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Community health assessment and improvement planning

Community health assessment and improvement planning. Striving to make Ventura County the healthiest in the nation. Erin Slack, MPH. Epidemiologist, Ventura County Public Health. January 25, 2018. Agenda. Introductions – 5 minutes Maternity Surveillance Project with EpiCenter – 10 Minutes

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Community health assessment and improvement planning

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  1. Community health assessment and improvement planning Striving to make Ventura County the healthiest in the nation • Erin Slack, MPH • Epidemiologist, Ventura County Public Health • January 25, 2018

  2. Agenda • Introductions – 5 minutes • Maternity Surveillance Project with EpiCenter– 10 Minutes • Communities Lifting Communities Initiative and Data Snapshots, including Diabetes Prevention Survey – 30 minutes • Update on SpeedTrack and PQI Project – 5-10 Minutes • Hospital Update, including discussion on Opioid and Heroin Admissions – 30 minutes • Follow-up from Previous Meeting and Next Steps – 10-15 minutes

  3. Community Health Assessment and Improvement Planning Process • Step 1: Reflect and Strategize • Step 2: Identify and Engage Stakeholders • Step 3: Define the community • Step 4: Collect and Analyze Data • Step 5: Select Priority Community Health Issues • Step 6: Document and Communicate Results • Step 7: Plan Improvement Strategies • Step 8: Implement Improvement Plan • Step 9: Evaluate Progress

  4. Communities Lifting Communities Initiative

  5. CLC – Initial Focus Areas and the CHIP • Diabetes – #7 Improve Adult Physical Health, #11 Improve Health and Wellness in the Medicare Population, and #15 Reduce Preventable Hospitalizations • Disparities in Birth Outcomes - #4 Improve Maternal Health Prior to Pregnancy, #5 Improve Childhood Physical and Mental Wellness, and #6 Reduce Childhood Trauma • Homelessness - #2 Reduce the Percentage of the Population Growing Up in Poverty and #3 Increase Affordable Housing in Clean, Safe Communities

  6. Adults with Diabetes in VC, 2013-2014 7.1% of VC Adults are Diabetic, 26.4% of Medicare Population Data Source: California Health Interview Survey, 2013-14.

  7. Age-Adjusted ER Rate for Uncontrolled Diabetes, 2013-2015 2.2 ER Visits per 10,000 population 18+ years for VC Data Source: Office of Statewide Health Planning and Development, 2013-15.

  8. Adults who are Obese in VC, 2013-14 23.7% of VC Adults are Obese Data Source: California Health Interview Survey, 2013-14.

  9. Pre-Pregnancy Overweight and Obesity (2015) and 5th Grade Overweight and Obesity (2015-16) Source: California Physical Fitness Report - Body Composition, California Department of Education, 2015-16. Automated Vital Statistics System (AVSS), 2015.

  10. Groups to Target for Diabetes Prevention • By Geographic Area • Males versus females (women of childbearing age) • 65 – 84 years (ER and Hospitalization) and 20-24 years (Hospitalization) • African Americans and Hispanics • Current Plan: Survey of Hospitals to Look at Prevention Programs in Catchment Areas

  11. Birth Outcomes By Race/Ethnicity, 2016 Source: Automated Vital Statistics System, 2016.

  12. Source: Vital Records Business Intelligence System and Automated Vital Statistics System, 2013-2015. Geographic areas with less than five infant deaths were not included within the analysis.

  13. Exclusive Breastfeeding by Ethnicity and Facility, 2016 Source: In Hospital Breastfeeding Initiation, California Department of Public Health, 2016.

  14. Groups to Target for Improved Birth Outcomes • By Geographic Area • Teen Mothers and Mothers 35+ years • African Americans and Hispanics • Current Plan: Prenatal Workgroup to take on some of these initiatives

  15. Homelessness ?? 66.1% of the Homeless Counted in the Cities of Oxnard and Ventura

  16. Percent of Renters Spending 30% or Higher of Income on Rent by City, 2015 Source: American Community Survey, 2011-2015.

  17. Waste Free VC https://www.surveymonkey.com/r/WasteFreeVC

  18. Questions?? Health Matters Dashboard http://www.healthmattersinvc.org Erin Slack Erin.slack@ventura.org

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