2019 Greater Danbury Region Community Health Needs
Total Page：16
File Type：pdf, Size：1020Kb
2019 Greater Danbury Region Community Health Needs Assessment and Community Health Improvement Plan This report serves as the Community Health Needs Assessment and Improvement Plan for Greater Danbury and complements the 2019 Fairfield County Community Wellbeing Index: Indicators of social progress, economic opportunity, and well-being in Fairfield County neighborhoods; a core program of DataHaven, in partnership with Fairfield County’s Community Foundation and a Community Health Needs Assessment for the towns served by all Fairfield County hospitals, including Danbury Hospital. Healthy Partnerships Collaboration Education communities 02 About this This Community Health Needs Assessment (CHNA) provides local report level health related data about Danbury and New Milford, and the surrounding towns of Bethel, Bridgewater, Brookfield, New Fairfield, Newtown, Redding, Ridgefield, Roxbury, Sherman, Southbury, Washington and Woodbury. (This region will be referred to as Greater Danbury throughout the remainder of this report.) This report complements the 2019 Fairfield County Community Wellbeing Index, a comprehensive report about Fairfield County and the towns within it. The Community Wellbeing Index was produced by DataHaven in partnership with Fairfield County’s Community Foundation and many other regional partners, including Danbury Hospital, now part of Nuvance Health, and local partners [listed on page 6] serving the Greater Danbury Region. Topics covered in the Index include: overall community well-being, demographic changes, housing, transportation, early childhood education, K-12 education, economic opportunity, leading public health indicators (such as premature mortality, chronic disease prevalence, health behaviors, health care access, and the social determinants of health) and civic life. This report provides additional local detail of relevance to the region, including quantitative an d qualitative data specific to the individual towns within the Greater Danbury region. It also documents the process that Danbury Hospital and partners used to conduct the regional health assessment and health improvement activities. You will find a link to the full Index in the appendix of this report and posted on the websites for DataHaven, Fairfield County’s Community Foundation, Danbury Hospital or many of the town health departments. This Community Health Needs Assessment, including priority areas to inform the Community Health Improvement Plan, was approved by the Danbury Hospital Board of Trustees on November 14, 2019. The Community Health Improvement Plan was approved on March 5, 2020. Nuvance Health / 3 4 / 2019 Community Health Needs Assessment (CHNA) / Danbury Table of contents Community Health Needs Assessment Challenges in accessing Introduction . 6 health care services . 15 Methods and procedures . 7 Figure 18: Access to care . 15 I . Quantitative data: Selected findings . 8 II . Qualitative data: Key informant surveys . 16 Demographics and social determinants of health . 8 Introduction . 16 Overall population . 8 Summary of focus group and interview findings . 17 Figure 4: Total population, 2019 . 8 Strengths . 17 Table 1: Population change in Greater Danbury and towns, Barriers . 17 2019 and 2024 . 8 Health concerns: Mental health, substance abuse and chronic conditions . 18 Age distribution . 8 Access to care . 18 Figure 5: Age distribution by town, 2015 . 9 Table 4: Specialty care . .. 18 Racial and ethnic diversity . 8 Online survey findings . 19 Figure 6: Population by race and ethnicity, 2019 . 9 Summary of the qualitative data . 19 Income and employment . 8 III . Discussion . 20 Figure 7: Median household income by Progress from the 2016 Community Health town, 2017 . 9 Improvement Plan . 20 Poverty . 9 Chronic disease and obesity prevention . 20 Figure 8: Poverty rates by town . 10 Mental health and substance abuse Education attainment . 9 subcommittee . 20 Figure 9: Educational attainment, 2017 . 10 Healthy aging subcommittee . 21 Housing . 9 Strengths . 21 Figure 10: Housing cost burden by town . 10 Challenges . 22 Environmental quality . 9 National and state initiatives . 22 Transportation . 10 IV . Summary and conclusions . 23 Crime and violence . 10 Priority areas . 23 Health behaviors . 10 Healthy eating, physical activity and Community Health Improvement Plan overweight/obesity . 10 Introduction . 24 Figure 11: Obesity rates by region Overview of the Community Health Improvement process . 25 from 2015 to 2018 . 11 Methods . 25 Figure 12: Exercise rates by region Development of the 2019 CHIP strategic components . 25 from 2015 to 2018 . 11 Overview of the implementation plan . 26 Figure 13: Rate of food insecurity by region . 