   To understand key, high -
    level county background
    information
   To identify and prioritize
    county health...
   Located in SE portion of Washington State,
    population 20,900
    (U.S. Bureau of the Census, 2010)
   Four incorp...
(www.co.pacific.wa.us)
Economic Indicator                      Pacific      WA State
                                                            ...
   Classifications:
    › RUCA code: Small Town and Isolated Rural
      (Department of Health, 2001)
    › Medically Und...
   Willapa Harbor Hospital, South Bend
    › Level 5 Trauma Designation
    › Critical Access
   Ocean Beach Hospital, I...
(WA State Dept. of Health, 2006)
   Community Health Clinics
    (Community Health Service, 2010)
    › Cowlitz Family Health Center, Ocean Park
      (Me...
Shoalwater Bay      Riverview
Indian              Health Center
Tribe,(Medical/De   (Medical)
ntal)
                    Pa...
   Willapa Behavioral Health
    (WA State Department of Social and Health Services, 2010)

   Two locations:
    › Nort...
   University of Washington Telehealth
    Services:
    › Ocean Beach Hospital, Ilwaco
    › Willapa Harbor Hospital, So...
Health Indicator                      Pacific County           WA State

Reported Chlamydia infectionsᵃ         1385/100,0...
Health Indicator            Pacific County   WA State
Adult physical activityᵃ        27%            51%
Teen physical act...
Health Indicator                               Pacific County    WA State
Motor vehicle crash death rateͨ                 ...
Adult and teen obesity


Adult and teen physical activity


Adult access to dental care
   Obesity/Physical Activities
    › What types of outdoor activities are available?
    › What programs exist to encoura...
   Adult Dental Access
    › What are the local resources for adult dental
        care?
    ›   What are your non-dental...
   “Fit and Fun” model
    (Rural Healthy People 2010 Project, Southwest Rural Health
    Research Center, 2010)
  Schoo...
   Program Components
    › Healthy Snack Taste Testing
    › Healthy Choices Sticker Program
    › Fitness Bucks
    › F...
   Funding required
    › Initial five-year foundation or other grant
     funding recommended
   Program effectiveness
...
   Work with community to identify additional
    environmental infrastructure to support and
    encourage physical acti...
 Protocol for Assessing Community
  Excellence in Environmental Health
  (PACE-EH)
 Four major components with 13 subtas...
 Pacific County is a rural county with
  majority of health indicators performing
  worse than WA State comparison
 Sele...
Community Health Services (2010). Health care authority funded community clinics in Washington State.
   Retrieved from ww...
U.S. Department of Health & Human Services (2009). Community Health Status Indicators. Retrieved
     from http://communit...
Pacific County Rural Health Project, University of WA Coursework, Summer 2010
Pacific County Rural Health Project, University of WA Coursework, Summer 2010
Upcoming SlideShare
Loading in …5
×

Pacific County Rural Health Project, University of WA Coursework, Summer 2010

1,432 views
1,359 views

Published on

Rural County Health Project, Pacific County, WA, University of Washington Coursework

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,432
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Pacific County Rural Health Project, University of WA Coursework, Summer 2010

