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Palm Beach County
February 23, 2012
Process
Define the community
Collect data: quantitative
and qualitative
Review data and identify
unmet needs and service
gaps
Prioritize needs
Summarize in a
Community Health Needs Assessment
Report
Develop a Community Health Plan
Introduction
2
The Final CHNA ReportIntroduction
Methodology
Quantitative Profile
• Palm Beach County Data• Bethesda Memorial Hospital Data
Qualitative Profile
• Focus Group Data (Consumers, Providers)• Key Informant Interview
Recommendations and Conclusion
Introduction
3
Dates and Agenda
Timeline
4
Date BMH Advisory Council Meeting Draft Agenda January 27, 2012 Introduction: Planning and Process
Palm Beach County Quantitative Data (Part I)
February 23, 2012 Palm Beach County Quantitative Data (Part II)
March 19, 2012 BMH Quantitative Data (Part I)
April 4, 2012 BMH Quantitative Data (Part II)BMH Community Services
April 25, 2012 Qualitative Report Presentation (Focus Groups)
May 15, 2012 Quantitative and Qualitative Data Recap Prioritization Process
June 6, 2012 Final Report Submitted
Palm Beach CountyQuantitative Data (Part II)
Quantitative
5
Maternal and Child Health Mortality Morbidity Behavioral
Health Risk
Maternal & Child Health
Quantitative
6
Live Birth per 1,000 Population Palm Beach vs. FL
Source: Florida Charts 7
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 12.5 12.3 12.4 12.4 12.6 12.9 12.8 12.3 11.8 11.4Palm Beach 11.8 11.7 12 12 11.9 12.2 12.1 11.8 11 10.7
10
10.5
11
11.5
12
12.5
13
13.5
14To
tal L
ive
Birth
Rat
e
Resident Live Births by Race/Ethnicity, Palm Beach, 2006-2010
Source: Florida Charts 8
Quantitative
2006 2007 2008 2009 2010White 10.6 10.2 9.9 9.1 8.8Black 18.5 19.2 19.2 18.7 18.3Hispanic 25.6 22.8 20.8 19.1 17.5Other Non-White 22.5 24.7 22.9 20.4 20.5Total Non-White 19 19.9 19.7 18.9 18.6Total 12.2 12.1 11.8 11 10.7
0
5
10
15
20
25
30Liv
e Bi
rth P
er 1
,000
Pop
ulat
ion
Resident Live Birth per 1,000 Pop*, Palm Beach 2006-2010 (by Census Tract)
Source: Florida Charts * Rate based on 2000 Census Population Data 9
Quantitative
% Births to Teenage Mothers (Age 15-19), 2001-2010
10
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 11.8 11.3 10.7 10.7 10.7 10.8 10.7 10.4 9.9 8.9Palm Beach 9.5 9.2 8.8 9.0 8.9 9.0 9.0 8.8 8.3 7.3
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
Source: Florida Charts
% Births to Teen Mothers (15-19) Palm Beach 2006-2010 (by Census Tract)
Source: Florida Charts * Rate based on 2000 Census Population Data 11
Quantitative
% Repeat Births to Teenage Mothers (Age 15-19), 2001-2010
12
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 20.3 20.1 19.9 18.9 18.8 18.4 18.6 18.5 18.9 17.8Palm Beach 22.7 21.1 21.8 20.1 21.9 19.9 20.8 20.1 19.9 17.4
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Source: Florida Charts
% Repeat Births to Teen Mothers (15-19) Palm Beach 2006-2010 (by Census Tract)
Source: Florida Charts * Rate based on 2000 Census Population Data 13
Quantitative
% Births to Mothers With First Trimester Prenatal Care, 2001-2010
14
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 84.1 85.4 85.8 81 78.5 76.8 75.9 76.9 78.3 79.3Palm Beach 74.9 80.3 80.9 72.3 67.7 69 70.6 71 73.3 75.7
