Healthy Lee Dashboard 2017

Favorable
Direction
U.S. 2007 Lee 2011 Lee 2014 Lee 2015 Lee 2016 Lee 2017 Lee Current Healthy People 2020 or
Florida 2011 2014 2017
Average County County County County County County Trend Other Target

$
Healthy Lifestyles No Increase
% of population obese (BMI >= 30) 28.50% 23.00% 29.3%a 24.8%a 31.2%a 26.50% 23.00%
33.40% 6.40% 26.80%

Tobacco Use
$ 16.60%
14.00%
15.60% 17.9%a 13.5%a 13.4%a
0.10%
17.1%
15.80%
12% or below

Infant Mortality
$ 6.90%
5.90%
7.30% 6.1%b 5.1%b 5.9%b 5.7%b 5.8%a
0.10%
6.00%
6.20%
6% or below

Low Birthweight <2500 grams

$ 8.70%
8.00%
8.40% 8.6%b 8.1%b 9.0%b 8.5%b 8.1%a 0.40% 8.60%
8.60%
7.8% or below

Prenatal Care in the First Trimester

# 70.80%
74.20%
71.20% 70.9%b 73%b 73.8%b 71.9%b 63.4%a 8.50% 80.00%
71.70%
77.9% or higher

$
Primary Care Alternatives US Average
Fair or Poor Physical Health 16.80% 17.90% 17.60%a 15.9%a 13.5%a 2.40% 16.50% 18.30%
18.30% 18.40%

$
Chronic Disease FL Average
Prevalence of Diabetes 10.10% 12.50% 13.50%a 12.0%a 14.5%a 2.50% 10.70% 11.30%
14.50% 11.30%

Emergency Department Diabetes Diagnosis

$ 1433c 1508c 1898c 2028c 2280c 12.40% NA No Increase

$
No Increase
Prevalence of Asthma 7.50% 6.10% 9.10%a 7.9%a 10.2%a 2.30% 6.90% 6.1%
9.50% 7.50%

Emergency Department Asthma Diagnosis

$ 3067c 3208c 3175c 3271c 2662c 18.60% NA No Increase

Behavioral Health

$
No Increase
Fair or Poor Mental Health 11.70% 9.20% 10.80%a 13.8%a 13.1%a 0.10% 11.80% 9.20%
15.50%

#
Public Awareness Improve
Have Heard of Healthy Lee 10.9%a 15.2%a 1.0%

#
Improve
Have Heard of "Choose, Commit, Change" 8.8%a 7.3%a 1.0%

Of those, Healthy Lee has Impacted Lifestyle

# 28.8%a 27.5%a Maintain

Workforce Shortage

87.8
79.8

Electronic Medical Record Stage 1 Stage 2 Penalties Stage 3

Meaningful Use 2011 2012 2013 2014 2015 2016 2017-18
LMHS/LPG None
PPC None
FHC Pending None MACRA
IMA None
DOH Lee None
MPG None

Interoperability (long term) TBD

a
= at or better than Target PRC bFlorida Charts cLMHS Data
e
= belowTarget, no immediate concern CMS-defined Estimated Community Need
= below Target, immediate concern Blue Most recent Benchmark Data
 Obesity was selected as
% of Population Obese Favorable the overall indicator to
Direction monitor for improving
(BMI >= 30) health. We set our
35.00% target to stay near the
Lee County, Florida
2007 level at 23%. 2017
shows a 35% overall
30.00% U.S. Average increase. Lees current
31.2% is lower than the
25.00% Florida U.S. average (33.4%),
higher than Florida
Healthy People 2020 (26.8%), and similar to
20.00% the 30.5% HP 2020 goal.
or Other Target
2007 2011 2014 2017

Lee County has

Tobacco Use Favorable
improved and is better
Direction
19.00% than both national and
18.00%
Florida Tobacco use
Lee County, Florida rates but still not
17.00%
achieving HP 2020 goal.
16.00%
U.S. Average
15.00%
14.00%
Florida
13.00%
12.00%
Healthy People 2020
11.00%
or Other Target
10.00%
2007 2011 2014 2017

Lee County has

Infant Mortality Favorable improved and is better
7.50% Direction than HP 2020 goal or
national and state
7.00% averages for Infant
Lee County, Florida Mortality.
6.50%

6.00% U.S. Average

5.50% Florida
5.00%
Healthy People 2020
4.50% or Other Target

4.00%
2007 2011 2014 2015 2016 2017
 At 8.1%, Lee continues
Low Birthweight Favorable to hover slightly higher
Direction
<2500 grams than the HP 2020 goal.
Need continued effort
9.50% to improve. Data
Lee County, Florida reported in 2017 is for
9.00% the 3-year average 2013
8.50% U.S. Average 2015.

