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Sonoma County’s Accountable Community for Health

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Page 1: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

SonomaCounty’sAccountableCommunityforHealth

Page 2: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

KEYDEMOGRAPHICDATAFORSONOMACOUNTY

307people

PER SQUARE MILE

Four hundred eighty-threethousand, eight hundred

seventy-eight people

Who Are We?KEY FACTS ABOUT THE POPULATION OF SONOMA COUNTY

GENDER URBAN | RURAL

AGE

16%Rural

84%Urban

49%Male

51%Female

83%NativeBorn

17%Foreign

Born

BIRTHPLACE

HOME OWNERSHIP

40%Rent

60%Own

0–19 20–44 45–64 65–84 85+

25% 32% 29%12%

2%

RACE & ETHNICITY

66.1%White

24.9%Latino

3.9%Some other race/races

3.7%Asian American

1.4%African American

NATIVITY BY RACE

Asian American

27% Native Born

73% Foreign Born

87%Native Born

13% Foreign Born

Some Other Race/Races

97% Native Born

3%Foreign Born

White

58% Native Born

42% Foreign Born

Latino

80% Native Born

20% Foreign Born

African American

EMPLOYMENT

Information 1.9%

3.0%Transportation,Warehousing, Utilities

3.7%Agriculture, Forestry,Fishing, Hunting, Mining

3.8%Public Administration

Other Services(except Public Administration) 5.7%

Finance, Insurance,Real Estate 6.1%

Construction 7.4%

Manufacturing 10.3%

Entertainment, Arts,Recreation, Accommodation 11.0%

Services (professional, scientific,management, etc.) 12.2%

14.9%Trade(wholesale, retail)

Education, Health Care,Social Assistance 20%

Total population

483,878

THE MEASURE OF AMERICA SERIES18

307people

PER SQUARE MILE

Four hundred eighty-threethousand, eight hundred

seventy-eight people

Who Are We?KEY FACTS ABOUT THE POPULATION OF SONOMA COUNTY

GENDER URBAN | RURAL

AGE

16%Rural

84%Urban

49%Male

51%Female

83%NativeBorn

17%Foreign

Born

BIRTHPLACE

HOME OWNERSHIP

40%Rent

60%Own

0–19 20–44 45–64 65–84 85+

25% 32% 29%12%

2%

RACE & ETHNICITY

66.1%White

24.9%Latino

3.9%Some other race/races

3.7%Asian American

1.4%African American

NATIVITY BY RACE

Asian American

27% Native Born

73% Foreign Born

87%Native Born

13% Foreign Born

Some Other Race/Races

97% Native Born

3%Foreign Born

White

58% Native Born

42% Foreign Born

Latino

80% Native Born

20% Foreign Born

African American

EMPLOYMENT

Information 1.9%

3.0%Transportation,Warehousing, Utilities

3.7%Agriculture, Forestry,Fishing, Hunting, Mining

3.8%Public Administration

Other Services(except Public Administration) 5.7%

Finance, Insurance,Real Estate 6.1%

Construction 7.4%

Manufacturing 10.3%

Entertainment, Arts,Recreation, Accommodation 11.0%

Services (professional, scientific,management, etc.) 12.2%

14.9%Trade(wholesale, retail)

Education, Health Care,Social Assistance 20%

Total population

483,878

Note: Population data by gender, urban/rural, and age are from 2010; all other data are from 2012. Totals may not equal 100 due to rounding. Sources: U.S. Census Bureau, Census 2010 and American Community Survey 2012.

A PORTRAIT OF SONOMA COUNTY 2014 19

307people

PER SQUARE MILE

Four hundred eighty-threethousand, eight hundred

seventy-eight people

Who Are We?KEY FACTS ABOUT THE POPULATION OF SONOMA COUNTY

GENDER URBAN | RURAL

AGE

16%Rural

84%Urban

49%Male

51%Female

83%NativeBorn

17%Foreign

Born

BIRTHPLACE

HOME OWNERSHIP

40%Rent

60%Own

0–19 20–44 45–64 65–84 85+

25% 32% 29%12%

2%

RACE & ETHNICITY

66.1%White

24.9%Latino

3.9%Some other race/races

3.7%Asian American

1.4%African American

NATIVITY BY RACE

Asian American

27% Native Born

73% Foreign Born

87%Native Born

13% Foreign Born

Some Other Race/Races

97% Native Born

3%Foreign Born

White

58% Native Born

42% Foreign Born

Latino

80% Native Born

20% Foreign Born

African American

EMPLOYMENT

Information 1.9%

3.0%Transportation,Warehousing, Utilities

3.7%Agriculture, Forestry,Fishing, Hunting, Mining

3.8%Public Administration

Other Services(except Public Administration) 5.7%

Finance, Insurance,Real Estate 6.1%

Construction 7.4%

Manufacturing 10.3%

Entertainment, Arts,Recreation, Accommodation 11.0%

Services (professional, scientific,management, etc.) 12.2%

14.9%Trade(wholesale, retail)

