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Creating Our Blueprint for the Future OPH Region 2 Community Health Needs Assessment May 4, 2015

Creating Our Blueprint for the Future - Louisiana

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Page 1: Creating Our Blueprint for the Future - Louisiana

Creating Our Blueprint for the Future

OPH Region 2Community Health Needs Assessment

May 4, 2015

Page 2: Creating Our Blueprint for the Future - Louisiana

Welcome

Greetings from JT LaneAssistant Secretary for the Louisiana Office of Public Health

Page 3: Creating Our Blueprint for the Future - Louisiana

Welcome

We all play a vital role in bringing about communities with not only lower disease rates, but communities of vitality with maximum physical, mental and social well-being.

We are embarking together on a new path forward. We are building a new Public Health that works hand-in-hand with our partners, residents and stakeholders.

Today’s gathering is one of many to come to bring us together and chart a shared path to health and wellness.

Page 4: Creating Our Blueprint for the Future - Louisiana

We aren’t just going from 48th to 40th and then 35th.

0

250

500

750

1000

North Baton Rouge South Baton Rouge

Age at Death,

(2006-2011)Avg

South Baton Rouge 75

North Baton Rouge 64

Page 5: Creating Our Blueprint for the Future - Louisiana

Welcome and Introductions

# Invitations Sent: 250

# Surveys Completed: 63

Page 6: Creating Our Blueprint for the Future - Louisiana

1.True

2.False

True

False

2%

98%

True or False:I am attending Healthy Louisiana today

Page 7: Creating Our Blueprint for the Future - Louisiana

In which parish do you spend

most of your time?

A. West Feliciana

B. East Feliciana

C. Pointe Coupee

D. East Baton Rouge

E. West Baton Rouge

F. Iberville

G. AscensionW

est F

elici

ana

East

Felic

iana

Pointe

Coupee

East

Bat

on Rouge

Wes

t Bato

n Rouge

Iberv

ille

Ascensio

n

2%

9%

4%6%

2%

70%

6%

Page 8: Creating Our Blueprint for the Future - Louisiana

Which category best represents you

as a stakeholder?

A. Community-Based Organization

B. Healthcare

C. Government

D. Mental Health/Substance Abuse

E. School/Education

F. Law Enforcement

G. Community Center

H. Business/Employer

I. OtherCom

munity

-Bas

ed O

rganiza

...

Health

care

Govern

men

t

Menta

l Hea

lth/S

ubstan

ce ..

.

School/E

ducatio

n

Law

Enfo

rcem

ent

Comm

unity C

ente

r

Business

/Em

ploye

r

Other

4%

43%41%

6%

0%0%0%

6%

0%

Page 9: Creating Our Blueprint for the Future - Louisiana

Are you a member of the Louisiana Healthy Communities Coalition?

A. Yes

B. No

C. Not sure

Yes No

Not sure

35%

54%

10%

Page 10: Creating Our Blueprint for the Future - Louisiana

5 Minute Meet and Greet

Page 11: Creating Our Blueprint for the Future - Louisiana

Meeting Agenda & Expectations

Welcome & Introductions 9 AM

Review of Stakeholder Survey 9:30 AM

Regional Data Presentation 9:40 AM

Voting to Reach Top 3 Regional Priorities 10:10 AM

SWOT (Strengths, Weaknesses,

Opportunities, Threats) Activities

10:30 AM

SWOT Discussion 11:30 AM

Next Steps and Upcoming Meeting 12:30 PM

Meeting Concludes 1 PM

Page 12: Creating Our Blueprint for the Future - Louisiana

3 Objectives for the Day:

• Identify the top 3 regional health priorities

• Explore regional health assets, challenges,

and trends

• Begin to identify local resources and

strategies to address priority issues identified

Meeting Objectives

Page 13: Creating Our Blueprint for the Future - Louisiana

“…what society does collectively to assure

the conditions for people to be healthy.”

What is Public Health?

