towards a culture of health and wellness dr. angela m. wakhweya, msc.econ. health officer anne...
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Towards a Culture of Health and WellnessDr. Angela M. Wakhweya, MSc.Econ.
Health OfficerAnne Arundel County Department of Health
Health Care Reform Town Hall MeetingSeverna Park Community Center
October 25, 2012
Disclaimer: The Anne Arundel County Department of Health and its representatives do not support any particular political viewpoint but only seek to inform the general public and community about current
public health programs, initiatives, policy and law.
Please visit:http://www.aahealth.org/health-care-reformFor 10 minute you tube video about Health
Care Reform from the Kaiser Family Foundation
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DOH VISION
Our vision is a vibrant Anne Arundel County in which healthy
people reside in healthy communities
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DOH MISSION (1)
Our mission is to preserve, promote and protect the
public health for Anne Arundel County residents
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The State of our Health in Anne Arundel County
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*Crude rates per 100,000 population
Diabetes Hypertension Chest Pain COPD Asthma0.0
500.0
1000.0
1500.0
2000.0
2500.0
3000.0
White MaleBlack MaleWhite FemaleBlack Female
Gender and Race Disparities2010 Hospital ED Visit Rates*
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disparities
Source: Maryland Health Services Cost Review Commission, 2010
Race Disparities by County
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disparities
Source: Maryland Health Services Cost Review Commission, 2010
Race Disparities by County
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Race Disparities - WeightWeight Status by Race for Anne Arundel County, 2007Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007
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Childhood ObesityWeight Distribution by Age Group for Children and Adolescents, 2006Data source: Anne Arundel County Department of Health Provider-based County Survey of Children and Adolescents, 2006
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Towards A Healthy Weight!We are heading in the wrong direction!
Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the USData source: National BRFSS
Bend the obesity curve downwardsA CALL TO ACTION!
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Healthy Anne Arundel CoalitionVISION
Healthy County,
Healthy People!
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Healthy Anne Arundel Coalition
Coalition Network
Steering
Committee
Community Outreach Subcommittee
Co-Occurring Disorders
Subcommittee
Community Health Needs Assessment
Subcommittee
Promotion and Publicity
Subcommittee
Obesity Prevention Subcommittee
Academia
Existing Boards, Committees &
Coalitions
Government Agencies
Faith-Based Organizations
Community-Based Organizations
Health Care Providers Philanthropy
Businesses
Leadership & Finance Subcommittee
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Healthy Anne Arundel Coalition Health Improvement Focus Areas
Obesity* Mental Health & Substance Abuse as
Co-Occurring Disorders* Cancer and Tobacco Use Dental Care Sexual Health Housing and Environmental Conditions
*Designated Priority Areas
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Six Target Behaviors:Eat Healthier…
1. Increase consumption of fruits and vegetables
2. Increase breastfeeding initiation, duration, and exclusivity
3. Decrease consumption of sugar sweetened beverages
4. Decrease consumption of high energy dense, nutrient poor, foods
Move More…5. Increase physical activity6. Decrease television viewing
Stress Less…take time to care for yourself!*Source: CDC
Obesity Prevention
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Targeted Behaviors/Interventions: Stress Reduction Identify suicidal ideation among youth
and reduce attempted and completed suicides among youth
Identify prescription drug abuse Reduce driving under the influence of
alcohol and drugs Manage untreated mental health
conditions Increase recovery support among adults
and adolescent peers
Co-occurring Disorders
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Coalition Influence and Reach (1)Organization Employees Reach Wellness
Program
A.A. Co. Dept. of Health 710 All Co. residents Yes
Anne Arundel Health System
3,600 80,000+ ED visits; 25,000+ inpatient
Yes
Baltimore Washington Medical Center
2,600 100,000+ ED visits; 30,000 in outreach
Yes
A.A. Co. Public Schools 8,000+ 76,000+ students Yes
A.A. Community College 1,000+ 15,000+ students Yes
Healthy Anne Arundel Coalition - October 2012
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Coalition Influence and Reach (2)Organization Employees Reach Wellness
Program
A.A. Co. Dept. of Aging & Disabilities
100 Older and disabled Co. residents
Yes
A.A. Co. Dept. of Detention Facilities
400 7,800 inmates/year TBD
A.A. Co. Dept. of Recreation & Parks
300 500,000+ County residents & visitors
Yes
A.A. Co. Dept. of Social Services
350 60,000+ families Yes
A.A. Co. Executive’s Office/County Employees
5000 500,000+ County residents
Yes
City of Annapolis 600 38000 Yes
Healthy Anne Arundel Coalition - October 2012
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Coalition Influence and Reach (3)Organization Employees Reach Wellness
Program
MedStar Harbor Hospital 1,400 Approx. 185,000 County residents
Yes
Rite Aid Corporation 150 (in Co.) 15,000 customers per week in County
Yes
CareFirst BlueCross BlueShield
5,000 (in Baltimore/ DC area)
3.4 million in MD Yes
People’s Community Health Centers, Inc.
