Maine Shared Community Health Needs Assessment 2018 Community

Maine Shared Community Health Needs Assessment 2018 Community Events Penobscot County 1

Welcome and Introductions 2

Thank you to the following sponsors of this forum! Bangor Public Health and Community Services Health Access Network Helping Hands with Heart Mayo Regional Hospital Millinocket Regional Hospital Northern Light Acadia Hospital Northern Light CA Dean Hospital Northern Light Eastern Maine Medical Center Northern Light Health Northern Light Sebasticook Valley Hospital Penobscot Community Health Care Penobscot Valley Hospital Penquis Public Health District Coordinating Council Piscataquis Regional Food Center St. Joseph Hospital United Way of Eastern Maine 3

Forum Agenda 4

Why are we here? 5

Guidance, Regulations & the Law Maine Shared Community Health Needs Assessment Images of PHAB and IRS from the internet 6

Steering Committee Program Manager Maine Shared CHNA Governance Metrics Committee Data Analysis Team Community Engagement Committee JSI Local Planning Teams 7

Health Improvement Process Community Health Needs Assessment (CHNA) Partners Evaluate Partners State Health Improvement Plan (SHIP) Partners Hospital Implementation Strategies (IS) Public Health District Health Improvement Plan (DPHIP) Partners 8

Local Activities and Accomplishments 9

Penquis District – Penobscot County Hospital and District priority areas of work since the 2016 Shared CHNA Substance Use Acadia Hospital Eastern Maine Medical Center Health Access Network Penobscot Community Health Care Penobscot Valley Hospital Penquis Public Health District Sebasticook Valley Health St. Joseph Hospital Food Insecurity Millinocket Regional Hospital Penquis Public Health District Sebasticook Valley Health Mental Health Acadia Hospital Health Access Network Millinocket Regional Hospital Penobscot Community Health Care Penquis Public Health District Penobscot Valley Hospital Sebasticook Valley Health St. Joseph Hospital Poverty Penobscot Community Health Care Penquis Public Health District Obesity/Physical Activity/Nutrition Eastern Maine Medical Center Health Access Network Millinocket Regional Hospital Penobscot Community Health Care Penobscot Valley Hospital Penquis Public Health District St. Joseph Hospital Aging Problems Cardiovascular Disease Chronic Disease Employment Health Literacy Preventable Hospitalizations Access to Care Acadia Hospital Millinocket Regional Hospital Penobscot Community Health Care Penquis Public Health District St. Joseph Hospital Penobscot Valley Hospital Millinocket Regional Hospital Penobscot Community Health Care Eastern Maine Medical Center Millinocket Regional Hospital Penobscot Community Health Care 10

Partners 11

Accomplishments of Note See Handout 12

How to Read County Health Profile EXAMPLE 13

How to Read County Health Profile EXAMPLE 14

Key Findings 15

Demographics Penobscot: Age Distribution Percent of Population Living in Rural Areas, 2012 -2016 16

Demographics Change in Percent of Population Age 25+ With Associates Degrees or Higher, 2000 -2016 17

Demographics Penobscot County: Gay, Lesbian, and Bisexual High School Students 12% 10% Maine 11% 6% 2011 2017 18

Health Equity Data Handouts include selected data for: • Sex • Race • Ethnicity • Sexual orientation • Education • Income • Rurality 19

Years of Potential Life Lost Penobscot: Years of Potential Life Lost Per 100, 000 Population 10, 000 6 821, 5 6 931, 3 Maine 6529. 2 2010 -2012 YPLL measures premature death, or the years of potential life lost before the age of 75. 2014 -2016 20

Social Determinants of Health Unemployment rate (2012 -2016) Penobscot: Percent Living in Poverty, 2000 -2016 20% 17 20092011 19 18 16 20122016 Individuals Living in Poverty 20092011 20122016 Children Living in Poverty 21

Social Determinants of Health Penobscot: Percent of 65+ Living Alone 50% 47% 2007 -2011 45% 2012 -2016 22

Health Behaviors- Obesity Penobscot: Obesity (Adults) 40% 35% 30% Penobscot: Obesity (High School) Maine 30% 15% 2011 2017 2011 17% Maine 15% 2017 23

Health Behaviors- Smoking Current Smoking (Adults), 2016 24

Health Behaviors- Smoking Penobscot: Past 30 Day Cigarette Smoking (High School) Penobscot: Past 30 Day ECigarette Use (High School) 25% 23% 17 13 15% 12 Maine 15% 9 2011 2013 2015 2017 25

Health Behaviors- Alcohol and Marijuana Penobscot: Past 30 -day Alcohol and Marijuana Use (High School) Penobscot: Binge Drinking (High School) 20% 35% 30 19% 28 24 21 21 17 20 17 12% Alcohol Maine 12% Marijuana 2011 2013 2015 2017 2011 2015 26

Health Outcomes-Cancer All Cancer Deaths, 2016 27

Health Outcomes-Adult Chronic Disease Penobscot: Diabetes Prevalence (Adults) 15% Penobscot: Asthma Prevalence (Adults) 15% 13% 10% 2011 -2013 2014 -2016 14% Maine 12% Maine 10% 2011 -2013 2014 -2016 28

Health Outcomes-Adult Chronic Disease Penobscot County: High Cholesterol Penobscot County: High Blood Pressure 50% 42% Maine 40% 2011 & 2013 39% 2013 & 2015 34% 2011 & 2013 Maine 34% 32% 2013 & 2015 29

Health Outcomes - Mental Health Current Depression (Adults), 2014 -2016 Penobscot: Sad/Hopeless 2+ Weeks in a Row (High School) 30% 28% Maine 27% 23% 2011 2017 30

Health Outcomes - Substance Use Overdose Deaths Per 100, 000 2012 -2016 Penobscot: Narcotic Doses Dispensed Per Capita 70 60, 4 2017 114 44, 5 Maine 49. 3% 2013 2017 31

Health Outcomes – Infectious Disease Penobscot: New Cases per 100, 000 Population 350 339, 2 Maine 293. 4 Lyme 216, 2 Hepatitis C (Chronic) Chlamydia 105. 9 Maine 96. 5 23, 8 13, 5 2008 -2012 Pertussis Maine 92. 8 42, 2 23, 6 Maine 27. 6 2013 -2017 32

Health Access and Quality Unable to Obtain Care Due to Cost, 2014 -2016 33

Health Access – Primary Care Penobscot County: PCP Visit in the Past Year (Adults) 80% 72% Maine 72% 2011 -2013 2014 -2016 34

Facilitated Discussion 35

Small Group Discussion Questions 1. Based on your own knowledge and experiences, are there any major health issues that are not represented in the data? (10 mins) 2. Based on the data, past priorities, and your observations, what do you see as the top needs of our community? (30 mins) 3. What community resources are available to address these needs, and what more may be needed? (10 mins) 36

Report Back 37

Prioritization Exercise 38

Wrap Up and Next Steps 39