During the 2nd breakout session at Edge of Amazing 2016, Jody Early, PhD (UW Bothell School of Nursing & Health Services) and Elizabeth Parker, PhD (Snohomish Health District) discussed results from the PIHC Health & Well-Being Monitor & the Health Districts latest profile of health in Snohomish County.
The document summarizes the key findings of the 2015 Ottawa County Community Health Needs Assessment. It identifies strengths in the community's overall health, quality of life, healthcare access, and healthy behaviors compared to state and national benchmarks. However, it also finds opportunities for improvement such as reducing obesity, substance abuse, and barriers to accessing healthcare. The assessment gathered input from residents and stakeholders to understand health needs and priorities to guide local organizations in collaboratively improving community health.
The key priority issues for improving Australia's health are reducing health inequities faced by certain groups. Aboriginal and Torres Strait Islanders, socioeconomically disadvantaged people, rural/remote residents, and immigrants experience unfair health differences. They are more likely to die younger, have lower life expectancy and quality of life, higher rates of disease, and less access to healthcare and health information. Addressing the social and economic determinants of health through government programs, community support, and empowering individuals is needed to improve health equity across all Australians.
This document provides a summary of a 2012 community health assessment conducted across 10 counties in Northern Michigan, including a special focus on Montmorency and Otsego Counties. The assessment was funded by various healthcare organizations and conducted over 15 months using the Mobilizing for Action through Planning and Partnerships (MAPP) framework. Key findings from the assessment include that residents experience barriers to healthcare access and healthy behaviors related to obesity, physical activity, access to healthy foods and recreation, alcohol and drug use, and tobacco use. The assessment gathered data on over 250 health indicators and identified social and economic factors like lower education levels and income as influencing community health.
HSC PDHPE Core 1 – Health Priorities in AustraliaVas Ratusau
The document discusses how priority health issues in Australia are identified. It notes that epidemiology plays a key role by measuring health status indicators like life expectancy, mortality rates, and prevalence of diseases and conditions. This data is collected by organizations like the Australian Bureau of Statistics and Australian Institute of Health and Welfare. The data shows trends like increasing life expectancy but also rising rates of obesity, diabetes, and mental health issues. Priority issues are identified based on factors like the social and economic burden of diseases.
The document outlines revisions that have been made to the Stage 6 PDHPE syllabus in New South Wales, Australia. Content has been removed or clarified in some areas. New content such as recovery strategies and training have been included. The course structure and content of core areas and options have been amended with a focus on health promotion, social justice, and positive health outcomes. Assessment tasks and criteria have also been updated.
Health care disparities exist between different racial and ethnic groups in the United States. The WHO defines health disparities as differences in health outcomes that are closely linked to social and economic disadvantage. There can be up to a 33 year difference in life expectancy between racial groups. Disparities are driven by social determinants like education, income, and environment. Minority groups face greater barriers to accessing quality health care due to lack of insurance, language barriers, and provider biases. Addressing disparities requires improvements in data collection, the health workforce, and policies aimed at promoting equity.
HSC PDHPE Core 1: Health Priorities in AustraliaVas Ratusau
This document discusses health priorities in Australia. It begins by outlining how priority health issues are identified through measuring a population's health status using epidemiology. Key measures include mortality, infant mortality, morbidity, and life expectancy. Priority issues are also identified by considering social justice principles and groups experiencing health inequities such as Aboriginal and Torres Strait Islanders, those in rural/remote areas, and lower socioeconomic groups. The document then discusses Australia's main health priorities as being cardiovascular disease, cancer, mental health issues, and diabetes. It emphasizes the role prevention and early intervention can play in addressing these priorities.
The document summarizes the key findings of the 2015 Ottawa County Community Health Needs Assessment. It identifies strengths in the community's overall health, quality of life, healthcare access, and healthy behaviors compared to state and national benchmarks. However, it also finds opportunities for improvement such as reducing obesity, substance abuse, and barriers to accessing healthcare. The assessment gathered input from residents and stakeholders to understand health needs and priorities to guide local organizations in collaboratively improving community health.
The key priority issues for improving Australia's health are reducing health inequities faced by certain groups. Aboriginal and Torres Strait Islanders, socioeconomically disadvantaged people, rural/remote residents, and immigrants experience unfair health differences. They are more likely to die younger, have lower life expectancy and quality of life, higher rates of disease, and less access to healthcare and health information. Addressing the social and economic determinants of health through government programs, community support, and empowering individuals is needed to improve health equity across all Australians.
This document provides a summary of a 2012 community health assessment conducted across 10 counties in Northern Michigan, including a special focus on Montmorency and Otsego Counties. The assessment was funded by various healthcare organizations and conducted over 15 months using the Mobilizing for Action through Planning and Partnerships (MAPP) framework. Key findings from the assessment include that residents experience barriers to healthcare access and healthy behaviors related to obesity, physical activity, access to healthy foods and recreation, alcohol and drug use, and tobacco use. The assessment gathered data on over 250 health indicators and identified social and economic factors like lower education levels and income as influencing community health.
HSC PDHPE Core 1 – Health Priorities in AustraliaVas Ratusau
The document discusses how priority health issues in Australia are identified. It notes that epidemiology plays a key role by measuring health status indicators like life expectancy, mortality rates, and prevalence of diseases and conditions. This data is collected by organizations like the Australian Bureau of Statistics and Australian Institute of Health and Welfare. The data shows trends like increasing life expectancy but also rising rates of obesity, diabetes, and mental health issues. Priority issues are identified based on factors like the social and economic burden of diseases.
The document outlines revisions that have been made to the Stage 6 PDHPE syllabus in New South Wales, Australia. Content has been removed or clarified in some areas. New content such as recovery strategies and training have been included. The course structure and content of core areas and options have been amended with a focus on health promotion, social justice, and positive health outcomes. Assessment tasks and criteria have also been updated.
Health care disparities exist between different racial and ethnic groups in the United States. The WHO defines health disparities as differences in health outcomes that are closely linked to social and economic disadvantage. There can be up to a 33 year difference in life expectancy between racial groups. Disparities are driven by social determinants like education, income, and environment. Minority groups face greater barriers to accessing quality health care due to lack of insurance, language barriers, and provider biases. Addressing disparities requires improvements in data collection, the health workforce, and policies aimed at promoting equity.
