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Healthy Student 
Deliverable12.pptxMajor findings from the Community Health Needs Assessment
Current population - 473,408
Median household Income - $66,494
8.7% of the population live below the federal poverty level
29.4% of the households have incomes under $50,000
74.9% of the population is Non-Hispanic and 21.7% is Hispanic
(U.S. Census Bureau, 2019)
The population of Seminole County, Florida is 473,408 (U.S. Census Bureau, 2019). The average household income is $66,000 (U.S. Census Bureau, 2019). Over 8% of the population live below poverty level (U.S. Census Bureau, 2019).
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Unemployment 5%
Poverty Rate 11%
People without health insurance 10%
109 Overdose death in 2020 (31% Increase)
17,571 Students In poverty
538 Violent crime offenses
(Seminole County, 2021)
. Social determinants of health affecting Seminole County residents include
5% of the population in Seminole County, Florida are unemployed (Seminole County, 2021). Poverty rate is 11% (Seminole County, 2021). 10% have no health insurance (Seminole County, 2021).
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Lack of affordable and adequate housing and homelessness
Lack of access to affordable food
Lack of good paying jobs, jobs with advancement options, job training
Lack of transportation
Adverse childhood experiences (ACEs)
Increased need of behavioral and mental health services.
(Seminole County, 2021)
. Social determinants of health affecting Seminole County residents include
The social determinants of health affecting Seminole County residents are lack of affordable and adequate housing, lack of access to affordable food, lack of good paying jobs or job advancement, lack of transportation, and increased need of behavioral and mental health services (Seminole County, 2021).
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IDENTIFIED PRIORITIES:
Health Equity
Behavioral Health (Including Mental Illness & Substance Abuse)
Healthy Weight, Nutrition & Physical Activity
(FloridaHealth, 2021)
. Community Health Improvement Plan (CHIP)
The community health improvement plan know as the CHIP has identified priorities. These priorities include health equity, behavioral health and healthy weight, nutrition and physical activity (FloridaHealth, 2021).
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Health Equity:
Access to Health Care (Mental Health & Dental Care)
Affordable Care
Poverty/Low Wages
Lack of Insurance and Transportation B
(FloridaHealth, 2021)
. Health Equity
Health equity has integrated focus on key elements which include health literacy, access to healthcare, affordable care, poverty and lack of insurance. Focus on these elements present the need to maintain a strong emphasis on care as well as commitment to improved health within the population (FloridaHealth, 2021).
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Behavioral Health (Including Mental Illness & Substance Abuse)
Access to Healthcare (Mental Health)
Mental Health/Behavioral Health {Suicide, AGEs)
(FloridaHealth, 2021)
. IDENTIFIED PRIORITIES
The priorities within the social context involve care and commitment to improved level of development. The major issues that are addressed in this case involve behavioural health, access to healthcare. These elements present the basis of a strong emphasis on care which address change development strategy in a given healthcare setting (FloridayHealth, 2021).
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Health Literacy
Affordable Care
Access to Health (Mental & Dental Care)
Lack of Insurance {Underinsure & Uninsured)
Mental Health/Behavioral Health (Suicide, ACEs)
(Seminole County, 2021)
. Community Health needs Assessment
Community health needs involve diverse processes which must be fully integrated within care environment to improve the level and quality of care. The needs within a given setting present a broad context where it is possible to build change and improve the quality of care. Health literacy, affordable care, mental health and access to health present a stronger context for improved care management context (Seminole County, 2021).
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Hypertension/High Blood Pressure
High Cholesterol
Obesity and overweight
Access to Healthy Affordable Food
Dental hygiene/dental care
Diabetes
(Seminole County, 2021)
. Community Health needs Assessment
Health challenges within the community are diverse and thus it is imperative to address the common health needs which include high blood pressure, high cholesterol level, obesity, dental hygiene as well as diabetes (Seminole County, 2021).
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13.5 % of adults in Seminole county have diabetes
337 deaths per 100,000 in 2018
One of the leading causes of premature deaths in Seminole county.
In 2017, roughly 87 men per 100,000 died from diabetes.
For women, the rate was 55 deaths per 100,000
(Seminole County, 2021)
. Diabetes
African Americans and Native Americans have the highest rate of diabetes related mortality (U.S. Census Bureau, 2019). Asians/Pacific Islanders have the lowest (U.S. Census Bureau, 2019). Death related to diabetes is higher in the elderly (U.S. Census Bureau, 2019).
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Type 1 diabetes is an autoimmune disease
5-10 percent of cases
Must take insulin
Type 2 diabetes is adult onset
90-95% of cases
Can be prevented
Healthy lifestyle changes
(Seminole County Diabetes, 2021)
Diabetes
Diabetes occurs in two ways which include Type 1 and Type 2. Type 1 diabetes occurs in 5-10 % of the cases. These patients must duly take insulin. Type 2 diabetes is the most common and occurs in around 90 to 95% of the cases. This can be prevented through a healthy lifestyle (Seminole County Diabetes, 2021).
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Weight
Inactivity
Family history
Race or ethnicity
Age
High blood pressure
(Seminole County, 2021)
Risk Factors
There are different elements that are associated with development of diabetes. Older age is associated with increased risk of diabetes with type 2 more common in adults above 50 years. The fattier tissue you have, the more resistant your cells become to insulin. The less active you are, the greater your risk. High blood pressure, family history have also been found to significantly influence the development of diabetes (Seminole County, 2021).