Education, Health Care,Social Assistance 20%

Total population

483,878

THE MEASURE OF AMERICA SERIES18

Page 3: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Health Action Historical Timeline

Health Action established

2007

Page 4: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Initial Community Engagement Phase

Action Plan 2009-2012

-  Convened key stakeholders within and outside health system

-  Reviewed data to assess key

needs (e.g., primary care) -  Built community awareness

campaigns to engage community partners and residents in health.

Page 5: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Strategy Development for Systems Change

Action Plan 2013-2016

-  Established cross-sector subcommittees and place-based Chapter network & initiated pilots for proof of concept

-  Spearheaded A Portrait of Sonoma County

to focus on social determinants of health and health equity

-  Developed policy objectives to advance

population health – e.g., tobacco, early childhood

-  Initiated discussions on innovative financing, prevention-focused investments, linkages with Upstream Investments

A PORTRAIT OF SONOMA COUNTY

SONOMA COUNTY HUMAN DEVELOPMENT REPORT 2014

Page 6: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 7: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

SONOMACOUNTYHUMANDEVELOPMENT

INDEXBYCENSUSTRACT

WWW.MEASUREOFAMERICA.ORG/SONOMA

TOP:EAST

BENNETTVALLEY8.47

BOTTOM:ROSELANDCREEK2.79

Page 8: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

ATALEOFTWONEIGHBORHOODS

•  6.6%livinginpoverty•  extensiveparksandgreenspace•  40.8%atleastbachelor’sdegree•  $44,564medianpersonalearnings

•  18.7%livinginpoverty•  limitedparksandgreenspace•  8.2%atleastbachelor’sdegree•  $22,068medianpersonalearnings

Page 9: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 10: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

MISSION:Improvecardiovasculardiseasepreventionandmanagementthroughactivecollaborationacrosshealthcareorganizations,community/socialservicepartners,andcommunitymemberstoinspiregoodhealthandachievehealthequity

Page 11: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

HeartattacksandstrokecontinuetobealeadingcauseofdisabilityandprematuredeathinSonomaCounty

Why cardiovascular disease?

•  Heartdiseaseandstroketogether=28%ofdeaths

•  3in10peoplelivingwithcardiovasculardisease(CVD)

Page 12: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

 CenterforWell-Being CeresCommunityProject DepartmentofHealthServices IntegrativeMedicalClinicFoundation KaiserPermanente PartnershipHealthPlan PetalumaHealthCareDistrict PetalumaHealthCenter RedwoodCommunityHealthCoalition

 RedwoodEmpireFoodBank SantaRosaCommunityHealth SantaRosaFamilyMedicineResidency SonomaCountyFamilyYMCA SonomaCountyIndianHealthProject St.JosephHealthSonomaCounty SutterHealth WestCountyHealthCenters UnitedWayoftheWineCountry

Hearts of Sonoma County Community & Clinical Partners

Page 13: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 14: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 15: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 16: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

57.50%

60.60%

67.02%68.25%

50%

55%

60%

65%

70%

75%

80%

85%

2014*Jan1,2014-Dec31,2014

num=7,123

denom=12,387

2015Jan1,2015-Dec31,2015

num=8,172

denom=13,486

2016Jan1,2016-Dec31,2016

num=8,394

denom=12,525

2017Jan1,2017-Dec31,2017

num=8,579

denom=12,570

MeasureA:%HTNcontrolled,age18-594ReportingOrganizations

*Baselineyear

19%sincebaseline

Page 17: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Health Action Chapters

Page 18: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Strategies for Developing Active Resident Leadership

18

Page 19: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,
Page 20: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Wellness Fund

• DevelopedSustainableFinancingAnalysisforHealthActionin2017

Page 21: Sonoma County’s Accountable Community for Health · Real Estate 6.1% Construction 7.4% Manufacturing 10.3% Entertainment, Arts, Recreation, Accommodation 11.0% Services (professional,

Wellness Fund

•  Successfullypilotedshareddecision-makingstructureusingagreeduponcriteria

• Allocated$100,000fromCACHIgranttoportfolioofinterventions• HeartsofSonomaCountypartnersagreedtofundfiveinterventionsontheportfoliousingthisprocess