Community Assessment of Novi
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  • http://www.city-data.com/city/Novi-Michigan.html#ixzz23gWEGVOI
  • http://www.mdch.state.mi.us/pha/osr/marriage/Tab3.5.asp
  • http://quickfacts.census.gov/qfd/states/26/2659440.html
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#students-and-teachers http://quickfacts.census.gov/qfd/states/26/2659440.html
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#students-and-teachers
  • http://quickfacts.census.gov/qfd/states/26/2659440.html
  • http://quickfacts.census.gov/qfd/states/26/2659440.html
  • 2007 Behavioral Risk Factor Surveillance System 2007 Youth Risk Behavior Survey
  • http://www.d.umn.edu/medweb/Modules/CommAssess
  • http://www.epodunk.com/cgi-bin/genInfo.php?locIndex=22025#Educ http://quickfacts.census.gov/qfd/states/26/2659440.html
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#students-and-teachers
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#students-and-teachers
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#test-scores
  • http://www.education.com/schoolfinder/us/michigan/novi/novi-high-school/#test-scores Woodards, Shantee. " School district pushes $109 million bond ."  The Detroit News . September 3, 2004. Metro 3D. Retrieved on April 29, 2011. "Northville Schools are seeing an additional 300 students a year as more homes are built in the area. The district encompasses all or parts of Northville and Novi, along with Northville Township, Salem Township and the city of South Lyon."
  • ^  Woodards, Shantee. " School district pushes $109 million bond ."  The Detroit News . September 3, 2004. Metro 3D. Retrieved on April 29, 2011. "Northville Schools are seeing an additional 300 students a year as more homes are built in the area. The district encompasses all or parts of Northville and Novi, along with Northville Township, Salem Township and the city of South Lyon."
  • http://www.d.umn.edu/medweb/Modules/CommAssess/6health.html
  • ----- Meeting Notes (8/16/12 14:36) ----- Clinical services at Providence Park Hospital include: Orthopaedic Surgery including hip and joint replacement, general surgery; Neurosciences including neurosurgery; Women’s and Pediatric services, and a wide range of other medical and surgical specialties. Providence Park also boasts a large and convenient outpatient center which houses outpatient surgery, endoscopy services, laboratory, imaging, and a sleep center as well as many physician subspecialties.
  • http://at-home-care.findthebest.com/d/d/Michigan/Novi
  • http://www.who.int/bulletin/volumes/84/2/editorial20206html/en/index.html Care is mostly provided by close family members who have no formal training in health care, though in some cases they may receive guidance from professional health visitors. Formal health visitors as a professional category should be rapidly expanded in order to provide needed support to the growing numbers of home-based informal caregivers.
  • http://www.who.int/bulletin/volumes/84/2/editorial20206html/en/index.html Care is mostly provided by close family members who have no formal training in health care, though in some cases they may receive guidance from professional health visitors. Formal health visitors as a professional category should be rapidly expanded in order to provide needed support to the growing numbers of home-based informal caregivers.
  • http://www.city-data.com/city/Novi-Michigan.html
  • http://www.city-data.com/city/Novi-Michigan.html
  • CDC Diabetes Program: Ann Albright Testimony to Congress July 1, 2010.
  • The Diabetes Burden Report and the Michigan Diabetes Action Plan 2011-2014 (2011). Michigan Department of Community Health.
  • Michigan Department of Community Health. Diabetes in Michigan 2010 – The Facts. Lansing, MI: Michigan Department of Community Health, Diabetes Prevention and Control, 2010. http://www.michigan.gov/documents/mdch/Diabetes_in_Michigan2010_331597_7.pdf
  • The Diabetes Burden Report and the Michigan Diabetes Action Plan 2011-2014 (2011). Michigan Department of Community Health.
  • Michigan Behavioral Risk Factor Surveillance System. Michigan Department of Community Health, Division of Genomics, Perinatal Health and Chronic Disease Epidemiology, Surveillance and Program Evaluation Section, Chronic Disease Epidemiology Unit. [Unpublished data]. Danaei G, Friedman AB, Oza S, Murray CJL, and Ezzati M. Diabetes prevalence and diagnosis in US states: analysis of health surveys. Population Health Metrics 7:16, 2009.
