PowerPoint Presentation · Medical Director of Clinical Informatics Attending Neonatologist, ......
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11/7/2016 1 State of Our Babies’ Health in Syracuse Syracuse Healthy Start Healthy Families Onondaga County Health Department November 4, 2016 Sharon Owens Chief Executive Officer, Syracuse Community Connections Dr. Indu Gupta, MD MPH MA FACP Commissioner of Health, Onondaga County Health Department Social Determinants of Health Lisa GreenMills, RN, MPH Program Coordinator, Syracuse Healthy Start Onondaga County Health Department
Transcript of PowerPoint Presentation · Medical Director of Clinical Informatics Attending Neonatologist, ......
11/7/2016
1
State of Our Babies’ Health in
Syracuse
Syracuse Healthy Start
Healthy Families
Onondaga County Health Department
November 4, 2016
Sharon Owens Chief Executive Officer, Syracuse Community Connections
Dr. Indu Gupta, MD MPH MA FACP Commissioner of Health, Onondaga County Health Department
Social Determinants of Health
Lisa GreenMills, RN, MPH Program Coordinator, Syracuse Healthy Start
Onondaga County Health Department
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Onondaga County Health Department
Healthy Families
WIC
Early Intervention
Preschool Special
Education
Immunization Clinic
Health Education
Home Visitation
Home Visitation with Healthy Families
Programs
Syracuse Healthy Start
Nurse Family Partnership
Family Life Teams
Maternal Infant Community Health
Collaborative (MICHC)
Home Visiting Staff
Public Health Nurses
Public Health Social Workers
Community Health Workers (CHW)
Fatherhood CHW
Doulas
What happens during a home visit?
Health education
Screenings
Goal setting
Referrals to
community services
Advocacy
Health system
navigation
Short term mental
health support
3 Easy Ways to Refer Call
435-2000
SHS Target Population
Families in the City of Syracuse
Pregnant or parenting a child under age 2.
Approximately 2,000 babies born each year in Syracuse.
Healthy Start Clients in 2015:
1,062 families served
417 births
10,969 home visits
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Race
White
23%
Black
43%
Other
21%
Multiple
13%
Mother’s Place of Birth
United
States
76% Bhutan/Nepal
9%
Burma/Myanmar
5%
Somalia
2% Other
African
Countries
3%
Central/South
American
Countries
1%
Eastern
European
Countries
2%
Other Asian
Countries
2%
Other
24%
Primary Language
English
86% Nepali
4%
Spanish
2%
Somali
2%
Burmese
2%
Karenni
1%
Other
3% Non-
English
14%
3% Other includes: Karen, Swahili, Arabic, Samoan, Kinyarwanda, French, Sudanese, Bengali Bangla, Korean, Vietnamese, Kirundi
Age Distribution
Under 18
12%
18-19
14%
20-23
26%
24-34
42%
Over 35
6%
Education Level (for women ≥ 20)
Less
than HS
49% HS or
greater
51%
Health Insurance
Medicaid
98%
Other
2%
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Referral Sources and Timeframe
Hospitals
34%
Health
Department
Programs
22%
Self referrals
20%
Other
Community
Agencies
13%
Medical
Providers/
Practices
9%
Social Services
2%
During
Pregnancy
54%
Postpartum
46%
Referral Outcomes
Opened to
Services
51% Declined
Services
27%
Could not
locate
15%
Other
4%
Father Engagement
Yes
62%
No
38%
During Pregnancy
Yes
68%
No
32%
After Child is Born A Father’s Role
John Akins
Fatherhood Community Health Worker
Syracuse Community Connections
Data Trends in
Maternal and Child Health Dr. Martha Wojtowycz, PhD Syracuse Healthy Start Evaluator
Director CNY MPH Program, Vice Chair for Education, Department of Public Health and Preventive Medicine
SUNY Upstate Medical University
First Trimester Prenatal Care
0
10
20
30
40
50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
69.3
78.2
63.9 66.8
62.2
77.6
57.7 55.6
0
10
20
30
40
50
60
70
80
90
100
Total White Black Hispanic
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WIC Enrollment
0
10
20
30
40
50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
69.1
52.5
81.2 84.1
89.6 85.3
89.1 86.1
0
10
20
30
40
50
60
70
80
90
100
Total White Black Hispanic
Smoking During Pregnancy
0
5
10
15
20
25
30
35
40
45
50
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS18.4
24.1
17.1
10.2
21.8
39.7
23.4
5.6
0
5
10
15
20
25
30
35
40
45
50
Total White Black Hispanic
