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Building a County Coalition to Transform Health for Women of Color and their Families. Dr. Angela M. Wakhweya , MSc.Econ . Health Officer Anne Arundel County Department of Health Health Care Reform Conference for Women of Color Morgan State University September 8, 2012. The Local Context.
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Building a County Coalition to Transform Health for Women of Color and their Families Dr. Angela M. Wakhweya, MSc.Econ. Health Officer Anne Arundel County Department of Health Health Care Reform Conference for Women of Color Morgan State University September 8, 2012
The Local Context Anne Arundel County Department of Health
Anne Arundel County ~Who Are We? Area: 416 square miles Population 537,656 (2010)§ Geography: • Rural south county • Urban/suburban northern and mid-county § US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011 Anne Arundel County Department of Health
Geographic Disparities Top Ten Zip Codes Five Leading Causes of Death, 2010 Crude Death Rate Anne Arundel County Department of Health
Geographic Disparities Five Leading Causes of Death for AA County (2010) ZIP Codes with the highest death rate from the five leading causes, Ages 0-64 Anne Arundel County Department of Health
Geographic Disparities 10 Leading ZIP Codes Medicaid Enrollment Rate* 2007-2011 Anne Arundel County Department of Health
Geographic Disparities 10 Leading ZIP Codes 2010 Hospital ED Visit Rate* Ages 5-18 Years Rate based on 2010 Census for Ages 5-18 Years Anne Arundel County Department of Health
Gender and Race Disparities2010 Hospital ED Visit Rates* *Crude rates per 100,000 population Anne Arundel County Department of Health
Gender and Race Disparities 2010 Hospital ED Visits for Select Causes - 21225 Crude rates per 100,000 (all ages) Anne Arundel County Department of Health
Race Disparities by County disparities Source: Maryland Health Services Cost Review Commission, 2010 Anne Arundel County Department of Health
Race Disparities by County disparities Source: Maryland Health Services Cost Review Commission, 2010 Anne Arundel County Department of Health
Race Disparities - Weight Weight Status by Race for Anne Arundel County, 2007 Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007 Anne Arundel County Department of Health
Towards A Healthy Weight!We are heading in the wrong direction! Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US Data source: National BRFSS Bend the obesity curve downwards A CALL TO ACTION! Anne Arundel County Department of Health
Healthy Anne Aruindel Coalition“A Ripple Effect” Anne Arundel County Department of Health
Healthy Anne Arundel Coalition Structure Coalition Steering Committee Coalition Network Boards, Coalitions, Councils and Committees Examples County Agencies, Offices, Departments and Partners Examples Anne Arundel County Public Schools School Health Advisory Council County and City Recreation and Parks American Heart Association Drug and Alcohol Abuse Council City Housing Authority & County Housing Commission Mental Health Agency Department of Aging and Disabilities Large Employers & Businesses County Board of Education County Detention and Corrections Facilities FIMR and CFR Committees Department of Social Services Arundel Community Development Services CBOs/FBOs/ Volunteers/ Community Reps Partnership for Children, Youth, & Families County and City Police and Fire Department Conquer Cancer Coalition Anne Arundel County Department of Health
Healthy Anne Arundel Coalition Health Improvement Focus Areas • Obesity* ~ “Eat Healthier and Move More” • Mental Health & Substance Abuse* ~ Utilizing a “Four-Quadrant Framework” • Cancer and Tobacco Use Prevention • Dental Care • Sexual Health • Housing and Environmental Conditions • Maternal and Child Health *Designated Priority Areas Anne Arundel County Department of Health
Healthy Anne Arundel CoalitionImplementation Structure Community Outreach Subcommittee • Communicates with nearly 200 community and faith based organizations. • Assures that the Coalition’s activities are responsive to the needs of minorities in the County. • Assists other Coalition subcommittees in connecting with minority County residents. • Helps engage minority communities in the implementation of the Coalition’s Action Plan. Leadership and Finance Subcommittee Anne Arundel County Department of Health
County Schools 79 Elementary Schools Enrollment: 36,759 19 Middle Schools Enrollment: 16,848 12 High Schools Enrollment: 22,696 142 Private Schools Enrollment: 15,038 300+ school health staff! Anne Arundel County Department of Health
Opportunity for School Based Partnerships * Not all private schools may be represented Anne Arundel County Department of Health
Healthy Anne ArundelCoalitionReducing Health Disparities • The Coalition’s priorities reflect documented and evidence based health disparities • The Coalition’s broad-based membership assures that there is a vested interest in reducing health disparities across all sectors • The Community Outreach Subcommittee engages the County’s minority community in the implementation of the Coalition’s action plan and initiatives • “Generational shift” in health outcomes starts with our children and our youth! Anne Arundel County Department of Health
Important Role of Local Public Health Departments in Health Care Reform – Transforming Care at the Local Level Anne Arundel County Department of Health
Key Role of LHDs • Utilize new public-private sector partnerships through the Coalition to improve health care outcomes and health disparities • Seek “navigator entity” status by positioning ourselves to respond to the RFP due late 2012 • Provide public outreach and social marketing to inform, educate and empower communities • Assure access to services during public health transitions as part of our three core public health functions and ten essential services • Lead the local health improvement coalition process and ensure the community is aware and engaged! Anne Arundel County Department of Health
Healthy Anne Arundel Coalition Contacts Laurie Fetterman, MSW Phone: 410-222-7203 Email: HDFETT00@aacounty.org www.HealthyAnneArundel.org HealthyAnneArundel@aacounty.org Anne Arundel County Department of Health