Institute of Medicine

1988 IOM report, “The Future of Public Health.”

Page 14: Creating Our Blueprint for the Future - Louisiana

IOM Roundtable on Improving Population Health

Institute of Medicine

Sectors:- governmental public health

- health care

- business

- education and early childhood development

- housing

- agriculture

- transportation

- economic development

- community- and faith-based

organizations

Representatives from different sectors engage in meaningful

dialogue about what is needed to improve population health

Page 15: Creating Our Blueprint for the Future - Louisiana

IOM Roundtable on Improving Population Health

Institute of Medicine

Improving Population Health Video

Page 16: Creating Our Blueprint for the Future - Louisiana

Results from Stakeholder Survey

Page 17: Creating Our Blueprint for the Future - Louisiana

Results from Stakeholder Survey

Page 18: Creating Our Blueprint for the Future - Louisiana

Results from Stakeholder Survey

Please consider the issues listed below. Based on your experience,

what are the top 3 priorities for health and wellbeing IN YOUR

PARISH? Please select 3 priorities (you will be limited to 3 responses).

Priority % of

Respondents

Healthcare and Insurance 47.62%

Chronic Disease Management 38.10%

Behavioral Health/Mental Health/Addictive Disorders 36.51%

Unemployment/Economic Development 33.33%

Nutrition/Healthy Eating 33.33%

Transportation Services 28.57%

Violence/Crime/Intentional Injuries 17.46%

Environmental Health & Safety 11.11%

Education Levels/Attainment and Literacy 9.52%

Child Care/Elder Care 9.52%

Page 19: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

Page 20: Creating Our Blueprint for the Future - Louisiana

Region 2 PopulationTotal Pop: 675,320

Largest City: Baton Rouge : Population: 229,426

Largest parish: East Baton Rouge

Ascension, 114,432

EBR, 445,279

E. Feliciana, 19,705 Iberville, 33,438

Pointe Coupee, 22,443

W B R, 24,555W. Feliciana, 15,468

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

500000

Ascension EBR E. Feliciana Iberville Pointe Coupee W B R W. Feliciana

Pa

ris

h P

op

ula

tio

n

Page 21: Creating Our Blueprint for the Future - Louisiana

REGION II Rankings out of 3,135 U.S. Counties

1: Best 3135: worst

NY Times 6/26/2014

Ascension, 1024

EBR, 1507

E. Feliciana, 2553

Iberville, 2681

Pointe Coupee, 2340

WBR, 1,852

W. Feliciana, 1635

0

500

1000

1500

2000

2500

3000

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W. Feliciana

Ran

k

Page 22: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Ascension Parish Health Rankings Health Outcomes, Quality and Length of

Life 2010-2015

Higher Ranking, Poorer Outcome

6

10

3

7

6

4

0

2

4

6

8

10

12

2010 2011 2012 2013 2014 2015

Ra

nk

Page 23: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

East Baton Rouge Health Rankings Health Outcomes, Quality and Length of

Life 2010-2015

Higher Ranking, Poorer Outcome

19 19

17 18

26

20

0

5

10

15

20

25

30

2010 2011 2012 2013 2014 2015

Ra

nk

Page 24: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

East Feliciana Parish Health RankingsHealth Outcomes, Quality and Length of Life

2010-2015Higher Ranking, Poorer Outcome

45

49

34

22

25

5

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ran

k

Page 25: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Iberville Parish Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015

Higher Ranking, Poorer Outcome

53

48

31

25 26

32

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015

Ra

nk

Page 26: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Pointe Coupee Parish Health RankingsHealth Outcomes, Quality and Length of Life

2010-2015Higher Ranking, Poorer Outcome

22

27

35

20

23

26

0

5

10

15

20

25

30

35

40

2010 2011 2012 2013 2014 2015

Ra

nk

Page 27: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

West Baton Rouge Parish Health Rankings

Health Outcomes, Quality and Length of Life 2010-2015

Higher Ranking, Poorer Outcome

54 54

47

19

16 15

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ra

nk

Page 28: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

West Feliciana Parish Health RankingsHealth Outcomes, Quality and Length of Life

2010-2015Higher Ranking, Poorer Outcome

14

20

11

1

16 16

0

5

10

15

20

25

2010 2011 2012 2013 2014 2015

Ra

nk

Page 29: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Region 2 Health RankingsHealth Outcomes, Quality and Length of

