creating our blueprint for the future · 2015. 6. 24. · total pop: 356,393 9989 7529 20571 16112...

Creating Our Blueprint for the Future

OPH Region 8Community Health Needs Assessment

June 10, 2015

Remarks

Beth ScalcoDeputy Assistant Secretary

Louisiana Office of Public Health

5 Minute Meet and Greet

Welcome and Introductions

# Invitations Sent: 100

# Surveys Completed: 88

True or False:I am attending Healthy Louisiana today

In which parish do you spend most of your time?

Which category best represents you as a stakeholder?

Are you a member of the Louisiana Healthy Communities Coalition?

Meeting Agenda & Expectations

Welcome & Introductions 9 AM

Review of Stakeholder Survey 9:30 AM

Regional Data Presentation 9:40 AM

Voting to Reach Top 3 Regional Priorities 10:10 AM

SWOT (Strengths, Weaknesses,

Opportunities, Threats) Activities

10:30 AM

SWOT Discussion 11:30 AM

Next Steps and Upcoming Meeting 12:20 PM

Meeting Concludes 12:30 PM

3 Objectives for the Day:

• Identify the top 3 regional health priorities

• Explore regional health assets, challenges,

and trends

• Begin to identify local resources and

strategies to address priority issues identified

Meeting Objectives

…what society does collectively to assure

the conditions for people to be healthy.

What is Public Health?

Institute of Medicine

1988 IOM report, “The Future of Public Health.”

IOM Roundtable on Improving Population Health


Sectors:- governmental public health

- health care

- business

- education and early childhood development

- housing

- agriculture

- transportation

- economic development

- community- and faith-based

organizations

Representatives from different sectors engage in meaningful

dialogue about what is needed to improve population health

IOM Roundtable on Improving Population Health


http://iom.edu/Activities/PublicHealth/Popul

ationHealthImprovementRT.aspx

http://iom.edu/Activities/PublicHealth/PopulationHealthImprovementRT.aspx

Results from Stakeholder Survey

Please consider the issues listed below. Based on your experience,

what are the top 3 priorities for health and wellbeing IN YOUR

PARISH? Please select 3 priorities (you will be limited to 3 responses).

Results from Stakeholder Survey

PRIORITY %

Healthcare and Insurance 42.05

Unemployment/Economic Development 40.91

Behavioral Health/Mental Health/Addictive Disorders 40.91

Chronic Disease Management 39.77

Alcohol Abuse/Illicit Drugs 20.45

Nutrition/Healthy Eating 18.18

Transportation Services 15.91

Violence/Crime/Intentional Injuries 12.50

Educational Levels/Literacy and Attainment 12.50

Communicable/Infectious Diseases 11.36

Regional Data Presentation

Region 8 PopulationTotal Pop: 356,393

9989 7529

2057116112

47414

11927

27057

156220

20857

4908

22344

11465

0

20000

40000

60000

80000

100000

120000

140000

160000

Ca

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Ea

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Fra

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Ja

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Tensas

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Pari

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Po

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Region 8 PopulationTotal Pop: 356,393

Largest City: Monroe

Total Pop: 49,761

(US Census 2013 Population Estimates)

Region 8 Rankings out of 3,135 U.S. Counties

1: Best 3135: worst

County Health Rankings 2015 – RWJ Foundation

2655

31303007

2565

2130

3098 3099

2238

2865

3085

2619

3065

0

500

1000

1500

2000

2500

3000

3500

Ca

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Ea

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Fra

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Jackson

Lin

co

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Madis

on

Mo

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Ouachita

Ric

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Tensas

Un

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West C

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Ran

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Caldwell Parish Health Rankings Health Outcomes, Quality and Length of

Life 2010-2015

Higher Ranking, Poorer Outcome

15 14

18

37

56

62

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ran

k


East Carroll Parish Health Rankings Health Outcomes, Quality and Length of Life

2010-2015Higher Ranking, Poorer Outcome

63 64 64 64 64 64

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ran

k


Franklin Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


47

54

49

43

39

47

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ran

k


Jackson Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


24

21

16

28

24

16

0

5

10

15

20

25

30

2010 2011 2012 2013 2014 2015

Ra

nk


Lincoln Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


11

7

9

13

12

7

0

2

4

6

8

10

12

14

2010 2011 2012 2013 2014 2015

Ran

k


Madison Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


64 63

58 60 59

56

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Morehouse Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


