Question: Case Study #3 using statistics to support expansion plans evaluate the data from the Agency for Healthcare Research and Quality (AHRQ) Data and Surveys (www.ahrq.gov/data)

Case Study #3 using statistics to support expansion plans evaluate the data from the Agency for Healthcare Research and Quality (AHRQ) Data and Surveys (www.ahrq.gov/data) shown in Figure 2-8 . After reading the statistics (in the next paragraph) and refer-encing Figure 2-8, determine what services you would recom-mend if you were the administrator of a health care facility in illinois, to expand what is available at your facility. Support your recommendation with specific statistics from the table. Illinois Profile Of the state's 6.5 million women, nearly two thirds are non-Hispanic White. Its largest minority populations are non-Hispanic Black, at 16 percent, and Hispanic, at 14 percent. It ranks in the top 15 states in its low rates of death for suicide, unintentional injuries, diabetes-related causes and chronic obstructive pulmonary diseases. It has a much poorer record in rates of death for breast cancer, coronary heart disease, influenza and pneumonia, and colorectal cancer. Not surprisingly, it ranks among the worst states in the percentage of women who have had recent colorectal cancer screening. Illinois ranks in the middle of the nation in cholesterol screening, mammograms, and Pap smears. Eighty-seven percent of its women have health insurance, with Hispanic women having the lowest rate of insurance coverage, at 68 percent. Overview of the Case Study - Description, Problem Identification, Analysis of the Problem and Issues, Solution(s)/Recommendation, Key Learnings What can one learn from this case study that can be applied in one career as a Healthcare Administrator? Please add Reference and citations.

Figure 2-8 illinois profile non-hispanic White Female population (2009) (all ages) Heart disease Coronary heart disease Total cancer Breast cancer Colorectal cancer Lung cancer Stroke Chronic obstructive pulmonary diseases (age 45 & over) Diabetes-related 65.4 654.3 160.1 106.1 162.8 24.3 15.8 43.6 42.7 53.7 non-hispanic black hispanic 15.5 Major causes of death among females (rate per 100,000) All cause 110.5 843.8 216.7 154.5 199.8 35.3 23.6 50.3 56.5 58.7 92.0 14.3 367.7 81.4 55.7 83.0 11.2 8.2 11.6 28.4 23.9 59.1 american indian/ alaskan native 0.4 255.9 65.1 51.3 46.0 * * * * * * asian/ pacific islander state Total 6,550,783 4.7 304.0 72.9 55.8 77.7 10.0 10.5 12.8 26.9 11.6 36.4 662.5 163.9 110.0 161.4 24.7 16.3 41.8 44.1 97.9 58.5 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 30 32 35 40 44 49 28 31 10 14 (Continued) Figure 2-8 (Continued) non-hispanic White Influenza and pneumonia Unintentional injuries Suicide Health risk factors (percent) Diagnosed high blood pressure (2007-2009) Obesity (2008-2010) (age 20 & over) No leisure-time physical activity (2008-2010) Binge drinking (2008-2010) Smoking currently (2008-2010) No smoking during pregnancy (all ages) (2006-2008) Eats 5+ fruits and vegetables a day (2007-2009) Preventive care (percent) Cholesterol screening in past 5 yrs. (2007-2009) Mammogram in past 2 yrs. (2008-2010) (age 50-74) Pap smear in past 3 yrs. (2008-2010) (age 21-65) Colorectal cancer screening #0 (2008-2010) (age 50-75) Routine check-up in past 2 yrs. (2008-2010) Dental visit within the past year (2008-2010) First trimester prenatal care (2006-2008) Health insurance coverage (percent) Health insurance coverage (2008-2010) (ages 18-64) 27.6 76.6 77.7 86.6 58.5 83.7 75.0 25.3 80.1 83.7 88.9 58.7 92.7 61.7 25.9 62.2 75.1 84.0 41.4 84.6 59.2 * * * * * 81.7 * 43.9 73.2 * 74.4 * 91.3 62.5 27.8 75.4 78.4 86.1 57.2 85.7 70.4 17.6 21.6 4.0 23.8 23.5 24.3 15.2 16.9 non-hispanic Black hispanic 18.2 22.9 1.7 39.8 43.9 36.3 9.9 19.2 10.6 10.4 1.0 20.0 32.5 37.7 10.3 13.9 american indian/ alaskan native * * * * * 30.5 9.1 19.9 asian/ pacific islander state total 17.5 20.5 3.3 8.7 9.0 2.9 22.3 11.7 27.4 3.4 2.4 26.1 27.5 27.8 13.0 16.2 Healthy people 2020 national Target + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 92.0 84.5 Estimate age-adjusted and for all ages unless noted. Estimate age-adjusted and for 18 years of age and over unless noted. * Figure does not meet standard of reliability or precision. + No Healthy People 2020 target associated with this health indicator. #Blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years Definition for Healthy People 2020 Objective differs from Healthy People 2010; Data are not comparable to values presented in prior editions of the Chartbook. 67.8 * 86.3 87.4 100.0 19 Note: All data are from 2005 to 2007 unless noted. Note: Low numerical rankings indicate better relative health status. Note: State rank includes the 50 states, the District of Columbia, Guam, Puerto Rico and the US Virgin Islands, where data are available and reliable. Note: Healthy People targets correspond with the Healthy People 2020 Objectives. Note: No smoking during pregnancy and First trimester prenatal care data from states using the 2003 revision of the U.S. Standard Certificate of Live Birth. States that are blank had not yet implemented the revised certificate items corresponding to the variable(s) for at least two of the three years from 2006 to 2008. Source: Agency for Healthcare Research and Quality (AHRQ) Data & Surveys. state rank 37 12 8 34 34 34 44 26 29 33 34 19 36.

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