North Community Health Collaborative What is the North Texas Community Health Collaborative?

• Collaborative membership comprised • To provide the citizens of North Texas of professionals with expertise in: with a sustainable mechanism for: – Public Health – Assessing the health of their – Community Health communities – Prevention – Identifying areas of need – Data Analysis – Collaborating on initiatives to address areas of unmet need – Health Disparities Measuring outcomes – Strategic Planning – Identifying community resources – Advocacy –

Coming together is a beginning; keeping together is progress; working together is success! Henry Ford

www.dfwhcfoundation.org Community Health Collaborative

• United Way of Tarrant County • Cook Children’s Health System • Federal Reserve Bank of • Health Industry Council • Methodist Health Systems • Healthy Tarrant County Collaboration • • DFW Area Health Education Center • Children's Medical Center • Tarrant County Public Health • Cigna Healthcare Central Region • University of North Texas Health Science Center • Office of Health Equity Baylor Healthcare System • Dallas County Medical Society • Parkland Health and Hospital System • School of Public Health UT Southwestern Medical • Arlington Chamber Center • Center for Community Health - University of North • JPS Health Network Texas Health Science Center • UT Southwestern Medical Center

3 www.dfwhcfoundation.org Motto of the North Texas Community Health Collaborative

Through community-based participatory research (CBPR) – working with communities rather than merely in communities - we seek to develop replicable models for understanding health and disease determinants/disparities, and supporting mechanisms for promoting healthier life for individuals, families, neighborhoods, and communities.

A community is like a ship, everyone ought to be prepared to take the helm. Henrik Ibsen

4 www.dfwhcfoundation.org First Challenge : Diabetes

By 2025

• Our state will be home of 4 Million Diabetes patients

• DFW area may be home to well over 1 Million Diabetes patients (Rowley W, 2011) MSRB 2013

5 www.dfwhcfoundation.org Diabetes Strategic Plan

Approaches

• Increase awareness and capacity of health systems and providers to understand and act on the social, behavioral, and environmental determinants of diabetes • Create opportunities for communities, as well as local institutions, to develop understanding of the social and structural factors influencing diabetes • Improve data availability , coordination, and utilization of pre-diabetes and diabetes metrics • Coordinate and support culturally appropriate and evidenced based interventions that encourage prevention and early detection

6 www.dfwhcfoundation.org Leveraging Assets – Strategic Plan Model

Community Development

Health Consciousness Promotion Raising

7 www.dfwhcfoundation.org Clinical Statistics of High Diabetes Prevalence Zip codes in Dallas and Tarrant Counties

County Dallas Tarrant High Diabetes Prevalence Zip codes Zip code 75227 Zip code 76119

Over all Diabetes Prevalence 11% 19% Inpatient + Outpatient Number of Diabetes Patients in 2012 2118 2404 Number of Diabetes cases in 2012 4735 5436 Inpatient ER Number of Diabetes Patients in 2012 593 876 Number of Diabetes cases in 2012 859 1402 Outpatient ER Number of Diabetes Patients in 2012 1382 1548 Number of Diabetes cases in 2012 2470 2880 %Diabetes Prevalence in ER visitors 26% 29% (number of cases with Diabetes) Overall Diabetes Prevalence in Patients 34% 42%

8 www.dfwhcfoundation.org Statistics, Demographic and Payer Information of Zip code 76119 County Tarrant High Diabetes Prevalence Zip codes Zip code 76119 Number of Diabetes Patients in 2012 2404 Number of Diabetes cases in 2012 5436 %Diabetes Prevalence in ER visitors (number of cases 29% with Diabetes)

Adult vs. Pediatric Cases 5410 / 26

Female 3466 (64%) Gender Male 1970 Black 3011 (55%) Other 1443 (27%) White 942 (17%) Race Asian or Pacific Islander 31 American Indian / Eskimo / 9 Aleut Hispanic or Latino 732 Ethnicity Not Hispanic or Latino 4704 (87%) Insured 1737 Medicaid 737 Payer Information Medicare 1770 Uninsured 1198 Charges Total Charge 98,370,279 9 www.dfwhcfoundation.org 10 www.dfwhcfoundation.org Hot Blocks Analysis Zip code 76119

11 www.dfwhcfoundation.org Available Health Care Options in Zip code 76119

12 www.dfwhcfoundation.org Facts about Zip code 76119 Population in 2012: 12,628 (100% urban, 0% rural). Population change since 2000: -2.5% Males: 6,175 (48.9%) Females: 6,453 (51.1%)

Median resident age: 31.9 years Texas median age: 40.8 years

Estimated median household income in 2011: $42,695 (it was $37,473 in 2000) Forest Hill: $42,695 Texas: $49,392

Estimated per capita income in 2011: $15,320

Estimated median house or condo value in 2011: $81,045 (it was $55,500 in 2000) Forest Hill: $81,045 Texas: $127,700

Mean prices in 2011: All housing units: $88,853; Detached houses: $88,338; Mobile homes: $107,292 Median gross rent in 2011: $962.

