The Triple Aim
POPULATION HEALTH
Population health is is defined as “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” It is an approach to health that aims to improve the health of an entire human population.
In an ever-changing environment, MiHIA continues to align population health initiatives across counties to optimize positive outcomes.
MACRO STRATEGY
By 2024, All 14 counties in the MiHIA region will be ranked in the top 2 quartiles of the Health Behaviors Ranking
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What is this indicator?
This indicator shows the ranking of the county in overall health behaviors according to the County Health Rankings. The ranking is based on a summary composite score calculated from the following measures: adult smoking, adult obesity, physical inactivity, access to exercise opportunities, excessive drinking, alcohol-impaired driving deaths, sexually transmitted infections, teen births, and a food environment index.
Why is this important?
Human behavior contributes strongly to health outcomes. A majority of preventable deaths and illnesses in the United States are directly caused by human behaviors such as smoking, risky sexual behaviors and unhealthful diets. Behavior modification depends on many structural and environmental factors as well as individual motivation and education.
Goal Status: NOT MET
- Half of the region’s values fall between 36 and 68 with the median value being 54. Most remaining counties (6) are still within the 4th quartile (score of 64-83). With a mean score of 54 for all 14-counties, MiHIA is about in the middle of all 83 counties for this indicator.
- Midland County is ranked the best at 9, while Clare County is ranked worst at 82 (out of a total of 83 counties)
- Four (4) counties within the MiHIA region obtained a Top 2 quartiles ranking, scoring within the range of 1-42: Midland, Huron, Sanilac, and Iosco.
STATUS: Goal Not Met, as of Spring 2019
- Half of the region’s values fall between 36 and 68 with the median value being 54. Most remaining counties (6) are still within the 4th quartile (score of 64-83).
- With a mean score of 54 for all 14 counties, MiHIA is about in the middle of all 83 counties for this indicator.
COMMENTS:
- Four (4) counties within the MiHIA region obtained a Top 2 quartiles ranking, scoring within the range of 1-42: Midland, Huron, Sanilac, and Iosco.
- Midland County is ranked the best at 9, while Clare County is ranked worst at 82 (out of a total of 83 counties)
- MiHIA Portfolio to County Health Rankings: Bridging for Health, CenteringPregnancy, Diabetes Prevention Program, DigIt, Kurbo, Population Health Strategy Team, Regional Community Health Needs Assessment, Regional Opioid Strategy
ADDITIONAL GOALS
By 2024, decrease percentage of Adults 20+ Who are Obese (BMI of ≥ 30) to 33%
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What is this indicator?
This indicator shows the percentage of adults aged 20 and older who are obese according to the Body Mass Index (BMI). The BMI is calculated by taking a person's weight and dividing it by their height squared in metric units (BMI = Weight (Kg)/[Height (m) ^ 2]). A BMI >=30 is considered obese.
Why is this important?
The percentage of obese adults is an indicator of the overall health and lifestyle of a community. Obesity increases the risk of many diseases and health conditions, including heart disease, type 2 diabetes, cancer, hypertension, stroke, liver and gallbladder disease, respiratory problems, and osteoarthritis. Losing weight and maintaining a healthy weight help to prevent and control these diseases. Being obese also carries significant economic costs due to increased healthcare spending and lost earnings.
Goal Status: NOT MET
- None of the MiHIA counties have reached this goal as of 2019.
- The counties closest (within 2 percentage points) are: Sanilac, Isabella, and Midland
- The state average for this indicator is 31.%. Only 2 counties (Sanilac and Isabella) within the MiHIA region have achieved this score.
- The national average for this indicator is 28.5%. None of the counties within the MiHIA region have achieved this score.
By 2024, decrease percentage of Adults 20+ Reporting Physical Inactivity to 23%
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What is this indicator?
This indicator shows the percentage of adults (ages 20 and up) who did not participate in any leisure-time activities (physical activities other than their regular job) during the past month.
Why is this important?
Adults who are sedentary are at an increased risk of many serious health conditions. These conditions include obesity, heart disease, diabetes, colon cancer, and high blood pressure. In addition, physical activity improves mood and promotes healthy sleep patterns. The American College of Sports Medicine (ACSM) recommends that adults perform physical activity three to five times each week for 20 to 60 minutes at a time to improve cardiovascular fitness and body composition. The ACSM also recommends that you include strength and flexibility training in your exercise program. If you are not currently exercising, please consult your physician before beginning any exercise program.
About this status:
- 4 of 14 counties have all achieved or surpassed the goal of 23% or less (Gratiot, Isabella, Midland, and Saginaw)
- The counties performing the worst include: Areanc, Clare, Iosco, Tuscola, Bay, Roscommon, and Gladwin, all with a score 5% or higher than that of the stated goal.
- The average score for this indicator both at the state and national level was 22.3%. Gratiot, Isabella, and Midland counties all scored below this.
By 2024, increase individuals reporting Access to Exercise Opportunities to 80%
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What is this indicator?
This indicator measures the percentage of individuals who live reasonably close to a park or recreational facility.
Why is this important?
Proximity to exercise opportunities, such as parks and recreation facilities, has been linked to an increase in physical activity among residents. Regular physical activity has a wide array of health benefits including weight control, muscle and bone strengthening, improved mental health and mood, and improved life expectancy. Furthermore, exercise reduces the risk of cardiovascular disease, type 2 diabetes and metabolic syndrome, and some cancers.
About the status:
- 4 of 14 counties scored higher than the stated goal of 80% (Midland, Bay, Iosco, and Roscommon).
- The best county in the region was Roscommon with a score of 97.3% and the worst was Sanilac with a score of 16.1%
- The state average for this indicator was 85.4%. 3 counties in the MiHIA region reached or surpassed this level (Bay, Iosco, and Roscommon)
- The national average for this indicator was 83.9%. 3 counties in the MiHIA region reached or surpassed this level (Bay, Iosco, and Roscommon)