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Carroll County Local HealthImprovement ProcessFY2016Priorities:Addictions and Behavioral HealthOral HealthTobaccoNutrition – Obesity and SalmonellaHeart Disease and CancerBeing updated throughout FY 20161
IntroductionState Health Improvement Process (SHIP) The State of Maryland Department of Health and MentalHygiene (DHMH) introduced the State Health Improvement Process (SHIP) in 2011. The SHIP aligns witha small subset of objectives from the Center for Disease Control and Prevention’s Healthy People 2020, ascience‐based effort for improving the health of all Americans. The objectives were selected afterreviewing recent state, local, and national plans and indicators; consulting with state officials; meetingwith health and community leaders to discuss health outcome factors where the state ranks worse thanits neighbors; and considering the input of public feedback. The chosen objectives focus on the factorsthat are most critical for achieving the SHIP’s goals of health equity and improving the health ofMaryland residents. The objectives will also measure whether implemented actions are successful inmeeting the goals.The Local Health Improvement Process (LHIP) In recognizing that local energy and local leadership arecritical for progress in public health, the SHIP requested each jurisdiction in Maryland to prioritizeobjectives for their respective communities. The Local Health Improvement Process (LHIP) in eachcounty is designed to identify, develop, and implement measures for inclusion with the larger healthimprovement process. Carroll County, under the direction of the health officer, complied with the SHIPrequest for local involvement and established a Local Health Improvement Coalition (LHIC), comprisedof key stakeholders in the community committed to improving the health and well‐ being of theresidents.Local Health Improvement Coalition (LHIC) The function of the Local Health Improvement Coalition(LHIC) is performed by the Board of Directors of the Partnerships for a Healthier Carroll County, Inc.(PHCC), whose members are well qualified for this role by experience, skills, and their backgrounds ofcommunity involvement. The LHIC submits the Local Health Improvement Process document to theSHIP. LHIC also collaborates with the PHCC Strategic Planning Committee and Carroll Hospital.Community Benefit Committee to determine and analyze health needs and propose recommendationsfor community health improvement. More information about the LHIC is included in the LHICDescription Form which is Section 1 of this document. Also working with the LHIC/Partnership Board ofDirectors on the LHIP is the Local Health Improvement Team (LHIT).Local Health Improvement Team The Local Health Improvement Team (LHIT) was originally comprisedof staff from PHCC and senior staff from the Carroll County Health Department (CCHD) from October2011 through April 2012. Programs represented from the health department include: Addictions,Behavioral/Mental Health, Environmental Health, Fiscal, Health Education, Nursing, Nutrition, OralHealth and Tobacco and Cancer (Cigarette Restitution Fund). Based on data profiles and contextual datafor each indicator, the LHIT identified ten indicators for five areas and developed a proposed action planfor each area. Since April 2012, the LHIT has been the Access to Health Care Leadership Team whoaddresses issues related to the LHIP during the even month regular Access to Health Care meetings.The LHIT recommendations are then reviewed and approved by the LHIC.2
Carroll County Local Health Improvement Process (CCLHIP)Table of Contents:Section 1:Local Health Improvement Coalition DescriptionSection 2:Local Health Data Profiles – County Profile DataSection 3:Local Health ContextSection 4:Local Health Improvement Priorities 2015‐2016Priority, Baseline and Goal, Strategies, and ActionsSection 5:Local Health Planning Resources and SustainabilitySection 6:Timeline and Method for the Community Health NeedsAssessment3
Section 1:Local Health ImprovementCoalition Description Form4
