Annual Report to the Community 2014-2015 Community Health Endowment of Lincoln
Place Matters A Message from CHE Leadership In the year 1510, the phrase “Hic Sunt Dracones” appeared on one of the first European globes. Translated to “Here Be Dragons,” the phrase meant dangerous or unexplored territories. In short, it provided a warning to travelers that ‘we don’t know what’s out there.’ Throughout history, maps have helped us define, explain and navigate our way to a desired destination. Advancing beyond the question of mythical creatures inhabiting the earth, today’s sophisticated mapping technologies educate us about how our location in the world – even our very street address – influences and impacts us. The acclaimed PBS series Unnatural Causes had a clear message: “place matters” when it comes to health. The series stressed that “Health is more than health care.” It is “…the jobs we do, the money we’re paid, the schools we attend, the neighborhoods
we live in (that are) as important to our health as our genes, behaviors and even medical care.” In 2014, the Robert Wood Johnson Foundation Commission to Build a Healthier America issued “Time to Act: Investing in the Health of Our Children and
Communities,” a landmark report emphasizing the connection between community development and health. Inspired by these two notable organizations and with the strong belief that “place matters,” the Community Health Endowment of Lincoln (CHE) undertook a mapping
C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
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Annual Report to the Community 2014-2015
project to better understand the role of place in health status and behaviors in our own community. In collaboration with the Lincoln-Lancaster County Health Department, the City of Lincoln Urban Development Department and NeighborWorksŽ Lincoln, we gathered information on demographic, socioeconomic and health indicators at the census tract level. We filled our walls with a gallery of geographic impressions of our community and spent hours interpreting their meaning and messages. Each map provided us with new insight and understanding of the community we call home. CHE used this information to create new funding priorities which you will find on page 10. We believe that the better we understand Lincoln, the more effectively we can target our resources to effect change and improve the health of our community. We also believe this project can better equip policymakers, health and human service providers, funders, educators, corporate partners and others to translate data into action. You will see some maps in this report. You will find more at www.chelincoln.org. Use these visual representations of our community to learn more about Lincoln and become acquainted with your city in a new way. There are no dragons, only opportunities to navigate our way to a healthier community – a healthier and more prosperous place to live, work and play for all our residents wherever they live. Because place does matter. This place matters.
Kimberly A. Russel, Chair
C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
Lori Vrtiska Seibel, President/CEO
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Annual Report to the Community 2014-2015
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0-5% 20.1% - 30% 5.1-10% City Limits - Current 30.1% - 40% 10.1-20% 40.1% - 50% PovertyPct 0% - 5% 50.1% - 60% 20.1-30% 5.1% - 10% 60.1% - 70% 30.1-40% 10.1% - 20% 70.1% - 100% 40.1-50% Excluded Current City Limits 1980 City Limits City Limits 2013
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Percentage of People Living in Poverty
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Poverty 1980
Poverty in Lincoln (All Age Groups) InLancaster 1980, 18 census tracts had at least 10% of residents County - 2013 living2009 in poverty. Since then, poverty has expanded in 1 in = 2 miles Census 1980-2013 Lincoln Asset Mapping Source: HDE, every direction from Project the core, most notably toLincoln the Lancaster County Health Dept. northwest and northeast. Poverty is defined as 100% of the federal poverty threshold as determined by the U.S. Census Bureau.
Data Source: United State Census Bureau C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
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Annual Report to the Community 2014-2015
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0-5% 20.1% - 30% 5.1-10% City Limits - Current 30.1% - 40% 10.1-20% 40.1% - 50% PovertyPct 0% - 5% 50.1% - 60% 20.1-30% 5.1% - 10% 60.1% - 70% 30.1-40% 10.1% - 20% 70.1% - 100% 40.1-50% Excluded Current City Limits City Limits 2013
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Percentage of People Living in Poverty
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Poverty 2009-2013
Poverty in Lincoln (All Age Groups) ByLancaster 2013, it is County clear that Lincoln is experiencing a 1 in = 2 miles 2009 - 2013 suburbanization of poverty with 42 census tracts Census 1980-2013 Lincoln Asset Mapping Project HDE, Lincoln Lancaster County Health Dept. having at least 10% of residents livingSource: in poverty. Programs designed to serve the urban poor must adapt to serve residents living across the city.
Data Source: United State Census Bureau C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
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Annual Report to the Community 2014-2015
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Lowest
Highest Excluded City Limits Data Source: Lincoln Police Department Jails, hospitals, schools and detention centers also excluded.
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Bellwether Crimes Although crime in Lincoln is at its lowest level since 1970, disparities exist across Lincoln. This map shows how cases of child abuse/neglect, domestic violence, protection orders and residential burglary are concentrated across the city (2014). These “bellwether crimes� are often symptomatic of more complex issues related to economic and neighborhood distress.
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Annual Report to the Community 2014-2015
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Access to Care
rimary Care or Internal P 20.1% - 30% Medicine Practice Poverty in Lincoln (All Age Groups) City Limits - Current 30.1% - 40% This map identifies the locations of primary care and City Limits Lancaster County 40.1% - 50% PovertyPct City Limits 2013
0% - 5%
50.1% - 60%
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10.1% - 20%
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2009 - 2013practices in the city. Market forces are1 in = 2 miles internal medicine Census 1980-2013 Lincoln Asset Mapping Project about practice Source: HDE, Lincoln Lancaster a key factor when decisions location areCounty Health Dept. made. The number of primary care and internal medicine practices is lowest in the areas of Lincoln where poverty, and, arguably, health care needs are highest.
