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Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

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TABLE OF CONTENTS<br />

Executive Summary ..................................................................................................................................................... 10<br />

Recommendations For <strong>Health</strong> Priorities ................................................................................................................. 11<br />

Recommendations For System Priorities ................................................................................................................ 12<br />

<strong>Indiana</strong>: Background .................................................................................................................................................... 14<br />

Vision <strong>State</strong>ment for <strong>Health</strong> in <strong>Indiana</strong> ....................................................................................................................... 17<br />

Process for Developing the <strong>Plan</strong> .................................................................................................................................. 18<br />

Section 1: The <strong>State</strong> <strong>of</strong> <strong>Health</strong> in <strong>Indiana</strong> ................................................................................................................... 19<br />

Demographic Trends ............................................................................................................................................... 20<br />

<strong>Health</strong> Conditions/<strong>Health</strong> Risk Factors ................................................................................................................... 27<br />

Diseases <strong>of</strong> the Heart .......................................................................................................................................... 28<br />

Cancer ................................................................................................................................................................. 30<br />

Cerebrovascular Disease ..................................................................................................................................... 31<br />

Diabetes .............................................................................................................................................................. 32<br />

Behavioral Risk Factors .......................................................................................................................................... 33<br />

Obesity ................................................................................................................................................................ 33<br />

Tobacco Use ....................................................................................................................................................... 34<br />

Patient Safety and Medical Error Reporting ....................................................................................................... 35<br />

Measuring <strong>Health</strong> Status in <strong>Indiana</strong> ........................................................................................................................ 36<br />

Leading <strong>Health</strong> Indicators ................................................................................................................................... 36<br />

Leading Causes <strong>of</strong> Death .................................................................................................................................... 37<br />

Years <strong>of</strong> Potential Life Lost (<strong>Indiana</strong>) ..................................................................................................................... 40<br />

Infant Mortality ....................................................................................................................................................... 41<br />

Section 2: <strong>Health</strong> Priorities ......................................................................................................................................... 42<br />

Framework .............................................................................................................................................................. 42<br />

<strong>Health</strong> Priority: Increase Hoosiers at a <strong>Health</strong>y Weight ......................................................................................... 43<br />

<strong>Health</strong> Priority: Decrease Tobacco Usage ............................................................................................................... 61<br />

<strong>Health</strong> Priority: Reduce Infant Mortality ................................................................................................................ 72<br />

<strong>Health</strong> Priority: Assure Food Safety ....................................................................................................................... 80<br />

<strong>Health</strong> Priority: Reduce <strong>Health</strong>care Associated Infections (HAI) ........................................................................... 92<br />

<strong>Health</strong> Priority: Reduce the Burden <strong>of</strong> HIV, STD, and Viral Hepatitis in <strong>Indiana</strong> ............................................... 101<br />

Section 3: System Priorities ...................................................................................................................................... 115<br />

System Priority 1: Enforcement <strong>of</strong> Laws and Regulations .................................................................................... 116<br />

Program Goal Development ............................................................................................................................. 117<br />

Program Goal Development ............................................................................................................................. 118<br />

Program Goal Development ............................................................................................................................. 119<br />

System Priority 2: Public <strong>Health</strong> Workforce Development .................................................................................. 121<br />

Program Goal Development ............................................................................................................................. 122<br />

Program Goal Development ............................................................................................................................. 123

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