Community/ Public/ Population Health Research Division. Dr. Sushma Sharma
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1 Community/ Public/ Population Health Research Division Dr. Sushma Sharma
2 Projects Community Health: Working for and with the communities Community Health Collaborative Healthy North Texas Community Website Public Health: Preventing disease, prolonging life and promoting health and efficiency Diabetes project Projects with Parkland Hospital Injury Prevention Center, MHMR Population Health: Understanding and reduce health inequities among population groups in North Texas by identifying the disparities related to environment, social structures and resource distribution Identifying the disparities in Diabetes Prevalence Emergency Room Visits Hospitalizations and Readmissions Cultural and Linguistic competence in healthcare Sexual Assaults Drowning in Children
3 What is the North Texas Community Health Collaborative? Collaborative membership comprised of professionals with expertise in: Public Health Community Health Prevention Data Analysis Health Disparities Strategic Planning Advocacy To provide the citizens of North Texas with a sustainable mechanism for: Assessing the health of their communities Identifying areas of need Collaborating on initiatives to address areas of unmet need Measuring outcomes Identifying community resources
4 Community Health Collaborative Coming together is a beginning; keeping together is progress; working together is success Henry Ford United Way of Tarrant County Federal Reserve Bank of Dallas Methodist Health Systems Texas Health Resources Children's Medical Center Cigna Healthcare Central Region Office of Health Equity Baylor Healthcare System Parkland Health and Hospital System Arlington Chamber Center for Community Health -University of North Texas Health Science Center Cook Children s Health System Health Industry Council Healthy Tarrant County Collaborative DFW Area Health Education Center Tarrant County Public Health University of North Texas Health Science Center Dallas County Medical Society School of Public Health UT Southwestern Medical Center JPS Health Network UT Southwestern Medical Center
5 Motto of the North Texas Community Health Collaborative Through community-based participatory research (CBPR) working with communities rather than merely in communities - we seek to develop replicable models for understanding health and disease determinants/disparities, and supporting mechanisms for promoting healthier life for individuals, families, neighborhoods, and communities. A community is like a ship, everyone ought to be prepared to take the helm. Henrik Ibsen
6 First Challenge : Diabetes Prevention and Management By 2025 Our state will be home of 4 Million Diabetes patients DFW area may be home to well over 1 MillionDiabetes patients (Rowley W, 2011) MSRB 2013
7 Diabetes Strategic Plan Approaches Increase awareness and capacity of health systems and providers to understand and act on the social, behavioral, and environmental determinants of diabetes Create opportunities for communities, as well as local institutions, to develop understanding of the social and structural factors influencing diabetes Improve data availability, coordination, and utilization of prediabetes and diabetes metrics Coordinate and support culturally appropriate and evidenced based interventions that encourage prevention and early detection
8 Leveraging Assets Strategic Plan Model Community Development Health Promotion Consciousness Raising
9 Map1: Frequency of Diabetic Patients by Zip Code in Dallas County
10 Clinical Statistics of High Diabetes Prevalence Zip codes in Dallas and Tarrant Counties County High Diabetes Prevalence Zip codes Dallas Zip code Tarrant Zip code Over all Diabetes Prevalence 11% 19% Inpatient + Outpatient Number of Diabetes Patients in Number of Diabetes cases in Inpatient ER Number of Diabetes Patients in Number of Diabetes cases in Outpatient ER Number of Diabetes Patients in Number of Diabetes cases in %Diabetes Prevalence in ER visitors 26% 29% (number of cases with Diabetes) Overall Diabetes Prevalence in Patients 34% 42%
11 Statistics, Demographic and Payer information of High Diabetes Prevalence Zip codes in Dallas and Tarrant Counties County High Diabetes Prevalence Zip codes Dallas Zip code Tarrant Zip code Number of Diabetes Patients in Number of Diabetes cases in %Diabetes Prevalence in ER visitors (number of cases with Diabetes) 26% 29% Adult vs. Pediatric Cases 4627 / / 26 Gender Race Ethnicity Female 2740 (57%) 3466 (64%) Male Black 1283 (27%) 3011 (55%) Other 2128 (45%) 1443 (27%) White 1295 (27%) 942 (17%) Asian or Pacific Islander 4 31 American Indian / Eskimo / Aleut 12 9 Hispanic or Latino Not Hispanic or Latino 3322 (70%) 4704 (87%) Insured Payer Information Medicaid Medicare Uninsured Charges Total Charge 70,909,175 98,370,279
12 Healthy North Texas: A Community Health Website
13 Why a Community Health Website? Source of community health and population data Democratize local, state, and national data Addresses all priorities of Community Health Collaborative Can be used over time to monitor and track community health trends Real time and interactive reporting capabilities
14 What is it? Online community health and population data source for six county region Collin, Dallas, Denton, Johnson, Parker, Tarrant Health indicators and outcomes metrics from multiple sources in a consolidated, user-friendly, online format Event calendar, news articles, report library Real time and interactive reporting capabilities
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17 The North Texas Community Centered around Dallas-Fort Worth Metroplex Urban and Rural areas Population estimates over 6 million residents
18 Excellence Through Collaboration Thanks
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