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%
100.0%
Source: Florida Charts
Percent Births with First Trimester PNC Palm Beach, 2006-2010 (by Census Tract)
Source: Florida Charts 15
Quantitative
16
Quantitative% Births to Mothers With
3rd Trimester or No PNC, 2001-2010
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010State Total 3.4 2.9 2.8 4.3 5.3 5.7 6 5.8 5 4.6Palm Beach 7.4 5.4 5.1 8.1 9.4 9.8 8.3 8.6 7.5 6.4
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Source: Florida Charts
17
Quantitative
% Births to Uninsured Mothers, 2000-2009
Source: Florida Charts
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009Florida 4 5.3 6.2 6.8 7.5 7.8 8.5 8.6 8.2 8.2Palm Beach 7.2 9.3 11.2 11.9 12.3 13.5 17.1 17.8 17 18.4
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
18
Quantitative% Births Covered by
Emergency Medicaid, 2000-2009
Source: Florida Charts
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009Florida 4 5.3 6.2 6.8 7.5 7.8 8.5 8.6 8.2 8.2Palm Beach 7.2 9.3 11.2 11.9 12.3 13.5 17.1 17.8 17 18.4
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
% Low Birth Weight, 2001-2010
Source: Florida Charts 19
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 8.2 8.4 8.5 8.6 8.8 8.7 8.7 8.8 8.7 8.7Palm Beach 8.0 8.4 8.5 9.3 9.2 9.0 9.4 9.1 9.3 8.9
5.0
6.0
7.0
8.0
9.0
10.0
Quantitative
% Low Birth Weight By Race/Ethnicity, 2001-2010
Source: Florida Charts 20
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010White 6.6 6.9 6.8 7.4 7.7 7.3 7.7 7.3 7.3 6.8Black 11.6 12.7 13.3 14.2 13.2 14.0 14.0 13.2 14.4 13.6Hispanic 6.3 6.7 7.1 7.5 7.7 7.1 7.6 7.2 7.3 7.1Other 9.1 6.6 6.9 9.4 10.6 7.9 9.2 10.3 8.2 10.2Total Non-White 11.3 11.9 12.4 13.5 12.7 13.0 13.2 12.7 13.5 13.1
0.02.04.06.08.0
10.012.014.016.0
% Births - Low Birth Weight (< 2,500 grams)Palm Beach, 2006 – 2010 (by Census Tract)
21
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Child Immunization RatesTwo-Year Olds, 2001-2010
Source: Florida Charts 22
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 85.5 85.3 79.4 85.3 86.6 85.2 85.7 85.6 81.9 81.1Palm Beach 84.4 87.2 80.5 82.6 87.6 89.5 68.5 90.7 76.3 75.8
50.055.060.065.070.075.080.085.090.095.0
100.0
Perc
ent I
mm
unize
d
Quantitative
Child Immunization RatesKindergarten, 2001-2010
Source: Florida Charts 23
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 93.6 92.5 94.4 93.7 94.1 94.6 93.6 89.8 91.3 91.0Palm Beach 93.7 90.9 94.2 91.6 92.8 93.9 94.8 91.0 92.2 90.8
75.0
80.0
85.0
90.0
95.0
100.0
Perc
ent I
mm
unize
d
Mortality and Morbidity
24
Quantitative
Age-Adjusted Death Rates Palm Beach Vs. FL, 2006-2010
25
Quantitative
2006 2007 2008 2009 2010Florida 695.3 676.0 668.8 656.2 657.1Palm Beach 606.8 623.1 601.1 586.4 577.2
0.0
100.0
200.0
300.0
400.0
500.0
600.0
700.0
800.0
Rate
per
100
,000
Pop
ulat
ion
Source: Florida Charts * Rate based on 2000 Census Population Data
Death from All CausesPalm Beach, 2006-2010 (by Census Tract)
26
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Death Rates by Race/Ethnicity Palm Beach Vs. FL, 2006-2010
27
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
