Transcript Health Benchmarks Breifing

Health Benchmarks Briefing
1
COORDINATING COUNCIL OF BROWARD
HEALTH CARE ACCESS COMMITTEE
NOVEMBER 24, 2008
CCB Healthcare Access Committee
Last Updated 11/26/08
www.brhpc.org
Critical Benchmarks
2
 4.1 Births to Teenagers
 4.3 Infant Mortality
 4.6 Health Care Access Uninsured
 4.8 Deaths (Unintentional Death Rate)
 4.9 Communicable Diseases
 4.16 Check ups/ Preventative Health
CCB Healthcare Access Committee
www.brhpc.org
Major Initiatives
3
 Teen Birthrate
 Prenatal and Infant Screening
 Uninsured (Minority Population)
 Unintentional Death by Poisoning (Drug Overdose)
and Drowning
 Chlamydia
 Immunizations of two year olds
 Primary Care
CCB Healthcare Access Committee
www.brhpc.org
New Additions to Benchmarks
4
 Unintentional Death Rate by:
 Motor Vehicle Deaths
 Poisoning Noxious Substances (Drug Overdose)
 Falls
 Prevention Quality Indicator
 Adults (18+)
 Children (Under 18)
 Estimated Avoidable ER Visits
 Adults (18+)
 Children (Under 18)
CCB Healthcare Access Committee
www.brhpc.org
Births to Teenagers
5
Percentage of Babies Born to
Teenage Mothers
18.0%
16.0%
Percentage
14.0%
12.0%
White Teenage
Mothers
10.0%
8.0%
Non-White
Teenage Mothers
6.0%
All Teenage
Mothers
4.0%
2.0%
0.0%
2005
2006
2007
Broward
FL 2007
Source: Florida Charts
Action: The Teen Collaborative continues to
provide services in Broward County. CSC
provides funding for Youth Development
Programs which have shown outcomes of
lower percentages of babies born to teenage
mothers.
CCB Healthcare Access Committee
Percentage of babies born to
teenage mothers has been fairly
constant over the past three years.
The highest percentage of births to
teens is in the non-white teenage
mothers and lowest percentage in
white teenage mothers.
Children born to teenage parents are
more likely to have health problems,
live in poverty, and receive poor
parenting. Also, teen parents often
lack the education and economic
means needed to raise their
children.
www.brhpc.org
Birth to Teenagers
6
Percentage of Repeat Births to
Teenagers
18.5%
18.0%
Percentage
17.5%
17.0%
16.5%
16.0%
15.5%
15.0%
14.5%
14.0%
2005
2006
2007
Broward
Source: Florida Charts
CCB Healthcare Access Committee
FL 2007
Graph represents the percentage of
teenage mothers (ages 15-19) giving
birth who already had a child. Teenage mothers with repeat births are
most at-risk of not completing their
high school education. The number of
repeat births has increased over the
past year. Broward County has a lower
percentage then the state.
Although Broward County has seen a
slight increase in the percentage of
repeat births to teenage mothers, there
is still a need to keep it a focal point
and to develop intervention programs
in the future.
www.brhpc.org
Infant Mortality
7
Infants Dying in Their First Year of Life
12
10
Rate
8
White Babies
6
Non-White Babies
4
All Babies
2
0
2005
2006
2007
Broward
Source: Florida Charts
CCB Healthcare Access Committee
FL 2007
This graph represents the rate
of infants (per 1,000 births)
who died before their first
birthday. The infant mortality
rate is a worldwide health
indicator. In Florida, nonwhite babies are twice as
likely to die in the first year of
life as white babies. The
number of deaths in Broward
County still remains below the
state average, however, we
still continue to see
disparity’s between white and
non-white babies.
Action: Black Infant Health
Initiative
www.brhpc.org
Low Birth Weight
8
Low Birth Weight Babies
Percentage
15.0%
a) White babies
10.0%
5.0%
b) Non-white
babies (Black and
Other)
0.0%
c) All babies
2005
2006
2007
FL 2007
Broward
Source: Florida Charts
One of the most important factors influencing infant mortality is low birth weight (less than
2,500 grams). The best way to decrease the number of low birth weight babies, which is
primarily the result of premature births, is through timely and effective prenatal care.
Reduction of drug and alcohol abuse, poor nutrition, cigarette smoking and stress in
pregnancy will also decrease this rate. Low birth weight is highly correlated with neonatal and
infant mortality, long term illness and disability, developmental deficits and psychosocial
problems. For the past three years the trend of low birth weight babies has been consistent.
