Goal 4: Healthy & safe communities - Goal map

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Goal Topic

Healthy People

Provide access to good medical care to improve people's lives

Sub Topic One

1. Healthy Babies

Outcome Measure

1.1: Decrease the infant mortality rate for children under 1 year old from 5.1 per 1,000 births in 2012 to 4.4. per 1,000 births by 2020

Leading Indicators

1.1.a: Increase rate of infants whose mothers receive prenatal care in the first trimester from 72.4% in 2011 to 75.5% by 2018

1.1.b.1: Decrease percentage of infants born with low birth weight among Blacks from 9.6% to 6.4% by 2020

1.1.b.2: Decrease percentage of infants born with low birth weight among American Indian/Alaska Native populations from 8.7% to 6.4% by 2020

1.1.c: Decrease the Primary Term Single Vertex (TSV) cesarean section rate from 15.8% to 14.76% by 2018

1.1.d: Decrease percent of unintended pregnancy from 36% in 2013 to 32.4% by 2022

Sub Topic Two

1. Healthy Youth Y
and Adults A


1.2: Decrease percentage of adults reporting fair or poor health from 15% in 2011 to 14% by 2020

Leading Indicators

1.2.Y.a: Increase the percent of children (19 to 35 months) receiving all recommended vaccinations from 56.1% in 2014 to 62% in 2018

1.2.Y.b: Increase percentage of 10th graders with healthy weight from 75% in 2012 to 76% by 2019

1.2.Y.c: Increase the number of Washington schools serving nutritious, Washington grown foods to children by 15% (from 1,734 to 1,994) by 2017

1.2.Y.d.1: Decrease percentage of 10th graders who report smoking cigarettes in the past 30 days from 10% in 2012 to 5.6% by 2020

1.2.Y.d.2: Decrease percentage of 10th graders who report using an e-cigarette or vape pen in the past 30 days from 18% in 2014  to 11.4% by 2023

1.2.Y.e: Contain the percentage of 10th graders who report using marijuana in past 30 days at 18% from January 2015 through January 2018

1.2.Y.f: Decrease the percent of 10th graders who report drinking alcohol in the last 30 days from 21% to 19% by January 2018

1.2.Y.g: Increase the percentage of youth outpatient chemical dependency treatment retention from 71% (January 2015 average) to 73.8% by July 2017

Leading Indicators

1.2.A.a: Increase percentage of mental health consumers receiving a service within 7 days after discharge from 53.3% (January 2015 average) to 65% by June 2017

1.2.A.b: Maintain the number of adults receiving outpatient mental health services of 67,047 (January 2015 average) through June 2017

1.2.A.c: Increase percentage of outpatient chemical dependency treatment retention in adults from 67% (January 2015 average) to 70.7% by July 2017

1.2.A.d.1: Increase percentage of persons with healthy weight among Native Hawaiians/Other Pacific Islanders from 33.4% in 2013 to 36% by 2020; American Indian/Alaska Natives from 21.1% in 2013 to 36% by 2020; Blacks from 25.9% in 2013 to 36% by 2020; Hispanics from 29.6% in 2013 to 36% by 2020

1.2.A.e: Decrease percentage of adults who smoke cigarettes from 17% in 2011 to 13.5 by 2020

1.2.A.e.1: Decrease percentage of persons who smoke cigarettes among low education (high school or less education) from 25.8% in 2013 to 21.5% by 2020

1.2.A.f: Increase the percentage of healthier food options being offered to low-income children and families through food pantries, farmers markets, and meal programs by 5% from 2014 baseline by 2017

1.2.A.g: Reduce suicide death rate from the rate of 15.6 per 100,000 in 2015 to 14.0 per 100,000 in 2020

1.2.A.h: Reduce the rate of new HIV cases from 6.3 per 100,000 in 2014 to 3.2 cases per 100,000 by 2020

1.2.A.i: Decrease the rate of Opioid overdose deaths from 9.8 per 100,000 in 2015 to 9.0 in 2020

Sub Topic Three

1. Access/Pay For Quality

Outcome Measure

1.3: Decrease rate of uninsured in state from 15% to 6% by 2017

Leading Indicators

1.3.a: Constrain annual state-purchased health care cost growth to 1% less than national health expenditure trend by 2020

1.3.b: Meet or exceed Medicaid expansion enrollment target of 300,000 by 2016

1.3.c: Increase percentage of residents who report they have a personal doctor or health care provider from 75% to 82% by 2018

*** Data will be available by ethnicity groups such as Native American, Asian, Pacific Islander, African American, Hispanic, Caucasian, etc. or age groups

Goal Topic

Safe People

Help keep people safe in their homes, on their jobs and in their communities

Sub Topic One

2. Protection and Prevention

Outcome Measure

2.1: Decrease percentage of children with a founded allegation of abuse or neglect who have a new founded allegation within 12 months from 9.7% to 6% by June 2019