57 56 59

56 57

63

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Ouachita Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


21

23 23

30 31 31

0

5

10

15

20

25

30

35

2010 2011 2012 2013 2014 2015

Ra

nk


Richland Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


48

39

44

50 49 49

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ra

nk


Tensas Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


8 12

57

63 63

46

-10

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Union Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015


20

34 36

40 42

37

0

5

10

15

20

25

30

35

40

45

2010 2011 2012 2013 2014 2015

Ran

k


West Carroll Parish Health RankingsHealth Outcomes, Quality and Length of Life

2010-2015Higher Ranking, Poorer Outcome

9

15

25

33

29

23

0

5

10

15

20

25

30

35

2010 2011 2012 2013 2014 2015

Ra

nk


Caldwell Parish Health Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015

Higher Ranking, Poorer Factors

36 38

43

47

55

50

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ra

nk


East Carroll Parish Health

Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015Higher Ranking, Poorer Factors

64 64 64 64 64 64

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ran

k


Franklin Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015Higher Ranking, Poorer Factors

63 62 62 61 59

61

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Jackson Parish Health Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


26

19

22

25

20 21

0

5

10

15

20

25

30

2010 2011 2012 2013 2014 2015

Ra

nk


Lincoln Parish Health Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


13

14

10 10

6

14

0

2

4

6

8

10

12

14

16

2010 2011 2012 2013 2014 2015

Ra

nk


Madison Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


61 63 63 63 63 63

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Morehouse Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical environment

2010-2015


62 61 57 58

60 59

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Ouachita Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


19 17 17

27 28

33

0

5

10

15

20

25

30

35

40

2010 2011 2012 2013 2014 2015

Ra

nk


Richland Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


50

46 45 43 44

46

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ra

nk


Tensas Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


55

60 61 62 61 60

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Union Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015


46

51

55 53

51

47

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ra

nk


West Carroll Parish Health Rankings Health Factors: Clinical care, Health Behaviors, Social & economic factors, Physical environment

2010-2015


60 59 58 59 62 62

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk


Healthcare and Insurance

Region 8

Health Insurance Coverage

Parish, Children

%Uninsured

Louisiana Dept. Of Health & Hospitals

Office of Public Health

Ctr. For Population Health Informatics

American Community Survey

2012 for Aggregate Data

B271010: Types of Health

Insurance Coverage by Age

Primary CarePrimary Care Physicians

Caldwell (2)

East Carroll (3)

Morehouse (10)

Ouachita (127)

Region (210) U.S. (1045:1)

Richland (15)

Tensas (Unreported)

Franklin (7)

Jackson (3)

Lincoln (31)

Madison (6)

Union (4)

West Carroll (2)

LA (2,960)


DentalDentists

Caldwell (3)

East Carroll (1)

Morehouse (10)

Ouachita (86)

Region (140) U.S. (1377:1)

Richland (9)

Tensas (3)

Franklin (4)

Jackson (2)

Lincoln (17)

Madison (2)

Union (2)

West Carroll (1)

LA (1976:1)


Mental HealthPopulation : Mental Health Providers

Caldwell (11)

East Carroll (2)

Morehouse (19)

Ouachita (232)

Region (352) U.S. (386:1)

Richland (7)

Tensas (1)

Franklin (7)

Jackson (7)

Lincoln (57)

Madison (7)

Union (1)

West Carroll (1)

LA (5,383)



Chronic Disease

10 Leading Causes of Death, Louisiana 2008 - 2010, All Races, Both Sexes

Age Groups

Rank

Region 8Life Expectancy- Men

US: 76.6

Institute for Health Metrics and Evaluation 2013

70 70 7172 73

69 7072

69 7073

70

0

10

20

30

40

50

60

70

80

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LA: 73.1

Region 8Life Expectancy- Women

Institute for Health Metrics and Evaluation

US: 81.3

76 76 7678 79

76 7678

76 77 77 76

0

10

20

30

40

50

60

70

80

90

Ca

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LA: 78.6

Determinants of Health and Their

Contribution to Premature

Death

Region 8Adult Diabetes Prevalence, 2013

CDC Behavioral Risk Factor Surveillance System (BRFSS) 2013

US: 11.9

LA: 12.113

16.9

14.5

12.3

10.2

11.2

17.8

11.912.7

14.9 14.9

16.4

0

5

10

15

20

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The number of adults with Diabetes Mellitus in Region

8 is 32,951. This number could fill the Monroe Civic

Center almost 5 times.

