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Health Disparities in Hawaii County

Health Disparities in Hawaii County Japanese Chamber of Commerce January 25, 2012 Sharon H. Vitousek, M.D. North Hawaii Outcomes Project, www.nhop.org Hawaii Island Healthcare Alliance www.hawaiihealthcarealliance.org. Health Disparities in Hawaii County. What impact on business?

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Health Disparities in Hawaii County

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  1. Health Disparities in Hawaii CountyJapanese Chamber of Commerce January 25, 2012Sharon H. Vitousek, M.D.North Hawaii Outcomes Project, www.nhop.orgHawaii Island Healthcare Alliance www.hawaiihealthcarealliance.org

  2. Health Disparities in Hawaii County • What impact on business? • What is the role of business ? • Benefits of improvement to business

  3. Health Disparities - Hawaii County Population Health Outcomes • Higher Death rates • All causes • Heart disease • Stroke • Overall cancer • Infant Mortality • Suicide • Traffic-related • Lower life expectancy • Higher teen birth rates • Higher confirmed child abuse rates

  4. Health Disparities - Hawaii County Why?

  5. Institute of MedicineFramework for Population Health Social and Physical Environment Social, Economic & Physical Environment (Socioeconomic Determinants) Population HealthOutcomes Health-Related Behaviors HealthSystems (Access to Care)

  6. Health Disparities - Hawaii County Health Related Behaviors • Smoking- 15 % vs 10% state • Obesity- • (Binge drinking) • (Adults no exercise)

  7. Health Disparities - Hawaii County Health Systems Access to care: • Higher uninsured • Lower ratio of physicians per 1,000 population • Higher percent of population without a personal doctor • Lower percent mothers receiving prenatal care Utilization & Cost: • Higher acute care hospitalizations per 1,000 population Quality:

  8. Consequences of Primary Care Shortage Source: Institute of Health Improvement, John Wasson, M.D.

  9. Consequences of Primary Care Shortage • Delayed Care & Increased suffering • Higher ER utilization • Higher hospital utilization • Increased costs • Less focus on Prevention- Life style • Less screening- Cancer & Depression • Poorer outcomes

  10. Improving Population Health -- How? • Socioeconomic Determinants • Economic Development • Health sector: policy change & planning • Education & Science sectors- TMT • Energy sector Improved Population HealthOutcomes • Health-Related Behaviors • Environmental AND Individual Strategies • Smoking cessation, physical activity, • Identifying and addressing problem drinking, & depression • HealthSystems • Primary Care Workforce Development • Grow our own docs, Policy change, • BEACON: Redesign care through Collaboration, Technology & Engagement

  11. Economic Development of the Healthcare Sector • Why • 3rd largest employer in Hawaii County • Largest employer in many rural communities • Economic Multiplier effect of physicians~ 5 to 1 • Good for business & community • How • Work force development & policy change • What Business can do

  12. Hawaii County EmployeesDBED Nov 2011

  13. Hawaii Island Healthcare Alliance • Island wide, voluntary, collaborative group of stakeholders • Goal: Improve health & healthcare in Hawaii County by increasing healthcare workforce & improving financial sustainability of providers • Endorses: • Growing own providers - Residency Hilo, • Broader primary care team • Collaboration to align policy efforts, • Friends of the Future is 501(c )(3) Fiscal Agent

  14. What Business Can Do • Engage Employees in Healthy Lifestyles • Advocate for: • Development of the Health Sector/Workforce • Funding UH Family Practice Residency - Hilo • Technical Assistance for planning, finance • Serve on healthcare boards or committees • Join Hawaii Island Healthcare Alliance • Demonstrate for Residency Program - Hilo • Small donations to show community support

  15. Benefits of Health Workforce Development • Improved Access • Timely Care & Decreased suffering • Lower hospital/ER utilization • More prevention & life style improvements • More recommended screenings • Decreased costs • Economic stimulation- job creation • Better outcomes & Quality of Life • Improved productivity/business environment

  16. Hawaii Island Healthcare Alliance www.hawaiihealthcarealliance.org vitousek@nhop.org

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