The document provides a community health assessment of Cuyahoga County, Ohio. It finds that the county faces several health challenges, particularly in the city of Cleveland and inner ring suburbs, including high rates of poverty, cardiovascular disease, cancer, diabetes, and obesity. It also identifies issues with access to healthcare, food security, and the physical environment. The assessment concludes that addressing the needs of Cleveland and inner suburbs should be a priority and that stakeholder groups need to collaboratively prioritize issues and allocate available resources from organizations throughout the county.
FAMILY HEALTH CARE
STUDY UPON A FAMILY TO REACH A FAMILY DIAGNOSIS
1. SOCIO ECONOMIC
2. SOCIO DEMOGRAPHIC
3. SOCIO CULTURAL
4. HOUSING & ENVIRONMENT
5. HEALTH, KNOWLEDGE & ATTITUDE
6. IMMUNIZATION STATUS
7. NUTRITIONAL STATUS
8. HEALTH STATUS
9. FAMILY DIAGNOSIS
10. ACTIONS & RECOMMENDATIONS
Job responsibilities of health assistant (male &female)Kailash Nagar
The document outlines the job responsibilities of health assistants (male and female) in India. It describes that health assistants (male) supervise and guide health workers (male), ensure teamwork, maintain supplies and equipment, and play roles in disease control programs like immunization. Health assistants (female) have additional responsibilities of providing maternal and child health services, nutrition programs, health education, and school health services. Both positions work to deliver primary healthcare and implement national health programs under the supervision of medical officers at primary health centers.
Family health services are the central point of health services.
It is an important component of “Health for All” goal.
Health of each individual affects the health of other member of family.
The document defines and describes the health care delivery system in India. It provides definitions of key terms and outlines the structure of the health care system at various levels - central, state, district, block, and village. It describes the roles and responsibilities at each level. It also details the different types of primary health centers in India - subcenters, primary health centers (PHCs), and community health centers (CHCs) - and explains their staffing, services provided, and target populations. The health care delivery system in India aims to provide accessible and comprehensive health care from village to national levels through this multi-tiered structure.
The document summarizes the current state of universal health insurance in the United States. It discusses the fragmented nature of today's health care system and statistics on the uninsured. Research studies show that a universal single-payer system could cover all Americans for less money by reducing administrative costs. The document also briefly reviews universal health care systems in other countries like the UK, Germany, Japan, and Canada. It concludes by suggesting a universal system may be more achievable in the US than commonly believed.
Family nursing and family health nursing processKailash Nagar
1) Family health nursing involves assessing the family as a whole unit and developing a care plan to address any health needs or issues identified. The nursing process of assessment, diagnosis, planning, implementation and evaluation is used to provide family-centered care.
2) Key aspects of family health nursing assessment include collecting data on family structure, relationships, health history and environmental factors to understand the family's needs.
3) The goals of family health nursing are to optimize the health and functioning of both individual family members and the family unit as a whole.
The health care delivery system in India is comprised of five major sectors - public, private, indigenous systems of medicine, voluntary agencies, and national health programmes. At the central level, the Union Ministry of Health and Family Welfare oversees the country's health administration along with the Directorate General of Health Services and Central Council of Health. The health system is organized at three levels - central, state, and district - with the goal of improving population health, care experiences, and reducing economic burden.
The document summarizes India's health care delivery system. It has 3 main levels - central, state, and local/peripheral. At the central level, the key organizations are the Ministry of Health and Family Welfare, Directorate General of Health Services, and Central Council of Health and Family Welfare. States have significant independence in delivering healthcare. Locally, there are village health workers, subcenters, primary health centers (PHCs), and community health centers (CHCs).
This document discusses legal issues in community health nursing. It defines key terms like legislation, regulations, and judicial law. It explains the sources of law including statutory law, administrative law, and common law. The functions of legal law in nursing are to provide a framework for nursing actions, differentiate nursing responsibilities, establish boundaries, and maintain standards. Legal issues that can arise include negligence, malpractice, assault, battery, invasion of privacy, and defamation of character. Laws impact nursing practices through professional negligence and scope of practice. The document also summarizes legal safeguards in nursing like credentialing, good Samaritan laws, standards of care, and informed consent.
The document summarizes the organization of health services in India at the central, state, and district levels. At the central level, the key organizations are the Union Ministry of Health and Family Welfare, the Directorate General of Health Services, and the Central Council of Health and Family Welfare. The state level is headed by a state health ministry and directorate. Districts are divided into subdivisions, community development blocks, municipalities, villages, and panchayats for local administration of health services.
Social mobilization is the process of motivating communities to organize and actively participate in their own development. It enhances community participation, ownership, and sustainability of programs. The key steps in social mobilization include understanding the community, forming community organizations, promoting participation and empowerment, and enabling communities to govern themselves. Skills needed for social mobilizers include strong communication, facilitation, listening, management, and cultural understanding.
