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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.

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Presentation on theme: "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."— Presentation transcript:

1 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

2 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)

3 Process to Narrow Down Priorities

4 PUEBLO COMMUNITY HEALTH ASSESSMENT

5 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

6 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

7 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

8 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

9 Cardiovascular Disease  Rate of Cardiovascular Disease  per 100,000- Pueblo County  per 100,000- Colorado  26% of all deaths caused by Heart Disease in Pueblo  Disparities  Minority populations have greater disparities for CVD

10 Cardiovascular Disease  Evidence based strategies  Comprehensive strategies to reduce blood pressure (http://www.bmj.com/content/326/7404/1419.short)http://www.bmj.com/content/326/7404/1419.short  Ensure screenings for high risk individuals (http://www.bmj.com/content/326/7404/1419.short)http://www.bmj.com/content/326/7404/1419.short

11 Communicable/Infectious Disease  Influenza (flu)  Pueblo County: 33 influenza-associated hospitalizations 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

12 Communicable/Infectious Disease  Disparities  year olds  Minority females  Those with multiple partners  Drug users

13 Communicable/Infectious Disease  Evidence based strategies (www.cdc.gov)www.cdc.gov  Increase vaccines with chart reminders, electronic health records, mailed/telephoned reminders  Comprehensive education on preventing transmission  Increase and encourage testing

14 Diabetes  5% of all deaths in Pueblo are caused by Diabetes Mellitus, Type II  Evidence based strategies (www.thecommunityguide.org)www.thecommunityguide.org  Case management interventions to improve glycemic control  Self-management education in community- gathering places for adults with type 2 diabetes

15 Lack of Providers/Access to Care  Disparities  Low socioeconomic individuals  Ethnic and minority populations

16 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 Clinics0 and Emergency Departments2 Safety Net Dental Clinics1 Safety Net Mental Health Clinics3 School Based Health Centers5 Clinic Delivery Sites5 Other Primary Care Clinics0 ClinicNet Clinics1 Public Health Departments and Nursing Services that Provide Primary Care Services 1

17 Mental Health  Poor mental health days was highest at 31% for ages 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.

18 Mental Health  Evidence based strategies  Collaborative care for managing depressive disorders  Home and clinic-based depression care management

19 Obesity  Children Eating Fruits and Vegetables  Pueblo County: 5.8% consumed five or more fruits and vegetables per day Colorado: 9.6%

20 Obesity  Disparities  Lower socioeconomic status and middle income (living in suburban areas without connectivity)  Minority populations  Evidence based strategies (www.thecommunityguide.org)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)

21 Poverty

22  Disparities  Ethnic and Minority Populations  Evidence based strategies  Increase financial literacy (http://www.practicalmoneyskills.com/foreducators/stat e_standards/process.php)http://www.practicalmoneyskills.com/foreducators/stat e_standards/process.php  Improve graduation rates (http://www.cdc.gov/PCD/issues/2007/oct/pdf/07_0 063.pdf)http://www.cdc.gov/PCD/issues/2007/oct/pdf/07_0 063.pdf

23 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

24 Teen/Unintended Pregnancy  Disparities  Lower socio-economic women  Young women whose mothers were teen moms  Hispanic teens  Evidence based strategies (www.thecommunityguide.org)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)

25 Questions?

26 For Further Questions Call Shylo Dennison, Public Health Planner


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