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STRATEGIC HEALTH PLANNING May 16, 2003

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Title: HOW WILL WE USE THESE PRIORITIES Author: glane Last modified by: strout Created Date: 5/1/2003 8:53:06 PM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Title: STRATEGIC HEALTH PLANNING May 16, 2003


1
STRATEGIC HEALTH PLANNINGMay 16, 2003
Working Smarter
For Better Health
STEP ONE DEVELOPING A DRAFT LIST OF
HEALTH PRIORITIES

2
GROUND RULES
  • One person speaks at a time
  • Be brief and to-the-point no need to get on
    your soapbox,
  • to debate, or to give long explanations
  • Stay on time finish on time
  • Stay focused on target outcome needed for
    this day
  • Keep the big picture in mind
  • Be courteous respectful of all participants
  • Have spin-off discussions debates during
    lunch breaks get back on track when its time to
    return to agenda
  • Be nice to facilitator!!!

3
Strategic Health Planning Timeline
  • May 16th, 2003 Develop DRAFT Health Priorities
  • June August Public Feedback/Comment period
  • Presentation Epi Analysis
  • Media Promotions
  • Focus Groups
  • Board member-sponsored forums
  • August (End) Finalize Strategic Plan to Address
    Health Priorities
  • September Go To United Board of Health and
  • 4Cs Governing Board Meetings to
  • Adopt Strategic Health Plan
  • October 1, 2003 Implement Strategic Health Plan
    Targeting Health Priorities in Galveston
    County

4
MISSION AND VISION
  • MISSION
  • Assuring Conditions in Which People Can be
    Healthy
  • VISION
  • Healthy People in Healthy Communities

5
PUBLIC HEALTH FUNCTIONS
  1. Monitor health status
  2. Diagnose and investigate
  3. Inform, educate, and empower
  4. Mobilize community partnerships
  5. Develop policies and plans
  6. Enforce laws and rules
  7. Link individuals to resources
  8. Ensure a competent workforce for the provision of
    essential public health services.
  9. Research insights and solutions.
  10. Evaluate the effectiveness, accessibility, and
    quality of health services

6
HOW PRIORITIES WILL BE USED
  • To make decisions about areas to focus our
    efforts (time, money and brainpower) given
    limited resources
  • To make decisions about whether or not to apply
    for various grants
  • To make decisions about the types of
    collaborations, members and workgroups to
    dedicated resources
  • To develop district-wide, program specific
    measurable goals targeting each priority
  • To guide the development of departmental and
    program operating planning process for long-term
    health and budget forecasting

7
WHAT SUCCESS LOOKS LIKE
  • Priorities are consistent with the Health
    Districts vision, mission, and legal scope of
    responsibilities

8
WHAT SUCCESS LOOKS LIKE
  • Priorities will guide the Districts selection of
    HP2010 focus areas and objectives for long-term
    planning and evaluation

9
WHAT SUCCESS LOOKS LIKE
  • For each priority, measurable goals will be
    developed, monitored, evaluated and periodically
    reviewed at all levels in the Health District

10
WHAT SUCCESS LOOKS LIKE
  • Priorities are fully integrated at all levels in
    the Health District District-wide, 4Cs clinic,
    Departments, Programs, and employees
    (evaluations, awards, merits, recognition
    activities)

11
WHAT SUCCESS LOOKS LIKE
  • Public health education and prevention goals can
    be established for each priority as a means to
    prevent adverse health outcomes and costly
    medical treatments

12
WHAT SUCCESS LOOKS LIKE
  • Priorities address a health condition and/or a
    health system issue that requires long-term (3-5
    yr.) planning and coordination in order to make a
    measurable improvement

13
WHAT SUCCESS LOOKS LIKE
  • Priorities are meaningful and are accepted as
    addressing the common good of the Galveston
    County general public as well as health
    stakeholders

14
KEY HEALTH ISSUES
  • Growing limitations in healthcare financing
  • Health concerns regarding air and water quality
  • Sedentary lifestyles, lack of fitness, and
  • obesity
  • Health security and public health
    preparedness for disaster-type events

