IMPROVEMENT IMPR VEMENT MEASURES MEASURES(SHIP) (SHIP) AS AS - PowerPoint PPT Presentation

MAR MARYLA YLAND ND ST STATE HEAL TE HEALTH TH IMPROVEMENT IMPR VEMENT MEASURES MEASURES(SHIP) (SHIP) AS AS REL RELATED TED TO O ACTIVITI CTIVITIES IN ES IN RURAL URAL COMMUNI COMMUNITIES TIES AND AND WORKF ORKFORCE ORCE DEVE DEVELOPMENT LOPMENT B Y R O X A N N E H A L E , M H A , C M P E , F A C H E D I R E C T O R , O F F I C E O F P R I M A R Y C A R E A C C E S S 1

MAP OF RURAL MARYLAND

MARYLAND RURAL HEALTHCARE FACILITIES There re are 50 hospi pitals als in Maryland nd The state has zero hospi pitals ls identified ed as C Critical l Ac Access s Hospital als s -A A Critical Ac Access Hospital al (CAH) H) is a h hospital l certified under a set et o of Medicare Conditions ns of Pa Participat pation on (CoP), ), requ quire rements nts for CAH certifica cation on includ ude e having ng no more than 25 inp npatient ent beds; maintaini ning an annual al average length of stay of no more than 96 hours for acute inp npatient ent care; offering ng 24-hour our, , 7-day-a-week ek emergency cy care; and being located in a r rural area, at l least 35 miles drive awa way from any ot other hospi pital al There re are zero Rural Health Clinics cs in Maryland nd -A Rural Health Clinic c is a f federally y qu qualified d health clinic c certified to receive special l Medicare re and Medicaid reimbursem ement ent There re 16 Federally y Qualified Health Centers provide services at 141 sites in the state -FQHCs s must serve an underser erved ed area or popu pulati ation, n, offer a s sliding ng fee scale, provid vide e compr prehen ehensive services, , have an ongoi oing ng qu quality y assurance nce program, am, and have a g governi ning ng board of directors

RURAL HEALTHCARE FACILITIES

SELECTED SOCIAL DETERMINANTS OF HEALTH FOR RURAL MARYLAND • 10.0% of Maryland nd residents dents lack health insura surance nce • Ac According ding to the Economic c Res Research h Service ce, , the average per-ca capi pita ta income for Maryland nd rural reside dent nts s wa was $46,013 3 per capita ta; ; and $53,826 26 for all of Maryland nd • Poverty rate of 15.1% exists sts in rural Maryland, nd, comp mpared ed to 10.1% % in urban areas of the state e • Based d on 2009-20 2013 data, , 14.2% of the rural populati tion on has not ot comp mplet eted ed high h school ol; ; comp mpared d to 11. 1.2% of urban populati tions ns • Unemplo mploym yment ent rate in rural Maryland nd is 6.7%, and in urban Maryland, nd, it is 5.8%

MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) Go Goal To o provi vide de a framewor ork k for accountability ty , , local action , , and public c engagement nt in order to adva vance ce the health h of Maryland nd reside dents nts. Me Measureme surements nts Aligne ned d with h He Healthy People 2020 objectives s establi lishe hed d by t the Department nt of He Health h and Human n Services. es. State e and county ty level data on criti tical al health h measures res is also provi vide ded d throug ough h the SHIP. 6

MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) Re Result sult SHIP P has s encour ouraged aged the developme elopment t of Local al Health h Imp mproveme ement t Coalition litions. s. These ese are each led by local health th officer cers and provide de a forum m for county ty health th departm tment ents, s, nonpr nprof ofit it hospit itals, s, and commun munity ty based ed organiza izati tion ons s to analyze ze and prioriti tize ze commun munity ty health th need eds. s. 7

MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) Avail ailab ability Concerns s of local al jurisd sdict ictio ions s are e addre dress ssed ed by the exten ensiv sive e list of tools s and resou sources s ava vaila ilable ble to: The general public Health planne ners Clinici cians ans Measur Measures es Maryland’s State Health Improvement Process (SHIP) provides a framework for continual progr gres ess s towa ward a h healthier er Maryland nd. . The SHIP include des s 39 measures es in five focus s areas that represent nt what it means for Maryland and to be healthy. 8

