Maine Shared Community Health Needs Assessment CENTRAL PUBLIC
Maine Shared Community Health Needs Assessment CENTRAL PUBLIC HEALTH DISTRICT SKOWHEGAN – OCTOBER 17, 2018 WATERVILLE – OCTOBER 18, 2018 1
Thank you to the following sponsors of this forum! 2
Welcome and Introductions 3
Time 4: 00 pm (10 minutes) Forum Agenda Activity Welcome and Introductions Speaker/Facilitator John Dalton, President, Northern Light Inland Hospital Chuck Hays, President & CEO, Maine. General Health 4: 10 pm (5 minutes) Shared CHNA and Health Improvement JSI Process overview 4: 15 pm (10 minutes) Review of previously identified priorities Lee. Anna Lavoie Director, Prevention Services, and activities since last effort Maine. General Health Baylee Doughty, Community Health Coordinator, Northern Light Inland Hospital 4: 25 pm (25 minutes) Present key findings from Data Profile Q&A JSI 4: 50 pm (45 minutes) Facilitated discussion on data and identifying health priorities JSI & Local Facilitators 5: 35 pm (20 minutes) Reconvene and full vote on health priorities JSI 5: 55 pm (5 minutes) Wrap up and next steps Paula Thomson, Central District Public Health Liaison, Maine CDC/DHHS
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
Central District 2016 -19 Priority Areas Hospital and District priority areas of work since the 2016 Shared CHNA Access to Care Adverse Childhood Experiences Maine. General Health Central District Coordinating Council Redington-Fairview General Hospital Chronic Disease Food Insecurity Mental Health Services Maine. General Health Northern Light Inland Hospital Central District Coordinating Council Redington-Fairview General Hospital Northern Light Sebasticook Valley Hospital Maine. General Health Redington-Fairview General Hospital Oral Health Central District Coordinating Council Maine. General Health Obesity, Physical Activity and Nutrition Poverty Northern Light Inland Hospital Redington-Fairview General Hospital Senior Health Substance Use Disorder Redington-Fairview General Hospital Central District Coordinating Council Northern Light Inland Hospital Northern Light Sebasticook Valley Hospital Maine. General Health Redington-Fairview General Hospital Tobacco Central District Coordinating Council Maine. General Health Northern Light Sebasticook Valley Hospital Redington-Fairview General Hospital 10
Accomplishments of Note See Handout 11
Successes and Outcomes Maine. General Health Northern Light Inland Hospital Northern Light Sebasticook Valley Hospital Redington-Fairview General Hospital 12
How to Read County Health Profile EX AM PL E 13
How to Read County Health Profile EXAMPLE 14
Key Findings 15
Demographics Somerset County: Age Distribution Kennebec County: Age Distribution 16
Demographics Percent of Population Living in Rural Areas, 2012 -2016 17
Demographics Change in Percent of Population Age 25+ With Associates Degrees or Higher, 2000 -2016 18
Demographics Somerset and Kennebec Counties: Gay, Lesbian, and Bisexual High School Students 15% 13% 11% Maine 11% 6% 5% 2017 2011 Somerset Kennebec 19
Health Equity Data Handouts include selected data for: • Sex • Race • Ethnicity • Sexual orientation • Education • Income • Rurality 20
Years of Potential Life Lost Somerset and Kennebec: Years of Potential Life Lost Per 100, 000 Population 10, 000 7 284 7 890 6 906 7 151 Maine 6529. 2 2010 -2012 Somerset YPLL measures premature death, or the years of potential life lost before the age of 75. 2014 -2016 Kennebec 21
Social Determinants of Health Somerset and Kennebec Counties: Percent of Individuals Living in Poverty 30% Somerset and Kennebec Counties: Percent of Children Living in Poverty 30% 26 25 18 20 18 12 2009 -2011 Somerset Maine 17% 16 15 Maine 14% 2012 -2016 Kennebec 2007 -2011 Somerset 2012 -2016 Kennebec 22