CDC Interactive Atlas, 2012

Total # of adults with

Diabetes Mellitus in

Region 8

Caldwell 972

East Carrol 930

Franklin 2,173

Jackson 1,504

Lincoln 3,445

Madison 970

Morehouse 3,565

Ouachita 13, 018

Richland 1,904

Tensas 559

Union 2,536

West Carroll 1,375

Region 8 Total 32,951

Region 8Estimated Diabetes Cost, 2012

American Diabetes Association, 2012

Region 8’s estimated cost is $444,838,500

13,122,00012,555,000

29,335,500

20,304,000

46,507,500

13,095,000

48,127,500

175,743,000

25,704,000

7,546,500

34,236,000

18,562,500

0

20,000,000

40,000,000

60,000,000

80,000,000

100,000,000

120,000,000

140,000,000

160,000,000

180,000,000

200,000,000

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Mil

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)

Region 8% Adult Obesity, 2012

CDC Diabetes Interactive Atlas, 2012

35.6

42.6

36.3

39.5

34.4

42.139.9

34.1

38.5

34.1 34.6

37.9

0

5

10

15

20

25

30

35

40

45

50

Ca

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Rg 8: 37.5 %

US: 35.1%

LA: 33.1%

Medical Complications of ObesityAdapted from Yale University Rudd Center for Food Policy and Obesity

The number of obese adults in Region 8 is (25.8% of the total

population in the region). This number could fill the ULM

Warhawks football stadium 3 times.

CDC Diabetes Interactive Atlas, 2012

Parish # Obese Adults

Caldwell 2,671

East Carroll 2,343

Franklin 5,421

Jackson 4,844

Lincoln 11,683

Madison 3,647

Morehouse 8,018

Ouachita 37,292

Richland 5,798

Tensas 1,275

Union 5,879

West Carroll 3,171

Region 8 Total 92,042Seating

Capacity

30, 427

Region 8Poor Mental Health Days

County Health Rankings 2015

3.5 3.5

3

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00D

ays

Poor Mental Health Days

United States Louisiana Region 8

Region 8Poor or Fair Health


17%

20%

23%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%P

erc

en

tag

ePoor or Fair Health


Region 8Poor Physical Health Days


3.7 3.8

4.2

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5D

ays

Poor Physical Health Days


Region 8Adult Smoking


21%

22%

23%

20.00%

20.50%

21.00%

21.50%

22.00%

22.50%

23.00%

23.50%P

erc

en

tageAdult Smoking


Region 8Physical Inactivity


27%

30%

34%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%P

erc

en

tage

Physical Inactivity


Region 8Access to Exercise Opportunities


65%

76%

64%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%P

erc

en

tage

Access to Exercise Activities


Region 8Preventable Hospital Stays


65

80

132

0

20

40

60

80

100

120

140D

ays

Preventable Hospital Stays


Region 8Low Birthweight


8%

11%

12%

0

2

4

6

8

10

12

14

16

18

20P

erc

en

tage

Low Birthweight



Nutrition and Healthy Eating

Region 8Food Insecurity Prevalence, 2012

Note: This indicator is compared with the state average. Data breakout by

demographic groups are not available.

