Community Health Assessment Results Presented by: Emily Burns, MD, MSPH Assistant Professor of Epidemiology, Colorado School of Public Health

Top ten things to know from the Community Health Assessment

#10 The Community Health Assessment was a collaborative effort. SJBHD, MRMC, PSMC students, staff, researchers, community state and local stakeholder meetings etc., etc., etc.

#9 In general, Archuleta and La Plata counties are not that different (sometimes better!) than the state on most health outcomes.

#8 Motor vehicle accident hospitalization and death rates are two of the few indicators that are worse in one or both counties compared to the state.

#7 Obesity and tobacco use measures are not worse in either county but remain leading causes of cardiovascular death. #1 cause of death in La Plata #2 cause of death in Archuleta

Leading causes of death, ArchuletaLa PlataColorado CancerHeart diseaseCancer Heart diseaseCancerHeart disease Unintentional injuries Suicide Chronic lower respiratory diseases Alzheimers disease Cerebrovascular diseases Alzheimers disease Cerebrovascular diseases Alzheimers disease Cerebrovascular diseases Suicide Chronic liver disease and cirrhosis Diabetes mellitus Other diseases of circulatory system Diabetes mellitus Influenza and pneumonia Kidney disease Influenza and pneumonia Chronic liver disease and cirrhosis

#6 Colorectal and breast cancer screening measures are not worse, in general, among both counties but may be important areas for improving cancer outcomes, the leading cause of death in Archuleta and a close second in La Plata.

#5 Access to care, including medical, oral and mental health care, is a significant problem in both counties.

#4 Lack of health insurance, one of the primary barriers to accessing health care, is primarily an issue among those aged and those with lower incomes, especially 200% of the federal poverty level and below.

Uninsured rates

#3 Older adult and Hispanic populations are prioritized by the communities as having increased health needs and inadequate services.

#2 Capacity assessment of all topic areas reveals the lowest current capacity in the following areas: La Plata in: oral health, obesity and access to care, and mental health. Archuleta, the lowest capacity was in: mental health, obesity, access to care and cancer.

#1 The Community Health Assessment identifies opportunities for improvement in health outcomes.