Aging with Dignity Marcus Plescia, MD, MPH
BOARD OF COUNTY COMMISSIONERS ANNUAL RETREAT
Overview: Aging with Dignity
Community priority areas:
1. Chronic Disease
2. Mental Health
3. Violence Prevention
Leading Causes of Death in Mecklenburg County:
1. Cancer
2. Heart Disease
3. Alzheimer’s Disease
Top Health Disparities in Mecklenburg County:
1. HIV
2. Diabetes
90-26
3. Birth Outcomes
Mecklenburg County Public Health Priority Area (PHPA)
Six zip codes targeted to improve health behaviors.
2014 Median Household Inco
Mecklenburg Cou
Public Health Priority Area
Prepared by Mecklenburg Count
Overview: Aging with Dignity Mecklenburg County Population 65+
Source: Demographic data provided by Mecklenburg County GIS (2014 Applied Geographic Solutions, Inc.)
Prepared by Mecklenburg County GIS
90-27
Three modifiable health behaviors can help prevent Premature Death and Disability
GOAL 3: Improve monitoring and increase access to resources and care that address health disparities
Objective 1: Take faith‐based programs to scale and expand self management interventions
◦ Village HeartBEAT expansion
Objective 4: Expand access to neighborhood data
◦ Enhance local health data
90-28
Village HeartBeat Background:
Our Health, Our Priority, Our Community
Capacity Building
Community Engagement
Community Building
Always Leaving Something Behind
Trust
“Go to the people. Live with them. Learn from them. Love them. Start with what they know.” – Lao Tzu Implement National Million Hearts Initiative
Village HeartBeat (Objective 1)
90-29
Small Area Analysis Needed
Public Health Priority Area
MCHD Public Health Priority Area
2013 Population
210,355
Mecklenburg
990,977
2012 Death Rates for Select Conditions (per 100,000)
Lung Cancer
39.5
28.8
Heart Disease
126.5
107.5
Stroke
37.5
27.1
Diabetes
20.0
12.7
COPD
26.6
26.3
Enhance local health data (Objective 4)
90-30
While data on mortality is readily available at the zip code level, information on health conditions and behaviors are not.
Source: NC DHHS State Center for Health Statistics
Overview: Community Health and Wellness Cancer, Heart Disease and Stroke account for nearly 50% of deaths
Source: NC DHHS State Center for Health Statistics
Leading Causes of Death Population 65 Years or Older
Places of Worship & Village HeartBEAT Participants in PHPA
90-31
2015 Village HeartBEAT Participants by Age Group
Village HeartBeat (Objective 1)
Mecklenburg County Public Health Priority Area (PHPA)
Six zip codes targeted to improve health behaviors.
2014 Median Household Inco
Mecklenburg Cou
Public Health Priority Area
Prepared by Mecklenburg Count
Enhance local health data (Objective 4) 90-32
Aging with Dignity Marcus Plescia, MD, MPH
BOARD OF COUNTY COMMISSIONERS ANNUAL RETREAT
90-33
Park & Recreation Aging with Dignity
Jim Garges, Director
BOARD OF COUNTY COMMISSIONERS ANNUAL RETREAT
Background
11.7M Park Visits
By Residents in FY14
(not including tourists)
74% of Households
Utilize Parks
Use of Parks, Preserves, Trails & Centers by Age Group:
70.9% of Residents Ages 55‐64
215+ Parks, Preserves, and Facilities
60.9% of Residents Ages 65+
90-34
Background
Facility Priority Rankings by Age
Program Priority Rankings by Age
Program Priority Rankings by Age
Overall
Ranking
Adult Fitness and Wellness Programs
Special Events/Festivals
Outdoor Adventure Programs
Education/Life Skills Programs
Water Fitness Programs
Senior Programs
Youth Learn to Swim Programs
Adult Swim Programs
Adult Art, Dance, Performing Arts
Nature Education Programs
Adult Sports Programs
Youth/Teen Summer Camp Programs
Youth/Teen Fitness and Wellness Programs
Tennis Lessons, Clinics, Leagues
Youth/Teen Sports Programs
Pre-School Programs
Programs for People with Disabilities
Martial Arts Programs
Before and After School Programs
Golf Lessons
Youth/Teen Art, Dance, Performing Arts
Gymnastics and Tumbling Programs
Rationale
90-35
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
U-35
1
6
4
3
9
19
2
8
14
10
7
16
18
13
15
5
22
12
11
21
17
20
35-44
3
1
5
4
8
21
2
18
15
10
12
9
14
17
7
6
19
16
11
22
20
13
45-54
55-64
1
2
3
5
4
17
18
7
6
11
13
9
8
10
12
22
15
14
21
16
19
20
65+
1
5
4
6
3
2
13
7
9
8
11
17
16
14
20
21
12
15
18
10
19
22
1
4
14
6
3
2
9
5
7
13
11
12
15
10
16
20
8
18
17
19
21
22
Rationale
Aging Profile of Mecklenburg County
Ages 60 +
113%
Ages 60+
Goal 1: Increase the availability of fitness and wellness programs and awareness of facilities and services. Objective 1: Create and expand exercise program opportunities and outreach efforts for fitness and wellness activities
90-36
Senior Games 90-37
Park & Recreation Aging with Dignity
Jim Garges, Director
BOARD OF COUNTY COMMISSIONERS ANNUAL RETREAT
90-38