Community Health Improvement PlanPlanning Presentation 2014Julianne Nesbit, Health Commissioner

Objectives

• Summary of Community Health Assessment (CHA)/Feedback

• Community Themes and Strengths Assessment

• Community Health Improvement Plan (CHIP) Priority Issues and Strategies

CHA/CHIP Committee Participants

• Nursing Homes• Boys and Girls Club• Child Focus, Inc.• Clermont County Board of Commissioners• Clermont County Developmental Disabilities• Clermont County Board of Health• Clermont County Chamber of Commerce• Clermont County Community Services• Clermont County Coroner’s Office• Clermont County Department of Job and

Family Services• Clermont County Educational Service Center• Clermont County Emergency Management

Agency• Clermont County Fire/EMS Association• Clermont County Health District

• Clermont County Mental Health and Recovery Board

• Clermont County Office of Environmental Quality

• Clermont County Park District• Clermont County Senior Services• Clermont County Sherriff and Police Chief’s

Association• Clermont YMCA• Clermont Recovery Center• Clermont Transportation Connection• Mercy Hospital Clermont• Ohio State University Extension Office• United Way of Greater Cincinnati• University of Cincinnati, College of Nursing and

Health, East Campus• YWCA of Greater Cincinnati – Eastern Area

CHA Summary - Demographics

16.3% of population receives food assistance compared to 21.7% Ohio

36.2% of grandparents are responsible for their grandchildren compared to 46.6% Ohio, 39.5% US

55.8% of population is married compared to

49.1% Ohio, 49.0% US

12.1% of population is divorced compared to 11.9% Ohio, 10.8% US

25.3% of residents have a Bachelor’s Degree or higher compared to

24.6% Ohio, 28.2% US

96.2% of residents speak English only in the home compared to 93.4% Ohio,

and 79.4% US

Clermont County Population is 197,363

Racial Distribution:96.1% white, 1.4% black,

2.3% other

Median household income is $58,765 which is

higher than the state and the nation

87.5% of residents graduated from high school compared to

88.1% Ohio, 85.6% US

10.0% of residents are below poverty compared to 15.8% Ohio, 15.2% US

44% of children are enrolled in public health insurance compared to

52.7% Ohio

CHA Summary – Health and Wellness Indicators

Ratio of Dentist who treat Medicaid

Patients

Clermont County 2,028:1

Ohio1,277:1

Ratio of Patients to Primary Care

Physicians

Clermont County 1,902:1

Ohio1,348:1

Current Smoker

Clermont County 27.6%

Ohio 23.1%US 19.8%

58.3% of Clermont Smokers Tried to

Quit

Excessive Alcohol Drinking

Clermont County 13.0%

Ohio 18.0%US15.0%

CHA Summary – Health and Wellness Indicators continued

Underweight Normal Weight Overweight Obese0

5

10

15

20

25

30

35

40

Adult Body Mass Index

Clermont County Ohio US

CHA Summary – Health and Wellness Indicators continued

Only 27.3% of adults participate in

moderate physical activity three times a

week

Clermont County Average

Seatbelt use 2008-2012

77.1%54% of adults

report not getting enough

exercise

Reasons for Not Enough Exercise

Lack of Time Lack of MotivationPhysical Limitations OtherLack of Access Safety Concerns

CHA Summary – Maternal and Child Health Indicators

Infant Mortality Rate

Clermont County6.1

Ohio7.7

Smoking During Pregnancy

Clermont County22.2%

Ohio17.8%

Teen Pregnancy Rate

Clermont County23.0

Ohio29.0

First Trimester Prenatal Care

Clermont County81.4%

Ohio73.0%

CHA Summary – Maternal and Child Health Indicators continued

Clermont County Third Grade

Children Overweight/ Obese

37.2%, 34.7% Ohio, 35.5% US

Infants Breastfed at least 6 months: Clermont County 12.7%, Ohio

14.9%, US 25.1%

Clermont County children that participate in at least 1 hour of physical activity 6-7

days a week, 56.1%

Clermont County children that watch 3 or more hours of TV

on school days, 23.1%

CHA Summary – Social Health Indicators

Drug Poisoning Rates per 100,000

Clermont County

Ohio

Deaths 2009-2010 20 13

Hospitalizations 2010 44 22

Emergency Department Visits 2010

75 64

2006 2007 2008 2009 2010 2011 20120

10

20

30

40

50

60

Drug Related Deaths by Intent Clermont County, 2006-2012

SuicideAccidental

Num

ber

of

Death

s

CHA Summary – Social Health Indicators continued

•Clermont County 5.98•Ohio 4.53

Rate of Children in Placement

•Clermont County has fewer cases of physical abuse (25%) and neglect (21%) than Ohio (27% & 30%)

Child Abuse and Neglect

•Clermont County has more families in need of services (39%) than Ohio (19%)

Families in Need

CHA Summary – Death and Illness Indicators

Chronic Disease Indicators 2009

Clermont County (OH-KY-IN MSA)

