D 2 - Assessing Data Sets for Population Health Management
Adrian2016
PH11.pptx
Minnesota
Health
Indicators
Healthcare Profile
The 2018 estimates show that Minnesota had a total population of 5.6m people with over 2 million households. From 2010, the population has been growing at the rate of 6.1%("Minnesota County public health profiles - MN data,“ n.d.)
Population
01
Most of Minnesotans work in the health sector (15%) with minority in the local government.
Economy
02
In 2018, about 4.7% of Minnesotans were uninsured. This accounts for more than 250,000 people. Ambulatory disability is the most common disability among 595,000 disabled people.
Health and Disability
03
The poverty rate in Minnesota stands at 10% in 2018. The median income per household is at $70,300(Minnesota. State Demographic Center, 2018)
Income and poverty
04
The population is estimated to be more than 6 million by 2032. This will cause the need for improved population health.
In 2010, less than 25% of the population was under the age of 18 years. Non Hispanic white people were 83% while the rest including American Indians were 16%
2
Health Status of Minnesotans
Infant mortality rate is 5% with over 6.5% of births being preterm
Breast cancer is the predominant at 132 per 100, 000 followed by lung cancer(MN State Demographic Center, 2011).
Only 69% of children receive full immunization as per the scheduled guidelines
At 3 years of age, more than 80% of children have been exposed to lead.
Cancer incidence
Lead exposure
Infant Mortality
Immunization
Infant mortality rate is higher compared to other states. Mother to child healthcare services should be improved to reduce the mortality rate.
The number of children with full immunization is also high. Sensitization of the public on the benefits of immunization will be crucial in increasing the number
3
Conditions and Disease Risks
More then 70% of Minnesotans over the age of 60 years have an underlying chronic condition
However, the prevalence among children below 18 years stands at 18%
About 35% of the population have at least one chronic condition, of this 42% have one chronic conditions while 37% have three or more
Females are more susceptible to the chronic conditions at 39% with males at 32%.
High blood pressure is the most prevalent condition followed by high cholesterol, asthma and then diabetes(Minnesota Department of Health, 2012).
The prevalence of chronic conditions among Minnesotans is considerably higher at 70% for people above 60 years.
Most of these conditions are as a result of lifestyle and socioeconomic patterns.
Population Health Programs should be aimed at reducing these levels.
4
All hospitals in Minnesota have implemented electronic health records since 2014. About 70% of hospitals use epic EHR..
Over 90% of the hospitals have implemented e-drug alerts which is crucial in promoting access to healthcare.
About 97% of the hospitals have patient portal. This ensures that they are able to obtain healthcare service as well as information without geographical barrier(Minnesota Department of Health, 2012).
Hospitals
More than 90% of laboratories in Minnesota have laboratory information systems.
However, the greatest challenge has been the services and workforce to assist in mapping local codes.
Laboratory
Needs Assessment
The status of hospitals and laboratories are essentially good.
The use of EHR and LIS for the hospitals and laboratories have greatly improved clinical outcomes over the years.
Employment of more health care providers and IT specialists to map local codes will be necessary to further meet the healthcare needs of the population.
5
Intervention Programs
The major disease condition in Minnesota is high blood pressure. Dietary measures, physical exercise and pharmacological interventions can be utilized to manage the condition
Yang et al., (2017) highlight lifestyle behavior including sedentary lifestyle and diet are associated with high blood pressure.
Programs such as sensitizing the population on nutrition health will be necessary to reduce the risk of such disorders.
Diabetes as well as high cholesterol can all be managed by lifestyle changes without visiting the health facility. This will reduce healthcare costs while improving the health status of Minnesotans (Shi, 2016)
Do you need an online doctor now?
Major chronic illnesses in Minnesota are high blood pressure, asthma and diabetes.
These are lifestyle disorders which can be easily managed by lifestyle changes.
Dietary changes as well as encouraging the population to engage in exercise will help reduce the incidence of diabetes and high blood pressure.
Weight loss management strategies should also be encouraged.
6
PHM and Program Indicators
Diabetic Prevention Program
Sensitizing the public on the risks and complications of diabetes can be essential to limiting its rate within the population
Dietary interventions as well as physical exercise can be utilized during management and to shield high risk individuals
High blood pressure education program
Minnesotans are at high risk of developing high blood pressure as indicated by statistical data.
Educating the population on intervention and prevention strategies including pharmacological mechanisms can promote the population health
Diabetic and high blood pressure prevention programs will be helpful in boosting the status of health in Minnesota.
The programs should be prioritized for people above 60 years who have a higher risk of developing diabetes and other chronic conditions.
Mass media education programs on risks and complications of chronic conditions will be helpful in sensitizing the public.
Training of healthcare providers on management of chronic conditions will also be vital in ensuring better clinical outcome among patients with chronic illnesses.
7
References
Minnesota County public health profiles - MN data. (n.d.). https://data.web.health.state.mn.us/county-profiles
Minnesota Department of Health. (2012). New Estimates of Prevalence, Cost and Geographic Variation for Insured Minnesotans. https://www.health.state.mn.us/data/apcd/docs/20160127_chronicconditions.pdf
Minnesota. State Demographic Center. (2018). The economic status of Minnesotans: A Chartbook with data for Minnesota's largest cultural groups. https://www.leg.state.mn.us/docs/2019/mandated/190043.pdf
MN State Demographic Center. (2011). Data by topic - Population data / MN state demographic center. https://mn.gov/admin/demography/data-by-topic/population-data/
Shi, B. (2016). The importance and strategy of diabetes prevention. Chronic Diseases and Translational Medicine, 2(4), 204-207. https://doi.org/10.1016/j.cdtm.2016.11.013
Yang, M. H., Kang, S. Y., Lee, J. A., Kim, Y. S., Sung, E. J., Lee, K., Kim, J., Oh, H. J., Kang, H. C., & Lee, S. Y. (2017). The effect of lifestyle changes on blood pressure control among hypertensive patients. Korean Journal of Family Medicine, 38(4), 173. https://doi.org/10.4082/kjfm.2017.38.4.173
.MsftOfcThm_Accent1_Fill { fill:#4472C4; }