Section 1. Local Health Coalition and Planning Description1. Jurisdiction/Region Name:Carroll County2. Local Health Action Planning Coalition Leadership and Contact InformationLocal/Regional Public Health Coalition Leader (Health Officer Name, Title, Address, Telephone, e‐mailaddress)a. Ed Singer, Health Officer, Carroll County Health Dept.290 S. Center St. Westminster, MD 21157 (410)876‐4972Ed.Singer@maryland.govb. Barbara Rodgers, Director, Bureau of Community Health Promotion‐Co‐leader, CarrollHealth Dept.290 S. Center St. Westminster, MD 21157 (443)375‐7286Barbara.rodgers@maryland.gov3. Local Health Action Planning Coalition Membership (names, titles, organizations)The Partnership for a Healthier Carroll County, Inc. (PHCC) Board of Directors will serve as the CarrollCounty Local Health Improvement Coalition (CCLHIC or LHIC) for Carroll County’s Local HealthImprovement Process (LHIP)Rationale:The Partnership achieves health improvement progress through leadership collaboratives and actionteams formed around the Core Health Improvement Areas. Core Health Improvement Areas areidentified through community health needs assessments that are completed to comply with theAffordable Care Act. Experts and interested parties from each Area are invited to be on LeadershipTeams. Leadership Teams identify indicators of health (known as Healthy Carroll Vital Signs) to measureprogress in their areas. The Leadership Teams then establish objectives and action plans for improvingindicator data. Leadership Teams often form sub‐groups known as Action Teams in order to bettermanage specific action plans. Annual reporting, review, and recognition of progress takes place at ourcommunity health forum, We're on Our Way.5
4. Local Health Improvement Coallition Members:The Partnership for a Healthier Carroll County, Inc. Board of Directors who will be serving as CarrollCounty’s Local Health Improvement Coalition (LHIC): Sue Doyle, Carroll County Health Department Dorothy Fox, Partnership for a Healthier Carroll County Lorraine Fulton, EdD. Gerstell Academy Jamie Green, Citizen Abby Gruber, Westminster City Parks and Recreation (Chairperson of PHCC Board of Directors) George Hardinger, Carroll County Detention Center Jim Kunz, McDaniel College David Hogue, M&T Bank Sally Long, Citizen David Louder, MD, Carroll Hospital, a Life Bridge health center Jonathan O’Neal, Carroll County Public Schools Arthur Riley, Carroll Drugs Inc. Barbara Rodgers, Carroll County Health Department Sharon Sanders, Carroll Hospital, a Life Bridge health center Leslie Simmons, President/CEO Carroll Hospital Ed Singer, Health Officer. Carroll County Health Department Lynn Wheeler, Carroll County Public Library (Past‐Chairperson of PHCC Board of Directors)6
5. Local Health Improvement Coalition StructureCommunity Benefit Plan and Local Health Improvement ProcessNeedsAssessmentData Collectionand HostingHealthyCommunityInstitute(HCI):‐Core mographics‐SocialDeterminants‐CBSA‐SHIP CommunityLeader Surveys‐CommunityMember Surveys*Local ManagementBoard‐shared resultsPHCC NeedsAssessmentCommittee‐Vendorreview andapproval‐Indicatorselectionapproval‐Survey format& contentapproval‐Final webdashboardreview andapproval‐Compliancewithfederal/stateCHNA –SHIPrequirements‐ Completeneedsassessment toPHCC BoardPHCC Board/Local HealthImprovementCoalition‐Accountabilityfor compliancewith CHCneedsassessment asstipulated Receives andreviews CHNAreports‐Needsassessmentresults tocommittees‐Serves asSHIP requiredcommunitycoalitionPHCC Strategic PlanningCommittee‐CHIA Determination‐Strategic Plan recommendationsCHC Community BenefitCommittee Analysis and prioritization ofneeds Prepares CHC Community Benefitreport and proposed 3 year actionplan for Executive Council and CHCBoardLocal HealthImprovement Team(LHIT)Prepares Local Health ImprovementProcess (LHIP) recommendations.4. Health Planning Coalition Vision and Mission StatementOur VisionThe Carroll County Health Improvement Coalition will mobilize support to achieve betterhealth in Carroll County.Our MissionThe Carroll County Health Improvement Coalition will improve the health of all residentswith particular attention to communities and sub‐groups with health disparities byproviding a health improvement framework with support for local action and linked to theState Health Improvement Process7
