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1 Partner Up! Campaign Overview & Connecting the Dots Preview Athens Health Network Athens, Georgia June 21, 2012 Presented By: Charles Hayslett, CEO Hayslett Group LLC

2 Facebook: Partner Up! for Public Health Funded by Healthcare Georgia Foundation

3 Testimony made it clear that due to the current and worsening shortage of public health nurses, during a time of significant medical emergency, Georgia will not be able to perform as is required and expected by the public. [Federally required Emergency Support Functions] 6 & 8, [Strategic National Stockpile] distribution, telephone triage, and emergency support will not function as designed, and will lead to mass disruption, unavailability and degradation of care, perhaps leading to panic or civil unrest. In the event of pandemic, the medical system in Georgia will collapse due to unprecedented volume without improvement to existing public health infrastructure. -Study Committee on Public Health Georgia House of Representatives 2006

4 The Committee recognizes that Georgia s Public Health System is in a state of crisis due to increasing responsibilities, increasing population, emergency infectious disease, the problems of immigration, the threats of terrorism and pandemic influenza, a shrinking public health workforce, and decreasing funds. -Study Committee on Public Health Georgia House of Representatives 2006

5 Georgia s Population Grows While Public Health Nursing Workforce Falls Georgia Public Health Nurses

6 Per Capita Public Health Spending: $120 $110 $100 $90 $80 $70 $60 $50 Alabama Florida Georgia Kentucky Louisiana Mississippi N. Carolina S. Carolina Tennessee $ Source: America s Health Rankings

7 2011 Public Health Spending Per Capita $70.00 $60.00 $50.00 $40.00 $30.00 $68.04 GA ranks 44 th in per capita PH spending Only MS spends less per capita in South AL leads the region; spends 4X more per capita than GA $20.00 $10.00 $0.00 $13.28 $9.70 Source: Trust for America s Health

8 Georgia s 2011 Health Rankings (Children s Division) Category 2011 Ranking Georgia Value U.S. Avg. No. 1 State Value Early Pre-Natal Care (% w/ visit in 1 st % NA N/A trimester)* Infant Mortality** (Deaths/1,000 live births) Low-Birthweight Babies** (Live births <5.5 lbs) % 8.2% 5.8% Teen Births** (Births/1,000 females 15-19) Immunization Coverage (% children % NA 96.0% mos)* Childhood Obesity*** (% population) % 9.6% Child Deaths** (Deaths/100,000 children 1-14) Teen Deaths** (Deaths/100,000 children 15-19) Sources: *America s Health Rankings ** Kids Count *** F as in Fat, Trust for America s Health

9 Georgia s 2011 Health Rankings (Adult Division) Category 2011 Ranking Georgia Value No. 1 State Value Smoking (% adult population) % 9.1% Binge Drinking (% adult population) % 6.7% Obesity (% adult population) Infectious Disease (Cases/100,000 population) Diabetes (% adult population) % 5.3% Cardiovascular Deaths (Deaths/100,000 pop.) Health Insurance (% w/out health insurance) % 5.0% Premature Death (Years lost/100,000 population) 38 8,148 5,481 Sources: *America s Health Rankings

10 Facebook: Partner Up! for Public Health Funded by Healthcare Georgia Foundation

11 Partner Up! Campaign Activities Leadership Training Sessions 40-member Board of Advisors Public Health News Bureau Public Health Heroes Recognition Program This is Public Health Student Video Contest Connecting the Dots: Economic Vitality & Community Health

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14 Connecting the Dots: Public and Economic Health University of Wisconsin 2011 Health Outcomes Rankings Premature Death Poor or Fair Health Poor Mental & Physical Health Days Low Birth Weight Georgia DCA 2011 Job Tax Credit Rankings Average Per Capita Income Unemployment Rate Poverty Rate

