1. Adrian Dominguez, MS Community Health Assessment, Planning, and Evaluation Spokane Regional Health District

2. Adrian Dominguez, MS Community Health Assessment, Planning, and Evaluation Spokane Regional Health District Presentation to the Board of Health, 12/05/13, by Amy Riffe for Adrian.

3. HISTORY First published in 2003 Updated biennially Summary of PH indicators (61) – Monitors the community’s health over time – Compares to Washington State and U.S. – Looks at demographic disparities

4. Summary Measures (4) Health Care (5) Environmental (5) Reproductive Health (6) Infectious Disease (7) Injury & Violence (11) Health Behavior (11) Health Status (13)

5. What’s NEW for 2013? Methodology has changed for BRFSS – Dropped Fruit & Vegetable Intake Indicator – 2011 data cannot be compared to previous years – 2011 data not included in trend Impacts 30% of indicators (18/61)

6. www.srhd.org/ spokane-counts

7. Scoring Measures Trend Compared to Washington State Compared to United States Compared to Healthy People 2020 Disparities – Age, Gender, Race, Education, Income Magnitude of total population

8. Trend Getting better No change Getting worse 123 Compared to WASC betterSameSC worse 123 Compared to USSC betterSameSC worse 123 Compared to HP2020SC betterSameSC worse 123 DisparitiesNoneUp to halfGT half 123 Magnitude <0.01% (1/10,000) 0.01%- 0.9%1%-9.9%10-24.9%25%+ 01234

9. Prioritization

10. BEHAVIORSSTATUSOUTCOMES RED 1Bullied (Youth)Insured (Adult)2Dental Decay (Children) 1Preschool Immunizations Adverse Childhood Experiences 2Depression (Youth) 2Maternal Smoking2Child Abuse Fruit-Vegetable Intake (Y)General Health (Adult)Asthma (Youth) MammogramDiabetes (Adult) Smokers (Adult)Poor Mental Health (Adult) Flu Shot (Adult)Unintended Pregnancy Binge Drinking (Youth)Life Expectancy Sigmoid/colonoscopy

11. BEHAVIORSSTATUSOUTCOMES GREEN 2 Correction Of Septic System Failure Air Quality1Vaccine Preventable Disease Pregnancy2Drowning Binge Drinking (Adult)2Tuberculosis Illicit Drug Use (Adult)2Preterm Birth Smokers (Youth)Food-Waterborne Disease BreastfeedingLow Birth Weight Abortion Infant Mortality Drug Resistant Infection

12. Spokane Counts Website 2013 http://www.srhd.org/spokane-counts/