The document summarizes India's health care system, which consists of 5 major sectors: 1) the public health sector including primary health centers, community health centers, and hospitals; 2) private sector hospitals and clinics; 3) indigenous medical systems like Ayurveda and Unani; 4) voluntary health agencies; and 5) national health programs. It then provides details on primary health care delivery through a 3-tier rural health infrastructure of village-level health workers, sub-centers, and primary health centers. The document also outlines health insurance schemes and the roles of hospitals, private providers, and indigenous medical systems in India's health system.
THIS PPT EXPLAINS SUB CENTER ACTION PLAN IN EASY WAY
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The document provides information on various health care agencies and their roles. It discusses the objectives and activities of the World Health Organization (WHO), United Nations Children's Fund (UNICEF), United Nations Development Programme (UNDP), Food and Agriculture Organization (FAO), International Labour Organization (ILO), United States Agency for International Development (USAID) and several non-governmental organizations. It also discusses the Millennium Development Goals adopted by the UN to guide global development efforts between 1990-2015. The goals aimed to eradicate poverty and hunger, achieve universal primary education, promote gender equality, reduce child mortality, improve maternal health, combat HIV/AIDS and other diseases, ensure environmental stability, and develop a global
The UK has a largely state-run healthcare system called the National Health Service (NHS). The NHS provides universal coverage to all citizens and is funded primarily through taxes. It consists of four independently operated public healthcare systems, one each for England, Scotland, Wales, and Northern Ireland. Primary care is accessed through general practitioners (GPs) and includes services like dentists and opticians. Secondary and tertiary care requires referral by GPs and includes specialized services delivered through hospitals, which are organized into trusts. While mostly public, the UK system also includes some private healthcare options.
Health Care Delivery System India for CCCHKailash Nagar
The health care delivery system in India operates at national, state, district, and local levels. At the local level, primary health care is provided through a network of sub-centers, primary health centers (PHCs), and community health centers (CHCs). PHCs are staffed by doctors and serve a population of 30,000, while CHCs serve 80,000-120,000 people. The system aims to provide universal and affordable basic health services with a focus on maternal and child health, immunization, disease prevention and health promotion.
This document compares and contrasts community health nursing and institutional nursing. Community health nursing involves providing care in the community where people live and work, such as homes, farms, schools and clinics. It focuses on primary care and serving the overall community. Institutional nursing provides care in hospitals and medical facilities and focuses on secondary and tertiary care for sick individuals through diagnostic and therapeutic services. The key differences between the two are their place of work, clientele, level of care provided, and roles and responsibilities.
School health services aim to promote health and prevent disease among students, teachers, and staff. This is achieved through periodic medical examinations, health education, ensuring a healthy school environment, and addressing common health issues among students like malnutrition, infectious diseases, and dental caries. The school health team, which includes principals, teachers, parents, medical officers, and nurses, work together to implement school health programs and maintain student health records. The goal is to create healthy, productive learning environments for children.
IEC (Information, Education, Communication) is an approach that aims to change or reinforce behaviors in a target audience regarding a specific health problem within a defined period. The goals of IEC include changing individual, family, and community health behaviors; creating awareness and support for public health activities; and facilitating education on issues like primary healthcare, disease prevention, and reproductive health. IEC draws from several approaches including diffusion theory, social marketing, behavior analysis, and anthropology. The key steps in planning an IEC campaign involve conducting a needs assessment, establishing behavioral objectives, identifying potential barriers, and creating an evaluation plan.
This is a look at social research, within a community context. From sound academic footing, it is also suited for those new to conducting surveys academically or professionally. It presents the key points of consideration to plan, design and manage a qualitative research endeavour.
Performing a Community Health Assessment OverviewPeggy Toy
The document outlines the 6 steps to performing a community health assessment: 1) Develop a community partnership by identifying stakeholders and assessing capacity. 2) Determine the public health needs and goals. 3) Identify the data needed to answer questions. 4) Determine how to collect new and existing data. 5) Analyze the data to understand findings and draw conclusions. 6) Use and communicate the results to target audiences and determine next steps. Worksheets are provided for planning each step.
Training presentation on how to perform a community health assessment. Topics include basics on how to: plan an assessment, collect and analyze quantitative and qualitative data, produce and report findings.
Healthy Communities: Multnomah county is one of the 36 counties in the state of Oregon, located with Portland as its county seat. Portland is the second largest city in Oregon and the most populous metropolitan area in the state (U.S. Census Bureau [USCB], 2008, p. 1). As of 2007, Multnomah County's population is 681,454 people (Sperling, 2008). For the purpose of this study, the community focus will be primarily on the sector of Multnomah County in the 97212 area code, which will be called the Rose Sector.
The community assessment document provides information on the history, government, demographics, and resources of the City of Cocoa, Florida. Some key points include: Cocoa was founded in the 1800s and officially named in 1884, with one building remaining from the early 1900s; the current mayor is committed to community involvement and decreasing crime; the population is around 17,000 with over half identifying as Caucasian and just under a third as African American; and the document provides information on housing, schools, and a health teaching topic on nutrition for teen athletes in the community.
