Lane County, Oregon Community Health Improvement Plan | May 2013


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Lane County Public Health's Community Health Improvement Plan. A partnership between Lane County Public Health Prevention Program, Trillium Community Health Plan, PeaceHealth and the United Way.

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Lane County, Oregon Community Health Improvement Plan | May 2013

  1. 1. Lane CountyCommunity HealthImprovement Plan
  2. 2. Community Team Common understanding Common measures Common narrative Common objectives Common plan Varying rolesSchoolsSocial ServicesBusinessGovernmentFaith Communities
  3. 3. The “community” is defined asLane County.3
  4. 4. Sample Data Sources | National, State & Local(Note: Very little use of hospital data) 2010 US Census Healthy People 2020 CDC obesity data / maps National Prevention Strategy, theNational Prevention Council, June2011 Oregon Healthy Teens 2007-20088th and 11th grade summarized United Way of Lane County’s 2008Leading Indicators Report Lane Senior & Disabled Services,2011 Community NeedsAssessment Oregon Tobacco Prevention andEducation Program County Health Rankings, 2012 Head Start of Lane CountyCommunity Assessment 2011-2012 National Vital Statistics Report(NVSR) Final Data for 2009 Healthy Air Survey, Lane CountyPublic Health Oregon Tobacco Facts and Laws Prevent Obesity – Institute ofMedicine Oregon Student Wellness Survey Lane County Housing tenant survey Eugene Taskforce on homelessness
  5. 5. Qualitative Data:Community Engagement Outreach to existing community groups Rotary & other service groups Social service organizations Religious groups Focus groups: United Way Community Conversations Public forums Public officials County commissioners City councils School boards Key stakeholder interviews Surveys: Written and online
  6. 6. KEY FINDING: AgingLane County is growing older, especially our ruralcommunities.60%5%10%15%20%25%30%35%40%Cottage Grove Creswell Eugene Florence Junction City SpringfieldPercent 65 years of age or olderSource: 2010 Census
  7. 7. KEY FINDING: InsuredIn 2012, 21% of Lane County and Oregon residents wereuninsured, 2% better than 2011, but still worse than thenational average.0%5%10%15%20%25%% UninsuredLane CountyOregonNation7
  8. 8. Key Finding: Obesity27% of Lane County residents are obese.8
  9. 9. KEY FINDING: TobaccoPrenatal smoking is significantly higher in Lane County .222320201817191715161311 12 121516151416172221211918 18 181615151313 131213 12 121214131012141618202224Prenatalsmoking(%)YearPrenatal Smoking, Oregon vs. Lane County,1990 through 2009Lane CountyOregon9
  10. 10. KEY FINDING: Behavioral HealthDeaths due to alcohol and suicide are significantly higher inLane County.1002468101214161820Alcohol SuicideLane CountyOregonNationDeaths per 100,000Source: Lane County and Oregon Data from Oregon County Vital Statistics Book 2008; National Data from National VitalStatistics Report
  11. 11. KEY FINDING: ImmunizationsReligious exemptions for vaccinations have risen in LaneCounty.01234567%ReligiousExemptReligious Exemption Rates, 2000-2011Childrens Facility Kindergarten and 1st Grade* 7th Grade11
  12. 12. Community Priorities1. Health Equity2. Tobacco3. Obesity4. Substance Abuse and Behavioral Health5. Access to Health Care12
  13. 13. 1. Improve Health Equity Examine all Community Health Improvement Plan strategiesthrough an “equity lens” to reduce disproportionate impacts Raise awareness and understanding of health disparities amongelected officials and other community leaders Engage diverse communities in policy initiatives Increase the capacity of diverse populations to participate in healthimprovement activities Increase the availability of culturally competent and nontraditionalhealth workers Improve data collection systems to improve monitoring of healthdisparities13
  14. 14. 2. Prevent and Reduce Tobacco Use Increase the tobacco tax Protect people from exposure to second hand smoke bycreating tobacco-free properties and community events Promote the Oregon Tobacco Quitline Strengthen and enforce tobacco retail licensing to reducesales to minors Promote and support efforts to reduce tobacco use initiation,especially among youth14
  15. 15. 3. Prevent and Reduce Obesity Increase understanding of the role of sugary beverages in theobesity epidemic and work to reduce consumption Encourage local organizations to adopt and implement nutritionstandards for foods and beverages sold at their sites Promote and support physical activity throughout the school andwork day for students and employees Promote Healthy People, Healthy Communities messaging aroundphysical activity and nutrition Support legislative efforts to fund local obesity prevention efforts Farm to school, School Gardens Active Transportation15
  16. 16. 4. Improve Mental Health, Prevent & ReduceSubstance Abuse Increase awareness of risk & protective factors, mental health promotion,Adverse Childhood Experiences and reducing stigma Support community and organizational policies that promote mentalhealth and reduce substance abuse Promote early identification and access to care of depression Promote strategies that discourage heavy drinking and illegal drug use Improve and increase early substance abuse intervention Support providers in using evidence-based & trauma-informed screening,assessment and referral policies Support policies to reduce access to lethal means of self-harm16
  17. 17. 5. Improve Access to Care Improve access to health care for rural Lane County Increase immunization rates Improve oral health Improve patient connectivity with physical, mental and behavioralhealth services Healthcare workforce development Improve access to self-management programs17
  18. 18. Steps for Success Close collaboration with community partners Organizational infrastructure Leadership Accountability Budget implications Focus existing resources on community health priorities Align community health with other improvement priorities Identify new resources needed Leverage external funding, e.g. grants18
  19. 19. We envision a future where everyonein Lane County is empowered toimprove the lifelong health of allpeople in Lane County.- Lane County’s Healthy Future, A CommunityHealth Improvement Plan for Lane County,Oregon19