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?