This document discusses conducting community assessments and outlines several key points:
1) Community assessments help clarify problems, identify community needs, and recognize strengths and resources.
2) A community is defined as a group of people living in an area who share culture, values, and social structure.
3) Data collection methods for community assessments include observation, interviews with key informants, meetings, existing data sources, and surveys.
This document summarizes a community assessment of La Romana, Dominican Republic. It finds that the population faces health issues like cardiovascular disease, STIs, tuberculosis, and cholera. Vulnerable groups include pregnant women, children, the elderly, and Batey workers (sugarcane workers). Interventions like a water filtration program and hand/food hygiene education are proposed to reduce waterborne illnesses, especially targeting the Batey communities. The goal is to see a reduction in related incidents within three months through ongoing assessments.
The document analyzes health data from New Jersey to assess community health status. It finds that chronic diseases like heart disease, cancer, and stroke are the top three causes of death. Mortality rates for these diseases vary significantly by geography, with southern counties having higher rates of heart disease, infant mortality, and liver disease deaths. Addressing chronic disease and understanding regional health disparities could help improve public health outcomes in New Jersey.
Community assessment focused on aides saved on 4.11.13Gabrielle Bartlett
The majority of patients served by Panhandle Home Health are Berkeley County residents. The agency provides skilled nursing, physical therapy, speech therapy, occupational therapy, and other services to allow patients to remain in their homes. A needs assessment identified key issues for home health aides such as stress from difficult patients and rural working conditions. An educational program was developed to teach stress management techniques and evaluate the ability of aides to handle difficult situations.
Strength Weakness Opportunity and Threat Analysis for Project management.pptx2pradeep mehrotra
This document outlines a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis for a project management plan. It lists communication abilities, understanding others, and past successes as strengths. Weaknesses include effective communication skills, past failures, energy levels, and analytical abilities. Opportunities mentioned are setting objectives, finding possibilities, observing self-employment trends, and using hobbies. Threats analyzed are obstacles from others, external changes beyond control, targets being executed, and weaknesses posing threats to projects. The document reminds the reader to focus the SWOT analysis on themselves and that the universe works for them.
Strength, weaknesses, opportunities and threats, A Presentation By Mr Allah...Mr.Allah Dad Khan
This document analyzes the strengths, weaknesses, opportunities, and threats (SWOT) for mushroom cottage industries. The key strengths are that mushroom farming requires a short production cycle, low financial commitment, and can utilize agricultural waste. Weaknesses include higher costs for financing, packaging, transportation, and lack of technical knowledge. Opportunities exist in declining foreign production, increasing domestic demand, and utilizing mushrooms to address nutritional deficiencies. Threats consist of competition from China, shifts in demand preferences, risks from pests and exceeding market demand without developing new markets.
This document discusses functional assessments used in nursing, including Gordon's Functional Health Patterns, the Katz Index of Independence, and the Barthel Index. It provides details on Gordon's 11 categories for assessing health and human function, which include health perception and management, nutrition, elimination, activity, sleep, cognition, self-perception, roles/relationships, sexuality, coping, and values/beliefs.
Robin Ferrari conducted a community assessment of Jamestown, NY on a Sunday afternoon. The downtown area was quiet with few people out. Jamestown has a population of around 43,000 people, most of whom are white. It is notable as the hometown of Lucille Ball, with museums and theaters in her honor. Most homes in the assessed neighborhood were built before 1930. While parks and libraries serve the community, there is room for improved access to affordable exercise programs and health promotion.
The document provides information about conducting a Community Diagnosis Programme (CDP). It defines community diagnosis as a comprehensive assessment of a community's health status in relation to social, physical, and biological factors. The purposes of CDP are to identify community health needs and problems in order to plan, implement, and evaluate health programs. Key aspects of CDP include collecting demographic and health data through surveys, analyzing the data to make diagnoses, presenting findings to the community, and developing community health interventions and programs. Methods of assessment discussed include nutritional, maternal and child health, family planning, and anthropometric measurements.
“I want to do a health project but I don’t know where to start!” This is a common challenge. Doing a community needs assessment is a crucial piece to planning successful projects but can often seem like a daunting task. Join us for a great conversation and fun exercise in doing a community assessment in maternal and child health or disease prevention and treatment, and go back to your district with a better understanding of community assessment and planning tools.
This document provides a community assessment of Saratoga Springs, New York focusing on cardiopulmonary resuscitation (CPR) and the role of community health nurses. It includes a demographic profile of the city, noting a population of 26,727 with 48.28% male and 51.72% female. Heart disease is the leading cause of death. The document describes the community using windshield surveys and key informant interviews. It analyzes epidemiological data on sudden cardiac arrest and discusses the role of community health nurses in providing CPR education and training to increase awareness of its importance. The goal is to promote heart health through primary prevention methods in the community.
