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Massachusetts Department of Public Health June 26, 2007

Boston Regional Health Dialogue. Massachusetts Department of Public Health June 26, 2007. Goals for holding regional dialogues. Introduce new DPH leadership Present latest health data on your particular region Talk with residents and providers about data and identify areas of need

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Massachusetts Department of Public Health June 26, 2007

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  1. Boston Regional Health Dialogue Massachusetts Department of Public Health June 26, 2007

  2. Goals for holding regional dialogues • Introduce new DPH leadership • Present latest health data on your particular region • Talk with residents and providers about data and identify areas of need • Gather feedback to inform process of setting DPH priorities

  3. Goals of New DPH leadership • Use data and community input to set new priorities & reshape the Department • Rely on science and evidence-based process to guide the work • Strengthen ties with and support for local health and local agencies • Increase resources to and visibility of public health in Massachusetts

  4. Timetable • Hold 8 regional dialogues with comprehensive data review and identification of key health concerns (by July) • Identify short list of top priorities by end of August • Hold second round of community dialogues to discuss action plans/results by end of calendar year

  5. Socio-Demographics Indicators and Health Care Access

  6. A few comments about the limitations of this presentation • A regional analysis has its drawbacks • Variability within a region – urban vs. rural/suburban (i.e. Boston vs. the rest of the region) • Variability by sub-population – race matters, poverty matters • Our data don’t reflect all the important health indicators

  7. Population in Cities of Boston Region: 2005 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  8. Race and Ethnic Breakdown of PopulationCities in Boston Region and Massachusetts: 2005 * Non-Hispanics Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  9. Population by Age Group Cities in Boston Region and Massachusetts: 2005 Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  10. Language Spoken at Home,Cities in Boston Region and Massachusetts: 2000 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  11. Socio-Demographic IndicatorsCities in Boston Region and Massachusetts: 2000 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  12. Birth Indicators

  13. Infant Mortality Rate (IMR) Boston Region and Massachusetts: 1990-2005 * City of Boston * Boston Region MA Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Infant Mortality Rate: deaths of infants less than one year of age per 1000 live births Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  14. Infant Mortality Rates by EOHHS Region Massachusetts: 2003-2005 Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Infant Mortality Rate: deaths of infants less than one year of age per 1000 live births Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  15. Infant Mortality Rates by Race/Ethnicity Boston Region and Massachusetts: 2003-2005 Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  16. Teen Birth Rates by Cities in Boston Region & Massachusetts: 2003-2005 * * * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Teen birth rates are number of births to women ages 15-19 per 1000 females ages 15-19. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  17. Public Source of Prenatal Care Payment byCities in Boston Region & Massachusetts: 2003-2005 * * * * ** ** Statistically different from state (p ≤.05)– Red (*) Statistically higher than state- Green (**) statistically lower than state Public: Government programs including Commonhealth, Healthy Start, Medicaid/MassHealth, or free care Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  18. Leading Causes of Death

  19. Leading Causes of DeathBoston Region and Massachusetts:2005 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  20. Chronic Disease Outcomes and Overweight/Obesity

  21. Adults who are Overweight1by EOHHS Region, Massachusetts: 1995 & 2005 Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state 1 Obesity: BMI greater than or equal to 25 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program

  22. Hospital DischargeRates for Hypertensionby Cities in Boston Region & Massachusetts: 2003-2005 * * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  23. Hospital Discharge Rate for Hypertensionby Race/EthnicityBoston Region & Massachusetts: 2003-2005 * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  24. Prevalence of Diabetes Massachusetts: 1994-2005 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program

  25. Diabetes Hospital Discharges by Cities in Boston Region & Massachusetts: 2003-2005 * * * * ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population.Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  26. Diabetes Hospital Discharge Rate by Race/EthnicityBoston Region and Massachusetts: 2003-2005 * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population.Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  27. Cancer

  28. Prostate Cancer Incidence Rates by Cities in Boston Region & Massachusetts: 1999-2003 * ** ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  29. Lung Cancer MortalityRate by Cities in Boston Region & Massachusetts: 2003-2005 * * ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  30. Adults who Currently Smoke by EOHHS Region, Massachusetts: 2005 ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Health Survey Program

  31. Substance Abuse

  32. Substance Abuse Treatments by EOHHS Region, Massachusetts: 2005 * * * ** ** ** Statistically different from state (p ≤.05)– Red (*) Statistically higher than state- Green (**) statistically lower than state Crude rates Source: Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2005.

  33. Substance Abuse Treatments Alcohol Primary Substance by Cities in Boston Region & Massachusetts: 2005 * * ** ** ** ** Statistically different from state (p ≤.05)– Red (*) Statistically higher than state- Green (**) statistically lower than state Crude rates Source: Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2005.

  34. Substance Abuse Treatments Heroin Primary Substance by Cities in Boston Region & Massachusetts: 2005 * * * * ** Statistically different from state (p ≤.05)– Red (*) Statistically higher than state- Green (**) statistically lower than state Crude rates Source: Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2005.

  35. Opioid-related Emergency Visit Ratesby Race/EthnicityBoston Region and Massachusetts: 2003-2005 * * * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Emergency Department Visits

  36. Opioid-Related Fatal Overdoses byCities in Boston Region & Massachusetts: 2003-2005 * * * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  37. Injury/Violence

  38. Homicides in Boston Region and Massachusetts: 2003-2005 * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  39. Homicide Rates by Race/EthnicityBoston Region and Massachusetts: 2003-2005 * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  40. Emergency DepartmentVisit Rates for Firearm InjuriesbyRace/EthnicityBoston Region and Massachusetts: 2003-2005 ** NA Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Emergency Department Visits

  41. Firearm Death Ratesby Race/EthnicityBoston Region and Massachusetts: 2003-2005 * NA Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  42. Infectious Diseases

  43. HIV Incidence by Cities in Boston Region & Massachusetts: 2005 * * Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Crude rates Source: MDPH, BCDC HIV/AIDS Files as of 09/01/06

  44. HIV/AIDS Death Rate by Race/EthnicityBoston Region and Massachusetts: 2003-2005 * NA Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Research & Epidemiology Program

  45. Tuberculosis Incidence by EOHHS Region Massachusetts: 2006 * Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Source: MDPH Bureau of Communicable Disease Control, ISIS

  46. Asthma

  47. Pediatric Asthma Prevalence Among School Children, Grades K-8 by EOHHS Region Massachusetts: 2005-2006 * * ** ** ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Source: MDPH, Center for Environmental Health, Pediatric Asthma Surveillance (2005-2006)

  48. Asthma Emergency VisitRates, Children Ages 0-14 by EOHHS Region, Massachusetts: 2005 * * ** ** ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Source: Division of Health Care Finance and Policy. Calendar Year 2005. Emergency Visits

  49. Asthma Emergency Visit Rates by Race/Ethnicity Children Ages 0-14 Boston Region and Massachusetts: 2003-2005 * * ** * * ** ** Statistically different from state (p ≤.05)– Red (*) Statistically worse than state- Green (**) statistically better than state Source: Division of Health Care Finance and Policy. Calendar Year 2005. Emergency Department Visits

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