Action: Black Infant Health Initiative, WIC (Women, Infants, & Children), and Healthy Start
CCB Healthcare Access Committee
www.brhpc.org
Prenatal Screening and Infant Screening
9
Prenatal Screening
80.0%
Percentage
60.0%
40.0%
20.0%
0.0%
2005
2006
Broward
2007
The universal prenatal risk screen is used to
identify women at risk for poor birth outcomes.
The Universal risk screen allows for factors to be
addressed early in pregnancy. The prenatal
screening rate has increased from the previous
year.
Action: As of March 2008, Healthy Families of
Broward County has begun to serve prenatal
women through universal screening.
Infant Screening After Birth
Source: Florida Charts
The Infant Risk Screen is used to identify risk factors
such as medical problems or adverse conditions in the
infant's home or living environment. Babies are less
likely to die or develop lifelong disabilities if problems
are identified and treated at birth. Infant screens are
conducted at the birth of the baby. Infant screenings
have increased over the past three years.
CCB Healthcare Access Committee
Percentage
100.0%
80.0%
60.0%
40.0%
20.0%
0.0%
2005
Source: Florida Charts
2006
2007
Broward
www.brhpc.org
Adult Health
10
General Health Overall
Percentage of adults who rated their
health as excellent, very good, or
good. There is an increase from the
previous two years of how adults
perceive their health. However, the
percentage perceiving overall general
good health has decreased slightly
from 2004.
92.0%
Percentages
91.0%
90.0%
89.0%
88.0%
2004
2006
Broward
Source: PRC Survey
CCB Healthcare Access Committee
2008
Action: The Nutrition and Fitness
Task Force continues to plan for
adult health activities to increase
wellness.
www.brhpc.org
Adult Health
11
General Health by Poverty Level
Percentage
100.0%
80.0%
<100% Federal Poverty
Level
60.0%
40.0%
100% - 200% of Federal
Poverty Level
20.0%
>200% Federal Poverty
Level
0.0%
2004
2006
Broward
General Health by Age Group
2008
94.0%
Source: PRC Survey
Action: Increase access to health care
through public clinics, with the
collaboration of Broward County
Health Department, Federally
Qualified Health Center, Memorial
Health Care System and Broward
Health.
CCB Healthcare Access Committee
Percentage
92.0%
90.0%
88.0%
18 to 59
86.0%
60+
84.0%
82.0%
80.0%
2004
2006
Broward
2008
Source: PRC Survey
www.brhpc.org
Health Care Access
12
Percentage of People Uninsured
30.0%
Percentage
25.0%
20.0%
2004
15.0%
2006
10.0%
2008
Race/Ethnicy and Income of Uninsured
5.0%
50.0%
Children
under age
18
Adults 18+
Adults 1834
Adults 3564
Elderly 65
and older
45.0%
40.0%
Broward
Source: PRC Survey
The greatest number of persons with no
health insurance in Broward County are
adults 18-34.
Broward County has twice as many nonwhite persons with no health insurance
in comparison to white.
CCB Healthcare Access Committee
Percentage
0.0%
Although survey data shows a decrease in the
number of children under 18 without insurance,
Florida now has the second highest rate of
uninsured children in the nation. Almost one in
five Florida children have no health insurance,
and the number has grown 10 percent in the
past three years despite efforts to cover them.
Action: Increase access to insurance options.
Also includes Outreach Programs for Florida
Healthy Kids.
35.0%
30.0%
25.0%
2004
20.0%
2006
15.0%
2008
10.0%
5.0%
0.0%
White
Source: PRC Survey
Non-white
Broward
From a
Spanishspeaking
country
Under 200%
of the Federal
Poverty Level
www.brhpc.org
Health Care Satisfaction
13
Patients Satisfied With the Primary Care
Services
97.0%
96.0%
Patient satisfaction with Primary
Care Services continues to increase.