Community diagnosis is defined as determining the pattern of health problems in a community and the factors influencing this pattern. It involves comprehensively assessing the community's social, political, economic, physical and biological environment. The purposes of community diagnosis include identifying health problems and those at risk, determining community needs, and developing strategies for community involvement. It involves collecting both measurable health data like disease prevalence and age distribution as well as soft factors like customs and beliefs. The process involves defining the community, identifying needs, prioritizing health issues, assessing resources, and setting priorities for action.
This document discusses community health nursing. It begins by providing definitions of community health nursing from the American Nursing Association. It emphasizes health promotion, education, coordination of care, and taking a holistic approach. The aims of community health nursing are described as promoting health and efficiency, preventing and controlling diseases and disabilities, and providing comprehensive services to communities. A number of principles of community health nursing are also outlined, including recognizing community needs, defining objectives, involving community groups, and ensuring availability and continuity of services. Quality assurance models and approaches are discussed, including licensure, accreditation, and nursing audits. Several community nursing theories are also mentioned, such as the PRECEDE model, health belief model, and health promotion model.
Community health nursing involves promoting health, preventing disease, and managing factors affecting health at the community level. It aims to raise the overall health status of populations. A community is defined as a group of people living in a specific geographical area with common characteristics or interests. Community health nursing utilizes the nursing process to provide care to individuals, families, population groups, and communities. It combines public health science with nursing skills and social assistance. The community is considered the patient, with the family as the unit of care.
Community Health Assessment Final Draft mph 602Steven Banjoff
This document provides a community health needs assessment of Cuyahoga County, Ohio prepared by Steven Banjoff. It includes an overview of the project methodology and examines the demographics, socioeconomic factors, and overall health status of Cuyahoga County. It also includes an individual examination of the 34 neighborhoods within Cleveland, providing data on population, diversity, poverty rates, income levels, employment, and education for each neighborhood to help identify vulnerable communities and their needs.
Community Health Improvement Plan, Clermont County Ohio, Major Themes: obesity, tobacco use, drug use, mental health, infant mortality, breastfeeding, homelessness, secondary education for healthcare professionals, chronic disease issues, access to healthcare, inujury prevention, suicide, teen pregnancy, infectious diseases, alcohol abuse and aging population.
10th Anniversary Northern Virginia Health Summitburnesscomm
The document summarizes research on life expectancy variations within Northern Virginia. It finds wide differences across census tracts, from 77 years to 84 years. Areas with lower life expectancy have higher poverty rates, lower education levels, more single-parent households, and larger immigrant and minority populations. Policy implications discussed include early childhood education, affordable housing, economic support, health services access, and addressing social determinants of health across sectors. The research aims to inform organizations on health inequities and population health approaches.
Mizell - Individual community project - 32068MirandaMizell
The document summarizes the results of a community survey of Clay County, Florida. It describes the population demographics, social and physical determinants of health, health services available, health behaviors and disparities of the residents. The survey found the top health concerns to be alcohol/drug addiction, mental health, obesity, and access to healthcare. The plan to address disparities includes increasing awareness and access to existing addiction, mental health, nutrition and low-cost healthcare resources in the area.
EOA2016: Taking Stock: 2016 Health Profile & Well-Being ReportsPIHCSnohomish
During the 2nd breakout session at Edge of Amazing 2016, Jody Early, PhD (UW Bothell School of Nursing & Health Services) and Elizabeth Parker, PhD (Snohomish Health District) discussed results from the PIHC Health & Well-Being Monitor & the Health Districts latest profile of health in Snohomish County.
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
Open DataFest III - 3.14.16 - Day One Afternoon SessionsMichael Kerr
Slide presentations delivered during the afternoon sessions of Day One of the California Statewide Health and Human Services Open DataFest - March 14 - 15, 2016, Sacramento, CA
Poverty in Collin County - A Critical UpdateTimothy Bray
Collin County, Texas has one of the lowest poverty rates among large counties in country - 7.2%. However, from 2000 to 2014, the number of persons living in poverty grew by 165% - the second fastest rate of growth in the country. This presentation, prepared for the Heritage Ranch Democrats, details the trends in Collin County.
Closing the Gap: Reducing Disparities & Achieving Health EquityNASHP HealthPolicy
The document discusses health disparities in North Carolina. It provides statistics on the state's population and highlights racial/ethnic disparities in several health areas like infant mortality and poverty according to the state's 2010 Health Disparities Report Card. It also outlines North Carolina's response to addressing health disparities through initiatives like its Prevention Action Plan and partnerships between state agencies and community organizations.
The Health Indicators Warehouse provides aggregated population health data from over 160 sources through approximately 1,200 indicators at the national, state, and local levels. It sources data from federal agencies like CDC and CMS, as well as state sources and associations. The presentation highlighted several major datasets within HIW, including the National Vital Statistics System, National Health Interview Survey, National Health and Nutrition Examination Survey, and National Ambulatory Medical Care Survey. These provide a wide range of health metrics from vital events and causes of death to health behaviors, conditions, examinations, and medical care usage.
