MIDDLEBORO COMMUNITY HEALTH PROFILEJessica Jacobs, Karen Jose, Erin Lenhardt, Veronica Locke, Daniel Lynn

POPULATION HEALTH Concerns the health outcomes of a group of

individuals including the distribution of such outcomes within the group (Kindig and Stoddart)

Objective: to describe, explain, predict, control

HEALTH INDICATORS A limited yet comprehensive set of coherent

and significant indicators that can be monitored over time and disaggregated to relevant social units (Stoto)

Intended to help everyone more easily understand the importance of health promotion and disease prevention and to encourage wide participation in improving health in the next decade (Healthy People 2010)

SUSA HEALTH INDICATORS FRAMEWORK

Social and Physical

Environment

Health-Related Behaviors

Health Systems

Health Outcome

s

HILLSBORO’S HEALTH STATUS Comparatively similar health status as other

communities

Within the community, chronic disease prevalence is an issue: Cardiovascular health Malignant neoplasm

HILLSBORO MORTALITY RATES

Heart Disease

Malignant Neoplasms

Cerebrovascular disease

All accidents

Chronic lower respiratory disease

Pneumonia/Influenza

Diabetes

Alzheimer's

Suicides/IH

0

10

20

30

Comparative Mortality Rates

Hillsboro County Capital City USA

Rate

per

10,

000

Peop

le

HILLSBORO COUNTY

Diseas

es o

f the

Hea

rt

Malig

nant

Neo

plas

ms

Cereb

rova

scul

ar D

isea

ses

All Acc

iden

ts

Chron

ic Low

er R

espi

rato

ry D

isea

se

Influ

enza

and

Pne

umon

ia

Diabe

tes Mel

itus

Alzhei

mer

's D

iseas

e

Self

Harm

/Sui

cide

Nephr

itis

Chron

ic Liv

er/C

irrho

sis

Other

Cau

ses

0

5

10

15

20

25

30

35

40

Hillsboro County Cause Adjusted Mortality

Cause o

f D

eath

Rate

per

100 D

eath

s

SUSA HEALTH INDICATORS FRAMEWORK

Social and Physical

Environment

Health-Related Behaviors

Health Systems

Health Outcome

s

Social and Physical Environment

SOCIAL AND PHYSICAL ENVIRONMENT Key indicators as they relate to chronic

disease Demographics

Age Population Employment market

AGE ADJUSTED MORTALITY RATE

Series10

10

20

30

40

Age Adjusted Mortality Rate

Hillsboro County Capital City

Ra

te p

er

1,0

00

Pe

op

le (

65

+ y

ea

rs)

POPULATION TRENDS

CY-25 CY-20 CY-15 CY-10 CY-5 CY0

10000

20000

30000

40000

50000

Hillsboro County Population Trends

Middleboro Jasper Harris CityStatesville Mifflenville CartervilleMinortown Boalsburg

