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Welcome to the Pueblo City-County Health Department
Thank you for being here today!
Restrooms are located by the elevators This is a tobacco-free campus. Thank you for
not using tobacco on Health Department grounds
We are a green building; green plastic bins in the back of the room are available for recycling
In case of an emergency, please exit the building using the stairs at the front or back of the building
Agenda
Introduction/Purpose of Meeting (15 minutes) Community Process to Determine Priorities
(15 minutes) Overview of Public Health Priorities:
statistics, capacity, possible strategies (60 minutes)
Community Input (30 minutes) Break (10 minutes) Rank Public Health Priorities (30 minutes) Next Steps (10 minutes)
Process to Narrow Down Priorities
PUEBLO COMMUNITY HEALTH ASSESSMENT
Mission of Pueblo Community Health Assessment
Pursuant to the Colorado Public Health Reauthorization Act –Colorado counties are required to complete a comprehensive community health assessment. To that end, Pueblo City-County Health Department is tasked to partner with various county-wide organizations and individuals to complete a community health assessment. The purpose of the assessment is to assist Pueblo in deciding what its community health priorities are for the next 5 years and what strategies will be used by various public health organizations and partners to improve the overall health of Pueblo residents.
* Based on geography of Pueblo County
Contributions to Health Assessment Process
PCCHD Community Health Assessment Team Internal (CHATI) Members: Heather Maio Chad Wolgram Jenna Ward Julie Kuhn Lynn Procell Kim Whittington Sarah Joseph Shylo Dennison
Community Health Assessment Steering Committee Members Donald Moore Mary Gunn Randy Evetts Angela Jensen Tony LaCombe John LeFebre Charlotte Yianokopolus-Veatch Cindy Lau Kirsten Taylor Michelle DesLauriers Barb Mettler
Steps of the Community Health Assessment
1) Community Health Assessment & Status Report (Data collection based on health indicators; strengths; & weaknesses)
2) Capacity Assessment & Report (Who is doing what & how well?)
3) Prioritization process of public health issues for
community
4) Community Health Improvement Plan (Priorities identified and responsibilities assigned)
5) Strategic Plan for Pueblo City-County Health
Department
Top 8 Priorities
*In alphabetical order Cardiovascular Disease Communicable/Infectious disease
prevention Diabetes Lack of providers/Access to care Mental health Obesity (adult and childhood) Poverty Teen Pregnancy/Unintended pregnancy
Cardiovascular Disease
Rate of Cardiovascular Disease 1074.2 per
100,000- Pueblo County
961.8 per 100,000- Colorado
26% of all deaths caused by Heart Disease in Pueblo
Disparities Minority populations
have greater disparities for CVD
Hospital Discharge for CVD, 2009
0
200
400
600
800
1000
1200
Age
-Adj
uste
d Ra
te (p
er 1
00,0
00)
Pueblo
Colorado
Cardiovascular Disease
Evidence based strategies Comprehensive strategies to reduce blood
pressure (http://www.bmj.com/content/326/7404/1419.short)
Ensure screenings for high risk individuals (http://www.bmj.com/content/326/7404/1419.short)
Communicable/Infectious Disease
Influenza (flu) Pueblo County: 33 influenza-associated
hospitalizations 2010-2011 Colorado average: 20.9
Disparities Elderly Infants Immune-compromised individuals
Tuberculosis Pueblo County: 1.9 cases per 100,000
Colorado: 2.3 cases per 100,000
Disparities Prison and homeless populations
Communicable/Infectious Disease
Disparities 18-24 year olds Minority females Those with multiple
partners Drug users
Communicable/Infectious Disease Evidence based strategies (www.cdc.gov)
Increase vaccines with chart reminders, electronic health records, mailed/telephoned reminders
Comprehensive education on preventing transmission
Increase and encourage testing
Diabetes
5% of all deaths in Pueblo are caused by Diabetes Mellitus, Type II
Evidence based strategies (www.thecommunityguide.org) Case management
interventions to improve glycemic control
Self-management education in community-gathering places for adults with type 2 diabetes
Lack of Providers/Access to Care
% enrolled in Medicare and dual eligible in 2008-2009
18.80%
10.90%17.10%
12.40%
Pueblo
Weld
Mesa
Colorado
Disparities Low socioeconomic individuals Ethnic and minority populations
Lack of Providers/Access to Care
Evidence based strategies Ensuring eligible
individuals are enrolled in available insurance programs (i.e. CHP+, Medicaid, etc.)
Increase the number of physician assistants and nurse practitioners
Safety Net Provider Locations in Pueblo County, 2007
Type # of Clinics
Rural Health Clinics 0
and Emergency Departments 2
Safety Net Dental Clinics 1
Safety Net Mental Health Clinics 3
School Based Health Centers 5
Clinic Delivery Sites 5
Other Primary Care Clinics 0
ClinicNet Clinics 1
Public Health Departments and Nursing Services that Provide Primary Care Services
1
Mental Health
Poor mental health days was highest at 31% for ages 18-24 in Pueblo County
Disparities Greatest percentage
of suicides occurred among non-Hispanic whites
Highest race/ethnicity and age-specific rates were among American Indian/Alaska Native adolescents and young adults.
Mental Health
Evidence based strategies Collaborative care for managing depressive
disorders Home and clinic-based depression care
management
Obesity
Children Eating Fruits and Vegetables Pueblo County: 5.8% consumed five or more fruits and
vegetables per day Colorado: 9.6%
Obesity
Disparities Lower socioeconomic status and middle income
(living in suburban areas without connectivity) Minority populations
Evidence based strategies (www.thecommunityguide.org) Behavioral interventions to reduce screen time Multi-component coaching or counseling
interventions to reduce weight and maintain weight loss
Worksite wellness programs (trainings, policy/system changes)
Poverty
Poverty
Disparities Ethnic and Minority Populations
Evidence based strategies Increase financial literacy
(http://www.practicalmoneyskills.com/foreducators/state_standards/process.php)
Improve graduation rates (http://www.cdc.gov/PCD/issues/2007/oct/pdf/07_0063.pdf)
Teen/Unintended Pregnancy
Pueblo County: 55.6% unintended and 44.4% intended Pueblo County Hispanic population: 49.7% of pregnancies
considered intended In 2009, 17% of all births in Pueblo County were to teens
Teen/Unintended Pregnancy
Disparities Lower socio-economic women Young women whose mothers were teen moms Hispanic teens
Evidence based strategies (www.thecommunityguide.org) Youth development, behavioral interventions:
interventions coordinated with community service to reduce sexual risk behaviors in adolescents
Comprehensive risk reduction intervention for adolescents (abstinence as well as other scientifically proven prevention methods)
Questions?