Allan & wymyslo integration 12072013 (1)Amanda Ross
This document discusses integrating public health and primary care. It begins by outlining where the current fragmented system is versus where an integrated system is needed, with a focus on coordination, patient-centered care, and value over volume. Principles of successful integration include community engagement, strong leadership from both clinical and public health, common goals of improving population health, collaborative data use, and sustainability. Examples from Ohio show how public health priorities like reducing infant mortality and tobacco use can be addressed through initiatives that integrate clinical care and public health. The document concludes by emphasizing working together across Ohio to improve population health.
Leveraging Assets to Improve Health and Equity in Rural Communitiesnado-web
This presentation was delivered at NADO's Annual Training Conference, held in Anchorage, Alaska on September 9-12, 2017.
A growing body of research shows that people living in rural communities experience inequities in health and well-being compared to their urban counterparts. The NORC Walsh Center for Rural Health Analysis, with funding from the Robert Wood Johnson Foundation, is conducting formative research to explore opportunities to improve health
and equity in rural communities using an asset-based community development approach. This session will provide an overview of rural health disparities data, followed by preliminary findings and key recommendations to strengthen rural communities
based on an enhanced understanding of culture and history, priorities, assets, partners, and promising strategies unique to and common across rural communities and regions.
Michael Meit, MS, MPH, Co-Director, NORC Walsh Center for Rural Health Analysis, NORC at the University of Chicago, Bethesda, MD
This document summarizes the efforts of the REACH Charleston and Georgetown Diabetes Coalition to decrease diabetes-related amputations among African Americans. The coalition conducted community skill-building and health systems changes. Through training health professionals and lay educators, they provided diabetes self-management education and foot care education to over 45,000 people. Health systems implemented quality improvement teams and a diabetes registry. Preliminary results found a 44% reduction in amputations for African Americans compared to 1999, saving over $2 million per year.
This document discusses poverty in Dallas County, Texas. It defines poverty and notes that over 20% of Dallas residents live below the poverty line. Certain groups, such as African Americans and Hispanics, experience higher poverty rates. The document also examines factors beyond income that contribute to poverty, such as toxic stress, lack of transportation, and overcrowded housing. It argues that poverty impacts brain development and educational outcomes. The presentation provides data on the number of children in Dallas County affected by various risks like poverty, parental unemployment, and lack of health insurance. It concludes by emphasizing the importance of addressing poverty.
Paho social inequities in the americas 2001 engRamon Martinez
Dr. Roses, PAHO Director, presentation on Social Inequalities in health in the Region of the Americas.
PAHO's Regional Health Observatory (RHO
Pan American health Organization (PAHO)
Disruptive Think: Using Data to Inform & Mobilize a Community Movement to Stop African American Babies from Dying - The Greater Cleveland Experience
Michigan Maternal-Infant
Health Statewide Conference:
A Strategic Approach To
Improving Maternal and
Infant Health
Bernadette Kerrigan
Elizabeth Littman
First Year Cleveland
Case Western Reserve University
Cleveland, Ohio
Infant Mortality Data
This document presents a study examining the association between age of sexual debut and later STD diagnosis among adult females in the United States. The study used 2011-2012 NHANES data of 1,540 women who had been sexually active. It found that 5% had sexual debut before age 14, 54% between 14-18 years, and 41% after 18 years. 21% reported being diagnosed with an STD. Women who had sexual debut before age 14 and after 18 years were more likely to be diagnosed with an STD compared to those between 14-18 years, although only the association for those after 18 remained significant after adjusting for socioeconomic factors.
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
The USC Norris Cancer Hospital Community Needs Assessment Report summarizes a survey of 238 patients to evaluate barriers to care. Key findings included that transportation and wait times were the largest barriers. Patients primarily drove themselves for transportation. Counseling services were considered important, especially individual counseling. Half of caregivers had to take time off work for treatment. Most patients were satisfied with hospital hours and days of operation. The report recommends examining solutions to reduce barriers like location of services, wait times, and scheduling conflicts.
Similar to Community Health Assessment Presentation (20)
1. Community Health Assessment
MPH 602
Cuyahoga County, OH, Community Health Needs Assessment: spring 2015
Prepared by: Steven Banjoff
Image source nationalatlas.gov
2. The Communities of Cuyahoga County
Map from Cuyahoga County Public Safety and Justice Services.
3. Cuyahoga County
• Location: Northeast quadrant of Ohio
• Population: 1,280,122 Male: 607,362 Female: 672,760 (U.S. Census, 2014)
• County Seat: Cleveland Pop. 396,815 (Cleveland City Planning Commission, 2014)
• Division: 23 Western, 35 Eastern Suburbs
7. Median Income
• Cuyahoga County: $43,804
• Cleveland: $27,349
• Ohio: $48,308
(U.S. Census, 2014)
Only one of the 34 neighborhoods that comprise Cleveland has a median
income that is greater than the median income of Ohio and only two greater than
the county median income.
