Community Health Needs Assessment 2016
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Community Health Needs Assessment 2016 Encino Hospital Community Health Needs Assessment, 2016 CONTENTS EXECUTIVE SUMMARY ............................................................................................................................................. 5 ACKNOWLEDGMENTS ............................................................................................................................................ 11 METHODOLOGY ..................................................................................................................................................... 12 Primary Data ....................................................................................................................................................... 12 Secondary Data ................................................................................................................................................... 12 HOSPITAL AREA DEFINITION .................................................................................................................................. 14 COMMUNITY PROFILE ............................................................................................................................................ 15 Demographic Data .............................................................................................................................................. 15 HEALTH STATUS IN SERVICE PLANNING AREA AND COMPARISON AREAS ............................................................. 23 Asthma ............................................................................................................................................................... 23 Cancers ............................................................................................................................................................... 25 Depression (Medicare Population) ..................................................................................................................... 36 Diabetes .............................................................................................................................................................. 37 Heart Disease (Adult) .......................................................................................................................................... 42 Heart Disease (Medicare Population) ................................................................................................................. 44 High Blood Pressure (Adult) ................................................................................................................................ 45 High Blood Pressure (Medicare Population) ....................................................................................................... 46 High Cholesterol (Adult) ...................................................................................................................................... 47 High Cholesterol (Medicare Population) ............................................................................................................. 48 Infant Mortality .................................................................................................................................................. 49 Low Birth Weight ................................................................................................................................................ 52 ENCINO HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 2 Mortality - Cancer .............................................................................................................................................. 54 Mortality – Heart Disease ................................................................................................................................... 55 Mortality – Homicide .......................................................................................................................................... 57 Mortality – Coronary Heart Disease .................................................................................................................... 58 Mortality –Lung Disease ..................................................................................................................................... 61 Mortality –Motor Vehicle Crashes ...................................................................................................................... 62 Mortality – Pedestrian Motor Vehicle Crashes.................................................................................................... 64 Mortality – Premature Death .............................................................................................................................. 65 Mortality – Stroke ............................................................................................................................................... 66 Mortality – Suicide .............................................................................................................................................. 68 Mortality – Unintentional Injury ......................................................................................................................... 69 Obesity ............................................................................................................................................................... 71 Overweight ......................................................................................................................................................... 75 Poor Dental Health ............................................................................................................................................. 76 Poor General Health ........................................................................................................................................... 78 STI - Chlamydia ................................................................................................................................................... 79 STI – Gonorrhea .................................................................................................................................................. 83 STI – HIV Prevalence ........................................................................................................................................... 85 PRIMARY DATA KEY FINDINGS ............................................................................................................................... 89 Community Input ................................................................................................................................................ 89 Appendix A .......................................................................................................................................................... 102 STEERING COMMITTEE ..................................................................................................................................... 102 ENCINO HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 3 APPENDIX B ......................................................................................................................................................... 103 FOCUS GROUPS ................................................................................................................................................ 103 APPENDIX C ......................................................................................................................................................... 105 COMMUNITY RESOURCES ................................................................................................................................. 105 Appendix D .......................................................................................................................................................... 133 Primary Data Collection Instruments ................................................................................................................ 133 Appendix D 1: Focus Group Questionnaire ....................................................................................................... 134 Appendix D 2: Community Survey Questionnaire ............................................................................................. 137 References ........................................................................................................................................................ 152 ENCINO HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 4 2016 ENCINO HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT EXECUTIVE SUMMARY The 2016 Encino Hospital (EH) Community Health Needs Assessment (CHNA) updates the hospital’s 2013 CHNA, and updates conditions found in the community as of 2016. As the process of reviewing and analyzing community needs has progressed, it is clear that while changes have occurred in the San Fernando Valley as a whole, and in Encino Hospital’s immediate area, the changes have not been uniform throughout the valley. This Community Health Needs Assessment incorporates data from area-wide analyses provided by the Los Angeles County Department of Public Health (LADPH) Strategic Plan 2013-2017 (Strategic Plan) as well as more focused data concentrating on the area immediately surrounding EH. Some data is not directly comparable between the two areas, but each discussion provides insight into needs found in the EH service area. The larger study incorporates zip codes located