Life 2010-2015

Higher Ranking, Poorer Outcome

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015

Ran

k

Health Outcomes Summary

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W. Feliciana

Page 30: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Ascension Parish Health Rankings Health Factors Clinical care, Health Behaviors,

Social & economic factors, Physical environment

2010-2015Higher Ranking, Poorer Factors

4

3

4

2 2 2

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

2010 2011 2012 2013 2014 2015

Ran

k

Page 31: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

East Baton Rouge Parish Health

Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical environment

2010-2015

Higher Ranking, Poorer Factors

3

6

5

7

16

3

0

2

4

6

8

10

12

14

16

18

2010 2011 2012 2013 2014 2015

Ran

k

Page 32: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

East Feliciana Parish Health

Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015

Higher Ranking, Poorer Factors

33

37 38

30 30

34

0

5

10

15

20

25

30

35

40

2010 2011 2012 2013 2014 2015

Ran

k

Page 33: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Iberville Parish Health Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors,

Physical environment

2010-2015

Higher Ranking, Poorer Factors

39

45

42

34

41

45

0

5

10

15

20

25

30

35

40

45

50

2010 2011 2012 2013 2014 2015

Ran

k

Page 34: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Pointe Coupee Parish Health

Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015

Higher Ranking, Poorer Factors

27

22

20

18

15

18

0

5

10

15

20

25

30

2010 2011 2012 2013 2014 2015

Ran

k

Page 35: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

West Baton Rouge Parish Health

Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015

Higher Ranking, Poorer Factors

7

13 13 13

12

8

0

2

4

6

8

10

12

14

16

2010 2011 2012 2013 2014 2015

Ran

k

Page 36: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

West Feliciana Parish Health

Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors, Physical

environment

2010-2015

Higher Ranking, Poorer Factors

10

9

7

5

12 12

0

2

4

6

8

10

12

14

2010 2011 2012 2013 2014 2015

Ran

k

Page 37: Creating Our Blueprint for the Future - Louisiana

County Health Rankings 2015 – RWJ Foundation

Region 2 Health Rankings Health Factors Clinical care, Health Behaviors, Social & economic factors,

Physical environment

2010-2015

Higher Ranking, Poorer Factors

0

5

10

15

20

25

30

35

40

45

50

2010 2011 2012 2013 2014 2015

Ran

k

Health Factors Summary

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W. Feliciana

Page 38: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

Healthcare and Insurance

Page 39: Creating Our Blueprint for the Future - Louisiana
Page 40: Creating Our Blueprint for the Future - Louisiana
Page 41: Creating Our Blueprint for the Future - Louisiana
Page 42: Creating Our Blueprint for the Future - Louisiana
Page 43: Creating Our Blueprint for the Future - Louisiana
Page 44: Creating Our Blueprint for the Future - Louisiana
Page 45: Creating Our Blueprint for the Future - Louisiana
Page 46: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

Chronic Disease Management

and Nutrition and Healthy

Eating

Page 47: Creating Our Blueprint for the Future - Louisiana

Region 2Premature Deaths: 58,375

Ascension, 7054

EBR, 9234

East Feliciana, 8733

Iberville, 9412 Pointe Coupee, 9375

West Baton Rouge, 7514

West Feliciana, 7053

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

Ascension EBR East Feliciana Iberville Pointe CoupeeWest Baton RougeWest Feliciana

Nu

mb

er

National Center for Health Statistics – Mortality Files 2010-2012

Page 48: Creating Our Blueprint for the Future - Louisiana

Region 2Costs of Premature Deaths

Ascension, 495917362

EBR, 441108180

East Feliciana, 363100674Iberville, 380705988

Pointe Coupee, 394959375

WBR, 367043872

W Feliciana, 371171178

0

100000000

200000000

300000000

400000000

500000000

600000000

Ascension EBR East Feliciana Iberville Pointe Coupee WBR W Feliciana

Do

lla

rs

National Center for Health Statistics – Mortality Files 2010-2012

Page 49: Creating Our Blueprint for the Future - Louisiana

Premature deaths robs region 2 residents of years of 58,375 potential life lost.