(Cleveland City Planning Commission, 2014)
9. Cuyahoga County
• More than 2,500 people per square mile (NEOSCC, 2015)
• 8.2% loss of population between 2000-2010 (NEOSCC, 2015)
• 65th out of 88 counties in Health Outcomes (County Health Rankings, 2014)
• 50th in Health Factors (County Health Rankings, 2014)
• 78th in Social Economic Factors (County Health Rankings, 2014)
• 68th in Physical Environment (County Health Rankings, 2014)
10. High Degree of Segregation
Source: (Northern Ohio Data & Information Service, 2012)
11. The Aging of Cuyahoga County
by Gender
% of Total Females in Population
0-4 years
5-17 years
18-24
years
25-34
years
35-44
years
45-54
years
% of Total Males in Population
0-4 years
5-17 years
18-24
years
25-34
years
35-44
years
45-54
yearsSource: Data for charts compiled using Community Commons health indicators report generator
12. The Aging of Cuyahoga County
by Race
Age Distribution: African
American Population
0-4 years
5-17 years
18-24
years
25-34
years
35-44
years
Age Distribution: White
Population
0-4 years
5-17 years
18-24
years
25-34
years
35-44
years
Source: Data for chart compiled using Community Commons health indicators report generator.
13. All Deaths per 100,000
1999-2013
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
< 1
years
1-4
years
5-14
years
15-24
years
25-34
years
35-44
years
45-54
years
55-64
years
65-74
years
75-84
years
85+
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
14. Cardiovascular Disease Related Deaths per 100,000
1999-2013
0
100
200
300
400
500
600
700
800
900
15-24 years 25-34 35-44 45-54 55-64
Male Black2
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
15. Cancer Related Death per 100,000
1999-2013
0
100
200
300
400
500
600
700
15-24yrs 25-34 35-44 45-54 55-64
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
16. Cerebrovascular Related Death per 100,000
1999-2013
0
20
40
60
80
100
120
<1 Year 1-4 yrs 4-15 yrs 15-24 25-34 35-44 45-54 55-64
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
17. Diabetes Related Death per 100,000
1999-2013
0
20
40
60
80
100
120
140
160
35-44 yrs 45-54 55-64 65-74
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
18. Chronic Lower Respiratory Related Death
1999-2013
0
20
40
60
80
100
120
140
160
35-44yrs 45-54 55-64 65-74
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
19. Accident (non-intentional) Related Death
1999-2013
0
20
40
60
80
100
120
<1 yr 1-4 yrs 5-14yrs 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Male Black
Male White
Female Black
Female White
Source: Data compiled using CDC Wonder online database National Center for Health Statistics
20. Perceived Quality of Health
Cuyahoga County
• 15% of the Population Considers themselves in poor
to average health (County Health Rankings, 2014)
• 3.3 poor physical health days a month (County Health Rankings, 2014)
• 4.1 poor mental health days a month(County Health Rankings, 2014)
• 72nd of 88 counties in quality of life ranking (County Health Rankings, 2014)
21. Obesity
0
5
10
15
20
25
30
35
% of
Population
with BMI >30
in 2012
% of Female
Population
with BMI > 30
% of Males
with BMI > 30
% of
Population
with BMI >30
in 2004
Cuyahoga
County
Ohio
United States
Source: Data for charts compiled using Community Commons health indicators report generator
22. Food Security
Source: Case Western Reserve Mandel School of Applied Science NEO-CANDO system, blue outline = City of Cleveland
23. % of Population Experiencing food insecurity
0
5
10
15
20
25
30
% of Population Food
Insecure
% of Low Income
Population with low
food access
% of Population with
Low Food Access
Cuyahoga
County
Ohio
United
States
Source: Data for chart compiled using Community Commons health indicators report generator.
25. Food Behavior
• Percent of Adults 18+ with inadequate fruit and vegetable consumption
76.6%
• Soda Expenditures as a % of Total Household Expenditures
Ranked 82nd of 88 in Ohio
• % of food at home expenditures for Fruits and Vegetables
Ranked 32nd of 88 in Ohio
(Community Commons, 2015)
26. Physical Activity
0
5
10
15
20
25
30
% of Population
20+yrs with no
leisure time
activity
% of Female
Population 20+ yrs
with no leisure
time physical
activity
% of Males 20+ yrs
with no leisure
time activity
Cuyahoga County
Ohio
United States
Source: Data for chart compiled using Community Commons health indicators report generator
27. Access
Source: Obtained from Cleveland Plain Dealer online Northeast Ohio Media Group of map made by Smith Group JJR showing the eastside of Cuyahoga County and the existing park access problem there.
