I. Introduction A. Overview of Jackson Park

Jackson Park Hospital Community Health Needs Assessment (CHNA)

March 2018 – Data and Community Input Report

Table of Contents

I. Introduction 3 A. Overview of Jackson Park Hospital 3 B. Defining Community for the CHNA 3 C. Community Health Needs Assessment Methods/Process 6

II. Health Status in the Community – Health Indicator Data 7 A. Social, Economic, and Structural Determinants of Health 7 B. Behavioral Health – Mental Health and Substance Use 19 C. Chronic Disease 24 D. Access to Care 39

III. Health Status in the Community – Community & Stakeholder Input 46 A. Community Focus Groups 46 B. Key Informant Interviews 49

IV. Health Status in the Community – Maps of Community Resources 51

V. Summary of Jackson Park Hospital’s Community Health 60 Implementation Activities – 2015-2018 A. Senior Healthcare Program 60 B. Community Partnerships and Outreach 61 C. Outpatient Services 62 D. In Development – Substance Abuse Program 63

Appendix A. Written Comments from Focus Group Participants 63

Appendix B. Focus Group Questions 64

2 I. Introduction

A. Overview of Jackson Park Hospital

Jackson Park Hospital & Medical Center is a 256-bed short-term comprehensive acute care facility serving the south side of Chicago for nearly 100 years. The hospital offers full medical, surgical, obstetric, psychiatric, and medical stabilization (detox) services as well as medical sub-specialties including cardiology, pulmonary, gastrointestinal disease, renal, orthopedics, ENT, ophthalmology, infectious disease, HIV, hematology/oncology and geriatrics. Quality ambulatory care is provided onsite through the family medicine center and senior health center. The hospital also provides medical education and training through its family medicine residency program and several affiliated medical schools. Approximately 80 percent of the hospital's patients are covered by Medicare and Medicaid.

Jackson Park Hospital’s mission is to provide compassionate and high quality healthcare service to meet the needs of the patients and communities we serve. We believe that all human beings possess intrinsic value. We will strive to ensure: (a) our operations will be patient-centered; (b) all patients will be treated with dignity and respect; (c) patients' rights will be honored. We will serve anyone in need of healthcare regardless of race, color, religion, gender, national origin, disability, age, or ability to pay. We believe in high levels of ethical and professional conduct. We believe in operating in an efficient and effective manner in order to thrive as a viable community healthcare provider.

B. Defining Community for the Community Health Needs Assessment (CHNA)

Jackson Park Hospital’s primary service area encompasses nine zip codes corresponding to 20 community areas in the City of Chicago.1 Figure 1 is a map of the hospital’s service area and list of communities in the service area. The total population in these zip codes is 481,995; nearly a quarter (23.8%) of the residents are under 18, while 14.8% are over the age of 65. 1 83.7% of the population is Black, 11.3% is White, and 1.3% is Asian, with a small percentage identifying with other racial groups, and 8.4% of the population identifies as Hispanic/Latino. 1

In the communities that make up Jackson Park Hospital’s service area, life expectancy ranges from 68 to 81 years of age, with almost all of the community areas having a life expectancy lower than the Chicago average of 77 years of age (Figure 2 and 3). The leading causes of death in these communities are heart disease and cancer.

1 American Community Survey, 2010-2014

3 Figure 1. Jackson Park Hospital Service Area Map and List of Community Areas Jackson Park Hospital’s service area covers nine zip codes corresponding to 20 community areas in Chicago. The communities in Jackson Park Hospital’s service area are: South Shore, Greater Grand Crossing, Chatham, Burnside, Avalon Park, Washington Park, Hyde Park, Woodlawn, Calumet Heights, South Chicago, South Deering, East Side, Washington Heights, Auburn Gresham, Roseland, West Pullman, Pullman, Riverdale, Englewood, and West Englewood.

