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  Health Care Final 10-15-09

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Health Care Final 10-15-09
Healthy State
Economic Recovery
Action Plan
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 1. Washington Insured

1.1 - Percent of Washingtonians with Health Insurance95%87.7%OFM, DSHS, HCAIn 2008, the percent of Washingtonians insured declined. During this same period statewide the percent of children insured increased to 95.4% while the percent of adult insured decreased to 84.5%. Data current as of April 2009.

 2. Provider Availability

2.1 - Avoidable Emergency Department Visits 46%DSHSFor DSHS Fee For Service clients, the percent of avoidable Emergency Department (ED) visits remained fairly stable from 46.6% in SFY 2000 to 46.0% in SFY 2008. Data as of August 2009.

 3. Chronic Disease & Injury Prevention

3.1 - Coronary Heart Disease Death Rates 108113DOHThe coronary heart disease death rate fell from 114.4 in 2006 to 112.7 per 100,000 in 2007. Washington appears to have a lower coronary heart disease death rate than the US rate. On track to meet the target of 108 by 2013. Data current as of January 2009.
3.2 - Hospitalization Rate Due to Falls for the 65+ Population1686.09 per 100,000 1,709.7 per 100,000DOHThe rate of hospitalizations for falls in 2008 decreased 1.0% from 2006 to 2008. While the rate has gone down, the number has increased by 632 because of the increasing population of those 65 and older. Target: 06/30/12. Current through 2008.
3.3 - Cancer: Rate of Death from Breast CancerBreast-21.3 per 100,000Breast-22.9 per 100,000DOHThere has been a 2.3% per year decrease for female breast cancer. Declines in cancer death rates indicate progress in cancer control, reflecting a combination of prevention, early detection and treatement. Current through 2007.

 4. Communicable Disease

4.1 - Children (19-35 months) Who Receive All Recommended Vaccines80% 73.5%DOH73.5% of Washington's toddlers 19 - 35 months old get the right immunizations at the right time. Rate increase of 21.5% since 2002 have been helped by outreach to families, partnerships with stakeholders, and a focus on using the CHILD Profile registry.

 5. Environmental Health

5.1 - Percent of Drinking Water Surveys Completed with No Critical Deficiency81% 77%DOHData show the percent of water systems with no significant deficiencies decreased from 82% in FY 07 to 77% in FY08. These significant deficiencies could indicate potentially unsafe drinking water. Data current as of October 2008.

 6. Evidence Based Care Management

6.1 - Health Technology Assessments 81HCAThe target is to complete 8 assessments by Dec. 2009; the first assessment was completed in May. Currently two assessments are in progress and two are in initial review. Currently on schedule to meet Dec. 2009 target. Data current as of May 2009.
6.2 - Percent of Major-Trauma Patients Who Survive88.5%87.3%DOHThe survival rate for critically injured patients has increased from 77.1% in 1995 to 87.3% in 2008. This is slightly down from 87.4% in 2007. Since 1995, about 2,300 critically injured patients survived who might otherwise have died. Data through 2008.

 7. Chronic Care Management

7.1 - Diabetes Management29.0 % (benchmark)27.6%HCAEnrollees in HCA-participating managed care health plans are improving their blood-sugar control over previous years. At 27.6% with poor control, WA is not significantly different from the 29.0% benchmark national average. Data current through 2008.

 8. Department of Social and Health Services Cost

8.1 - Growth in DSHS Medical Program Costs Compared to Washington's Personal Income5.3% 6.0% DSHSUntil recently, Washington's per capita personal income continued to grow at a faster rate than DSHS medical programs per capita expenditure growth rate. Data is through FY 08.

 9. Health Care Authority

9.1 - Rate of PEBB Premium Increase Compared to National benchmark6.4 %3.0%HCAThe actual rate increase for Public Employees Benefits Board (PEBB) participating health plans increased 3.0% for CY 2009, this is less than the 7.9% increase initially projected. The 2009 Mercer survey average is 5.7%. Data current as of August 2009. 
9.2 - Basic Plan Health Cost 9.4% (budgeted)4.2%HCAThe subsidized cost for Basic Health increased 4.2% in calendar year 2009 compared to 8.2% in 2008. For 2010, the subsidized cost for Basic Health is projected to decrease 37.4% in calendar year 2010 from 2009. Data as of August 2009.