Social Determinants of Health Somerset and Kennebec Counties: Median Household Income $60, 000 $48, 570 Maine $50, 826 $46, 904 $40, 484 $37, 875 2007 -2011 Somerset 2012 -2016 Kennebec 23
Health Behaviors - Obesity Somerset and Kennebec Counties: Obesity (High School) Somerset and Kennebec Counties: Obesity (Adults) 40% 37% 33% 27% 29% Maine 30% 13% 2011 Somerset 2016 Kennebec 15% 2011 Somerset 18% 16% Maine 15% 2016 Kennebec 24
Health Behaviors- Smoking Current Smoking (Adults), 2016 25
Health Behaviors- Smoking Somerset and Kennebec Counties: Past 30 Day Cigarette Smoking (High School) 25% Somerset and Kennebec Counties: Past-30 -Day E-Cigarette Use (High School) 25% 17 20 15 15 14 17 16 12 15 10 Maine 15% 11 9 2011 2013 Somerset 2015 Kennebec 2017 2015 Somerset 2015 Kennebec 26
Health Behaviors- Alcohol and Marijuana Somerset and Kennebec Counties: Past-30 -Day Alcohol Use (High School) 35% Somerset and Kennebec Counties: Past-30 -Day Marijuana Use (High School) 35% 29 25 24 2011 24 2013 Somerset 23 23 2015 Kennebec 20 21 2017 22 22 19 19 19 20 20 19 2011 2013 2015 2017 Somerset Kennebec 27
Health Outcomes-Cancer All Cancer Deaths Per 100, 000 Population, 2016 28
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: Diabetes (Adults) 15% Somerset and Kennebec Counties: Asthma (Adults) 15% 12% 10% 2011 -2013 Somerset 14% 15% 13% 10% Maine 12% 10% Maine 11% 2014 -2016 Kennebec 2011 -2013 Somerset 2014 -2016 Kennebec 29
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: High Cholesterol (Adults) 50% 43% Somerset and Kennebec Counties: High Blood Pressure (Adults) 50% 40% 2011 -2013 Somerset 40% 39% 2014 -2016 Kennebec Maine 39% 35% 33% 2011 -2013 Somerset 35% Maine 34% 2014 -2016 Kennebec 30
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: Cardiovascular Disease Deaths Per 100, 000 300. 0 237. 8 50. 0 256. 7 219. 6 Somerset and Kennebec Counties: Heart Attack Deaths Per 100, 000 219. 3 43 40. 4 42. 5 32. 5 Maine 195. 8 Maine 26. 0 2007 -2011 Somerset 2012 -2016 Kennebec 31
Health Outcomes - Mental Health Current Depression (Adults), 2014 -2016 Somerset and Kennebec Counties: Sad/Hopeless 2+ Weeks in a Row (High School) 35% 30% 26% Maine 27% 24% 21% 2011 Somerset 2017 Kennebec 32
Health Outcomes - Substance Use Overdose Deaths Per 100, 000 2012 -2016 33
Health Outcomes – Substance Use Somerset and Kennebec Counties: Drug Induced Deaths Per 100, 000 25 21, 7 19 Maine 18. 9 12, 1 9, 8 2007 -2011 Somerset 2012 -2016 Kennebec 34
Health Outcomes – Injury Somerset and Kennebec Counties: Injury Deaths Per 100, 000 150 Somerset and Kennebec Counties: Traumatic Brain Injury ED Rate per 10, 000 150 2017 114 107, 7 94, 4 77, 9 63, 6 100, 1 Maine 85. 1 70, 9 Maine 67. 9 56, 4 2007 -2011 124, 4 2012 -2016 2009 -2011 2012 -2014 35
Health Access and Quality Unable to Obtain Care Due to Cost, 2014 -2016 36
Facilitated Discussion 37
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? (20 mins) 3. What community resources are available to address these needs, and what more may be needed? (5 mins) 38
Assets/Resources and Needs 39
Prioritization Exercise 40
Wrap Up and Next Steps 41
Wrap Up and Next Steps you Sign. Indicate up onif the want to get forum involved in health if evaluation improvement youplanning want to get involved in health improvement planning! Please complete forum evaluation (link) Planning Committee identifies opportunities for additional input CHNA results published April 2019 Hospitals and District Public Health Councils develop Health Improvement Plans January-December 2019 Health Improvement Strategies Implemented 2020 -2022 42
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