Rac ace/ / Ethnicit nicity- 2000 0 to 2010 30.0% 20.0% 10.0% 0.0% -3% -10% -6% -7% -18% -18% 20% 23% 22% 18% -10.0% Bay County -20.0% Bay City -30.0% Whites African Hispanic Asian American American or Latino Indian or Alaskan Native Source: U.S. Census 2000, 2010 CHIP Community Health Improvement Project

Bay County ty Populati tion on by Ag Age Group Source: U.S. Census, 2000;2010 CHIP Community Health Improvement Project

Bay County ty Populati tion on by Age Group p 2000 - 2010 2010 50% 42.4% 40% 35.5% 32.1% 30% 20% 10% 4.8% 1.2% 0% -10% -6.4% -7.3% -7.4% -9.0% -13.3% -13.7% -20% -25.3% -30% < 5 5 to 9 10 to 15 to 20 to 25 to 35 to 45 to 55 to 65 to 75 to >85 14 19 24 34 44 54 64 74 84 Source: U.S. Census 2000, 2010 CHIP Community Health Improvement Project

K-12 2 Enro rollment llment -14 14.0% .0% 25,000 20,593 20,000 17,686 15,000 2000 10,000 2010 5,000 0 Bay County Source: 2000 US Census, 2010 American Community Survey CHIP Community Health Improvement Project

Percent cent Bay County y and Michig higan an Percent cent Bay County y and Michig higan an Reside ident nts s >25: 2000 Reside ident nts s >25: 2010 Bay County Michigan Bay County Michigan 37 33.1 31.3 30.9 24.2 23.3 23.3 22.2 15.6 13.7 13.8 12 9.6 9.7 8.4 8.1 8 7 6.6 6.1 4.7 4.4 3.4 3.5 Less than High School Some Associate Bachelor Graduate or Less than High School Some Associate Bachelor Graduate or 9th Grade Graduate College Degree Degree Professional 9th Grade Graduate College Degree Degree Professional Degree Degree Source: 2010 American Community Survey Source: 2000 US Census CHIP Community Health Improvement Project

Employ oyment ent in Bay Count nty 2000 Employ oyment ent in Bay Count nty 2011 2011 6% 9.7% Employed Employed Unemployed Unemployed 94% 90.3% Source: 2011 Bureau of Labor Statistics Source: 2000 US Census, 2010 American Community Survey CHIP Community Health Improvement Project

Bay Count unty y Unemployment mployment Rates: s: 1990 1990-2011 2011 15 11.7 10 9.7 Rate 5 4.0 0 Source: Bureau of Labor Statistics CHIP Community Health Improvement Project

Number ber of Employ loyees ees 1800 1,756 1600 1400 1,200 1,203 1200 1000 976 920 770 800 736 600 584 495 456 419 400 200 0 Source: Bay Area Chamber of Commerce * Formerly Bay Regional Medical Center CHIP Community Health Improvement Project

Source: US Census for Poverty Levels in Bay County, 2000, 2010 CHIP Community Health Improvement Project

Total Bay County ty Recipients ts FY 2009-FY Y 2011 25,000 20,734 20,000 19,653 2009 16,670 15,000 2010 2011 10,000 5,000 1,719 1,738 1,598 1,186 951 825 0 91 110 108 Family Food Assistance State Disability Child Development Independence Program Assistance and Care Program (FIP) Source: Michigan Department of Human Services, Trend Reports CHIP Community Health Improvement Project

Bay City Schools Bangor Twp Essexville-Hampton Pinconning 60.9 59.6 56.6 54.7 50.5 51.6 44.5 38.4 36.9 33.7 32.7 24.2 K-5th Grade 6th-8th Grade 9th-12th Grade Source: Michigan Department of Education CHIP Community Health Improvement Project

 “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 CHIP Community Health Improvement Project

CHIP Community Health Improvement Project

Total Recipient ents: s: Bay County ty 2009 - 2011 2011 9,000 8,132 8,102 8,000 7,234 7,000 6,052 6,000 5,995 5,849 5,000 2009 4,000 2010 3,000 2011 2,000 864 799 1,000 600 0 Family Medicaid Other Children Under Pregnant Women & 21 Children Under 19 Source: Michigan Department of Human Services, Trend Reports CHIP Community Health Improvement Project

Bay Count unty: y: Aged 25+ and Unins nsur ured: ed: 2010 10 16 14.7% 13.1% 14 12.1% 12 10 8 5.7% 6 4 2 0 Less than High School High School Graduate Some College/ Bachelor's Degree or Associates Higher Source: 2010 American Community Survey CHIP Community Health Improvement Project

Perce cent nt Uninsur ured: : Bay County nty 2010 0 20 18.0% 15 10 5 3.8% 0.0% 0 Under 18 18 - 64 65+ Source: 2010 American Community Survey CHIP Community Health Improvement Project

Source: Community Health Assessment Phone Survey CHIP Community Health Improvement Project

Health h Insur surance ance Coverage verage 60 52.0% 50 40 30 25.0% 20 11.0% 12.0% 10 6.0% 7.0% 1.0% 1.0% 0 Employer/ Yourself Medicaid Medicare Bay Health Veterans' Other Don't Know/ Spouse's Plan Affairs Refused Employer Source: Community Health Assessment Phone Survey CHIP 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 CHIP Community Health Improvement Project

CHIP Community Health Improvement Project

12 10 8 Michigan 6 Bay County 4 2 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Source: Michigan Department of Community Health, Vital Statistics, Community Health Information, Infant Mortality Trends by County and State CHIP Community Health Improvement Project

Matern rnal al Characte acteri risti tics cs as a Perce cent nt of Live Births: 2010 100 80 79.9 74.3 60 55.8 44.9 Bay County 42.1 40 40 40.1 34.6 32.8 32.5 Michigan 29.2 20 17.8 15.4 14.9 10.6 9.5 0 Under 20 First Births < 12 Years Cesarean Smoked Unmarried Care in 1st Breastfeeding Years of Education Delivary Rate While Trimester Planned or Pregnant Initiated Source: Michigan Department of Community Health, Community Health Information, Natality, Selected Characteristics. CHIP Community Health Improvement Project

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 95.9 96.3 9.7 9.8 8.8 8.4 1.7 1.0 Low Birth Weight Very Low Birth Weight Preterm Singleton Births Source: Michigan Department of Community Health, Community Health Information, Natality, Selected Characteristics CHIP Community Health Improvement Project

CHIP Community Health Improvement Project

2011 1 Ph Physici sician an to Pa Patient nt Ratio o 2500 2030 2000 1500 1000 874 631 683 558 500 0 Bay County Saginaw Midland Michigan National County County County Healthy Rankings, 2011 CHIP Community Health Improvement Project

Percent entage ge of Childr dren en Aged 0-17 17 Number ers s of Child d Abuse se and Living in Poverty rty: : Bay County ty Neglect: ct: Bay County ty 2010 19 18.8 91 18.4 308 18.5 17.9 17.9 18 17.5 17.3 2,214 17.1 17 Children in Investigated Families Confirmed Victims 16.5 Children in Out-of-Home Care 16 2004 2005 2006 2007 2008 2009 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 CHIP Community Health Improvement Project