North Dakota Center for Nursing Culture of Health Initiative Patient Engagement and Wellness Think Tank

UND Medical School Report North Dakota is relatively healthier than the country as a whole based on 8 out of ten general health measures Fair/poor health, high cholesterol, high blood pressure, diabetes, cholesterol screen, influenza immunization, asthma, and sigmoidoscopy/colonoscopy. Rate of people who are overweight/obese is lower (63.7% vs. 65%)

Health Issues for North Dakota 1 2 Source: University of North Dakota School of Medicine and Health Sciences Advisory Council. (2017). Fourth Biennial Report: Health Issues for the State of North Dakota 2017. Retrieved from http://www.med.und.edu/biennial-report/_files/docs/ fourth-biennial-report.pdf

Obesity epidemic Rate of obesity is increasing US rate is increasing faster than the ND rate Obesity contributes to many health concerns Cancer, diabetes, heart disease Rates especially increase in rural regions and in males

AARP Livability Index Community conditions influence health behaviors. Healthy communities have comprehensive smoke-free air laws, offer easy access to exercise opportunities, and have high-quality health care available. Because health is so deeply related to quality of life, many other categories of livability in this Index include metrics related to health. access to healthy foods, jobs and education, number of walk trips, lower speed limits, social engagement measures, and air and water pollution Key Metrics: Healthy behaviors -smoking prevalence, obesity prevalence, access to exercise opportunities Access to health care – health care professional shortage areas Quality of health care – preventable hospitalization rate and patient satisfaction

Healthy North Dakota Creating a Hunger Free North Dakota Coalition Founded in 2009 1 in 11 North Dakotans utilized food banks 40% are children

Physical Activity

Physical Activity