Show All

Goal 3.1: Reduce the prevalence and mortality rates of chronic diseases in the Partnership area

Health Indicators
The following health indicators help track progress and current status on improving Chronic Disease and Wellness.
Compared to MD Counties, Somerset, MD has a value of 12.5% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 11.0% while counties in the worst 25% have a value higher than 12.1%. Compared to MD Counties, Somerset, MD has a value of 12.5% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 11.0% while counties in the worst 25% have a value higher than 12.1%.
Adults with Diabetes
Compared to MD Counties, Somerset, MD has a value of 460.4 which is in the worst 25% of counties. Counties in the best 50% have a value lower than 380.3 while counties in the worst 25% have a value higher than 458.6. Compared to MD Counties, Somerset, MD has a value of 460.4 which is in the worst 25% of counties. Counties in the best 50% have a value lower than 380.3 while counties in the worst 25% have a value higher than 458.6.
Age-Adjusted ER Rate due to Hypertension
Compared to MD Counties, Somerset, MD has a value of 43.0% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 36.3% while counties in the worst 25% have a value higher than 39.5%. Compared to MD Counties, Somerset, MD has a value of 43.0% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 36.3% while counties in the worst 25% have a value higher than 39.5%.
Adults Who Are Obese
Compared to MD Counties, Somerset, MD has a value of 15.6% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 10.7% while counties in the worst 25% have a value higher than 12.8%. Compared to MD Counties, Somerset, MD has a value of 15.6% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 10.7% while counties in the worst 25% have a value higher than 12.8%.
Frequent Physical Distress

County: Somerset, MD

(Compared to MD Counties)

         Objective 1                    

By June 2025, reduce the prevalence of diabetes among adults in the service area.

Wicomico: Reduce prevalence to 8.0% (Baseline: 10.9% in 2020).

Somerset: Reduce prevalence to 13% (Baseline: 15.7% in 2020).

Sussex: Reduce prevalence to 13% (Baseline 14.7% in 2019).

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Facilitate at least two Diabetes Prevention Program (DPP) cohorts per fiscal year. (WiCHD)

  • Strengthen referral process between primary and providers and DPP providers. (WiCHD)

  • Facilitate at least three Diabetes Prevention Program groups per fiscal year. (SCHD)

  • Maintain the current referral process and relationship with Chesapeake Healthcare (CHC). Also try to connect with other providers to receive additional referrals. (WiCHD)

  • Increase referrals from TidalHealth primary care providers – utilize CRISP DPP report to identify potential patients for referrals (TidalHealth)

  • Engage at least 2 healthcare providers to refer participants to DPP (SCHD)

Performance Measures

  • Number of DPP cohorts

  • Documented referral process

  • Number of health care providers referring to the DPP (5)

  • Number of individuals referred to DPP programs to reduce risk factors for type 2 diabetes (25)

  • Number of cohorts launched

  • Number of DPP participants enrolled; number of participants retained by session 4 (30)

         Objective 2                    

By June 2025, reduce the rate of hospital ED visits, admissions and readmissions for diabetes and hypertension among adults.

Based on Maryland CRISP data provided in 2019: 5% reduction in average hospital encounters for hypertension (rate: 470/1000 5% reduction in average hospital encounters for diabetes (rate: 8/1000).

How We Will Accomplish This Objective

Strategies (Project Owner)

Jan
2023

  • Operate a mobile integrated health program (SWIFT) (TidalHealth and Salisbury Fire Department)

  • Provide Remote Patient Monitoring to high-risk patients with chronic conditions such as diabetes, CHF, COPD (TidalHealth)

  • Provide health screening, outreach, and education in the community including diabetes risk assessments and blood pressure checks. (TidalHealth)

Performance Measures

  • Number of patients served by SWIFT

  • Pre/Post utilization of SWIFT patients

  • Number of people served by RPM program and pre/post data

  • Number of screenings and outreach activities via mobile clinic

         Objective 3                    

By June 2025, increase the proportion of adults who get evidence-based preventative health care including screenings.

Wicomico: Increase adults receiving recent routine checkup to 90% (Baseline: 81.2% in 2020).

Somerset: Increase adults receiving recent routine checkup to 85% (Baseline: 76.9%).

Sussex: Increase awareness and uptake of recommended prostate cancer screenings.

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Complete at least 25 colorectal screenings a year. (WiCHD)

  • Complete at least 12 colorectal screenings per year. (SCHD)

  • Launch an awareness and outreach campaign to increase acceptance and uptake of prostate cancer screenings (TidalHealth)

Performance Measures

  • Number of colorectal screenings completed

  • Number of outreach events and people reached

Goal 3.2: Promote and support healthy lifestyles and wellness in the service area to reduce risk of chronic disease

         Objective 1                    

By 2025, decrease the proportion of people with overweight or obesity.

Wicomico: Reduce proportion of residents overweight or obese to below 67% (Baseline: 74.5% overweight or obese in 2020).

Somerset: Reduce proportion of residents overweight or obese to below 60% (Baseline: 68.9% in 2020).

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Increase participation in Healthy Lifestyle community challenges (WiCHD)

  • Promote use of community gardens as a source for healthy, free produce. (WiCHD)

  • Implement a social marketing campaign promoting healthy lifestyles (WiCHD)

  • Promote and expand participation in Chronic Disease Self-Management and Healthy Lifestyle programming. (TidalHealth and MAC)

  • Collaborate with Sussex County Health Coalition and participate in the Let’s Get Healthy Sussex campaign (TidalHealth)

Performance Measures

  • Number of participants in healthy lifestyle programing

  • Completion rate in healthy lifestyle programming

  • Documentation of promotion of community gardens

  • Reach of social marketing campaigns

         Objective 2                    

By 2025, increase the proportion of residents achieving the recommended physical activity level (150 minutes per week of moderate activity or vigorous equivalent).

Wicomico: Increase proportion of residents with recommended physical activity level to at least 55%(Baseline: 50.5% in 2019).

Somerset: Increase proportion of residents with recommended physical activity level to at least 45% (Baseline: 39.2% in 2019).

How We Will Accomplish This Objective

Strategies (Project Owner)

Jan
2023

  • Promote and increase participation in walking initiatives. (WiCHD) (SCHD)

  • Increase and promote physical activity programs through the local YMCAs. (YMCA)

  • Increase and promote physical activity programs through MAC, Inc. for older adults. (MAC, Inc.)

  • Collaborate with Sussex County Health Coalition and participate in the Let’s Get Healthy Sussex campaign. (TidalHealth)

Performance Measures

  • Number of walks and number of participants at the walks

  • Number of participants in the physical activity programs at the YMCA and MAC