Activities/Schedules – Local Health Improvement Coalition meeting dates and schedules (includelink to local websites for public meeting schedules to be posted on the SHIP website)The Carroll County’s Local Health Improvement Coalition (LHIC) meetings will be a portion of ThePartnership for a Healthier Carroll County Board Meetings April and October of each year and will beopen to the public. These meetings are held on the 1st Tuesday of every other month in theConference room on the ground floor of Carroll Hospital. As a subcommittee of the LHIC, the LocalHealth Improvement Team meetings will also be opened to the public and a meeting schedule willbe posted on The Partnership website.2015 Regular Access and LHIT Meetings(even months) – 8:30 am at:February 11th Shauck Auditorium, Carroll Hospital CenterMarch 11thAdministration LibrarythApril 8Multi Purpose Room ‐ CCHDMayNo May Meeting – Members encouraged to attend We’re on our Way,The Partnership Annual MeetingthJune 10MPRNo July MeetingAugust 12thMPRSeptember 9th No Meeting due to other Action Team meetings this monthOctober 14thMPRthNovember 18 MPRDecember 9thMPRLocal Health Improvement Team items will be part of the Access Agenda during the even monthmeetings. If there is a speaker scheduled for the meeting, they will be first on the agenda.Future meetings will be posted on www.HealthyCarroll.org on the Community Health NeedsAssessment page.Documents– Local/Regional Community Health Assessments, Plans and other related documentsThe following documents are posted in the Healthy Carroll Vital Signs section onwww.HealthyCarroll.org8
Section 2:Local Health Data Profiles9
ADDICTIONS & BEHAVIORAL HEALTH:AGE‐RELATED DEATH RATE DUE TO SUICIDE (SHIP#8):This indicator shows the age‐adjusted death rate per 100,000 population due to suicide.County: CarrollMaryland SHIP 2014: 9.1 deaths/100,000populationTarget Not MetComparison: MarylandSHIP 2014 Target11.8deaths/100,000populationData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Mental Health & MentalDisorders, Health / Mortality DataMaintained By: Healthy CarrollLast Updated: April 2015Measurement Period: 2011-2013DEATH RATE DUE TO DRUG USE (SHIP #29)This indicator shows the death rate per 100,000 population due to drug use.County: CarrollTarget MetComparison: MarylandSHIP 2014 TargetMaryland SHIP 2014: 12.4 deaths/100,000populationData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Substance Abuse, Health /Mortality Data, Health / Prevention & SafetyMaintained By: Healthy CarrollLast Updated: January 2014Measurement Period: 2008-201011.6deaths/100,000population10
ER RATE RELATED TO BEHAVIORAL HEALTH CONDITIONS (SHIP #34):This indicator shows the death rate per 100,000 population due to drug use.County: CarrollTarget Not MetComparison: MarylandSHIP 2014 TargetMaryland SHIP 2014: 5028.3 ER Visits/100,000populationData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Mental Health & MentalDisordersMaintained By: Healthy CarrollLast Updated: January 2014Measurement Period: 20115732.0ER Visits/100,000populationORAL HEALTH:ORAL HEALTH‐CHILDREN WHO VISITED A DENTIST (SHIP #35):This indicator shows the percentage of children who had a dental visit within the past 12 months.Only children enrolled in Medicaid for at least 320 days were included in the measure.County: CarrollTarget Not MetComparison: MarylandSHIP TargetMaryland SHIP 2014: 55.4 percentData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Oral Health, Health /Children's Health, Health / Access to HealthServicesMaintained By: Healthy CarrollLast Updated: April 2015Measurement Period:201352.6 percent11