Leading Indicators

2.1.a: Maintain the percentage of child victims in non-emergency Child Protective Services Intakes seen by a social worker within 72 hours of the intake at an annual average of 97% or higher by July 2017

2.1.b: Decrease percentage of children in Division of Children and Family Services out-of-home placement 5 years or more from 4.5% in January 2015 to 4% by July 2017

2.1.c: Maintain the percentage of emergent Child Protective Services intakes who are seen by a social worker within 24 hours of intake at or higher than 98.5% through July 2017

Sub Topic Two

2. Food

Outcome Measure

2.2: Decrease incidents of food-borne illnesses by 5% from the 2012 baseline by 2020

Leading Indicators

2.2.a: Increase the percent of animal health trace events completed within 24 hours from 73% in 2012 to 100% by 2020

2.2.b: Increase percentage of high-risk food processing facilities successfully completing risk-based inspections from 92% to 95% by 2020

Sub Topic Three

2. Public

Outcome Measure

2.3: Decrease rate of return to institutions for offenders from 27.8% to 25.0% by 2020

Leading Indicators

2.3.a: Increase percentage of adult offenders complying with their conditions of supervision or case plan from 75% to 78% by 2017

2.3.b: Decrease juvenile offender recidivism from 54% in July 2017 to 49% by June 2019

2.3.c: Decrease the percentage of African-American, Hispanic and Native American youth in detention from 46% in June 2017 to 39% by June 2019

2.3.d: Increase percentage of adult offenders who are employed post-release from 30% to 40% by 2017

2.3.e: Decrease rate of violent infractions in prison from 1.0 to 0.90 per 100 offenders by 2017

Sub Topic Four

2. Traffic

Outcome Measure

2.4: Decrease number of traffic related fatalities on all roads from 454 in 2011 to zero (0) in 2030

Leading Indicators

2.4.a: Decrease number of alcohol and/or drug impaired driver- involved fatalities from 199 in 2011 to 152 by 2017

2.4.b: Decrease number of speed-involved fatalities from 169 in 2011 to 123 by 2017

2.4.c: Decrease number of young drivers age 16-25 involved traffic fatalities from 146 in 2011 to 110 by 2017

Sub Topic Five

2. Worker Safety

Outcome Measure

2.5: Decrease workplace injury rates that result in missing three or more days from work from 1,425 to 1,307 per 100,000 full-time workers by 2020

Leading Indicators

2.5.a: Decrease rate of extremely serious worker injuries that lead to death from 2.5 per 100,000 full-time workers to 2.0 per 100,000 full-time workers by 2020

2.5.b: Decrease the rate of extremely serious worker injuries that lead to hospitalizations from 26 per 100,000 full-time workers to 22 per 100,000 full-time workers by 2020

2.5.c: Decrease injury rate from traumatic injuries in manual logging from 38 per 100 full-time equivalent workers in 2012 to 20 per 100 full-time equivalent workers by 2020


Goal Topic

Supported People

Help the most vulnerable people become independent and self-sufficient

Sub Topic One

3 Stability and
Self Sufficiency

Outcome Measure

3.1: Keep the percentage of residents above the poverty level 1.7% higher than the national rate through 2030

Leading Indicators

3.1.a: Increase percentage who leave public assistance (TANF) due to increased income or at their request from 56% in March 2017 to 60% by June 2019

3.1.b: Increase percentage of working-age adults with developmental disabilities in employment and day programs who are employed from 65.2% in December 2014 to 66% by July 2017

3.1.c: Decrease the number of homeless people from the anticipated increase to 25,221 in 2018 (due to rising rents) to 24,222 by 2020 ***

3.1.d: Decrease the number of homeless veterans from 1,484 to 1,187 (20%) by 2020

3.1.e: Increase percentage of people housed by homeless housing system who were sheltered to 49% by 2020

3.1.f: Maintain a rate of return to homelessness that is below 12% through 2020

TANF = Temporary Assistance to Needy Families

Sub Topic Two

3. Quality of

Outcome Measure

3.2: Increase the percentage of supported seniors and individuals with a disability served in home and community-based settings from 87.4% to 88.1% by 7/31/17

Leading Indicators

3.2.a: Increase percentage of long-term service and support clients served in home and community-based settings from 85.6% to 86% by June 2019

3.2.b. Increase percentage of clients with developmental disabilities served in home and community based settings from 97.4% in July 2017 to 97.6% by June 2019

3.2.c: Increase the percentage of adult abuse and neglect investigations completed within 90 days (or remaining open for “good cause”) from 88.6% in Sept. 2015 to 95% by July 2017

3.2.d: Limit the backlog of non-immediate jeopardy complaint investigations for long-term care facilities from 2,154 in Sept. 2015 to 100 or fewer by July 2018


*** Data will be available by ethnicity groups such as Native American, Asian, Pacific Islander, African American, Hispanic, Caucasian, etc. or age groups