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Orange County Health Improvement Plan a Comprehensive Assessment and Plan to Improve Orange County’S Health

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Orange County Health Improvement Plan a Comprehensive Assessment and Plan to Improve Orange County’S Health 2014-16 Orange County Health Improvement Plan A comprehensive assessment and plan to improve Orange County’s health PUBLIC HEALTH SERVICES Orange County Health Care Agency Suggested Citation: County of Orange, Health Care Agency, Public Health Services. Orange County Health Improvement Plan 2014-16. April 2014. Copies of this report are available online at: http://ochealthinfo.com/about/admin/pubs/OCHealthImprovementPlan Orange County’s Healthier Together is a community-wide initiative that aligns public and private resources within the public health system to improve health for all who live, work, and play in Orange County. The initiative is administered by the Orange County Health Care Agency. ACKNOWLEDGEMENTS AND PARTNERS Orange County’s Healthier Together initiative is a collaborative effort made possible by the dedication, expertise, leadership, and shared vision of many individuals and organizations. ORANGE COUNTY COMMUNITY HEALTH PLANNING ADVISORY GROUP The Orange County Community Health Planning Advisory Group provided guidance and leadership throughout this planning process. Member organizations include: California State University at Fullerton Memorial Care Health System CalOptima MOMS Orange County Children and Families Commission of Orange Orange County Asian and Pacific Islander County Community Alliance Children’s Hospital of Orange County Orange County Department of Education Coalition of Orange County Community Health Orange County Health Care Agency Centers Orange County Medical Association Hoag Memorial Hospital Presbyterian Orange County Social Services Agency Hospital Association of Southern California Orange County United Way Irvine Health Foundation Orange County Women’s Health Project Kaiser Permanente St. Joseph Health System Latino Health Access University of California at Irvine Medical Center OTHER PARTICIPATING AGENCIES The Orange County Community Health Planning Advisory Group would like to thank the following organizations for their contribution through participation in assessments, focus groups, and work groups. Your input and feedback was invaluable in shaping this plan. 2-1-1 Orange County Ersoylu Consulting Office of Assembly member Tom Daly Access California Services Fountain Valley School District Genesis Office of Congresswomen Loretta Alliance for a Healthier Orange County Consultants Sanchez AltaMed Health Services Give for a Smile Office of Senator Lou Correa Alzheimer’s Association Goodwill of Orange County Orange Coast Interfaith Shelter American Academy of Pediatrics Healthcare Partners Orange County Breastfeeding Coalition American Diabetes Association Healthy Relationships Orange County Orange County Child Abuse Prevention Boys and Girls Club Horizon Cross Cultural Center Center Braille Institute Hurtt Family Health Clinic Orange County Department of Child Buena Park Community Clinic Illumination Foundation Support Services Camp Fire Orange County Interval House Orange County Korean American Health Casa de la Familia March of Dimes Information and Education Center Catholic Charities Mental Health Association of Orange Orange Unified School District Centralia School District County Planned Parenthood Children’s Health Initiative of Orange Mental Health Services Act Community Providence Community Services County Action Advisory Committee Public Law Center Community Action Partnership Orange Monarch Healthcare Regional Perinatal Programs of California County National Alliance on Mental Illness Susan G. Komen Orange County Community SeniorServ National Council on Alcoholism and Taller San Jose Community Service Programs Drug Dependence – Orange County The G.R.E.E.N. Foundation Council on Aging Orange County Newport-Mesa Unified School District University of Southern California Keck County of Orange Office on Aging Nutrition and Physical Activity Coalition School of Medicine Dayle Macintosh (NuPAC) West Coast University Delhi Center Office of Assembly member Sharon Quirk Silva Special acknowledgements to National Association of County and City Health Officials (NACCHO) for funding and support under the Accreditation Support Initiative and to Ersoylu Consulting for assistance with the assessment and planning process. Orange County Health Improvement Plan Acknowledgements and Partners i Orange County Health Improvement Plan Table of Contents Table 1 Executive Summary An overview of our priorities, our findings, and our plan. 4 Background and Foundation Our approach and considerations for this plan. 5 Context for Improving Health A summary of the trends, events, and factors impacting health in Orange County. 