TOBACCO:ADULTS WHO SMOKE (SHIP # 32):This indicator shows the percentage of adults who currently smoke cigarettes.County: CarrollTarget Not MetMaryland SHIP 2014: 14.4 percentData Source: Maryland Behavioral Risk FactorSurveillance SystemCategories: Health / Substance AbuseMaintained By: Healthy CarrollLast Updated: March 2014Comparison: MarylandSHIP 2014 Target17.9percentMeasurementPeriod:2012TEENS WHO USE ANY KIND OF TOBACCO PRODUCT (SHIP #33):This indicator shows the percentage of teens who reported using any kind of tobacco product on atleast one day during the 30 days prior to the survey.County: CarrollTarget MetMaryland SHIP 2014: 22.3 percentData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Substance Abuse, Health /Teen & Adolescent HealthMaintained By: Healthy CarrollLast Updated: April 2015Measurement Period:2013Comparison: MarylandSHIP 2014 Target18.7percent12
NUTRITION-OBESITY & SALMONELLA INFECTION:ADOLESCENTS WHO ARE OBESE (SHIP#31)This indicator shows the percentage of adolescents ages 12 to 19 attending public school who areobese.County: CarrollTarget MetMaryland SHIP 2014: 11.3 percentData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Exercise, Nutrition, &Weight, Health / Teen & Adolescent HealthMaintained By: Healthy CarrollLast Updated: January 2014Measurement Period: 2010Comparison: MarylandSHIP 2014 Target9.4percentSALMONELLA INFECTION INCIDENCE RATE (SHIP#16):This indicator shows the salmonellosis incidence rate in cases per 100,000 population.County: CarrollTarget Not MetComparison: MarylandSHIP 2014 TargetMaryland SHIP 2014: 12.7 cases/100,000populationData Source: Maryland Infectious Disease &Environmental Health AdministrationCategories: Health / Food Safety, Health /Immunizations & Infectious DiseasesMaintained By: Healthy CarrollLast Updated: February 2015Measurement Period : 201316.1cases/100,000population13
HEART DISEASE & CANCER:AGE RELATED DEATHS DUE TO HEART DISEASE (SHIP #25):County: CarrollTarget MetComparison: MarylandSHIP 2014 TargetMaryland SHIP 2014: 173.4 deaths/100,000populationData Source: Maryland Department of Healthand Mental HygieneCategories: Health / Heart Disease & Stroke,Health / Mortality DataMaintained By: Healthy CarrollLast Updated: April 2015Measurement Period: 2011-2013171.9deaths/100,000populationREDUCE OVERALL CANCER RATE/CANCER MORTALITY RATE (SHIP #26)County: CarrollTarget Not MetHealthy People 2020 Target: 160.6 Rateper 100,000Data Source: Maryland Vital StatisticsAdministrationCategories: Health / CancerMaintained By: Healthy CarrollLast Updated: April 2014Measurement Period: 2010-2012Comparison: Healthy People 2020Target170.3Rate per uploads/2015/06/Healthy‐Carroll‐Vital‐Signs 8.5x11 JUNE.pdf14
Section 2: Local Health Data Trend Profiles ‐ Inventory of local data includingSHIP measures. From the 39 State Health Indicators, the following 10 priorityobjectives were selected for Carroll County.Addictions and Behavioral Health:CountyObj.1MarylandSHIPIndicatorCounty DBaselineCountybyRacial/EthnicityMarylandby Racial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County/Maryland vs.CountyReduce thesuicide rate(SHIP #8)Rate ofsuicides per100,000 pop‐ VSA 3?Reducedrug‐induceddeaths(SHIP #29)Rate of drug‐induceddeaths per100,000population(VSA 2007‐2009201113.2Reduce thenumber ofemergencydepartmentvisitsrelated tobehavioralhealthconditions(SHIP #34)Rate of EDvisits for abehavioralhealthconditionPer 201211.620125,732201113.4White ‐14.8Black ‐12.62012‐8.22%n/a20125,5222012NHAsian –788NHblack –7,092Hispanic623NHwhite‐5,9382012NHAsian /a/5,028n/a/3.81%15
Local Health Data Profiles – rCounty DBaselineCounty byRacial/EthnicityMarylandby Racial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County/Marylandvs. CountyReducesalmonellainfectionstransmittedthrough food(SHIP #16)Rate ofSalmonellainfections per100,000IDEHA /12.7‐10.0%/2012 –‐13.01%Heart Disease:CountyObj.5MarylandSHIPIndicatorCounty DBaselineCounty byRacial/EthnicityMarylandby Racial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County/Marylandvs. CountyReducedeathsfrom heartdisease(SHIP #25)Rate of heartdiseasedeaths per100,000population(age adjusted)VSA 2007‐20092011192.1190.120111942011White –187.9Black –210.02012White179.4Black194.62011White –184.3Black 12182.016
