ERIN RAY PASCARETTI EPIDEMIOLOGIST PUTNAM COUNTY DEPARTMENT OF HEALTH Data Review

Community Health Assessment & Community Health Improvement Plan Description of the community being assessed  Demographics  Health Status Identification of main health challenges Summary of assets and resources Method for distribution to community Identification of at least 2 priorities Goals and objectives Individuals and Organizations involved Outcome and process measures Strategies and Best Practices

Data Sources Partners

Prevention Agenda.

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Prevention Agenda – Health Disparities Socio-economic Gender Race/Ethnicity Geography Age Other

Prevention Agenda – Health Status & Disparities Indicator Data Years Putnam County New York State NYS 2017 Objective l. Percentage of premature death (before age 65 years) Ratio of Black non-Hispanics to White non-Hispanics Ratio of Hispanics to White non-Hispanics Age-adjusted preventable hospitalizations rate per 10,000 - Ages 18+ years Ratio of Black non-Hispanics to White non-Hispanics Ratio of Hispanics to White non-Hispanics Percentage of adults with health insurance -Ages years ( ) 83.1 ( ) Age-adjusted percentage of adults who have a regular health care provider - Ages 18+ years ( ) 83.0 ( ) 90.8

Prevention Agenda – Healthy & Safe Environment Indicator Data YearsPutnam County New York State NYS 2017 Objective 9. Rate of hospitalizations due to falls per 10,000 - Ages 65+ years Maintain 10. Rate of emergency department visits due to falls per 10,000 - Ages 1-4 years Assault-related hospitalization rate per 10, Ratio of Black non-Hispanics to White non-Hispanics s Ratio of Hispanics to White non-Hispanics Ratio of low income ZIP codes to non-low income ZIP codes Rate of occupational injuries treated in ED per 10,000 adolescents - Ages years Percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge * Percentage of commuters who use alternate modes of transportation Percentage of population with low-income and low access to a supermarket or large grocery store Percentage of homes in Healthy Neighborhood Program that have fewer asthma triggers during the home revisits NA Percentage of residents served by community water systems with optimally fluoridated water *

Prevention Agenda – Chronic Disease Indicator Data YearsPutnam County New York State NYS 2017 Objective 21.Percentage of adults who are obese ( ) 23.2 ( ) Percentage of children and adolescents who are obese NYC: 19.7 ROS: Percentage of cigarette smoking among adults ( ) 16.8 ( ) Percentage of adults who receive a colorectal cancer screening based on the most recent guidelines - Ages years ( ) 66.3 ( ) Asthma emergency department visit rate per 10, Asthma emergency department visit rate per 10,000 - Ages 0-4 years Age-adjusted heart attack hospitalization rate per 10, Rate of hospitalizations for short-term complications of diabetes per 10,000 - Ages years * Rate of hospitalizations for short-term complications of diabetes per 10,000 - Ages 18+ years

Prevention Agenda – HIV/STD, Vaccine Preventable Indicator Data YearsPutnam CountyNew York State NYS 2017 Objective 30. Percentage of children with 4:3:1:3:3:1:4 immunization series - Ages months Percentage of adolescent females with 3-dose HPV immunization - Ages years Age-adjusted percentage of adults with flu immunization - Ages 65+ years ( ) 75.0 ( ) Newly diagnosed HIV case rate per 100, Difference in rates (Black and White) of new HIV diagnoses s Difference in rates (Hispanic and White) of new HIV diagnoses s Gonorrhea case rate per 100,000 women - Ages years * Gonorrhea case rate per 100,000 men - Ages years * Chlamydia case rate per 100,000 women -Ages years , Primary and secondary syphilis case rate per 100,000 males 20100* Primary and secondary syphilis case rate per 100,000 females 20100*0.50.4

Prevention Agenda – Maternal Child Health Indicator Data YearsPutnam CountyNew York StateNYS 2017 Objective 41.Percentage of preterm births Percentage of infants exclusively breastfed in the hospital Maternal mortality rate per 100,000 births s Percentage of children who have had the recommended number of well child visits in government sponsored insurance programs Percentage of children with any kind of health insurance - Ages 0-19 years ( ) 94.9 ( ) Percentage of third-grade children with evidence of untreated tooth decay ( ) 24.0 ( ) Adolescent pregnancy rate per 1,000 females -Ages years Percentage of unintended pregnancy among live births Percentage of women with health coverage -Ages years ( ) 86.1 ( ) Percentage of live births that occur within 24 months of a previous pregnancy

Prevention Agenda – Mental Health Substance Abuse Indicator Data Years Putnam County New York State NYS 2017 Objective 66. Age-adjusted percentage of adults with poor mental health for 14 or more days in the last month ( ) 10.2 ( ) Age-adjusted percentage of adult binge drinking during the past month ( ) 18.1 ( ) Age-adjusted suicide death rate per 100,

Community Asset Survey All Residents (work or live) All Ages Advertised  Newspaper  Online  PHC and County Employees  Free Media  County Website 340 Responses

Community Asset Survey - Strengths of Community

Other Comments Great Snow Removal Proximity to NYC Quiet Rural Vigorous Probation Services

Community Asset Survey - Focus Areas

Other Comments Affordable gyms like YMCA After School Programs Dog Friendly Parks Eliminate Duplicative Services Enforce Immigration Laws Lower Property Taxes Lower School Taxes Litter Removal More Drug Enforcement More Environmental Forums More Shopping Safe Housing for Sex Offenders Smaller Government

Community Asset Survey - Health Issues

Other Comments Adult Protection Alcohol Abuse Education Cancer Support Functional Medicine Gun Safety Hospice Palliative Care Services on Western Side Substance Abuse Education Tetanus Shots for Laborers

County Health Rankings Population based health  Health Outcomes  Health Factors  Policies & Programs Ranked within State National & State data Priority is to raise awareness

County Health Rankings – Priority Areas Premature Death Perception of health, physical health, and mental health Obesity and physical inactivity Excessive drinking Uninsured Primary care physician & Dentist ratio Daily fine particulate matter Limited access to healthy foods

Many Voices One Valley Telephone Survey  Landline  Cell ~300 Residents Third Survey Focus  Living in Region  Working in Region  Priorities for Future  Quality of Healthcare

Many Voices One Valley – Priority Areas

What Now? Pick priority areas Identify strengths and weaknesses Create Goals and Objectives Assess and Measure Monitor over five years