HOW HEALTHY IS FRANKLIN COUNTY? · 05/04/2016 · Jessica Collins Executive Director, Partners for...
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April 7, 2017 HOW HEALTHY IS FRANKLIN COUNTY?
Transcript of HOW HEALTHY IS FRANKLIN COUNTY? · 05/04/2016 · Jessica Collins Executive Director, Partners for...
April 7, 2017
HOW HEALTHY IS
FRANKLIN COUNTY?
Welcome
CHIP Overview
County Health Rankings 2017
Franklin County North Quabbin CHIP Highlighted Strategies
Legislative Actions on Health
Next Steps: Upcoming meetings, vote with dots
TODAY’S AGENDA
CHIP TEAM MEMBERSHIP
Town of Greenfield
Health Department
Transportation
Planning
Program
COMMUNITY HEALTH IMPROVEMENT
PLAN (CHIP) VISION
All residents of Franklin County and the North Quabbin Region have the opportunity to pursue healthy lifestyles and achieve social, emotional, physical, and spiritual well-being; and to participate in shaping the systems that affect their health.
ROBERT
WOOD
JOHNSON
MODEL OF
HEALTH
COUNTY HEALTH RANKINGS
HEALTH OUTCOMES
HEALTH FACTORS
COMMUNITY HEALTH
IMPROVEMENT AND
HEALTH EQUITY
Jess ica Col l ins
Execut ive D i rector, Par tners for a Heal th ier Community, Inc .
Frankl in County Community Heal th Improvement Kick -of f
Apr i l 7 , 2017
DISPARITIES, INEQUALITY, AND
INEQUITY
DISPARITY = INEQUALITY and implies dif ferences
between individuals or population groups (UN -equal)
INEQUITY refers to dif ferences which are unnecessary
and avoidable but, in addition, are also considered
unfair and unjust
Health equity
Assurance of the condition for
optimal health for all people. Dr. Camara Jones
Working together to advance health
equity will eliminate health inequities
that are unfair, unjust and avoidable!
So, what extra resources and
supports do these families need to
avoid exacerbation of asthma?
What extra resources and support to
do these students need and deserve?
Health disparity
A population-specific difference in
the presence of disease, health
outcomes, or access to health care – could be people over 70 die more often than
people under 10 years old.
Health INEQUITY - differences which
are UNFAIR, UNJUST and
AVOIDABLE
*ER visit rates for asthma among
Latinos and blacks were 2-5 times
greater than whites.
LGBTQ students were 3 times more
likely to miss school than heterosexual
classmates because they felt unsafe.
Premature Mortality Rate (PMR) by Town Premature Mortality (ages < 75) Age-adjusted rate per 100,000 population
Potential Years of Life Lost per 100,000 population (YPLL)
SCHOOL DATA
Students who reported having had sexual intercourse before
age 13 – students from families with less means, LGBTQ and
students of color were three times more likely than their
white classmates
Smoked cigarettes daily in the past 30 days – students from
families with less means reported three times that of their
wealthier classmates
Less than half of all students reported eating breakfast
everyday
2016 FC/NQ Youth Risk Behavior Survey, FRCOG
BFMC HEALTH NEEDS ASSESSMENT DATA
Communities with the Highest Asthma ER Rates in the
Baystate Franklin Medical Center Service Area, 2013
Source: MDPH; age-adjusted per 100,000; data available
for less than 10 communities
BFMC HEALTH NEEDS DATA
COPD ER Visit Rates in Highlighted Baystate Franklin Service Area
Communities, 2012
Source: MDPH,; age-adjusted per 100,000
WORK TOGETHER FOR EQUITY
P H O T O C R E D I T: S U Z A N N E S U L L I VA N
Health Behaviors contribute 30% to health outcomes
ALCOHOL-IMPAIRED DRIVING DEATHS
Highlighted Strategies:
Diabetes Prevention Program (DPP)
Substance Use Prevention curriculum in schools
Family Drug Court Implementation and Evaluation
Increasing access to Green Spaces and Parks
Gap: Breastfeeding Support in the North Quabbin
Healthy Food Bank Initiatives
School Nutrition Standards
Gap: Prescription for physical activity, Chronic
Disease Self-Management and DPP
Gap: Tobacco Cessation Groups
HEALTH BEHAVIORS
CHIP HIGHLIGHTED STRATEGIES
SOCIAL AND ECONOMIC FACTORS
CONTRIBUTE 40% TO HEALTH OUTCOMES
SOCIAL ASSOCIATIONS: A STRENGTH OF
OUR REGION
HIGH SCHOOL GRADUATION
Gap: Paid Family Leave
Nurturing Families Group-Based Parenting Classes
(Gap identified in the region for parents of teens,
parents in rural areas, Spanish speaking parents)
Gap: Increased Minimum Wage
Gap: Fair Share Amendment to the MA Constitution
(AKA Millionaire Tax)
Gap: Distracted Driving/Hands-Free Law
SOCIAL AND ECONOMIC
CHIP HIGHLIGHTED STRATEGIES
CLINICAL CARE
CONTRIBUTES 20% TO HEALTH OUTCOMES
1290
950
1600
1050
Franklin County:
Primary Care
MA: Primary Care Franklin County:
Dentists
MA: Dentists
Franklin County: Primary Care MA: Primary Care
Franklin County: Dentists MA: Dentists
PROVIDER SHORTAGES: POPULATION
PER PROVIDER
Gap: Telemedicine & Tele-mental health
(understanding best practices, advocacy for
reimbursement)
Community Health Workers (clarifying definitions,
standardizing training)
Fluoride Varnish
Chronic Disease Self-Management Programs
CLINICAL CARE
CHIP HIGHLIGHTED STRATEGIES
PHYSICAL ENVIRONMENT
CONTRIBUTES 10% TO HEALTH OUTCOMES
DRIVING ALONE TO WORK
SEVERE HOUSING PROBLEMS
Housing First
Housing Rehabilitation and Loans
Increased Public Transportation
Escorted/On-Demand Transport
PHYSICAL ENVIRONMENT
CHIP HIGHLIGHTED STRATEGIES
LEGISLATIVE ACTION TO IMPROVE HEALTH
Support Policy Change!
Advocacy 101 Training on 5/12
Western MA Health Equity Network Policy Assembly on 4/26
Support the highlighted strategies
Quarterly CHIP review meetings
Vote today with your dots!
WHAT NEXT?