60649

Zip Codes and Community Areas in Jackson Park Hospital’s Service Area Zip Code Community Areas 60649 South Shore 60619 Greater Grand Crossing, Chatham, Burnside, Avalon Park 60615 Hyde Park 60637 Washington Park, Hyde Park, Woodlawn 60617 Calumet Heights, South Chicago, South Deering, East Side 60620 Washington Heights, Auburn Gresham 60628 Roseland, West Pullman, Pullman, Riverdale 60621 Englewood 60636 West Englewood

4 Figures 2 and 3. Life Expectancy, 2015

78 77 75 75 74 74 72 72 72 72 72 73 73 73 71 71 69 70 70 68

Data Source: Illinois Department of Public Health, Death Certificate, US Census. Two-year estimates.

5 C. Community Health Needs Assessment Methods/Process

Jackson Park Hospital worked with the Illinois Public Health Institute (IPHI) to conduct this Community Health Needs Assessment (CHNA), using community health status data from approximately 20 publicly available sources that are accessible through the Chicago Health Atlas and Community Commons websites. IPHI also conducted two focus groups with community residents in March 2018 and three key informant interviews with staff leaders from Jackson Park Hospital. Jackson Park Hospital wrote up a summary of implementation activities completed since the 2015 CHNA.

This CHNA was conducted to meet federal requirements and guidelines, including:  clearly defining a community served by the hospital, and ensuring that defined community does not exclude low-income or vulnerable communities in proximity to the hospital;  a clear description of the CHNA process and methods; community health needs; collaboration, including with public health experts; and a description of existing facilities and resources in the community;  input from persons representing the broad needs of the community;  opportunity for community comment on the CHNA and health needs in the community;  posting the CHNA and making it available to the public;

And, Jackson Park Hospital will adopt and submit an implementation strategy to the IRS within four-and-a-half months of posting this CHNA.

6 II. Health Status in the Community – Health Indicator Data

A. Social, Economic, and Structural Determinants of Health

Figures 4 and 5. Poverty: Percentage of households living below the poverty threshold, 2015

57% 45% 46% 34% 34% 34% 36% 36% 31% 26% 27% 28% 29% 24% 24% 19% 21% 21% 15% 18% 12%

Data Source: US Census Bureau: American Community Survey. Five-year estimates.

Household poverty rates range from 11.5% to 56.6% of households in the community areas served by Jackson Park Hospital, with the majority of community areas experiencing higher household poverty rates than the Chicago average of 18.9%.

7 Figures 6 and 7. Childhood Poverty: Percentage of children (under 18 years old) living below the poverty threshold, 2015

73%

55% 57% 57% 58% 50% 50% 53% 53% 42% 42% 45% 36% 37% 39% 39% 31% 24% 27% 20% 13%

Data Source: U.S. Census Bureau: American Community Survey. Five-year estimates for community areas, one-year estimate for Chicago.

Child poverty rates range from 13.1% to 73.3% in the community areas served by Jackson Park Hospital, with the majority of community areas experiencing higher child poverty rates than the Chicago average of 31.4%.

8 Figures 8 and 9. Unemployment: Percentage of adults aged 16 years and over in the civilian labor force who were unemployed, 2015

Riverdale 40.8% Englewood 36.0% West Englewood 34.8% Washington Park 31.8% Auburn Gresham 26.0% Roseland 25.3% South Deering 25.3% Greater Grand Crossing 24.9% West Pullman 24.8% Woodlawn 22.4% South Shore 22.4% Avalon Park 22.3% South Chicago 21.8% Burnside 21.5% Chatham 20.3% Washington Heights 19.7% Pullman 19.4% East Side 17.0% Calumet Heights 16.9% Chicago 9.5% Hyde Park 7.9%

Data Source: Illinois Department of Public Health, Vital Statistics; US Census Bureau. Five-year estimates for community areas, one-year estimate for Chicago.

The community areas in Jackson Park Hospital’s service area experience high rates of unemployment. Riverdale has the highest rate of unemployment(40.8%), while all community areas (except Hyde Park) have unemployment rates above the Chicago average of 9.5%.