  • Michigan Behavioral Risk Factor Surveillance System. Michigan Department of Community Health, Division of Genomics, Perinatal Health and Chronic Disease Epidemiology, Surveillance and Program Evaluation Section, Chronic Disease Epidemiology Unit. [Unpublished data]. Danaei G, Friedman AB, Oza S, Murray CJL, and Ezzati M. Diabetes prevalence and diagnosis in US states: analysis of health surveys. Population Health Metrics 7:16, 2009.
  • http://www.city-data.com/city/Novi-Michigan.html
  • http://www.city-data.com/city/Novi-Michigan.html
  • Source: “Collecting Data: Deciding Which Approach Is Best.” In: Tools and Resources: Outcome Toolkit. Seattle: University of Washington IBEC (Information Behavior in Everyday Contexts). http://ibec.ischool.washington.edu/toolkitstep2a.php
  • Source: “Collecting Data: Deciding Which Approach Is Best.” In: Tools and Resources: Outcome Toolkit. Seattle: University of Washington IBEC (Information Behavior in Everyday Contexts). http://ibec.ischool.washington.edu/toolkitstep2a.php
  • Why are these questions important? These questions are essential and establishing the health needs of a community. Through assessment of a community through the observational method one is able to accurately assess the components of the health of a community. These questions assess the risk factors and contributing factors to disease.
  • Source: “Collecting Data: Deciding Which Approach Is Best.” In: Tools and Resources: Outcome Toolkit. Seattle: University of Washington IBEC (Information Behavior in Everyday Contexts). http://ibec.ischool.washington.edu/toolkitstep2a.php
  • Why are these questions important? This type of quantitative data is useful for collection of data that can be used to compared data in other states, counties or even in the same location at different times. A temporal comparison is useful to identify if a community has improved and the contrary over time.
  • Source: “Collecting Data: Deciding Which Approach Is Best.” In: Tools and Resources: Outcome Toolkit. Seattle: University of Washington IBEC (Information Behavior in Everyday Contexts). http://ibec.ischool.washington.edu/toolkitstep2a.php
  • Why are these questions important? Communities can benefit from such data collected from these interviews. Follow-up interview questions are always important for the assessment of effectiveness and efficiency of health measures. Information from this type of data collection method can be used to determine if health measures should be maintained, changed or eliminated.
  • 2007 Behavioral Risk Factor Surveillance System data. 2007 Youth Risk Behavior Survey data
  • 2007 Behavioral Risk Factor Surveillance System data. 2007 Youth Risk Behavior Survey data
  • Why or why not?
  • Schneider, Mary-Jane, PhD (2011). Introduction to Public Health. Massachusetts: Jones and Bartlett Publishers.
  • Good leadership is not only a factor when conducting a community assessment, but it is also important when bringing various groups together to work toward a common goal. To sustain the level of productivity necessary over time, requires an environment that supports innovation and collaboration, and where the leadership of the organization recognizes and reward this effort. Petersen, D.J. & Alexander G. R. (2001). Needs assessment in public health: A practical guide for students and professionals. New York, NY: Kluwer Academic/Plenum Publishers.
  • The Diabetes Burden Report and the Michigan Diabetes Action Plan 2011-2014 (2011). Michigan Department of Community Health.
  • The Diabetes Burden Report and the Michigan Diabetes Action Plan 2011-2014 (2011). Michigan Department of Community Health.
  • Why?
  • Schneider, Mary-Jane, PhD (2011). Introduction to Public Health. Massachusetts: Jones and Bartlett Publishers.
