washtenaw county community health needs assessment.pptx
TRANSCRIPT
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Washtenaw County Community Health Needs Assessment
Chase August, Mislael A. Valentín Cortés, Xuan Lam, Elizabeth Serrano, Brandon Smith, Sheridan Sway, Jayson Toweh, Hanh
Van Tran, Tanya Ulloa and Morgan Williams
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Washtenaw Health Initiative• Established in 2011• Mission: “To improve health and healthcare in Washtenaw County with an emphasis
on the low income, uninsured and underinsured populations” • Major issues facing low income Washtenaw County residents:
• Access to healthcare
• Mental health care
• Substance abuse help
• Dental care
• Primary care
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Washtenaw Health Initiative (Continued)
• Five Goals
• Increase insurance coverage
• Increase understanding of Medicaid coverage
• Improve coordination and integration of healthcare services
• Improve effective utilization of resources
• Strengthen community efforts to improve healthcare services
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Washtenaw Health Initiative (Continued)
• The Role of Center for Healthcare Research & Transformation (CHRT) • Support and Facilitate Groups
• Technical Support
• Communication
• WHI- Collaborative• The Steering Committee- Oversight and Review of projects
• The Stakeholders Committee- Locals, Community Organizations & Government Agencies
• The Works group –Implementing the Mission of WHI
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Washtenaw Health Initiative (Continued)
• Community Coordination & Dental Work Group
• Single Community Health Assessment
• University of Michigan- Future Public Health Leaders Program
• Focus Groups
• Key Informative Interviews
• Identify prevalent health issues
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Scope of the Public Health Problems• Leading Causes of Death and Disability Nationwide:
• Heart Disease• Stroke• Cancer • Diabetes• Arthritis
• Michigan • Life Expectancy • Heart Disease & Cancer
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Scope of the Public Health Problems (Continued) • Michigan
• ⅓ of the Michigan Population is considered obese
• Obesity leads to other complications
• Decreased life expectancy
• Decreased quality of life
• 2014 Washtenaw County Community Health Improvement Plan
• Major Public Health Concerns: limited healthcare access, mental health cases,
substance abuse, and obesity.
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Scope of the Public Health Problems (Continued) • Socio-Ecological demographics greatly impact health • Michigan - Washtenaw County Demographics (2013)
• 75% White• 12.9% African American• 0.4% American Indian• 8.4% Asian • 0.1% Native Hawaiian and Other Pacific Islander • 44% Hispanic or Latino• 49.7% Males & 50.3% Females• Total Residents: 356,874
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Scope of the Public Health Problems (Continued) • Income
• Median Household Income: $59,055• 15.4% of Washtenaw County residents live below the poverty line
(Poverty line: $22,050 for a family of four) • Rural and Urban Communities • 94% of Washtenaw County Residents are High school graduate • 51.3% of Washtenaw County population have a BA or higher
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Scope of the Public Health Problems (Continued) • Partnerships with the Washtenaw County
• University of Michigan Health Systems
• Chelsea Community Hospital
• St Joseph Mercy Health System
• Transportation in Washtenaw County's
• Washtenaw County Road Commision, Ann Arbor airports, Detroit Metropolitan
Airport, Amtrak, Greyhound & Ann Arbor transportation authority
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Methods
• Two key informant interviews and one focus group• Analyzing qualitative data• Audio recordings• Matrices- compare key informant interviews and focus
group notes• Compare to existing data
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Results
• Major Health Issues Identified in Washtenaw County- Key Informant Interviews • Health Education
• Sexual Health
• Mental Health
• Obesity
• Substance Abuse- Alcohol and Tobacco
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Results (Continued)
• Major Health Issues identified in Washtenaw County- Focus Group• Substance Abuse among Youth & Seniors- Alcohol and Drugs (Meth & Heroin)
• Sexual Assault
• Sexually Transmitted Infections
• Mental Health Issues
• Lack of Communication between Physician and medical Staff
• Lack of experience from Medical Staff
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Results (Continued)
• Key Informant Interviews & Focus Group Data VS. Health Improvement Data
• Similar Findings• Obesity, substance abuse, mental health & lack of access to healthcare
• New Findings• Sexual Health and Health Education
• Possible Epidemic of Chlamydia
• Lack of Communication between School districts and Health Centers
• Medical staff experience
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Results (Continued)
• How are the health issues the sample identified being addressed
• Limiting factors: Funding
• HIV and STI testing
• Community outreach
• Vaccinations
• Encourage safe health practices
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Results (Continued)
• Lack of Youth Involvement
• Lack of Adult Population Assessment
• Community Program- Chelsea• Community Reads
• Anti Drugs Substance Coalition
• Chelsea Wellness Foundation
• No Programs were found that addressed improving communication between Medical staff and patients
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Results (Continued)
• How are the health issues identified through the HIP being addressed?
• Issues addressed: substance abuse, mental health & Obesity
• Issues not fully addressed: affordable health care
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Discussion
• Recurring Concerns
• Substance Abuse
• Mental Health
• Obesity
• Lack of Sexual Education
• Medical Professionals
• Lack of Community Involvement
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Importance of Community Input
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Discussion (Continued)• Physician-Patient Relationship Dynamics
• Health Literacy
• Cultural Understanding
• Addressing Concerns
• Addressing the Issues: • standardized training
• proper communication
• cultural awareness
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Discussion (Continued)
• Addressing Mental Health and Substance Abuse Issues Within Washtenaw • Improve Primary Prevention
• Differing Opinions among Healthcare Professionals and Community Members • Use of Education to Address Health Issues at a Population Level
• Addressing Obesity • Lack of Access to Nutritious Food
• Food Deserts
• Guidelines for Food Stamps
• Education Regarding Nutrition and Health
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Discussion (Continued)
• Addressing Sexually Transmitted Infections • Prevention
• Education in School Systems
• Lack of Knowledge of Services Among Community Members
• Volunteer Health Advocacy Programs Throughout the Community
• Health Committee
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