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(U.S. Census Bureau, 2019)
Diabetes
This data is based on CDCs multiple cause of death data (U.S. Census Bureau, 2019). Diabetes in noted in the death record but may not be the underlying cause of death (U.S. Census Bureau, 2019).
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(U.S. Census Bureau, 2019)
Diabetes
Nationally men are more likely to have diabetes as a cause of death than women (U.S. Census Bureau, 2019). 87 men per 100,000 died from diabetes and 55 women per 100,000 (U.S. Census Bureau, 2019). Women death rate with diabetes continue to decrease (U.S. Census Bureau, 2019). The decrease could be related to differences in behavioral risk factors, access to medical care and biological differences (U.S. Census Bureau, 2019).
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Teens – Lack of housing and affordable nutritional food
Children – Adverse Childhood Experiences (ACEs) and parental stress on a child
Intravenous drug users – Endocarditis (infection inside the heart as a result of IV drug use), hepatitis C (due to needle sharing) and sexually transmitted diseases
African-Americans have the highest rates of infant mortality per 1,000 births, colorectal cancer and asthma incidences, compared to Whites and Hispanics
Whites have the highest rates of breast and lung cancer compared to Blacks and Hispanics.
(Seminole County, 2021)
. Health inequities identified in Seminole County:
Health inequities are inevitable in any given setting since they present a broader basis within which it is possible to improve the quality of care. Lack of housing and affordable nutritional food present a major challenge in delivery of quality care (Seminole County, 2021).
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Intravenous drug users – Endocarditis (infection inside the heart as a result of IV drug use), hepatitis C (due to needle sharing) and sexually transmitted diseases
African-Americans have the highest rates of infant mortality per 1,000 births, colorectal cancer and asthma incidences, compared to Whites and Hispanics
Whites have the highest rates of breast and lung cancer compared to Blacks and Hispanics.
(Seminole County, 2021)
. Key Performance indicators
Commitment to improved quality of care present a strong basis within which it is possible to maintain a higher focus on quality healthcare. It is imperative to help create a strong platform to improve the quality of care. Building change involves integration of different approaches which influence the quality of healthcare services (Seminole County, 2021).
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Increase patient satisfaction by 15% in a year
Decrease obesity rate in the community by 5% in a year
Increase annual primary care visits by 10% within a year
Increase free exercise classes in the community
Decrease emergency diabetes cases by 5%
(Gumber & Gumber, 2017).
Key performance measures
Performance assessment is essential factor that help understand the specific elements that need to be integrated within healthcare quality to improve efficiency and commitment to the need of individuals within the community. Patient satisfaction, internal process quality and financial performance index are crucial elements that present a strong basis to improve the quality of care. Diabetic patients require enhanced care which is crucial in attaining improved level of outcome (Gumber & Gumber, 2017).
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Personnel
Technology systems
Expertise and knowledge
Financial resources
Teamwork
(Seminole County, 2021)
Current resources available
Achieving the set goals requires higher commitment to existing strategies that can help aid improve service delivery. Utilizing available resources forms the basis of change and attaining higher level of engagement. The healthcare setting must effectively focus on using the available resources to attain needed resources. Personnel, technology, expertise and knowledge and financial resources are available resources that can be utilized to advance the set goals (Seminole County, 2021).
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Multi-centered approach – Ensure cross sectional engagement within healthcare setting with priority to the target group
Integrated community care approach – utilize the needs of the community in defining change strategy.
Introduce mobile clinics in the community.
(Abdoli et al., 2019)
Strategies to improve diabetes in the community
Improving the level of care engagement within the community require a stronger understanding on change processes which build significant changes that promote change and create a more enhanced basis for improved change and level of engagement. Therefore it would be imperative to ensure the approaches embraced are collaborative and specific in nature based on the underlying problem (Abdoli et al., 2019).
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Abdoli, S., Jones, D. H., Vora, A., & Stuckey, H. (2019). Improving diabetes care: should we reconceptualize diabetes burnout? The Diabetes Educator, 45(2). 214-224
FloridaHealth.gov (2021). Programs and Services. https://floridahealth.gov
Gumber, A., & Gumber, L., (2017). Improving prevention, monitoring and management of diabetes among ethnic minorities: contextualizing the six G’s approach. BMC research notes. 10(1), 1-5
Popeck, L. (2017). Diabetes Rate Rising in Central Florida: How to Reduce Your Risk. Orlando Health. https://www.orlandohealth.com/content-hub/diabetes-rate-rising-in-central-florida-how-to-reduce- your-risk
Seminole County Diabetes Death Statistics. (2021). LiveStories. https://www.livestories.com/statistics/florida/seminole-county-diabetes-deaths- mortality
Seminolecountyhealth.gov (2021). Community Health Improvement Plan. http://seminole.floridahealth.gov/programs-and-services/community- health-planning-and-statistics/accrediation-performance/_documents/seminole-chna-02-24-2020.pdf
U.S. Census Bureau (2019). Quick Facts of Seminole County, Florida. https://www.census.gov/quickfacts/fact/table/seminolecountyflorida
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