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  Health Care Final 11-16-11

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Health Care Final 11-16-11
Healthy State
Action Plan
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Health Care

 1. Washington Uninsured

1.1 - Percent of Washingtonians without Health Insurance5%13.8%OFM, DSHS, HCABasic health care enrollments decline: as of September 2011, 35,758 individuals were enrolled. As of May 2011, the number of children receiving state-subsidized health care coverage has leveled off with an estimated 728,000 children enrolled.

 2. Provider Availability

2.1 - Avoidable Emergency Department Visits 44.3%DSHSTotal emergency department visits paid through Medicaid fee-for-service increased from 285,820 in 2007 to 334,371 in 2010. However, the percent of avoidable emergency department visits in 2010 remained stable at 44.3% in 2010. Updated April 2011.

 3. Chronic Disease & Injury Prevention

3.1 - Coronary Heart Disease Death Rates 95100DOHThe coronary heart disease death rate fell from 104 in 2009 to 100 per 100,000 in 2010. Washington appears to have a lower coronary heart disease death rate than the US rate. Reset target to 95 deaths per 100,000 by 2013. Data current as of 09/2011.
3.2 - Stroke: Rate of Deaths per 100,000 35 37 DOHStroke death rate decreased from 38 per 100,000 in 2009 to 37 per 100,000 in 2010. Previous 2013 target of 44 deaths per 100,000 was met ahead of schedule as a result; we reset the target to 35 deaths per 100,000 by 2013. Data current as of 09/2011.
3.3 - Hospitalization Rate Due to Falls for the 65+ Population1,686.1 per 100,000 1,674.1 per 100,000DOHThe rate of hospitalizations for falls decreased from 1,705.9 in 2009 to 1,674.0 in 2010 per 100,000. Among those who fell in Washington, 29% reported that they saw a doctor or limited their activities for a day or more. Data through 2010.
3.4 - Cancer: Rate of Death from CancerBreast-20.6 per 100,000Breast-20.8 per 100,000DOHBreast cancer deaths decreased to 20.8 per 100,000 in 2009, from 21.0 in 2008. Declines in cancer death rates indicate progress in cancer control, reflecting a combination of prevention, early detection and treatment. Updated January 2011.

 4. Communicable Disease

4.1 - Children (19-35 months) Who Receive All Recommended Vaccines80% 73.7%DOH73.7% of Washington’s toddlers 19-35 months old get the right immunizations at the right time. Between 2009 and 2010, Washington’s series rate rose by 3.4% while the national average rose 5%. We are just below the national average by 1.5%.

 5. Environmental Health

5.1 - Percent of Drinking Water Surveys Completed with No Critical Deficiency85% 82%DOHData show the percent of water systems with no significant deficiencies increased from 77% to 82% in FY10. Most water systems with significant deficiencies are small, typically serving less than 250 people each. Data current as of October 2011.

 6. Evidence Based Care Management

6.1 - Health Technology Assessments 83HCAIn 2011, 3 assessments are finalized authorizing conditional coverage; two are pending final decision due in Nov. Decisions have confirmed and changed state coverage and resulted in up to $36.5 million per year in cost avoidance from 2007 to date.
6.2 - Percent of Major-Trauma Patients Who Survive88.5%86.6%DOHThe survival rate for critically injured patients remains stable at 86.6% in 2010 compared to 87.2% in 2009. Since 1995, about 3,370 critically injured patients survived who might otherwise have died. Data through 2010.

 7. Chronic Care Management

7.1 - Diabetes ManagementVariesVariesHCADiabetes control efforts for Uniform Medical Plan with diabetes fall short of expected targets to meet or exceed 5-county regional average: cholesterol screening (64%), eye exams (51%), blood sugar screening (69), and kidney screening (78%).

 8. Department of Social and Health Services Cost

8.1 - Growth in DSHS Medical Program Costs Compared to Washington's Personal Income-0.4% -5.8% DSHSIn 2010, DSHS medical programs per capita cost decreased by 5.8% compared to .4% decrease in Washington per capita cost. Caseload is among the many factors that influence cost growth. Data through SFY 2010. Annual update in the 3rd Qtr.

 9. Health Care Authority

9.1 - Rate of PEBB Premium Increase Compared to National benchmark6.4 %0.2%HCAThe CY2010 composite rate increase for Public Employees Benefits Board (PEBB) participating health plans is 0.2% compared with a 7.9% increase for CY 2009. Annual update in the 4th Qtr.
9.2 - Basic Plan Health Cost 9.4% (budgeted)4.2%HCASubsidized 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. Annual measure.