Lane CountyCommunity Health Improvement Plan

Community Team

Common understanding Common measures Common narrative Common objectives Common plan

Varying roles

Schools

Social Services

BusinessGovernment

Faith Communities

The “community” is defined as Lane County.

3

Sample Data Sources | National, State & Local (Note: Very little use of hospital data)

2010 US Census Healthy People 2020 CDC obesity data / maps National Prevention Strategy, the

National Prevention Council, June 2011

Oregon Healthy Teens 2007-2008 8th and 11th grade summarized

United Way of Lane County’s 2008 Leading Indicators Report

Lane Senior & Disabled Services, 2011 Community Needs Assessment

Oregon Tobacco Prevention and Education Program

County Health Rankings, 2012 Head Start of Lane County Community

Assessment 2011-2012 National Vital Statistics Report (NVSR)

Final Data for 2009 Healthy Air Survey, Lane County Public

Health Oregon Tobacco Facts and Laws Prevent Obesity – Institute of

Medicine Oregon Student Wellness Survey Lane County Housing tenant survey Eugene Taskforce on homelessness

Qualitative Data: Community Engagement

Outreach to existing community groups Rotary & other service groups Social service organizations Religious groups

Focus groups: United Way Community Conversations Public forums Public officials

County commissioners City councils School boards

Key stakeholder interviews Surveys: Written and online

KEY FINDING: AgingLane County is growing older, especially our rural communities.

6

Cottage Grove Creswell Eugene Florence Junction City Springfield 0%

5%

10%

15%

20%

25%

30%

35%

40%

Percent 65 years of age or older

Source: 2010 Census

KEY FINDING: InsuredIn 2012, 21% of Lane County and Oregon residents were uninsured, 2% better than 2011, but still worse than the national average.

0%

5%

10%

15%

20%

25%

% Uninsured

Lane County

Oregon

Nation

7

Key Finding: Obesity27% of Lane County residents are obese.

8

KEY FINDING: TobaccoPrenatal smoking is significantly higher in Lane County .

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

10

12

14

16

18

20

22

24

2223

20 20

1817

19

17

15

16

13

11 12 12

1516

15

14

1617

2221

21

1918 18 18

1615

1513

13 1312

13 12 1212

1413

Prenatal Smoking, Oregon vs. Lane County,1990 through 2009

Lane County

Oregon

Year

Pren

atal

sm

okin

g (%

)

9

KEY FINDING: Behavioral HealthDeaths due to alcohol and suicide are significantly higher in Lane County.

10

0

2

4

6

8

10

12

14

16

18

20

Alcohol Suicide

Lane County

Oregon

Nation

Deaths per 100,000

Source: Lane County and Oregon Data from Oregon County Vital Statistics Book 2008; National Data from National Vital Statistics Report

KEY FINDING: ImmunizationsReligious exemptions for vaccinations have risen in Lane County.

2000

-200

1*20

01-2

002*

2002

-200

3*20

03-2

004*

2004

-200

5*20

05-2

006*

2006

-200

7

2007

-200

8

2008

-200

9

2009

-201

0

2010

-201

1

0

1

2

3

4

5

6

7

Religious Exemption Rates, 2000-2011

Children's Facility Kindergarten and 1st Grade* 7th Grade

% R

elig

ious

Exe

mpt

11

Community Priorities

1. Health Equity2. Tobacco3. Obesity4. Substance Abuse and Behavioral Health5. Access to Health Care

12

1. Improve Health Equity

Examine all Community Health Improvement Plan strategies through an “equity lens” to reduce disproportionate impacts

Raise awareness and understanding of health disparities among elected officials and other community leaders

Engage diverse communities in policy initiatives Increase the capacity of diverse populations to participate in

health improvement activities Increase the availability of culturally competent and

nontraditional health workers Improve data collection systems to improve monitoring of health

disparities

13

2. Prevent and Reduce Tobacco Use

Increase the tobacco tax Protect people from exposure to second hand smoke by

creating tobacco-free properties and community events Promote the Oregon Tobacco Quitline Strengthen and enforce tobacco retail licensing to reduce

sales to minors Promote and support efforts to reduce tobacco use initiation,

especially among youth

14

3. Prevent and Reduce Obesity

Increase understanding of the role of sugary beverages in the obesity epidemic and work to reduce consumption

Encourage local organizations to adopt and implement nutrition standards for foods and beverages sold at their sites

Promote and support physical activity throughout the school and work day for students and employees

Promote Healthy People, Healthy Communities messaging around physical activity and nutrition

Support legislative efforts to fund local obesity prevention efforts Farm to school, School Gardens Active Transportation

15

4. Improve Mental Health, Prevent & Reduce Substance Abuse

Increase awareness of risk & protective factors, mental health promotion, Adverse Childhood Experiences and reducing stigma

Support community and organizational policies that promote mental health and reduce substance abuse

Promote early identification and access to care of depression

Promote strategies that discourage heavy drinking and illegal drug use

Improve and increase early substance abuse intervention

Support providers in using evidence-based & trauma-informed screening, assessment and referral policies

Support policies to reduce access to lethal means of self-harm

16

5. Improve Access to Care

Improve access to health care for rural Lane County

Increase immunization rates

Improve oral health

Improve patient connectivity with physical, mental and behavioral health services

Healthcare workforce development

Improve access to self-management programs

17

Steps for Success

Close collaboration with community partners Organizational infrastructure

Leadership Accountability

Budget implications Focus existing resources on community health priorities Align community health with other improvement priorities Identify new resources needed Leverage external funding, e.g. grants

18

We envision a future where everyone in Lane County is empowered to improve the

lifelong health of all people in Lane County.

- Lane County’s Healthy Future, A Community Health Improvement Plan

for Lane County, Oregon

19