community health improvement plan
DESCRIPTION
Community Health Improvement Plan, Clermont County Ohio, Major Themes: obesity, tobacco use, drug use, mental health, infant mortality, breastfeeding, homelessness, secondary education for healthcare professionals, chronic disease issues, access to healthcare, inujury prevention, suicide, teen pregnancy, infectious diseases, alcohol abuse and aging population.TRANSCRIPT
Community Health Improvement PlanPlanning Presentation 2014Julianne Nesbit, Health Commissioner
Objectives
• Summary of Community Health Assessment (CHA)/Feedback
• Community Themes and Strengths Assessment
• Community Health Improvement Plan (CHIP) Priority Issues and Strategies
CHA/CHIP Committee Participants
• Nursing Homes• Boys and Girls Club• Child Focus, Inc.• Clermont County Board of Commissioners• Clermont County Developmental Disabilities• Clermont County Board of Health• Clermont County Chamber of Commerce• Clermont County Community Services• Clermont County Coroner’s Office• Clermont County Department of Job and
Family Services• Clermont County Educational Service Center• Clermont County Emergency Management
Agency• Clermont County Fire/EMS Association• Clermont County Health District
• Clermont County Mental Health and Recovery Board
• Clermont County Office of Environmental Quality
• Clermont County Park District• Clermont County Senior Services• Clermont County Sherriff and Police Chief’s
Association• Clermont YMCA• Clermont Recovery Center• Clermont Transportation Connection• Mercy Hospital Clermont• Ohio State University Extension Office• United Way of Greater Cincinnati• University of Cincinnati, College of Nursing and
Health, East Campus• YWCA of Greater Cincinnati – Eastern Area
CHA Summary - Demographics
16.3% of population receives food assistance compared to 21.7% Ohio
36.2% of grandparents are responsible for their grandchildren compared to 46.6% Ohio, 39.5% US
55.8% of population is married compared to
49.1% Ohio, 49.0% US
12.1% of population is divorced compared to 11.9% Ohio, 10.8% US
25.3% of residents have a Bachelor’s Degree or higher compared to
24.6% Ohio, 28.2% US
96.2% of residents speak English only in the home compared to 93.4% Ohio,
and 79.4% US
Clermont County Population is 197,363
Racial Distribution:96.1% white, 1.4% black,
2.3% other
Median household income is $58,765 which is
higher than the state and the nation
87.5% of residents graduated from high school compared to
88.1% Ohio, 85.6% US
10.0% of residents are below poverty compared to 15.8% Ohio, 15.2% US
44% of children are enrolled in public health insurance compared to
52.7% Ohio
CHA Summary – Health and Wellness Indicators
Ratio of Dentist who treat Medicaid
Patients
Clermont County 2,028:1
Ohio1,277:1
Ratio of Patients to Primary Care
Physicians
Clermont County 1,902:1
Ohio1,348:1
Current Smoker
Clermont County 27.6%
Ohio 23.1%US 19.8%
58.3% of Clermont Smokers Tried to
Quit
Excessive Alcohol Drinking
Clermont County 13.0%
Ohio 18.0%US15.0%
CHA Summary – Health and Wellness Indicators continued
Underweight Normal Weight Overweight Obese0
5
10
15
20
25
30
35
40
Adult Body Mass Index
Clermont County Ohio US
CHA Summary – Health and Wellness Indicators continued
Only 27.3% of adults participate in
moderate physical activity three times a
week
Clermont County Average
Seatbelt use 2008-2012
77.1%54% of adults
report not getting enough
exercise
Reasons for Not Enough Exercise
Lack of Time Lack of MotivationPhysical Limitations OtherLack of Access Safety Concerns
CHA Summary – Maternal and Child Health Indicators
Infant Mortality Rate
Clermont County6.1
Ohio7.7
Smoking During Pregnancy
Clermont County22.2%
Ohio17.8%
Teen Pregnancy Rate
Clermont County23.0
Ohio29.0
First Trimester Prenatal Care
Clermont County81.4%
Ohio73.0%
CHA Summary – Maternal and Child Health Indicators continued
Clermont County Third Grade
Children Overweight/ Obese
37.2%, 34.7% Ohio, 35.5% US
Infants Breastfed at least 6 months: Clermont County 12.7%, Ohio
14.9%, US 25.1%
Clermont County children that participate in at least 1 hour of physical activity 6-7
days a week, 56.1%
Clermont County children that watch 3 or more hours of TV
on school days, 23.1%
CHA Summary – Social Health Indicators
Drug Poisoning Rates per 100,000
Clermont County
Ohio
Deaths 2009-2010 20 13
Hospitalizations 2010 44 22
Emergency Department Visits 2010
75 64
2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
Drug Related Deaths by Intent Clermont County, 2006-2012
SuicideAccidental
Num
ber
of
Death
s
CHA Summary – Social Health Indicators continued
•Clermont County 5.98•Ohio 4.53
Rate of Children in Placement