  • http://www.cdc.gov/obesity/stateprograms/fundedstates/michigan.html
  • http://www.cdc.gov/obesity/stateprograms/fundedstates/michigan.html
  • http://www.cdc.gov/obesity/stateprograms/fundedstates/michigan.html
  • *Information adapted from diabetes registry at PrimeCare of Novi under the supervision and consent from Dr. Theodore Shively and Dr. Robert Zaid As a chronic care coordinator for a family practice comprised of three physicians, my goal is to reduce the number of patients on the diabetes registry through various methods. I work with a total of fifteen registries for this practice but for the purpose of this assessment, I will be analyzing data strictly for diabetes patients. Patients are placed on the diabetes registry if test results (HbA1c or random blood glucose) indicate abnormal levels. My attempts to reduce the number of people on this registry involves constant communication with the patients. I send registry letters, make follow-up visits and counsel diabetes patients in the office about appropriate methods for maintaining their blood glucose levels. I began this registry in February, 2012. On March 1 st ,192 patients met the criteria for placement on the registry. This is compared to 183 people on the registry 5 months later on August 1 st , 2012. This means that nine people were taken off of the registry. While improvements are seen throughout this data collection process, it would be naïve of the practice to assume that the reason for these improvements were solely based on our interventions. A confounding factor would be patients that left the practice… The total patients with a HbA1c of 7.0 or above in March was 66, compared to 64 in August, 2012. This means that two patients tested below a HbA1c of 7.0 which is a very good accomplishment for a patient with diabetes. This indicates that the practice is maintaining control over the blood sugars of their diabetes patients. As a method of determining the effectiveness of the registry letters, the number of letters that were sent to patients with a HbA1c of 7.0 or higher who have not been seen within 3 months was counted. This was 34 in March, 2012 and decreased to 23 in August, 2012. In other words, 11 people were seen who otherwise had not been seen within 3 months of their last appointment. Protocol in this practice requires diabetes patients be seen every three months to evaluate the disease. Confounding factors should be addressed. These factors may play a role in the findings and cannot be ruled out. For example, a patient may have already intended to come into the office for a visit, regardless of whether or not this letter was sent.

Community Assessment of Novi Presentation Transcript

  • 1. CommunityAssessment of Novi, MI MaryBeth M arie Shively
  • 2. Three Areas From the Community Assessment Wheel0 1. Community Core0 2. Education0 3. Health and Social Services
  • 3. 1. Community Core0 The core of the community is its people: history, values, characteristics and beliefs.0 Essential data: Describes the people and boundaries of your community.
  • 4. 1. Community Core Questions0 What are the vital statistics of the community?0 How has the population changed?0 What is the ethnic distribution?0 What is the income distribution?0 What is the age distribution in Novi, MI?0 What is the geographic distribution in Novi, MI?0 What is the obesity rate in Oakland County?
  • 5. What are the vital statistics of the community?0 Vital statistics are quantitative data concerning a population, such as the number of births, marriages, and deaths.
  • 6. What are the vital statistics of the community?0 For population 15 years and over in Novi city:0 Never married: 25.1%0 Now married: 61.4%0 Separated: 0.6%0 Widowed: 4.3%0 Divorced: 8.6%
  • 7. How has the population of the community changed?0 Population, 2010 0 Novi 55,224 0 Michigan 9,883,6400 Population, percent change, 2000 to 2010 0 Novi 16.5% 0 Michigan 0.6%0 Population, 2000 0 Novi 47,386 0 Michigan 9,938,444
  • 8. What is the ethnic distribution in Novi, MI?0 White alone - 39,228 (71.0%)0 Asian alone - 8,756 (15.9%)0 Black alone - 4,451 (8.1%)0 Hispanic - 1,634 (3.0%)0 Two or more races - 1,019 (1.8%)0 American Indian alone - 96 (0.2%)0 Other race alone - 38 (0.07%)
  • 9. What is the incomedistribution in Novi, MI? In In Nov i MI
  • 10. What is the income distribution in Novi, MI?0 In 2010, Novi High School had: 0 8% of students eligible for free or reduced price lunch programs*0 Michigan had: 0 41% of eligible students for free or reduced price lunch programs* *Eligibility for the National School Lunch Program is based on family income levels.
