Using the 2009 HCECF-PRC Community Health Assessment Data: Florida Hospital

1. Using the 2009 HCECF-PRC Community Health Assessment Data:Florida Hospital Richard J. Bogue, PhD Executive Director Center for Health Futures at Florida Hospital Health Council of East Central Florida Annual Meeting January 15, 2010

2. Florida Hospital:Community Health impact Council • Committee of the FH Board • 50% FH’s top execs; 50% community leaders • Oversees all of FH’s community benefit activities • Donations & charitable sponsorships • P-CAN, Shepherd’s Hope, Defibrillators, HCECF • Strategic CB Initiatives: • Egs: Cuídate, Heart of Apopka, the Congestive Heart Failure Clinic, Pharmacy Co-op, Advance Directives initiative, Translations program • As of 2010, annual budget of $1.2M HCECF Annual Meeting January 15, 2010

3. Overview:Why Do We Need Community Data? Strategic Community Benefit Initiatives • Community Health Medical Costs or Utilization • To Make the Most Effective Use of Funding • To Develop Systematic Community Benefit Strategies • To Align Investments With Strategies • To Target Investments by Geography & Issues • To Measure “Movements in the Needle” HCECF Annual Meeting January 15, 2010

4. Using Community Health Survey Data… for OurStrategic Planning Retreat HCECF Annual Meeting January 15, 2010

5. Four County Health Assessment 2009: Failing to Meet These Healthy People 2010 Goals Cardiovascular Signs • High Blood Pressure • Steps to Control High Blood Pressure • High Blood Cholesterol • Fruit & Vegetable Consumption • Physical Activity • Overweight & Obesity • Blood Stool Testing • Pap Smears • Cigarette Smoking & Cessation Steps • Binge Drinking • Seat Belt Usage • Flu Shots & Pneumonia Vaccination Seniors & High-Risk Individuals • Health Insurance Coverage • Difficulties Accessing Health Services • Having a Specific Source of Care Healthy Behaviors Cancer Prevention U.S. DHHS Office of Disease Prevention & Health Promotion Risky Behaviors Access Issues

6. Four County Health Assessment 2009: Lagging Behind Florida Overall Death & Disease • High Blood Cholesterol • Obesity • Skin Cancer Modifiable Health Risks • Physical Activity • Vegetable Consumption • Overweight • Smoking Cessation • Alcohol Use • Drinking & Driving • Substance Abuse Treatment • Improper Prescription Drug Use Access to Healthcare Services • Language/Cultural Barriers • Healthcare Costs • Health Insurance Coverage • Access to Children’s Healthcare • Access to Children’s Dental Care • Senior Flu Shots Healthy Behaviors Florida Department of Health Risky Behaviors Access Issues

7. Four County Health Assessment 2009: Trending Toward Worse Health Healthy Behaviors • High Blood Cholesterol • Overweight & Obesity • Physical Activity • Drinking & Driving/Riding • Improper Prescription Drug Use • Language/Cultural Barriers • Healthcare Costs • Health Insurance Coverage • Access to Children’s Healthcare Risky Behaviors Access Issues HCECF/PRC/FH/WPHF, 2004-2009

8. Using Community Health Survey Data… To Identifybest targets geographically HCECF Annual Meeting January 15, 2010

9. Altamonte Springs Casselberry Winter Park Heart of Apopka Hiawassee Lockhart Parramore Pine Hills Orlando (nor’west) Cuídate Kissimmee Our Best Opportunities for Sustainable Investment

10. (Four-County Community Health Assessment, 2009) A Simple Look for Our Best Opportunities to Improve Community Health

11. Aligning Sustainable Geographywith Best Chances to Improve Health Southcentral Orlando East Orlando Southeast Orlando Parramore, Southcentral Orlando South Kissimmee, Osceola Mt Dora Area, Far Nor’west Orange Hiawassee, Nor’west Orange Florida Hospital gives high amounts of care to those unable to pay South Kissimmee, Osceola Lockhart, Nor’west Orange Kissimmee, Osceola

12. Using Community Health Survey Data… To develop precise interventionsand “move the needle” HCECF Annual Meeting January 15, 2010

13. Hospital Experience Inpatient days Emergency department visits Net income Self pay, Medicaid, Medicare SOON! Care Processes! Health Risks Health status Behavior / lifestyle Environment Access Longer-Term Future StrategyZip Code Assessment Model Summary • Socio-Demographics • Total population • Age groups • Race/Ethnicity • Income & Poverty levels • High school & College graduates • Employment rate • Causes of Death • Heart disease • Cancer • Injuries • Respiratory disease • Alzheimer’s • Diabetes 94 Zip Codes: Brevard, Orange, Osceola & Seminole

14. Hospital Experience Potentially Avoidable ED Visits Avoidable Readmissions Equitable Treatment Care Transition Quality Health Risks Healthy Weight Moderate Physical Activity (30+ minutes, 5x per week) Fruits & Veggies (5 servings per day) Never Smoked Not a Current Drinker Zip Code Assessment ModelA “Blue Zone” Illustration • Socioeconomics and Demographics • People Aged 65+ • Owned Homes • Per Capita Income • Families Below Poverty • High school & College graduates • Employment rate • Causes of Death • Heart disease rate • Cancer rate • Diabetes rate • Suicide rate

15. Just an Illustration!Our Region’s Blue Zones? HCECF Annual Meeting January 15, 2010 What is Missing From This Picture?

16. Using the 2009 HCECF-PRC Community Health Assessment Data:Florida Hospital Richard J. Bogue, PhD Executive Director Center for Health Futures at Florida Hospital Richard.bogue@flhosp.org 407-646-7120 www.cfhf.org