Data Source: Lancaster County Medical Society
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Annual Report to the Community 2014-2015
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N Pine Lake Rd
0-5.1% 20.1% - 30% 5.2-10% City Limits - Current 30.1% - 40% 10.1-15% 40.1% - 50% PovertyPct 0% - 5% 50.1% - 60% 15.1-20% 5.1% - 10% 60.1% - 70% 20.1-25% 10.1% - 20% 70.1% - 100% 25.1-30% Insufficient Data Excluded City Limits City Limits 2013
Data Source: Lincoln Public Schools
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Percentage of Childhood Obesity
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Childhood Obesity
Poverty in Lincoln (All Age Groups) Lincoln can beCounty proud of its progress in reducing childhood Lancaster 2009 - 2013 obesity. Thanks to a strong collaborative effort, Lincoln 1 in = 2 miles Census 1980-2013 Lincoln Asset Mapping Project HDE, Lincoln Lancaster County reached its goal of reducing obesity inSource: schoolchildren six Health Dept. years ahead of schedule. However, geographic disparities persist, and work remains to be done. Obesity is defined as a Body Mass Index (BMI) at or above the 95th percentile for children of the same age and sex.
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Annual Report to the Community 2014-2015
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75.6 Years Havelock Ave
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63.4 Years
68.9 Years
UNL
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91.2 Years
80.3 Years
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A verage Years 20.1% - 30% Excluded30.1% - 40% City Limits - Current City Limits 40.1% - 50% PovertyPct City Limits 2013
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Life Expectancy
Poverty in Lincoln (All Age Groups) The average life expectancy for babies born to mothers Lancaster County 1 in = 2 miles 2009varies - 2013 in Lincoln dramatically across the city. Babies born Census 1980-2013 Lincoln Asset Mapping Project Lincoln Lancaster County Health Dept. to mothers living in southeast Lincoln Source: can HDE, expect to live nearly three decades longer than babies born to mothers in central Lincoln just a few miles away.
Data Source: Lincoln-Lancaster County Health Department C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
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Lincoln is a vibrant community with many strengths and assets. Yet, we know that health disparities and inequality exist here. CHE undertook this community mapping project to better understand the role of “place” in a person’s health and wellbeing. This information, whether expected or startling, has highly influenced CHE’s
new funding priorities. For many years, CHE has been part of creating a successful health care safety net in Lincoln. Based on the information we learned during the Place Matters mapping project, CHE believes the hope of an even healthier community lies in “health beyond health care” and used that insight to develop the following:
2015-2016 Funding Priorities and Preferences Priorities > Innovative practices that result in health care and behavioral health providers taking an active role in helping patients stay healthy outside a clinical setting, including nontraditional collaborations between health care, behavioral health and social/human services;
Preferences Within these priorities, CHE encourages applicants to: > Consider the relationship of poverty to the issue being addressed and how poverty influences both the cause of, and the solution to, the identified issue. > Utilize, whenever possible, locallybased geographic data to identify target groups and/or high-risk areas or neighborhoods.
> Investments in early childhood that have the greatest potential to reduce health disparities over the lifespan, with a specific focus on: •
a dverse childhood experiences and toxic stress;
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childhood obesity; and/or
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i mproved maternal health, and healthy birth and early childhood outcomes;
> Utilize, whenever possible, evidencebased data or research to identify target groups, high-risk populations, and/or program delivery models. More information about CHE grant making is available at www.chelincoln.org. If you have specific questions about the mapping project, contact CHE
> Intentional linkages between housing, health, neighborhood organizations, financial institutions and economic development; and
at info@chelincoln.org or (402) 435-5516.
> Prevention-focused efforts that foster healthy behaviors and lead to improved health outcomes. C o m m u n i t y H e a lt h E n d o w m e n t o f L i n c o l n
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Annual Report to the Community 2014-2015
Top row from left: Douglas A. Ganz, Jodi Loos. Second row: Georgia Blobaum, Kimberly A. Russel, Judy Halstead, Loren Mestre-Roberts, DiAnna Schimek, Lori Seibel. Front row: Tom Beckius, Tina Udell, Carole Burt, Michael Molvar, D.D.S., Marcia White. Not pictured: Kim Moore, Jose Soto, Tom Sullivan, Rusty Vanneman, Charles Wilson, M.D.
2014-2015 Board of Trustees CHAIR Kimberly A. Russel Bryan Health VICE CHAIR Charles Wilson M.D Cardiologist, Retired SECRETARY Georgia Blobaum Advanced Medical Imaging TREASURER Tina Udell Ameritas Investment Partners
Tom Beckius McCombs Commercial Realty, LLC Carole Burt Community Volunteer Douglas A. Ganz Pinnacle Bank Judy Halstead Lincoln-Lancaster County Health Department
Staff
Thomas Sullivan, CFA Union Bank Investment Management Michael Molvar, D.D.S. Corporation UNMC College of DiAnna Schimek Dentistry, Retired Former Nebraska State Kim Moore Senator and Lincoln CHI Health City Council Member St. Elizabeth Rusty Vanneman Jose Soto CLS Investments Southeast Community College Loren Mestre-Roberts City of Lincoln
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Lori Vrtiska Seibel President/CEO Marcia White Program Manager Jodi Loos Office Manager
Annual Report to the Community 2014-2015
Grants and Financial S t a t e m e n t s The most recent audited financial statements are available by contacting the Community Health Endowment. A list of all past grants is available on the CHE website, www.chelincoln.org.
CHE offers free use of our community room to local nonprofit organizations for businessrelated purposes during regular business hours. Contact Jodi Loos, 402-436-5516, for more information and to make reservations.
Community Health
Endowment of Lincoln
250 N. 21st Street, Suite 2 Lincoln, NE 68503
402-436-5516 www.chelincoln.org
facebook.com/chelincoln If you wish to contribute to the health of Lincoln and make a gift to the Community Health Endowment, please contact the President/CEO, Lori Vrtiska Seibel.