The State Health Improvement Plan

1. SHIP2006 - 2010 The State Health Improvement Plan

2. Three Components of SHIP • A health improvement plan that emphasizes improving the health status of populations; • A plan that emphasizes engaging local partnerships to coordinate resources and address local health issues • A commitment to increase access to data and information necessary to access local health status.

3. SHIP 2006 – 2010 The State Health Improvement Plan (SHIP) promotes well-being by focusing on identifying and addressing root causes of disease and disability with community partners.

4. Root Causes of Death, Disease, and Disability • Tobacco Use • Poor Diet and Physical Inactivity • Alcohol and Drug Use • Microbial Agents (Infections) • Environmental Pollutants • Motor Vehicles • Firearms • Sexual Behavior

5. SHIP Categories for Health Action

6. “State of State” Chapters Each Category for Health Action has its own chapter Reference Chapters 8 – 13 “State of State” Chapters PA Priorities are priorities not captured by HP2010 LHI but are important to improve health in Pennsylvania. Community Priorities are priorities raised in the planning process by community representatives Category for Health Action HP2010 Leading Health Indicator (LHI) Additional Pennsylvania Priorities Additional Community Priorities

7. “State of State” Chapters Under each of the major headings you will find these subheadings The information under the subheadings will consist of research findings, national data, Pennsylvania data, and notable disparities. Pennsylvania Healthy People 2010 Data – Tracking Progress Health Topic Health Topic

8. “State of State” Chapters Resources appear in the last section of each discussion area. Resources PA public health efforts and other state agency and national resources that address a particular LHI or Priority are listed here.

9. SHIP 2006-2010 This document is designed to: • Raise awareness of public health issues • Increase involvement or empower people • Create a common agenda for health

10. SHIP 2006 – 2010 SHIP outlines a process by which DOH and community partners can work together to meet the needs of the public.

11. SHIP Partnership Partnership is defined as: • A group of people participating in common practices with each other; • Making decisions together; • Identifying themselves as something larger than their organization; • and focusing on a common goal… Reference: Chapter 5 Partnering

12. The Health of the Community!

13. Total – 63 SHIP Partners and Partnering

14. SHIP Partners and Partnering A Local Health Improvement Partnership (LHIP) or Community-Based Health Improvement Partnership is: A collaboration of public, private, and voluntary organizations and individuals, who serve a defined geographic area, and exists for the purpose of improving the health status of the community.

15. Healthy Communities SHIP defines a community as: “all persons and organizations within a geographic area in which there is a sense of interdependence, identity, and belonging.”

16. Healthy Communities • Partnerships should focus on local health needs and the needs of the community they serve. • Organizations alone cannot decide what the community needs are. • Community members should be included in the process.

17. Our Common Vision • Prevention • We share a commitment to: • Prevent death and disability through mobilizing community action to identify and address root causes • Recognize that prevention is the keystone of community health • When possible, relate our prevention activities to the achievement of HP 2010 objectives Prevention

18. Our Common Vision • Prevention (Continued) • We share a commitment to: • Prevent death and disability through mobilizing community action to identify and address root causes • Recognize that prevention is the keystone of community health • When possible, relate our prevention activities to the achievement of HP 2010 objectives

19. Our Common Vision • Communication • We strive to: • Have direct two-way communication to partners and the communities they serve • Recognize the role of Local Advisory Committees and SHIP Steering Committee to support the timely exchange of information

20. Our Common Vision • Accountability • We share a commitment to: • Data driven planning and decision making • Use of evidence-based approaches to improve and evaluate the outcomes of improving community health

21. Our Common Vision • Collaboration • We will work: • Collaboratively as partners to improve the health of our communities • To develop strong mutual bonds of trust and respect for one another • To aspire a new model for community relationships • To assume ownership of the partnering process to the fullest possible extent

22. Our Common Vision • Coordination • We will recognize that: • Good stewardship of state and community resources requires careful coordination and will work together to identify, create, and encourage state and local coordination

23. Our Common Vision • Continuous Learning • We recognize the need: • For mutual commitment to continuous learning and improvement • We will strive to nurture and develop: • Leaders within our communities and assist new partnerships in their developmental activities

24. Our Common Vision • Elimination of Health Disparities • We share a mutual concern: • for the unequal burden of disease borne by vulnerable portions of our communities, whether due to race, language, culture, geography, gender or other factors • We will: • Collectively work to ensure that disparities are addressed in state and local planning efforts

25. Health Disparities SHIP 2006-2010 expands the analyses of health disparities beyond rural and minority health disparities that were covered in previous SHIP reports. To Access These Publications Visit: www.health.state.pa.us/ship

26. Health Disparities “A disproportionate health burden for a segment of the population, compared to the total population or a target population.” Reference: Chapter 6 Eliminating Health Disparities

27. Health Disparities Health Disparities are differences in health status, the delivery of health services, and the utilization of health services.

28. Health Disparities Highlighted in SHIP 2006-2010: • Gender • Race/Ethnicity • Education/Income • Disability • Geographic location • Sexual orientation

29. SHIP 2006-2010 The plan uses several sources to identify health disparities in PA residents: • Data from the PA Healthy People 2010 Dataset • Behavioral Risk Factor Surveillance System • Other Sources (Footnoted)

31. Gender – Men have higher age-adjusted death rates for 9 of the 10 leading causes of death. Race/Ethnicity – The 2003 age-adjusted death rate for HIV/AIDS among black residents was almost 15 times higher than for whites. Examples of Disparities in PA • Education/Income – 35 percent of adults with less than a high school education have no healthcare coverage compared to 7 percent of those with a college degree.

32. Disability – People with disabilities report more anxiety, pain, and depression than those without. Geographic Location – Many rural counties had 2000-2002 age-adjusted death rates for heart disease that were much higher than the state rate. Examples of Disparities in PA • Sexual orientation – Gay, male adolescents are 2-3 times more likely than their peers to attempt suicide.

33. “Alone we can do so little; together we can do so much."- Helen Keller

34. Contact Information Kate Yohn Pennsylvania Department of Health Bureau of Health Planning Room 1033, Health and Welfare Building 7th & Forster Streets Harrisburg, PA 17120 (717) 772-5298 kyohn@state.pa.us Please take a SHIP 2006-2010 CD with you! Thank You!