8.00% Florida
7.50%
Healthy People 2020
7.00% or Other Target
2007 2011 2014 2015 2016 2017

We lag Florida and the

Prenatal Care in the Favorable HP 2020 goal for
Direction prenatal care. Lee
First Trimester County continues to see
85.00% fewer cases of prenatal
Lee County, Florida care in the first
80.00%
trimester. We remain
75.00% U.S. Average worse than all
benchmarks.
70.00% Florida
65.00%
Healthy People 2020
60.00% or Other Target
2007 2011 2014 2015 2016 2017

Continued
Primary Care Alternatives: Favorable improvement is
Direction reported in reduced Fair
Fair or Poor Physical Health or Poor Health. We are
21.00% now better than both
19.00% Florida and the U.S.
average, which is also
17.00% our goal since there is
Lee County, Florida
15.00% no HP 2020 goal here.
U.S. Average (Goal) This is significant
13.00% improvement and may
Florida
11.00% show the impact of our
several initiatives to
9.00%
address the uninsured
2007 2011 2014 2017
at risk populations of
Lee County through ED
Alternatives.
 Goal is to reach Florida
Prevalence of Diabetes Favorable
average. Lee County
Direction
15.00% has reversed the 2014
improvements and is
14.00%
now identical to the
13.00% U.S. average. Lee
Lee County, Florida
12.00% Prevalence of diabetes
U.S. Average has increased 16% since
11.00%
Florida (Goal) 2007. Prevalence has
10.00% increased for all
9.00% benchmarks.
8.00%
2007 2011 2014 2017

Increases continue in
Emergency Department Diabetes use of the Emergency
Departments of our
Diagnosis Favorable
hospitals for patients
Direction
2500 with a primary diabetes
diagnosis.
2000

1500
Lee County, Florida
1000 Goal: No Increase

500

0
2007 2011 2014 2015 2016
Lee Memorial Health System Data

We have seen a 67%

Prevalence of Asthma Favorable increase in the
11.00% Direction prevalence of asthma
since 2007 and are now
10.50%
worse than the U.S. and
10.00%
Florida. Our goal was to
9.50% have no increase from
9.00% Lee County, Florida
2007 level.
8.50% U.S. Average
8.00% Florida
7.50% Goal: No Increase
7.00%
6.50%
6.00%
2007 2011 2014 2017
 We have seen a
Emergency Department Asthma decrease in emergence
Diagnosis Favorable department diagnosis
for asthma patients.
Direction
3500 We have met this goal.
3000 We may want to
evaluate other goals for
2500 the future.
2000
Lee County, Florida
1500
Goal: No Increase
1000
500
0
2007 2011 2014 2015 2016
Lee Memorial Health System Data

The percentage of Lee

Fair or Poor Mental Health Favorable County adults who
16.00% Direction report fair or poor
mental health has
15.00% increased significantly
14.00% since 2007 to 13.1% in
Lee County, Florida
2017. Our stated goal
13.00%
has been no increase
12.00% from our starting point
U.S. Average
11.00% of 9.2% in 2007.
However, we are now
10.00%
below the U.S. average
Goal: No Increase
9.00% of 15.5%
8.00%
2007 2011 2014 2017

Awareness of the
Have Heard of Healthy Lee Favorable Healthy Lee
16.0% Direction Community Initiatives
has increased
15.0% significantly since
14.0% 2014.
13.0% Lee County, Florida

12.0% Goal

11.0%
10.0%
2014 2017
 Respondents are less
Have Heard of "Choose, Commit, familiar with the
Change" Favorable tagline than the overall
Healthy Lee brand.
Direction
10.5%
10.0%
9.5%
9.0%
8.5%
Lee County, Florida
8.0%
Goal
7.5%
7.0%
6.5%
6.0%
2014 2017

More than 27% of those

Of those, Healthy Lee has Impacted who have heard of
Healthy Lee initiatives
Lifestyle Favorable
report they have
Direction
changed their lifestyles
34.0%
in response to Healthy
32.0% Lee for improved
30.0% health. This is similar to
28.0% the 28.8% who
Lee County, Florida
reported in 2014.
26.0% Goal
24.0%
22.0%
20.0%
2014 2017
 This graph now displays
Favorable
the increase in primary
Direction
care physicians per
87.8
100,000 population,
showing a 21%
79.8
improvement since
2007. We are still worse
than Florida or the U.S.
Additional specialist
shortages have been
documented.

Data source 2017 PRC CHNA

Electronic Medical Record Stage 1 Stage 2 Penalties Stage 3

Meaningful Use
2011 2012 2013 2014 2015 2016 2017
Yes/No
LMHS/LPG Yes Yes Yes Yes Yes Yes None
PPC Yes Yes Yes Yes Yes Yes None MACRA
FHC Yes Yes Yes Yes Yes Pending None
IMA Yes Yes Yes Yes Yes Yes None
DOH Lee Yes Yes Yes Yes Yes Yes None

Interoperability (long term) TBD

 2017 County Health Rankings

County Health Outcomes Favorable

40 Direction

35
Ranking Among 67 Counties

30

25
Lee
20
Collier

15 Charlotte

10

0
2010 2011 2012 2013 2014 2015 2016 2017

County Health Factors

35 Favorable
Direction
30
Ranking Among 67 Counties

25

20
Lee
Collier
15
Charlotte

10

0
2010 2011 2012 2013 2014 2015 2016 2017