  • 11. What is the age distribution in Novi, MI? 0 Persons under 5 years, percent, 2010 0 Novi 5.8% 0 Michigan 6.0% 0 Persons under 18 years, percent, 2010 0 Novi 25.5% 0 Michigan 23.7% 0 Persons 65 years and over, percent, 2010 0 Novi 11.3% 0 Michigan 13.8%
  • 12. What is the geographic distribution in Novi, MI?0 Persons per square mile, 2010 0 Novi 1,824.8 0 Michigan 174.8 0 Land area in square miles, 2010 0 Novi 30.26 0 Michigan 56,538.90
  • 13. What is the obesity rate in Oakland County?0 Michigans estimated 2007 total population is 10 million, with approximately 7.6 million adults. Of those adults, 36% are considered overweight and another 28% are considered obese, according to 2007 Behavioral Risk Factor Surveillance System data. Problems are also seen in factors related to obesity and other chronic diseases.0 One-in-five Michigan adults report no leisure time physical activity in the past month.0 Only 21% of adults report eating fruits and vegetables at least five times a day.0 The problem is not limited to adults alone. Over 16% of Michigan youth (9th–12th grades) are overweight, and another are 12% obese, according to 2007 Youth Risk Behavior Survey data.
  • 14. 2. Education0 The general educational status describes the adequacy of education for the needs of the community0 Essential data: Institutions, vocational skill needs.
  • 15. 2. Education Questions0 What are the education levels of adults of the community?0 What is the per pupil spending on education in Novi, MI?0 What is the teacher to student ratio in Novi, MI?0 What is the test rating in Novi, MI?0 What schools exist to Novi, MI?
  • 16. What are the education levelsof adults of the community?0 49% of Novi residents age 25 and older have a bachelors or advanced college degree0 High school graduates, percent of persons age 25+, 2006-2010 0 Novi 95.8% 0 Michigan 88.0%0 Bachelors degree or higher, percent of persons age 25+, 2006- 2010 0 Novi 55.7% 0 Michigan 25.0%
  • 17. What is the per pupil spending on education in Novi, MI?0 The Novi spends $11,160 per pupil in current expenditures0 The district spends 64% on instruction, 32% on support services, 3% on other elementary and secondary expenditures.
  • 18. What is the teacher to student ratio? 0 In 2010, Novi High School had 17 students for every full-time equivalent teacher.
  • 19. What is the test rating?
  • 20. What schools exist to Novi, MI?0 The Novi school district comprises 9 schools that serves 6,295 students in grades PK-12
  • 21. What schools exist to Novi, MI?0 Primary and secondary schools 0 Novi includes all or part of four public school districts including: 0 Novi Community Schools 0 Northville Public Schools 0 South Lyon Community Schools 0 Walled Lake Consolidated School District. 0 Detroit Catholic Central High School 0 Franklin Road Christian School0 Higher education 0 One of Walsh Colleges three campuses 0 The Art Institute of Michigan 0 South University
  • 22. 3. Health and Social Services0 Resources in the community for health and social services0 Essential data: Consider the structure (what types of services), and the process (how accessible).
  • 23. 3. Health and Social Services Questions0 How many hospitals are in the city of Novi?0 How many home care facilities are in Novi, MI?0 Who in the community are the informal health care "consultants", offering advice, education, and opinions?0 How many full-service restaurants are in Oakland County? How does this compare to the state of Michigan?0 How many grocery stores are in Oakland County?
  • 24. How many hospitals are in the city of Novi?0 There isone hospital in Novi, MI. Providence Park Hospital opened on September, 5th 2008
  • 25. How many home care facilities are in Novi, MI?0 There are seven home care facilities in Novi, MI 0 Fox Run Home Health Agency 0 Caring Nurses of Michigan, Inc. 0 Briarwood Home Healthcare, Inc. 0 Advanced Home Health Care, Inc. 0 Erickson Retirement Communities Dba/foc Run Home Health 0 Mercy Continuing Care 0 The Would Care Team
  • 26. Who in the community are the informal health care"consultants", offering advice, education, and opinions?0 Informal health workers are found in every health system, and the impact of their role increases as the strength of the formal sector weakens. Informal health workers who are not breaking any regulations can be significant players in some communities and deserve to be acknowledged, encouraged and supported.
  • 27. Who in the community are the informal health care"consultants", offering advice, education, and opinions?0 Political and other leaders in the community0 Family members0 Vendors acting as informal health workers0 Markets0 Media
  • 28. How many full-servicerestaurants are in Oakland County? How does this compare to the state of Michigan?
