Workgroup Briefing Presentation to the Local Health Improvement - - PowerPoint PPT Presentation

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Workgroup Briefing Presentation to the Local Health Improvement - - PowerPoint PPT Presentation

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Harford County Tobacco Workgroup Briefing Presentation to the Local Health Improvement Process Tobacco Workgroup April 16, 2012 Russell W. Moy, MD, MPH, Deputy Health Officer Harford County Health Department Questions Why a Local Health

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Harford County Tobacco Workgroup Briefing

Presentation to the Local Health Improvement Process Tobacco Workgroup April 16, 2012

Russell W. Moy, MD, MPH, Deputy Health Officer Harford County Health Department

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Questions

  • Why a Local Health Improvement Process?
  • Why a Tobacco Workgroup?
  • How does the Tobacco Workgroup fit into

the Local Health Improvement Process?

  • What are the next steps?

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Why a Local Health Improvement Process?

  • CHNA – For Hospitals

– Federal and State requirements, mandate community health needs assessment, as part of its community benefit.

  • SHIP – For State Health Departments

– Maryland’s Health Care Reform Coordinating Council require a State Health Improvement Process (SHIP).

  • LHIP – For Local Health Departments

– In addition to SHIP requirements, national public health accreditation requires a Local Health Improvement Process (LHIP).

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Can We Build on Harford County Efforts?

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Federal Health Care Reform Requirements LHD SHIP Mandates Hospital CHNA Mandates Healthy Harford Activities

COMMUNITY HEALTH IMPROVEMENT PLAN

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Why a Tobacco Workgroup?

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  • Tobacco is the single most preventable cause of death

and disease causing 438,000 deaths/year in the U.S.1

  • Quitting at age 30 reduces chance of premature death

by 90%; quitting at 50 reduces chances by 50%.2 Half of all long-term smokers die prematurely from smoking related causes.1

  • Almost all first use of tobacco occurs before age 18.1
  • Tobacco contains 250 known harmful chemicals, 69

linked to cancer, leading to deaths not just from cancer, but heart disease, stroke, COPD and others.2

  • Male smokers lose an average of 13 years of life;

females an average of 14 years of life.3

  • 20% of low birthweight births could be prevented

with elimination of smoking during pregnancy.4

  • Non-smokers exposed to secondhand smoke increase

their heart disease risk & lung cancer risk by up to 30%.5

2 NCI Fact Sheet 3 MMWR,4/12/02 4 CDC PNSS website 5 Am Lung Assoc Fact Sheet 1 CDC Best Practices, 2007

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Top 7 Causes of Death Harford County, 2009

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450 433 136 43 99 59 41

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Leading Actual Underlying Causes of Death United States, 2000

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Source: Mokdad AH, et al, JAMA, Mar 2004

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Adult Cigarette Smoking Rates Harford County & Maryland 2000 to 2010

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Source: CDC Behavioral Risk Factor Surveillance System

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Youth Tobacco Use Rates Harford County & Maryland 2000 to 2010

Source: Maryland Youth Tobacco Survey

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Secondhand Smoke Exposure Rates Harford County & Maryland, 2008

Source: CDC Behavioral Risk Factor Surveillance System

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SHIP State Health Improvement Process

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dhmh.maryland.gov/ship

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Which of the 39 SHIP objectives does Harford County rank worse than the State?

Demographic Indicators Harford County Maryland Heart disease death rate 210.7/100,000 194.0/100,000 Cancer death rate 185.8/100,000 177.7/100,000 Adult tobacco use 20.3% 15.2% Youth tobacco use 26.8% 24.8% Adult seasonal influenza vaccination rate 38.7% 43.0% Behavioral health-related admissions to E.R. 1243.7/100,000 1206.3/100,000 Alzheimer’s-related admissions to E.R. 22.1/100,000 17.3/100,000 Suicide rate 11.7/100,000 9.6/100,000 Drug-induced death rate 14.9/100,000 13.4/100,000 Dental utilization rate - Medicaid-covered children 58.2% 59.0% Days of Air Quality Index (AQI) > 100 17 8.4

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How does the Tobacco Workgroup relate to other Harford County public health improvement efforts?

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Obesity Action Plan Template Tobacco Action Plan Template School Wellness Action Plan Template HCHD

Local Health Improvement Process

Obesity Task Force

(1) Community Engagement (2) Access to Healthy Foods (3) Built Environment

Tobacco Prevention Behavioral Health Action Plan Template Behavioral Health

(1) Mental Health (2) Substance Abuse

Dental Sealant Action Plan Template

HCHD Community Health Needs Assessment HCHD Community Health Improvement Plan

Healthy Harford

HCHD National Public Health Accreditation

UCH Community Benefits Needs Assessment UCH Community Benefits Improvement Plan HCHD Internal Strategic Plan UCH Community Benefits Strategic Plan

UCH

Community Benefits Plan

HCHD

Community Transformation Grant

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CDC Best Practices for Comprehensive Tobacco Control Programs

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  • State and Community Interventions
  • Support individuals to make behavior choices consistent with tobacco-free norms
  • Health Communications Interventions
  • Culturally appropriate, high impact counter-marketing messages
  • Cessation Interventions
  • Provider screening and brief interventions
  • Tobacco cessation quitline services
  • Surveillance and Evaluation
  • State and local data collection
  • Administration and Management
  • Strategic leadership and collaboration