Health & Welfare Council of Long Island May 12, 2010

“The Long Island Center for Health Policy Studies is dedicated to democratizing health planning information so as to support a sustainable process of health policy development which directly results in improving the health of the residents and communities of Long Island” Mission

1.Provide professional expertise that advances the development of regional health planning 2.Advance the knowledge base of determinants of health and identification of community healthcare needs through the dissemination of valid and reliable healthcare data 3.Provide a venue for like-minded professionals dedicated to the improvement of the healthcare delivery system to share information and best practices of preventive healthcare Goals

4. Study and disseminate information on how consumers make decisions that effect their health 5. Provide recommendations concerning the configuration of the health care delivery system and resource allocation to address local health care needs and improve quality in a sustainable and cost effective manner Goals

Prevention Agenda Towards the Healthiest State The aging population and cost effective care management methods 2.Health disparities in a suburban environment 3.Dissemination of healthy lifestyle best practices Initial Focus

The Past and the Future Population in the United States The Past and the Future Population in the United States

The Past and the Future on Long Island

What are the Needs of Seniors Living On Long Island ?

Senior Needs Survey

To better understand issues of seniors, particularly the “older old” (85+) on Long Island. To inform the Long Island community about senior issues/survey results To make recommendations to policymakers with regard to improving community health: what can we do to improve quality of life for our seniors? LICHPS Survey Goals

Health Care Challenges Social Challenges Transportation Nutrition Community Characteristics In-Home Maintenance Social Supports Social Supports Chronic Illness Functional Support Functional Support Health Care Information/Utilization Health Care Information/Utilization Draft Survey Areas for LICHPS Advisory Board Consideration

Needs Assessment Define and measure the Problem Identify Causes Develop Intervention Strategies Implement Interventions Evaluate Intervention Impact Initial Role of LICHPS

Health Disparities in a Suburban Environment ◦Prevention Quality Indicators (PQIs) ◦Avoidable Emergency Room Visits ◦Primary Care Physician Workforce Define and Measure the Problem

What are the Prevention Quality Indicators? Prevention Quality Indicators (PQIs) are a set of measures created by the Agency for Health Research and Quality (AHRQ) that identify "ambulatory care sensitive conditions" (ACSCs) in adult populations, using hospital inpatient discharges. ACSCs are conditions for which good outpatient care can potentially prevent the need for hospitalization, or for which early intervention can prevent complications or more severe disease. Prevention Quality Indicators (PQIs)

What do these Indicators tell us? They can provide initial information about potential problems in the community that may require further, more in-depth analysis. Higher than anticipated rates may reflect ◦poor access to care ◦barriers to timely care ◦barriers to adherence to medical advice ◦cultural influences that preclude seeking early treatment ◦higher prevalence of poor health behaviors Prevention Quality Indicators (PQIs)

Lowest and Highest PQI communities Prepared by North Shore-LIJ Health System Office of Strategic Planning Highest 20% All Other Lowest 20%

Diabetes PQIs: Change from 1997 to 2007 Source: SPARCS ver /jm; Thomson Reuters; Prepared by North Shore-LIJ Health System Office of Strategic Planning PQIDescription Δ PQI 1Diabetes with short term complication5621, PQI 3Diabetes with long term complication1,6402,7961,156 PQI 14Uncontrolled Diabetes PQI 16Lower extremity Amputation

Peter Clement, Ph.D