Washtenaw County Community Health Needs Assessment

Chase August, Mislael A. Valentín Cortés, Xuan Lam, Elizabeth Serrano, Brandon Smith, Sheridan Sway, Jayson Toweh, Hanh

Van Tran, Tanya Ulloa and Morgan Williams

Washtenaw Health Initiative• Established in 2011• Mission: “To improve health and healthcare in Washtenaw County with an emphasis

on the low income, uninsured and underinsured populations” • Major issues facing low income Washtenaw County residents:

• Access to healthcare

• Mental health care

• Substance abuse help

• Dental care

• Primary care

Washtenaw Health Initiative (Continued)

• Five Goals

• Increase insurance coverage

• Increase understanding of Medicaid coverage

• Improve coordination and integration of healthcare services

• Improve effective utilization of resources

• Strengthen community efforts to improve healthcare services

Washtenaw Health Initiative (Continued)

• The Role of Center for Healthcare Research & Transformation (CHRT) • Support and Facilitate Groups

• Technical Support

• Communication

• WHI- Collaborative• The Steering Committee- Oversight and Review of projects

• The Stakeholders Committee- Locals, Community Organizations & Government Agencies

• The Works group –Implementing the Mission of WHI

Washtenaw Health Initiative (Continued)

• Community Coordination & Dental Work Group

• Single Community Health Assessment

• University of Michigan- Future Public Health Leaders Program

• Focus Groups

• Key Informative Interviews

• Identify prevalent health issues

Scope of the Public Health Problems• Leading Causes of Death and Disability Nationwide:

• Heart Disease• Stroke• Cancer • Diabetes• Arthritis

• Michigan • Life Expectancy • Heart Disease & Cancer

Scope of the Public Health Problems (Continued) • Michigan

• ⅓ of the Michigan Population is considered obese

• Obesity leads to other complications

• Decreased life expectancy

• Decreased quality of life

• 2014 Washtenaw County Community Health Improvement Plan

• Major Public Health Concerns: limited healthcare access, mental health cases,

substance abuse, and obesity.

Scope of the Public Health Problems (Continued) • Socio-Ecological demographics greatly impact health • Michigan - Washtenaw County Demographics (2013)

• 75% White• 12.9% African American• 0.4% American Indian• 8.4% Asian • 0.1% Native Hawaiian and Other Pacific Islander • 44% Hispanic or Latino• 49.7% Males & 50.3% Females• Total Residents: 356,874

Scope of the Public Health Problems (Continued) • Income

• Median Household Income: $59,055• 15.4% of Washtenaw County residents live below the poverty line

(Poverty line: $22,050 for a family of four) • Rural and Urban Communities • 94% of Washtenaw County Residents are High school graduate • 51.3% of Washtenaw County population have a BA or higher

Scope of the Public Health Problems (Continued) • Partnerships with the Washtenaw County

• University of Michigan Health Systems

• Chelsea Community Hospital

• St Joseph Mercy Health System

• Transportation in Washtenaw County's

• Washtenaw County Road Commision, Ann Arbor airports, Detroit Metropolitan

Airport, Amtrak, Greyhound & Ann Arbor transportation authority

Methods

• Two key informant interviews and one focus group• Analyzing qualitative data• Audio recordings• Matrices- compare key informant interviews and focus

group notes• Compare to existing data

Results

• Major Health Issues Identified in Washtenaw County- Key Informant Interviews • Health Education

• Sexual Health

• Mental Health

• Obesity

• Substance Abuse- Alcohol and Tobacco

Results (Continued)

• Major Health Issues identified in Washtenaw County- Focus Group• Substance Abuse among Youth & Seniors- Alcohol and Drugs (Meth & Heroin)

• Sexual Assault

• Sexually Transmitted Infections

• Mental Health Issues

• Lack of Communication between Physician and medical Staff

• Lack of experience from Medical Staff

Results (Continued)

• Key Informant Interviews & Focus Group Data VS. Health Improvement Data

• Similar Findings• Obesity, substance abuse, mental health & lack of access to healthcare

• New Findings• Sexual Health and Health Education

• Possible Epidemic of Chlamydia

• Lack of Communication between School districts and Health Centers

• Medical staff experience

Results (Continued)

• How are the health issues the sample identified being addressed

• Limiting factors: Funding

• HIV and STI testing

• Community outreach

• Vaccinations

• Encourage safe health practices

Results (Continued)

• Lack of Youth Involvement

• Lack of Adult Population Assessment

• Community Program- Chelsea• Community Reads

• Anti Drugs Substance Coalition

• Chelsea Wellness Foundation

• No Programs were found that addressed improving communication between Medical staff and patients

Results (Continued)

• How are the health issues identified through the HIP being addressed?

• Issues addressed: substance abuse, mental health & Obesity

• Issues not fully addressed: affordable health care

Discussion

• Recurring Concerns

• Substance Abuse

• Mental Health

• Obesity

• Lack of Sexual Education

• Medical Professionals

• Lack of Community Involvement

Importance of Community Input

Discussion (Continued)• Physician-Patient Relationship Dynamics

• Health Literacy

• Cultural Understanding

• Addressing Concerns

• Addressing the Issues: • standardized training

• proper communication

• cultural awareness

Discussion (Continued)

• Addressing Mental Health and Substance Abuse Issues Within Washtenaw • Improve Primary Prevention

• Differing Opinions among Healthcare Professionals and Community Members • Use of Education to Address Health Issues at a Population Level

• Addressing Obesity • Lack of Access to Nutritious Food

• Food Deserts

• Guidelines for Food Stamps

• Education Regarding Nutrition and Health

Discussion (Continued)

• Addressing Sexually Transmitted Infections • Prevention

• Education in School Systems

• Lack of Knowledge of Services Among Community Members

• Volunteer Health Advocacy Programs Throughout the Community

• Health Committee

THANK YOU