Percentage
95.0%
94.0%
93.0%
92.0%
91.0%
90.0%
2004
2005
2006
Broward
2007
Source: Memorial Healthcare System, Broward Health, and
Broward County Government
CCB Healthcare Access Committee
www.brhpc.org
Health Care Satisfaction
14
Quality of Health Care
60.0%
Axis Title
50.0%
excellent or very
good
40.0%
30.0%
Over eight times as many people
evaluated the quality of their
health care as excellent or very
good as compared to those rating
their quality of health care as poor.
good or fair
20.0%
10.0%
poor
0.0%
2002
2004 2006
Broward
2008
Quality of Health Care 2008
(Broward)
Source: PRC Survey
good or fair,
39.3%
Break down of 2008 evaluation of
how people evaluate the health
care they receive in Broward
County.
excellent or
very good,
55.5%
poor, 5.2%
Source: PRC Survey
CCB Healthcare Access Committee
www.brhpc.org
Check-Ups / Preventative Health
15
Have Visited a Physician for a Routine Checkup
Within the Past Year
100.0%
The percentage of adults who
had visited a physician for a
routine checkup within the past
year is 8% higher than the state
and almost 17% higher than the
US. There continues to be a
steady increase.
Percentage
80.0%
60.0%
40.0%
20.0%
0.0%
Source: PRC Survey
CCB Healthcare Access Committee
Action: Continue increase in
wellness campaigns. Broward
County Government has
provided new funding initiatives
which will increase access to
health care and prenatal care.
www.brhpc.org
Check-Ups / Preventative Health
16
Percentage
Women over 50 who had a
Mammogram Within the Past Year
Percentage of women over 50 who had a
mammogram within the past year has
increased almost 12% since 2006.
80.0%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
Poverty Level of Women Over 50 who
had a Mammogram Within the Past
Year
2004
2006
Broward
2008
90.0%
80.0%
Source: PRC Survey
CCB Healthcare Access Committee
70.0%
Percentage
Data shows that women with lower
household income are more likely to have
had a mammogram within the past year.
Cost does not seem to be an issue.
Action: Continue working with area agencies
on providing mammograms in the
community. BCCI Program, MHS, and BH
provide free or reduced diagnostic and
mammogram screening to Broward County
residents.
c) household income <
100% Federal Poverty
Level
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
d) household income
100% - 200% of Federal
Poverty Level
2004
e) household income>
200% of Federal Poverty
Level
2006
2008
Broward
Source: PRC Survey
www.brhpc.org
Check-Ups / Preventative Health
17
People 40+ who had Digital Rectal
Exam
Percentage
54.0%
Since 2000 there has been a 6%
decrease in those receiving a digital
rectal exam.
52.0%
51.0%
48.0%
45.9%
46.1%
45.8%
Poverty level of People 40+ who had
Digital Rectal Exam
45.0%
42.0%
2004
2006
Broward
70.0%
2008
Source: PRC Survey
Action: It is important to continue
awareness of preventative health
checkups.
b) within the past two
years (cumulative)
60.0%
Percentage
2000
50.0%
c) household income <
100% Federal Poverty
Level
40.0%
30.0%
d) household income
100% - 200% of Federal
Poverty Level
20.0%
10.0%
0.0%
2000
2004 2006
Broward
2008
e) household income>
200% of Federal Poverty
Level
Source: PRC Survey
CCB Healthcare Access Committee
www.brhpc.org
Dental Check-Ups / Preventative Health
18
Have Visited a Dentist for a Routine
Checkup Within the Past Year (Adults)
76.0%
Action: Broward Regional Health
Planning Council has convened an
Oral Health Task Force to develop an
Oral Health Plan for Broward County.
The Health Foundation of South
Florida is funding Oral Health
initiatives in Broward County.
72.0%
Percentage
Ten percent more people in Broward
County have received a dental checkup within the past year than in the US.
This percent continues to increase.
68.0%
64.0%
60.0%
56.0%
Source: PRC Survey
CCB Healthcare Access Committee
In conjunction with Broward County
Schools Broward County Health
Department provides free oral health
screening to children in the Head
Start program
www.brhpc.org
Dental Check-Ups / Preventative Health
19
Have Visited a Dentist for a Routine
Checkup Within the Past Year (Children)
Though the percentage of
children in Broward County who
have visited a dentist within the
past year is lower than the US,
this trend is increasing.
76.0%
74.0%
Percentage
72.0%
70.0%
68.0%
66.0%
64.0%
62.0%
60.0%
58.0%
BC
1997
BC
1999
BC
2002
Source: PRC Survey
CCB Healthcare Access Committee
BC
2004
BC
2006
BC
2008
US
2008
Action: Broward Regional Health
Planning Council has convened
an Oral Health Task Force to
develop an Oral Health Plan for
Broward County. The Health
Foundation of South Florida is
funding Oral Health initiatives in
Broward County.
www.brhpc.org
Deaths
20
Death Rate per 100,000 Residents
There continues to be an
overall decrease in the death
rate per 100,000 residents for
both the county and state
over the past four years.
