Community Health Snapshot: Healthcare Initiative Consortium

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Ambrose Wilkinson
7 years ago
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1 Community Health Snapshot: Healthcare Initiative Consortium

2 Definition and Purpose! The Healthcare Initiative Consortium is a group of healthcare leaders gathering Hall County data on some of the top health indicators.! This group is working toward community health improvement on the local level using meaningful and specific data, as well as ongoing communication.

3 Members! Last year, this group provided a community snapshot on adult health indicators. For this information, go to: Group includes representatives from:! Physician practices: " The Longstreet Clinic " Northeast Georgia Medical Center " Northeast Georgia Physicians Group Primary Care Clinic at the Hall County Health Department! Brenau University College of Health Sciences! Good News Clinics! The work of this group dovetails with Vision 2030 and the Greater Hall Chamber of Commerce s Healthcare Committee.

4 Obesity: Findings from Adult Survey! Regardless of insurance status, between 75 & 80% of the adult sample (2011 data, patients 18 and older) are overweight or obese, which is worse than state and national data.! Georgia data show 64.8% of adults were overweight, with a Body Mass Index of 25 or greater. Nationally, more than one-third of U.S. adults (35.7%) are obese.

5 Significant Findings: Obesity (Adults)! Recent research shows that obesity rates have doubled among adults and tripled among children in the U.S. These trends will affect life expectancy and obesity-related diseases like diabetes and heart disease.

6 Significant Findings: Obesity (Adults)! Recent research shows that obesity rates have doubled among adults and tripled among children in the U.S. These trends will affect life expectancy and obesity-related diseases like diabetes and heart disease. At this rate, we may begin to see more and more parents outliving their children.

15 Data: The Longstreet Clinic! The Longstreet Clinic one of the largest multi-specialty practices in Northeast Georgia; largest pediatric provider.! 17,235 patients in pediatric snapshot; includes a broad representation of the community.! Grouped by age: # 2 5 # 6 11 # 12 18! Data reflects time period of one year, 2012

16 Data Elements! Cholesterol! Glucose! Lead Screening! HPV (Human Papillomavirus) Vaccine! BMI determines if weight in the recommended range

17 Cholesterol Percentage yrs yrs yrs. Normal CHOL High CHOL

18 LDL/HDL HDL: Low (<29) Normal (29 89) High (>89) LDL: Low (<60) Normal (60 120) High (>120) LDL or bad cholesterol appears to increase as children get older. HDL(Good) LDL(Bad) PERCENTAGE yrs yrs yrs. 2-5 yrs yrs yrs. AGE GROUPS Low Normal High

19 Triglycerides TRIGLY: Low (<10) Normal (10 150) High (>150) Triglycerides appear to increase as children get older Percentage yrs yrs yrs. Normal TRIGLY High TRIGLY

20 Lead Screening! Lead screening adopted by American Association of Pediatrics as a standard in 1993! Screening provided for 2 7 year olds! 100% of children in our sample up to age 8 have been screened.

21 HPV! HPV recommendation to start years of age in girls and boys.! Vaccine given in 3 doses over a period of 6 months.! This is a new approach and the first vaccine for cancer prevention. 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

22 BMI! 36.57% of those in the 2 18 age groups were overweight or obese. (> 85 th percentile). Distribution similar when broken down by ethnicity or gender PERCENTAGE yrs yrs yrs. Underweight Normal Overweight or Obese

23 OBESITY: Local Numbers 50% 45% 40% 35% HALL COUNTY: Prevalence of Overweight and Obese Students, by School Type *Local school data correlates with our study. 30% 25% 20% 15% 10% 5% 0% Elementary, 41% Middle, 45% High, 36% Overweight or obese ( 85th %ile) Elementary, 23% Middle, 24% High, 19% Obese ( 95th %ile) Elementary Middle High

24 OBESITY: Comparative Data Hall County Sample: Georgia: United States: 36.57% age are overweight or obese. 35% (10 17)* 31.3% of children are overweight or obese* *according to Kaiser Family Foundation

25 OBESITY: Comparative Data Hall County Sample: Georgia: United States: 36.57% age are overweight or obese. 35% (10 17)* 31.3% of children are overweight or obese* Georgia ranked 49 th in the percentage of children ages who are overweight or obese. *according to Kaiser Family Foundation

26 OBESITY: Comparative Data Hall County Sample: Georgia: United States: 36.57% age are overweight or obese. 35% (10 17)* 31.3% of children are overweight or obese* Georgia ranked 49 th in the percentage of children ages who are overweight or obese. Healthy People 2020 s goal is 14.5% (overweight/obese children) *according to Kaiser Family Foundation

27 Impact of Food Deserts! Food deserts are areas that lack access to affordable fruits, vegetables, whole grains, low-fat milk, and other foods that make up the full range of a healthy diet.! - CDC

28 Hall County s Food Deserts # 13,973 children living in Hall County have limited access to a store (other than a small community store with limited options at a higher cost)

29 Hall County s Food Deserts # 13,973 children living in Hall County have limited access to a store (other than a small community store with limited options at a higher cost) # 28% of Hall County s population has limited access to stores that have affordable fruits and vegetables

30 Obesity! Weight loss (healthy eating and exercise) impacts cholesterol levels, blood pressure, blood glucose levels.! Reinforces the need for community to embrace healthy lifestyles, encourage activity walking trails, green space, access to healthy foods, education, school lunch menus, tying into the goals of Vision 2030.

32 Reading Readiness of Our Children! Only 1 in 3 Georgia 3 rd Graders can read proficiently! Children who cannot read by 3 rd Grade are 4 times more likely to drop out of high school.! By age 5 a typical middle class child recognizes 22 letters of the alphabet, compared to 9 for children from low income families.! 61% of low income children have no children s books at home. * The Get Georgia Reading Campaign for Grade Level Reading.

33 UW s Read Learn Succeed Initiative As early as 18 months, low income children begin to fall behind in vocabulary development and other skills critical for school success. Parents play an enormous role, as do daycare providers, pediatricians, preschool programs and the broader community.

34 Reach Out and Read Model! Program geared to engaging community pediatricians and providers with parents and caregivers! Between the ages of 6 months and 5 years children are seen 10 times for an well or preventive visit.! Significant amount of counseling and anticipatory guidance around developmental milestones included in these visits.! Goal of the program is for the pediatrician to provide an age appropriate book at each visit and to engage parents in the importance of reading.

35 What Can We Do? Elected Officials Civic Organizations Kids Young Churches Individuals Business Leaders Families Senior Citizens Gainesville-Hall County is a model for providing high-quality, affordable healthcare to its residents. An important part of this initiative is an innovative set of wellness programs, which involves residents in managing their own health. - A Vision 2030 Goal

36 Everyone Has a Role Make a Difference What will yours be?! Volunteer to help with a community garden! Pledge to eat more fruits and vegetables! Be a role model for your kids! Move more! Advocate for more greenspace! Advocate for reading readiness skills! Volunteer to read to children library or schools! Incentivize healthy activities at the workplace

37 Community Health

38 Questions?! For more information about this data: Elizabeth Higgins (770)

Body Mass Index of Nevada Students School Year 2013-2014

Body Mass Index of Nevada Students School Year 2013-2014 August 2015 Version 1.0 Office of Public Health Informatics and Epidemiology Division of Public and Behavioral Health Department of Health and Human