2006 2007 2008 2009 2010White 578.2 600.9 577.4 562.6 556.4Black 847.5 801.4 788.7 778.9 717.1Hispanic 538.0 529.2 499.8 484.6 451.4Total 606.8 606.8 601.1 586.4 577.2
0.0100.0200.0300.0400.0500.0600.0700.0800.0900.0
Rate
per
100
,000
Pop
ulat
ion
Major Causes of Death, Palm Beach 2010
Source: Florida Charts 28
Quantitative
Cause of Death Deaths Percent of Total Deaths
Crude Rate Per 100,000
ALL CAUSES 12,999 100 1,009.8HEART DISEASE 3,438 26.4 267.1CANCER 3,136 24.1 243.6STROKE 736 5.7 57.2CHRONIC LOWER RESPIRATORY DISEASE 657 5.1 51
UNINTENTIONAL INJURIES 569 4.4 44.2ALZHEIMER'S DISEASE 312 2.4 24.2DIABETES MELLITUS 282 2.2 21.9KIDNEY DISEASE 231 1.8 17.9PARKINSON'S DISEASE 220 1.7 17.1SUICIDE 189 1.5 14.7CHRONIC LIVER DISEASE AND CIRRHOSIS 166 1.3 12.9
PNEUMONIA/INFLUENZA 160 1.2 12.4SEPTICEMIA 111 0.9 8.6AIDS/HIV 64 0.5 5PERINATAL CONDITIONS 33 0.3 2.6
Major Causes of Death, Palm Beach 2010
Source: Florida Charts 29
Quantitative
Cause of DeathAge-Adjusted
Death Rate Per 100,000
3-Year Age-Adjusted Death
Rate Per 100,000
YPLL < 75 Per 100,000 Under 75
ALL CAUSES 577.2 588.3 6,886HEART DISEASE 132.7 135.5 813.8CANCER 146.9 148.4 1,539STROKE 29 28.2 177.9CHRONIC LOWER RESPIRATORY DISEASE 27.4 26.3 182.8
UNINTENTIONAL INJURIES 38.4 43.7 1,167.2ALZHEIMER'S DISEASE 10.1 11.8 8.1DIABETES MELLITUS 13.3 13.1 166.2KIDNEY DISEASE 10.3 10 92.3PARKINSON'S DISEASE 8 7.3 9.6SUICIDE 13.8 13.9 403.5CHRONIC LIVER DISEASE AND CIRRHOSIS 10.1 8.3 217.3
PNEUMONIA/INFLUENZA 6.3 6.2 36.5SEPTICEMIA 4.8 4.9 50.4AIDS/HIV 5 7.5 149
30
Major Causes of DeathPalm Beach Vs. FL, 2008-2010
Source: Florida Charts
0
20
40
60
80
100
120
140
160
180
Palm Beach
Florida Palm Beach
Florida Palm Beach
Florida Palm Beach
Florida Palm Beach
Florida Palm Beach
Florida
Heart Disease Cancer Stroke Chronic Lower Respiratory
Disease
Unintentional Injuries
Suicide
Rate
per
100
,000
Pop
ulat
ion
2008 2009 2010
Quantitative
31
Major Causes of Death by AgePalm Beach, 2010
Source: Florida Charts
Quantitative
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Heart Disease Cancer Stroke Chronic Lower Respiratory
Diseases
Unintentional Injuries
Suicide
85 +75-8465-7455-6445-5435-4425-3420-2415-1910-145-91-4< 1
32
Major Causes of Death by Race/Ethnicity, Palm Beach, 2010
Quantitative
Heart Disease Cancer Stroke
Chronic Lower
Respiratory Diseases
Unintentional Injury Suicide
Hispanic 106.0 100.3 27.4 16.0 26.4 8.4Black 169.5 141.6 56.4 21.8 25.0 6.1White 128.3 146.9 26.0 27.2 42.2 15.4
0%10%20%30%40%50%60%70%80%90%
100%
Source: Florida Charts
33
Major Causes of Death by GenderPalm Beach, 2010
Quantitative
Heart Disease Cancer StrokeChronic Lower
Respiratory Diseases
Unintentional Injury Suicide
Female 97.0 127.2 29.9 28.4 21.6 5.9Male 176.9 172.0 27.8 26.0 55.7 22.1
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Source: Florida Charts
Years of Potential Life Lostper 100,000 under 75 Palm Beach, 2008-2010
34
YPLL is an estimate of premature mortality that has been defined as the number of years oflife lost among persons who die before a predetermined age (this graph uses age 75).
NOTE: Deaths that occur at age 75 or greater are excluded from this calculation.