Local Health Data Profiles – neMDBaselineCounty byRacial/EthnicityMarylandby Racial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County andMaryland vs.CountyReduceoverallcancerrate(SHIP #26)Rate ofcancerdeaths per100,000population(ageadjusted)VSA 2007‐20092011182.1178.12011177.72011White ‐181.4Black ‐148.52012White‐178.2Black –150.42011White –176.6Black ‐193.02012White‐174.2Black unty byRacial/EthnicityMaryland byRacial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County/Marylandvs. CountyReduce theproportionof youngchildren andadolescentswho areobese(SHIP# 31)Percentageof youth(ages 12‐19)who areobese(MYTS 2008)20119.1%17.9%201111.9%2012API –8.3%Black –15.9%Hispanic16.6%White9.0%2011White 8.8%Black –15.8%Asian – 8.4%Hispanic 211.6%201311%2012API –8.4%Black‐15.1%Hispanic –13.9%White –9.0%Local Health Data Profiles – cont’d17
Tobacco:CountyObj.MarylandSHIPIndicatorCounty DBaseline8Reducetobaccouse byadults(SHIP #32)Percentage ofadults whocurrentlysmoke eproportion of youthwho useany kindof tobaccoproduct(SHIP #33)Percentage ofhigh schoolstudents (9‐12grade) thathave used anytobaccoproducts in thepast 30 days( MYTS 2010)201123.1%26%201124.8%County byRacial/EthnicityMaryland ifferenceNational vs.County/Marylandvs. CountyWhite/non‐Hispanic18.9%White/NH –15.0%Black –17.8%Asian – 4.4%Hispanic –7.8%White –24.7%Black –24.2%Asian/NativeHawaiian/other Pac. Isl.– 18.6%Hispanic 10%Oral elineCounty byRacial/EthnicityMarylandby Racial/EthnicityHealthyPeople2020/MD 2014Target%differenceNational vs.County andMaryland vs.CountyIncrease theproportionof thechildren andadolescentswho receivedental care(SHIP #38)Percentageof children4‐20 yrsenrolled inMedicaidthatreceiveddentalservice inthe 6.0%White –45.8%2012Asian‐63.3%AA –56.2%Hispanic64.8%White –55.0%2011‐11.66%2012‐17.53%201247.1%18
Section 3:Local Health Context19
3.Local Health Context ‐ Brief description of existing health related conditions,initiatives and other contextual factors that are related to the priority objectives.Addictions and Behavioral HealthData Conclusion Specialsituation orfor CountyconsiderationObjective 1:effecting dataReduce theSuicide rate‐An increase‐Better thanin prescriptionNationaldrug abuse‐Worse thanrates (1800%Stateover ten‐FY 11 data notyears)on chart will‐Loss ofshow a 240%connection toincrease insuicide rate over school system(28,000FY 2010students) dueto loss of safeand drug freeschoolprogramData Conclusionfor CountyObjective 2:Reduce drug‐induced deaths‐Higher thanNational‐On par withState Level‐1800% increasein PrescriptionDrug Abuse inCarroll Countyover the past tenyearsResources currently in the countyto address the objectiveProposed resourcesneeded to address theobjectiveRecommendationsfor action‐Formation of Prevention and EarlyIntervention Work group withMental Health and Substance AbuseFocus of Behavioral Health &Addiction Advisory Council‐Garrett Lee Smith SuicidePrevention Grant allows schoolsystem to contract with YouthService Bureau for assessments‐“Finding Kind” the video used as amodel for Bullying Interventions‐Loss of Garrett Lee SmithSuicide Grant after thisyear ‐ estimated need 10,000 yearly tomaintain efforts‐Expand Mental HealthFirst Aide training tobeyond professionals‐estimated 10,000 yearly‐Expansion of preventionefforts by re‐establishment of a Safeand Drug Free SchoolsProgram and re‐establishconnection with students‐estimated need 80,000yearly‐Expansion of CrisisServices‐ estimated need 42,000 yearly.Proposed resourcesneeded to address theobjective‐Charge Prevention& InterventionWork group withthe formation ofthe Strategic PlanSpecialsituation orconsiderationeffecting dataResources currently in the countyto address the objective‐Data may beskewed by thefact a deathmay not belisted as anoverdose.‐Partnership for a Healthier CarrollCounty and CCHD sent educationalinformation to all County physiciansand dentists‐Behavioral Health and AddictionsAdvisory Council‐Hampstead Police Department‐Carroll County GovernmentPrescription Take Back Program‐CCHD Environmental Health‐Increase preventionefforts at all levels:Professional, children,adult and communityproviders‐Prescription DrugMonitoring Programbecomes effective thisyear‐Develop CrossSystem CommunityInvolvementRecommendationsfor actionCombine thisobjective withobjective 1 toreduce the numberof drug induceddeaths.20