9 Figure 10. Educational Attainment: Percentage of adults aged 25 years and older without a high school diploma or equivalency, 2015

East Side 29.8% Englewood 25.7% Riverdale 25.5% West Englewood 23.8% South Chicago 22.9% Burnside 21.3% South Deering 21.2% Washington Park 19.3% Auburn Gresham 17.5% Woodlawn 16.4% West Pullman 16.3% Chicago 15.9% Roseland 15.8% Greater Grand Crossing 14.9% Chatham 13.6% South Shore 13.4% Pullman 12.6% Calumet Heights 11.5% Avalon Park 11.5% Washington Heights 10.7% Hyde Park 3.3%

Data Source: U.S. Census Bureau: American Community Survey. Five-year estimates for community areas, one-year estimate for Chicago.

The number of adults without a high school diploma in these community areas ranges from nearly double the Chicago average percentage (East Side, 29.8%) to only 3.3% in Hyde Park.

10 Figure 11. Disability: Percentage of people with limitations in functioning (vision, hearing, mobility, and cognitive functioning) and self-care, 2015

Burnside 23.4% Calumet Heights 22.0% Chatham 18.0% West Englewood 17.6% Roseland 17.5% Avalon Park 16.8% Auburn Gresham 16.4% Washington Heights 16.3% South Chicago 15.9% Pullman 15.8% Englewood 15.7% Greater Grand Crossing 15.6% West Pullman 15.4% South Shore 15.2% South Deering 15.1% Woodlawn 15.1% Washington Park 15.0% East Side 10.6% Chicago 10.3% Riverdale 9.2% Hyde Park 9.1%

Data Source: US Census Bureau: American Community Survey. Five-year estimates for community areas, one-year estimate for Chicago.

The percentage of people living with a disability in these community areas ranges from 9.1% (Hyde Park) to 23.4% (Burnside), with most of the community areas having a higher percentage of people living with a disability than the Chicago average of 10.3%.

11 Figure 12. Severe Cost-Burdened Housing: Percentage of households who spend 35% or more of their income on housing costs, 2015

Data Source: US Census Bureau: American Community Survey. Five-year estimates.

Figure 13. Crowded Housing: Percentage of occupied housing units with more than one person per room, 2015

Data Source: US Census Bureau: American Community Survey. Five-year estimates.

12 Figure 14. Vacant Housing: Percentage of housing units that are vacant, 2015

Englewood 36.3% Burnside 30.5% Riverdale 29.8% South Shore 27.3% West Englewood 25.6% Washington Park 24.0% Greater Grand Crossing 23.5% Woodlawn 23.3% South Shore 22.6% Roseland 19.4% West Pullman 18.7% Chatham 18.0% Pullman 16.1% Auburn Gresham 16.1% Avalon Park 14.5% Hyde Park 13.3% Chicago 12.4% South Deering 12.4% East Side 12.1% Calumet Heights 10.4% Washington Heights 9.2%

Data Source: U.S. Census Bureau: American Community Survey. Five-year estimates for community areas, one-year estimate for Chicago.

Between 36.3% and 9.2% of all housing units in the community areas served by Jackson Park Hospital are vacant. Most of these community areas have more vacant housing than the Chicago average of 12.4%.

13 Figure 15. Lead: Rate of children age 0 to 2 with peak annual venous blood lead level 6 mcg/dL or higher (lead poisoning) per 1,000 children receiving any blood lead screening test, 2016

Pullman 87.5 West Englewood 46.9 Englewood 45.9 Burnside 34.5 South Shore 32.5 South Chicago 32.3 Avalon Park 32 Roseland 29.9 Greater Grand Crossing 28 Auburn Gresham 24.2 Woodlawn 22.7 West Pullman 20.8 Washington Heights 20.2 East Side 19.2 Chicago 18.5 Calumet Heights 13.9 Chatham 13 South Deering 12 Washington Park 7.1

Data Source: CDPH blood lead surveillance records. Data for Hyde Park and Riverdale is not available.