HSC PDHPE Core 1: Health Priorities in AustraliaVas Ratusau
This document discusses health priorities in Australia. It begins by outlining how priority health issues are identified through measuring a population's health status using epidemiology. Key measures include mortality, infant mortality, morbidity, and life expectancy. Priority issues are also identified by considering social justice principles and groups experiencing health inequities such as Aboriginal and Torres Strait Islanders, those in rural/remote areas, and lower socioeconomic groups. The document then discusses Australia's main health priorities as being cardiovascular disease, cancer, mental health issues, and diabetes. It emphasizes the role prevention and early intervention can play in addressing these priorities.
This document summarizes the results of a community health needs assessment conducted in Kyangyenyi Sub-County, Uganda. The assessment found that major concerns for residents included access to clean water, access to electricity, household cleanliness, and access to quality healthcare. Survey results showed low standards for home cleanliness, limited access to food and electricity in villages, and dissatisfaction with water quality. Residents reported high monthly expenditures on food, healthcare, and school fees with low monthly incomes. Knowledge of nutrition and disease prevention was low, while handwashing practices were adequate. The most common childhood illnesses reported were malaria, respiratory infections, skin infections, and allergies. The most common adult illnesses were malaria, respiratory infections,
This report contains information on Ventura County and the different benefits and drawbacks of its different health care services. It is intended as an overview of Ventura County’s health status.
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
Geriatric health problems and programs in India
In 3 sentences:
India has experienced rapid growth in its elderly population, projected to reach 19% of the total by 2050, bringing increased focus on geriatric health issues. Common health problems faced by the elderly include diseases of various body systems associated with aging as well as psychological and social issues. The government of India has established several policies and programs to promote healthcare, financial security, and welfare of the growing elderly population, including the National Policy on Older Persons, Maintenance and Welfare of Parents Act, and National Program for Health Care of Elderly.
There are several national health priority areas in Australia that contribute significantly to the burden of illness, including cardiovascular disease, cancer, injury, mental health, diabetes, asthma, and arthritis and musculoskeletal conditions. These priority areas can be addressed by identifying their risk factors and determinants, and modifying behaviors to reduce the prevalence of related illnesses or conditions. The leading causes of death in Australia are cardiovascular disease and cancer. Risk factors for these diseases include tobacco use, poor nutrition, physical inactivity, obesity, family history, and socioeconomic status.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
Presented April 2016. A review of available health data on veterans living in North Central Texas (third largest population of veterans in the United States). Presentation includes data on veterans and mental health, substance abuse and sexual health outcomes. Also includes a review of comorbidities among veterans living with HIV, and a sample of evidence concerning the interrelationship between mental health and incarceration. Finally, a source for help - Veterans Coalition of North Central Texas as a resource for veterans and their families needing access to mental health services and a strong social support community.
The executive summary provides an overview of key health indicators for Shiawassee County adults based on a 2012 community health assessment. Some highlights include:
- 57% of adults rated their health as excellent/very good, while 13% said fair/poor. Those with income <$25K more likely to report fair/poor.
- 14% of adults lacked health insurance, most likely those ages 30-59 with income <$25K.
- 29% of deaths were from heart disease or stroke. 29% had high blood pressure, 37% high cholesterol, 19% smoked, 33% were obese.
- 12% of adults had been diagnosed with cancer at some point. Cancer was the #2
Community Health Improvement Plan, Clermont County Ohio, Major Themes: obesity, tobacco use, drug use, mental health, infant mortality, breastfeeding, homelessness, secondary education for healthcare professionals, chronic disease issues, access to healthcare, inujury prevention, suicide, teen pregnancy, infectious diseases, alcohol abuse and aging population.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
This document discusses health priority issues in Australia, including preventable chronic diseases, injuries, mental health problems, and groups experiencing health inequalities. It covers epidemiology, factors of health, and the effect of major health issues on Australians and the economic burden on the country.
(HEPE) Introduction To Health Disparities 1antz505
Many youth leaders are compelled to do work with community based non-profit and local public health agencies as both a service learning and philanthropic component in their development as young professionals. However, despite invaluable experiential learning, students often don\'t comprehend key overarching issues such as health disparities, social determinants of health, health policy and community organizing. To address this gap and optimize their community based work, the Health Disparities Student Collaborative (HDSC), a Boston-based student group under Critical MASS for eliminating health disparities and the Center for Community Health Education Research and Service Inc. (CCHERS), developed a curriculum for students designed to broaden their perspectives while working with local public health, non-profit/community organizations and to develop their interest and ability to visualize the power of their collective voice as students and contributors to social justice work. The curriculum utilizes peer education and webinar software and covers three main topics: Current State of Health Disparities, Social Determinants of Health, and Youth Activism on Health Disparities/Social Determinants of Health. HDSC has collaborated with local partners CCHERS/Critical MASS and the Community Based Public Health Caucus (CBPHC) Youth Council to develop this comprehensive “Health Equality Peer Education” training.
Anna Dixon on health policy under the coalition governmentThe King's Fund
Anna Dixon, Director of Policy at The King's Fund, looks at the key health policies introduced by the coalition government and at whether they are likely to be effective in future.
This document discusses plans to integrate primary care and behavioral health care in Eastern Tennessee through strategic guidance, performance improvement solutions, and addressing compatibility issues between clinical documentation systems. It provides demographics on Eastern Tennessee, which has a population of over 2 million people. Top community health needs identified include nutrition/obesity/fitness, after hours access to care, substance abuse, mental illness, diabetes, cancer, tobacco use, and cardiovascular disease. Barriers to healthcare access like lack of insurance, transportation, and provider shortages are also examined.