That’s another 4 additional years for every resident in West Feliciana to spend with their families, play with their pets, and time in their communities.

Page 50: Creating Our Blueprint for the Future - Louisiana
Page 51: Creating Our Blueprint for the Future - Louisiana

10 Leading Causes of Death, Louisiana 2008 - 2010, All Races, Both Sexes

Age Groups

Rank <1 1-4 5-9 10-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages

1 Short

Gestation

345

Unintentional

Injury

123

Unintentional

Injury

69

Unintentional

Injury

88

Unintentional

Injury

947

Unintentional

Injury

989

Unintentional

Injury

950

Malignant

Neoplasms

2,896

Malignant

Neoplasms

5,781

Heart

Disease

22,399

Heart

Disease

30,798

2 Congenital

Anomalies

268

Homicide

29

Malignant

Neoplasms

18

Malignant

Neoplasms

17

Homicide

543

Homicide

461

Heart

Disease

808

Heart

Disease

2,642

Heart

Disease

4,528

Malignant

Neoplasms

17,836

Malignant

Neoplasms

---

3 SIDS

238

Congenital

Anomalies

25

Homicide

14

Heart

Disease

14

Suicide

201

Suicide

284

Malignant

Neoplasms

652

Unintentional

Injury

1,165

Chronic Low.

Respiratory

Disease

710

Cerebro-

vascular

4,815

Unintentional

Injury

6,550

4 Unintentional

Injury

110

Malignant

Neoplasms

17

Congenital

Anomalies

11

Suicide

13

Heart

Disease

85

Heart

Disease

274

Suicide

293

Cerebro-

vascular

452

Diabetes

Mellitus

680

Chronic Low.

Respiratory

Disease

4,697

Cerebro-

vascular

6,122

5

Maternal

Pregnancy

Comp.

54

Heart

Disease

14

Heart

Disease

---

Homicide

11

Malignant

Neoplasms

78

Malignant

Neoplasms

199

Homicide

265

Liver

Disease

356

Cerebro-

vascular

669

Alzheimer's

Disease

3,918

Chronic Low.

Respiratory

Disease

5,713

6 Bacterial

Sepsis

52

Influenza

& Pneumonia

---

Influenza

& Pneumonia

---

Congenital

Anomalies

10

Influenza

& Pneumonia

31

HIV

119

HIV

255

Suicide

326

Unintentional

Injury

646

Nephritis

2,775

Alzheimer's

Disease

3,992

7

Circulatory

System

Disease

39

Chronic Low.

Respiratory

Disease

---

Chronic Low.

Respiratory

Disease

---

Chronic Low.

Respiratory

Disease

---

HIV

24

Diabetes

Mellitus

41

Cerebro-

vascular

137

Diabetes

Mellitus

318

Nephritis

450

Diabetes

Mellitus

2,629

Diabetes

Mellitus

3,786

8 Necrotizing

Enterocolitis

35

Septicemia

---

Benign

Neoplasms

---

Diabetes

Mellitus

---

Congenital

Anomalies

22

Influenza

& Pneumonia

34

Diabetes

Mellitus

106

HIV

283

Liver

Disease

355

Influenza

& Pneumonia

2,135

Nephritis

3,573

9 Septicemia

30

Perinatal

Period

---

Cerebro-

vascular

---

Influenza

& Pneumonia

---

Cerebro-

vascular

11

Nephritis

32

Liver

Disease

76

Chronic Low.

