The Virginia Department of Health (VDH) is working collaboratively with public and private partners to develop a population health plan for Virginia. This plan will serve as a cornerstone of the State Innovation Model (SIM) proposal that Virginia will submit to CMS in early 2016. The SIM proposal is to (1) create accountable care communities in five regions of the Commonwealth that will develop and test innovative health care delivery models to improve the quality of healthcare and health outcomes while reducing healthcare costs and (2) implement a Health Information Technology plan.
Virginia's population health plan will provide the organizational framework and metrics necessary to monitor and collaboratively work towards improving the health of all Virginians. You can access a presentation regarding the plan by
clicking here. Your participation in guiding the development of this plan is critical. We appreciate you taking the time to provide input through this survey tool.
3. This plan will focus on key factors that affect the health of the entire population. To ensure focus, the goal is to have a limited set of key indicators (about 20 in number) that represent these factors. Additional metrics can be included in companion plans. The following metrics align with factors that have large impacts on the community, healthcare costs and quality healthcare. For the category of HEALTHY CONNECTED COMMUNITY please rank the following metrics in order of importance. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
Drag items from the left-hand list into the right-hand list to order them.
Health Opportunity Index. The HOI is a composite measure comprising ten indicators that reflect a broad array of social determinants of health: (1) Education (2) EPA Environmental Hazards (3) Affordability of transportation and housing, (4) Household Income Diversity, (5) Job Participation, (6) Population Density, (7)Racial Diversity, (8) Population Churning, (9) Material Deprivation, and (10) Local Commuting Patterns.
Air Quality. Average daily density of fine particulate matter, measured in micrograms per cubic meter.
Water Quality. Percentage of citizens served by a permitted waterworks that on an annual average are not exposed to water exceeding the regulatory limit for E. Coli bacteria.
Percentage of Population With Access to Nutritious Food. The Food Environment Index includes two indicators of the food environment. 1) Limited access to healthy foods estimates the percentage of the population who are low income and do not live close to a grocery store 2) Food insecurity estimates the percentage of the population who did not have access to a reliable source of food during the past year.
Percentage of Population With Access to Safe & Affordable Housing. Percentage of households reporting at least 1 of 4 housing problems: overcrowding, high housing costs, or lack of kitchen or plumbing facilities.
Percentage of Communities Designed to Be Walkable. The walkability index is based on the distance to amenities such as grocery stores, schools, parks, libraries, restaurants, and coffee shops. Walk Score's algorithm awards maximum points to amenities within 5 minutes' walk (.25 mi), and a decay function assigns points for amenities up to 30 minutes away. Scores are normalized from 0 to 100.
Percentage of Population Reporting Good Mental & Physical Health. Percentage of adults (age 18 years and older) reporting that, within the past 30 days, they experienced zero days in which their mental health was "not good" (Behavioral Risk Factor Surveillance System survey).
6. This plan will focus on key factors that affect the health of the entire population. To ensure focus, the goal is to have a limited set of key indicators (about 20 in number) that represent these factors. Additional metrics can be included in companion plans. The following metrics align with factors that have large impacts on the community, healthcare costs and quality healthcare. For the category of PREVENTIVE ACTIONS please rank the following metrics in order of importance. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
Drag items from the left-hand list into the right-hand list to order them.
Percentage of Women Who Received Cervical Cancer Screening. Percentage of adult women (age 21-64 years) who received one or more Pap tests to screen for cervical cancer during the measurement year.
Percentage of Women 50-74 Years of Age Who Had a Mammogram. Percentage of adult women (age 50-74 years) who received a mammogram in the past two years.
Percentage of Population Receiving a Flu Shot. Percentage of the population that received an influenza vaccination during September through December.
Percentage of Two Year Olds With Recommended Immunizations. Percentage of children that turned 2 years old during the measurement year and who are up-to-date for their specified, age-specific antigen series at the time that they are 24 months of age. Antigens assessed include: 4 doses of DTaP, 3 doses of Polio, 1 dose of MMR, 3 doses of HiB, 3 doses of HepB, 1 dose of Varicella, and 4 doses of PCV.
Percentage of Adults Who Has Appropriate Screening for Colorectal Cancer. Percentage of adults (age 50-80 years) who received one or more screenings for colorectal cancer during the measurement year.
Percentage of Population Living Tobacco Free. Percentage of adults (age 18 years and older) reporting that they are not a current smoker (Behavioral Risk Factor Surveillance System survey).
9. This plan will focus on key factors that affect the health of the entire population. To ensure focus, the goal is to have a limited set of key indicators (about 20 in number) that represent these factors. Additional metrics can be included in companion plans. The following metrics align with factors that have large impacts on the community, healthcare costs and quality healthcare. For the category of QUALITY HEALTHCARE please rank the following metrics in order of importance. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
Drag items from the left-hand list into the right-hand list to order them.
Percentage of Patients With Diabetes Who Had Appropriate Testing & Controlled Blood Pressure. Percentage of adults (age 18-75 years) with diabetes (type 1 or type 2) whose most recent blood pressure reading is less than 140/90 mm Hg.
Percentage of Population With a Primary Care Provider. Percentage of the population with a primary care provider.
Percentage of Population With Access to Healthcare. Percentage of population (age 0-64 years) without health insurance (United States Census).
12. STRONG START FOR CHILDREN - This plan will focus on key factors that affect the health of the entire population. To ensure focus, the goal is to have a limited set of key indicators (about 20 in number) that represent these factors. Additional metrics can be included in companion plans. The following metrics align with factors that have large impacts on the community, healthcare costs and quality healthcare. For the category of STRONG START please rank the following metrics in order of importance. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
Drag items from the left-hand list into the right-hand list to order them.
Percentage of Infants Surviving Their First Year of Life. The rate per 1,000 of infants (age 0-1 year) that survived their first year of life.
Percentage of Students Who Graduate From High School. Percentage of students in a single-year cohort who earned a Virginia Board of Education-approved diploma within four years of entering high school for the first time.
Percentage of Tobacco Free Moms. Percentage of pregnant women reporting not to have smoked during pregnancy.
Percentage of Children Who Achieve Third grade Reading Level. Percentage of children in third grade who achieved a passing score on the Virginia Standards of Learning (SOL) English examination. The SOL for English comprises the English language arts content that teachers in Virginia are expected to teach and students are expected to learn.
Percentage of Infants Born At A Healthy Birth-Weight. Percentage of newborn infants that weigh at least 2,500 grams at birth out of all live births.
Percentage of Babies Free of Birth Defects. Percentage of infants (age 0-1 years) with no major structural or genetic birth defects. Birth defect are conditions that (1) result from a malformation, deformation, or disruption in one or more parts of the body, a chromosomal abnormality, or a known clinical syndrome; (2) are present at birth; and (3) have a serious, adverse effect on health, development, or functional ability.
Percentage of Children Ready for Kindergarten. Percentage of children receiving a passing score on the Phonological Awareness Literacy Screening for Kindergarten (PALS-K) assessment. PALS-K is used to identify students who are below kindergarten-level expectations on important literacy fundamentals. Readiness is defined through assessing physical well-being and motor development, personal and social development, the child's approach to learning, language development and cognition, and general knowledge.
Percentage of Children That Don't Need a Free Or Reduced Lunch. Percentage of children (age 18 and younger) enrolled in school (grades K-12) who are not eligible for the federal free or reduced lunch program administered by the USDA's National School Lunch Program.