Quantitative
929.7
1613.0
178.2
117.1
1492.9
414.4
822.6
1560.3
197.1
140.0
1412.8
418.3
813.8
1539.0
177.9
182.8
1167.2
403.5
0.0 200.0 400.0 600.0 800.0 1000.0 1200.0 1400.0 1600.0 1800.0
Heart Disease
Cancer
Stroke
Chronic Lower Respiratory Diseases
Unintentional Injuries
Suicide
2008 2009 2010
Source: Florida Charts
Infant Mortality Per 1,000 Live Births, 2001-2010
Source: Florida Charts 35
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Florida 7.3 7.5 7.5 7 7.2 7.2 7.1 7.2 6.9 6.5Palm Beach 6.5 8.6 7.6 6.5 6.3 5.5 6.5 5.5 6.1 5.6
0.01.02.03.04.05.06.07.08.09.0
10.0
Rate
per
1,0
00 L
ive
Birth
Infant Mortality Per 1,000 Live Birthsby Race/Ethnicity, 2001-2010
Source: Florida Charts 36
Quantitative
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010White 5.2 6.4 5.5 4.4 4.5 5.0 4.2 4.4 4.5 4.7Black 11.0 15.8 14.4 12.5 10.8 7.1 13.2 9.1 10.9 8.5Non-White 9.4 13.6 12.6 11.1 10.5 6.9 11.4 7.9 9.5 7.2Hispanic 4.3 6.0 5.2 4.3 5.9 6.2 5.5 5.2 5.0 4.9
0.0
4.0
8.0
12.0
16.0
20.0
Rate
per
1,0
00 L
ive
Birth
s
Infant MortalityPalm Beach, 2006– 2010 (by Census Tract)
37
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Source: Florida Charts 38
QuantitativeHeart Disease Deaths by
Race/Ethnicity, Palm Beach, 2006-2010
2006 2007 2008 2009 2010Total 140.2 148.0 141.2 132.6 132.7White 135.2 142.6 137.0 126.7 128.3Black 198.4 197.0 193.1 192.3 169.5Hispanic 136.8 122.9 110.0 122.5 106.0
0.0
50.0
100.0
150.0
200.0
250.0
Rate
per
100
,000
Pop
ulat
ion
Heart Disease DeathsPalm Beach, 2006-2010 (by Census Tract)
39
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Source: Florida Charts 40
QuantitativeCancer Deaths by Race/Ethnicity
Palm Beach, 2006-2010
2006 2007 2008 2009 2010Total 146.4 152.0 147.9 150.5 146.9White 143.0 150.0 144.6 146.9 146.9Black 165.8 172.1 163.9 174.2 141.6Hispanic 105.5 119.2 116.0 108.0 100.3
0.0
50.0
100.0
150.0
200.0
Rate
per
100
,000
Pop
ulat
ion
Cancer DeathsPalm Beach, 2006-2010 (by Census Tract)
41
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Source: Florida Charts 42
QuantitativeUnintentional Injury Deaths by
Race/Ethnicity, Palm Beach, 2006-2010
2006 2007 2008 2009 2010Total 45.8 50.5 46.2 46.5 38.4White 47.7 53.7 48.3 50.4 42.2Black 38.4 38.3 39.4 29.9 25.0Hispanic 41.6 40.5 46.6 37.8 26.4
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Rate
per
100
,000
Pop
ulat
ion
Unintentional Injury DeathsPalm Beach, 2006-2010 (by Census Tract)
43
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Source: Florida Charts 44
QuantitativeSuicide Deaths by Race/Ethnicity
Palm Beach, 2006-2010
2006 2007 2008 2009 2010Total 11.2 14.1 13.6 14.2 13.8White 12.1 16.3 15.8 16.4 15.4Black 4.3 4.6 3.0 4.5 6.1Hispanic 7.9 8.4 6.4 3.5 8.4
0.02.04.06.08.0
10.012.014.016.018.0
Rate
per
100
,000
Pop
ulat
ion
Suicide DeathsPalm Beach, 2006-2010 (by Census Tract)
45
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Lung Cancer DeathsPalm Beach, 2006-2010 (by Census Tract)
46
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Breast Cancer DeathsPalm Beach, 2006-2010 (by Census Tract)
47
Quantitative
Source: Florida Charts * Rate based on 2000 Census Population Data
Behavioral Health Risk Factors for Adults, 2010Palm Beach Florida
% (Confidence Interval)Alcohol ConsumptionAdults who engage in heavy or binge drinking
14.8(9.9–19.8)
15.0 (14.0-16.0)
Tobacco UseAdults who are current smokers 9.0 (5.9-12.2) 17.1 (16.1-18.1)
Cardiovascular DiseaseAdults who have ever had a heart attack, angina, or coronary heart disease
7.6 (5.6-9.7) 10.2 (9.5-10.8)
Adults who have ever had a stroke 1.6 (0.8-2.4) 3.5 (3.1-3.9)
Hypertension Awareness and ControlAdults with diagnosed hypertension
29.3 (24.4-34.1) 34.3 (33.1-35.4)
Overweight and ObeseAdults who are overweight 41.8 (35.9-47.8) 37.8 (36.6-39.0)
Adults who are obese 19.4(14.7-24.2) 27.2 (26.1-28.4)Source: Behavioral Risk Factor Surveillance System; Florida Charts 48
Quantitative
For more information, contact:
Régine Kanzki, MPH
Division Director
rkanzki@brhpc.org
www.brhpc.org
Michael De Lucca, MHMPresident and CEO
Broward Regional Health Council, Inc.
Andrea StephensonExecutive Director
Health Council of Southeast Florida
Broward Regional Health Planning Council, Inc.200 Oakwood Lane, Suite 100
Hollywood, FL 33020(954) 561 - 9681
For More Information
49
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