what does it take? creating a culture of health at the ... · kansas city’s most vulnerable...
TRANSCRIPT
What does it take? Creating a Culture of Health at the Local Level
6.2.16
Dr. Sarah Martin-Anderson
Director of Community Engagement, Policy and
Accountability
• Engage and Motivate People
• District Meetings• Government Relations• Bridge Building LifeX• Empower with data
• Make Good Policy• Run Mayor’s Health
Commission and Committees
• Track legislation• Get stuff passed
• Accountability • Manage SNP contracts• Performance
Management• Public Dashboards• Monitor Trends
So what does CEPA Do?
Context
Bias
Social and
Economic
Factors
40%
Health
Behaviors
30%
Clinical Care
10%
Physical
Environment
10%
Genes and
Biology
10%
What Creates Health?
What are the Determinants of
Health?
Tarlov AR. Public policy frameworks for improving population health. Ann N Y Acad Sci 1999; 896: 281-93.
The Community Health Improvement Plan 2016-2021
The Local Public Health System
Assessment
Data on health and social equity
Community feedback
Chances ChoicesPreventable
Disease
Issue area #1: Education
Early Childhood Education
• Increase the percentage of 3 and 4 year olds who attend high-quality Early Childhood Programs (ECE).
Preventable Absences
• Decrease the number of school days missed because of preventable physical, mental and social health issues.
The Digital Divide
• Increase the number of households with consistent access to a computer with high speed internet.
Goal: Kansas City 3rd Graders should be able to read at grade level.
Issue area #2: Violence
Youth and Family Master Plan
•Create, implement and sustain a Youth and Family Violence Prevention Plan by 2021
Violence Prevention
• Increase the priority of violence prevention as a public health issue
High School Graduation
•Demonstrate incremental progress towards a 90% average 4-year adjusted cohort high school graduation rate in Kansas City’s most vulnerable schools for African American and Hispanic students by 2021.
Goal: Reduce the incidence of violent crime and address racial disparities in incarceration.
Issue area #3: Economic Opportunity
Living Wage Jobs
• Increase access to living wage jobs through both supply-side (job skills and vocational training) and demand-side (example: raising the minimum wage) policies.
Predatory Lending
• Decrease the negative impact of predatory lending on borrowers and increase the access to alternative forms of affordable short-term lines of credit.
Goal: Decrease the income and wealth gap between zip codes.
Issue area #4: Access to care
Cultural Competence
• Increase the number of health care providers measuring their level of culturally competent care
• Increase number of colleges/universities with health care profession programs that offer a cultural competency course
Provider Shortages
• Incrementally decrease HPSA Score from current score of 16 for Jackson County and Clay/Platte counties
Goal #1: Improve health through increased utilization of mental health care.
Issue area #4: Access to care
Preventable Hospitalizations
• Incrementally decrease the number of hospital admissions that are preventable
Prenatal Care
• Increase the rate of African American mothers receiving prenatal care in their first trimester
Rates of Sexually Transmitted Infections
(STI’s)
• Decrease the rate of chlamydia, gonorrhea and syphilis—particularly among the adolescent population
Goal #2: Increase utilization of preventative health services
Issue area #5: Built environment
Blight Reduction
• Improve the efficacy of blight reduction programs including illegal dumping enforcement, Land Bank and KC Homesteading Authority.
Food Systems
• Improve access to locally grown, processed and marketed healthy foods
Smoke-Free Housing
• Increase the number of multi-unit housing facilities that are completely smoke free.
Goal: Increase the proportion of neighborhoods that are safe, clean, well-maintained and consistently improved.
Life expectancy by zip code, Kansas City, MO 2010-2014
*Too small population to calculate life expectancy
@ 2010-2014 American Community Survey 5-Year Estimates
64153 64154 64156
64163
64155
6411964151
64134
64129
64120
64157
64161
64132
64138
64149
64131
64116
64130
64137
64117
64136
64118
64160
64164
64139
64133
64127
64165
64133
64108
64133
64128
64147
64111
64158
64109
64126
64118
64124
64114
6414664145
64110
64113
64152
64079
64106
64166
64112
64123
64125
64012
64152
6410564101
64102
64167
64030
64079
64081
64079
64152
Life expectancy
70-72 years
73-79 years
80-83 years
Too small pop.*
Indicates zip codes with the lowest increase in life expectancy over the last 10-15 years
Life expectancy
<74.7
74.8-77.2
77.3-79.9
80+
Life expectancy in 1990-1994 Life expectancy in 2010-2014
64119
64134
64151
64129
64120
64161
64132
64149
6413864131
64116
64130
6411764160
64137
64136
64118
64139
64133
64127
64147
64133
64108
64133
6412864111
64158
64109
64126
64118
64124
64114
6414664145
64110
64113
64152
64106
64112
64123
6412564105
64152
6410164102
64119
64134
64151
64129
64120
64161
64132
64149
6413864131
64116
64130
6411764160
64137
64136
64118
64139
64133
64127
64147
64133
64108
64133
6412864111
64158
64109
64126
64118
64124
64114
6414664145
64110
64113
64152
64106
64112
64123
6412564105
64152
6410164102
64153 64154 6415664155 6415764153 64154 6415664155 64157
64163
64164 6416564166 64167
64163
64164 6416564166 64167
Biggest and smallest increasing life expectancy (LE) between 1990-1994 vs. 2010-2014
64153 64154 64156
64163
64155
6411964151
64134
64129
64120
64157
64161
64132
64138
64149
64131
64116
64130
64137
64117
64136
64118
64160
64164
64139
64133
64127
64165
64133
64108
64133
64128
64147
64111
64158
64126
64118
64114
6414664145
64110
64113
64152
64109
64079
64106
64166
64112
6412464123
64125
64012
64152
6410564101
64102
64167
64030
64079
64081
64079
64152
Smallest increasing LE
Bighgest increasing LE
zipcode boundaries
• The biggest increasing life expectancy between 2010-2014 vs. 1990-1944 are zip codes 64106, 64112, 64118, and 64155.
• The smallest increasing life expectancy between 2010-2014 vs. 1990-1994 are zip codes 64123, 64129, 64137, and 64138.
65.3
73.3
76.1
67.83
1990-1994 2000-2004 2010-2014 Quality-Adjusted forIncome (2014)
Life
Exp
ect
ancy
(Ye
ars)
Life Expectancies for Zip Code 64106
75.7
72.5 72.5
66.67
1990-1994 2000-2004 2010-2014 Quality-Adjusted forIncome (2014)
Life
Exp
ect
ancy
(Ye
ars)
Life Expectancies for Zip Code 64123
CONNECT!
2400 Troost Ave. │ Suite 4000 │ Kansas City, MO 64108
Phone: 816.513.6244 │ KCMO.GOV │ [email protected]
More Health. More Life. More KCDr. Sarah Martin-Anderson