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Plan for Collaborating on a Harford County Community Health Improvement Plan

This plan outlines the rationale and proposed approach for improving the health of the Harford County community. It includes a review of health data and priorities, as well as next steps for collaboration.

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Plan for Collaborating on a Harford County Community Health Improvement Plan

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  1. Plan for Collaborating on a Harford County Community Health Improvement Plan Community Health Improvement Plan (CHIP) Coalition Steering Committee November 2011

  2. Today’s Agenda • Rationale for a community health needs assessment and improvement plan • Proposed approach for the planning process • Broad-brush review of Harford County health data and priorities • Next steps

  3. Who Says We Need a Plan for Improving the Community’s Health? • CHNA – For Hospitals • Federal health care reform, as well as Federal and State requirements, mandate community health needs assessment (CHNA). • SHIP – For State Health Departments • Maryland’s Health Care Reform Coordinating Council reaffirms the importance of a State Health Improvement Process (SHIP). • LHIP – For Local Health Departments • National public health accreditation requires a Local Health Improvement Plan (LHIP).

  4. What’s Required? Local Health Departments State Health Improvement Process (SHIP) obligations requiring a Local Health Improvement Coalition (LHIC) and Action Plan Obesity Prevention Task Force report due to the County Council Public Health Accreditation Board (PHAB) prerequisite Hospitals State community benefits report to HSCRC Federal IRS Form 990 Schedule H New federal health care reform requirements for Community Health Needs Assessment (CHNA)

  5. Are We Duplicating or Streamlining Efforts?

  6. Can We Build on Harford County Efforts? Federal Health Care Reform Requirements Hospital CHNA Mandates LHD SHIP Mandates COMMUNITY HEALTH IMPROVEMENT PLAN Healthy Harford Activities

  7. A Common Vision and Mission? VISION To make Harford County the healthiest community in Maryland MISSION To protect, promote and improve the health, safety and environment of the residents of Harford County through community assessment, education, collaboration and assurance of services

  8. What is a Public Health Planning Process? MAPP • MAPP = Mobilizing for Action through Planning & Partnerships • Developed by NACCHO & CDC in 2001 • Consists of 4 assessments: • Quantitative data review • Qualitative data review • Internal review • External review

  9. How Can We Get Started? One Approach • Present the quantitative data we currently have to community audiences • Then solicit reaction, including qualitative feedback • In order to engage in a discussion about strengths, weaknesses, opportunities & threats • To gain consensus on priorities, goals, strategies & action steps

  10. First, Quick Facts About Our Community

  11. Let’s start at the beginning . . . PREGNANCY DATA

  12. Infant Mortality RatesHarford County & Maryland2001-05 to 2006-10 Source: Maryland Vital Statistics

  13. Infant Mortality RatesHarford County, By Race2000-04 to 2005-09 Source: Maryland Vital Statistics

  14. Top 7 Leading Causes of Infant DeathMaryland, 2010

  15. Low Birthweight RatesHarford County & Maryland2000-04 to 2005-09 Source: Maryland Vital Statistics

  16. Low Birthweight RatesHarford County, By Race2004 vs. 2009 Source: Maryland Vital Statistics

  17. Teen Birth RatesHarford County & Maryland2004 vs. 2009 Source: Maryland Vital Statistics

  18. Teen Birth RatesHarford County, By Race2004 vs. 2009 Source: Maryland Vital Statistics

  19. 1st Trimester Prenatal Care RatesHarford County & Maryland2004-06 to 2007-09 Source: Maryland Vital Statistics

  20. 1st Trimester Prenatal Care RatesHarford County, By Race2004 vs. 2009 Source: Maryland Vital Statistics

  21. For pregnancy outcomes, Harford County ranks better than the State, but health disparities exist

  22. Let’s move on to conditions that affect us over the years . . . CHRONIC DISEASE DATA

  23. Top 10 Causes of DeathMaryland, 2010

  24. Top 7 Causes of DeathHarford County, 2009 450 433 136 99 59 43 41

  25. Heart Disease Mortality RatesHarford County & Maryland2004-06 to 2007-09 Source: Maryland Vital Statistics

  26. Heart Disease Mortality RatesHarford County, By Race2004-06 to 2007-09 Source: Maryland Vital Statistics

  27. Cancer Mortality RatesHarford County & Maryland2004-06 to 2007-09 Source: Maryland Vital Statistics

  28. Cancer Mortality RatesHarford County, By Race2004-06 to 2007-09 Source: Maryland Vital Statistics

  29. Stroke Mortality RatesHarford County & Maryland2004-06 to 2007-09 Source: Maryland Vital Statistics

  30. Stroke Mortality RatesHarford County, By Race2004-06 to 2007-09 Source: Maryland Vital Statistics

  31. COPD Mortality RatesHarford County & Maryland2004-06 to 2007-09 Source: Maryland Vital Statistics

  32. COPD Mortality RatesHarford County, By Race2000-07 to 2004-09 Source: Maryland Vital Statistics

  33. For chronic disease outcomes, Harford County ranks worse than the State Note: Rates are deaths per 100,000 population

  34. Now let’s look at lifestyle choices . . . LIFESTYLE DATA

  35. Leading Actual Causes of DeathUnited States, 2000 Source: Mokdad AH, et al, JAMA, Mar 2004

  36. Adult Smoking RatesHarford County & Maryland2005-07 to 2008-10 Source: CDC Behavioral Risk Factor Surveillance System

  37. Adult Smoking RatesHarford County2010 CHAP & BRFSS Data

  38. Adult Cigarette Smoking RatesHarford County & Maryland2000 to 2010 Source: CDC Behavioral Risk Factor Surveillance System

  39. Youth Tobacco Use RatesHarford County & Maryland2000 to 2010 Source: Maryland Youth Tobacco Survey

  40. Secondhand Smoke Exposure RatesHarford County & Maryland, 2008 Source: CDC Behavioral Risk Factor Surveillance System

  41. Adult Obesity/Overweight RatesHarford County & Maryland2005-07 to 2008-10 Source: CDC Behavioral Risk Factor Surveillance System

  42. Adult Obesity/Overweight RatesHarford County2010 CHAP & BRFSS Data

  43. Physical Activity Rates*Harford County & Maryland2005-07 to 2008-10 * NOTE: Moderate activity 30 minutes/day, 5 days/week Source: CDC Behavioral Risk Factor Surveillance System

  44. Physical Activity RatesHarford County2010 CHAP & BRFSS Data NOTE: Moderate activity 30 minutes/day, 3 days/week NOTE: Moderate activity 30 minutes/day, 5 days/week

  45. Fruits & Vegetables Intake Rates*Harford County & Maryland2005-07 to 2008-10 Source: CDC Behavioral Risk Factor Surveillance System * NOTE: 5 or more daily servings of fruits or vegetables

  46. Fruits & Vegetables Intake RatesHarford County2010 CHAP & BRFSS Data Fruits/Vegetables, 37.1% Fruits, 18.3% NOTE: 3 more daily servings of fruit and 3 more daily servings of vegetables

  47. In lifestyle choices, Harford County ranks worse than or even with the State

  48. And what about access to health care . . . ACCESS DATA

  49. % Who Could Not Afford to See M.D.Harford County & Maryland2005-07 to 2008-10 Source: CDC Behavioral Risk Factor Surveillance System

  50. Adult Influenza Vaccination RatesHarford County & Maryland2005-07 to 2008-10 Source: CDC Behavioral Risk Factor Surveillance System

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