UnitedHealthcare echoes this gratitude and thanks the many public health workers in Oregon. In particular, UnitedHealthcare acknowledges the efforts of Lillian Shirley, B.S.N., M.P.H., M.P.A. She was appointed to the Oregon Health Policy Board (OHPB) by the Governor of Oregon in the fall of 2009. During her time on the board, she has demonstrated her commitment to providing access to quality, affordable health care for all Oregonians and to improving population health. In her work on the board she has been essential in successfully guiding health system transformation through the creation of Coordinated Care Organizations.
Coordinated care organizations are network of all types of health care providers (physical health care, addictions and mental health care and sometimes dental care providers) who have agreed to work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan. Her work has helped ensure CCOs are focused on prevention and helping people manage chronic conditions, like diabetes. CCOs serve most of Oregon’s Medicaid clients. Shirley also is director of Multnomah County Health Department, Oregon’s largest local public health agency, serving a population of more than 710,000.
All 50 States: Vermont Still the Healthiest; Mississippi and Louisiana tie for last.
For the sixth year in a row, Vermont is the nation’s healthiest state. Hawaii is ranked second, followed by New Hampshire, Massachusetts and Minnesota. The five least healthy states are South Carolina (46), West Virginia (47), Arkansas (48), and Mississippi and Louisiana, which tied for the 49th slot. States that showed the most substantial improvement in rankings include: New Jersey (nine slots), Maryland (five slots), and Alabama, Colorado, Massachusetts, Nebraska, Oklahoma and Rhode Island (three slots).
Nationwide: Improved survival rates offset by escalating rates of chronic illness.
This year’s Rankings show that national death rates have improved in several key areas, including:
- Premature Death declined 18.0 percent in the last 23 years, from 8,716 years of potential life lost before age 75 per 100,000 people in 1990, to 7,151 years of potential life lost before age 75 per 100,000 people in 2012. Premature deaths, like several other metrics, have leveled off in the last decade compared to gains in the 1990s.
- Cardiovascular Death declined 34.6 percent since 1990, from 405.1 deaths in 1990 to 264.9 deaths per 100,000 people in the 2012 Edition. This continues a relatively constant improvement of 2 percent to 3 percent each year.
- Cancer Death declined 7.6 percent from 197.5 deaths in 1990 to 182.5 deaths per 100,000 people in the 2012 Edition. This continues to show a more rapid improvement in the last few years than earlier in the century.
However, while the Rankings show notable improvements in survival rates, the quality of these lives are threatened by epidemic rates of preventable chronic illness, including:
- Sedentary behavior, which is defined as not doing any physical activity outside of work for the last 30 days, is at dangerous levels, affecting 26.2 percent of Americans. Rates of sedentary behavior are as high as 35.0 percent of the adult population in Mississippi, Tennessee and West Virginia.
- Obesity is at epidemic proportion. The national median of obese adults is 27.8 percent or 66 million adults – more than the entire population of the United Kingdom. Even the thinnest state, Colorado, has one-fifth of its population obese.
- Diabetes is also at epidemic proportion. The national median for adults with diabetes is 9.5 percent. This does not include cases of undiagnosed diabetes, which would increase this rate significantly.
To see the Rankings in full, please visit: www.americashealthrankings.org.
About United Health Foundation’s America’s Health Rankings®
America’s Health Rankings® is an annual comprehensive assessment of the nation’s health on a state-by state basis. It is published jointly by United Health Foundation, American Public Health Association and Partnership for Prevention.
The data in the report come from well-recognized outside sources, such as the Centers for Disease Control and Prevention, American Medical Association, FBI, Dartmouth Atlas Project, U.S. Department of Education and Census Bureau. The report is reviewed and overseen by a Scientific Advisory Committee, with members from leading academic institutions, government agencies and the private sector.
A key America’s Health Rankings data source – a telephone survey by the U.S. Centers for Disease Control and Prevention that accounts for seven of the 24 measures in the index – was changed this year to include cell phone-only households as well as a household-weighting process that better reflects increasing diversity within states. As a result of the new techniques, the rates for following seven measures cannot be compared to previous years: smoking, obesity, binge drinking, sedentary lifestyle, diabetes, poor physical health days and poor mental health days.
America’s Health Rankings is the longest running report of its kind. For 23years, the Rankings has provided an analysis of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings. The Rankings employs a unique methodology, developed and annually reviewed by a Scientific Advisory Committee of leading public health scholars. For more information, please visit www.americashealthrankings.org.
About the United Health Foundation
Guided by a passion to help people live healthier lives, United Health Foundation provides helpful information to support decisions that lead to better health outcomes and healthier communities. The Foundation also supports activities that expand access to quality health care services for those in challenging circumstances and partners with others to improve the well-being of communities. After its establishment by UnitedHealth Group [NYSE: UNH] in 1999 as a not-for-profit, private foundation, the Foundation has committed more than $200 million to improve health and health care. For additional information, please visit www.unitedhealthfoundation.org.