2010 North Central District Health Department Behavioral Risk Factor Web Query System - Nebraska Indicators Yes No Ever had sigmoidoscopy/ colonoscopy? % CI n 52.5 (48.3% - 56.8%) 318 47.5 (43.2% - 51.7%) 292 Respondents aged 50 or older that have had a sigmoidoscopy or colonoscopy. % CI n 52.6 (48.4% - 56.9%) 318 47.4 (43.1% - 51.6%) 291 Respondents aged 50+ that have had a blood stool test within the past two years. % CI n 13.9 (11.0% - 16.8%) 85 86.1 (83.2% - 89.0%) 514 Ever had PSA Test? % CI n 69.2 (63.2% - 75.2%) 204 30.8 (24.8% - 36.8%) 77 Ever told you have prostate cancer? % CI n 6.8 ( 4.0% - 9.6%) 24 93.2 ( 90.4% - 96.0%) 262 Ever had digital rectal exam? % CI n 65.1 ( 59.1% - 71.1%) 191 34.9 ( 28.9% - 40.9%) 93 Have you ever had a mammogram? % CI n 69.6 ( 63.3% - 75.8%) 417 30.4 ( 24.2% - 36.7%) 107 Ever had a pap test? % CI n 95.3 ( 93.3% - 97.3%) 494 4.7 ( 2.7% - 6.7%) 28 % = Percentage weighted to population characteristics, CI = 95% Confidence Interval for the Weighted Percentage, n = Non-Weighted Cell Size (numerator) Denominator includes all respondents except those with missing, don't know/not sure, and refused answers
Central District Health Department Behavioral Risk Factor Web Query System - Nebraska Ever told by doctor you have diabetes? Yes No 2007 % CI n 8.9 (6.4% - 11.4%) 63 89.6 (86.9% - 92.2%) 493 2008 % CI n 8.9 (6.8% - 11.1%) 83 89.7 (87.4% - 91.9%) 753 2009 % CI n 8.2 (6.4% - 10.0%) 93 88.8 (86.6% - 91.0%) 741 2010 % CI n 8.2 (6.4% - 10.1%) 92 89.6 (87.4% - 91.7%) 765 % = Percentage weighted to population characteristics, CI = 95% Confidence Interval for the Weighted Percentage, n = Non-Weighted Cell Size (numerator) Denominator includes all respondents except those with missing, don't know/not sure, and refused answers Comparison for North Central District Health Department and Nebraska Prevalence of high blood pressure – adults (2005) 22% 26.8% Prevalence of high blood pressure – adults (2007) 22.5% 25.4% Prevalence of high blood pressure – adults (2009) 23.5% 25.5% Percent of adults aged 18+ with high blood cholesterol level (2007) 25.5% 31.9% Percent of adults aged 18+ with high blood cholesterol level (2009) 32.7% 32.2% Source: Nebraska Department of Health and Human Services, Community Health Assessment, 2010
Measurable Outcome: By 2016, there will be a 10% overall increase in the number of children, adolescents and adults who self-report that they received education on sun safety and skin cancer prevention to promote personal health and wellness. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital offers skin cancer screenings within their clinic and have done sun safety seminars at the area schools. $500.00 We will work with the focus groups to determine the best possible ways to achieve sun safety. $500.00 NVH Focus group. Action Item: Resources: Responsibility: Timeline: Comments/Progress: FOCUS AREA: Behavioral Health: Mental Health & Substance Abuse WORK GROUP TEAM MEMBERS NAME: ORGANIZATION: Carriker, Burton Faith Regional Health Services Hungerford, Veta North Central District Health Department Kellner, Shannon Heartland Counseling Miller, Jeanie NorthStar Services Miller, Shannon Avera St. Anthony’s Hospital Mitchell, Terri West Holt Memorial Hospital Morse, Ronald P Avera Medical Group Ohri, Camille West Holt Memorial Hospital Otte, Matt O’Neill Police Department Ryan North Central District Health Department Twibell, Sara North Central District Health Department GOAL 1: Increase access to therapeutic mental health services Objective 1: Assist providers to become Medicaid/ Medicare providers. Baseline Data: Data not available. Measurable Outcome: By 2016, the number of Medicaid/Medicare mental health providers will increase by 5%. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital helps all of their employed providers with the paper work involved in becoming both a Medicare and Medicaid provider. $0 NVH will continue to assist employed providers in becoming Medicare/Medicaid providers. $0 NVH Action Item: Resources: Responsibility: Timeline:
Niobrara Valley Hospital does not have a specific screening tool but relies on what the current practice recommendations are. $0 NVH will support appropriate policy development to encourage such beneficial programs. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 5: Educate community and public health agencies on resources available. Baseline Data: Directory of resources not currently available. Measurable Outcome: By 2016, resource directory will be available in at 50 sites in NCDHD territory. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital keeps current information available for when residents call requesting information on mental health problems. $0 NVH will work with public health partners to make sure we keep current information available for the public. $0 NVH Action Item: Resources: Responsibility: Timeline: Comments/Progress: GOAL 2: Increase the proportion of children with mental health problems who receive treatment. Objective 1: Determine options for eliminating transportation problems as a barrier to treatment. Baseline Data: Data not available. Measurable Outcome: By 2016, transportation resources will be included in mental health directory. 50% of people will self-report transportation is NOT a barrier to receiving treatment. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not offer public transportation nor do we offer any type of tele-health services for mental health. $0 NVH will work with area agencies to see what can be done to services for mental health issues. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress:
Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital offers resources to residents that present to our facilities regarding mental health issues. $0 NVH will work with area agencies to see what can be done to offer services for mental health issues. $500.00 NVH Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 4: Identify additional areas of the community (schools, parents, workplaces etc.) where suicide prevention education is needed. Baseline Data: No data available. Measurable Outcome: By, 2016 establish method to assess educational need. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is created the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 5: Identify demographic areas of the community (ages, careers, sexual orientation, etc.) that have risk factors that lead to suicide attempts. Baseline Data: No data available. Measurable Outcome: By 2016, demographical areas with risk factors will be identified and resources will be available to the community. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is created by the group for this objective by making program literature available to patients that $0 NVH
Comments/Progress: Objective 2: Provide education through schools, extension about recognition of what healthy relationships and personal boundaries are. Baseline Data: No data available. Measurable Outcome: By 2016, will implement curriculum in at least five schools. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify issues. $0 NVH will indirectly support appropriate policy that is funneled by the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: GOAL 6: Reduce the proportion of persons engaging in drinking of alcoholic beverages. Objective 1: Assess risk factors leading to binge drinking behavior. Baseline Data: 16.6% of adults self-report binge drinking in past month. Measurable Outcome: By 2016, reduce number of people with risk factors who self-report binge drinking in past month by 5%. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is funneled by the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 2: Identify options for impacting adult acceptance/”cultural norm” status of binge drinking. Baseline Data: No data available.
Measurable Outcome: By 2016, 20% of population will perceive binge drinking as a risky behavior. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is funneled by the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: GOAL 7: Reduce the past-year, non-medical use of prescription drugs. Objective 1: Evaluate current practices of prescription drug dispensing. Baseline Data: No current data available. Measurable Outcome: Complete district wide assessment with providers to develop baseline data for prescription drug dispensing. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is funneled by the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 2: Increase awareness for perceived risk. Baseline Data: No data available. Measurable Outcome: By 2016, 50% of people surveyed will perceive risk of using prescription drugs recreationally. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a $0 NVH will indirectly support appropriate $0 NVH Staff
Objective 1: Increase the recognition for of smokeless tobacco. Baseline Data: No current data on perceived risk. 48.4% of men in NCDHD area have ever used smokeless tobacco. 29.8% said currently use smokeless tobacco, this rate is significantly higher than the statewide rate of 12.6% Measurable Outcome: By 2016, baseline data for perceived risk will be established. Current smokeless tobacco usage will decrease to 24%. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital screens all residents that present to their facility for tobacco use and educates them on the risks of its use. $0 NVH will continue to screen and will indirectly support appropriate policy that is funneled by the focus group for this objective by making program literature available to patients that come into the hospital for other services. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 2: Provide tobacco-free workplace tools to employers. Baseline Data: No data available. Measurable Outcome: By 2016, 30% of employers in NCDHD will have tobacco-free information available for employees. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not currently have a program set up to identify these issues. $0 NVH will indirectly support appropriate policy that is funneled by the focus group by making program literature available to the public and employers in the area. $0 NVH Staff Action Item: Resources: Responsibility: Timeline: Comments/Progress: FOCUS AREA: Chronic Disease, Obesity, & Related Health Concerns WORK GROUP TEAM MEMBERS NAME: ORGANIZATION:
Measurable Outcome: By 2016, relevant baseline data will be available from 30% of households in NCDHD. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not have any resources set up for this objective. $0 NVH will work indirectly with NCDHD offering program literature available to patients that come into the hospital for other services. $0 NVH Staff. Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 2: Increase the number of communities that have and enforce safe- housing standards. Baseline Data: No specific data available. Communities have ordinances and not safe housing standards. Measurable Outcome: By 2016, 25% of communities in NCDHD territory will enforce safe-housing standards. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not have any resources set up for this objective. $0 NVH will work indirectly with offering program literature available to patients that come into the hospital for other services. $0 NVH Staff. Action Item: Resources: Responsibility: Timeline: Comments/Progress: Objective 3: Increase the number of households testing for specified hazardous living conditions: radon, unsafe water, toxic chemicals, lead and mold. Baseline Data: 19.4% of households tested for 58% of households have never had their water supply tested (private well, city/village water, or rural water system). NCDHD has a significantly higher percentage of children with elevated blood levels when compared to the state. No specific data exists for mold and other toxic chemicals. Measurable Outcome: By 2016, 25% of households in NCDHD will have tested for at least two hazardous conditions. Programs/Resources that are currently Committed to this Priority: Current Budget: Programs/Resources that will be Committed to this Priority: Future Expected Budget: Responsible Parties: Niobrara Valley Hospital does not have any resources set up for this objective. $0 NVH will work indirectly with NCDHD offering program literature available to patients that $0 NVH Staff.