1. Towards a Culture of Health and Wellness Dr. Angela M. Wakhweya, MSc.Econ. Health Officer Anne Arundel County Department of Health Health Care Reform Town Hall Meeting Severna Park Community Center October 25, 2012

2. Disclaimer: The Anne Arundel County Department of Health and its representatives do not support any particular political viewpoint but only seek to inform the general public and community about current public health programs, initiatives, policy and law. Please visit: http://www.aahealth.org/health-care-reform For 10 minute you tube video about Health Care Reform from the Kaiser Family Foundation October 25, 2012Anne Arundel County Department of Health2

3. DOH VISION Our vision is a vibrant Anne Arundel County in which healthy people reside in healthy communities October 25, 2012Anne Arundel County Department of Health3

4. DOH MISSION (1) Our mission is to preserve, promote and protect the public health for Anne Arundel County residents October 25, 2012Anne Arundel County Department of Health4

5. The State of our Health in Anne Arundel County October 25, 2012Anne Arundel County Department of Health5

6. *Crude rates per 100,000 population Gender and Race Disparities 2010 Hospital ED Visit Rates* October 25, 2012Anne Arundel County Department of Health6

7. disparities Source: Maryland Health Services Cost Review Commission, 2010 Race Disparities by County October 25, 2012Anne Arundel County Department of Health7

8. disparities Source: Maryland Health Services Cost Review Commission, 2010 Race Disparities by County October 25, 2012Anne Arundel County Department of Health8

9. Race Disparities - Weight Weight Status by Race for Anne Arundel County, 2007 Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007 October 25, 2012Anne Arundel County Department of Health9

10. Childhood Obesity Weight Distribution by Age Group for Children and Adolescents, 2006 Data source: Anne Arundel County Department of Health Provider-based County Survey of Children and Adolescents, 2006 October 25, 2012Anne Arundel County Department of Health10

11. Towards A Healthy Weight! We are heading in the wrong direction! Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US Data source: National BRFSS Bend the obesity curve downwards A CALL TO ACTION! October 25, 2012Anne Arundel County Department of Health11

12. Healthy Anne Arundel Coalition VISION Healthy County, Healthy People! October 25, 2012Anne Arundel County Department of Health12

13. Healthy Anne Arundel Coalition Coalition Network Academia Existing Boards, Committees & Coalitions Government Agencies Faith-Based Organizations Community-Based Organizations Health Care Providers Philanthropy Businesses Leadership & Finance Subcommittee October 25, 2012Anne Arundel County Department of Health13

14. Healthy Anne Arundel Coalition Health Improvement Focus Areas  Obesity*  Mental Health & Substance Abuse as Co-Occurring Disorders*  Cancer and Tobacco Use  Dental Care  Sexual Health  Housing and Environmental Conditions *Designated Priority Areas October 25, 2012Anne Arundel County Department of Health14

15. Six Target Behaviors: Eat Healthier… 1. 1.Increase consumption of fruits and vegetables 2. 2.Increase breastfeeding initiation, duration, and exclusivity 3. 3.Decrease consumption of sugar sweetened beverages 4. 4.Decrease consumption of high energy dense, nutrient poor, foods Move More… 5. 5.Increase physical activity 6. 6.Decrease television viewing Stress Less…take time to care for yourself!* Source: CDC Obesity Prevention October 25, 2012Anne Arundel County Department of Health15

16. Targeted Behaviors/Interventions:   Stress Reduction   Identify suicidal ideation among youth and reduce attempted and completed suicides among youth   Identify prescription drug abuse   Reduce driving under the influence of alcohol and drugs   Manage untreated mental health conditions   Increase recovery support among adults and adolescent peers Co-occurring Disorders October 25, 2012Anne Arundel County Department of Health16

17. Coalition Influence and Reach (1) OrganizationEmployeesReachWellness Program A.A. Co. Dept. of Health710All Co. residentsYes Anne Arundel Health System 3,60080,000+ ED visits; 25,000+ inpatient Yes Baltimore Washington Medical Center 2,600100,000+ ED visits; 30,000 in outreach Yes A.A. Co. Public Schools8,000+76,000+ studentsYes A.A. Community College1,000+15,000+ studentsYes Healthy Anne Arundel Coalition - October 2012 October 25, 2012Anne Arundel County Department of Health17

18. Coalition Influence and Reach (2) OrganizationEmployeesReachWellness Program A.A. Co. Dept. of Aging & Disabilities 100Older and disabled Co. residents Yes A.A. Co. Dept. of Detention Facilities 4007,800 inmates/yearTBD A.A. Co. Dept. of Recreation & Parks 300500,000+ County residents & visitors Yes A.A. Co. Dept. of Social Services 35060,000+ familiesYes A.A. Co. Executive’s Office/County Employees 5000500,000+ County residents Yes City of Annapolis60038000Yes Healthy Anne Arundel Coalition - October 2012 October 25, 2012Anne Arundel County Department of Health18