The document summarizes the key findings of the 2012 Western Upper Peninsula Regional Health Assessment conducted by the Western Upper Peninsula Health Department and partner organizations. It identifies three main themes: 1) The aging population is impacting chronic disease rates; 2) Income and education disparities influence health status and access to care; 3) Prevention is important to address leading causes of death like heart disease, cancer and diabetes which are linked to risk factors like tobacco use and obesity. Health data from the region shows aging populations, poverty, lack of insurance, and lower rates of preventive healthcare.
economic impact of ill health on householddevlekarv
This document discusses the economic impact of ill health on households. It outlines how illness can result in direct medical costs as well as indirect costs such as lost income. Households cope with illness costs by depleting savings, selling assets, or taking on debt. Long term or chronic illness is especially burdensome for poor households and can contribute to impoverishment. The document also examines common health conditions in India and their associated costs. Improving access to affordable healthcare, providing health insurance and education, and strengthening public health services are proposed to help reduce the economic impact of illness on households.
This document discusses poverty and health inequities. It finds that those living in poverty experience significantly higher rates of many health issues compared to more affluent groups. For example, in Saskatoon low-income residents are over 1000% more likely to be hospitalized for diabetes or have chlamydia. A survey found most people agree the poor have worse health, and support policies to strengthen early childhood programs, increase income supplements, and expand disease prevention. The document calls on governments and communities, including faith groups, to work together using evidence-based solutions to improve conditions for daily living and reduce health inequities over time.
This document discusses geriatric health needs and gaps in India. It begins by defining the elderly population and noting that India will experience a significant increase in those aged 60+ in coming decades. It then examines the socioeconomic profile of elderly Indians, finding most live in rural areas, are illiterate women, and lack financial security.
The document outlines several health issues facing the elderly, including social isolation, financial dependence, lack of support systems, and high rates of medical conditions like cardiovascular disease and arthritis. It notes gaps in the healthcare system like few geriatric specialists and services. The document concludes by discussing government initiatives and the need for dedicated healthcare programs to address the growing needs of India's expanding elderly population.
During the 3rd session of Edge of Amazing 2016, a panel came together to discuss how vital programs are when they can couple housing with other services. They discussed chronic issues and resources needed to help some of the most vulnerable populations flourish.
Mary Anne Dillon, YWCA
Cassie Franklin, Cocoon House
Kay Tillema, Compass Health
Mary Jane Vujovic, Snohomish County Human Services
Moderated by Julie Frauenholtz, Everett Streets Initiative
Jiff Inc. founder, James Currier, discusses how game mechanics, consumer psychology, and design thinking are revolutionizing health benefits engagement.
This document summarizes the results of a community health needs assessment conducted in Kyangyenyi Sub-County, Uganda. The assessment found that major concerns for residents included access to clean water, access to electricity, household cleanliness, and access to quality healthcare. Survey results showed low standards for home cleanliness, limited access to food and electricity in villages, and dissatisfaction with water quality. Residents reported high monthly expenditures on food, healthcare, and school fees with low monthly incomes. Knowledge of nutrition and disease prevention was low, while handwashing practices were adequate. The most common childhood illnesses reported were malaria, respiratory infections, skin infections, and allergies. The most common adult illnesses were malaria, respiratory infections,
This report contains information on Ventura County and the different benefits and drawbacks of its different health care services. It is intended as an overview of Ventura County’s health status.
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
Geriatric health problems and programs in India
In 3 sentences:
India has experienced rapid growth in its elderly population, projected to reach 19% of the total by 2050, bringing increased focus on geriatric health issues. Common health problems faced by the elderly include diseases of various body systems associated with aging as well as psychological and social issues. The government of India has established several policies and programs to promote healthcare, financial security, and welfare of the growing elderly population, including the National Policy on Older Persons, Maintenance and Welfare of Parents Act, and National Program for Health Care of Elderly.
There are several national health priority areas in Australia that contribute significantly to the burden of illness, including cardiovascular disease, cancer, injury, mental health, diabetes, asthma, and arthritis and musculoskeletal conditions. These priority areas can be addressed by identifying their risk factors and determinants, and modifying behaviors to reduce the prevalence of related illnesses or conditions. The leading causes of death in Australia are cardiovascular disease and cancer. Risk factors for these diseases include tobacco use, poor nutrition, physical inactivity, obesity, family history, and socioeconomic status.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
Presented April 2016. A review of available health data on veterans living in North Central Texas (third largest population of veterans in the United States). Presentation includes data on veterans and mental health, substance abuse and sexual health outcomes. Also includes a review of comorbidities among veterans living with HIV, and a sample of evidence concerning the interrelationship between mental health and incarceration. Finally, a source for help - Veterans Coalition of North Central Texas as a resource for veterans and their families needing access to mental health services and a strong social support community.
The executive summary provides an overview of key health indicators for Shiawassee County adults based on a 2012 community health assessment. Some highlights include:
- 57% of adults rated their health as excellent/very good, while 13% said fair/poor. Those with income <$25K more likely to report fair/poor.
- 14% of adults lacked health insurance, most likely those ages 30-59 with income <$25K.
- 29% of deaths were from heart disease or stroke. 29% had high blood pressure, 37% high cholesterol, 19% smoked, 33% were obese.
- 12% of adults had been diagnosed with cancer at some point. Cancer was the #2
Community Health Improvement Plan, Clermont County Ohio, Major Themes: obesity, tobacco use, drug use, mental health, infant mortality, breastfeeding, homelessness, secondary education for healthcare professionals, chronic disease issues, access to healthcare, inujury prevention, suicide, teen pregnancy, infectious diseases, alcohol abuse and aging population.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
This document discusses health priority issues in Australia, including preventable chronic diseases, injuries, mental health problems, and groups experiencing health inequalities. It covers epidemiology, factors of health, and the effect of major health issues on Australians and the economic burden on the country.
(HEPE) Introduction To Health Disparities 1antz505
Many youth leaders are compelled to do work with community based non-profit and local public health agencies as both a service learning and philanthropic component in their development as young professionals. However, despite invaluable experiential learning, students often don\'t comprehend key overarching issues such as health disparities, social determinants of health, health policy and community organizing. To address this gap and optimize their community based work, the Health Disparities Student Collaborative (HDSC), a Boston-based student group under Critical MASS for eliminating health disparities and the Center for Community Health Education Research and Service Inc. (CCHERS), developed a curriculum for students designed to broaden their perspectives while working with local public health, non-profit/community organizations and to develop their interest and ability to visualize the power of their collective voice as students and contributors to social justice work. The curriculum utilizes peer education and webinar software and covers three main topics: Current State of Health Disparities, Social Determinants of Health, and Youth Activism on Health Disparities/Social Determinants of Health. HDSC has collaborated with local partners CCHERS/Critical MASS and the Community Based Public Health Caucus (CBPHC) Youth Council to develop this comprehensive “Health Equality Peer Education” training.