28. Access to Health Care
0
2
4
6
8
10
12
14
16
18
% of
Population
Uninsured
% of
Population
Uninsured
Female
% of
Population
Uninsured
Male
%
Uninsured
African
American
%
Uninsured
White
% of
Population
under 18
Uninsured
Cuyahoga County
Ohio
United States
Source: Data for chart compiled using Community Commons health indicators report generator
30. Health Care Professionals
0
20
40
60
80
100
120
Primary Care
Physicians per
100,000
Dentists per
100,000
Cuyahoga
County
Ohio
United
States
0
5
10
15
20
25
% of Adults
without a
Regular
Physician
% of
Population in
Health
Professional
Shortage
Area
Cuyahoga
County
Ohio
United
States
31. Lead Levels in Children and Median Housing Value
Source: Cuyahoga County Board of Health
32. Cuyahoga County Crime Statistics
Region 1: Cleveland, Lakewood, Rocky River, Bay Village, Westlake, North Olmsted, Olmsted Township, Olmsted Falls, Fairview Park, Brook Park,
Middleburg Heights, Berea, Strongsville.
Region 2: Cleveland, Brecksville, Broadview Heights, Brooklyn, Brooklyn Heights, Cuyahoga Heights, Garfield Heights, Independence,
Maple Heights, Newburgh Heights, North Royalton, Parma, Parma Heights, Seven Hills, Valley View, Walton Hills
Source: Graphs obtained from Cuyahoga County Prosecutor benchmarks and data
33. Cuyahoga County Crime Statistics (cont’d)
Region 3: Cleveland, Bedford, Bedford Heights, Bentleyville, Chagrin Falls, Glenwillow, Highland Hills, Moreland Hills, North Randall, Oakwood,
Orange, Solon, Warrensville Heights, Woodmere.
Region 4: Cleveland, Beachwood, Gates Mills, Highland Heights, Hunting Valley, Mayfield, Mayfield Heights, Pepper Pike, Richmond Heights,
Shaker Heights, South Euclid, University Heights
Source: Graphs obtained from Cuyahoga County Prosecutor benchmarks and data
34. Crime Statistics (cont’d)
Region 5: Cleveland, Bratenahl, Cleveland Heights, East Cleveland, Euclid
Source: graphs obtained from Cuyahoga County Prosecutor benchmarks and data, chart mislabeled as
Region 3
37. Opportunity
The following health topics have been identified by this Community Health Assessment that are in need of
improvement through intervention, policy change, and raising awareness. The Community Health
Assessment further indicates The City of Cleveland and the inner ring suburbs are areas of greatest critical
need and the health of the county as a whole may be best served by having initial focus on these
communities.
Poverty
Cardiovascular disease
Cerebrovascular disease
Cancer
Diabetes
Respiratory disease
Accidental death/disability
Obesity
Food environment/behavior/security
Physical environment/behavior
Crime
Access to healthcare
Geriatrics
Mental Health
Substance abuse
38. Prioritization
The prioritization process for these health issues should be established by a
predetermined member work group that is comprised of the participating
stakeholders. To make sure the process is as democratic as possible, use of the
National Association of County & City Health Officials guidelines for Nominal
Group Technique should be employed (NACCHO, 2011). This method is particular
useful in the early phases of prioritization that helps to determine group structure,
generate ideas, and allows all to have equal say in the process (NACCHO, 2011).
Step by step guidelines for this process can be found here
http://www.naccho.org/topics/infrastructure/accreditation/upload/Prioritization-
Summaries-and-Examples.pdf to facilitate the proper use of this process.
39. Available Resources
• Cuyahoga County Board of Health
• Cleveland Department of Health
• Cleveland City Planning Commission
• Cuyahoga County Prosecutors Office
• Ohio Department of Health
• Northeast Ohio Sewer District
• Ohio Department of Treasury
• Cleveland Clinic Foundation care network
• University Hospitals care network
• Case Western Reserve Mandel School of
Applied Social Science
• Cleveland State University Maxine Goodman
Levin College of Urban Affairs
• Cleveland State University Howard A. Mims
African American Cultural Center
• Cleveland Restoration Society
• Cuyahoga County Children and Family Services
• The American Heart Association greater
Cleveland chapter
• American Cancer Society greater Cleveland
chapter
• National Alliance for the Mentally Ill, greater
Cleveland chapter
• Cleveland Food Bank
• Northeast Ohio Sustainable Communities
Consortium
• Cuyahoga County Land Reutilization
Corporation
• The Urban Agriculture working group
• The National Organization of Homebuilders
Cuyahoga County chapter
• The Environmental Protection Agency
Cuyahoga County Office
• Cleveland City Mission
• Salvation Army
• Regional Transit Authority
• Cleveland Professional sport teams, Brown’s,
Indians, Cavaliers charity foundations
• Cleveland Metropark System
• Northeast Ohio Areawide Coordination Agency
• Green energy Ohio
• Cleveland Museum of Natural History
• Central Community Food Co-op
• Gund Foundation
• Cleveland Public Art
• Cleveland Industrial Retention Initiative
• State of Ohio
• Center for Disease Control and Prevention
• Various non-profit Religious and other
Charitable Organizations in the area not
mentioned directly
40. Strengths and Weaknesses
• Some of the areas’ greatest strengths are also some of the areas’ greatest weaknesses. The
World class medical facilities help to ensure adequate numbers of primary care officials in the
area and world class treatment, they can also foster a feeling of over-reliance on medical
professionals to manage health issues. The diverse population provides a large pool of far
ranging experiences and cultural information in which to draw, but also sets the stage for
segregation and isolation to occur as each group views differing community members as “the
Other”. The large population supplies better opportunity for revenue streams, larger pool of
people to try and recruit from, and more advocacy groups, but the potential for dissent on
how to prioritize, implement, and fund initiatives and issues is also larger. The multiple
number of advocacy groups provide numerous pathways to greater awareness, collaboration
opportunities, and more programs and initiatives to be implemented, but they also may lead
to information overload and volunteerism burnout or redundancy to occur wasting dollars
that could be better spent elsewhere. The good news is there are strong movements
forward across the area, initiatives like the Heritage Home Program that help homeowners
with home improvement and maintenance for homes over 50 years old, Cleveland Lakefront
Development, Northeast Ohio Sustainable Communities Initiative, Bikeway Master Plan, and
others (Cleveland City Planning Commission, 2015) reveals there is a strong commitment to
improving the environment and health of the community. By further encouraging and
identifying areas of collaboration and community empowerment between Cuyahoga County
and the City of Cleveland, commitment and community awareness will continue to grow, and
its citizens will have greater opportunity to take greater ownership and control of their
health.
