Data & Metrics Workgroup White paper Where Does the Data Lead?
Marion county currently ranks 49 out of 67 counties in Florida for health outcomes in the Robert Wood Johnson Foundation 2016 County Health Rankings. “The Rankings are based on a model of population health that emphasizes the many factors that, if improved, can help make communities healthier places to live, learn, work and play.” The Health Outcomes ranking is comprised equally by statistics related to Quality of Life and Length of Life. Marion county ranks 51 for Quality of Life and 47 for Length of Life.
Specifically, Length of Life is statistically reported as Premature Death and the years of life loss before age 75. Currently Marion county has Years of Potential Life Lost (YPLL) statistics of 8,702 years per 100,000 persons, significantly worse than state YPLL average of 6,842 and best performing counties of 5,200.
The standardized risk-adjusted per capita costs of Medicare beneficiaries in Marion county is $9,936 per year, just shy of the Florida $10,299 per capita costs, but still more expensive that 45 state averages. Florida Charts’ 2014 County Chronic Disease Profile identifies the following chronic disease metrics in the worst quartile: deaths due to coronary heart disease, high blood cholesterol, poor screening for cervical cancer. These conditions along with higher rates of diabetes, various cancers, and high blood pressure contribute to the higher costs of care in Marion county.
The Marion County Health Alliance Data & Metrics Workgroup suggests that the MCHA adopt the following three Overarching Goals to systematically improving health outcomes in Marion county. These goals align with IHI’s The Triple Aim of care and are as follows:
1. Improve the RWJF County Health Ranking for Marion County by at least one quintile over the next 3 years
2. Reduce Years of Productive Life Loss (YPLL)
3. Reduce per capita health care cost for persons in Marion County
How can Marion County be Healthier?
The overarching goals will provide a target for the MCHA members and various community programs to aim for in an effort to make Marion county a healthier place to live. The Data & Metrics Workgroup also suggests the following three Focus Areas that will help organizations better align with the stated goals: improved Access to healthcare services, increased Healthy Behaviors, and better Community development of socioeconomic and environmental factors. Percentages reflecting emphasis of attention and funding are also listed derived from statistical impact on outcomes for each goal.
Access (30%): Currently, Marion county trails state averages for access to healthcare in all areas, making it challenging for citizens to obtain needed medical care. Additional access issues include the following:
• Improving Insurance Status
• Pharmacy Assistance
• Address Transportation Issues
• Increase Awareness of available community resources
Healthy Behaviors (50%): Organizations need to engage the citizens of Marion County in healthier behaviors that lead to better overall health and prevention of disease such as:
• Healthy Eating
• Tobacco Cessation
• Increased Physical Activity • Improved Personal Safety
• Decreased Substance Abuse
Community development (20%): Organizations and government need to improve community education on these issues and promote policy, system, and environmental change in Marion County that supports not only Access and Healthy Behaviors, but the socioeconomic and environmental factors that influence healthy outcomes. Improving jobs, high school graduation rates, literacy and health literacy, and recruiting more industry to the area will coalesce with the above efforts of improving access and promoting healthy behaviors.