  1. 1.  To understand key, high - level county background information  To identify and prioritize county health issues  To identify additional questions for community leaders and stakeholder  To explore strategies for one (VisitEveryCityinWashingtonState.com) key county health improvement issue
  2. 2.  Located in SE portion of Washington State, population 20,900 (U.S. Bureau of the Census, 2010)  Four incorporated cities › Raymond, South Bend, Long Beach, Ilwaco › Populations from 945 to 2,985 (U.S. Bureau of the Census, 2010)  One primary route of three connecting highways › Rural winding roads, majority of county remote to healthcare access
  3. 3. (www.co.pacific.wa.us)
  4. 4. Economic Indicator Pacific WA State County 2009 unemployment rates 10.2 – 14.3% 8.9% (U.S. Department of Labor, 2010) Children living in poverty 23% 15% (County Health Rankings, 2010) Families living below the poverty level 9% 7% (U.S. Bureau of the Census, 2000) Median household income $31,209 $45,776 (U.S. Bureau of the Census, 2000) Population with Medicaid coverage 22.9% 33.1% (WA State Department of Social & Health Services, 2010)
  5. 5.  Classifications: › RUCA code: Small Town and Isolated Rural (Department of Health, 2001) › Medically Underserved Area (U.S. Department of Human and Health Services, 2010) › Health Professional Shortage Area  Primary Care  Mental Health (U.S. Department of Human and Health Services, 2010)
  6. 6.  Willapa Harbor Hospital, South Bend › Level 5 Trauma Designation › Critical Access  Ocean Beach Hospital, Ilwaco › No trauma designation › Critical Access  Neither hospital offer obstetric service, closest obstetric services in adjacent Lewis and Aberdeen counties  50% of county more than 30 minutes from acute care facility
  7. 7. (WA State Dept. of Health, 2006)
  8. 8.  Community Health Clinics (Community Health Service, 2010) › Cowlitz Family Health Center, Ocean Park (Medical/Dental) › Shoalwater Bay Indian Tribe, Tokeland (Medical/Dental)  Rural Health Clinics (WA State Dept of Health, 2009) › Ocean Beach Medical Center, Ilwaco › Naselle Clinic, Naselle › Riverview Health Center, Raymond › Pacific Family Health Center, South Bend
  9. 9. Shoalwater Bay Riverview Indian Health Center Tribe,(Medical/De (Medical) ntal) Pacific Family Health Center (Medical) Cowlitz Family Health Center (Medical/Dental) Naselle Clinic (Medical) Ocean Beach Medical Center (Medical)
  10. 10.  Willapa Behavioral Health (WA State Department of Social and Health Services, 2010)  Two locations: › North county: Raymond › South County: Long Beach
  11. 11.  University of Washington Telehealth Services: › Ocean Beach Hospital, Ilwaco › Willapa Harbor Hospital, South Bend, › Shoalwater Bay Tribe, Tokeland  Rural telehealth services included: › Surgical telementoring › Medicine and cardiology grand rounds and nursing video teleconferences (University of Washington, 2005)
  12. 12. Health Indicator Pacific County WA State Reported Chlamydia infectionsᵃ 1385/100,000 2277/100,000 Adult binge drinkingᵃ 15% 16% Violent crime rateͨ 179/100,000 342/100,000 Access to healthy foodsͨ 50% 47% Food service safetyᵃ 100% 93% Reported child immunizationsᵃ 47% 42% Children with health insuranceᵃ 96% 95% Note: ᵃ Washington State Department of Health (2009) ᵃ Washington State Department of Health (2006) ͨCounty Health Rankings (2010) ᵃU.S. Department of Health & Human Services (2009) * Peer County Range
  13. 13. Health Indicator Pacific County WA State Adult physical activityᵃ 27% 51% Teen physical activityᵃ 42% 42% Adult overweight/obeseᵃ 63% 61% Teen overweightᵃ 33% 25% Obesityᵃ 37.8% 24.2% Adult cigarette smokingᵃ 27% 16% Teen cigarette smokingᵃ 21% 15% Teen alcohol useᵃ 40% 33% Adult poor mental healthᵃ 16% 10% Suicideᵃ 34.3 13.9-34.5*
  14. 14. Health Indicator Pacific County WA State Motor vehicle crash death rateͨ 27/100,000 12/100,000 Child unintentional injury hospitalizationsᵃ 326/100,000 205/100,000 Mortality from unintentional injuryᵃ 54.1 30.2-58.1* Influenza Vaccination (65 yrs or older)ᵃ 71% 72% Infant mortalityᵃ 6.5% 3.3-9.5* Post-neonatal infant mortalityᵃ 3.0% 0.0-5.0%* Adults with unmet medical needᵃ 16% 14% Adults with personal healthcare providerᵃ 76% 79% Adult dental careᵃ 63% 74% Adult with health insuranceᵃ 72% 84%
  15. 15. Adult and teen obesity Adult and teen physical activity Adult access to dental care
  16. 16.  Obesity/Physical Activities › What types of outdoor activities are available? › What programs exist to encourage physical activity? › What healthy food education or programs are available or of interest to the community? › What types of resources are desired by the community to promote physical activity and health foods? › What existing resources can be strengthened or advanced? › What resources are need to build on existing strengths, address barriers, or develop new programs?