The communities served by Jackson Park Hospital experience high level of lead poisoning. Most of the community areas have higher rates of lead poisoning than the Chicago average. Pullman has a notably high rate of lead poisoning with 87.5 per 1,000 children aged 0 to 2 presenting with high levels of lead in their blood.

14 Figure 16. Public Transportation and Active Transportation: Percentage of workers aged 16 years and over who walk, bike, or take public transportation to commute to work, 2015

Data Source: US Census Bureau: American Community Survey. Five-year estimates.

15 Figure 17. Food Access: Percentage of people with low income and living more than ½ mile from the nearest supermarket, supercenter, or large grocery store (food access), 2015

Burnside 51.4% South Deering 43.6% Roseland 38.2% West Pullman 32.2% Pullman 32.0% South Shore 32.0% West Englewood 29.8% Greater Grand Crossing 23.3% Washington Heights 22.5% Chatham 15.0% Englewood 13.7% Riverdale 13.5% South Chicago 12.2% Calumet Heights 12.0% Woodlawn 11.6% East Side 10.8% Auburn Gresham 10.7% Chicago 8.5% Avalon Park 5.6% Hyde Park 1.3% Washington Park 0.2%

Data Source: United States Department of Agriculture (USDA) Food Access Research Atlas.

Many low-income people in these communities live more than ½ mile from a supermarket, which limits their access to healthy food. Most of these community areas have higher percentages of low-income people living more than ½ mile from a supermarket than the Chicago average of 8.5%. Burnside has an exceptionally high rate with over half of low-income people living more than ½ mile from a supermarket.

16 Figure 18. Food Assistance: Percentage of households receiving food stamps/SNAP, 2015

Riverdale 59.2% Washington Park 55.5% Englewood 51.4% West Englewood 42.7% Burnside 41.8% Woodlawn 41.1% Greater Grand Crossing 40.3% South Shore 40.1% South Chicago 38.3% Chatham 34.3% Auburn Gresham 34.1% West Pullman 33.0% Roseland 33.0% South Deering 30.9% Avalon Park 29.2% Pullman 29.1% Washington Heights 25.8% Calumet Heights 22.7% East Side 21.5% Chicago 20.3% Hyde Park 10.0%

Data Source: U.S. Census Bureau: American Community Survey. Five-year estimates for community areas, one-year estimate for Chicago.

All of the community areas served by Jackson Park Hospital, except Hyde Park, have higher percentages of households receiving SNAP benefits than the Chicago average of 20.3%. In three community areas (Riverdale, Washington Park, and Englewood) over half of households receive SNAP benefits.

17 Figure 19 and 20. Violent Crime: Rate of reported violent crime incidents per 100,000 population, 2016

Riverdale 12511.6 Washington Park 12127.7 Englewood 11173.1 Greater Grand Crossing 10680.3 West Englewood 10133.8 Chatham 9417.3 South Shore 8704.1 South Chicago 8532.6 Pullman 8436.9 Auburn Gresham 8165.3 Woodlawn 7999.2 Roseland 7915.9 Avalon Park 6980.9 Burnside 6824.4 West Pullman 6809.2 South Deering 6148.7 Washington Heights 5710.9 Calumet Heights 5299.7 Chicago 4491.1 East Side 2851.3 Hyde Park 2472.6

Data Source: Chicago Data Portal/ Chicago Police Department; US Census Bureau, 2010 Census.

The communities served by Jackson Park Hospital have high rates of violence, with most of the communities having higher rates of violent crime than the Chicago average. Six of these community areas have over double the rate of violent crime incidents than the Chicago average rate.

18 B. Behavioral Health – Mental Health and Substance Use Disorders

Figure 21. Behavioral health hospitalizations, age-adjusted rates, per 10,000 population, 2014. Mood and depressive disorder hospitalization discharges, schizophrenic disorder hospitalization discharges, drug-related hospitalization discharges, and alcohol-related hospitalization discharges. Excludes discharges to Veterans Administration hospitals.