12 Community Health Improvement Plan priority areas . 28 Mental health and substance abuse . 11 Health priority implementation strategies and metrics . 28 Figure 14: Rates of anxiety and depression Priority area 1: Chronic disease and obesity prevention . 28 by region . 12 Priority area 2: Mental health and substance use . 31 Figure 15: Connecticut rate of overdose Priority area 3: Healthy aging . 33 involving prescription drugs . 12 Priority area 4: Access to health promotion Table 2: Accidental drug intoxication information and services . 34 deaths in Greater Danbury, 2017–2018 . 13 Planning for action and monitoring progress . 35 Smoking . 11 Responsibilities and scope of activities . 35 Health status of the community . .. 14 Attachments . 36 Overall leading causes of death and hospitalization . 14 FC Community Wellbeing Index Figure 16: Age-adjusted leading causes of death, Chime Reports for Danbury and surrounding towns 2008-2012 . 14 Western Connecticut Coalition 2019 Regional Priority Report Table 3: Top five conditions for Connecticut Trail Census (cttrailcensus .uconn edu). hospitalization utilization, FY19 . 14 Better Together: Clinic to Community Benefits, Regional YMCA of Chronic disease . 14 Western Connecticut, June 18, 2019 Figure 17: Prevalence of chronic diseases Health Priorities of Danbury Parents: Focus Group Data and Health Priority Themes, May 22, 2019 by region . 14 Community Health Resource Guide Health access and utilization . 15 Appendices A–D . 36 Resources and use of health care services . 15 References . 41 Nuvance Health / 5 Community Health Needs Assessment Figure 1: Map of Greater Danbury Region Introduction Improving the health of the community Community partners: In addition to the Danbury and New is essential to enhancing its residents’ • Community Action Agency of Western Milford health departments, the quality of life and supporting its future Connecticut Pomperaug Health District and the health departments of Bethel, Brookfield, New economic and social wellbeing. To • Connecticut Counseling Centers effectively improve health, communities Fairfield, Newtown and Ridgefield were • Connecticut Community Care must address social, environmental and active participants in this assessment. behavioral factors in addition to ensuring • Connecticut Institute for Communities access to medical services. • Danbury Youth Services This report provides an overview of key • Jericho Partners findings from the community health needs assessment and the priority Danbury Hospital, under the auspices of • Reach, Newtown the Community Health Committee, and elements that will be used to develop the • Regional YMCA of Western Greater Danbury community partners Community Health Improvement Plan Connecticut participated in this effort to assess the (CHIP). health and social needs of the Greater • United Way of Western Connecticut Danbury community. • Western Connecticut Coalition for Mental Health and Substance Abuse 6 / 2019 Community Health Needs Assessment (CHNA) / Danbury Methods and procedures The Community Health Needs of housing. This “social determinants Assessment (CHNA) was guided by a of health” framework addresses the participatory approach that examined distribution of wellness and illness among health and the social and environmental a population—its patterns, origins and factors that affect health. Danbury implications. While the data to which Hospital and New Milford Hospital we have access is often a snapshot of a collected quantitative and qualitative population in time, the people represented data from the Greater Danbury Region, by that data have lived their lives in ways which includes Danbury, New Milford that are enabled and constrained by and the surrounding towns of Bethel, economic circumstances, social context Figure 1: Map of Greater Danbury Region Bridgewater, Brookfield, New Fairfield, and government policies. Building on this Newtown, Redding, Ridgefield, Roxbury, framework, this assessment utilizes data Sherman, Southbury, Washington and to assess which populations are healthiest Woodbury. This 14-town service area and least healthy in the community as expands beyond Fairfield County, well as to examine the larger social and Figure 2: Determinants of health and their reflecting the regional approach taken in 1 economic factors associated with good contribution to premature death this assessment. Towns included in other and poor health. hospital CHNAs were not included in this assessment of the Greater Danbury Social determinants Limitations must be noted for both region. framework the quantitative and qualitative data collection methods. Sample size in some The assessment was conducted under of the smaller towns may misrepresent the guidance of the Danbury Hospital It is important to recognize that multiple results for these areas, particularly