  • 29. How many grocery stores are in Oakland County?
  • 30. After a communityassessment of Novi, MI was made, a problem was identified
  • 31. Several factors in thecommunity assessment aid in the prevalence of chronic disease
  • 32. Indicators/statistical information to show how/why this is a problem How many people are affected?0 The Diabetes Burden Report was developed by the DPCP using the latest diabetes data in Michigan which shows that: 0 Diabetes affects 25.8 million Americans (8.3% of the population) and an estimated 1.65 million Michigan citizens. 0 Pre-diabetes, a condition in which individuals have blood glucose levels higher than normal but not high enough to be classified as diabetes, affects 79 million Americans, including 2 million citizens in Michigan.
  • 33. Wait… How many people are That is A LOT of people!!! affected?0Diabetes prevalence in Michigan has consistently been higher than the nation as a whole. It is estimated0701,000 Michigan adults have been diagnosed with diabetes, and another 364,400 have undiagnosed diabetes.0Over 1 million adults in Michigan have diabetes.
  • 34. What contributes to or causes this problem?0 Diabetes affects some groups of people more than others 0 Certain racial/ethnic groups 0 People of certain age 0 People of certain socioeconomic status 0 Physically inactive people 0 Overweight people 0 Those with familial predisposition to the disease
  • 35. Table 1. Prevalence of Diagnosed Diabetes by Demographic Characteristics- Michigan, 2007-2009.0 Diabetes affects some groups of people more than others: 0 Certain racial/ethnic groups 0 People of certain age 0 People of certain socioeconomic status
  • 36. Referring to Table 1. Prevalence of Diagnosed Diabetes by Demographic Characteristics- Michigan, 2007-2009.Highest Prevalence by: 0 Age: 65+(22.3% + 19.1%) 0 Gender: Male (9.8%) 0 Race/Ethnicity: Black, non-Hispanic (13.3%) 0 Household Income: <20,000 (15%)
  • 37. Let’s rewind…
  • 38. What is the ethnic distribution in Novi, MI?0 White alone - 39,228 (71.0%)0 Asian alone - 8,756 (15.9%)0 Black alone - 4,451 (8.1%)0 Hispanic - 1,634 (3.0%)0 Two or more races - 1,019 (1.8%)0 American Indian alone - 96 (0.2%)0 Other race alone - 38 (0.07%)
  • 39. Narrowing down the factors bycomparing Novi to the State of Michigan Is ethnicity a factor? In Nov i In Michigan
  • 40. Narrowing down the factors by comparing Novi to the State of Michigan In Is age a factor? Nov i0 Persons 65 years and over, percent, 2010 0 11.3% in Novi 0 13.8% in Michigan In Michigan
  • 41. Narrowing down the factors by comparing Novi to the State of Michigan Is household income a factor?In Michigan In Nov i
  • 42. Diabetes in Oakland County compared to Michigan Oakland County is better than the state… so what is there to worry about??
  • 43. Age, income and ethnicity are factors that increase risk of diabetes. However, when comparing Novi, MI to the state you will see that these factors are below the state.
  • 44. The following methods can be used to get the public opinion about the prevalence of diabetes and its associating risk factors in the community 0 A mixture of both qualitative and quantitative data collection tools can be utilized: 0 Observation method 0 Census Data 0 Follow-up Interviews
  • 45. With this particular issue what data collection methods would you use to get public opinion about the problem and why? (Qualitative or Quantitative or a mixture of both) Develop a data collection tool that contains at least 5 to 7questions that you want/need to ask about this issue. Why are these questions important? 0 A mixture of both qualitative and quantitative data collection tools can be utilized: 0 Observation method 0 Census Data 0 Follow-up Interviews
  • 46. Observation MethodStrengths Weaknesses
  • 47. Questions to be answeredusing the observation method0 What is the general lifestyle of people in the community? 0 Sedentary 0 Active0 What methods of transportation does the community use? 0 Vehicles 0 Public transport 0 Walk 0 Bicycle0 What healthy living choices are available? 0 Complete sidewalks? 0 Fruits and vegetables at school lunches? 0 Access to health care facilities?
