1. Community Dialogue 2019
January 29, 2019 Hinckley

2. The Health of our Communities
Community Dialogue 2019
The Health of our Communities
Pine County

3. Community Health Needs Assessment WHAT IS IT?
Purpose:
Identify and describe factors that affect the health of a community, and identify available resources to address those factors.
Process:
Formed advisory committee
Collected and reviewed data
Selected 8 priority health issues
Identified future partners/resources
Timeline:
Began January 2018
Finished September 2018
Top 8 Priorities:
1. Mental Health
2. Substance Abuse
3. Older Adults/Aging
4. Housing
5. Access to Health Care Services
6. Tobacco
7. Obesity
8. Maternal, Fetal, and Infant Health
Hailey to explain.

4. Community Health Needs Assessment DISPARITIES

5. Community Health Needs Assessment DISPARITIES
2016 Data Hailey to talk.
Note: Margin of Error in graph on the right.
Data Set: American Community Survey 5-year Estimate
Source: Census Bureau

6. Social Determinant of Health TRANSPORTATION
Using averages, employees in Pine County, MN have a longer commute time (29.1 minutes) than the normal US worker (25 minutes). Additionally, 6.89% of the workforce in Pine County, MN have "super commutes" in excess of 90 minutes.
Origin: Data USA Source: American Community Survey

7. Social Determinant of Health HOUSING
Pine is 19.0% prior value was 17.6% Hailey to talk.
Safe and affordable housing is an essential component of healthy communities, and the effects of housing problems are widespread. Residents who do not have a kitchen in their home are more likely to depend on unhealthy convenience foods, and a lack of plumbing facilities increases the risk of infectious disease. Research has found that young children who live in crowded housing conditions are at increased risk of food insecurity, which may impede their academic performance. In areas where housing costs are high, low-income residents may be forced into substandard living conditions with an increased exposure to mold and mildew growth, pest infestation, and lead or other environmental hazards.

8. Social Determinant of Health EDUCATION, ECONOMIC & EMPLOYMENT
High School Dropout Rate per 100
Pine: 11.8
MN: 5.5
2016 Vital Statistics Trend Report
Unemployment Rate:
Pine: 5.9
MN: 3.8

9. Social Determinant of Health FOOD ACCESS
Pine is 14.7% Hailey to talk.

10. Social Determinant of Health FOOD ACCESS
Pine is 17.0% for children and declined from previous year. Pine is 22.9% for adults and increased from previous year.

11. Social Determinant of Health HEALTHCARE ACCESS
Hailey to talk. 17 per 100,000 population primary care physicians in pine county. In comparison to MN with a value of 90 per 100,000. (Nearby counties include Itasca at 99 and St. Louis at 125). 59% of adults have private health insurance, 25.9 have medicare, and 23.4 have Medical Assistance or other public health insurance. Some have dual coverage, so don’t do that math. Overall, 92.6% of adults have insurance.

12. Social Determinant of Health EXPOSURE TO CRIME & VIOLENCE
MN Child Maltreatment Report
County Health Rankings

13. Community Health Improvement Plan WHAT IS IT?
Purpose:
A vision for the community’s health that addresses long-term, systematic efforts to address public health problems within the community. This is the community’s plan not the community health boards plan for the community.
Process:
Prioritized issues with advisory committee
Narrowed down to top 3 priority areas with advisory committee
Conducted a root cause analysis of top 3 areas
Currently developing a structure where the root causes are the final priorities.
Next Steps:
Finalize structure, formulate goals, strategies, and define roles with partners
Implement, monitor, and revise with partners
Timeline:
Begin September 2018
End December 2019
Hailey and Sam

14. Community Health Improvement Plan PRIORITIES
Top Three Priorities:
Mental health
Substance abuse
Obesity
Top Root Causes Identified:
Trauma
Social isolation/lack of connectedness
Economic insecurity
Structural / policy barriers

15. QUESTIONS?