Improving Community Health Through Planning and Partnerships: Fluvanna Community Health Council Updates

Explore recent updates from the Fluvanna Community Health Council's efforts to enhance community health through strategic planning and partnerships. Stay informed about data on unintentional injury deaths, violent deaths, hospitalizations, and mental health outcomes, including emergency service evaluations and hospitalization rates.

• Community health
• Partnerships
• Data updates
• Mental health
• Public health

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1. Improving Community Health through Planning and Partnerships Fluvanna Community Health Council

2. Things to keep in mind Feel free to ask questions as we go along We are presenting the most recent data we have (From the past 4 5 years) This is the last part of Section 3 data

3. Today Updates/Highlights from Section 3, Part 2 covered at last meeting Section 3, Part 2 Unintentional Injury Deaths Violent Deaths Ambulatory Care Sensitive Conditions / Prevention Quality Indicator Hospitalizations

4. Update from last month s Section 3, Part 2 Mental Health Outcomes- More details about the Emergency Service Evaluations

5. Mental Health Outcomes Mental Health Emergency Services by Type in Consumers Served by Region 10 in 2015 Emergency Custody Order Evaluations, 20.1%, (n = 511) Wellness Recovery Center Referrals, 14.9% (n=379) Hospital Admissions, 35.0% (n = 891) 2,543 Total MH Emergency Service Evaluations in 2015 Temporary Detention Orders Issued, 26.6% (n =676) Source: Region 10

6. Mental Health Outcomes 891 of the 1,836 pre-screened for hospitalization by Region in 2015 went on to a hospitalization (were admitted to hospital) More Detailed Breakdown: Type TDO s Recommitments Voluntary Admissions WRC Safety Plan Released Referred Other Number 676 133 220 337 290 116 152 152 Yes, there can be some duplication in these types, such as someone who was released and referred is counted for both of those Source: Region 10

7. Section 3: What is Our Health Status? Unintentional Injury Deaths Violent Deaths Ambulatory Care Sensitive Conditions / Prevention Quality Indicator Hospitalizations

8. Unintentional Injury Deaths

9. Unintentional Injury Deaths Unintentional Injury Mortality, Rate per 100,000 Population (Age-Adjusted), 3-Year Rolling Averages, 1999-2013 60 50 44 39 46 40 34 30 34 HP 2020 Goal = 36.4 30 20 10 0 Fluvanna Louisa Virginia Healthy People 2020 Goal Source: Virginia Department of Health, Division of Health Statistics

10. Unintentional Injury Deaths by Race Unintentional Injury Mortality Rate per 100,000, 4 Year Rolling Averages, 2000-2013 60 50 37.3 35.9 40 30 33.4 27.3 20 10 0 VA White VA Black Source: Virginia Department of Health, Division of Health Statistics for years 2000-2012. Centers for Disease Control and Prevention, National Center for Health Statistics. CDC Online WONDER database for years 2013.

11. Suicide & Homicide

12. Violent Deaths Violent Deaths by Type and Overall, 2014* *Note: 2014 data is preliminary and subject to change 20 17.9 17.6 18 16 13.6 13.5 14 12 10 8 6 4.2 4.1 4 2 0.1 0 0 Homicides Suicides Unintentional Firearms VA Violent Deaths TJHD Source: Virginia Violent Death Reporting System, Office of the Chief Medical Examiner, Virginia Department of Health

13. Suicide Suicide Rate per 100,000 Population (Age- adjusted), 3-Year Rolling Averages, 1999- 2013 22.7 25 19.0 20 15 12.6 12.0 10 HP 2020 Goal = 10.2 8.6 7.6 5 0 Fluvanna Louisa Virginia Healthy People 2020 Goal Source: Virginia Department of Health, Division of Health Statistics

14. Youth Suicide Suicide Rate per 100,000 in Youth aged 10- 24 Years, 10 Year Average, 2003-13 8 7.16 7 6 5.01 5 4 3 2 1 0 TJHD VA Source: Virginia Department of Health, Virginia Online Injury Reporting System