  • 48. Census DataStrengths Weaknesses
  • 49. Questions to be answered using census data0 How do you rank your socioeconomic status?0 What is your occupation?0 What is your work status in the past year?
  • 50. Follow-up InterviewsStrengths Weaknesses
  • 51. Questions to be answered using follow-up interviews0 How do you feel about the communities view on eliminating risk factors for diabetes?0 If diagnosed with diabetes, have you been provided with patient education for: 0 Review foot care? 0 Exercise goals? 0 Dietary goals?
  • 52. So, what else could it be? Or, in other words… What are some barriers to solving this problem?0 Is this a risk factor issue?0 Is this a priority issue and is it feasible to address?0 Is there a lack of community interest?0 Is there a lack of resources?0 Is there a lack of information?
  • 53. Let us recall…0 Obesity is a main risk factor for diabetes
  • 54. One more time: What is the obesity rate in Oakland County?0 Of the adults in Michigan 36% are considered overweight and another 28% are considered obese0 One-in-five Michigan adults report no leisure time physical activity in the past month.0 Only 21% of adults report eating fruits and vegetables at least five times a day0 Over 16% of Michigan youth (9th–12th grades) are overweight, and another are 12% obese
  • 55. How are contributors to obesity affecting the youth in Oakland County?0 Only 44% of the youth in these grade levels are meeting current physical activity recommendation levels.0 Only 17% eat fruits and vegetables five or more times a day0 Almost 30% drink at least one non-diet soda each day.0 Approximately one third watch three or more hours of television each day.
  • 56. Is this a priority issue?0Yes YES YE S YES YES YES
  • 57. Why is this a priority issueand is it feasible to address?0 Communities have the power to create change, to push for funding and sources to promote health and to demand that appropriate attention is given to the topics of their priority0 During foodborne disease outbreaks, communities have the power to force a recall of a suspected food item… regardless of whether or not it caused the outbreak0 If something is suspected to be a carcinogen, communities can demand testing and even removal of that carcinogen… even before its true effect is determined0 …. It is definitely feasible
  • 58. Is there a lack of community interest? 0 Possibly 0 At first glance one may assume there is a lack of community interest 0 But the problem may be in the leadership method 0 Poor leadership may hinder a communities ability to promote and create change
  • 59. Is there a lack of resources and information?0 No. Resources are everywhere… but are they being utilized?
  • 60. No? Ok, then describe any resources/assets in thecommunity that can help provide solutions
  • 61. Resources/assets in thecommunity that can help provide solutions
  • 62. Resources/assets in the community that can help provide solutions0 Diabetes Partners in Action Coalition0 DPAC is a partnership of individuals and representatives of organizations who work to reduce the impact of diabetes in Michigan.0 DPAC Workgroups Include: 0 Advocacy and Public Policy 0 Communication and Public Awareness 0 Data, Research and Evaluation (DaRE) 0 Prevention 0 Training and Educations Programs
  • 63. Resources/assets in the community that can help provide solutions0 Diabetes Self-Management Education Certification Program0 To increase availability and improve the quality of diabetes self- management education, the Michigan Department of Community Health, Certification Program has developed review criteria, based on national standards. The Certification Program staff provide consultation services related to the standards and certification process. Programs that meet criteria and are certified are eligible for Medicaid reimbursement.
  • 64. Resources/assets in thecommunity that can help provide solutions0 Diabetes Prevention Program 0 Michigans Diabetes Prevention Program began in 2005 as one of five state programs funded by the Centers for Disease Control and Preventions Division of Diabetes Translation (DDT). Through the Michigan Diabetes Prevention Program, public health programs have been created with community partners to address pre-diabetes and the primary prevention of type 2 diabetes.
  • 65. Resources/assets in thecommunity that can help provide solutions0 Michigan Partners on the PATH 0 PATH (Personal Action Toward Health) is a chronic disease self-management program that helps participants build the skills they need for the day-to-day management of a chronic disease. PATH is a six-week workshop and covers topics including healthy eating, relaxation techniques, problem solving and communication skills.