Respiratory

Disease

221

Septicemia

344

Septicemia

1,807

Influenza

& Pneumonia

2,663

10

Placenta

Cord

Membranes

29

Two

Tied

---

Four

Tied

---

Septicemia

---

Anemias

10

Septicemia

29

Nephritis

75

Nephritis

220

Influenza

& Pneumonia

229

Unintentional

Injury

1,463

Septicemia

2,494

Page 52: Creating Our Blueprint for the Future - Louisiana

Region 2Life Expectancy- Men

Ascension, 74

EBR, 73

E. Feliciana, 71

Iberville, 73

Pointe Coupee, 74 WBR, 74 W.Feliciana, 74

69.5

70

70.5

71

71.5

72

72.5

73

73.5

74

74.5

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Ag

e

LA: 73.1

US: 76.6

Institute for Health Metrics and Evaluation 2013

Page 53: Creating Our Blueprint for the Future - Louisiana

Region 2Life Expectancy-Women

Ascension, 80

EBR, 79

E. Feliciana, 78 Iberville, 78

Pointe Coupee, 79

WBR, 80 W.Feliciana, 80

77

77.5

78

78.5

79

79.5

80

80.5

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Ag

e

LA: 78.6

U.S.: 83

Institute for Health Metrics and Evaluation 2013

Page 54: Creating Our Blueprint for the Future - Louisiana

Determinants of Health and Their

Contribution to Premature

Death

Page 55: Creating Our Blueprint for the Future - Louisiana

Region 2Adult Diabetes Prevalence

Ascension, 10.3

EBR, 11.1

E. Feliciana, 15.2

Iberville, 13

Pointe Coupee, 14.7 WBR, 14.6

W.Feliciana, 13.1

0

2

4

6

8

10

12

14

16

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

LA:

12.1

CDC's Behavioral Risk Factor Surveillance

System (BRFSS)

US:

11.9

Page 56: Creating Our Blueprint for the Future - Louisiana

The number of adults with Diabetes Mellitus in

Region 2 is 56,119 could fill the Baton Rouge

River Center Arena 5 times over.

CDC Interactive Atlas 2012

Total # of adults with Diabetes

Mellitus in Region 2

Ascension 7,809

East Baton Rouge 36,002

East Feliciana 2,369

Iberville 3,257

Pointe Coupee 2,471

West Baton Rouge 2,560

West Feliciana 1,651

Total 56, 119Seating capacity:8,900 permanent and 1,500 removable floor seats

Page 57: Creating Our Blueprint for the Future - Louisiana

Region 2Estimated Diabetes Cost

43,157,000

465,090,000

636,880,000

544,700,000

615,930,000 611,740,000

544,700,000

0

100000000

200000000

300000000

400000000

500000000

600000000

700000000

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Co

st

in D

ollars

Page 58: Creating Our Blueprint for the Future - Louisiana

The Region 2 savings for diabetes could pay for all of the children

under the age 18 in the region to attend college at Baton Rouge

Community College for one year.

Region 2 estimated cost

is $ 757,606,500

American Diabetes Association 2012, US Census Population Estimates 2013 & College Calc 2014

# children below 18 years of age

Ascension 31,916

East Baton Rouge 101,957

East Feliciana 3,827

Iberville 7,141

Pointe Coupee 5,265

West Baton Rouge 5,922

West Feliciana 2,579

Total Region 2 158,607Approx. cost

$3,366 in state tuition & fees per year

Page 59: Creating Our Blueprint for the Future - Louisiana

Region 2Adult Obesity Percentage

Ascension, 33.2 EBR, 33.1

E. Feliciana, 39.7

Iberville, 42.1

Pointe Coupee, 35.8WBR, 35.5

W.Feliciana, 36.6

0

5

10

15

20

25

30

35

40

45

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

CDC Diabetes Interactive Atlas 2012 & State of Obesity report 2014

Page 60: Creating Our Blueprint for the Future - Louisiana

Medical Complications of ObesityAdapted from Yale University Rudd Center for Food Policy and Obesity

Page 61: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

Behavioral Health/

Mental Health/

Addictive Disorders

Page 62: Creating Our Blueprint for the Future - Louisiana

Ascension, 9

EBR, 47

E. Feliciana, 0

Iberville, 0

Pointe Coupee, 5

WBR, 0 W.Feliciana, 0

0

5

10

15

20

25

30

35

40

45

50

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Nu

mb

er

Region 2

Suicide Deaths in 2013

The average suicide costs $1,061,170

Suicide costs society approx $34.6 billion a year in combined medical and work loss costs.

Centers for Disease Control and Prevention. Cost of Injury Reports 2005. Available online at

http://wisqars.cdc.gov:8080/costT/. Last updated May 2012.