41. Works Cited
• Center for Disease Control and Prevention. (2015). CDC WONDER. Retrieved from Center for Disease Control and
Prevention, National Center For Health Statistics, Underlying Cause of Death1999-2013, CDC Wonder online
database, Data from the cause of death files: http://wonder.cdc.gov/
• Cleveland City Planning. (2014). 2014 Neighborhood Fact Sheets. Retrieved from Cleveland City Planning
Commission: http://planning.city.cleveland.oh.us/2010census/factsheets.php
• Cleveland City Planning Commission. (2015). Current Activities. Retrieved from Cleveland City Planning
Commission: http://planning.city.cleveland.oh.us/cpc.html
• Community Commons. (2015). Community Health Needs Assessment Full Health Indicators Report. Retrieved from
Community Commons, date accessed 4/3/15:
http://assessment.communitycommons.org/CHNA/report.aspx?page=1&id=710
• County Health Rankings. (2014). County Health Rankings and Roadmaps, Cuyahoga. Retrieved from County Health
Rankings and Roadmaps, Building a Culture of Health County by County:
http://www.countyhealthrankings.org/app/ohio/2014/rankings/cuyahoga/county/outcomes/overall/additional
• Cuyahoga County Board of Health. (2014). Child and Family Health Services (CFHS) Community Health Indicators
Project. Retrieved from Cuyahoga County Board of Health: http://www.ccbh.net/storage/child-and-family-
health/CFHS%20Indicators%20Report_2014%20Update_FINAL.pdf
• Cuyahoga County Prosecutor. (2014). Regional Crime Statistics. Retrieved from Cuyahoga County Office of the
Prosecutor: http://prosecutor.cuyahogacounty.us/en-US/benchmarks-data.aspx
• Health Improvement Partnership. (2013, March 21). Community Health Status Assessment of Cuyahoga County,
Ohio. Retrieved from Health Improvement Partnership:
http://www.naccho.org/topics/infrastructure/accreditation/upload/full-chachipcombined-3-20-13.pdf
42. Works Cited
Mandel School of Applied Social Science. (2009, September 22). NEO-CANDO updates: Social and Economic Data.
Retrieved from Case Western Reserve University, Mandel School News and Events:
http://blog.case.edu/msass/2009/09/22/neo_cando_updates_social_and_economic_data.html
NACCHO. (2011, October 18). First Things First: Prioritizing Health Problems. Retrieved from National Association of
County and City Health Officials: http://www.naccho.org/topics/infrastructure/accreditation/upload/Prioritization-
Summaries-and-Examples.pdf
NEOSCC. (2015). Population Decline, Northeast Ohio's population is spreading out. Retrieved from Northeast Ohio
sustainable Communities Consortium: Northeast Ohio sustainable Communities Consortium
Northern Ohio Data & Information Service. (2012, August). Maxine Goodman Levin College of Urban Affairs. Retrieved
from Cleveland State University: http://urban.csuohio.edu/nodis/gis_CBMaps.html
Ohio Dept. of Health. (2015). Public Health Assessment and Wellness. Retrieved from Ohio Department of Health:
http://ship.oh.networkofcare.org/ph/indicator.aspx?id=25&c=5
Robert Woods Foundation. (2014, May 12). County Health Rankings and Roadmaps. Retrieved from Robert Woods
Foundation Web site, July 27 2014: http://www.countyhealthrankings.org/app/ohio/2014/overview
U.S. Census Bureau. (2010). American Fact Finder. Retrieved from U.S. Department of Commerce United States Census
Bureau: http://factfinder.census.gov/rest/dnldController/deliver?_ts=445011178441
U.S. Census Bureau. (2014). American Fact Finder. Retrieved from U.S. Department of Commerce United States Census
Bureau: http://factfinder.census.gov/rest/dnldController/deliver?_ts=445011178441