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3-4-50

Vermonters today are more likely to die from a largely preventable disease than an infectious disease.

3-4-50 is a simple concept to help us grasp the reality that 3 health behaviors contribute to 4 chronic diseases that claim the lives of more than 50 percent of Vermonters.

3 behaviors
3-4-50
Increase physical activity and good nutrition, and decrease tobacco use
O
Time Period
Current Actual Value
Current Target Value
Current Trend
Why Is This Important?
Tobacco
% of adolescents in grades 9-12 who smoke cigarettes
I
2021
5%
10%
6
% of adults who smoke cigarettes
I
2021
16%
12%
1
3-4-50
% of adolescents in grades 9-12 who do NOT meet daily aerobic physical activity recommendations
I
2015
77%
70%
1
3-4-50
% of adults who do NOT meet daily aerobic physical activity recommendations
I
2015
41%
35%
2
3-4-50
% of adolescents in grades 9-12 who do NOT eat 5 fruits & vegetables per day
I
2015
76%
70%
1
3-4-50
% of adults who do NOT eat 5 fruits & vegetables per day
I
2015
79%
75%
1
Lead to 4 chronic diseases
3-4-50
Decrease the burden of cancer, lung disease, diabetes, and heart disease
O
Time Period
Current Actual Value
Current Target Value
Current Trend
Why Is This Important?
3-4-50
% of adults currently diagnosed with cancer
I
2015
7%
2
3-4-50
% of adults currently diagnosed with lung disease (asthma/COPD)
I
2016
13%
1
3-4-50
% of adults currently diagnosed with diabetes
I
2015
8%
2
3-4-50
% of adults currently diagnosed with cardiovascular disease
I
2015
8%
1
Resulting in more than 50% of deaths
3-4-50
Reduce preventable deaths from chronic disease.
O
Time Period
Current Actual Value
Current Target Value
Current Trend
Why Is This Important?
3-4-50
% of all deaths resulting from cancer, lung disease, diabetes, or heart disease
I
2014
57%
1
We work to turn the curve on these outcomes through multiple strategies
3-4-50
Policies and Systems
P
Time Period
Current Actual Value
Current Target Value
Current Trend
How We Impact

Tobacco
# of durable local or state interventions introduced that address the tobacco point of sale environment.
PM
SFY 2022
0
4
1
HPDP
# of strategies completed to increase access to healthy food in state facilities
PM
Q1 2020
36
25
2
DVHA
DVHA
BCS: Breast Cancer Screening (GC-17)
PM
2017
55.1%
58.1%
1
DVHA
DVHA
MMA: Medication Management (75% Compliance) for People with Asthma* (GC-17)
PM
2017
58.1%
31.4%
1
3-4-50
Community
P
Time Period
Current Actual Value
Current Target Value
Current Trend
How We Impact

Retired
# of local secondhand smoke ordinances introduced
PM
Q2 2017
3
1
1
Obesity
# of municipal strategies completed to increase access to physical activity.
PM
HY2 2019
219
100
9
Obesity
# of municipal strategies completed to increase access to healthy food.
PM
HY2 2019
133
60
9
Diabetes
% of Health Service Areas that offer Diabetes Prevention Program workshops
PM
Q3 2022
60
93
1
3-4-50
Organizations
P
Time Period
Current Actual Value
Current Target Value
Current Trend
How We Impact

Retired
# of small businesses with written strategies incorporating one of more of the six VDH priority outcomes for a healthy worksite
PM
HY1 2019
198
140
2
Respiratory
# of health care organizations (HCOs) influenced by the State Asthma Program to implement an asthma quality improvement process
PM
2019
4
5
2
School Age
% of VT Public Schools indicating they use their EHR to identify, track, and maintain current individual health plans for students with asthma, diabetes, life threatening allergies, seizures
PM
2018
35%
1
3-4-50
Relationships
P
Time Period
Current Actual Value
Current Target Value
Current Trend
How We Impact

Tobacco
# of youth groups that educate local or state decisionmakers on tobacco harm and protective policies
PM
2023
35
50
1
MCH
% of Vermont Quitline registrants who are pregnant
PM
Q4 2023
1.0%
20.0%
1
Oral Health
# of students participating in Vermont's 802 Smiles Network of School Dental Health Programs receiving oral health services
PM
2023
3,000
3,500
1
AHS
% of Strong Families Vermont clients who screen positive for tobacco use who are referred to the 802Quits or other cessation services
PM
Q4 2019
83%
100%
1
HPDP
% of 802Quits callers who heard about the 802Quits from a health professional
PM
Q2 2023
21%
35%
1
3-4-50
Individual
P
Time Period
Current Actual Value
Current Target Value
Current Trend
How We Impact

HPDP
# of registrants to 802Quits Quit Online
PM
Feb 2024
223
250
1
AHS
# of registrants to the 802Quits Quitline
PM
Feb 2024
81
100
1
Oral Health
# of medical providers applying fluoride varnish to children under age 6
PM
Q1 2024
37
35
2
MCH
% of WIC Farm-to-Family coupons redeemed
PM
2015
75%
75%
1
HPDP
# of Vermonters at risk for diabetes who complete the Diabetes Prevention Program.
PM
Q3 2022
26
20
1
Diabetes
# of Vermonters with diabetes who complete a Diabetes Management Workshop
PM
Q3 2022
11
16
1
Heart
% of You First members who received a heart health screen and are working to reduce their cardiovascular disease risk
PM
Q1 2023
97%
95%
1
HV2020
% of students with asthma that have a current (<1 year old) VT Asthma Action Plan or equivalent
PM
2018
51%
5

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