Page 63: Creating Our Blueprint for the Future - Louisiana

Ascension, 8,295

EBR, 34,514

E. Feliciana, 1,601

Iberville, 2,640

Pointe Coupee, 1,774 WBR, 1,876

W.Feliciana, 1,293

0

5000

10000

15000

20000

25000

30000

35000

40000

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Nu

mb

er

Serious Mental Health Illness and Substance Use

Treatment Prevalence Among Adults in Region 2

ADULT (Age 18 and up) PREVALENCE ESTIMATE for SEVERE MENTAL ILLNESS

(2.26% of Population*)

ADULT (Age 18 and up) PREVALENCE ESTIMATE for Needing Substance Use

Treatment Services. (7.46% of Population**)

Page 64: Creating Our Blueprint for the Future - Louisiana

Top 10 Diagnoses for Louisiana OBH Persons Served in SFY 2013-14

Diagnosis

State Region

RankPersons Served

% 1 2 3 4 5 6 7 8 9

MAJOR AFFECTIVE DISORDER 1 21,624 35% 6,033 2,146 4,224 2,658 806 1,151 1,455 1,187 1,964

SUBSTANCE DEPENDENCE 2 8,970 14% 2,276 754 1,046 588 480 1,421 736 859 810

PSYCHOTIC DISORDER 3 8,402 14% 2,285 1,126 1,263 907 309 482 585 632 813

ATTENTION DEFICIT 4 3,490 6% 1,191 753 577 228 99 128 144 98 272

ALCOHOL DEPENDENCE 5 3,059 5% 632 300 359 171 223 469 304 290 311

DEPRESSIVE DISORDER 6 2,669 4% 722 261 392 106 175 308 67 380 258

SUBSTANCE ABUSE 7 2,294 4% 486 201 408 127 117 167 152 447 189

ANXIETY DISORDER 8 2,131 3% 731 248 269 151 110 163 79 186 194

ALCOHOL ABUSE 9 1,402 2% 184 111 227 45 48 110 80 455 142

ADJUSTMENT DISORDER 10 794 1% 202 88 101 34 86 159 14 52 58

Other - 7,129 12% 1,979 765 1,094 377 519 328 203 1,349 515

Total 61,964 100% 16,721 6,753 9,960 5,392 2,972 4,886 3,819 5,935 5,526 Notes: Diagnoses are based on the most recent admission for persons who had received services from 7/1/13 to 6/30/14 and persons served by region and diagnosis are unduplicated count . Gambling is not included.

Top 10 Diagnoses for Louisiana Office of

Behavioral Health (Persons Served)

Louisiana Office of Behavioral Health, 2015

Page 65: Creating Our Blueprint for the Future - Louisiana

Adult Prevalence of Serious Mental Illness and Adults

Needing Substance Use Treatment Services Louisiana OBH

Persons Served in State Fiscal Year 2013-14

Note: Persons served by region, type and age group are unduplicated count for persons who had received

services from 7/1/13 to 6/30/14. Gambling is not included.

Louisiana Office of Behavioral Health, 2014

2-CAPITOL AREA

HUMAN SERVICE

DISTRICT

.Ascension Parish 82,454 2,144 6,151

.East Baton Rouge Parish 343,078 8,920 25,594

.East Feliciana Parish 15,909 414 1,187

.Iberville Parish 26,243 682 1,958

.Pointe Coupee Parish 17,236 448 1,286

.West Baton Rouge Parish 18,643 485 1,391

.West Feliciana Parish 12,860 334 959

Estimated State Population and Estimated Prevalence of Adults with Serious Mental Illness

and Adults Needing Substance Use Treatment Services (July 1, 2013 Pop Est.)

