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California Hospital Medical Center Community Health Needs Assessment 2019

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California Hospital Medical Center Community Health Needs Assessment 2019 California Hospital Medical Center Community Health Needs Assessment 2019 Table of Contents Executive Summary ...................................................................................................................... 5 Assessment Purpose and Organizational Commitment ............................................................... 9 Community Definition .................................................................................................................. 11 Community Need Index ....................................................................................................... 12 Population ............................................................................................................................ 15 Race/Ethnicity ...................................................................................................................... 16 Language ............................................................................................................................. 17 Assessment Process and Methods ............................................................................................. 19 Collaborative Process .......................................................................................................... 19 Secondary Data Collection .................................................................................................. 19 Primary Data Collection ....................................................................................................... 19 Public Comment .................................................................................................................. 20 Project Oversight ................................................................................................................. 20 Consultants .......................................................................................................................... 21 Social Determinants of Health .................................................................................................... 22 Social and Economic Factors Ranking ................................................................................ 22 Poverty ................................................................................................................................. 23 Unemployment ..................................................................................................................... 24 Free and Reduced Price Meals ........................................................................................... 24 Community Input – Economic Insecurity ............................................................................. 24 Public Program Participation ............................................................................................... 25 Food Insecurity .................................................................................................................... 26 Farmers Markets Accepting EBT or WIC ............................................................................. 26 Community Input – Food Insecurity ..................................................................................... 27 Parks, Playgrounds and Open Spaces ................................................................................ 28 Households .......................................................................................................................... 29 Homelessness ..................................................................................................................... 30 Community Input – Housing and Homelessness ................................................................. 31 Educational Attainment ........................................................................................................ 33 Preschool Enrollment ........................................................................................................... 34 1 California Hospital Medical Center 2019 Community Health Needs Assessment Reading to Children ............................................................................................................. 34 Community Input – Education .............................................................................................. 34 Crime ................................................................................................................................... 35 Intimate Partner Violence .................................................................................................... 35 Community Input – Violence and Injury ............................................................................... 36 Health Care Access .................................................................................................................... 38 Health Insurance Coverage ................................................................................................. 38 Regular Source of Care ....................................................................................................... 38 Delayed or Forgone Care .................................................................................................... 40 Community Input – Access to Care ..................................................................................... 40 Dental Care .......................................................................................................................... 42 Community Input – Dental Care .......................................................................................... 42 Birth Characteristics .................................................................................................................... 45 Births .................................................................................................................................... 45 Delivery Paid by Public Insurance or Self-Pay .................................................................... 45 Prenatal Care ....................................................................................................................... 45 Teen Birth Rate .................................................................................................................... 45 Premature Birth .................................................................................................................... 45 Low Birth Weight .................................................................................................................. 46 Mother Smoked Regularly During Pregnancy ..................................................................... 46 Infant Mortality ..................................................................................................................... 46 Breastfeeding ....................................................................................................................... 47 Community Input – Birth Characteristics ............................................................................. 47 Leading Causes of Death ........................................................................................................... 49 Life Expectancy at Birth ....................................................................................................... 49 Child/Youth Death Rate, by Race/Ethnicity ......................................................................... 49 Leading Causes of Death .................................................................................................... 49 Heart Disease and Stroke .................................................................................................... 50 Cancer ................................................................................................................................. 51 Lung Cancer ........................................................................................................................ 52 Breast Cancer ...................................................................................................................... 52 Colorectal Cancer ................................................................................................................ 52 2 California Hospital Medical Center 2019 Community Health Needs Assessment Diabetes ............................................................................................................................... 52 Chronic Lower Respiratory Disease (CLRD) ....................................................................... 53 Unintentional Injury .............................................................................................................. 53 Homicide .............................................................................................................................. 54 Suicide ................................................................................................................................. 54 Liver Disease ....................................................................................................................... 54 Drug Overdose .................................................................................................................... 55 Motor Vehicle Crashes ........................................................................................................ 55 Pneumonia and Influenza .................................................................................................... 55 Kidney Disease ...................................................................................................................
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