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Friedell Committee Fall Conference

Friedell Committee Fall Conference. November 10, 2013 Lee T. Todd, Jr. Professor of Electrical Engineering University of Kentucky. Outline. How “ugly” are the “Kentucky Uglies”? Why is it important we address them? Can anything be done? What are the hurdles to overcome?

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Friedell Committee Fall Conference

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  1. Friedell Committee Fall Conference November 10, 2013 Lee T. Todd, Jr. Professor of Electrical Engineering University of Kentucky

  2. Outline • How “ugly” are the “Kentucky Uglies”? • Why is it important we address them? • Can anything be done? • What are the hurdles to overcome? • How do we proceed? • Are we ready to take the challenge?

  3. How “ugly” are the “Kentucky Uglies”? • Issues we have heard over and over • First in smoking, cancer deaths and preventable hospitalizations • Second in heart disease and poor physical health days • Third in heart attacks and poor mental-health days • In the Top 10 in obesity, diabetes, cholesterol and sedentary lifestyles

  4. How “ugly” are the “Kentucky Uglies”? • Issues we don’t hear as often • Kentucky life expectancy is 73.3 years, three years less than national average • Jefferson County, 14-year difference in life expectancy between East End (83) and in the heart of Louisville (69) • Only Oldham County, at 77.2, exceeds the national average • Perry County, at 68.3, is the lowest and 15 other counties are less than 70 years

  5. How “ugly” are the “Kentucky Uglies”? • Issues we don’t hear as often • Economic development impact • San Antonio, Texas, lost potential corporate client • Mayor met with CEO of the company and asked why San Antonio was not selected • CEO, “We looked at the Body Mass Index for your sixth grade students and realized that you are going to have a very unhealthy workforce in the future.”

  6. Why is it Important We Address Them? • Poor health status • Costs all of us in higher taxes • Limits our ability to attract and retain jobs • Gives the perception that Kentucky is a less attractive place to live and work for families • Increasing Medicaid expenses • Constrain needed public services • Reduce investments in all stages of education • Will increase further as we expand Medicaid eligibility

  7. Can Anything be Done? • San Antonio chose to reduce obesity • Received $1.5M grant from Coca-Cola Foundation • Reduced from 35.1% to 28.5% from 2010 to 2012 • 19% drop meant 70,000 citizens no longer obese • Closer to home • Grant County changed their county health ranking in three years from 89th to 60th in Kentucky • Clark County varnished teeth of 3,000 6th graders and reduced cavities from 50% to 14.5% in 3 years • Hopkins County reduced pre-term births from 16% to 6.6% in 12 months and saved 38 PTBs which would have resulted in $2,000,000 in Medicaid costs

  8. What Are the Hurdles to Overcome? • “Leadership is taking people to where they need to go weather they know it or not” • Previous lack of political leadership must be overcome • Education – unwillingness to raise and properly distribute necessary funds • Tobacco – continued promises to be able to provide subsidies for a product that others deemed harmful • Coal – willing to ignore affect on environment that others in the market recognize • How do we create urgency – Need a “market driver” • Prefer “enlightenment” but “fear” seems to be required • Sputnik – focus on math, science and engineering education • 9/11 – development of Homeland Security • Educational funding system unconstitutional – KERA

  9. How Do We Proceed? • “We must stop tolerating ill health!” • Initiate a campaign: “Get Well Kentucky with the slogan, “Kentucky: Healthier, Wealthier and Wiser” • Someone needs to “own the problem” • Must keep the issue “top of mind” for all of the active groups • Play a coordinating role for all of the good efforts taking place • Effort must be “community led”, not top-down • Many potential partners: business and education leaders, extension agents, and other organizations • County Health Departments • State Chamber of Commerce • Economic Development Cabinet – Work Ready Communities • Kentucky Department of Education

  10. How Do We Proceed? • Cannot be viewed as “outsiders” • Must involve community leaders and groups who recognize the need to change • Support them with data and reference examples of how others brought change • Ernesto Sirolli: TED Talk • Consulting company: Shut Up and Listen • Zambian Project

  11. How Do We Proceed? • Need to convince many more people to become involved • Must have a well developed process • “Crossing the Chasm” by Geoffrey Moore • Find the people/county with the greatest need • Need a “Market Driver” to speed movement to action

  12. How Do We Proceed? • Do we have a potential “Market Driver”? • Kentucky has 640,000 uninsured residents • Affordable Care Act provides an opportunity • Kentucky Health Exchange is a leader • 32,485 enrolled the first month • 318,000 accessed the Exchange but did not enroll • Can the newly enrolled be encouraged to get their A1C measured to begin an assault on diabetes? • Provide recognition for those Work Ready Communities that include health improvement • Develop an awards program to give exposure to positive community accomplishments

  13. Are We Ready for the Challenge?

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