1. GCACH Demographics and Health Measures
SE WA
GCACH Demographics and Health Measures
Governing Board Meeting
April 19, 2017

2. Objectives
It is only through the clear presentation of data that health policy can be developed.
State of Reform
Understand the state of socio-economic and physical health of those residing within the GCACH
Identify where there are gaps
Develop clear thinking on where to focus and where not to focus our resources
Guide the policy discussion going forward

3. Data Sources Used Regional Health Needs Inventory (RHNI Phase 2)
We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
There are 60 measures or more that we are being held accountable to. Some are still under development and some will be hard to assess (e.g. ROI)
Data Sources Used
Regional Health Needs Inventory (RHNI Phase 2)
Healthier WA Dashboard
RWJF County Health Rankings
WA Health Alliance Community Checkup
DSHS Research and Data Analysis (RDA)
Community Commons
HCA Data & Reports
And more!

4. Demographics & Health Coverage
We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
Demographics & Health Coverage
Concentrations of Hispanics, Native-American Indians:
Franklin, Yakima: ~50% Hispanic
Rural Areas: Garfield 100% Rural
↓Income, ↑Unemployment, ↑% children in Poverty
↓Homeless, ↑physical inactivity, ↓exercise opportunities
↑Uninsured: Undocumented, ineligible
Higher % of CHIP coverage vs. WA State: Young families
MCO Coverage: Molina, Coordinated Care, CHPW (80%)
↓ Provider ratios (PCPs, Dentists, BHS), ↓% people with personal provider

5. We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
Project Categories
Chronic Disease: ↑Adult obesity, ↑Diabetes but good monitoring and testing: blood sugar, eyes, kidney
Concentrations: Yakima, SE WA corner
Other: ↓Asthma, ↓depression
Mental Health: Average % adults with poor mental health
↓Mental health, CD/SA treatment penetration
↓ Psychiatric inpatient readmission (30-day)
Dental: ↑people receiving dental services
Gaps: Whitman Health Network

6. Project Categories ↑Contraception coverage (including LARC)
We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
Project Categories
↑Contraception coverage (including LARC)
Very high STD rates: Chlamydia
↑Teen pregnancy: Cultural?
↓Well-child visits
↑childhood immunization rates
Some overuse of antibiotics in children
Opioid Abuse: Significant problem
↑chronic users across age, gender, and ethnicity
↑MAT with Buprenorphine

7. We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
Project Categories
Biggest overall concern: ↑ ED visits and ↑ potentially avoidable ED visits
Some of the highest rates in WA State
Across all age groups
↑Preventable hospital days
↓All-cause inpatient readmission (30-day)

8. Summary Biggest areas of concern:
We’ve extracted data from a lot of places but we still have not come up with data on all of the MTD metrics
Summary
Biggest areas of concern:
ED visits and potentially avoidable ED visits
Chronic opioid abuse
Mental health and CD/SA penetration
Well-child visits
High teen pregnancy and STD rates
Preventable inpatient hospital days

9. Questions?
For more information: Carol Moser Wes Luckey Aisling Fernandez Website:
Thank you for the opportunity to discuss Healthier WA with you today, and we look forward to a continued partnership as Healthier WA further develops throughout the state.
Thank you!