Anna Dixon on health policy under the coalition governmentThe King's Fund
Anna Dixon, Director of Policy at The King's Fund, looks at the key health policies introduced by the coalition government and at whether they are likely to be effective in future.
This document discusses plans to integrate primary care and behavioral health care in Eastern Tennessee through strategic guidance, performance improvement solutions, and addressing compatibility issues between clinical documentation systems. It provides demographics on Eastern Tennessee, which has a population of over 2 million people. Top community health needs identified include nutrition/obesity/fitness, after hours access to care, substance abuse, mental illness, diabetes, cancer, tobacco use, and cardiovascular disease. Barriers to healthcare access like lack of insurance, transportation, and provider shortages are also examined.
The document summarizes the key findings of the 2012 Western Upper Peninsula Regional Health Assessment conducted by the Western Upper Peninsula Health Department and partner organizations. It identifies three main themes: 1) The aging population is impacting chronic disease rates; 2) Income and education disparities influence health status and access to care; 3) Prevention is important to address leading causes of death like heart disease, cancer and diabetes which are linked to risk factors like tobacco use and obesity. Health data from the region shows aging populations, poverty, lack of insurance, and lower rates of preventive healthcare.
economic impact of ill health on householddevlekarv
This document discusses the economic impact of ill health on households. It outlines how illness can result in direct medical costs as well as indirect costs such as lost income. Households cope with illness costs by depleting savings, selling assets, or taking on debt. Long term or chronic illness is especially burdensome for poor households and can contribute to impoverishment. The document also examines common health conditions in India and their associated costs. Improving access to affordable healthcare, providing health insurance and education, and strengthening public health services are proposed to help reduce the economic impact of illness on households.
This document discusses poverty and health inequities. It finds that those living in poverty experience significantly higher rates of many health issues compared to more affluent groups. For example, in Saskatoon low-income residents are over 1000% more likely to be hospitalized for diabetes or have chlamydia. A survey found most people agree the poor have worse health, and support policies to strengthen early childhood programs, increase income supplements, and expand disease prevention. The document calls on governments and communities, including faith groups, to work together using evidence-based solutions to improve conditions for daily living and reduce health inequities over time.
This document discusses geriatric health needs and gaps in India. It begins by defining the elderly population and noting that India will experience a significant increase in those aged 60+ in coming decades. It then examines the socioeconomic profile of elderly Indians, finding most live in rural areas, are illiterate women, and lack financial security.
The document outlines several health issues facing the elderly, including social isolation, financial dependence, lack of support systems, and high rates of medical conditions like cardiovascular disease and arthritis. It notes gaps in the healthcare system like few geriatric specialists and services. The document concludes by discussing government initiatives and the need for dedicated healthcare programs to address the growing needs of India's expanding elderly population.
During the 3rd session of Edge of Amazing 2016, a panel came together to discuss how vital programs are when they can couple housing with other services. They discussed chronic issues and resources needed to help some of the most vulnerable populations flourish.
Mary Anne Dillon, YWCA
Cassie Franklin, Cocoon House
Kay Tillema, Compass Health
Mary Jane Vujovic, Snohomish County Human Services
Moderated by Julie Frauenholtz, Everett Streets Initiative
Jiff Inc. founder, James Currier, discusses how game mechanics, consumer psychology, and design thinking are revolutionizing health benefits engagement.
EOA2016: Employment Outlook & the Full Costs of HealthPIHCSnohomish
During the first breakout session of Edge of Amazing 2017, the audience were introduced to the 2016 Snohomish County Full Cost of Health Report coupled with the Workforce Snohomish Employment Forecast by industry.
Far beyond the well-known and frieghtening costs of employer healthcare, the full cost burden of health is dramatically larger and brings with it a huge opportunity.
Emmett Heath, Community Transit
Eddie Johnson, Telehealth; Providence Health & Services
Bob Le Roy, Alzheimer's Association WA State Chapter
Erin Monroe, Workforce Snohomish
Jim Stephanson, Economic Alliance of Snohomish County
EOA2016: Preparing for Affordable Housing NeedsPIHCSnohomish
The document discusses preparing for affordable housing needs in Snohomish County, Washington. It notes that over 68,000 housing units are needed now and in the future to meet the needs of low-income residents. It outlines who is struggling with housing costs currently, including over 13,000 extremely low-income renters who are severely cost burdened. The document also discusses how population demographics are changing, with more seniors, and that over 22,000 new very low-income housing units will be needed by 2035 to accommodate projected population growth. It then explains the various entities that provide affordable housing like developers, public housing authorities, and the types of public funding available, as well as local policies that can encourage affordable housing
Imonni is an Australian clothing brand inspired by Melbourne's carefree street style and iconic laneways. The brand focuses on wardrobe essentials made from natural fibers like checks and stripes, which never go out of style. While some on-trend pieces are offered, the overall aesthetic is minimalist and monochromatic. The target customer appreciates quality, reliability and a versatile style, shopping both vintage and fast fashion. Imonni clothing allows for individual self-expression in a busy, ever-changing world.
This document discusses using food as a way to connect communities and empower people. It describes three organizations - Farmer Frog, MALDEF, and CHIP - that use food and nutrition education to build relationships, foster cultural understanding, and empower participants to make healthier choices. The organizations create social connections and support systems through school gardens, workshops on culturally relevant foods, and lifestyle change programs.
EOA2016: Accelerating the Triple Aim through Innovations in MedicaidPIHCSnohomish
During the 3rd breakout session at Edge of Amazing, a panel came together to discuss the State's Medicaid program. Leading the nation in innovations to improve the health of some of our state's most vulnerable populations. This session provided an overview of initiative envisioned under the Medicaid Transformation Waiver and featured efforts of the North Sound ACH.