Alcohol-related hospitalizations 18 37.1 Drug-related hospitalizations Chicago 45.5 64.2 Schizophrenic Disorder Hospitalizations 176.3 Mood and Depressive Disorder Hospitalizations 14.8 Behavioral Health Hospitalizations 68.5 60649 83.2 72.7 253.5 13.5 80.2 60637 61.8 80.4 251.3 19.4 81.1 60636 95.4 111.1 321.7 9.7 41.7 60628 51.1 66.8 180.8 11.7 112.5 60621 147.7 127.5 422.4 14.9 38.5 60620 69.4 67.1 205.4 14.2 55.4 60619 47.8 59.1 192.1 12.8 33.9 60617 28.1 43.4 130.5

Data Source: Discharge Data, Division of Patient Safety and Quality, Illinois Department of Public Health; US Census Bureau

This chart shows the relative rates of hospitalizations for behavior health, mood and depressive disorders, schizophrenic disorders, and drug-related causes in the zip codes served by Jackson Park Hospital.

19 Figure 22. Behavioral Health in Emergency Departments: ED admission rate for mental health and substance abuse, 2012-2014

Data Sources: Healthy Communities Institute, Illinois Hospital Association COMPdata, 2012-2014

20 Figure 23. Opioid Overdose Mortality: Age-adjusted rate of opioid-related overdose deaths per 100,000 population, 2016.

Burnside 97.3 Riverdale 65 Englewood 58.6 West Pullman 52 West Englewood 43.8 Greater Grand Crossing 41.3 Roseland 41.2 Washington Park 39 South Chicago 34.7 Chatham 32.5 South Shore 32.3 Washington Heights 22.2 Chicago 22 Woodlawn 17.3 Auburn Gresham 16.1 Pullman 14.1 Hyde Park 12.9 East Side 12.8 Avalon Park 8.3 Calumet Heights 6.7 South Deering 5.2

Data Source: Cook County Medical Examiner's Office; US Census Bureau, 2010 and 2000 census

In Jackson Park Hospital’s service area, opioid-related overdose deaths range from 5.2 per 100,000 population (South Deering) to 97.3 per 100,000 population (Burnside). Over half of these communities have an opioid-related overdose death rate higher than the Chicago rate of 22 per 100,000 population.

21 Figure 24. Alcohol and Drug Induced Mortality: Age-adjusted rate of people who died due to dependent and nondependent use of alcohol or accidental poisoning by alcohol (alcohol-induced deaths) and poisoning and medical conditions caused by use of legal or illegal drugs or from poisoning due to medically prescribed and other drugs (drug-induced deaths) per 100,000 population, 2015

Drug induced deaths Alcohol induced deaths

21.2 Riverdale 4.2 19.6 Englewood 7.1 19 Washington Heights 6.8 15.5 West Pullman 5.6 15.2 Chicago 8.3 14.8 South Chicago 6.5 14.6 South Shore 5.1 14.4 West Englewood 5.2 13 Greater Grand Crossing 5.4 12.8 Roseland 5.1 11.7 Washington Park 14.6 11.5 Auburn Gresham 6.9 11.2 Chatham 6.5 11.1 Pullman 5.6 9.5 Woodlawn 8.7 7.9 East Side 5.6 7 Hyde Park 3.1 5.4 South Deering 12.7 4.2 Avalon Park 2.6 3.1 Calumet Heights 2.7

Data Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files; US Census Bureau, 2010 and 2000 Census. Five-year estimates for community areas, one-year estimate for Chicago.

In these community areas, alcohol-related deaths range from 2.6 per 100,000 population (Avalon Park) to 14.6 per 100,000 population (Washington Park). Most of these communities have a lower rate of alcohol-related deaths than the Chicago average of 8.3 per 100,000 population.

