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Wichita County, Texas

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Wichita County, Texas United Regional Health Care System Community Health Needs Assessment and Implementation Plan November 2019 Table of Contents Section 1: Community Health Needs Assessment ................................................................................................................................................... 2 Executive Summary ......................................................................................................................................................................................................... 3 Process and Methodology ............................................................................................................................................................................................. 10 Hospital Biography ........................................................................................................................................................................................................ 16 Study Area ..................................................................................................................................................................................................................... 21 Demographic Overview ................................................................................................................................................................................................. 23 Health Data Overview ................................................................................................................................................................................................... 35 Phone Interview Findings .............................................................................................................................................................................................. 73 Input Regarding the Hospital’s Previous CHNA ............................................................................................................................................................ 89 Evaluation of Hospital’s Impact ..................................................................................................................................................................................... 91 Previous Prioritized Needs .......................................................................................................................................................................................... 175 2019 CHNA Preliminary Health Needs ........................................................................................................................................................................ 177 Prioritization ................................................................................................................................................................................................................ 179 Resources in the Community ...................................................................................................................................................................................... 184 Information Gaps ........................................................................................................................................................................................................ 203 About Community Hospital Consulting ....................................................................................................................................................................... 205 Appendix ..................................................................................................................................................................................................................... 207 Summary of Data Sources ................................................................................................................................................................................... 208 Data References .................................................................................................................................................................................................. 211 MUA/P and HPSA Information ............................................................................................................................................................................ 213 Interviewee Information ..................................................................................................................................................................................... 225 Priority Ballot ...................................................................................................................................................................................................... 228 Section 2: Implementation Plan ...........................................................................................................................................................................231 Section 3: Feedback, Comments and Paper Copies ..............................................................................................................................................251 Input Regarding the Hospital’s Current CHNA ............................................................................................................................................................ 252 United Regional Health Care System Community Health Needs Assessment and Implementation Plan November 2019 Community Hospital Consulting Page 1 Section 1: Community Health Needs Assessment United Regional Health Care System Community Health Needs Assessment and Implementation Plan November 2019 Community Hospital Consulting Page 2 EXECUTIVE SUMMARY United Regional Health Care System Community Health Needs Assessment and Implementation Plan November 2019 Community Hospital Consulting Page 3 Executive Summary A comprehensive, six‐step community health needs assessment (“CHNA”) was conducted for United Regional Health Care System (United Regional) by Community Hospital Consulting (CHC Consulting). This CHNA utilizes relevant health data and stakeholder input to identify the significant community health needs in Wichita County, Texas. The CHNA Team, consisting of leadership from United Regional, met with staff from CHC Consulting on August 12, 2019 to review the research findings and prioritize the community health needs. Six significant community health needs were identified by assessing the prevalence of the issues identified from the health data findings combined with the frequency and severity of mentions in community input. The CHNA Team participated in prioritization ballot process using a structured matrix to rank the community health needs based on three characteristics: size and prevalence of the issue, effectiveness of interventions and the hospital’s capacity to address the need. Once this prioritization process was complete, the hospital leadership discussed the results and decided to address all ofthe prioritized needs in various capacities through a hospital specific implementation plan. The six most significant needs, as discussed during the August 12th prioritization meeting, are listed below: 1. Access to Primary Care Services and Providers 2. Access to Specialty Care Services and Providers 3. Prevention, Education and Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles 4. Access to Affordable, High Nutritional Quality Food Options 5. Access to Mental and Behavioral Health Care Services and Providers 6. Access to Affordable Care and Reducing Health Disparities Among Specific Populations United Regional leadership has developed the following implementation plan to identify specific activities and services which directly address the six identified priorities. The objectives were identified by studying the prioritized health needs, within the context of the hospital’s overall strategic plan and the availability of finite resources. The plan includes a rationale for each priority, followed by objectives, specific implementation activities, responsible leaders, annual updates and progress, and key results (as appropriate). The United Regional Board reviewed and adopted the 2019 Community Health Needs Assessment and Implementation Plan report on October 28, 2019. United Regional Health Care System Community Health Needs Assessment and Implementation Plan November 2019 Community Hospital Consulting Page 4 Priority #1: Access to Primary Care Services and Providers Interviewees discussed the limited number of primary care providers accepting new patients in the community, as well as the difficulty in seeking primary care for certain insurance types (Medicaid, Medicare) and patients with developmental disabilities. It was noted that the provider shortage leads to overuse of the Emergency Room, increased use of advanced practitioners and long wait times for appointments. Interviewees specifically discussed the un/underinsured as disproportionately affected by long wait times and inconsistent follow up, and one interviewee specifically stated: “If you’re insured, you’re going to get follow up consistently on chronic conditions. If you’re Medicaid or unfunded, instead of getting a blood pressure check every 3 months, you might get an appointment every 6 months.” Interviewees raised concern surrounding the increasing number of providers preferring “shift work” and resisting admitting patients to nursing
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