13 www.dfwhcfoundation.org Read more: http://www.city -data.com/city/Forest -Hill -Texas.html#ixzz2vJBZv4Fk Food Stores in Zip code76119 Supermarkets

•American Market

Super Wal-Mart “New”

Grocery Stores •Best Buy Grocery 5400 E Berry St Fort Worth TX 76119 •E-Z Mart 4900 Mansfield Hwy Fort Worth TX 76119 •Fiesta Mart 3320 Mansfield Hwy Fort Worth TX 76119 •Jasem Food Store 5001 E Berry St Fort Worth TX 76119 •M & N Food Mart 5021 Mansfield Hwy Fort Worth TX 76119 •Save-A-Lot 3101 E Seminary Dr Fort Worth TX 76119 •Weber's Nostalgia Supermarket 6611 Anglin Dr Fort Worth TX 76119 •Zip in Grocery 3901 Miller Ave Fort Worth TX 76119

14 www.dfwhcfoundation.org Convenience Stores & Service Stations in Zip code 76119 • Stop & Shop Grocery 5037 Wilbarger St • Al's Quick Stop Deli 5401 Sun Valley Dr. • Triple 7 Food Store 5800 E Berry St • Final serve 5301 Wichita St • Shell Food Mart 3056 Mansfield Hwy • Forest Hill, TX • N V Food Mart 3825 Mansfield Hwy • Quick Check Food Store 2301 E Berry St • Miller Food Mart 4208 Miller Ave • C & D Kwik Stop 4125 Mansfield Hwy • Joes Future Food Mart 4225 Miller Ave • J W Food Store 5001 E Berry St Ste A • Fun & Food 4113 Miller Ave • Kwik Pick Food Mart 5304 Mansfield Hwy • Foodland 3320 Mansfield Hwy • Wichita Food Mart 4805 Wichita St • Oshy LLC 3415 Mansfield Hwy • E-z Mart 4900 Mansfield Hwy • Mike Discount Food Store 5400 E Berry St • Buster's Stop & Shop 4333 Wichita St • Speedway • Nihal Corner Store 3501 Miller Ave • 7-eleven • Julie's Food Mart 4621 Miller Ave • Nablus Inc • Ocean Mini Mart 3540 Miller Ave • Louisiana Chicken Food Mart

15 www.dfwhcfoundation.org Parks Recreation Centers /Public Swimming Pools in Zip code 76119

•Eugene McCray Community Center, 4932 Wilbarger St. 76119

•The Resource Connection Aquatics Center, 2200 Circle Drive, 76119

•The Highland Hills Community Center 76112

•Arlington Parks & Recreation 6300 W Arkansas Ln Arlington, TX (4.1 mi)

16 www.dfwhcfoundation.org Community Health Collaborative

• United Way of Tarrant County • Cook Children’s Health System • Federal Reserve Bank of Dallas • Health Industry Council • Methodist Health Systems • Healthy Tarrant County Collaborative • Texas Health Resources • DFW Area Health Education Center • Children's Medical Center • Tarrant County Public Health • Cigna Healthcare Central Region • University of North Texas Health Science Center • Office of Health Equity Baylor Healthcare System • Dallas County Medical Society • Parkland Health and Hospital System • School of Public Health UT Southwestern Medical • Arlington Chamber Center • Center for Community Health - University of North • JPS Health Network Texas Health Science Center • UT Southwestern Medical Center

17 www.dfwhcfoundation.org www.healthyntexas.org • What is it? – Online community health and population data source for 11 county region around DFW Metroplex • Collin, Dallas, Denton, Johnson, Parker, Tarrant, Ellis, Erath, Kaufman, Wise, Rockwall – Health indicators and outcomes metrics from multiple sources in a consolidated, user-friendly, online format – Event calendar, news articles, report library – Real time and interactive reporting capabilities

18 www.dfwhcfoundation.org “Excellence Through Collaboration” Thanks