People

CY-25 CY-20 CY-15 CY-10 CY-5 CY100000

120000

140000

160000

180000

200000

Population Compar-ison

Hillsboro County PopulationCapital City

People

EMPLOYMENT TRENDS

Employed

Self Employed

No Work > Year

No Work < Year

HomemakerStudent

Retired

Unable to Work0

15

30

45

60

Employment Trends

Hillsboro County Capital City State Wide

Perc

enta

ge o

f Pop

ulati

on

SUSA HEALTH INDICATORS FRAMEWORK

Social and Physical

Environment

Health-Related Behaviors

Health Systems

Health Outcome

s

Health Systems

HEALTH SYSTEMS Access and coverage as they relate to

chronic disease Health Insurance Readmission Rates

INSURANCE PROVIDER TRENDS

CY-25 Cy-20 CY-15 CY-10 CY-5 CY0

10

20

30

40

50

60

Insurance Provider 25 Year Trend

No Insurance Medicare MedicaidBlue Cross/Blue Shield Commercial Other- VA, etc

Perc

enta

ge o

f P

opula

tion

READMISSION RATES

Within 7 Days Within 15 Days Within 30 Days0

5

10

15

20

Readmissions

Hillsboro Capital City

Perc

enta

ge o

f Disc

harg

es

INFANT MORTALITY

0

2

4

6

8

Infant Mortality

Hillsboro County Capital City United States

Rate

Per

1,0

00

SUSA HEALTH INDICATORS FRAMEWORK

Social and Physical

Environment

Health-Related Behavior

s

Health Systems

Health Outcomes

Health Related Behaviors

HEALTH RELATED BEHAVIORSSignificant Chronic Illnesses:

Cardiovascular Disease Key Indicators:

Cholesterol Awareness Hypertension Awareness BMI Demographics Exercise

Malignant Neoplasm (Cancer) Key Indicators:

Substance Abuse (Tobacco and Alcohol) Fruits and Vegetables Job Market

CARDIOVASCULAR HEALTHComparative Mortality

Internal Death Rate

0

5

10

15

20

25

30

35

Heart Related Mortality

Hillsboro County Capital City USA

Rate

per

10,

000

Heart Re-

lated 35%

Other Cause

s65%

Heart Related Death Rates

CHOLESTEROL AWARENESS

Cholesterol Checked (Within Last 5 Years)

High Cholesterol (Ever)0

10

20

30

40

50

60

70

80

Cholesterol Awareness

Hillsboro County Capital City State Wide

Perc

ent

of

Adult

Popula

tion

HYPERTENSION AWARENESS

0

10

20

30

40

Hypertension Prevalence

Hillsboro County Capital City State Wide

Perc

enta

ge o

f Adu

lt Po

pula

tion

BMI DEMOGRAPHICS

Neither Overweight or Obese (BMI < 24.8)

Overweight (BMI 25.0-29.9) Obese (BMI 30.0-99.8)0

20

40

60

BMI Demographics

Hillsboro County Capital City State Wide

Perc

enta

ge o

f Adu

lt Po

pula

tion

MALIGNANT NEOPLASMSComparative Mortality

Internal Death Rate

0

5

10

15

20

Malignant Neoplasms Mortality Rate

Hillsboro County Capital City USA

Rate

Per

10,

000

Malig-nant Neo-

plasms 20%

Other Causes

80%

Proportion of Ma-lignant Neoplasms

Deaths

SUBSTANCE ABUSE - TOBACCO

Everyday Some Days Former Smoker0

5

10

15

20

25

30

Smoking Status

Hillsboro County Capital City State

Perc

ent

of

Adult

Popula

tion

EMPLOYMENT RELATED FACTORS

30%

19%

51%

Middleboro Employment Sectors

Manufacturing Agriculture Other Industries

POSITIVE HEALTH FACTORS Hillsboro appears to be succeeding in some

areas as related to chronic diseases: Exercise Fruits and vegetables Managed care penetration

EXERCISE

Any Physical Activity (Within Last Month) Cardiovascular Exercise0

20

40

60

80

Exercise

Hillsboro County Capital City State Wide

Perc

enta

ge o

f Adu

lt Po

pula

tion

FRUITS AND VEGETABLES

Consume 5+ Servings per Day0

10

20

30

40

Fruit and Vegetable Consumption

Hillsboro County Capital City State Wide

Perc

enta

ge o

f Adu

lt Po

pula

tion

MANAGED CARE PENETRATION

CY-25 CY-20 CY-15 CY-10 CY-5 CY0

10

20

30

40

50

60

70

80

90

100

25-Year Trend Insurance Types

FFS Managed Care

Perc

enta

ge o

f In

sure

d P

opula

tion

CONCLUSION Overall, similar health outcomes as other

communities But, chronic disease is an issue

Cholesterol, Hypertension, Tobacco usage Access to care: declining health insurance coverage

Moving forward, Continue positive trends: exercise, healthy foods,

managed care penetration Implement prevention & health promotion programs,

improved coordination of care, expand insurance coverage