palm beach county february 23,...

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


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)


Quantitative

% Repeat Births to Teenage Mothers (Age 15-19), 2001-2010

12

Quantitative


0.0%

5.0%

10.0%

15.0%

20.0%

25.0%


% Repeat Births to Teen Mothers (15-19) Palm Beach 2006-2010 (by Census Tract)


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%


Percent Births with First Trimester PNC Palm Beach, 2006-2010 (by Census Tract)


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%


17

Quantitative

% Births to Uninsured Mothers, 2000-2009


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


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



5.0

6.0

7.0

8.0

9.0

10.0

Quantitative

% Low Birth Weight By Race/Ethnicity, 2001-2010


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



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


Quantitative


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


Death from All CausesPalm Beach, 2006-2010 (by Census Tract)

26

Quantitative


Death Rates by Race/Ethnicity Palm Beach Vs. FL, 2006-2010

27

Quantitative


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


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


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


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


Quantitative

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Heart Disease Cancer Stroke Chronic Lower Respiratory

Diseases


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%


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%


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


Suicide

2008 2009 2010


Infant Mortality Per 1,000 Live Births, 2001-2010


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


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



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



QuantitativeCancer Deaths by Race/Ethnicity

Palm Beach, 2006-2010


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



QuantitativeUnintentional Injury Deaths by

Race/Ethnicity, Palm Beach, 2006-2010


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



QuantitativeSuicide Deaths by Race/Ethnicity

Palm Beach, 2006-2010


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


Lung Cancer DeathsPalm Beach, 2006-2010 (by Census Tract)

46

Quantitative


Breast Cancer DeathsPalm Beach, 2006-2010 (by Census Tract)

47

Quantitative


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

[email protected]

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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