•Clermont County has fewer cases of physical abuse (25%) and neglect (21%) than Ohio (27% & 30%)
Child Abuse and Neglect
•Clermont County has more families in need of services (39%) than Ohio (19%)
Families in Need
CHA Summary – Death and Illness Indicators
Chronic Disease Indicators 2009
Clermont County (OH-KY-IN MSA)
Ohio US
Diabetes 7.9% 10.1% 8.3%
Asthma 13.0% 15.0% 13.5%
Heart Attack 5.5% 5.4% 4.2%
Hypertension 29.3% 31.7% 28.7%
High Cholesterol 37.4% 39.6% 37.5%
Arthritis 27.5% 30.8% 26.0%
Stroke 2.8% 3.1% 2.4%
Angina/Coronary Heart Disease
4.2% 4.2% 3.8%
Leading Causes of Death 2010 - Rates
Clermont County
Ohio
Heart Disease 161.3 191.7
Cancer 185.6 187.3
Chronic Lower Respiratory Disease
57.4 50.4
Stroke 53.6 42.4
Accident 49.8 41.6
Alzheimer's Disease 29.3 29.7
CHA Summary – Death and
Illness Indicators
Incidence of Selected Infectious Diseases
Clermont County
Rate
OhioRate
Sexually Transmitted Infections, 2012
Chlamydia 240.2 462
Gonorrhea 40.5 143.5
Syphilis 3 9.9
Prevalence HIV/AIDS
Persons living with HIV diagnosis 35 155.3
Vaccine Preventable Diseases, 2011
Influenza-Associated Hospitalization 12.1 20.9
Meningococcal Disease 0 0.2
Mumps 0 0.1
Pertussis 6 6
Varicella 9 9
Enteric Diseases, 2011
Campylobacteriosis 7 10.3
Cryptosporidiosis 25.1 9.6
Escherichia coli (STEC) 2.5 1.6
Giardiasis 10 6.8
Salmonellosis 8 10.2
Shigellosis 8 2.9
Tuberculosis, 2012
Tuberculosis 1 1.3
CHA Summary – Environmental Health Indicators
Recreational Sites in Clermont County
70%
24%
5%1%
Air Quality Index (Ozone) Clermont County
Days AQ Good
Days AQ Moderate
Days AQ Unhealthy for Sensitive Groups
Days AQ was Unhealthy
Days AQ Very Unhealth
Days AQ Hazardous
Community Strengths and Themes Assessment
Senior Living Facilities (subsidized)• Lytle Trace, Williamsburg• The Crossing of Amelia• Steamboat Trails, New Richmond• O’Bannon Terrace, Goshen• Summerside Woods, Cincinnati• Garrison Place, Felicity• Dimmitt Woods, Batavia• AHEPA 127, Milford • Amanda Acres, Amelia• Bethel Woods• Chaucer Square, Amelia• Felicity Apt• Owensville Commons• SEM Villa , Milford• St. Marks, Milford• Tabaleen Cove, Milford• Thompson Meadows, Amelia
Nursing Homes
Organization City
Angels Home Health New Richmond
Optioncare Milford
Eastgate Health Care Center Cincinnati
SEM Haven Milford
Sunrise Manor & Convalescent Center Inc
Amelia
Mellonridge Rest Home Goshen
Quehl Residential Home Milford
MRDD Group Home Milford
MRDD Group Home Milford
Eastgate Retirement Village Cincinnati
Dobbins Nursing Home New Richmond
Batavia Nursing Care Center Batavia
Arborview Williamsburg
Arbors at Milford Milford
Urgent CareMercy Health Solutions
Summerside
Bethel Internal Medicine and Pediatrics
Bethel
Doctors Urgent Care MilfordEastside Urgent Care Cincinnati
Local Farmers' Markets• Batavia Market• Goshen Farmstand• Milford Market• Mt. Carmel Market• Wilfert’s Farm Amelia• Wilfert’s Farmstand Amelia• Wilfert's Farmstand Withamsville
Area• Wilfert's Farmstand Mt. Carmel
AreaFaith Based Organizations
Quality of LifeSchoolsCommunity ParticipationEconomic OpportunityRecreation Health Care System
Safe Place
to Live
Networks of
Support
Consider each supporting factor on a scale of 1-5 (1 – Very Poor, 2 – Poor, 3 – Fair, 4 – Good, 5 – Very Good) and then consider overall
quality of life.
Consider access, cost, availability, quality,
options in healthcare
Consider locally owned businesses , jobs with
career growth, job training, higher education,
affordable housing, reasonable commute
Consider neighbors, support groups, faith
based community
Consider residents involvement in community
events, volunteers
Consider safety at home, workplace, school, playground, parks, mall
What are the Major Themes (Issues)?
Major Themes (Issues) to Consider
• Obesity
• Child
• Adult
• Tobacco Use
• Drug Use
• Mental Health
• Infant Mortality
• Breastfeeding
• Homelessness
• Secondary education for healthcare professionals
• Chronic Disease Issues
• Access to Healthcare/Lack of providers
• Injury Prevention
• Suicide
• Teen Pregnancy
• Infectious Diseases
• Alcohol Abuse
• Aging Population
• Others___________________________
Suggestions/Strategies
Next Steps
• Information Collected April and May 2014
• Prioritizing Issues, June 2014
• Establish goals, objectives, and strategies for each priority, June 2014
• Develop Draft Plan for Comment July 2014
• Solicit Feedback on Plan, Early August 2014
• Develop Final Plan, End of August 2014
How You Can Continue to Participate
• Information is posted on Health District website at www.clermonthealthdistrict.org
• Notifications will be made through press releases and social media (Facebook)
• Contact the Health District directly at:
• 513-732-7499