Maine Community Health Needs Assessment Forum
Shared health needs assessment in Central Public Health District, Skowhegan & Waterville. Join us for insightful discussions on identifying health priorities and improvement processes with key stakeholders and sponsors. Learn about the collaborative efforts to address community health needs and drive positive change.
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Presentation Transcript
Maine Shared Community Health Needs Assessment CENTRAL PUBLIC HEALTH DISTRICT SKOWHEGAN OCTOBER 17, 2018 WATERVILLE OCTOBER 18, 2018 1
Time Activity Speaker/Facilitator 3:30 pm (10 minutes) Terri Vieira, President, Northern Light Sebasticook Valley Hospital Richard Willett, CEO, Redington-Fairview General Hospital JSI Welcome and Introductions Forum Agenda 3:40 pm (5 minutes) Shared CHNA and Health Improvement Process overview 3:45 pm (10 minutes) Review of previously identified priorities and activities since last effort Sherry Tardy, Director of Business Development Northern Light Sebasticook Valley Hospital Carol Steward, Director of Support Services & Public Relations, Redington-Fairview General Hospital JSI 3:55 pm (25 minutes) Present key findings from Data Profile Q&A 4:20 pm (45 minutes) Facilitated discussion on data and identifying health priorities JSI & Local Facilitators 5:05 pm (20 minutes) 5:25 pm (5 minutes) Reconvene and full vote on health priorities Wrap up and next steps JSI Paula Thomson, Central District Public Health Liaison, Maine CDC/DHHS
Guidance, Regulations & the Law Maine Shared Community Health Needs Assessment Images of PHAB and IRS from the internet 6
Steering Committee Maine Shared CHNA Program Manager JSI Governance Community Engagement Committee Metrics Committee Local Planning Teams Data Analysis Team 7
Health Improvement Process Community Health Needs Assessment (CHNA) Partners Partners Hospital Implementation Strategies (IS) Evaluate Partners Partners Public Health District Health Improvement Plan (DPHIP) Partners Partners State Health Improvement Plan (SHIP) 8
Central District 2016-19 Priority Areas Hospital and District priority areas of work since the 2016 Shared CHNA Chronic Disease Food Insecurity Mental Health Services Adverse Childhood Experiences Obesity, Physical Activity and Nutrition Access to Care MaineGeneral Health Central District Coordinating Council MaineGeneral Health MaineGeneral Health Northern Light Inland Hospital Central District Coordinating Council Redington-Fairview General Hospital Northern Light Sebasticook Valley Hospital Northern Light Sebasticook Valley Hospital MaineGeneral Health Redington-Fairview General Hospital Northern Light Inland Hospital Redington-Fairview General Hospital Redington-Fairview General Hospital Substance Use Disorder Oral Health Poverty Senior Health Tobacco Central District Coordinating Council Northern Light Inland Hospital Redington-Fairview General Hospital Central District Coordinating Council Central District Coordinating Council Northern Light Inland Hospital MaineGeneral Health MaineGeneral Health Northern Light Sebasticook Valley Hospital Northern Light Sebasticook Valley Hospital MaineGeneral Health Redington-Fairview General Hospital Redington-Fairview General Hospital 10
Accomplishments of Note See Handout 11
Successes and Outcomes MaineGeneral Health Northern Light Inland Hospital Northern Light Sebasticook Valley Hospital Redington-Fairview General Hospital 12
How to Read County Health Profile EXAMPLE 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 7,890 YPLL measures premature death, or the years of potential life lost before the age of 75. 7,284 7,151 6,906 Maine 6529.2 2010-2012 2014-2016 Somerset Kennebec 21
Social Determinants of Health Somerset and Kennebec Counties: Percent of Individuals Living in Poverty Somerset and Kennebec Counties: Percent of Children Living in Poverty 30% 30% 26 25 20 18 18 Maine 17% 16 15 12 Maine 14% 2009-2011 2012-2016 Kennebec 2007-2011 2012-2016 Kennebec Somerset Somerset 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 2012-2016 Somerset Kennebec 23
Health Behaviors - Obesity Somerset and Kennebec Counties: Obesity (High School) Somerset and Kennebec Counties: Obesity (Adults) 40% 40% 37% 33% 27% 29% Maine 30% 18% 16% 15% 13% Maine 15% 2011 2016 2011 2016 Somerset Kennebec Somerset Kennebec 24
Health Behaviors- Smoking Current Smoking (Adults), 2016 25
Health Behaviors- Smoking Somerset and Kennebec Counties: Past-30-Day E-Cigarette Use (High School) Somerset and Kennebec Counties: Past 30 Day Cigarette Smoking (High School) 25% 25% 17 20 15 17 16 15 12 15 14 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) Somerset and Kennebec Counties: Past-30-Day Marijuana Use (High School) 35% 35% 29 25 23 22 22 20 21 19 20 19 24 24 23 20 19 19 2011 2013 2015 Kennebec 2017 2011 2013 2015 Kennebec 2017 Somerset Somerset 27
Health Outcomes-Cancer All Cancer Deaths Per 100,000 Population, 2016 28
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: Diabetes (Adults) Somerset and Kennebec Counties: Asthma (Adults) 15% 15% 15% 14% 13% 12% 12% Maine 12% 10% 10% 10% Maine 11% 2011-2013 2014-2016 2011-2013 2014-2016 Somerset Kennebec Somerset Kennebec 29
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: High Cholesterol (Adults) Somerset and Kennebec Counties: High Blood Pressure (Adults) 50% 50% 43% 40% 40% 39% 39% Maine 39% 35% 35% 33% Maine 34% 2011-2013 2014-2016 2011-2013 2014-2016 Somerset Kennebec Somerset Kennebec 30
Health Outcomes-Adult Chronic Disease Somerset and Kennebec Counties: Cardiovascular Disease Deaths Per 100,000 Somerset and Kennebec Counties: Heart Attack Deaths Per 100,000 300.0 50.0 43 256.7 42.5 40.4 237.8 219.6 219.3 32.5 Maine 195.8 Maine 26.0 2007-2011 2012-2016 2007-2011 2012-2016 Somerset Kennebec Somerset 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 2012-2016 Somerset Kennebec 34
Health Outcomes Injury Somerset and Kennebec Counties: Traumatic Brain Injury ED Rate per 10,000 Somerset and Kennebec Counties: Injury Deaths Per 100,000 150 150 2017 114 124.4 107.7 100.1 94.4 Maine 85.1 77.9 70.9 63.6 Maine 67.9 56.4 2009-2011 2012-2014 2007-2011 2012-2016 35
Health Access and Quality Unable to Obtain Care Due to Cost, 2014-2016 36
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
Indicate if you want to get involved in health improvement planning you want to get involved in health improvement planning! Sign up on the forum evaluation if Please complete forum evaluation (link) Wrap Up and Next Steps 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
