“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, culture and physical environment conspire against such change.”
The Institute of Medicine
Heartland HealthStrategic Plan Update 2008
Heartland HealthStrategic Plan Update 2008
A Mom’s Education, A Baby’s Chance of Survival
Babies born to mothers who did not finish high school are nearly twice as likely to die before their first birthday as babies born to college graduates.
Heartland HealthStrategic Plan Update 2008
Less Education, Worse Health
Compared with college graduates, adults who have not finished high school are more than four times as likely to be in poor or fair health.
Persistent Gaps in Health Behaviors: Smoking
Education disparities in cigarette smoking have persisted over decades and the gaps between college graduates and those with less education appears to have widened.
Heartland Health
Strategic Plan Update 2008
Parents’ Income, A Child’s Chances for Health
Children in poor families are about seven times as likely to be in poor or fair health as children in the highest-income families.
Heartland Health
Strategic Plan Update 2008
Lower Income, More Chronic Illness
Nearly one in every three poor adults has their activity limited by chronic illness, compared with fewer than one in 10 adults in the highest-income group.
Heartland Health
Strategic Plan Update 2008
Lower Income Is Linked With Worse Health
Diabetes is twice as common among poor adults as among those in the highest-income group. The prevalence of heart disease is nearly 50 percent higher among poor adults than among adults in the highest-income group.
Heartland Health
Strategic Plan Update 2008
The High Economic Stakes of Health Disparities
If Americans who have not completed college experienced the lower death rates and better health status of college graduates, these improvements would translate into potential gains of $1.007 trillion annually.
Heartland Health
Strategic Plan Update 2008
Ten-Year Review – Greater St. Joseph Behavior Risk Factor Survey
Locally, individuals with a lower level of education experience higher incidence of high blood pressure; overall the high blood pressure rate is higher than the U.S. rate.
The rate of smoking as increased locally among all populations, but more significantly among low income individuals; and overall is higher than the U.S. rate.
Ten-Year Review – Greater St. Joseph Behavior Risk Factor Survey
Ten-Year Review – Greater St. Joseph Behavior Risk Factor Survey
The rate of persons reporting any physical activity in the past month has remained fairly stable; however, this is a 30 point difference of low to high income.
Ten-Year Review – Greater St. Joseph Behavior Risk Factor Survey
The rate of obesity has increased locally among all populations, but more significantly among low income individuals; and overall is higher than the U.S. diabetes rate.
Heartland HealthStrategic Plan Update 2008
Uninsured
• Missouri = 14.7%
• USA = 15.3 %
• NWMO Region = Average 14.8%
• PSA/SSA counties 8.3% - 22.4%
Heartland Health
Strategic Plan Update 2008
Financially Vulnerable(underinsured)
Medium House Income
• USA = $49,280
• MO = $44,767
Only 2 counties in PSA/SSA meet Missouri median income rate, 0 above USA rate
“Nearly 1/3 of service area are financially vulnerable”
Heartland HealthStrategic Plan Update 2008
Education
Bachelor degrees or higher
• USA = 24.4%
• Missouri = 21.6%
• PSA/SSA counties – only 2 counties meet Missouri rate, 0 at USA rate
Heartland HealthStrategic Plan Update 2008
Youth Health Issues
• Youth Poverty– Transience/Mobility– Youth Obesity/Physical Activity
• Abuse/Neglect– Leads to mental health issues and current shortage
of mental health services
• Obesity– Nutrition– Physical Activity
Heartland HealthStrategic Plan Update 2008
Senior Health Issues
• Chronic health issues
• Transportation
• Need for physical activity
• Poverty
• Preventative health care
• Information and referral
Wellness Connections 6 Year Results
Risk Factors present at HRS Screening
2001 2007 % Improvement
Blood Glucose 26% 5% 520%
Stress 34% 9% 377%
Blood Pressure 25% 11% 227%
Dietary Fat 67% 39% 71%
Tobacco 8% 6% 33%
Fruit/Veg 92% 73% 26%
Exercise 65% 56% 16%
Heartland Health employee Wellness Connections members measured in 2001 and again in 2007 (same employees) demonstrated significant reduction of health risk factors e.g. stress and exercise. These concepts are promoted in the market and community.
Heartland HealthStrategic Plan Update 2008
What works
Near Term Population Health• Aggressive and comprehensive care management
(both medical and social) • Wellness education and promotion with self and
group management• Local/regional partnerships addressing targeted
populations
• Lifestyle Medicine – “How daily lifestyle practices and habits impact short-term and long-term health and quality of life”.
Heartland HealthStrategic Plan Update 2008
What works
Long Term Population Health– Change from “medicalization” of social problems
to integrated planning and development that address root causes in:• Social Determinates (poverty, education …)• Lifestyle and Chronic Disease• Built Environment
Do the right thing for human well being.
Top Related