Region/District PARISH

Age 18 and up

POPULATION

ESTIMATE

ADULT (Age 18 and up)

PREVALENCE ESTIMATE for

SEVERE MENTAL ILLNESS

(2.26% of Population*)

ADULT (Age 18 and up) PREVALENCE

ESTIMATE for Needing Substance Use

Treatment Services. (7.46% of

Population**)

Page 66: Creating Our Blueprint for the Future - Louisiana

Ascension, 21.5

EBR, 15.2

E. Feliciana, 8.9

Iberville, 23.4

Pointe Coupee, 13.8

WBR, 22.3

W.Feliciana, unreported

0

5

10

15

20

25

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

Excessive Drinking Self-Reported

Behavioral Risk Factor Surveillance (BRFSS) 2006-2012

NY Times 6/26/2014

Page 67: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

Unemployment/

Economic Development

Page 68: Creating Our Blueprint for the Future - Louisiana

Ascension, 5.3%

%5.8%

E. Feliciana, 6.9%

Iberville, 8.2%

Pointe Coupee, 7%

WBR, 6%

W.Feliciana, 7.8%

0

1

2

3

4

5

6

7

8

9

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

Region 2Unemployed: US: 5.5% LA: 6.2 %

Bureau of Labor Statistics 2013

Page 69: Creating Our Blueprint for the Future - Louisiana

Ascension, 4,956

EBR, 28,339

E. Feliciana, 1,081

Iberville, 2,465

Pointe Coupee, 1,601

WBR, 1,406

W.Feliciana, 542

0

5000

10000

15000

20000

25000

30000

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Nu

mb

er

According to the National Center for Health Statistics, children in poverty

are 3.6 times more likely than non-poor children to have poor health and 5

times more likely to die from an infectious disease. Free the Children, www.freethechildren.org/youthinaction/child_poverty_usa.htm

Region 2

Children Living in Poverty

Page 70: Creating Our Blueprint for the Future - Louisiana

Ascension, 2.33%

EBR, 5.52%

E. Feliciana, 5.10%

Iberville, 4.32%

Pointe Coupee, 6.11%

WBR, 5.20%

W. Feliciana, 2.99%

0

1

2

3

4

5

6

7

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

Region 2

High School Dropout Percentages

LA Department of Education Annual Student Dropout Rates by State,

District and Site 2013-2014

LA:

4.48%

US:

6.8%

Page 71: Creating Our Blueprint for the Future - Louisiana

Ascension, 24.9

EBR,34.2

E. Feliciana, 13

Iberville, 12.8

Pointe Coupee, 14.3

WBR, 18

W.Feliciana, 18.8

0

5

10

15

20

25

30

35

40

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Perc

en

tag

e

American Community Survey (ACS) 2009-2013

College Degree 2013

Factfinder Census.Gov

Region 2% with College Degree

US:29.6%

LA:22.5%

Page 72: Creating Our Blueprint for the Future - Louisiana

Ascension, 70,303

EBR, 47,770

E. Feliciana, 41,578

Iberville, 40,449

Pointe Coupee, 42,129

WBR, 48,848

W.Feliciana, 52,626

0

10000

20000

30000

40000

50000

60000

70000

80000

Ascension EBR E. Feliciana Iberville Pointe Coupee WBR W.Feliciana

Do

llars

US: $51,371

LA: $44,234

Region 2Median Income

Page 73: Creating Our Blueprint for the Future - Louisiana

Regional Data Presentation

State and County Health Rankings - 2015

Page 74: Creating Our Blueprint for the Future - Louisiana

Louisiana’s Health Rankings 2014Health Determinants (Overall National Rank=48)

Prevalence of Smoking 44th (23.5%)

Prevalence of Obesity 45th (33.1%)

Sedentary Lifestyle 45th (30.3%)

High School Graduation 46th (72.0%)

Violent Crime/100,000 44th (497)

Occupational Deaths/100,000 47rd (78.2)

Infectious Disease/ 100,000 48th (.088)(Combined Chlamydia, Pertussis, Salmonella)

Children in Poverty 44th (31%)

Low Birth Weight (% of births) 49th (10.8%)

Preventable hospitalizations 48th (80.3)

Diabetes 45th (11.6%)

Poor Mental Health Days 43rd (4.2)

Infant Mortality per 1,000 births 47th (8.2)

Cardiovascular deaths/100,000 46th (307.5)

Cancer deaths/100,000 48th (219.2)

Premature Deaths (yrs/100,000) 45th (9,625)

Page 75: Creating Our Blueprint for the Future - Louisiana

Why is the health of our communities so vital?