John Brumbach, Health Care Authority
Karen Fitzharris, Dept of Social and Health Services
Kali Klein, Health Care Authority
Dean Wight, Whatcom Alliance for Health Advancement
The document provides information about the Asilio fashion brand, including:
- Asilio creates modern, elegant designs focused on unique fabrics and prints.
- The brand's collections tell stories through high quality imagery and explore different creative themes.
- The designer, Cynthia Farchione, aims to create statement pieces that keep customers excited.
- Asilio has gained an international presence and stocks with major retailers in Australia and the US.
- Brief descriptions and images are provided for several of Asilio's past collections launching new fabrics, silhouettes and themes each season.
During the 3rd breakout session at Edge of Amazing 2016, some key innovators came together to share the importance of urban design and multi-modal transportation options' and how they are undertaking this work in their communities.
Moderated by our KeyNote Dr. Richard Jackson, UCLA
Dustin Akers, City of Lynnwood
Mayor Jennifer Gregerson, City of Mukilteo
Lisa Quinn, Feet First
EOA2016: LiveHealthy2020 a Foundation for TransformationPIHCSnohomish
LiveHealthy2020 (LH2020) is a collective impact initiative in Snohomish County, Washington to improve community health. In 2016, LH2020 directors provided an update on year 1 results and unveiled new online tools. They discussed principles of equity, empathy, resilience and empowerment in LH2020's work. As of July 2016, LH2020 had 128 signatories implementing over 180 programs across 222 locations, collectively reaching over 1.2 million people. New online tools like a partner portal and community maps were demonstrated to connect partners, track goals and share resources.
During the last breakout session of the day at Edge of Amazing 2016 a group came together to discuss the importance of partnerships and social determinants on health. And to give the audience a view into work happening to bridge the gap.
Vicci Hilty, Domestic Violence Services
Tom Hingson, Everett Transit
May Jane Vujovic, Sno. Co. Human Services
Neil Watkins, Snohomish County Food Bank Coalition
Scott Forslund, Providence Institute for a Healthier Community
EOA2016: Integrating Care for Whole Person HealthPIHCSnohomish
During the 2nd session of Edge of Amazing 2016, this session highlighted the work being accomplished under fully integrated managed care in WW Wa., progress in other regions and at a state level to integrate behavioral health, and the role of community in ensuring whole-person care. While highlighting work from the North Sound ACH.
Vanessa Gaston, Clark County Human Services
Isabel Jones - Washington State Health Care Authority
Joe Valentine - North Sound Behavioral Health Organization
EOA2016: Connecting Community to the Delivery System PublicPIHCSnohomish
During the last breakout session of the day, at Edge of Amazing 2016, a panel came together to discuss the interdependencies that are not the responsibility of any single organization, but are required if we want to achieve population health. They featured the many ways community is linking to the delivery system, including an overiew of the Plan for Improving Population Health and the Practice Transformation Support Hub.
Mary Beth Brown, WA State DOH
Maria Courogen, WA State DOH
Dr. Gary Goldbaum, Snohomish Health District
Linda McCarthy, Mt. Baker Planned Parenthood
EOA2016: Healthy Community Design, Dr. Richard JacksonPIHCSnohomish
Our lunch keynote, Dr. Richard Jackson, joined the 2nd annual Edge of Amazing conference in Snohomish County, where he talked about the conditions needed in a community, to be healthy. He laid out the health challenges and some of the 'treatments' needed to assist everyone in our communities in being healthy.
Solar Corporate Presentation_2015_Final_optimizedRichard Gaudet
The document discusses the growing global demand for energy and issues with relying solely on fossil fuels to meet that demand. It argues that solar power can play a key role in sustainably addressing energy needs. Schneider Electric is well positioned to help with solar solutions due to its experience, complete product portfolio, global presence, and focus on reliability and customer service.
The document discusses efforts to address cardiovascular disease and health disparities in Tennessee at both the state and national level. At the state level, Tennessee has created the Division of Minority Health and Disparity Elimination and passed legislation like HR 11 to recognize National Wear Red Day. The state also implements programs like Count on ME to promote heart health for minorities. Nationally, the Affordable Care Act covers some preventive cardiovascular services with no cost-sharing. The document also provides recommendations from organizations like the Institute of Medicine to eliminate health disparities through actions like increasing provider awareness of disparities and implementing patient education programs. It references data on cardiovascular disease from reports like the National Healthcare Disparities Report showing disparities exist and some
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What is a Community Health Needs Assessment?
LOOK at the people’s health of Ottawa County.
METHOD to find key health problems and resources.
TOOL to develop strategies to address health needs.
WAY for community engagement and collaboration.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. Taking Stock:
The Health District’s Profile of
Health in Snohomish County
and the Results of the PIHC
Health & Well-Being Monitor
Elizabeth Parker, PhD, MHS
Epidemiologist, Snohomish Health District
Jody Early, PhD, MS, MCHES
Associate Professor, UW Bothell School of Nursing &
Health Studies
Co-Chair, PIHC, AimWell/Center for Health Priorities &
Progress
Stuart Elway, PhD, Elway Research, Inc.
9. • A measure of differences in outcomes between
populations.
• Health disparities exist in relation to:
–Income
–Race/ethnicity
–Education-level (among many others)
• Do not provide an explanation for the origin of these
differences in health.
Health Disparities
10. • Conditions in which we live, learn, work, and play are
significant factors that impact our health.
• Life enhancing resources whose distribution across
populations determines length and quality of life.
• Responsible for unfair and avoidable differences in
health seen within and between communities in
Snohomish County.
• Root causes of health disparities
Social Determinants of Health
12. Big Picture
Demographics & Socioeconomic
Characteristics
Snohomish
County
Washington
Population size 757,600 7,061,410
Median household income $69,443 $60,294
Unemployment rate 9% 9%
Residents with bachelor’s degree or
more 29% 32%
Sources:
(1) U.S. Census Bureau, 2010-2014 5-Year American Community Survey
(2) Washington State Office of Financial Management, Forecasting Division, single year ntercensal estimates 2001-2015, June 2015.
