Post on 21-Oct-2020
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Lilian Peake, MD, MPHDirector of Public Health, SC DHEC
January 2018
Mission
Coordinate action on shared goals to improve the health
of ALL people in South Carolina.
Coalition of >60 executive leaders
from across the state
South Carolina Rural Health Action Plan
FACTORS THAT AFFECT HEALTH
High crime
No grocery store
No free recreation
Dilapidated housing
Challenged schools
Few jobs
Less opportunity
Factors Associated with County-level Mortality Rates
• Income
• College education
• Smoking rate
Children living below FPL and in single-parent households are more closely linked to premature mortality if they live in a low-income county than if they live in a high-income county
Source: Cheng ER, Kindig DA. Disparities in premature mortality between high- and low income US counties. Prev Chronic Dis 2012;9:110120. DOI: http://dx.doi.org/10.5888/pcd9.110120.
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High School Graduation and Median Earning in the Past 12 Months by Education
Nonfatal Child MaltreatmentRate per 1,000 population
HEALTH OUTCOMES
Teen BirthsRate per 1,000 females
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Preterm Birth by Race/Ethnicity
Infants Placed to Sleep on their Backs Exclusively
Obesity by Age GroupBreastfeeding Initiation and Duration of Exclusive Breastfeeding
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Adolescents Who Met Physical Activity Recommendations SC FitnessGram 2016-17
Smoking among High School Students
Secondhand Smoke Exposure in Homes or Vehicles among Adolescents
Sexually Transmitted Infections Age Distribution of STIs
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Leading Causes of Hospitalizations Among Children
Asthma Hospitalizations Among Children Under Five Years of AgeRate per 10,000 population
Adolescents Diagnosed with Major Depressive Episode in Past Year
Leading Causes of Injury Deaths by Age Group, Adolescent Seat Belt Use and Distracted Driving
State Health Improvement Plan
2018-2023
Priorities
Chronic Health Conditions
Behavioral Health
Resilient Children
Factors that Affect Health
Health Care Transformation
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Resilient Children - Safe and Supportive Environments
Goals
1. Integrated early childhood data system
2. Training for providers
3. Resources and activities to build resilience
4. Health homes and professional trauma services
Objectives• Decrease child maltreatment by 10% (Baseline 15.8
per 1,000)
• Increase high school graduation by 5% (Baseline
84.6%)
Coalition: Child Well-Being Coalition
Chronic Health Conditions –Healthy Lifestyles and Environments
Goals1. Partner coordination
2. Policies, systems and environments that support healthy eating and active, tobacco-free living
3. Screening, treatment and chronic disease self-management
4. Promote healthy lifestyle choices
Objectives• Decrease adult obesity by 5% (Baseline 33.2%) • Decrease adult smoking by 10% (Baseline 20.6%)• Decrease stroke deaths by 5% (Baseline 45.4 per
100,000)
Coalitions: SCaleDown, Diabetes Advisory Council, SC Tobacco-Free Collaborative
Behavioral Health – Sustainable System of Behavioral Health Care
Goals1. Access to clinical behavioral health services
2. School-based services
3. Crisis intervention and stabilization services
4. Interdisciplinary system for prevention and treatment of substance use disorders
Objectives• Decrease suicide by 5% (Baseline 15.7 per
100,000) • Decrease drug overdose deaths by 5% (Baseline
18.0 per 100,000)
Coalition: SC Behavioral Health Coalition
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Factors that Affect Health and Health Care Transformation
SC Rural Health Action Plan Recommendations1. Access to Health Care 2. Economic Development3. Education 4. Housing5. Cross-cutting Issues
• Infrastructure –Broadband,Social Services, Transportation
• Socio-economic Factors – Poverty, Racism, Sexism
Goals that Build on the Recommendations
1. Increase high quality non-traditional points of access to integrated health care for all ages
2. Improve health information, communications and consumer-informed decision making
3. Increase awareness of root causes of differences in health outcomes among groups of South Carolinians
Making it Work
• Strategies
• Bright Spots
• Links to Best Practices
• Assets
Resilient ChildrenAAP Resource: Leveraging Modifiable Resilience Factors in a Pediatric Clinic Setting
1. Train staff in trauma-informed care2. Screen -- ACEs, resilience, family functional capacity3. Team-based practice – education
• Group-based parenting education and support• Peer-based education and support
4. Medical home for children with ACEs• Customize to needs of family
5. Integrate behavioral health care services6. Community referrals – warm hand-offs
Source: http://pediatrics.aappublications.org/content/pediatrics/139/5/e20162569.full.pdf
It’s not until we start sitting down and working across
boundaries to see how we as a community can do
better that you start seeing the possibilities of how we
can share resources.”
- Renee Romberger, Spartanburg Regional Medical Center
Promote collaborative health
improvement process
Coalition response
Annual review of outcomes with state and local coalitions
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LiveHealthySC.com
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