  • 66. Who is mostly affected by this problem?
  • 67. What impact is it having on the community? Yikes!0 Diabetes costs the United States $174 billion annually and over $9 billion per year in Michigan.0 If diabetes prevalence continues to grow at the same pace, the economic burden of diagnosed diabetes alone will double in size to $336 billion by 20340 Obesity also affects the states economy. In Michigan, the medical costs associated with adult obesity was $2.9 billion in 2003.
  • 68. What stakeholders would care about addressingthis issue? What resources do they offer to help address the issue?0 Healthcare providers0 Insurance companies/payers0 Public health officials0 Michigan’s Nutrition, Physical Activity, and Obesity Program (NPAO)
  • 69. What stakeholders would care about addressing this issue?0 Healthcare providers 0 Providers are incentivized by getting more money per- member-per-month (PMPM) from payers if the health of their patients is above a certain measure 0 Healthcare providers have changed the way they practice from tertiary prevention (i.e. treating an already diagnosed disease) to first and secondary prevention, in which they try to reduce risk factors and health outcomes before they develop
  • 70. What resources do healthcareproviders offer to help address the issue?0 Nutritional counseling0 Referrals to appropriate weight control programs and dieticians0 Professional advice and education
  • 71. What stakeholders would care about addressing this issue?0 Insurance companies 0 Insurance companies have now found benefit to keeping patients healthy…. 0 Healthy patients means less administration costs and more profit for the company 0 Insurance companies want to avoid the cost of health consequences that develop from risk factors
  • 72. What resources do insurancecompanies/payers providers offer to help address the issue?0 Incentives for providers to keep patients healthy0 Require follow-up and diagnostic testing for early detection and early response of risk factors and disease
  • 73. What stakeholders would care about addressing this issue?0 Public health officials 0 To fulfill their mission statement 0 Schneider (2011) defines the mission of public health as: “the fulfillment of society’s interest in assuring the conditions in which people can be healthy” and goes further to explain that public health is “organized community efforts aimed at the prevention of disease and the promotion of health.”
  • 74. What resources do public healthofficials offer to help address the issue?0 Advocacy for Medicaid coverage of childhood obesity0 Healthy food access in underserved areas0 Safe routes to school0 Complete streets (streets designed for all users, including bicyclists and pedestrians)
  • 75. What stakeholders would care about addressing this issue?0 Michigan’s Nutrition, Physical Activity, and Obesity Program (NPAO) 0 This project combines federal and state dollars to assess community environments and implement changes to improve access to healthy foods and places for physical activity while changing individual behaviors and educating residents.
  • 76. What resources do Michigan’s Nutrition, Physical Activity, and Obesity Program (NPAO) offer to help address the issue?0 Improvements to community gardens.0 Walking trail construction and/or enhancements; park enhancements and promotion.0 School changes (mobile salad bars, adding healthy options to lunch choices, and replacing vending machine items with healthier options).0 Increasing the fruit, vegetable, and low-fat dairy options at area gas stations and convenience stores.
  • 77. Discussion
  • 78. After completing your mini-report, discuss thesurprising things you learn about your community? Were there things you found disturbing? What were some positive aspects? 0 It is unfortunate that risk factors for such a debilitating disease are so prevalent. In some cases, familial genetics play a role in developing diabetes. However, in many other cases there are risk factors that could be eliminated through: 0 Close follow-up 0 Lifestyle changes 0 Attitude changes 0 Public policy 0 Community coalition organizations to promote healthy living
  • 79. After completing your mini-report, discuss thesurprising things you learn about your community? Were there things you found disturbing? What were some positive aspects? 0 I was pleased to find that the community I live in has a lower prevalence for diabetes when compared to the state. This, however, should be taken with a grain of salt. Michigan has a very high rate of obesity, therefore, a better measurement for the health of my community would be to compare the health statistics with that of other states. 0 This statistic is very impressive/surprising and makes me proud to live in such a well-educated community: High school graduates, percent of persons age 25+, 2006- 2010 0 Novi 95.8%
  • 80. Chronic Care Coordinator0 Diabetes Registry