13. Big Picture
General Health (2015)
Snohomish
County
Washington
Life expectancy at birth (in years) 80.3 80.4
Mortality rate*
(per 100,000 people)
708 692
Infant mortality rate
(per 1,000 live births)
4.1 4.8
Years of potential life lost before age 65
(per 100,000 people)
3,407 3,536
* Age-adjusted rate
Sources:
(1) Washington State Department of Health, Center for Health Statistics, Birth Certificate Data, 1990–2014, August 2015.
(2) Washington State Department of Health, Center for Health Statistics, Death Certificate Data, 1990–2014, August 2015.
14. Big Picture
Health Outcomes, 2011-2015
Snohomish
County
Washington
Self-report health as good or excellent 84% 84%
Serious mental illness 4% 3%
Current smoker 16% 16%
Diabetes 9% 9%
Heart disease 4% 4%
Source:
Washington State Department of Health, Center for Health Statistics, Behavioral Risk Factor Surveillance System 2011-2015, supported in part by Centers for
Disease Control and Prevention
17. Snohomish Health Reporting Areas
Source:
U.S. Census Bureau, 2009-2013 5-Year American Community Survey
North Everett
Tulalip Bay &
the North
Coast
South Everett
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Arlington,
Stanwood &
Darrington
Snohomish
County
Marysville
Granite Falls,
Lake Stevens
& Snohomish
Mukilteo &
North
Lynnwood
Sultan,
Skykomish &
Monroe
Bothell & Brier
Mill Creek &
Silver Firs
$55,757 $63,271 $64,055 $66,096 $66,397 $68,381 $70,698 $75,298 $76,548 $81,659 $88,600 $100,390
Mill Creek &
Silver Firs
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Bothell & Brier
Mukilteo &
North
Lynnwood
Granite Falls,
Lake Stevens
& Snohomish
Snohomish
County
Sultan,
Skykomish &
Monroe
Arlington,
Stanwood &
Darrington
Marysville South Everett North Everett
Tulalip Bay &
the North
Coast
6.6% 7.5% 8.3% 8.6% 9.1% 9.3% 9.4% 9.7% 9.8% 10.3% 11.5% 13.3%
Average median household income
Unemployment rate
18. Snohomish Health Reporting Areas
Source:
U.S. Census Bureau, 2009-2013 5-Year American Community Survey
Tulalip Bay &
the North
Coast
Marysville
Arlington,
Stanwood &
Darrington
Granite Falls,
Lake Stevens
& Snohomish
North Everett South Everett
Sultan,
Skykomish &
Monroe
Snohomish
County
Mukilteo &
North
Lynnwood
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Bothell & Brier
Mill Creek &
Silver Firs
17% 19% 19% 23% 24% 25% 26% 29% 35% 38% 43% 45%
Resident’s with a bachelor’s degree or more
19. Snohomish Health Reporting Areas
Source:
Washington State Department of Health, Center for Health Statistics, Death Certificate Data, 1990–2014, August 2015.
Tulalip Bay &
the North
Coast
North Everett
Arlington,
Stanwood &
Darrington
Granite Falls,
Lake Stevens
& Snohomish
South Everett
Snohomish
County
Marysville
Mukilteo &
North
Lynnwood
Sultan,
Skykomish &
Monroe
Mill Creek &
Silver Firs
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Bothell &
Brier
73.3 78.7 78.8 79.7 79.8 80.3 80.4 81.2 82.1 82.2 82.3 82.7
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Bothell &
Brier
Sultan,
Skykomish &
Monroe
Mill Creek &
Silver Firs
Marysville
Snohomish
County
Mukilteo &
North
Lynnwood
South Everett North Everett
Granite Falls,
Lake Stevens
& Snohomish
Arlington,
Stanwood &
Darrington
Tulalip Bay &
the North
Coast
586 594 599 605 689 691 692 716 756 758 782 970
Life expectancy
Mortality rate rate
20. Snohomish Health Reporting Areas
Source:
Washington State Department of Health, Center for Health Statistics, Death Certificate Data, 1990–2014, August 2015.
Mukilteo &
North
Lynnwood
Granite Falls,
Lake Stevens
& Snohomish
Arlington,
Stanwood &
Darrington
Bothell & Brier
Sultan,
Skykomish &
Monroe
Snohomish
County
Mill Creek &
Silver Firs
South Everett North Everett
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Marysville
Tulalip Bay &
the North
Coast
0 1.2 1.3 1.3 1.5 4.1 4.3 5.2 6.1 6.2 6.6 8.3
Mill Creek &
Silver Firs
Bothell & Brier
Mukilteo &
North
Lynnwood
Sultan,
Skykomish &
Monroe
Granite Falls,
Lake Stevens
& Snohomish
Marysville
Edmonds,
Mountlake
Terrace &
West
Lynnwood
Snohomish
County
South Everett
Arlington,
Stanwood &
Darrington
North Everett
Tulalip Bay &
the North
Coast
2,178 2,220 2,471 2,629 2,908 3,057 3,136 3,259 3,650 3,922 4,361 8,538
Infant mortality rate
Years of potential life lost relative to age 65
21. Health by Race/Ethnicity
White Black
American
Indian/
Alaska
Native
Asian/
Pacific
Islander
Hispanic
(of any
race)
Self-reported health 85% 82% 89% 64%
Serious mental illness 5% 10% 4% 3%
Diabetes 10% 6% 7% 8%
Current smoker 17% 25% 9% 14%
Heart disease 4% 3% 1% 3%
Sources:
Washington State Department of Health, Center for Health Statistics, Behavioral Risk Factor Surveillance System 2011-2014, supported in part by Centers for Disease Control and Prevention
22. Source:
Washington State Department of Health, Center for Health Statistics, Behavioral Risk Factor Surveillance System 2011-2014, supported in part by Centers for Disease Control and Prevention
Health by Education-Level
Did not
graduate HS
Graduated
HS
Attended
some
college/
technical
school
College/
technical
school
graduate
Self-reported health 53% 81% 86% 93%
Serious mental illness 14% 4% 5% 1%
Diabetes 11% 8% 11% 8%
Current smoker 36% 21% 17% 7%
Heart disease 5% 4% 4% 3%
23. Source:
Washington State Department of Health, Center for Health Statistics, Behavioral Risk Factor Surveillance System 2011-2014, supported in part by Centers for Disease Control
and Prevention
Health by Income-Level
<$25,000
$25,000-
$49,999
>$50,000
Self-reported health 64% 83% 91%
Serious mental illness 14% 4% 5%
Diabetes 12% 11% 8%
Current smoker 36% 21% 17%
Heart disease 6% 5% 3%
24. What Does This Mean?
• Progress has been made in improving the health of Snohomish
County residents, but not all groups have benefited equally.