960.0
940.0
920.0
900.0
Rate
880.0
860.0
Broward County
840.0
Florida
820.0
800.0
780.0
760.0
740.0
2004
2005
2006
Broward
2007
Source: Florida Charts
CCB Healthcare Access Committee
www.brhpc.org
Deaths
21
Major Causes of Death
300.0
250.0
200.0
Rate
2004
150.0
2005
2006
100.0
2007
50.0
0.0
BC FL
Heart Disease
BC FL
Cancer
Source: Florida Charts
CCB Healthcare Access Committee
BC FL
BC FL
Stroke
Chronic
Lower
Respiratory
This chart depicts the death rate
per 100,000 residents for the
top four causes of death. Death
rates indicate whether progress
is being made in reducing the
most serious effects of disease,
accidents and crime. Number of
deaths for Heart Disease, Cancer
and Stroke have all had a steady
decrease over the past 4 years
for both Broward County and
the State. However the number
of deaths due to Chronic lower
respiratory has increased over
the past year for both Broward
County and the state.
www.brhpc.org
Deaths
22
Major Causes of Death
Years Potentional Life Lost (YPLL)
1800
1600
1400
1200
Rate
2007
1000
2006
2005
800
YPLL is an estimate of premature
mortality that has been defined as
the number of years of life lost
among persons who die before a
predetermined age. As depicted by
the chart, the YPLL continues to
increase for Heart Disease, Cancer,
and Stroke.
2004
600
400
200
0
Heart Disease
Cancer
Stroke
Chronic
Lower Respiratory
Source: Florida Charts
CCB Healthcare Access Committee
www.brhpc.org
Deaths
23
Unintentional Death Rate per 100,000
Residents
50.0
45.0
40.0
Rate
35.0
30.0
25.0
a) Broward County
20.0
b) Florida
15.0
10.0
5.0
0.0
2004
2005
2006
Broward
2007
Unintentional Death rates include deaths
by suicide, homicide, drowning, falls,
fires, poisonings, firearms discharges,
violent crimes, medical and surgical care
complications all motor vehicle traffic
crashes, and alcohol related motor vehicle
traffic crashes Death rates for
unintentional deaths has been fluctuating
over the past four years. There is an
increase in the number of unintentional
deaths for the state of Florida from 2006
to 2007. The unintentional death rate in
Broward County has decreased over the
past three years and did not change
between 2006 and 2007.
Source: Florida Charts
Action: Focus on drowning, poisoning
(drug overdose) and falls as they can be
prevented.
CCB Healthcare Access Committee
www.brhpc.org
Suicide
24
Number of
Deaths by Suicide per 100,000
14.0
12.0
Rate
10.0
8.0
Broward County
Florida
6.0
4.0
2.0
Suicides indicate that people are
having difficulty coping with
personal crisis, serious health
problems, or other life stresses.
There has been an increase in the
number of deaths from suicide
from 2005 thru 2007 for both
Broward County and the state.
Action: Florida Initiative for
Suicide Prevention (FISP) works
with the community to reduce
suicides.
0.0
2004
2005
2006
2007
Source: Florida Charts
CCB Healthcare Access Committee
www.brhpc.org
Communicable Diseases
25
Top 3 Communicable Diseases
350.0
Rate
300.0
250.0
2004
200.0
2005
150.0
2006
100.0
2007
This graph represents the rate of
new cases reported per 100,000
residents of top three
communicable diseases. As can
be seen, there is an increase in the
number of cases of Chlamydia.
Sexually transmitted diseases
account for the greatest number
of reported cases.
50.0
0.0
BC
FL
Gonorrhea
BC
AIDS
Source: Florida Charts
CCB Healthcare Access Committee
FL
BC
FL
Chlamydia
Action: Provide awareness of
sexually transmitted diseases to
the community without isolating
the problem to AIDS. Broward
county currently is second in the
nation for AIDS cases.
www.brhpc.org
Immunizations
26
Immunizations: Percentage of twoyear-olds who were adequately
immunized
90.0%
90.0%
88.6%
Percentage
88.0%
86.0%
84.0%
85.7%
85.1%
82.9%
82.0%
The percentage of two year olds
who were adequately immunized
has decreased over the past three
years. Broward County continues
to be below the percentage for the
State. This trend leads to the
possibility of future outbreaks of
vaccine preventable diseases. The
National goal is 90%.
80.0%
78.0%
Broward
Action: Broward County Health
Department has convened an
Immunization Task Force to work
on increasing the immunization
rate.
