building a county coalition to transform health for women of color and their families dr. angela m....
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Building a County Coalition to Transform Health for Women of Color and their Families
Dr. Angela M. Wakhweya, MSc.Econ.Health Officer
Anne Arundel County Department of Health
Health Care Reform Conference for Women of ColorMorgan State University
September 8, 2012
The Local Context
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Anne Arundel County ~Who Are We?
Anne Arundel Maryland U.S.
Racial/Ethnic Breakdown:
White 72.4% 54.7% 63.7%
Black 15.2% 29.0% 12.2%
Hispanic 6.1% 8.2% 16.3%
Asian 3.4% 5.5% 4.7%
Median Household Income (2010) * $79,843 $69,193 $50,221
Unemployment (January 2011) † 6.5% 7.5% 9.8%
Uninsured Adults (2010) ¶ 10.3% 12.9% 17.8%
Individuals Below Poverty (2010) 6.8 % 9.2% 14.3%
Area: 416 square miles
Population 537,656 (2010) §
Geography: Rural south county Urban/suburban northern and mid-county
§ US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011
Anne Arundel County Department of HealthSeptember 8, 2012
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Geographic Disparities
Anne Arundel County Department of Health
Top Ten Zip CodesFive Leading
Causes of Death, 2010 Crude Death Rate
September 8, 2012
Anne Arundel County Department of Health
Zip Code Name County RegionDeaths from Leading Causes, Ages 0-64 years
Highest Crude Death Rate (per 100,000)
21225 Brooklyn Northern 26 199.66
21060 Glen Burnie East Northern 48 189.89
21061 Glen Burnie West Northern 80 167.43
21401 Annapolis Central 37 127.47
21122 Pasadena Northern 67 124.46
ZIP Codes with the highest death rate from the five leading causes, Ages 0-64
Geographic DisparitiesFive Leading Causes of Death for AA County (2010)1. Heart Disease 4. Chronic Lower Respiratory Disease
2. Cancer 5. Diabetes
3. Stroke
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Geographic Disparities
Anne Arundel County Department of Health
10 Leading ZIP Codes Medicaid
Enrollment Rate* 2007-2011
September 8, 2012
Geographic Disparities
10 Leading ZIP Codes 2010 Hospital ED
Visit Rate* Ages 5-18 Years
Rate based on 2010 Census for Ages 5-18 Years
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*Crude rates per 100,000 population
Diabetes Hypertension Chest Pain COPD Asthma0.0
500.0
1000.0
1500.0
2000.0
2500.0
3000.0
White MaleBlack MaleWhite FemaleBlack Female
Gender and Race Disparities2010 Hospital ED Visit Rates*
September 8, 2012 Anne Arundel County Department of Health
Gender and Race Disparities2010 Hospital ED Visits for Select Causes - 21225
Crude rates per 100,000 (all ages)
Diabetes Hypertension COPD Asthma0.00
1000.00
2000.00
3000.00
4000.00
5000.00
6000.00
7000.00
8000.00
9000.00
White MaleBlack MaleWhite FemaleBlack Female
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disparities
Source: Maryland Health Services Cost Review Commission, 2010
Race Disparities by County
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disparities
Source: Maryland Health Services Cost Review Commission, 2010
Race Disparities by County
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Race Disparities - Weight
September 8, 2012 Anne Arundel County Department of Health
Weight Status by Race for Anne Arundel County, 2007Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007
Towards A Healthy Weight!We are heading in the wrong direction!
Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the USData source: National BRFSS
Bend the obesity curve downwardsA CALL TO ACTION!
Anne Arundel County Department of Health
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Healthy Anne Aruindel Coalition
“A Ripple Effect”
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Healthy Anne Arundel Coalition StructureCoalition
Steering Committee
CoalitionNetwork
Partnership for Children, Youth,
& Families
CBOs/FBOs/ Volunteers/ Community
Reps
School Health Advisory Council
Drug and Alcohol Abuse
Council
County Board of Education
County Detention and Corrections
Facilities
Department of Social Services
Department of Aging and Disabilities
County and City Recreation and
Parks
Mental Health Agency
Arundel Community
Development Services
Anne Arundel County Public
Schools
County Agencies, Offices, Departments and Partners
Examples
Boards, Coalitions, Councils and Committees
Examples
Conquer Cancer Coalition
FIMR and CFR Committees
City Housing Authority &
County Housing Commission
County and City Police and Fire
Department
Large Employers & Businesses
American Heart Association
September 8, 2012 Anne Arundel County Department of Health
Healthy Anne Arundel Coalition Health Improvement Focus Areas
Obesity* ~ “Eat Healthier and Move More” Mental Health & Substance Abuse* ~ Utilizing
a “Four-Quadrant Framework” Cancer and Tobacco Use Prevention Dental Care Sexual Health Housing and Environmental Conditions Maternal and Child Health
*Designated Priority Areas
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Steering
Committe
e
Promotion and Publicity Subcommitt
ee
Co-Occurring Disorders
Steering
Committee
Obesity Prevention Subcommi
ttee
Leadership and Finance
Subcommittee
Healthy Anne Arundel Coalition Implementation Structure
September 8, 2012 Anne Arundel County Department of Health
Communicates with nearly 200 community and faith based organizations.
Assures that the Coalition’s activities are responsive to the needs of minorities in the County.
Assists other Coalition subcommittees in connecting with minority County residents.
Helps engage minority communities in the implementation of the Coalition’s Action Plan.
Community Outreach Subcommittee
County Schools
79 Elementary Schools Enrollment: 36,759
19 Middle Schools Enrollment: 16,848
12 High Schools Enrollment: 22,696
142 Private SchoolsEnrollment: 15,038
Anne Arundel County Department of Health
300+ school health staff!
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ZIP Code Name# Elementary
Schools# Middle Schools
# High Schools
# Private Schools*
21225 Brooklyn 3 1 0 0
21060 Glen Burnie East 6 1 0 4
21061 Glen Burnie West 9 1 2 2
21401 Annapolis 5 1 1 15
21122 Pasadena 8 2 2 6
TOTAL 31 6 5 27
Anne Arundel County Department of Health
Opportunity for School Based Partnerships
* Not all private schools may be represented
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Healthy Anne Arundel CoalitionReducing Health Disparities
The Coalition’s priorities reflect documented and evidence based health disparities
The Coalition’s broad-based membership assures that there is a vested interest in reducing health disparities across all sectors
The Community Outreach Subcommittee engages the County’s minority community in the implementation of the Coalition’s action plan and initiatives
“Generational shift” in health outcomes starts with our children and our youth!
Anne Arundel County Department of HealthSeptember 8, 2012
Important Role of Local Public Health Departments in Health Care Reform – Transforming Care at the Local Level
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Key Role of LHDs Utilize new public-private sector partnerships
through the Coalition to improve health care outcomes and health disparities
Seek “navigator entity” status by positioning ourselves to respond to the RFP due late 2012
Provide public outreach and social marketing to inform, educate and empower communities
Assure access to services during public health transitions as part of our three core public health functions and ten essential services
Lead the local health improvement coalition process and ensure the community is aware and engaged!
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Healthy Anne Arundel Coalition Contacts
Laurie Fetterman, MSW
Phone: 410-222-7203
Email: [email protected]
www.HealthyAnneArundel.org
22Anne Arundel County Department of HealthSeptember 8, 2012