  17. 17.  Adult Dental Access › What are the local resources for adult dental care? › What are your non-dental and emergency care providers observing in adult dental issues? › What are the known barriers to adult dental care access? › What resources are needed to increase adult dental care access? › If additional dental providers were available, how could services be offered to increase access?
  18. 18.  “Fit and Fun” model (Rural Healthy People 2010 Project, Southwest Rural Health Research Center, 2010)  School and community-based fitness and nutrition strategy  Initially implemented in Gowanda, New York in 1999  Community collaboration with state rural health network organization and five community partners.
  19. 19.  Program Components › Healthy Snack Taste Testing › Healthy Choices Sticker Program › Fitness Bucks › Fit & Fun Relay Night › Family Fit & Fun Night  Recommended staffing: › Part-time paid program coordinator, public relations coordinator, finance staff person and clerical support (part-time). › Volunteer program support
  20. 20.  Funding required › Initial five-year foundation or other grant funding recommended  Program effectiveness › Student selection of new foods, amount and frequency of student daily physical activity, and number of students and adults receiving information/education and participating in activities.
  21. 21.  Work with community to identify additional environmental infrastructure to support and encourage physical activity such as: › Walking paths, bicycling paths, beach routes  Identify and obtain foundation/grant funding for completion of paved trails in north and south county regions (Pacific County Economic Development Council, 2009)
  22. 22.  Protocol for Assessing Community Excellence in Environmental Health (PACE-EH)  Four major components with 13 subtasks › Assess the community › Define the Problem › Take action › Evaluation (National Association of County and City Health Officials)
  23. 23.  Pacific County is a rural county with majority of health indicators performing worse than WA State comparison  Selected Priority health issue: Adult and teen obesity  Recommended intervention: “Fit and Fun” model (Southwest Rural Health Research Center)
  24. 24. Community Health Services (2010). Health care authority funded community clinics in Washington State. Retrieved from www.chs.hca.wa.gov/clinics.html County Health Rankings (2010). Snapshot 2010: Pacific. Retrieved from http:// www.countyhealthrankings.corg/print/washington/pacific Mapquest (2010). Pacific County, Washington. Retrieved from http://www.mapquest.com/maps?city=Willapa&state=WA&country=US&latitude=46.674999&l ongitude=-123.665001&geocode=CITY Pacific County Economic Development Council (2009). Comprehensive development strategy for Pacific County. Retrieved from http://www.pacificedc.org/Business/ 2009%20PCCEDS1.pdf Southwest Rural Health Research Center (2010). Models for practice focus area: Educational and community-based programs. Rural Healthy People 2010. Retrieved from http://srph.tamhsc.edu/centers/rhp2010/html/education/fitfun.htm University of Washington (2005). Telehealth services at the University of Washington: Current telehealth activities and partner. Retrieved from http://depts.washington.edu/uwths/home /present.php U.S. Census Bureau (2000). Profile of General Demographic Characteristics. Retrieved from http://factfinder.census.gov U.S. Department of Labor, Bureau of Labor Statistics (2010). Local Area Unemployment Statistics. Retrieved from http://data.bls.gov/PDQ/servlet/SurveyOutputServlet
  25. 25. U.S. Department of Health & Human Services (2009). Community Health Status Indicators. Retrieved from http://communityhealth.hhs.gov U.S. Department of Labor, Bureau of Labor Statistics (2010). Local Area Unemployment Statistics. Retrieved from http://data.bls.gov/PDQ/servlet/SurveyOutputServlet U.S Bureau of the Census (2010). http://quickfacts.census.gov/qfd/states/53/53049.html Washington State Department of Health (2006). Access to Hospital-based Perinatal and Neonatal Care. Retrieved from http://ww4.doh.wa.gov/gis/pdf/neon_tt.pdf Washington State Department of Health, Rural Health Programs (2009). Federally Designated Rural Health Clinics by County as of July 1, 2009. Retrieved from www.doh.gov/hsqa/ocrh/RHC /Fed_DesignRHCs.pdf Washington State Department of Social & Health Services (2007). DSHS Client Services, July 2006 – June 2007). Retrieved from http://clientdata..rda.dshs.wa.gov Washington State Department of Health (2009). Pacific County Public Health and Human Services Department. Retrieved from http://www.doh.wa.gov/phip/khi/lphi/lhj/ pacific/access/access1.htm Washington State Department of Social & Health Services (2010). Authorized community mental health agencies. Retrieved from www.dshs.wa.gov/mentalhealth/timberlands.shtml

×