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Oregon Public Health Data: What’s in it for CCOs?

Oregon Public Health Data: What’s in it for CCOs? . Katrina Hedberg, MD, MPH Health Officer & State Epidemiologist. March 10, 2014. Broad Public Health Priorities. Substance use: tobacco, alcohol, drug overdose Obesity: physical activity, nutrition

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Oregon Public Health Data: What’s in it for CCOs?

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  1. Oregon Public Health Data: What’s in it for CCOs? Katrina Hedberg, MD, MPH Health Officer & State Epidemiologist March 10, 2014

  2. Broad Public Health Priorities Substance use: tobacco, alcohol, drug overdose Obesity: physical activity, nutrition Health Equity: low income, racial/ ethnic disparities

  3. Overview Oregon’s “State Health Profile” Public health data sources Public health priority areas SIM public health surveillance activities

  4. State Health Profile Published in 2012, updated in 2013 70+ population health indicators Array: social context, diseases, behaviors, healthcare access, disparities

  5. Population Health Definitions • Public Health View • Defined by time, place, person • Indicators at community level • Health Care Delivery (Clinical View) • Panel of patients: eligible, enrolled • Patients with specific conditions or utilization

  6. Traditional Public Health Data: Population Health Assessment • Vital Records: Birth, death, abortion • Disease Reporting • Communicable diseases; Cancer • Population-based surveys • Behavior Risk Factor Surveillance System • Oregon Healthy Teens

  7. Care Coordination/ Service Delivery • Service receipt: • Vaccines; WIC; C-care; Home visiting; HIV care • Hospital discharge data • All payer/ all claims data • Electronic Health Records: • health information exchange

  8. Mortality

  9. Causes of Death & Premature Death, 2011

  10. Mortality by Race/ Ethnicity

  11. Teen Births

  12. Teen Pregnancy (15-17 yrs)

  13. Teen Pregnancy Rates by Race / Ethnicity, 2010

  14. Reportable Diseases

  15. Pertussis Incidence, Oregon

  16. Chlamydia incidence

  17. Oregon syphilis cases number

  18. Oregon syphilis cases >50% of MSM cases were HIV+ number

  19. Cancer cases and deathsOregon women, 2010

  20. Cancer cases and deathsOregon men, 2010

  21. Chronic Conditions by SES percent

  22. Health Risk Behaviors

  23. Behaviors that Kill Oregonians

  24. Tobacco

  25. Cigarette smoking prevalence

  26. Percentage of Adults who Smoke Oregon 2012 Source: Oregon Behavioral Risk Factor Surveillance System

  27. Percent of Adults Who Smoke by Health Insurance, 2012 Source: Oregon Behavioral Risk Factor Surveillance System

  28. Smoking Prevalence by SES 44% Low SES Low SES 37% 19% Higher SES Not Low SES 13% Oregon BRFSS

  29. Obesity:Diet / Physical Activity

  30. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  31. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  32. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  33. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  34. Public Health Division

  35. Obesity in Oregon Adults and 8th Graders New BRFSS weighting method began in 2010. Source: Oregon BRFSS and Oregon Healthy Teens Survey

  36. Percentage of Obese Adults by Health Insurance, 2012 Source: Oregon Behavioral Risk Factor Surveillance System

  37. Oregon Diabetes Prevalence New BRFSS weighting method began in 2010.

  38. Oregon Teens Exercising >60 min/ day, >5 days per week, 2013 Source: Oregon Healthy Teens

  39. Alcohol

  40. Alcohol-related deaths, by age group, Oregon, 2011

  41. Binge Drinking in Adultsby Age; Oregon, 2011

  42. Community Health Interventions

  43. Tobacco Control:Community Interventions • Limit access • Vending machines • Placement of cigarettes • Cost: taxes • Smoke-free Air Policies • Media

  44. Quit Line Counseling Nicotine replacement therapy Link to benefits from health insurance Public Health Division

  45. Physical Activity Policies • Zoning/ Design (e.g. sidewalks) • Green space • Mass transit • Public education / school PE classes • Gasoline tax/transit subsidies

  46. Public Health Division

  47. Healthy Diet Policies • Access • Vending machines (work / school) • Availability of choice • Restaurant / store locations • Public Education • Menu labeling • Cost • Tax sugar-sweetened beverages / fast food • Price incentives / subsidies for healthy foods

  48. Alcohol Policies Public Health Division Dram shop liability Limiting hours of sale Regulate alcohol outlet density Increase price Enhanced enforcement prohibiting sales to minors

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