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Northern Nye County Hospital District Agenda Information Form

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Northern Nye County Hospital District Agenda Information Form NORTHERN NYE COUNTY HOSPITAL DISTRICT AGENDA INFORMATION FORM ❑ Action ❑ Presentation x Presentation & Action Department: Northern Nye County Hospital District Agenda Date: 28 May 2019 Category: Contact: Russell Pillers, PhD Phone: 775 393-9677 Continued from meeting of: Return to: Russell Pillers, Phd Location: Tonopah Phone: Action requested: (Include what, with whom, when, where, why, how much ($) and terms) For Possible Action – Discussion and Deliberation to receive the Comprehensive Community Health Assessment draft from Impact Evaluation and Assessment Services. Complete description of requested action: (Include, if applicable, background, impact, long-term commitment, existing county policy, future goals, obtained by competitive bid, accountability measures) At the 20 December 2018 NNCHD monthly meeting, the Trustees engaged Impact Evaluation and Assessment Services to perform a Comprehensive Community Health Assessment for the NNCHD service and catchment area. The Assessment is now complete to a draft stage. Impact and Evaluation Services desires to present the Assessment for acceptance by the NNCHD trustees. ______________________________________________________________________________ Any information provided after the agenda is published or during the meeting of the Trustees will require you to provide 20 copies: one for each Trustee, one for the Clerk and one for the public. Contracts or documents requiring signature must be submitted with three original copies. Expenditure Impact by FY(s): (Provide detail on Financial Form) X No financial impact Routing & Approval (Sign & Date) 1. Dept Date 6. Date 2. Date 7. HR Date 3. Date 8. Legal Date 4. Date 9. Finance Date 5. Date 10. County Manager Place on Agenda Date Board of County Commissioners Action ❑ Approved ❑ Disapproved ❑ Amended as follows: Clerk of the Board Date Comprehensive Community Health Assessment Northern Nye County Hospital District May 2019 Prepared by: Impact Evaluation & Assessment Services (775) 397-0785 This publication was supported by the Northern Nye County Hospital District CONTENTS Contents .................................................................................................................... 2 Executive Summary ....................................................................................................... 5 Purpose of this Comprehensive Health Assessment ................................................................ 7 Introduction to Northern Nye County/Community Themes and Strengths Assessment ...................... 7 Where We Live .......................................................................................................... 7 Who We Are ........................................................................................................... 11 What We Value ....................................................................................................... 15 What We Worry About .............................................................................................. 18 What We Hope For ................................................................................................... 19 Social Determinants of Health ........................................................................................ 20 Education .............................................................................................................. 20 Employment/Poverty ................................................................................................ 22 Housing ................................................................................................................ 25 Adequate access to locations for physical activity .............................................................. 25 Crime ................................................................................................................... 26 Food .................................................................................................................... 27 Recreation ............................................................................................................. 29 Social Supports ....................................................................................................... 30 Background of Health Care in Northern Nye County and Basic Definitions ................................... 30 Factors Related to Accessing Local Care ............................................................................ 34 Community Health Status Assessment .............................................................................. 37 Perceptions of Health Conditions ................................................................................. 38 Self-Reported Level of Health ...................................................................................... 38 Access to Care ........................................................................................................ 41 Perceptions of Access ............................................................................................ 41 Primary Care Access .............................................................................................. 43 Emergency Services Access ..................................................................................... 45 Hospital Access .................................................................................................... 51 Dental Care Access ............................................................................................... 53 Vision Care Access ................................................................................................ 53 2 Mental Health Care Access ...................................................................................... 54 Insurance Coverage Rates ....................................................................................... 54 Preventative/Primary Care Frequency ............................................................................ 54 CHRONIC DISEASE .................................................................................................. 56 Prevalence .......................................................................................................... 57 Treatment .......................................................................................................... 57 Obesity ................................................................................................................. 58 Prevalence .......................................................................................................... 59 Communicable Disease ............................................................................................. 59 Behavioral Health/Mental Health ................................................................................. 59 Prevalence .......................................................................................................... 60 Treatment .......................................................................................................... 61 Mortality ............................................................................................................ 63 SUBSTANCE ABUSE ................................................................................................. 64 Prevalence .......................................................................................................... 64 Treatment .......................................................................................................... 68 Mortality ............................................................................................................ 69 Special Populations/Health Equity ................................................................................ 70 Pregnancy/Prenatal/Reproductive Health .................................................................... 70 Children ............................................................................................................. 72 Adolescent ......................................................................................................... 77 Elderly ............................................................................................................... 83 Individuals with Disabilities ..................................................................................... 84 Hispanic Population............................................................................................... 85 Native American Population ..................................................................................... 85 Veterans ............................................................................................................ 85 Incarcerated/Court Involved Population ...................................................................... 86 Lesbian, Bisexual, Gay, Transgender ........................................................................... 86 Environmental Factors .............................................................................................. 87 Food Safety ........................................................................................................ 87 Water, Air, and Land .............................................................................................. 88 Transportation ..................................................................................................... 89 Causes of Death .....................................................................................................
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