Workgroup Briefing Presentation to the Local Health Improvement - PowerPoint PPT Presentation

Harford County Tobacco Workgroup Briefing Presentation to the Local Health Improvement Process Tobacco Workgroup April 16, 2012 Russell W. Moy, MD, MPH, Deputy Health Officer Harford County Health Department

Questions • Why a Local Health Improvement Process? • Why a Tobacco Workgroup? • How does the Tobacco Workgroup fit into the Local Health Improvement Process? • What are the next steps? 2

Why a Local Health Improvement Process? • CHNA – For Hospitals – Federal and State requirements, mandate community health needs assessment, as part of its community benefit. • SHIP – For State Health Departments – Maryland’s Health Care Reform Coordinating Council require a State Health Improvement Process (SHIP). • LHIP – For Local Health Departments – In addition to SHIP requirements, national public health accreditation requires a Local Health Improvement Process (LHIP). 3

Can We Build on Harford County Efforts? Federal Health Care Reform Requirements Hospital CHNA LHD SHIP Mandates COMMUNITY HEALTH Mandates IMPROVEMENT PLAN Healthy Harford Activities 4

Why a Tobacco Workgroup? • Tobacco is the single most preventable cause of death and disease causing 438,000 deaths/year in the U.S. 1 • Quitting at age 30 reduces chance of premature death by 90%; quitting at 50 reduces chances by 50%. 2 Half of all long-term smokers die prematurely from smoking related causes. 1 • Almost all first use of tobacco occurs before age 18. 1 • Tobacco contains 250 known harmful chemicals, 69 linked to cancer, leading to deaths not just from cancer, but heart disease, stroke, COPD and others. 2 • Male smokers lose an average of 13 years of life; females an average of 14 years of life. 3 1 CDC Best Practices, 2007 2 NCI Fact Sheet • 20% of low birthweight births could be prevented 3 MMWR,4/12/02 with elimination of smoking during pregnancy. 4 4 CDC PNSS website 5 Am Lung Assoc Fact Sheet • Non-smokers exposed to secondhand smoke increase their heart disease risk & lung cancer risk by up to 30%. 5 5

Top 7 Causes of Death Harford County, 2009 450 433 136 99 59 43 41 6

Leading Actual Underlying Causes of Death United States, 2000 Source: Mokdad AH, et al, JAMA, Mar 2004 7

Adult Cigarette Smoking Rates Harford County & Maryland 2000 to 2010 Source: CDC Behavioral Risk Factor Surveillance System 8

Youth Tobacco Use Rates Harford County & Maryland 2000 to 2010 Source: Maryland Youth Tobacco Survey 9

Secondhand Smoke Exposure Rates Harford County & Maryland, 2008 Source: CDC Behavioral Risk Factor Surveillance System 10

SHIP State Health Improvement Process dhmh.maryland.gov/ship 11

Which of the 39 SHIP objectives does Harford County rank worse than the State? Demographic Indicators Harford County Maryland Heart disease death rate 210.7/100,000 194.0/100,000 Cancer death rate 185.8/100,000 177.7/100,000 Adult tobacco use 20.3% 15.2% Youth tobacco use 26.8% 24.8% Adult seasonal influenza vaccination rate 38.7% 43.0% Behavioral health-related admissions to E.R. 1243.7/100,000 1206.3/100,000 Alzheimer’s -related admissions to E.R. 22.1/100,000 17.3/100,000 Suicide rate 11.7/100,000 9.6/100,000 Drug-induced death rate 14.9/100,000 13.4/100,000 Dental utilization rate - Medicaid-covered children 58.2% 59.0% Days of Air Quality Index (AQI) > 100 17 8.4 12

How does the Tobacco Workgroup relate to other Harford County public health improvement efforts? Healthy Harford HCHD Community HCHD UCH Transformation Local Health Community Grant Improvement Benefits Plan Process Obesity Task Obesity Force UCH HCHD (1) Community Action Community Community Engagement Plan Benefits Needs Health Needs Template (2) Access to Assessment Assessment Healthy Foods (3) Built Environment UCH HCHD Tobacco Tobacco Community Community Action Benefits Health Prevention Plan Improvement Improvement Template Plan Plan Behavioral Behavioral Health Health UCH HCHD (1) Mental Health Action Community Internal (2) Substance Plan Abuse Benefits Strategic Template Strategic Plan Plan School Wellness Action HCHD Plan National Template Public Health Accreditation Dental Sealant Action Plan 13 Template

CDC Best Practices for Comprehensive Tobacco Control Programs • State and Community Interventions • Support individuals to make behavior choices consistent with tobacco-free norms • Health Communications Interventions • Culturally appropriate, high impact counter-marketing messages • Cessation Interventions • Provider screening and brief interventions • Tobacco cessation quitline services • Surveillance and Evaluation • State and local data collection • Administration and Management • Strategic leadership and collaboration 14