1. Reduce Obesity in Children and Adults A. Create community environments that promote and support healthy food and beverage choices and physical activity 1 - A5. Annually encourage 10 OCHC member organizations, non-profits, schools and local businesses to adopt breast feeding policies. Hospitals, Breastfeeding Coalition OCHC, United Way, Chamber of Commerce June 2014 – On-going # of policies implemented. 1 - A6. Investigate further initiatives to support breastfeeding within the county. (Work with Doctors on EHR to track persistence of breastfeeding at 1, 3, 6 and 12 months) OCPHD, Hospitals, Breastfeeding Coalition OCHC, PCPs/ Pediatricians Jan 2014 – On-going Initiatives implemented 1 - A7. Advocate/promote/sustain the implementation of healthier vending policy in County facilities, hospitals and OCHC members. OCPHD, Hospitals, OCHC Jan 2015 – Oct 2017 # organizations with healthy vending policies 1 - A8. Annually encourage 10 OCHC member organizations, non-profits, schools and local businesses to adopt Healthy Meeting guidelines. OCHC, United Way, Chamber of Commerce Jan. 2015 – Oct 2017 # organizations/worksites that adopt policy 1 - A9. Encourage OCHC members, non-profits and local businesses to adopt and expand sugar sweetened beverage policies. Provide sample policies to 10 worksites OCHC, United Way, Chamber of Commerce Jan. 2015 – Oct 2017 # organizations/worksites that adopt policy 1 - A10. Investigate the feasibility of promoting use of EBT cards at Farmer's Markets through WIC Clinics. OCHC, Cornell Cooperative Extension, Ontario Cty. DSS, WIC March 2014 On-going Feasibility determined. Next steps taken is appropriate.
1. Reduce Obesity in Children and Adults C. Expand the role of health care, health service providers, and insurers in obesity prevention 1 - C1. Ensure providers are discussing obesity and providing resources – provide resource list to providers Hospitals July 2015 – On-going EMR link to resources – measure use Prevention Agenda Focus Area: Prevent Chronic Disease Priority 2: Decrease Hypertension Strategy Area Objective Activities Partners Timeframe Measurement/ Evaluation 2. Increase access to high quality chronic disease preventive care and management A. Decrease Hypertension Rates 2 - A1. Work to prevent hypertension by assisting hospitals, nursing homes and senior meal providers in reducing sodium content in all meals served including to patients, visitors, staff and public. OCHC, Hospitals, Nursing Homes, Office for the Aging, RHIO, S2AY January 2014 Reduce sodium content by 30% over 3 years, by November 2017
Ontario County Indicators For Tracking Public Health Priority Areas, 2013-2017 Improve Health Status and Reduce Health Disparities Indicator Data Years Ontario County New York State Data NYS 2017 Objective 1. Percentage of premature death (before age 65 years) 22.2 24.3 21.8 2. Ratio of Black to White 2.50 2.12 1.87 3. of Hispanics to White 2.52 2.14 1.86 4. Age-adjusted preventable hospitalizations rate per 10,000 - Ages 18+ years 122.1 155.0 133.3 5. Ratio of Black to White 1.36 2.09 1.85 6. of Hispanics to White 0.85 1.47 1.38 2010 Hispanics 2010 Hispanics Hispanics Hispanics
14. Ratio of low income ZIP codes to income ZIP codes 0.00+ 3.25 2.92 15. Rate of occupational injuries treated in ED per 10,000 adolescents - Ages 15-19 74.8 36.7 33.0 16. Percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge 2012 2.5 26.7 32.0 17. Percentage of commuters who use alternate modes of transportation1 18.1 44.6 49.2 18. Percentage of population with low-income and low access to a supermarket or large grocery store2 2.9 2.5 2.24 19. Percentage of homes in Healthy Neighborhood Program that have fewer asthma triggers during the home revisits NA 12.9 20 2011 2010
26. Asthma emergency department rate per 10,000 - Ages 0-4 years 88.3 221.4 196.5 27. Age-adjusted attack hospitalization rate per 10,000 14.0 15.5 14.0 28. Rate of hospitalizations for short-term complications of diabetes per 10,000 - Ages 6-17 years 2.4 3.2 3.06 29. Rate of hospitalizations for short-term complications of diabetes per 10,000 - Ages 18+ years 5.0 5.6 4.86 Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Indicator Data Years Ontario County New York State Data Links NYS 2017 Objective 30. Percentage of children with 4:3:1:3:3:1:4 immunization series - Ages 19-35 months3 53.1 47.6 80 31. Percentage of adolescent females with 2011 34.3 26.0 50 2010 2010 2010
47. Ratio of to White 0.58 0.55 0.64 48. Ratio of Medicaid births to births 0.68 0.57 0.66 49. Maternal mortality rate per 100,000 births s 23.3 21.0 50. Percentage of children who have had the recommended number of well child visits in government sponsored insurance programs4 2011 66.1 69.9 76.9 51. Percentage of children ages 0-15 months who have had the recommended number of well child visits in government sponsored insurance programs 84.6 82.8 91.3 52. Percentage of children ages 3-6 who have had the recommended number of well child visits in 75.0 82.8 91.3
government sponsored insurance programs 53. Percentage of children ages 12-21 years who have had the recommended number of well child visits in government sponsored insurance programs 58.0 61.0 67.1 54. Percentage of children with any kind of health insurance - Ages 0-19 years 95.1 94.9 100 55. Percentage of third-grade children with evidence of untreated tooth decay 17.4 24.0 21.6 56. of low-income children to non-low income children 16.38 2.46 2.21 57. Adolescent pregnancy rate per 1,000 females - Ages 15-17 years 11.7 31.1 25.6 58. Ratio of Black 5.11 5.74 4.90
to White 59. Ratio of to White 8.31 5.16 4.10 60. Percentage of unintended pregnancy among live births 2011 29.7 26.7 24.2 61. of Black to White 2.56 2.09 1.88 62. Ratio of to White 1.72 1.58 1.36 63. Ratio of Medicaid births to births 2.72 1.69 1.56 64. Percentage of women with health coverage - Ages 18-64 years 89.6 86.1 100 65. Percentage of live births that within 24 months of a previous pregnancy 22.7 18.0 17.0 Promote Mental Health and Prevention Substance Abuse Indicator Data Years Ontario County New York State Data Links NYS 2017 Objective