Local Health Context – cont’dAddictions and Behavioral HealthData Conclusion forCounty Obj. 3: Reducethe number ofemergencydepartment visitsrelated to behavioralhealth conditions.‐Significantly higherthan MD Dataper Carroll HospitalCenter‐CHC has the highestone day BH admissionrate in the state.Special situation orconsiderationeffecting dataResources currentlyin the county toaddress theobjectiveProposed resources neededto address the objectiveRecommendationsfor action‐Are we sure that thedata is for only thoseCarroll residents or isthis anyone who isseen in the CHC ER– CHC has a high rateof out of county andout of statebehavioral healthemergencydepartment visits‐Lack of a crisiscontinuum in Carroll– No urgent crisis,No mobile crisis, noACT, no Crisis beds,no walk‐in CrisisClinic‐Currently haverequest forproposals that willaddress operationof four crisis bedsfor the explicitpurpose of“prevention ofinpatient admission”‐Proposal fromCommunity Providerfor Urgent Carevisits‐Funding is the reason forlack of action ondevelopment of a continuumof Crisis services in Carrollbecause the size of thecounty and the level of needwe often do not qualify‐ACT 450,000 one‐time onlyfunds needed to becomeoperational and reach fidelity‐Urgent Care Visits ‐ 18,000yearly‐Walk‐in Crisis Clinic – TBD‐Crisis Beds to Preventinpatient admissions ‐ 200,000 yearly‐Examine existingresources andreallocate funding‐Development of aCross SystemsPlan‐Advocate for CHCparticipation – theybenefit in assistingin the developmentof Crisis Continuum‐Look for grantopportunities21
Local Health Context – cont’dSalmonellaData Conclusion forCounty Objective 4:Reduce salmonellainfectionstransmitted throughfood.‐Lower thanMaryland baseline‐Higher than HealthPeople 2020and Maryland 2014Target, and NationalBaselineSpecial situation orconsiderationeffecting dataResources currently inthe county to addressthe objectiveProposed resourcesneeded to addressthe objectiveRecommendations foraction‐These cases areprimarily individualand not associatedwith outbreaks orlicensed food serviceestablishments‐Higher ratesreported may beindicative of apopulation withbetter access tohealth care and morelikely to seek healthcare for this type ofillness‐Carroll County HealthDepartment (CCHD),Bureau ofEnvironmental Healthfood service facilitylicensing and inspectionprogram‐Limited CCHD outreachand education throughpublications, newsarticles and in person‐Outreach by MarylandCooperative ExtensionService‐Web based informationfrom FSA, USDA, andCCHD‐Maintain currentlevel of activitythrough CCHD foodservice licensing andinspection program‐Staffing andeducationalmaterials to identifyand reach targetaudiences‐ This staffing couldbe CCHD based orwithin organizationsin the community‐Monitor funding levelsof food servicelicensing andinspection programand look foropportunities tomaintain or enhancecurrent program‐ Outreach effortscould be combinedwith objective 7 to talkabout what foods arehealthy and how toprepare them safelyHeart DiseaseData ConclusionFor County Obj. 5:Reduce deathsfrom heartdisease.‐County baselinebetter than MDbaseline butworse thannational baselineSpecialsituation orconsiderationeffecting dataResources currently in the county toaddress the objective‐Data obtainedfrom VSA shouldbe accurate‐CHC provides blood pressure screening‐Some heart health educational andscreening events‐Partnership Leadership Teams – HeartHealth and Prevention and WellnessTeamsProposedresourcesneeded toaddress theobjective‐Funding wouldbe neededRecommendationsfor action‐May want toconsider thefederal programABCS in primarycare model22
