Community Dialogue 2019 January 29, 2019 Hinckley

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

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.

Community Health Needs Assessment DISPARITIES

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

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

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.

Social Determinant of Health EDUCATION, ECONOMIC & EMPLOYMENT 2016-2017 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

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

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.

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.

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

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

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

QUESTIONS?