November 2014 Oi Opening Information Opening Information Acknowledgements Healthy Kansans 2020 Steering Committee The Healthy Kansans 2020 Steering Committee is chaired by Dr. Robert Moser, the State Health Officer and Secretary of the Kansas Department of Health and Environment (KDHE). The steering committee is comprised of leaders from state and local agencies and organizations whose connection to health is both direct and indirect. The diverse makeup of this committee contributed to robust discussions that facilitated the development of a comprehensive and targeted plan for improving the health of Kansans by 2020. Committee Member Organization Adrienne Foster Kansas Hispanic & Latino American Affairs Commission Annarose Hart Kansas Department of Agriculture Representative Barbara Ballard Kansas House of Representatives Billie Hall Sunflower Foundation Representative Brenda Landwehr Kansas House of Representatives (1995-2013) Brenda Sharpe REACH Healthcare Foundation Representative Brian Weber Kansas House of Representatives (2010-2013) Chris Cupp Kansas Academy of Family Physicians Chris Howell Kansas Native American Affairs Office Cindy Luxem Kansas Health Care Association Cindy Samuelson Kansas Hospital Association Claudia Blackburn Sedgwick County Health Department Representative David Crum Kansas House of Representatives Debra Sullivan University of Kansas School of Medicine-Kansas City Dennis Mesa Kansas Housing Resources Corporation Representative Don Hill Kansas House of Representatives Doug Vance Kansas Recreation &Parks Association i Ed Ellerbeck University of Kansas School of Medicine-Kansas City Gary Doolittle University of Kansas Cancer Center Gina Frack Norton County Health Department Jason Glasrud Kansas Department of Commerce Jeff Willett Kansas Health Foundation Jeffrey Colvin SAFE Kids Kansas Jeremy Barclay Kansas Department of Corrections Jerry Slaughter Kansas Medical Society Joe Davison Kansas Health Information Exchange John Heim Kansas Association of School Boards Judy Johnston University of Kansas School of Medicine-Wichita Julie Mettenburg Kansas Rural Center Kevin Robertson Kansas Dental Association Kim Moore United Methodist Health Ministry Fund Senator Laura Kelly Kansas Senate Leonard Hernandez Morton County Health System Linda Sheppard Kansas Insurance Department Liz Hendricks Public Square Communities, Inc. Mark Synovec Kansas Medical Society Mark Thompson Kansas State Department of Education Martha Gabehart Kansas Commission on Disability Concerns Matt All Blue Cross and Blue Shield of Kansas Michelle Ponce Kansas Association of Local Health Departments Secretary Mike King Kansas Department of Transportation Mildred Edwards Kansas African American Affairs Commission Secretary Phyllis Gilmore Kansas Department for Children and Family Services Robert St. Peter Kansas Health Institute Sarah Green Kansas Department of Agriculture Secretary Shawn Sullivan Kansas Department for Aging and Disability Services Shirley Orr Kansas Public Health Association Terri Williams Kansas Department of Corrections Commissioner Tim Norton Sedgwick County Board of Commissioners Tom Bell Kansas Hospital Association Senator Vicki Schmidt Kansas Senate ii Healthy Kansans 2020 Content Expert Workgroups The Healthy Kansans 2020 process relied on a vast network of content experts from across the state. These experts hail from state and local agencies and organizations, as well as academia and philanthropy. Experts were engaged throughout the health assessment and planning process to outline the current assets and barriers to improving health, and to fine tune priorities, objectives and action steps to ensure a final plan that is both achievable and supported by the latest scientific evidence. See Appendix for the list of workgroup members. External Stakeholders (Feb. 24 meeting participants) The success of the state’s health improvement plan relies heavily on the willingness of partners to embrace the plans objectives and work towards improvement. The Healthy Kansans 2020 process engaged a broad base of partners via electronic surveys, webinars, in-person meetings and through public comment on the Healthy Kansans 2020 website. Feedback received through these various mediums was incorporated into the final document. KDHE Administration, Program Staff, Epidemiologists and A-Team KDHE began its efforts to prepare for public health accreditation in 2010 with the formation of the Community Health Assessment Team (CHA-Team) and the Accreditation Team (A-Team). While the CHA-Team completed its work in 2011, the A-Team continues to support the agency accreditation process, having formalized its efforts to guide the process through the adoption of a team charter in 2013. Beginning in 2012, agency epidemiologists, bureau directors, section leads and program administrators began compiling data to inform the state health assessment process. Work continued through 2013 and into early 2014 to develop and prioritize state plan strategies, objectives and actions. KDHE continues in its efforts to become an accredited state public health agency and will finalize all required evidence to support the Public Health Accreditation Board’s (PHAB) standards and measures by 2015. See Appendix for the list of KDHE Review Team members and KDHE Accreditation Team members. iii Dear Fellow Kansans: As the State Health Officer and Secretary of KDHE, I had the privilege to chair the Healthy Kansans 2020 process. This dynamic planning approach began in 2010 with early work to prioritize the 42 health topic areas outlined in Healthy People 2020 and concluded in 2014 with the development of specific objectives and action steps to move the health of Kansans in a positive direction. I am thankful to the hundreds of individuals and organizations who committed time and energy to assess the health landscape in Kansas and develop the plan outlined in this document. As proud Kansans we all want what is best for our state and the people who call her home. Kansas is served by a diverse collection of organizations and advocacy groups who valiantly call attention to the challenges we face and those people who are disproportionately impacted by these issues. This health improvement plan is a beginning point for our collective work to address some of these very challenges. It is my hope that the many organizations, advocacy groups, communities and individuals from across the state will connect with the issues detailed in this plan and in turn find a way to contribute to the work required to move the objectives and activities forward. In the coming years, the financial resources, assets and barriers to addressing health are sure to change and so too will the priorities of the state’s health improvement plan. During the next six years, I encourage us to unite around this plan and begin down the path of implementation. True success will come from us all working together for a common good, a healthier Kansas to call home. Sincerely, Robert Moser Dr. Robert Moser, Secretary and State Health Officer Kansas Department of Health and Environment iv Tc Section 1 - Table of Contents State Health Assessment Executive Summary ..................................................................................................... 1 Kansas Demographics ................................................................................................. 7 Measuring Health Status in Kansas.......................................................................... 21 Core & Universal Indicators — MLC-3 ........................................................................................... 21 Kansas Health Matters ................................................................................................................... 22 Prioritizing Healthy People Topic Areas — HK2020 Opinion Survey ............................................. 23 Chronic Disease ................................................................................................ 25 Chronic Disease Overview................................................................................................... 25 Cancer ................................................................................................................................. 30 Coronary Heart Disease ...................................................................................................... 40 Diabetes ............................................................................................................................... 44 Stroke ................................................................................................................................... 48 Strengths & Assets............................................................................................................... 52 Access to Care................................................................................................... 55 Access to Health Services ................................................................................................... 55 Strengths & Assets............................................................................................................... 63 Lifestyle Behaviors............................................................................................ 65 Lifestyle behaviors overview ................................................................................................ 65 Tobacco...............................................................................................................................