19. Coalition Influence and Reach (3) OrganizationEmployeesReach Wellness Program MedStar Harbor Hospital1,400Approx. 185,000 County residents Yes Rite Aid Corporation150 (in Co.)15,000 customers per week in County Yes CareFirst BlueCross BlueShield 5,000 (in Baltimore/ DC area) 3.4 million in MD Yes People’s Community Health Centers, Inc. 12114,600 unduplicated clients/ year Yes TOTAL ~ 20,000 ~ 300,000+ ALL! Healthy Anne Arundel Coalition - October 2012 October 25, 2012Anne Arundel County Department of Health19

20. Zip CodeNameCounty Region Deaths from Leading Causes, Ages 0-64 years Highest Crude Death Rate (per 100,000) 21225BrooklynNorthern26199.66 21060Glen Burnie EastNorthern48189.89 21061Glen Burnie WestNorthern80167.43 21401AnnapolisCentral37127.47 21122PasadenaNorthern67124.46 ZIP Codes with the highest death rate from the five leading causes, Ages 0-64 Geographic Disparities Five Leading Causes of Death for AA County (2010) 1. Heart Disease 4. Chronic Lower Respiratory Disease 2. Cancer 5. Diabetes 3. Stroke

21. County Schools 79 Elementary Schools Enrollment: 36,759 19 Middle Schools Enrollment: 16,848 12 High Schools Enrollment: 22,696 142 Private Schools Enrollment: 15,038 300+ school health staff! October 25, 2012Anne Arundel County Department of Health21

22. ZIP CodeName # Elementary Schools # Middle Schools # High Schools # Private Schools* 21225Brooklyn3100 21060Glen Burnie East6104 21061Glen Burnie West9122 21401Annapolis51115 21122Pasadena8226 TOTAL316527 Opportunity for School Based Partnerships * Not all private schools may be represented October 25, 2012Anne Arundel County Department of Health22

23. ZIP CodeName # Elementary Schools # Middle Schools # High Schools # Private Schools* 21037Edgewater3115 21144Severn4-- 3 21146Severna Park5114 21403Eastport41--5 21409Annapolis2--1 TOTAL183317 Opportunity for School Based Partnerships (2) October 25, 2012Anne Arundel County Department of Health23

24. Faith Based Organizations October 25, 2012Anne Arundel County Department of Health24

25. ZIP CodeNameChristianJewishMuslimOther 21225Brooklyn8-- 21060Glen Burnie East28-- 21061Glen Burnie West32-- 21401Annapolis571--1 21122Pasadena24-- TOTAL1491--1 Opportunity for Faith Based Partnerships (1) October 25, 2012Anne Arundel County Department of Health25

26. ZIP CodeNameChristianJewishMuslimOther 21037Edgewater23-- 21144Severn26-- 21146Severna Park17-- 21403Eastport1911-- 21409Annapolis1-- TOTAL8611-- Opportunity for Faith Based Partnerships (2) October 25, 2012Anne Arundel County Department of Health26

27. Healthy Anne Arundel Coalition Measures of Success  Decreased emergency department visits  Decreased preventable hospitalizations  Decreased hospital readmissions  Decreased costs  Increased quality of life Better Care. Better Health. Lower Costs. October 25, 2012Anne Arundel County Department of Health27

28. Healthy Anne Arundel Coalition  Strategy 1: Work with AACPS to promote “Healthiest Schools”  Strategy 2: Work with AACPS, County employees, Chambers of Commerce and large employers to promote “Healthiest Workplaces”  Strategy 3: Work with community and faith based partners to promote “Healthiest Communities” ……….in high prevalence zip codes……. October 25, 2012Anne Arundel County Department of Health28

29. Contacts www.HealthyAnneArundel.org HealthyAnneArundel@aacounty.org Laurie B. Fetterman, MSWBrandon J. Johnson, MHS Phone: 410-222-7203Phone: 410-222-7244 Email: hdfett00@aacounty.orgEmail: hdjohn33@aacounty.orghdfett00@aacounty.orghdjohn33@aacounty.org October 25, 2012Anne Arundel County Department of Health29

30. Resources Governor’s Office for Health Care Reform http://www.healthreform.maryland.gov http://www.healthreform.maryland.gov Maryland Department of Health and Mental Hygiene http://dhmh.maryland.gov/exchange http://dhmh.maryland.gov/exchange Maryland Health Care Connection http://www.marylandhealthconnection.gov/ http://www.marylandhealthconnection.gov/ Anne Arundel County Department of Health http://www.aahealth.org/health-care-reform http://www.aahealth.org/health-care-reform Maryland Women’s Coalition for Health Care Reform http://www.mdhealthcarereform.org Maryland Health Enterprise Zones http://dhmh.maryland.gov/healthenterprisezones October 25, 2012Anne Arundel County Department of Health30