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Community Health Assets and Needs Assessment and Implementation Plan Table of Contents ACKNOWLEDGEMENTS

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Community Health Assets and Needs Assessment and Implementation Plan Table of Contents ACKNOWLEDGEMENTS 2019 BRIGHAMANDWOMEN ' SHOSPITAL CENTER FOR COMMUNITY HEALTH AND HEALTH EQUITY Community Health Assets and Needs Assessment and Implementation Plan Table of Contents ACKNOWLEDGEMENTS ............................................................................................................................... 3 EXECUTIVE SUMMARY ................................................................................................................................. 4 BACKGROUND .............................................................................................................................................. 5 ABOUT BRIGHAM AND WOMEN’S HOSPITAL ........................................................................................... 5 BWH’S COMMITMENT AND APPROACH TO COMMUNITY HEALTH ......................................................... 5 COMMUNITY HEALTH NEEDS ASSESSMENT ............................................................................................. 7 METHODOLOGY ............................................................................................................................................ 7 DATA COLLECTION METHODS ................................................................................................................... 7 The Boston CHNA-CHIP Collaborative................................................................................................... 7 BWH Data Collection ............................................................................................................................. 8 LIMITATIONS AND CONSIDERATIONS ..................................................................................................... 10 GEOGRAPHIC LEVEL REPORTING ............................................................................................................ 10 FINDINGS .................................................................................................................................................... 11 COMMUNITY DEMOGRAPHICS ............................................................................................................... 11 Population ........................................................................................................................................... 11 Age Distribution .................................................................................................................................. 11 Race and Ethnicity ............................................................................................................................... 11 Gender ................................................................................................................................................ 12 Language ............................................................................................................................................. 12 Foreign-Born ....................................................................................................................................... 12 BWH Specific Data on Priority Communities ...................................................................................... 13 COMMUNITY ASSETS .............................................................................................................................. 14 SOCIAL DETERMINANTS OF HEALTH ....................................................................................................... 16 Education ............................................................................................................................................ 16 Employment ........................................................................................................................................ 17 Financial Security and Mobility ........................................................................................................... 18 Housing ............................................................................................................................................... 19 Transportation .................................................................................................................................... 21 Environmental Health ......................................................................................................................... 22 Built Environment ............................................................................................................................... 22 Food Insecurity .................................................................................................................................... 24 VIOLENCE AND TRAUMA ........................................................................................................................ 24 BEHAVIORAL HEALTH .............................................................................................................................. 27 Mental Health ..................................................................................................................................... 27 Substance Use ..................................................................................................................................... 28 HEALTH CARE ACCESS AND UTILIZATION ............................................................................................... 31 HEALTH CONDITIONS .............................................................................................................................. 31 Asthma ................................................................................................................................................ 32 Cancer ................................................................................................................................................. 32 Diabetes .............................................................................................................................................. 33 Heart Disease and Stroke .................................................................................................................... 33 Obesity ................................................................................................................................................ 33 MATERNAL AND CHILD HEALTH.............................................................................................................. 34 SEXUAL HEALTH ...................................................................................................................................... 35 BWH LICENSED SITES LOCATIONS .............................................................................................................. 37 FOXBOROUGH ......................................................................................................................................... 37 CHESTNUT HILL ....................................................................................................................................... 41 WEST BRIDGEWATER .............................................................................................................................. 42 KEY PRIORITIES ........................................................................................................................................... 43 CRITERIA FOR PRIORITIZATION ............................................................................................................... 43 PRIORITY AREAS ...................................................................................................................................... 43 APPENDICES ................................................................................................................................................ 45 APPENDIX A: COLLABORATIVE COMMITTEES, WORKING GROUPS, AND MEMBERSHIP ....................... 45 APPENDIX B: LIST OF BWH INTERNAL KEY STAKEHOLDERS INTERVIEWED & DISCUSSION GROUPS ..... 46 APPENDIX C: INTERNAL KEY INFORMANT INTERVIEW GUIDE ................................................................ 47 APPENDIX D: COMMUNITY MEETING INFORMATION & KEY QUESTIONS ............................................. 49 APPENDIX E: COLLABORATIVE MATERIALS ............................................................................................. 50 COMMUNITY HEALTH IMPLEMENTATION PLAN ....................................................................................... 55 2 ACKNOWLEDGEMENTS The Brigham and Women’s Hospital 2019 Community Health Assets and Needs Assessment required the contributions of a range of organizations and individuals and we are thankful for their assistance. For this assessment, BWH partnered with other organizations as part of the Boston CHNA-CHIP Collaborative—a highly-engaged group comprised of community organizations and Boston residents, hospitals, community health centers, and the Boston Public Health Commission. We wish to thank the members of the Collaborative steering committee and work groups for their work on the comprehensive citywide assessment as well as Health Resources in Action for facilitating the effort and developing the Collaborative report that underpins the many findings in this assessment. We are particularly grateful to the residents of Boston neighborhoods who shared their insight and guidance through focus groups, community meetings, and a community survey. We learned a great deal from you. Special thanks to staff at the Center for Community Health and Health Equity who assisted in this process. For their considerable
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