15
HEALTH DISPARITIES
  • Age
  • Gender
  • Race/Ethnicity
  • Geographic
  • Risk
  • Socio-Economic Status

16
PROGRESS IN LAST DECADE
  • Infant Mortality - rates of early prenatal care
    in Galveston county are better than state and
    national averages
  • Communicable Diseases rates of syphilis and TB
    have been reduced, as well as health consequences
    and cost
  • Vaccine Preventable Diseases - some improvements
    in childhood immunization rates (however, we do
    face challenges on how to better assess all
    children in the county)
  • Access to Care Some improvements in assessing
    barriers and best practices in the countys
    Indigent Healthcare System via Community
    Assessment Program (CAP)

17
IMPACT OF POPULATION CHANGESGalveston County
  • Population has increased by over 15 in the last
    decade
  • (mostly in northern parts of county)
  • An increasing proportion of Hispanics
  • An increasing proportion of seniors (aging of the
    baby boom generation)
  • An increasing need for District services

18
Galveston county has an overall higher death rate
than Texas and the U.S.
19
Top Ten Causes of DeathGalveston County
1 Heart Diseases 2 Cancers 3 Strokes 4
Unintentional Injuries 5 Chronic Respiratory
Diseases
20
Top Ten Causes of DeathGalveston County
6 Diabetes 7 Alzheimers Disease 8 Influenza
Pneumonia 9 Septicemia 10 Kidney Diseases
21
Galveston County Premature Mortality
Top Three causes of Early Death in Galveston
County
1 Unintentional Injuries 2 Cancers 3 Heart
Diseases
22
Actual Causes of Death, U.S., 1990
Cause Rate (per 100,000) Percent of all deaths
Tobacco 160.8 19
Diet / activity patterns 120.6 14
Alcohol 40.2 5
Microbial agents 36.2 4
Toxic agents 24.1 3
Firearms 14.1 2
Sexual behavior 12.1 1
Motor vehicles 10.1 1
Illicit use of drugs 8.0 lt 1
Total 426.2 50
Source McGinnis Foege, JAMA, 11/1993
23
National Health Indicators
  • Physical Activity
  • Overweight and Obesity
  • Tobacco Use
  • Substance Abuse
  • Responsible Sexual Behavior
  • Mental Health
  • Injury and Violence
  • Environmental Quality
  • Immunization
  • Access to Care

www.healthypeople.gov
24
STATE HEALTH PRIORITIES
  • A Focus On Health Outcomes
  • Protect Texans against vaccine-preventable
    diseases by improving immunization rates
  • Focus on fitness by promoting healthy eating and
    regular physical activity and
  • Eliminate disparities in health among population
    groups in Texas
  • A Focus On The Public Health System
  • Improve our ability to respond to disasters or
    disease outbreaks whether they are intentionally
    caused or naturally-occurring and
  • Improve the efficiency and effectiveness of TDH
    business practices

25
DRAFT PRIORITY 1
  • Prevention through public awareness activities
    targeted towards issues such as obesity, fitness,
    nutrition, tobacco cessation, childhood
    immunizations, oral health, disease reporting,
    etc.

26
DRAFT PRIORITY 2
  • Identify and eliminate barriers which
    contribute to health disparities such as
    cultural/language, inequitable access to health
    care, transportation, lack of a coordinated
    indigent health care system, ability to pay.

27
DRAFT PRIORITY 3
  • Improve public health system and business
    practices in order to recruit and retain
    competent public health employees, to increase
    access to technologies which will improve
    efficiency, to improve training programs, to
    improve internal and external communications, to
    be prepared for public health disasters/emergencie
    s, and to comply with legal responsibilities.

28
DRAFT PRIORITY 4
  • Improve health care financing in order to
    avoid loss of revenue from Medicaid, to finance
    medications and indigent health care, and to
    increase medical reimbursements in the clinic.
  •  

29
DRAFT PRIORITY 5
  • Improve management of chronic conditions such
    as high blood pressure, heart disease, diabetes,
    asthma, depression, etc.
  •  

30
DRAFT PRIORITY 6
  • Address environmental issues involving air,
    water and food to include aspects of wastewater
    management, enforcement, bacterial contamination,
    animal control violations, toxic substances
    monitoring, and conservation of natural
    resources.
  •  

31
DRAFT PRIORITY 7
  • Address senior health issues such as
    isolation, social needs, healthcare, legal,
    transportation and housing.

32
DRAFT PRIORITY 8
  • Immunize children and adults to prevent
    infectious diseases.
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