Ohio US

Diabetes 7.9% 10.1% 8.3%

Asthma 13.0% 15.0% 13.5%

Heart Attack 5.5% 5.4% 4.2%

Hypertension 29.3% 31.7% 28.7%

High Cholesterol 37.4% 39.6% 37.5%

Arthritis 27.5% 30.8% 26.0%

Stroke 2.8% 3.1% 2.4%

Angina/Coronary Heart Disease

4.2% 4.2% 3.8%

Leading Causes of Death 2010 - Rates

Clermont County

Ohio

Heart Disease 161.3 191.7

Cancer 185.6 187.3

Chronic Lower Respiratory Disease

57.4 50.4

Stroke 53.6 42.4

Accident 49.8 41.6

Alzheimer's Disease 29.3 29.7

CHA Summary – Death and

Illness Indicators

Incidence of Selected Infectious Diseases

Clermont County

Rate

OhioRate

Sexually Transmitted Infections, 2012

Chlamydia 240.2 462

Gonorrhea 40.5 143.5

Syphilis 3 9.9

Prevalence HIV/AIDS

Persons living with HIV diagnosis 35 155.3

Vaccine Preventable Diseases, 2011

Influenza-Associated Hospitalization 12.1 20.9

Meningococcal Disease 0 0.2

Mumps 0 0.1

Pertussis 6 6

Varicella 9 9

Enteric Diseases, 2011

Campylobacteriosis 7 10.3

Cryptosporidiosis 25.1 9.6

Escherichia coli (STEC) 2.5 1.6

Giardiasis 10 6.8

Salmonellosis 8 10.2

Shigellosis 8 2.9

Tuberculosis, 2012

Tuberculosis 1 1.3

CHA Summary – Environmental Health Indicators

Recreational Sites in Clermont County

70%

24%

5%1%

Air Quality Index (Ozone) Clermont County

Days AQ Good

Days AQ Moderate

Days AQ Unhealthy for Sensitive Groups

Days AQ was Unhealthy

Days AQ Very Unhealth

Days AQ Hazardous

Community Strengths and Themes Assessment

Senior Living Facilities (subsidized)• Lytle Trace, Williamsburg• The Crossing of Amelia• Steamboat Trails, New Richmond• O’Bannon Terrace, Goshen• Summerside Woods, Cincinnati• Garrison Place, Felicity• Dimmitt Woods, Batavia• AHEPA 127, Milford • Amanda Acres, Amelia• Bethel Woods• Chaucer Square, Amelia• Felicity Apt• Owensville Commons• SEM Villa , Milford• St. Marks, Milford• Tabaleen Cove, Milford• Thompson Meadows, Amelia

Nursing Homes

Organization City

Angels Home Health New Richmond

Optioncare Milford

Eastgate Health Care Center Cincinnati

SEM Haven Milford

Sunrise Manor & Convalescent Center Inc

Amelia

Mellonridge Rest Home Goshen

Quehl Residential Home Milford

MRDD Group Home Milford

MRDD Group Home Milford

Eastgate Retirement Village Cincinnati

Dobbins Nursing Home New Richmond

Batavia Nursing Care Center Batavia

Arborview Williamsburg

Arbors at Milford Milford

Urgent CareMercy Health Solutions

Summerside

Bethel Internal Medicine and Pediatrics

Bethel

Doctors Urgent Care MilfordEastside Urgent Care Cincinnati

Local Farmers' Markets• Batavia Market• Goshen Farmstand• Milford Market• Mt. Carmel Market• Wilfert’s Farm Amelia• Wilfert’s Farmstand Amelia• Wilfert's Farmstand Withamsville

Area• Wilfert's Farmstand Mt. Carmel

AreaFaith Based Organizations

Quality of LifeSchoolsCommunity ParticipationEconomic OpportunityRecreation Health Care System

Safe Place

to Live

Networks of

Support

Consider each supporting factor on a scale of 1-5 (1 – Very Poor, 2 – Poor, 3 – Fair, 4 – Good, 5 – Very Good) and then consider overall

quality of life.

Consider access, cost, availability, quality,

options in healthcare

Consider locally owned businesses , jobs with

career growth, job training, higher education,

affordable housing, reasonable commute

Consider neighbors, support groups, faith

based community

Consider residents involvement in community

events, volunteers

Consider safety at home, workplace, school, playground, parks, mall

What are the Major Themes (Issues)?

Major Themes (Issues) to Consider

• Obesity

• Child

• Adult

• Tobacco Use

• Drug Use

• Mental Health

• Infant Mortality

• Breastfeeding

• Homelessness

• Secondary education for healthcare professionals

• Chronic Disease Issues

• Access to Healthcare/Lack of providers

• Injury Prevention

• Suicide

• Teen Pregnancy

• Infectious Diseases

• Alcohol Abuse

• Aging Population

• Others___________________________

Suggestions/Strategies

Next Steps

• Information Collected April and May 2014

• Prioritizing Issues, June 2014

• Establish goals, objectives, and strategies for each priority, June 2014

• Develop Draft Plan for Comment July 2014

• Solicit Feedback on Plan, Early August 2014

• Develop Final Plan, End of August 2014

How You Can Continue to Participate

• Information is posted on Health District website at www.clermonthealthdistrict.org

• Notifications will be made through press releases and social media (Facebook)

• Contact the Health District directly at:

• 513-732-7499

• cchealth@clermontcountyohio.gov