Transcript Slide 1

SHIP 2006 - 2010
The State Health
Improvement Plan
Three Components of SHIP
1.
A health improvement plan that emphasizes
improving the health status of populations;
2.
A plan that emphasizes engaging local
partnerships to coordinate resources and
address local health issues
3.
A commitment to increase access to data and
information necessary to access local health
status.
SHIP 2006 – 2010
The State Health Improvement Plan (SHIP)
promotes well-being by focusing on
identifying and addressing root causes
of disease and disability with community
partners.
Root Causes of Death, Disease,
and Disability
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Tobacco Use
Poor Diet and Physical Inactivity
Alcohol and Drug Use
Microbial Agents (Infections)
Environmental Pollutants
Motor Vehicles
Firearms
Sexual Behavior
SHIP Categories for Health Action
Healthy People 2010 (HP2010)
10 Leading Health Indicators
Immunization
Responsible Sexual Behavior
SHIP
6 Categories for Health Action
Communicable Disease
Physical Activity
Overweight and Obesity
Chronic Disease
Tobacco Use
Mental Health
Substance Abuse
Family Health
Injury and Violence
Violence and Injury
Environmental Quality
Environmental Health
Access to Health Care
Service Delivery Systems
“State of State” Chapters
Each Category for Health Action has its own chapter
Reference Chapters 8 – 13
“State of State” Chapters
Category for Health Action
HP2010
Leading Health Indicator (LHI)
Additional Pennsylvania Priorities
Additional Community Priorities
PA Priorities are priorities not
captured by HP2010 LHI but are
important to improve health in
Pennsylvania.
Community Priorities are
priorities raised in the planning
process by community
representatives
“State of State” Chapters
Under each of the major headings you will
find these subheadings
Health Issues
Economic Considerations
Leading Health Indicator in Pennsylvania – Trends and Disparities
Pennsylvania Healthy People 2010 Data – Tracking Progress
Health Topic
Health Topic
The information
under the
subheadings will
consist of research
findings, national
data, Pennsylvania
data, and notable
disparities.
“State of State” Chapters
Resources appear in the last section of
each discussion area.
Resources
Pennsylvania Public Health Efforts
Other State Agency and National Resources
Partnership Activities
PA public health
efforts and other state
agency and national
resources that address
a particular LHI or
Priority are listed
here.
SHIP 2006-2010
This document is designed to:
 Raise awareness of public health issues
 Increase involvement or empower people
 Create a common agenda for health
SHIP 2006 – 2010
SHIP outlines a process by which DOH
and community partners can work
together to meet the needs of the public.
SHIP Partnership
Partnership is defined as:
 A group of people participating in common practices
with each other;
 Making decisions together;
 Identifying themselves as something larger than their
organization;
 and focusing on a common goal…
Reference: Chapter 5
Partnering
The Health of the Community!
SHIP Partners and Partnering
Total – 63
SHIP Partners and Partnering
A Local Health Improvement Partnership
(LHIP) or Community-Based Health
Improvement Partnership is:
A collaboration of public, private, and voluntary
organizations and individuals, who serve a defined
geographic area, and exists for the purpose of
improving the health status of the community.
Healthy Communities
SHIP defines a community as:
“all persons and organizations within a
geographic area in which there is a sense
of interdependence, identity, and
belonging.”
Healthy Communities
 Partnerships should focus on local health
needs and the needs of the community
they serve.
 Organizations alone cannot decide what
the community needs are.
 Community members should be included in
the process.
Our Common Vision
 Prevention
 We share a commitment to:
 Prevent death and disability through mobilizing
community action to identify and address root
causes
 Recognize that prevention is the keystone of
community health
 When possible, relate our prevention activities to
the achievement of HP 2010 objectives
Prevention
Our Common Vision
 Prevention (Continued)
 We share a commitment to:
 Prevent death and disability through mobilizing
community action to identify and address root
causes
 Recognize that prevention is the keystone of
community health
 When possible, relate our prevention activities to
the achievement of HP 2010 objectives
Our Common Vision
 Communication
 We strive to:
 Have direct two-way communication to partners
and the communities they serve
 Recognize the role of Local Advisory
Committees and SHIP Steering Committee to
support the timely exchange of information
Our Common Vision
 Accountability
 We share a commitment to:
 Data driven planning and decision making
 Use of evidence-based approaches to improve
and evaluate the outcomes of improving
community health
Our Common Vision
 Collaboration
 We will work:
 Collaboratively as partners to improve the health
of our communities
 To develop strong mutual bonds of trust and
respect for one another
 To aspire a new model for community
relationships
 To assume ownership of the partnering process
to the fullest possible extent
Our Common Vision
 Coordination
 We will recognize that:
 Good stewardship of state and community
resources requires careful coordination and will
work together to identify, create, and encourage
state and local coordination
Our Common Vision
 Continuous Learning
 We recognize the need:
 For mutual commitment to continuous learning
and improvement
 We will strive to nurture and develop:
 Leaders within our communities and assist new
partnerships in their developmental activities
Our Common Vision
 Elimination of Health Disparities
 We share a mutual concern:
 for the unequal burden of disease borne by
vulnerable portions of our communities, whether
due to race, language, culture, geography,
gender or other factors
 We will:
 Collectively work to ensure that disparities are
addressed in state and local planning efforts
Health Disparities
SHIP 2006-2010 expands the analyses of
health disparities beyond rural and
minority health disparities that were
covered in previous SHIP reports.