Data Source: Feeding America. Source geography: County

Food Insecure Population,

Percent by County, Feeding

America 2012

Over 18.0%

15.1-18.0%

Region 8

Under 12.1%

12.1 - 15.0%

http://feedingamerica.org/

Region 8Grocery Store Access

Report Area Total Population Number of EstablishmentsEstablishments, Rate per

100,000 Population

Region 8 355,761 48 13.49

Caldwell Parish, LA 10,132 1 9.87

East Carroll Parish, LA 7,759 3 38.66

Franklin Parish, LA 20,767 3 14.45

Jackson Parish, LA 16,274 1 6.14

Lincoln Parish, LA 46,735 2 4.28

Madison Parish, LA 12,093 2 16.54

Morehouse Parish, LA 27,979 3 10.72

Ouachita Parish, LA 153,720 20 13.01

Richland Parish, LA 20,725 2 9.65

Tensas Parish, LA 5,252 2 38.08

Union Parish, LA 22,721 4 17.60

West Carroll Parish, LA 11,604 5 43.09

Louisiana 4,533,372 992 21.88

United States 312,732,537 66,286 21.2

Region 8

Grocery Store Access Over 35.0

25.1 - 35.0

15.1 - 25.0

Under 15.1

No Grocery Stores

Region 8

SUPERMARKET ACCESS MAP(Green spots have Supermarket access)


Behavioral Health/

Mental Health/

Addictive Disorders

Serious Mental Health Illness and Substance Use

Treatment Prevalence Among Adults in Region 8

ADULT (Age 18 and up) PREVALENCE ESTIMATE for SEVERE

MENTAL ILLNESS (2.26% of Population*)

ADULT (Age 18 and up) PREVALENCE ESTIMATE for Needing

Substance Use Treatment Services. (7.46% of Population**)

774 570

15311256

3799

902

2063

11661

1572

371

1742

875

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

11000

12000

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Top 10 Diagnoses for Louisiana Office of

Behavioral Health (Persons Served)

Louisiana Office of Behavioral Health, 2015

Top 10 Diagnoses for Region 8 LA Office of

Behavioral Health (Persons Served)Louisiana OBH Persons Served in State Fiscal Year 2013-14

Note: Persons served by region, type and age group are unduplicated count for persons who had received

services from 7/1/13 to 6/30/14. Gambling is not included.

Louisiana Office of Behavioral Health, 2014

Region/District PARISH

Age 18 and up

POPULATION

ESTIMATE

ADULT (Age 18 and up)

PREVALENCE ESTIMATE

for SEVERE MENTAL

ILLNESS (2.26% of

Population*)

ADULT (Age 18 and up)

PREVALENCE ESTIMATE for

Needing Substance Use Treatment

Services. (7.46% of Population**)

Estimated State Population and Estimated Prevalence of Adults with Serious Mental Illness

and Adults Needing Substance Use Treatment Services (July 1, 2013 Pop Est.)8-NORTHEAST DELTA HUMAN

SERVICES AUTHORITYCaldwell Parish 7,695 200 574

East Carroll Parish 5,671 147 423

Franklin Parish 15,212 396 1,135

Jackson Parish 12,485 325 931

Lincoln Parish 37,757 982 2,817

Madison Parish 8,966 233 669

Morehouse Parish 20,503 533 1,530

Ouachita Parish 115,912 3,014 8,647

Richland Parish 15,624 406 1,166

Tensas Parish 3,689 96 275

Union Parish 17,324 450 1,292

West Carroll Parish 8,697 226 649

Total for 8-NDHSA 269,535 7,008 20,107

Excessive Drinking Self-Reported

Behavioral Risk Factor Surveillance (BRFSS) 2006-2012

CDC Behavioral Risk Factor Surveillance System (BRFSS) 2013

7.5

13.6

11.6

15.8

6.5

11.2

10.2

15.8

0

5

10

15

20

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Unreliable

or Missing

Data

Region 8Alcohol Impaired Driving Deaths

31%33%

30%

0

5

10

15

20

25

30

35P

erc

en

tage

Alcohol Impaired Driving Deaths




Unemployment/

Economic Development

Region 8Unemployed: US: 5.5% LA: 6.2 %

Bureau of Labor Statistics 2013

LA: 6.2%

US: 5.5%

6.9

14.2

10

7.3 7.6

9.7

11.4

6.5

8.5

9.5

6.7

12.5

0

5

10

15

20

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Region 8

Children Living in Poverty

According to the National Center for Health Statistics, children in poverty are 3.6 times more likely than non-poor children to have poor health and 5 times more likely to die from an

infectious disease. Free the Children, www.freethechildren.org/youthinaction/child_poverty_usa.htm

32.7

57.7

45.1

3132.1

55.2

41.1

35.1

40.3

50.2

34 34.8

0

5

10

15

20

25

30

35

40

45

50

55

60

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Region 8High School Dropout %,