Spacing between pregnancies < 24 months
0
5
10
15
20
25
30
35
40
45
50
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
25.0 24.9 26.9
20.8
34.1
40.6 38.3
11.1
0
5
10
15
20
25
30
35
40
45
50
Total White Black Hispanic
Repeat Teen Pregnancy
0
5
10
15
20
25
30
35
40
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS 14.7
5.9
16.7 17.6
11.4
0.0
16.7
0.0 0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
Total White Black Hispanic
Unintended Pregnancy
0
10
20
30
40
50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
Illegal Drug Use During Pregnancy
0
5
10
15
20
25
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
12.0 11.0
16.0
8.9
15.8
20.6 21.1
13.9
0
5
10
15
20
25
Total White Black Hispanic
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LBW and VLBW (singletons)
0
2
4
6
8
10
12
14
16
18
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
LBW Area
LBW SHS
VLBW Area
VLBW SHS
1.5 1.0 1.0
1.5 1.9
0.8
2.9
0.0
7.6
7.0
5.7
6.1
10.5
9.5
6.6
0.0
0
2
4
6
8
10
12
14
Total White Black Hispanic
Preterm Births (singletons)
0
2
4
6
8
10
12
14
16
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
7.7
5.8
8.9
7.4 8.0
7.6
9.5
0.0 0
2
4
6
8
10
12
14
16
Total White Black Hispanic
Small for Gestational Age (singletons)
0
5
10
15
20
25
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
12.2
8.7
16.0
10.7
16.4
13.6
21.4
11.8
0
5
10
15
20
25
Total White Black Hispanic
Method of Birth
C-Section
30%
Vaginal
70%
Healthy Start Clients
NICU Admission
0
5
10
15
20
25
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
12.3 12.2 12.0 11.8
16.1
19.1
11.7 11.1
0
5
10
15
20
25
Total White Black Hispanic
Breastfeeding
0
10
20
30
40
50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Area
SHS
64.3 66.9
56.9
66.1 61.1
51.5 53.1
72.2
0
10
20
30
40
50
60
70
80
90
100
Total White Black Hispanic
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Our Goal is to Reduce Infant Mortality
City of Syracuse* SHS Project*
2012-2014 2013-2015 2012-2014 2013-2015
Infant Mortality Rate**
(all races combined) 6.9 8.3 5.9 5.8
White Infant Mortality
Rate 4.9 6.4 6.6 10.5
African-American Infant
Mortality Rate 12.3 13.4 7.6 7.6
*Data for 2014 and 2015 are provisional. ** Rate per 1,000 live births.
Key Issue: Safe Sleep Susan Serrao, MSN RN PNP Director of Healthy Families Division Onondaga County Health Department
Key Issue:
Neonatal Abstinence Syndrome Dr. Michelle Bode, MD MPH Medical Director of Clinical Informatics Attending Neonatologist, Crouse Hospital
Community
Action Network
Keturah Albright Community Action Network Coordinator
Syracuse Community Connections
Community
Doula
Program
Vickie Patterson Doula
Syracuse Healthy Start
What Affects Our Health?
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One Individual struggling with a difficult issue, supported by family and community; gets supportive environment and services; with strong local, state & national policies- will enjoy better health
Public Health System
Source: Public Health Practice Program Office, Centers for Disease Control and Prevention , National Public Health
Performance Standards Program, User Guide (first edition), 2002. (Current version available at www.cdc.gov/nphpsp)
Community Centers
Employers
Transit
Elected Officials
Doctors
EMS
Law Enforcement
Nursing Homes
Fire
Corrections
Mental Health
Faith Institutions
Civic Groups
Nonprofit Organizations
Neighborhood Organizations
Laboratories
Home Health
CHCs
Hospitals
Tribal Health
Drug Treatment Public Health Agency
Thank you
Dr. Indu Gupta, MD MPH MA FACP
Commissioner of Health, Onondaga County Health Department
Sharon Owens
Chief Executive Officer, Syracuse Community Connections
Lisa GreenMills, RN MPH
Program Coordinator, Syracuse Healthy Start (OCHD)
John Akins
Fatherhood Community Health Worker, Syracuse Community Connections
Dr. Martha Wojtowycz, PhD
Director CNY MPH Program, SUNY Upstate Medical University
Susan Serrao, MSN RN PNP
Director of Healthy Families Division, Onondaga County Health Department
Dr. Michelle Bode, MD MPH
Attending Neonatologist, Crouse Hospital
Keturah Albright
Community Action Network Coordinator, Syracuse Community Connections
Pamela Parker
CNY Perinatal Data Coordinator, Center for Maternal & Child Health
Contact Information