15 Top & Bottom 10 County 2011 Job Tax Credit Rankings (Reversed) Oconee 1 2 Columbia 2 8 Harris 3 14 Fayette 4 1 Forsyth 5 3 Bryan 6 23 Cherokee 7 6 Cobb 8 5 Effingham 9 27 Houston Wisconsin Health Outcomes Rankings County 2011 Job Tax Credit Rankings (Reversed) Calhoun Warren Macon Treutlen Johnson Atkinson Taliaferro 156 NR Jenkins Telfair Hancock Wisconsin Health Outcomes Rankings

16 Economics & Public Health 2011 Tax Credit Rankings Unemployment Rate Per Capita Income Poverty Rate 2011 Health Outcomes Rankings Life Expectancy % Poor or Fair Health Poor Physical & Mental Health Days Low Birthweight Georgia Dept. of Community Affairs 2011 Job Tax Credit Rankings University of Wisconsin 2011 County Health Rankings for Mortality & Morbidity

17 Average Medicaid Spending Per Capita By Combined Health & Economic Status

18 Georgia Weight Classification Source: CDC Behavioral Risk Factor Surveillance System

19 Georgia Obesity Rankings:

20 Obesity-Attributable Health Care Spending Georgia Colorado 2008 Obesity Rate 32.0% 23.8% 2018 Obesity Rate (Proj) 41.4% 29.8% 2008 Adult PC Obesity-Attributable Spending $385 $ Adult PC Obesity-Attributable Spending (Proj) $1,442 $ Total Obesity-Attributable Spending $2.54B $809M 2018 Total Obesity-Attributable Spending (Proj) $10.85B $3.24B Pct Increase % 300% The Future Costs of Obesity: National and State Estimates of the Impact of Obesity on Direct Health Care Expenditures United Health Foundation, APHA & Partnership for Prevention

21 Area Counties 2012 Rankings and Partner Up! Power Ratings Athens Area Health & Economic Rankings DCA Job Health Tax Credit Rankings Partner Up! Power County Outcomes (Reversed) Ratings Clarke Oconee Madison Jackson Barrow Oglethorpe

22 Athens Area Counties Health Outcomes & Health Factors Health Indicator Clarke County Oconee County Madison County Georgia National Benchmark Low birthweight 8.90% 7.80% 8.40% 9.40% 6.00% Adult obesity 28% 26% 31% 28% 25% Sexually transmitted infections Teen birth rate Uninsured 23% 15% 23% 21% 11% Primary care physicians 936:1 813:1 3,112:1 1,024:1 631:1 High school graduation 70% 93% 74% 81% Children in poverty 36% 11% 25% 25% 13% Children in single-parent households 47% 18% 37% 36% 20% Violent crime rate Air pollution-ozone days Fast food restaurants 49% 53% 70% 50% 25%

23 Tier Profiles: Size Matters Tier No. Urban Counties No. Rural Counties Combined Population Top Tier ,775,499 Middle Tier ,912,922 Bottom Tier ,773,866 Top Tier rural counties tend to be attached to urban areas Most Bottom Tier non-rural counties aren t much above the 35,000 person threshold 32 counties have populations under 10,000; none are in the Top Tier, 11 are in the Middle Tier, 18 are in the Bottom Tier, and 3 are unrated

24 Urban Greens vs. Rural Reds Urban Green Counties Rural Red Counties No. Counties Population 6,297, ,698 Medicaid Rate 11.93% 22.51% Avg. Medicaid Expenditure/Enrollee $3,149 $3,625

25 Rural Hospital Indigent Care Percentages by Tier

26 Economic Development Green: 20 Yellow: 8 Red: 7

27 Closing Observation 1: In Georgia, health planning and economic development aren t linked. They should be.

28 Closing Observation 2: Recognize that tornadoes, wildfires and floods aren t the only disasters that affect rural Georgia.

29 Closing Observation 3: Realize that reapportionment will be a storm of its own for much of Georgia especially rural Georgia Senate Districts 2011 House Districts

30 Facebook: Partner Up! for Public Health

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