2013-2014

LA Department of Education Annual Student Dropout Rates by State,

District and Site 2013-2014

Franklin, 6.12

Lincoln, 3.03

Madison, 11.69

Morehouse, 6.96

Ouachita, 4.35

Richland, 3.62

Tensas, 6.29

Union, 4.85

0

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US: 6.8%

LA: 4.48%

Region 8% with College degree, 2013

American Community Survey (ACS) 2009-2013

College Degree 2013

Factfinder Census.Gov

8.29.2

11.6

13.8

34.4

11.212.9

22.9

13.2

10.3

13.1

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US: 29.6

LA: 22.5

US: $51,371

LA:$44,234

Region 8Median Income

$35,987

$26,781

$31,243

$35,730 $34,667

$26,745$28,951

$39,976

$32,477

$28,021

$35,825$34,611

$0

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$30,000

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State and County Health Rankings - 2015

Louisiana’s Health Rankings 2014Health Determinants (Overall National Rank=48)

Prevalence of Smoking 44th (23.5%)

Prevalence of Obesity 45th (33.1%)

Sedentary Lifestyle 45th (30.3%)

High School Graduation 46th (72.0%)

Violent Crime/100,000 44th (497)

Occupational Deaths/100,000 47rd (78.2)

Infectious Disease/ 100,000 48th (.088)(Combined Chlamydia, Pertussis, Salmonella)

Children in Poverty 44th (31%)

Low Birth Weight (% of births) 49th (10.8%)

Preventable hospitalizations 48th (80.3)

Diabetes 45th (11.6%)

Poor Mental Health Days 43rd (4.2)

Infant Mortality per 1,000 births 47th (8.2)

Cardiovascular deaths/100,000 46th (307.5)

Cancer deaths/100,000 48th (219.2)

Premature Deaths (yrs/100,000) 45th (9,625)

Why is the health of our communities so vital?

We all benefit when the health of our

community is excellent and we all suffer

when it is poor.

• For health care providers, health impacts the quality of life of their

patients and the cost of care

• For businesses, health impacts productivity of the workforce and the

cost of health insurance premiums

• For schools, health matters in student learning and staff performance

PROCESS: Vote on Top 5 Stakeholder-Identified Priorities

GOAL: Identify the Top 3 Region Priorities

Let’s Vote!

1. What is the magnitude of human and

economic costs of this issue in our

community/region?

2. What is the urgency of this issue in our

community/region?

3. What is the size of the population affected by

this problem?

Prioritization Considerations

Top 5 Stakeholder Priorities(in no particular order)

Top 5 Stakeholder Priorities(Tiebreaker Round)

SWOT Activity

S

W

O

T

trengths

eaknesses

pportunities

hreats

SWOTBreak-Out

Priority

A

Priority

B

Priority

C

S

W OT

S

W OT

S

W OT

= Note Taker

SWOTBreak-Out and Rotate

Priority

A

S W

OT

= Note Taker

S W

OT

Priority

C

S W

OT

Priority

B

SWOTRe-Convene and Discuss Among Priorities

Priority

A

S

W O

T

Priority

B

S

W O

T

Priority

C

S

W O

T

= Note Taker

SWOTShare Findings with the Group

Priority

A

Priority

C

Priority

B

SWOTLet’s Get Started! Go To Your Assigned Table!

Priority

A

Priority

B

Priority

C

S

W OT

S

W OT

S

W OT

= Note Taker

SWOTDiscussion Within Priorities

Priority

A

S

W O

T

Priority

B

S

W O

T

Priority

C

S

W O

T

= Note Taker

SWOTLarge Group Report-Out

Priority

A

Priority

C

Priority

B

Thank you to our

Table Hosts!

Next Steps

Review and discuss further the Top 3 Priorities

Provide input for State Health Improvement Plan

Slide Presentation with data slides

available at dhh.la.gov/sha-ship

August 19th, 20159 AM – 1 PM

West Monroe Convention Center

901 Ridge Ave

West Monroe, Louisiana

THANK YOU FOR COMING!

Please drop off your comment card at the door!

Meeting Concludes!

creating our blueprint for the future · 2015. 6. 24. · total pop: 356,393 9989 7529 20571 16112...

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