Presentation by Erin Lenhardt, Daniel Lynn,
Veronica Locke, Jessica Jacobs, and Karen Jose
“Good health is the bedrock
  on which social progress is
  built. A nation of healthy
  people can do those things
 that make life worth-while,
  and as the level of health
     increases so does the
   potential for happiness.”
    - Lalonde Report, 1974
   Quantitative measures that are pieces of
    health care puzzle that answers:
    ◦   How healthy is the community?
    ◦   Is the community in balance?
    ◦   What factors affect health in the community?
    ◦   Are the programs, services, and policies effective?
    ◦   If not, which areas are in need of improvement?
    ◦   Is the community proceeding towards or away from
        its ideal of health?
   Stable population, rising slightly
   Six health-related indicators:
    1.   Obesity & Unhealthy Eating Habits
    2.   Tobacco Usage
    3.   Substance Abuse
    4.   Mental Health
    5.   Injury/Unintentional Accidents
    6.   Health Care Access
   Excessive body fat, high BMI
    ◦ Diabetes, heart disease, cerebrovascular disease (stroke)
    ◦ 44% of total mortality
   Several tobacco-related diseases
    ◦ Chronic lower respiratory disease, malignant
      neoplasms (cancer), cerebrovascular disease (stroke)
    ◦ 33% of total mortality in county
   Excessive tobacco, alcohol, & drug usage
   2% of total deaths in county
   All accidents, including those attributed to substance abuse
   Accidents account for 6% of mortality in county
    ◦ Predominately affects 15-24 age group: 26%
   15-44 age group: 46% of suicides
   Affects +75 population: 95%
   Lower rates of infant, neonatal deaths
   Better access to maternal care in Hillsboro County
   Health insurance
   Health care resource allocation
   Positive signs

   Key Middleboro characteristics:
    ◦   Economically stagnant
    ◦   High unemployment
    ◦   Rising health care costs
    ◦   All contributing to escalating uninsured
   Rising levels of uninsured
   Decreased employer-based insurance – increasing commercial
   Implications: less necessary care provided, or none provided at all
   Shifting trends – declining hospital inpatient care utilization
    ◦ Implications:
       Suggests some health care costs too high - no insurance or underinsured
       Suggests medically underserved population - foregoing necessary treatment?
       Less spent on health care – various economic consequences
   Recent legislation: cannot exclude due to pre-
    existing medical conditions
    ◦ Will expand access to insurance coverage

   Bill under consideration: small business reform
    and health insurance purchasing pools
    ◦ More affordable health insurance

   Managed care penetration
    ◦ Fee-for-service decreasing

   Prescription drug coverage expanding
    ◦ More comprehensive, affordable care
   Accurate framing of
    community’s issues
   Provides sound
    solutions
   Window to
    Middleboro’s values
    and vision
   Any Questions?

Middleboro Community Health Profile

  • 1.
    Presentation by ErinLenhardt, Daniel Lynn, Veronica Locke, Jessica Jacobs, and Karen Jose
  • 2.
    “Good health isthe bedrock on which social progress is built. A nation of healthy people can do those things that make life worth-while, and as the level of health increases so does the potential for happiness.” - Lalonde Report, 1974
  • 3.
    Quantitative measures that are pieces of health care puzzle that answers: ◦ How healthy is the community? ◦ Is the community in balance? ◦ What factors affect health in the community? ◦ Are the programs, services, and policies effective? ◦ If not, which areas are in need of improvement? ◦ Is the community proceeding towards or away from its ideal of health?
  • 4.
    Stable population, rising slightly
  • 7.
    Six health-related indicators: 1. Obesity & Unhealthy Eating Habits 2. Tobacco Usage 3. Substance Abuse 4. Mental Health 5. Injury/Unintentional Accidents 6. Health Care Access
  • 8.
    Excessive body fat, high BMI ◦ Diabetes, heart disease, cerebrovascular disease (stroke) ◦ 44% of total mortality
  • 9.
    Several tobacco-related diseases ◦ Chronic lower respiratory disease, malignant neoplasms (cancer), cerebrovascular disease (stroke) ◦ 33% of total mortality in county
  • 10.
    Excessive tobacco, alcohol, & drug usage  2% of total deaths in county
  • 11.
    All accidents, including those attributed to substance abuse  Accidents account for 6% of mortality in county ◦ Predominately affects 15-24 age group: 26%
  • 12.
    15-44 age group: 46% of suicides  Affects +75 population: 95%
  • 13.
    Lower rates of infant, neonatal deaths  Better access to maternal care in Hillsboro County
  • 14.
    Health insurance  Health care resource allocation  Positive signs  Key Middleboro characteristics: ◦ Economically stagnant ◦ High unemployment ◦ Rising health care costs ◦ All contributing to escalating uninsured
  • 15.
    Rising levels of uninsured  Decreased employer-based insurance – increasing commercial  Implications: less necessary care provided, or none provided at all
  • 16.
    Shifting trends – declining hospital inpatient care utilization ◦ Implications:  Suggests some health care costs too high - no insurance or underinsured  Suggests medically underserved population - foregoing necessary treatment?  Less spent on health care – various economic consequences
  • 17.
    Recent legislation: cannot exclude due to pre- existing medical conditions ◦ Will expand access to insurance coverage  Bill under consideration: small business reform and health insurance purchasing pools ◦ More affordable health insurance  Managed care penetration ◦ Fee-for-service decreasing  Prescription drug coverage expanding ◦ More comprehensive, affordable care
  • 20.
    Accurate framing of community’s issues  Provides sound solutions  Window to Middleboro’s values and vision
  • 21.
    Any Questions?