To Access These Publications Visit:
www.health.state.pa.us/ship
Health Disparities
“A disproportionate health burden for a
segment of the population, compared to
the total population or a target
population.”
Reference: Chapter 6
Eliminating Health
Disparities
Health Disparities
Health Disparities are differences in
health status, the delivery of health
services, and the utilization of health
services.
Health Disparities
Highlighted in SHIP 2006-2010:
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Gender
Race/Ethnicity
Education/Income
Disability
Geographic location
Sexual orientation
SHIP 2006-2010
The plan uses several sources to identify
health disparities in PA residents:
 Data from the PA Healthy People 2010 Dataset
 Behavioral Risk Factor Surveillance System
 Other Sources (Footnoted)
Objective 27-01a % Adults Who Smoke Cigarettes
2010
Goal
PA
2004
PA
2003
PA
2002
PA
2001
PA
2000
All Adults
12
24± 1
26± 2
25± 1
25± 2
25± 2
Males
12
23± 2
27± 3
26± 2
27± 3
26± 3
Females
12
24± 2
26± 2
24± 1
24± 2
25± 2
Non-Hispanic Whites
12
23± 1
25± 2
25± 1
24± 2
25± 2
Non-Hispanic Blacks
12
29± 6
33± 7
28± 4
35± 7
30± 6
Hispanics
12
22± 9
30±11
23± 6
DSU
20± 9
Urban
NA
23± 2
27± 2
NA
NA
NA
Rural
NA
25± 3
26± 3
NA
NA
NA
Less than High School 25+
12
49± 6
44± 8
44± 5
42± 7
41± 7
Less than 9th grade 25+
12
DSU
DSU
35±11
DSU
43±12
Grades 9-11 25+
12
49± 7
46± 8
46± 5
43± 8
42± 8
High School Grad 25+
12
29± 2
31± 3
31± 2
30± 3
30± 3
At least some college 25+
12
15± 2
19± 2
17± 1
17± 2
17± 2
13-15 years of education 25+
12
23± 3
27± 4
24± 2
24± 3
26± 4
16+ years education 25+
12
9± 2
14± 2
12± 1
12± 2
12± 2
Persons 18 to 24*
NA
31± 6
35± 7
33± 4
35± 7
33± 6
Persons 25 to 44*
NA
28± 2
32± 3
31± 2
29± 3
30± 3
Persons 45 to 64*
NA
23± 2
24± 3
24± 2
25± 3
24± 3
Persons 65+*
NA
8± 2
10± 3
10± 1
9± 2
9± 3
(age-adjusted to 2000 std population)
Examples of Disparities in PA
 Race/Ethnicity – The
2003 age-adjusted death
rate for HIV/AIDS
among black residents
was almost 15 times
higher than for whites.
 Gender – Men have
higher age-adjusted
death rates for 9 of the
10 leading causes of
death.
 Education/Income – 35 percent of adults with less than
a high school education have no healthcare coverage
compared to 7 percent of those with a college degree.
Examples of Disparities in PA
 Disability – People with
disabilities report more
anxiety, pain, and
depression than those
without.
 Sexual orientation – Gay,
male adolescents are 2-3
times more likely than
their peers to attempt
suicide.
 Geographic Location – Many rural counties had
2000-2002 age-adjusted death rates for heart disease
that were much higher than the state rate.
“Alone we can do so little;
together we can do so much."
- Helen Keller
Contact Information
Kate Yohn
Pennsylvania Department of Health
Bureau of Health Planning
Room 1033, Health and Welfare Building
7th & Forster Streets
Harrisburg, PA 17120
(717) 772-5298
[email protected]
Please take a
SHIP 2006-2010 CD
with you!
Thank You!