We all benefit when the health of our

community is excellent and we all suffer

when it is poor.

• For health care providers, health impacts the quality of life of their

patients and the cost of care

• For businesses, health impacts productivity of the workforce and the

cost of health insurance premiums

• For schools, health matters in student learning and staff performance

Page 76: Creating Our Blueprint for the Future - Louisiana

PROCESS: Vote on Top 5 Stakeholder-Identified Priorities

GOAL: Identify the Top 3 Region Priorities

Let’s Vote!

Page 77: Creating Our Blueprint for the Future - Louisiana

1. What is the magnitude of human and

economic costs of this issue in our

community/region?

2. What is the urgency of this issue in our

community/region?

3. What is the size of the population affected by

this problem?

Prioritization Considerations

Page 78: Creating Our Blueprint for the Future - Louisiana

Voting Practice

A. Chocolate

B. Vanilla

C. Pistachio

D. Oreo

E. Strawberry

Chocolate

Vanilla

Pistachio

Oreo

Strawberry

25%

20%20%

11%

24%

Rank your top 3 favorite ice cream flavors

Page 79: Creating Our Blueprint for the Future - Louisiana

Top 5 Stakeholder Priorities(in no particular order)

A. Healthcare and Insurance

B. Chronic Disease Management

C. Behavioral Health/Mental

Health/Addictive Disorders

D. Unemployment/Economic

Development

E. Nutrition/Healthy Eating

Health

care

and In

sura

nce

Chronic

Disease

Man

agem

ent

Behavio

ral H

ealth

/Menta

l H...

Unemplo

ymen

t/Ec

onomic

...

Nutritio

n/Heal

thy E

atin

g

23%

15%

19%

23%

20%

Page 80: Creating Our Blueprint for the Future - Louisiana

SWOT Activity

S

W

O

T

trengths

eaknesses

pportunities

hreats

Page 81: Creating Our Blueprint for the Future - Louisiana

SWOT Activity

S

W

O

T

trengths

eaknesses

pportunities

hreats

Page 82: Creating Our Blueprint for the Future - Louisiana

SWOTBreak-Out

Priority

A

Priority

B

Priority

C

S

W OT

S

W OT

S

W OT

= Note Taker

Page 83: Creating Our Blueprint for the Future - Louisiana

SWOTBreak-Out and Rotate

Priority

A

S W

OT

= Note Taker

S W

OT

Priority

C

S W

OT

Priority

B

Page 84: Creating Our Blueprint for the Future - Louisiana

SWOTRe-Convene and Discuss Among Priorities

Priority

A

S

W O

T

Priority

B

S

W O

T

Priority

C

S

W O

T

= Note Taker

Page 85: Creating Our Blueprint for the Future - Louisiana

SWOTShare Findings with the Group

Priority

A

Priority

C

Priority

B

Page 86: Creating Our Blueprint for the Future - Louisiana

SWOTLet’s Get Started! Go To Your Assigned Table!

Priority

A

Priority

B

Priority

C

S

W OT

S

W OT

S

W OT

= Note Taker

Page 87: Creating Our Blueprint for the Future - Louisiana

SWOTDiscussion Within Priorities

Priority

A

S

W O

T

Priority

B

S

W O

T

Priority

C

S

W O

T

= Note Taker

Page 88: Creating Our Blueprint for the Future - Louisiana

SWOTLarge Group Report-Out

Priority

A

Priority

C

Priority

B

Page 89: Creating Our Blueprint for the Future - Louisiana

Thank you to our

Table Hosts!

Page 90: Creating Our Blueprint for the Future - Louisiana

Monday August 10th, 20159 AM – 1 PM

Pennington Biomedical Research CenterBaton Rouge, LA

Next Steps

• Review and discuss further the Top 3 Priorities

• Provide input for State Health Improvement Plan

PPT slides available at dhh.la.gov/sha-ship

Page 91: Creating Our Blueprint for the Future - Louisiana

THANK YOU FOR COMING!

Please drop off your comment card at the door!

Meeting Concludes!