Source: Florida Charts
CCB Healthcare Access Committee
www.brhpc.org
Physical Fitness
27
Obesity is on the rise. Broward
County sees a five percent increase
in the number of adults who are
more than 20% overweight.
Adults More than 20% Overweight
40.0%
Action: The Broward County Health
Department convened a Nutrition
and Fitness Task Force to develop a
Strategic Plan to address obesity in
Broward County.
Percentage
38.0%
36.0%
34.0%
32.0%
30.0%
Adults who Exercise at Least 3 Times
a Week for at Least 20 Minutes
28.0%
2002
2004
2006
Broward
2008
Source: PRC Survey
43.5%
Percentage
Though obesity is on the rise,
there is an increase in the
number of adults who exercise
for 20 minutes at least three
times a week.
44.0%
43.0%
42.5%
42.0%
41.5%
41.0%
40.5%
2002
Source: PRC Survey
CCB Healthcare Access Committee
2004
2006
Broward
2008
www.brhpc.org
Mental Health
28
Perceived #1 Barrier Facing People With Mental Illness Who Need Treatment
Lack of Info on Programs
8%
Social Stigma
9%
Other
7%
Uncertain
31%
No
Knowledge/Symptoms
9%
Lack of Insurance
11%
Cost
13%
Barriers to Access
13%
Source: PRC Survey
In 2007 the number one perceived barrier that people face with
mental illness who need treatment is access, followed by cost.
Action: With the passing of the Mental Health Parity Bill, barriers to
access and cost should decrease.
CCB Healthcare Access Committee
www.brhpc.org
Mental Health
29
Would Employ or Recommend Someone for a Job
Who Has Been Treated for Mental Illness
No
12%
Depends on the
Illness
20%
Yes
68%
Source: PRC Survey
Provides a gauge on how the general public views
individuals with mental illness.
Action: Broward County is trying to reduce the stigma
mental illness carries.
CCB Healthcare Access Committee
www.brhpc.org
Youth Alcohol, Drug, and Cigarette Use
30
Youth Alcohol, Drug, and Cigarette Use
45.0%
40.0%
Percentage
35.0%
2003
30.0%
25.0%
2005
20.0%
15.0%
2007
Alcohol and drug use can lead to poor health,
crime, and employment problems. The younger
a person starts using drugs, the greater the
chance of serious drug problems and addiction
in later life. In most instances, drug use among
youth begins with either alcohol or marijuana.
Though the use of marijuana and cocaine has
decreased, youths are still drinking alcohol and
smoking cigarettes more than the previous year.
This graph depicts that alcohol and cigarette use
among youth is increasing while drug use
(marijuana and cocaine) is decreasing.
Although not been reflected in this graph, the use
of prescription drugs among youth is increasing.
10.0%
5.0%
0.0%
Youth
alcohol use
Youth
marijuana
use
Youth
cocaine use
Youth
smoking
cigarettes
Action: The United Way Commission on
Substance Abuse Under Age Drinking Task
Force, Prescription Drug Task Force, and the
CSC Youth Development program are examining
this issue.
Broward
Source: Youth Risk Behavior Surveillance
CCB Healthcare Access Committee
www.brhpc.org
Adult Cigarette Smoking
31
Adult Cigarette Smoking
25.0%
As can be seen from this graph,
the percentage of adults (18 and
older) who smoked is decreasing.
Percentage
20.0%
15.0%
Action: Broward County Health
Department has developed an
Adult Tobacco Cessation
Program
10.0%
5.0%
0.0%
2004
2006
2008
Broward
Source: PRC Survey
CCB Healthcare Access Committee
www.brhpc.org
End Notes
32

The sample design used for the 2008 PRC Survey consisted of a random sample of 1,009 individuals
aged 18 and older in the defined community of Broward County. Once these data were collected, the
sample was weighted in proportion to the actual population distribution at the ZIP Code level.

Florida CHARTS contains data from a wide variety of sources. These include: the Florida Department
of Health, the Florida Agency for Health Care Administration (AHCA), and the Florida Department of
Law Enforcement (FDLE).

The Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors and the
prevalence of obesity and asthma among youth and young adults. The YRBSS includes a national
school-based survey conducted by the Centers for Disease Control and Prevention (CDC) and state,
territorial, tribal, and local surveys conducted by state, territorial, and local education and health
agencies and tribal governments.

Patient satisfaction with Primary Care Services information comes from Memorial Healthcare System,
Broward Health, and Broward County Govt.
CCB Healthcare Access Committee