# Presentation: 268047

***The West Virginia Experience***

***HEALTHY ******PEOPLE******2010***

## WV Healthy People 2010 is scheduled for release April 30, 2000 at the annualState Health Education Conference 

**HEALTHY PEOPLE 2010**

**HEALTHY PEOPLE 2000**

*1990*

*2011*

- Today

## Slide 4

**Notes:**
This is a map showing overall health rankings for each of the 50 states.  This was produced by the Northwest Mutual Life Insurance Company.
The states in green are the top states in terms of overall health ranking.
The states in RED are the lowest states in terms of overall health ranking.
West Virginia on this chart ranks 47th, a ranking that has changed little over the past several years that these comparisons have been done.

## 1997 WV Mortality rates Greater than National Average

***1997 WV Mortality rates ******Greater than National Average***

**Notes:**
Although the rankings we have just seen are a composite of many factors, here are some statistics that help explain why West Virginia ranked 47th in overall health.   For all of these causes of death, West Virginia was significantly above the national average.

## 27 Focus Areas and more than 300 objectives !

- Heart Disease

- Diabetes

**Cancer**

- Injury

***Obesity***

- Infant Mortality

**Notes:**
WEST VIRGINIA HEALTHY PEOPLE 2010 will include 27 major focus areas and more than 300 objectives or “targets” to shoot for by the year 2010.

## A new chapter for West Virginia Healthy People:“End of Life Issues”

**What % of West Virginians die where they choose?  (at home, hospital, etc.)?**
**What % of the population has Advance Directives written and signed?**

## Lessons Learned fromWV Healthy People 2000 

**Unavailability of data**
**Reaching too high**
**Need for Broader Input**

## Unavailability of Data

**From WV Healthy People 2000:**
**Objective 8.3    Increase to at least 75% the percent of workplaces that offer health promotion activities.**

## The approach for 2010:

**Increase to 80% the percent of worksites ****which have received a Well Workplace Designation ****from the Wellness Council of West Virginia.**

## Reaching too high

**From WV Healthy People 2000:**
**Objective 3.1    Reduce the rate of cigarette smoking for adults to no more than 15%.**

## Need for Broader Input

**Healthy People is NOT **
**a **_**government**_** process**.

**Notes:**
I WANT TO EMPHASIZE THIS POINT.    THE HEALTHY PEOPLE INITIATIVE IS NOT A GOVERNMENT PROCESS.    Most of the 300+ individuals involved in setting the goals and objectives are NOT state employees.    We are including the major voluntary associations like the American Cancer Society, the Heart Association, and the Lung Association.      We are involving nurses, physicians, nutritionists, teachers, and others...    And, importantly, we are involving consumers.    On the Focus Group on Cardiovascular Disease we have included two individuals who have undergone coronary bypass surgery.

## For 2010 Planning Process:

**This time, West Virginia’s process involves ****more than 300 people**** from all sectors, including schools, voluntary associations, providers, and (importantly) **_**consumers**_**.  **
**For example, our chapter on Cardiovascular Disease is being produced by a workgroup which ****includes two citizens who have heart disease.**

## Limitations

**The first decision was whether to include every Chapter or focus area that is in the federal HP2010 document.   **
**The second decision was whether to limit the number of objectives in each Chapter.**

## “Soft” or “Hard” Targets?

**There was (and still is) concern that in the future Federal funding to States might be tied to progress toward objectives set in the Healthy People process.**

## What are our data sources?

**Behavioral Risk Factor Surveillance System**
**Youth Risk Behavior Survey**
**WV Vital Statistics**
**Notifiable Disease Reports**
**Hospital Discharge Data**
**WVU Social Indicators Survey**
**Cancer Registry**
**Highway Safety Reports**
**Etc.**

## THE CHALLENGE OF LOCAL DATA

- Barbour

- Berkeley

- Boone

- Braxton

- Brooke

- Cabell

- Clay

- Fayette

- Gilmer

- Grant

- Greenbrier

- Hampshire

- Hancock

- Hardy

- Harrison

- Jackson

- Kanawha

- Lewis

- Lincoln

- Logan

- McDowell

- Marion

- Mason

- Mercer

- Mineral

- Mingo

- Monongalia

- Monroe

- Morgan

- Nicholas

- Ohio

- Pendleton

- Pocahontas

- Preston

- Putnam

- Raleigh

- Randolph

- Ritchie

- Roane

- Taylor

- Tucker

- Tyler

- Upshur

- Wayne

- Webster

- Wetzel

- Wirt

- Wood

- Wyoming

- Marshall

- Cal-

- houn

- Dodd-

- ridge

- Jeff-

- erson

- Pleas-

- ants

- Sum-

- mers

- Barbour

- Berkeley

- Boone

- Braxton

- Brooke

- Cabell

- Clay

- Fayette

- Gilmer

- Grant

- Greenbrier

- Hampshire

- Hancock

- Hardy

- Harrison

- Jackson

- Kanawha

- Lewis

- Lincoln

- Logan

- McDowell

- Marion

- Mason

- Mercer

- Mineral

- Mingo

- Monongalia

- Monroe

- Morgan

- Nicholas

- Ohio

- Pendleton

- Pocahontas

- Preston

- Putnam

- Raleigh

- Randolph

- Ritchie

- Roane

- Taylor

- Tucker

- Tyler

- Upshur

- Wayne

- Webster

- Wetzel

- Wirt

- Wood

- Wyoming

- Marshall

- Cal-

- houn

- Dodd-

- ridge

- Jeff-

- erson

- Pleas-

- ants

- Sum-

- mers

**THE CHALLENGE OF LOCAL DATA**

## WV COUNTY PROFILES

**COMBINING 5 YEARS OF DATA:**
**1995**
**1996**
**1997                                       Pocahontas Co.               **
**1998**
**1999**

## “A Special Blessing”

**In West Virginia we are fortunate that these three activities are **_**housed in the same branch**_** of the Bureau for Public Health, under the leadership of one person:**
**HEALTH PROMOTION**
**HEALTH STATISTICS**
**EPIDEMIOLOGY AND DISEASE SURVEILLANCE**

## wvdhhr.org/bph

**For more information, go to our web site:**