7 Contents of Each Section A description of the contents of each section. 8 Priority Area #1: Infant and Child Health 9 Infant and Child Health Assessment 11 Goals, Current Activities and Assets, Key Planning Partners 12 Objective 1.1: Early Prenatal Care 13 Objective 2.1: Exclusive Breastfeeding 14 Priority Area #2: Older Adult Health 15 Older Adult Health Assessment 17 Goals, Current Activities and Assets, Key Planning Partners 18 Objective 1.1: Early Identification of Conditions of Aging 19 Objective 1.2: Chronic Diseases Health Complications 20 Objective 1.3: Reduce Social Isolation 21 Objective 1.4: Reduce Risk for Elder Abuse and Neglect 22 Priority Area #3: Obesity and Diabetes 23 Obesity and Diabetes Assessment 25 Goals, Current Activities and Assets, Key Planning Partners 26 Objective 1.1: Child and Adolescent Weight 27 Objective 2.1: Diabetes Orange County Health Improvement Plan 28 Priority Area #4: Behavioral Health of Contents Table 29 Behavioral Health Assessment 31 Goals, Current Activities and Assets, Key Planning Partners 32 Objective 1.1: Mental Health Needs, Gaps, and Resources 33 Objective 1.2: Integration of Behavioral Health 34 Objective 2.1: Adult Alcohol Misuse 35 Objective 2.2: Prescription Drug Misuse 36 Public Health System 37 Public Health System Assessment 40 Vision, Current Activities and Assets, Why is this important? 41 Overall Public Health System, Infant and Child Health System 42 Older Adult Health System 43 Obesity and Diabetes System, Behavioral Health System 44 Next Steps Our next steps to improve health in Orange County. 45 Planning Process 46 Planning Framework and Timeline 47 Vision for a Healthy Orange County 48 Criteria for Selection of Priorities 49 Organizing Health Indicators 50 Reviewing Health Indicators 51 Selecting Priority Health Areas 52 Listening to Community Voices 53 Feedback from the Community 54 Other Community Assessments 55 Reference Documents 56 Summary of Key Health Indicators 62 Citations 65 Acronyms and Abbreviations EXECUTIVE SUMMARY Orange County’s Healthier Together is a community-wide initiative that aligns public and private resources within the public health system to improve health for all communities in Orange County. The initiative began in late 2012 when the Orange County Health Care Agency’s Public Health Services formed the Orange County Community Health Planning Advisory Group (Advisory Group) in order to assess the county’s health and create a community-driven plan for a healthier Orange County. The Advisory Group was composed of representatives from 21 partner organizations including health care providers, academic institutions, collaboratives, community-based organizations, and other government agencies. Orange County is located in Southern California, between Los Angeles and San Diego counties, and is composed of 798 square miles with 34 cities and several unincorporated areas. The county is home to over 3 million people and is the sixth most populous county in the nation. Orange County is a diverse region, with no single racial/ethnic group making up a majority of the population. In general, Orange County’s health fares well compared to other areas. The County Health Rankings ranked Orange County the 6th healthiest county in California. However, an assessment of the county’s health shows that real health disparities exist between different populations in the county. A key emphasis of the plan and the Orange County’s Healthier Together initiative is that the health of all people, families, and communities is equally important. After its assessment process, the Advisory Group identified four priority health areas for action: 1) Infant and Child Health; 2) Older Adult Health; 3) Obesity and Diabetes; and 4) Behavioral Health and improvements for the Orange County public health system. The following pages describe the key findings, goals, objectives, and a highlighted strategy for each area. Priority Area #1: Infant and Child Health Key Findings: While almost 90% of Orange County women who gave birth in 2010 received early prenatal care, subgroups, including Latinas and younger women, were less likely to do so. Despite health benefits to the mother and infant, less than one in five women who gave birth in 2011 exclusively breastfed their babies through 3 months after delivery. Goal 1: Improve birth outcomes in Orange County Objective 1.1: By 2020, reduce disparities in early prenatal care by ensuring that at least 90% of pregnant women in all demographic or geographic subgroups in Orange County will receive early prenatal care. Highlighted Strategy: Improve timeliness and quality of referrals and linkages between portals of entry for low-income women and prenatal care providers. Goal 2: Improve infant and child health outcomes in Orange County. Objective 2.1: By 2020, increase the proportion of mothers exclusively breastfeeding
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