15. Youth Suicide Suicide Rate in Youth Aged 10-24 Years in Virginia, 5-Year Averages, 1999-2013 7.50 8 6.86 6.54 7 6 5 4 3 2 1 0 1999-2003 2004-2008 2009-2013 Source: Virginia Department of Health, Virginia Online Injury Reporting System

16. Youth Suicide Suicide Rate per 100,000 in Youth Age 10-24 Years by Race, 10 Year Average, 2003-13 9 8.22 8 7 6 4.81 5 4 3 2 1 0 2003-2013 VA White VA Black Source: Virginia Department of Health, Virginia Online Injury Reporting System

17. Homicide Homicide Rate per 100,000 Population (Age- adjusted), 3-Year Rolling Averages, 1999- 2013 12 10 8.0 8 HP 2020 Goal = 5.5 6.1 6 4 4.0 1.7 2.6 2 1.3 0 Fluvanna Louisa Virginia Healthy People 2020 Source: Virginia Department of Health, Virginia Online Injury Reporting System

18. Ambulatory Care Sensitive / Prevention Quality Indicator Hospital Discharges

19. Prevention Quality Indicator (PQI) Hospital Discharges Total PQI Hospitalizaton Discharge Rate per 100,000 (Age-Adjusted), 2012 1600 1,457.5 1400 1200 1,040.9 1,022.2 1000 842.7 800 600 400 200 0 Fluvanna Louisa VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

20. Prevention Quality Indicator (PQI) Hospital Discharges Bacterial Pneumonia PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 300 248.19 250 203.9 186.7 200 161.2 150 100 50 0 Fluvanna Louisa VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

21. Prevention Quality Indicator (PQI) Hospital Discharges COPD or Asthma in Older Adults PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 600 495.71 500 400 300 201.6 181.8 200 155.1 100 0 Fluvanna Louisa VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

22. Prevention Quality Indicator (PQI) Hospital Discharges Congestive Heart Failute PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 350 321.38 300 237.5 250 176.9 200 141.3 150 100 50 0 Fluvanna Louisa VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

23. Prevention Quality Indicator (PQI) Hospital Discharges Dehydration PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 160 135.7 140 120 100 87.7 79.4 80 68.0 60 40 20 0 Louisa TJHD VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

24. Prevention Quality Indicator (PQI) Hospital Discharges Diabetes PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted) by Type, 2012 200 180.1 180 160 145.2 141.5 140 120 100 80 60 40 20 0 Fluvanna Louisa VA Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

25. Prevention Quality Indicator (PQI) Hospital Discharges Urinary Tract Infection PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted) by Type, 2012 180 167.01 160 143.5 131.8 140 124.5 120 100 80 60 40 20 0 Louisa TJHD VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

26. Prevention Quality Indicator (PQI) Hospital Discharges Hypertension PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 60 54.27 50 38.6 36.7 40 30 20 10 0 TJHD VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

27. Prevention Quality Indicator (PQI) Hospital Discharges Asthma in Younger Adults PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 50 46.0 45 40 35 30 25 20 14.6 15 10 5 0 VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

28. Prevention Quality Indicator (PQI) Hospital Discharges Angina PQI Hospitalization Discharge Rates per 100,000 (Age-Adjusted), 2012 16 13.34 14 12 10 7.5 8 6 4 2 0 VA AHRQ National Benchmark Source: Virginia Atlas of Community Health. Behavioral Health Hospital Discharge Profile (January 1-December 21, 2012). Accessed at www.AtlasVA.org.

29. ACS Hospitalizations in Older Adults Ambulatory Care Sensitive Condition Hospital Discharge Rate of Medicare Part A Enrollees per 1,000 Medicare Part A Enrollees, 2012 70 59.2 55.3 55.2 60 48.5 47.4 50 40 30 20 10 0 2012 Fluvanna Louisa TJHD VA US Source: Community Commons CHNA Report for TJHD Localities. Dartmouth College Institute for Health Policy & Clinical Practice, Dartmouth Atlas of Health Care. 2012. Source geography: County