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Available Data on African American Health Disparities. In this section we will: Define what is a health disparity, a health inequality and health equity Briefly explore San Francisco Data with respect to population and mortality Look at what are some of the causes of disparities - PowerPoint PPT Presentation
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Available Data on African American Health Disparities
In this section we will:Define what is a health disparity, a health
inequality and health equityBriefly explore San Francisco Data with
respect to population and mortalityLook at what are some of the causes of
disparitiesExamples of health disparities in San Francisco The Case for the African American Health
Disparity Project
San Francisco & California Ethnic populations, Jan 1, 2006
Source: California Department of Finance Demographic Research Unit
As important as it is, most experts agree that health care contributes only about 10-15% to health outcomes and life span. Where you live is probably a bigger determinant of your health than whether you have health insurance.
People who live in Bayview/Hunters Point can expect to live on average 14 years less than their counterparts on Russian Hill
Source: http://www.barhii.org/press/download/barhii_report08.pdf
Where You Live Can Impact Your Life
SF Leading causes of premature death among men, 2003-2004
Violence/assault, all mechanisms Drug overdose, unintentional Human immunodeficiency virus (HIV/AIDS) Self-inflicted injuries, all mechanisms Alcohol use disorders
Among the top ten leading causes of death by expected years of life lost (YLLs), which deaths were the most premature? (i.e., had the highest average years of life lost)
http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf
Burden of premature death, San Francisco, 2003-2004
http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf
Afr. Amer. = OLatino = ∆Asian/PI = XWhite = +
Leading Causes of Death Among Men Using Age-adjusted YLLs, San Francisco, 2003-2004
http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf
Afr. Amer. = OLatino = ∆Asian/PI = XWhite = +
Leading Causes of Death Among Women Using Age-adjusted YLLs, San Francisco, 2003-2004
http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf
Former Surgeon General David Satcher and his colleagues calculated that during 1991-2000, nearly 177,000 deaths were averted because of advances in medical technology, but if we were to eliminate the disparity between African Americans and whites, we would have avoided over 886,000 deaths.
Source: http://www.barhii.org/press/download/barhii_report08.pdf
African American Health Disparity Project : Past Programs
What Have We Done for you Lately:Prostate Health Initiative
Project has provided Education and information to 4408 men about the benefits of early detection and available treatment for prostate cancer by our member hospitals for African American men in San Francisco.
Project has provided 423 PSA /DRE screening tests to African American men.
African American Health Disparity Project : Past Programs
What Have We Done for you Lately:
Prostate Health Initiative “The San Francisco hospitals have
committed 1 million dollars to provide prostate cancer treatment to ensure that no African American man is denied medical care based on his ability to pay”
African American Health Disparity Project : Past Programs
What Have We Done for you Lately:
Advertorials The Program has produced 79 targeted informational articles for, by, and about African Americans educating the community about their health and the resources provided by our member hospitals in San Francisco.
African American Health Disparity Project : Past Programs
What Have We Done for you Lately:
Ambassador / Navigator Program
The Program has helped African Americans address issues and concerns that arise from their negative experiences at our member hospitals
African American Health Disparity Project
So now what?
A Look at the Strategic Plan for January 2009 to December 31st 2009
African American Health Disparity Project : Objectives 2009
The Project will align its efforts with the community health efforts put forward by the San Francisco Department of Public Health.
The Project will focus its programs and outreach efforts in the areas of:
Access Communicable Disease Chronic Disease Violence
African American Health Disparity Project : Objectives 2009
The Project will focus and align its objectives to support existing community projects.
The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.
African American Health Disparity Project : Objectives 2009
The Project will focus and align its objectives to support existing community projects.
The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.
African American Health Disparity Project : Programs 2009
The Project will seek to partner with SFDPH and our member hospitals to provide education and outreach to the African American communities with respect to the Healthy San Francisco Initiative
Currently 9% of eligible enrollees are African American
In 2009, the Project will seek to increase this number by 10% or up to 500 new enrollees.
African American Health Disparity Project : Programs 2009
The Project will use social marketing strategies to increase awareness and leverage community based resources to address Diabetes as a chronic disease in the African American communities in San Francisco.
The Project will leverage existing hospital resources with respect to diabetes education and treatment to address issues in the African American Communities with respect to diabetes.
African American Health Disparity Project August 1, 2008 to December 31, 2009 - 17 month budget
Expenses Remarks Budget
Personnel Project Director 125,000 $88,235 annual
Benefits (Standard Hospital Council Policy) 42,500
Total Personnel $167,500
Administrative / Overhead
Rent In-Kind $1209/month ($14,508/year), CPMC provided In-Kind Service
Utilities In Kind In-Kind Service Included in the rent
Office Supplies (printing, copying, etc.) 7,500
Communications (Telephone, internet, etc.) 9,000
Travel ( Mileage, etc.) 5,000
Conference/Meetings (Room rentals, food, etc.) 6,000
Training (Conference registration, etc.) 2,000
Insurance (Property, vehicle, etc.) 1,500
Capital (Furniture) 2,000
Equipment Maintenance, Software Update 3,000
Administrative / Overhead Total $36,000
Program Costs
Cultural Sensitivity Project 5,000
Chronic Disease Project 29,500
Community Based Events 13,000
Program Costs Total $47,500
Total Costs
Total budget 2008 - 2009 $251,000
Previously funded $35,000 $35K Paid by Hospital Council for period 8/08 to 12/08
Remaining total 2008 - 2009 cost of program $216,000