• Health Reporting Areas and sociodemographic groups have
distinct health issues that must be addressed.
• Full participation of affected communities is needed to begin
tackling the disparities.
26. What Data Are Presented?
Demographics
• Age and race
Socioeconomic Characteristics
• Income, unemployment, education, etc.
Health Outcomes
• Life expectancy
• Leading causes of death
• Mortality by age
• Birth outcomes
27. • To support community health improvement efforts.
• To help the Health District, elected officials, and
community members identify priority health issues as well
as underlying conditions that are more immediately
actionable.
• To help community groups interested in prioritizing and
improving health outcomes.
Why Create These Reports?
28. • Knowledge is power.
• Information will enable communities to understand the
major health challenges facing their residents and take
action.
• The Health District wants to be closely connected with
your community as we work in partnership to reduce the
impact of your health concerns.
How Do You Use the Reports?
29. How the District is Addressing Disparities
Community Health Improvement Plan (one example)
• Youth physical abuse
• Have a Plan: Social marketing campaign targeting parents
• Youth and adult suicide
• Mental Health First Aid: Course that provides people skills to help someone
developing a mental health problem or in crisis
• Youth and adult obesity
• 5210 Campaign: 5 fruits/vegetables, 2 hours or less of screen time, 1 hour or
more of physical activity, 0 sugary drinks
32. 32
• There are numerous data
sources at the national, state,
and local level that focus on
medical care and health-related
outcomes.
• Most measure health indicators
and variables are selected for
study by researchers and
“experts.”
Sources of Health Data
33. 33
1) To provide a periodic measure of county residents’
perceptions about their health status and overall
satisfaction with their health and well-being.
2) To guide practical action by providing an additional
source of data that organizations can use for planning
purposes.
3) To offer strategic guidance to PIHC to help direct
where it focuses its attention and resources to create
positive change.
Why Develop a Health & Wellness
Monitor for Snohomish County?
34. Central Questions of the HWBM:
What factors do residents of Snohomish
County think are important to health and
well-being?
How satisfied are they with their own
health and well-being?
34
35. 35
Creating a More Complete Picture
of Health:
Using the Social Ecological Model of Health as a Framework for
Community Conversations and the Health & Well-Being Monitor
36. Groundwork in 2015:
Listening to the Community
• How are health & well-
being defined?
• What social ecological
factors impact people’s
ability to be healthy?
• What makes a healthy
community?
37. Why are understanding perceptions important?
*Decades of research have established that perceptions and behaviors are related.
38. 2015 Focus
Groups & Community
Conversations
• Everett + North / <$65,000
• Everett + South / >$65,000
• Arlington Area /Age 25-45
• Monroe Area / Age 45-65
UW Bothell | Lutheran Community Services NW
Elway Research, Inc. | EvCC | Housing Hope
•College Youth from first gen. and ethnic minority
groups/EVCC [Everett]
•Tribal Communities (Tulalip Tribe) / Marysville-Tulalip
•Adults in low income housing or transition housing
[Lynnwood]
•Latina mothers/(all non-native U.S.) [Everett]
•Latina female lay health workers/Promotoras/
[Lynnwood]
•Women/lower SES/mixed ethnicities/ [Lake Stevens]
•Rural adults/most middle age/ all Caucasian and most
lower income [Granite Falls]
•Rural adults/lower-income senior citizens(10/12); mostly
Caucasian/female/ lower income [Arlington]
39. • Relationships with others
• Outlook on life
• Sense of purpose/meaning
• Treatment by others
• Opportunities for learning &
growth
• Ability to control life events
• Sense of belonging to
community
• Participation in cmty events
• Access to healthy food
• Access to medical care
• Access transportation
• Access to health information
• Quality of my housing
• Safety of my neighborhood
• Community environment
• Condition of neighborhood
• State of my physical health
• My mental/emotional health
• Level of physical activity
• My eating patterns
• Having meaningful work
• Workplace atmosphere
• Level of financial security
• Feelings of racial and ethnic
discrimination
Emergent Themes (Factors) from
Community Conversations & Focus Groups
…Formed Measures for the HWBM…
40. Survey Information
• PIHC Advisory committee
looked at other population
surveys
• Quantitative Survey based on
24 attributes
• 75 questions/inquiries
• Combination of question types
• Bi-polar scales [-5] to [+5]
• Unipolar scales 0-10
• Multiple choice
• Open-end
• Attitudinal questions
• Behavior questions
• Demographic items
41. Sample and Methods
• Participants: 751 adults (18 years +)
• Administered by Elway Research
• Systematic random sample of
Snohomish county households
• Data collection January 7th – 30th
2016
• Margin of Error: + 3.6% at the 95th
percent confidence interval
• Multiple methods of data
collection:
• 500 completed phone
interviews by live
interviewers (27% on cell
phones)
• 251 residents completed
the questionnaire online
46. 46
38
21
20
7
7
5
2
Split w Employer
Employer Paid
Medi-care/caid
Self Paid
Other
No Coverage
No Ans
% of
Sample
with Health
Insurance
89% had at least
one scheduled
appointment
with a health
care
professional in
the last year.
48. Four Primary Index Measures
N = 751
ITEM AVERAGE +4 or +5
Overall satisfaction with the way things are going in your life +2.66 45%
Current mental or emotional health +2.96 52%
Overall health rating +2.46 38%
Satisfaction with your physical health +1.97 33%
Rating Scale = -5 to 5
50. Differences by Demographics
•Age
•Education *
•Employment
•Income*
•Ethnicity
•Gender
•Number of chronic
conditions*
• Significant demographic factors:
Satisfaction scores went up with
education level and income
• There were significant differences by
age, but relationship was not linear
• Scores were more strongly related to
health conditions than demographics.
