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CONVENING THE COMMUNITY AROUND BOLD HEALTH GOALS
Addressing Air Quality
Pa1e Dale Tye | Segment Vice President, Bold Goal | Humana Veronica Combs | ExecuBve Director | InsBtute for Healthy Air, Water and
Soil
GOOD HEALTH IS HARD
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# prescriptions per year
million seniors 65 and older live below poverty level
# average doctor visits per year
% suffering from mental disorder, including depression, anxiety
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27
4.5
25
33
% of Medicare Advantage members with diabetes
Our country faces unique health challenges
3 Sources: US Department of HHS Administration on Aging, CDC The State of Aging and Health in America 2013, National Council on Aging Healthy Aging Facts 3
Urgent care
Specialist care
Patient
Caregiving
Labs
Other care and therapies
Wellness programs
Diagnostics Retail Pharmacy
Specialty Pharmacy
Mail order Pharmacy
Clinical Education Programs Psychiatric assistance Nurse assistance at home
Our integrated care delivery model Where in the world is Marvin?
Treating disease, not the whole person
Primary care physician (PCP)
Hospitals
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Emergency rooms
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BOLD GOAL WE HAVE A
20% HEALTHIER BY 2020
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San Antonio
Baton Rouge
New Orleans
Louisville Knoxville
Richmond
Jacksonville
Tampa Bay Broward County
Milwaukee OUR BOLD GOAL COMMUNITIES
Tidewater
Chicago
Kansas City
Phase II Phase I
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Health!Advisory Board!
Community members!
Physicians and clinicians!
For-profit companies!
Government leaders and agencies!
Nonprofit organizations!
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Convening the community
Tracking Progress through Healthy Days
Total
+ = Unhealthy Days
PHYSICALLY Unhealthy Days
MENTALLY
Unhealthy Days
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Social Determinants
of Health
Collec7ve Impact Model/Convening
Stakeholders
Research, Interven7ons, Measurement &
Scale
Our Differentiator
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One person, one community at a time
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VIDEOLouisville and Bold Goal Partnerships |
Humana
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Louisville Health Advisory Board
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Louisville Air Quality
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• Kentucky has the 2nd highest adult asthma prevalence in the U.S (11.9%) (CDC)
• Asthma and COPD are the 3rd and 4th leading causes of hospitalizaBon in Jefferson County
• Louisville has one of the highest smoking rates among adults in the country at 25.5% (CDC)
Louisville CondiBon Prevalence
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Condition Louisville National Variance Asthma 8.3% 6.8% 1.5% COPD 18.7% 15.8% 2.9% Respiratory Failure 9.4% 7.6% 1.8% Respiratory InfecBon 30.8% 25.9% 4.0%
Condi7on Prevalence: Louisville Medicare
Condition Louisville National Variance Asthma 4.6% 3.8% 0.8% COPD 1.3% 1.1% 0.2% Respiratory Failure 0.8% 0.7% 0.1% Respiratory InfecBon 22.0% 19.1% 2.9%
Condi7on Prevalence: Employer Group
*Source: Humana Community Health Dashboard
AIR Louisville
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AIR Louisville Goals Personal
• Improve asthma and COPD outcomes among residents by providing acBonable informaBon to support self-‐management
Policy/Community • IdenBfy hotspots of respiratory disease in the community, and beber understand how environmental drivers are influencing these paberns.
• Increase public awareness of air quality and respiratory disease
• Inform policy discussion
Air Louisville Goals
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AIR Louisville: Unprecedented Data Collection
>1.16m data points collected, including 251,379 medication use events (rescue and controller) ● Date and time ● Medication ● Number of doses ● Location
5.4m environmental data points including: ● Air pollutants: NO2, PM2.5, Ozone, SO2
● Pollen Count ● Temperature, Humidity, Wind speed/direction ● Land use (zoning, tree cover, impervious
surface) ● Major roadways and highways
AIR Louisville: Unprecedented Data Collec7on
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Asthma risk assessment of Louisville neighborhoods
Represents asthma risk per census tract as a funcBon of:
NO2 SO2 Ozone Temperature Humidity
(controls for neighborhood socioeconomic characteris3cs)
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Enhancing green infrastructure in high-‐risk neighborhoods
Increase tree canopy
Traffic rerouting, ban/toll on diesel trucks
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Impact of SO2 concentra7on on rescue medica7on use
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SO2 reduc7ons demonstrate health benefit of regula7on
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PotenBal policy changes
Images from Andre Hofmeister, Albert Lugosi and Nai Yuan Yeh
vs
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500-‐foot buffer 15%
45%
Georgia Health Policy
Phase One: Integra7ng Health Insight into the DraU Comprehensive Plan
1. CollaboraBve review of exisBng Comprehensive Planning acBviBes to date
2. Enhance Public Engagement OpportuniBes 3. Overarching disseminaBon of learnings, development of
White Paper, and Policy RecommendaBons
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PaVe Dale Tye: [email protected]
Veronica Combs: [email protected]
#MoreHealthyDays
www.Humana.com/boldgoal
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Speaker Contact InformaBon