Local Health Context‐cont’dCancerData ConclusionFor County Obj. 6:Reduce the overallcancer rate.‐Higher thanNational andMaryland‐Need a lot ofimprovement toreach 2020 goalObesityData Conclusion forCounty Obj. 7:Reduce theproportion of youngchildren andadolescents whoare obese.‐Based on the MYTSdata, the CarrollCounty baselinedata is 9.1% ofyouth ages 12‐19who are obese‐Lower thanMaryland, National,Healthy people 2020and the Maryland2014 targetSpecial situation orconsideration effecting dataResources currently inthe county to addressthe objective‐DHMH Cancer survey showsdifferent numbers with Carrollbeing lower than Maryland rateand having the 3rd lowest cancerrate in the State‐Cigarette RestitutionFund Program‐ Breast and CervicalCancer Program‐Carroll Hospital CancerProgramProposedresourcesneeded toaddress theobjective‐Fundingwould beneededRecommendationsfor action‐Promote all cancerscreeningsSpecialsituation orconsiderationeffecting dataResources currently in the county toaddress the objectiveProposed resourcesneeded to addressthe objectiveRecommendations for action‐Maryland hasno data onchildren from 5‐12‐ PediatricSurveillanceData and MYTSlimited data selfreportedheights andweights‐Data either notconsistentlycollected‐Unable toaccess fromprivatephysicians‐Possibility of a Transformation Grantthat would require at least twointerventions in each of 3 Title 1schools dealing with reducing obesityand/or tobacco use‐Partnership for a Healthier CarrollCounty Kaiser Permanente Grant‐Begin to look at methods forcollection of data on heights andweights from physician’s offices‐CHC Registered Dietitians addressissue if referred by M.D.‐Recreation Councils, organizedsports and fitness activities, etc. existfor youth, many cost money toparticipate‐WIC addresses through 5th birthday.(7.2% of 2‐5yrs.obese July 11)‐Need to get accuratedata about theextent of theproblemCommitteewanted toconsider this foraction, especiallyas it related toTransformationgrant. Nationalevidence suggeststhis continues tobe a problem, andmore healthissues/chronicdiseases are beinglinked tochildhood obesity‐Review evidencebased interventionsto address theproblem.‐Nutrition programsto educateparents/childrenIncreasedopportunities forphysical activity forfamilies and children23
Local Health Context – cont’dTobaccoData Conclusionfor County Obj. 8:Reduce tobaccouse by adults.Special situation orconsideration effectingdata‐Lower thanNational‐Higher than MDrate‐Need a lot ofimprovement toreach 2020 goal‐DHMH started using anew data set whichincreased the numbers2008(old data set) –12%; 2010(new dataset) – 21.2%Resourcescurrently in thecounty toaddress theobjective‐CRFP cessationprogram reaches300 people peryearProposed resourcesneeded to address theobjectiveRecommendations foraction‐Additional funding andidentification of additionallocations for programs‐More advertising, lessexpensive way tosupply nicotinereplacement therapyand ChantixData Conclusion forCounty Obj. 9:Reduce the proportionof youth who use anykind of tobaccoproductsSpecial situationor considerationeffecting dataResourcescurrently in thecounty toaddress theobjectiveProposed resourcesneeded to address theobjectiveRecommendations foraction‐Lower than NationalMD rate‐Close to Healthy People2020 goal‐Many newproducts on themarket targetingyoung smokersPoly‐tobaccousers‐CRFP has asmallpreventioncomponent‐Increase knowledge ofnew products amongadults, esp. parents,teachers, and others whowork with youth‐Educate generalpopulation regardingnew tobacco products‐More requiredprograms in schools toeducate youth‐Change laws regardingcigars24
Local Health Context – cont’dOral HealthData Conclusion forCounty Objective 10:Increase theproportion of thechildren andadolescents whoreceive dental care‐Worse than the stateSpecial situation orconsiderationeffecting dataResourcescurrently in thecounty to addressthe objectiveProposed resourcesneeded
David Louder, MD, Carroll Hospital, a Life Bridge health center Jonathan O'Neal, Carroll County Public Schools Arthur Riley, Carroll Drugs Inc. Barbara Rodgers, Carroll County Health Department Sharon Sanders, Carroll Hospital, a Life Bridge health center Leslie Simmons, President/CEO Carroll Hospital Ed Singer .