SHIP - HEALTHY BEGINNINGS • Infant fant Death Rate • Babies es with h Low B Birth th Weight Sudden den Unexpect ected d Infa fant nt Death Rate (SUIDS) • • Teen Birth th Rate • Early y Prenatal Care • Stude udents nts Enterin ring Kinderg ergarten n Rea Ready To Learn • High h School Graduation ation Rate Childr dren n Rec Receivi ving ng Blood Lead Screeni ning ng •

SHIP - HEALTHY LIVING • Ad Adults ts Who Have a H Healthy Weight ht • Childr dren n and Ad Adolesce cents nts That Are Obese Ad Adults ts Who Current ntly Smoke • • Ad Adolesce scents nts Who Use Tobacco Products cts • HIV Incidenc dence Rate • Life Expecta tancy ncy • Incre rease se Physica cal Ac Activity vity

SHIP – HEALTHY COMMUNITIES • Child d Maltre reatme tment nt Rate • Suici cide de Rate Domesti stic c Violence • • Childr dren n With h Eleva vated d Blood Lead Levels • Fall-Rel elat ated d Death Rate • Pedestr trian n Injury y Rate On Public Ro Roads • Afforda dable e Housing

SHIP – ACCESS TO HEALTHCARE • Ad Adolesce scents nts Who Rec Received d A Wellness ess Checkup up In The Last Year • Childr dren n Rec Receivi ving ng Dental Care In The Last Year Persons ons With h A U Usual Primary y Care Provide der • • Unins nsured ured ED Visits ts

SHIP – QUALITY PREVENTATIVE CARE • Age-Adjust usted Mortality y Rate From Cancer Emergency ncy Department nt Visit Rate Due To Diabet etes • • Emergency ncy Department nt Visit Rate Due To Hypertensi nsion on • Drug-ind nduce uced d Death Rate • Emergency ncy Department nt Visits Related To Mental l Health Conditions ons • Hospitalization Rate Related To Alzheimer’s Or Other Dementias Childre ren n (19-35 35 months s ole) Who Receive Recommende nded Vaccines nes • • Annu nual al Season n Influe uenza nza Vaccina nations ons • Emergency ncy Deparment ent Visit Rate Due To Ashtma • Emergency ncy Department nt Visits From Health Disease • Emergency ncy Department nt Visits For Ad Addictions ons-Rela lated Conditions ns Emergency ncy Department nt Visit Rate For Dental Care •

MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) The The health health con oncer erns ns of of loc local jur al jurisd isdic iction tions s are ad are addre dress ssed ed by y the the exten extensi sive e list list of of too tools ls and and reso resour urces a es availa ailable le to to the the gen eneral eral pub public lic, h hea ealth lth pla plann nners ers, an and d clinic linician ians. In In orde order to r to dis dissemina seminate te the the most most impor importan tant t an and d de devas astat tating ing charac haracter teristic istics of s of the the health health of of Ma Maryland ylanders o ers overall, erall, the the SH SHIP IP pub publishes lishes a w a weekl eekly y ne news wslette letter r an and d po posts sts pub public lic health health ne news ws on on soc social m ial media edia platfor platforms, inc inclu luding ding twitter twitter and and fac aceb ebook ook.

Map Comparison: Age-adjusted mortality rate from cancer 15

CENTER FOR C CENTER FOR CANCER CONTR ANCER CONTROL OL AND AND PREVENTION PREVENTION DHMH CCCP adm DHMH dmin inis isters: Breast, , cervic ical al, , and/ d/or colorect orectal l cancer r screen enin ing programs ms statewid ide Includi uding g each county ty in in rural Western/Southe outhern rn Maryland d and t d the Eastern Shore via ia sub- contrac tracts ts (programs) ms) Each h pr progr gram m is is al also to pa partic icip ipate in in a c cancer coali liti tion on aim imed t d to redu duce the burde den of cancer r in in that ju juris isdi dict ction ion

Map COMPARISON: ADULTS WHO SMOKE 17

Map Comparison: Adolescents Who Use Tobacco Products 18

CENT CENTER ER FO FOR R TOBACCO CCO PREV REVENT ENTION N AND AND CO CONTR NTROL Maryland nd has seen an incre rease se in smokel eless ess tobacco cco use among undera rage ge youth in Maryland  To address this dangerous trend:  Ads have been placed to increase awareness about the dangers of smokeless tobacco  Radio stations on the Eastern Shore and Western Maryland Counties were targeted  Information was placed on transit mediums in Queen Anne’s, Somerset, Wicomico, and Worcester Counties  Ads placed in USA Today Sports section, an Orioles addition, and the Maryland Hunting and Fishing Publication