Scores went down with the presence of
a health condition, number of bad health
days, and number of healthcare visits.
51. Linking Health Monitor Scores to
Underlying Health
Also tested for:
• Poor physical
health days
• Poor mental
health days
• Presence of
medical
condition
53. Perceptions of Factors that
Influence Health & Well-Being
Survey respondents were asked to rate each factor on two criteria:
1) The importance of each factor on a person’s well-being in general;
2) The personal influence each factor is having on “your own life
these days.”
54. • Relationships with others
• Outlook on life
• Sense of purpose/meaning
• Treatment by others
• Opportunities for learning &
growth
• Ability to control life events
• Sense of belonging to
community
• Participation in community
events
• Access to healthy food
• Access to medical care
• Access transportation
• Access to health information
• Quality of my housing
• Safety of my neighborhood
• Community environment
• Condition of neighborhood
• State of my physical health
• My mental/emotional health
• Level of physical activity
• My eating patterns
• Having meaningful work
• Workplace atmosphere
• Level of financial security
• One’s ethnicity/race
23 OF THE 24 FACTORS WERE PERCEIVED AS
IMPORTANT TO HEALTH AND WELL-BEING
(ON A SCALE OF 0 – 10)
…… all except for one factor was rated (at 5.0
+) as having a positive impact on their lives.
55. How would you rank these 10
factors by importance to overall
health and well-being?
• Access to Medical Care
• Financial Security
• Level of Physical Exercise
• Treatment by Others
• Personal Safety
• Access to Healthy Food
• Outlook on Life
• Mental and Emotional
Health
• Sense of Purpose
• Opportunities for
Learning and Growth
• How do you think
these factors ranked
in order of perceived
importance?
• Which one do you
think was ranked
highest?
56. #1 Factor of Perceived
Importance:
Mental and
Emotional
Health
57. Top 10 Factors of Health & Well-
Being Ranked by Importance
• Rated highest (on a scale of 0 -10):
1. Mental or emotional health
(mean = 8.8)
2. Access to medical care(mean = 8.7)
3. Outlook on life (mean = 8.7)
4. Sense of purpose (mean = 8.6)
5. Access to healthy food (mean = 8.6)
6. A person’s physical health
(mean = 8.4)
7. Safety of a person’s neighborhood
(mean = 8.3)
8. Financial Security (mean = 8.1)
9. Opportunities for learning and
growth (mean = 8.0)
10. Treatment by Others (mean = 8.0)
& Level of Physical Activity
(mean = 8.0)
58. Components of Health & Well
Being by Personal Impact
• Access to
Transportation
• Quality of Housing
• Emotional or
Mental Health
• Ability to Access
Health Information
• Relationships with
Family and Friends
• Outlook on Life
• Access to Healthy
Food
• Access to Medical
Care
• Treatment by
Others
• Sense of Purpose
• How do you think
these factors ranked
on perceived impact
on personal health?
(-5 to 5)?
• Which one was
perceived to have the
most positive
impact?
60. Top Ranked Factors by
Personal Impact
Rated highest (on a scale of -5 to 5 with zero at midpoint)
1. Relationships with friends and family
(mean = +3.7)
2. Outlook on life (mean = +3.4)
3. Ability to get healthy food
(mean = +3.3)
4. Access to medical care
(mean = +3.3)
5. Access to transportation
(mean = +3.1)
6. Sense of purpose (mean = +3.1)
7. Emotional and mental health
(mean = +3.0)
8. Quality of housing (mean = +2.9)
9. Treatment by others (mean = +2.9)
10. Ability to get health information
(mean = +2.8)
62. Perceived Health of Community
• 86% reported they lived in a
healthy or very healthy
community
• However, there were differences by
area:
• More positive ratings of “very
healthy” and “healthy” were from
those in Snohomish (96%) & Lake
Stevens/Granite Falls (93%) areas.
• Everett (75%) and Monroe -East
(83%) had less positive ratings but
still majority indicating “healthy” or
“very healthy”
17
69
11 2
VERY HEALTHY
HEALTHY
NO OPIN
UNHEALTHY
VERY UNHEALTHY
86%
N = 751
63. Composite Scores Based on Four
Components of Health & Well Being
Based on composite
scores for
satisfaction with:
• Overall life;
• Overall health;
• Physical health; &
• Mental/emotional
health
64. 64
• Research shows that data tilts positively on surveys such as this.
• For those individuals who rated very negative on all items:
• Feelings of discrimination were significantly related to the overall HWBM score:
• Those who most felt discriminated against were less likely to report
satisfaction with components of well-being (42% ) than those who felt little or
no discrimination (64%).
• The “Treatment by Others” came up as a significant factor impacting health
and well being. Ethnic/Racial discrimination may be captured in this measure
as well.
• Most who were less satisfied reported at least one health condition (51%).
• More analyses such as a gap analyses and factor analyses included in full
report which is available at http://www.pihc.org or emailing
Scott.Forslund@pihc..org
A Few More Points of Discussion
65. • Refine Health & Well-Being Monitor 2.0 for 2017.
• Facilitate ongoing community conversations to
collect qualitative information from groups and/or
people who are not best reached through
quantitative surveys.
• Pilot and validate tailored versions for specific
groups within Snohomish County (e.g. Spanish
version).
• Share data with community groups and
organizations.
Next Steps
67. •Health-education resources & events
co-created with community partners
•Referral services to community
partners
•Lifestyle change programs designed
with population health objectives
PIHC'S LIVEWELL / CENTER FOR
HEALTH EDUCATION & HEALING
74. Thank you!
Elizabeth Parker, PhD, MHS
Epidemiologist
Healthy Communities & Assessment
Snohomish Health District
For more information visit: www.snohd.orgassessment
Jody Early, PhD, M.S., MCHES
Associate Professor
UW Bothell, School of Nursing & Health Studies
Co-Chair
Providence Institute, AimWell/Center for Health Priorities & Progress
JEarly3@UW.edu
Stuart Elway, PhD
Elway Research, Inc.
hstuart@elwayresearch.com
For more information on the HWBM, visit http://www.pihc.org