P R E S E N T E D T O : B A Y C O U N T Y E X E C U T I V E A N D A D M I N I S T R A T I O N

D E C E M B E R 1 8 , 2 0 1 2

Bay County Community Health Assessment Results – 2012

Morbidity and Mortality

Morbidity - Hospitalizations

Diagnoses for Hospitalizations

2612

1719

1240 1155

756

554 502 473 447 427

0

500

1000

1500

2000

2500

3000

Michigan Department of Community Health - 2009

Heart Disease Diagnosis Hospitalization Trends Bay County 2005-2010

2,200

2,300

2,400

2,500

2,600

2,700

2,800

2,900

3,000

2005 2006 2007 2008 2009 2010

Heart Disease Trends Bay County 2005-2010

Michigan Department of Community Health - 2010

Heart Disease Diagnosis Hospitalization Trends Bay County 2005-2010

0

50

100

150

200

250

300

350

400

450

500

2005 2006 2007 2008 2009 2010

Heart Disease Trends Bay County 2005-2010

Cerebrovascular Diseases

Diseases of the Arteries

Hypertension/Hypertensive Heart Disease

Michigan Department of Community Health - 2010

Leading In-Patient Hospitalizations Top Five For Bay County

• 18 and under • Newborns & Neonates 1,240

• Injury and Poisoning 97

• Pneumonia 76

• Psychosis 52

• Asthma 52

• Ages 45-64 • Heart Disease 666

• Injury & Poisoning 515

• Osteoarthritis &

Allied Disorders 230

• Cancer 199

• Chest Pain 189

• Ages 19 – 44 • Females with Deliveries 1,120

• Psychosis 388

• Injury & Poisoning 344

• Intervertebral Disc Disorder 100

• Heart Disease 95

• Ages 65 + • Heart Disease 1,843

• Injury & Poisoning 762

• Osteoarthritis &

Allied Disorders 762

• Cerebrovascular

Diseases 279

• Chronic Bronchitis 258

Michigan Department of Community Health - 2009

Mortality

Overall Top 10 Leading Causes Of Death

349

269

60 53 51 36 35

18 17 8

0

50

100

150

200

250

300

350

400

Top 10 Leading Causes of Death - 2009

Leading Causes of Death by Gender Bay County 2009

0

20

40

60

80

100

120

140

160

180

200

Males

Females

Michigan Department of Community Health - 2009

Average Percent of Cardiovascular Deaths

Major Cardiovascular Disease

37%

Heart Disease 31%

Coronary Heart Disease 23%

Stroke 5%

Congestive Heart Failure 4%

Cardiovascular Deaths Bay County 2008-2010

Michigan Department of Community Health - 2009

Heart Disease Death Rates (3 Year Trends)

320

325

330

335

340

345

350

355

360

365

370

2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

Heart Disease Death Rate Trends Bay County

Deaths From Cancer Type

Lung/Bronchus 57%

Colon/Rectum 22%

Breast 9%

Bladder 5%

Oral Cavity/Pharynx 3%

Melanoma 3%

Cervix 1%

Average Percent Cancer Deaths Bay County - 2007-2009

Michigan Department of Community Health - 2009

Cancer Death Trends

Michigan Department of Community Health - 2010

230

235

240

245

250

255

260

265

270

275

280

2005 2006 2007 2008 2009 2010

Invasive Cancer Deaths Trends Bay County 2005-2010

Bronchitis Death Rates (3 Year Trends)

10

30

50

70

90

2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

Average Rate - Chronic lower Respiratory Disease Deaths – Bay County

Michigan Department of Community Health - 2010

Suicide Trends In Bay County 2005-2010

14

19 20

15

8

14

0

5

10

15

20

25

2005 2006 2007 2008 2009 2010

Suicide Trends Bay County 2005-2010

Michigan Department of Community Health - 2010

What The Community Is Saying

• Most Important Healthcare Need

• Prevention and Wellness – 45%

(Includes annual checkups, health screenings and diet &

exercise)

• Primary Care – 9%

(Good doctors…That care…Listen…Don’t pass off my concerns as

me just getting older)

• Affordable Healthcare and Prescriptions – 8%

• Mental Health – 3%

2012 Bay County Web Survey

What The Community Is Saying

• What (Other) Services Would You Like to See in The

Community?

• Prevention and Education Services – 23%

• Free/Low Cost Dental Services or Clinics – 18%

• Mental Health Services – 13%

• Qualified Physicians – 7%

2012 Bay County Web Survey

What The Community Is Saying

“In the junior high, part of the junior high, they establish an office; a doctor’s office where families go, general practitioner…or even an urgent care that is centralized out of you know one of the schools.”

-Father

“I mean it’s amazing how many services are available through the county that not that many people know of to take advantage of.”

-Man

“I always thought the health department should come to the school for immunizations.”

-Teacher/Administrator

What The Community Is Saying

“I think the successes we’ve had, when we try alone as a school we fail and when the health department does an initiative, no offense, but they fail. But whenever we work together then it works. So that’s where we have the captive audience, you guys have the services. So come to our place and let’s work together on this.”

-Teacher/Administrator

What The Community Is Saying

“I think that um they need to show people how to cook. I don’t think people know how to cook anymore. They don’t know how to make homemade food and that is so much more healthier than going in the frozen food section and buying all that premade food.”

-Mother

“I agree with you on that. We had a friend that I gave one of our hams to when we had one of our pigs slaughtered, and she called me, she’s like there’s no directions.”

-Mother

What Are We Learning?

• Bay County has an aging population with the

largest growth among 55-74 year olds.

• More people are obtaining an associates or

bachelors degree.

• There was a significant increase in the number of

people below the poverty level.

• We are seeing a significant increase in people on state assistance.

What Are We Learning?

• There is a correlation between education and

receiving preventive health care.

• There is a correlation between income and

receiving preventive health care.

Higher Education = Better Employment = Higher Income =

Better/More Health Insurance = Better Health Outcomes

What Are We Learning?

• Women tend to seek preventive health care more

than men, especially unmarried men.

• The majority of the adult population say their health

is good or very good, yet adult obesity is climbing

at an alarming rate, 26% smoke and 20% drink

heavily or binge drink.

What Are We Learning?

• Those who described their health as good or very

good had fewer poor mental health days.

• People are not seeking mental health treatment.

• Bay County does not have enough physicians or

mental health professionals.

• Prevention is priority for Bay County residents across

the spectrum.

What Are We Learning?

• Risk factors for the leading causes of death

• Obesity (inactivity, unhealthy eating)

• High Blood Pressure

• High Cholesterol

• High Blood Sugar

• Smoking

• The top 3 causes of death for Bay County (heart

Disease, Cancer and Chronic Lower Respiratory Disease, as well as

Diabetes and Kidney Disease) can be reduced by reduced

by taking preventive measures.

So…What Are We Going To Do About It???

• Community Health Improvement Plan

• Determine Priority Areas

• Identify existing programs and services that address these

issues

• Identify gaps in programs and services

• Create a plan of action

Community Meeting on January 24, 2013 at the

DoubleTree in Bay City from 8:00am – 12:00pm