121 14,600 unduplicated clients/ year
Yes
TOTAL ~ 20,000 ~ 300,000+ ALL!
Healthy Anne Arundel Coalition - October 2012
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Zip Code Name County RegionDeaths from Leading Causes, Ages 0-64 years
Highest Crude Death Rate (per 100,000)
21225 Brooklyn Northern 26 199.66
21060 Glen Burnie East Northern 48 189.89
21061 Glen Burnie West Northern 80 167.43
21401 Annapolis Central 37 127.47
21122 Pasadena Northern 67 124.46
ZIP Codes with the highest death rate from the five leading causes, Ages 0-64
Geographic DisparitiesFive Leading Causes of Death for AA County (2010)1. Heart Disease 4. Chronic Lower Respiratory Disease
2. Cancer 5. Diabetes
3. Stroke
County Schools
79 Elementary Schools Enrollment: 36,759
19 Middle Schools Enrollment: 16,848
12 High Schools Enrollment: 22,696
142 Private SchoolsEnrollment: 15,038
300+ school health staff!
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ZIP Code Name# Elementary
Schools# Middle Schools
# High Schools
# Private Schools*
21225 Brooklyn 3 1 0 0
21060 Glen Burnie East 6 1 0 4
21061 Glen Burnie West 9 1 2 2
21401 Annapolis 5 1 1 15
21122 Pasadena 8 2 2 6
TOTAL 31 6 5 27
Opportunity for School Based Partnerships
* Not all private schools may be represented October 25, 2012 Anne Arundel County Department of Health 22
ZIP Code Name# Elementary
Schools# Middle Schools
# High Schools
# Private Schools*
21037 Edgewater 3 1 1 5
21144 Severn 4 -- -- 3
21146 Severna Park 5 1 1 4
21403 Eastport 4 1 -- 5
21409 Annapolis 2 -- 1 --
TOTAL 18 3 3 17
Opportunity for School Based Partnerships (2)
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Faith Based Organizations
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ZIP Code Name Christian Jewish Muslim Other
21225 Brooklyn 8 -- -- --
21060 Glen Burnie East 28 -- -- --
21061 Glen Burnie West 32 -- -- --
21401 Annapolis 57 1 -- 1
21122 Pasadena 24 -- -- --
TOTAL 149 1 -- 1
Opportunity for Faith Based Partnerships (1)
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ZIP Code Name Christian Jewish Muslim Other
21037 Edgewater 23 -- -- --
21144 Severn 26 -- -- --
21146 Severna Park 17 -- -- --
21403 Eastport 19 1 1 --
21409 Annapolis 1 -- -- --
TOTAL 86 1 1 --
Opportunity for Faith Based Partnerships (2)
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Healthy Anne Arundel Coalition Measures of Success
Decreased emergency department visits Decreased preventable hospitalizations Decreased hospital readmissions Decreased costs Increased quality of life
Better Care. Better Health. Lower Costs.
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Healthy Anne Arundel Coalition
Strategy 1: Work with AACPS to promote “Healthiest Schools”
Strategy 2: Work with AACPS, County employees, Chambers of Commerce and large employers to promote “Healthiest Workplaces”
Strategy 3: Work with community and faith based partners to promote “Healthiest Communities”
……….in high prevalence zip codes…….
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Contacts
Laurie B. Fetterman, MSW Brandon J. Johnson, MHSPhone: 410-222-7203 Phone: 410-222-7244Email: [email protected] Email: [email protected]
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Resources
Governor’s Office for Health Care Reform http://www.healthreform.maryland.gov
Maryland Department of Health and Mental Hygiene http://dhmh.maryland.gov/exchange
Maryland Health Care Connection
http://www.marylandhealthconnection.gov/
Anne Arundel County Department of Health http://www.aahealth.org/health-care-reform
Maryland Women’s Coalition for Health Care Reform
http://www.mdhealthcarereform.org
Maryland Health Enterprise Zones
http://dhmh.maryland.gov/healthenterprisezones
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