In these community areas, the rate of drug-induced deaths ranges from 3.1 per 100,000 population (Calumet Heights) to 21.2 per 100,000 population (Riverdale). Most of these communities have a lower rate of drug-induced deaths than the Chicago average 15.2 per 100,000 population.

22 Figure 25. Suicide: Emergency Department visits for suicide, 2012-2014

Data Sources: Healthy Communities Institute, Illinois Hospital Association COMPdata, 2012-2014

23 C. Chronic Disease

Figure 26. Diabetes Mortality: Age-adjusted rate of people whose deaths were diabetes-related, per 100,000 population, 2015

Riverdale 53.1 West Pullman 46.7 South Shore 46.6 Woodlawn 44.4 Calumet Heights 36.7 Greater Grand Crossing 36.1 Burnside 35.4 Washington Park 35.3 South Chicago 35 Roseland 34.6 West Englewood 34.3 Englewood 33.8 Washington Heights 33 Auburn Gresham 28.2 Avalon Park 27.2 Chatham 27 East Side 26 South Deering 25.7 Chicago 24.3 Pullman 21.8 Hyde Park 11.9

Data Source. Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files; US Census Bureau. Five-year estimates for community areas, one-year estimate for Chicago.

Diabetes mortality rates in Jackson Park Hospital’s service area ranges from 11.9 per 100,000 population (Hyde Park) to 53.1 per 100,000 population (Riverdale). Most of these community areas have diabetes mortality rates higher than the Chicago average of 24.3 per 100,000 populations.

24 Figure 27. Diabetes Hospitalization: Age-adjusted rate of diabetes-related hospitalization discharges, excluding discharges to Veterans Administration hospitals, per 10,000 population, 2014

60619 54.6 60621 54.3 60636 49 60649 46.9 60628 41 60617 40.9 60620 40 60637 28.7 Chicago 26.6

Data Source: Data, Division of Patient Safety and Quality, Illinois Department of Public Health; US Census Bureau.

The zip codes served by Jackson Park Hospital all have higher rates of diabetes-related hospitalizations than the Chicago average of 26.6 per 10,000 population, with 60619 having the highest rate of diabetes-related hospitalizations at 54.6 per 10,000 population.

25 Figure 28. Adult Asthma: Emergency Department visit rate for adult asthma, 2012-2014

Data Source: Healthy Communities Institute, Illinois Hospital Association COMPdata 2012-2014

Figure 29. Pediatric Asthma: Emergency Department visit rate for pediatric asthma, 2012-2014

Data Source: Healthy Communities Institute, Illinois Hospital Association COMPdata 2012-2014

26 Figure 30. Cancer incidence: Age-adjusted rate of diagnosed incident cases of all cancer types per 100,000 population, 2013

Washington Park 611.7 Burnside 561.6 Woodlawn 542.1 Greater Grand Crossing 541.5 Englewood 538.9 West Englewood 537.9 West Pullman 537.7 Pullman 537.5 Auburn Gresham 524.7 Washington Heights 520.7 Riverdale 511.7 Roseland 504.3 Avalon Park 504.2 Chatham 500.7 South Shore 493.8 Calumet Heights 491.3 South Chicago 488.8 Chicago 475.7 South Deering 466.5 Hyde Park 464.8 East Side 400.6

Data Source: Illinois Department of Public Health, Illinois Cancer Registry; US Census Bureau, 2010 Census, five-year estimate.

Cancer incidence in these community areas ranges from 400.6 per 100,000 population (East Side) to 611.7 per 100,000 population (Washington Park). Most of the community areas have a higher incidence of cancer than the Chicago average of 475.7 per 100,000 population.

27 Figure 31. Breast Cancer Incidence: Age-adjusted rate of diagnosed incident cases of invasive and in situ female breast cancer per 100,000 population, 2013

Data Source: Illinois Department of Public Health, Illinois Cancer Registry; US Census Bureau. Five-year estimates.

28 Figure 32. Prostate Cancer Incidence: Age-adjusted rate of diagnosed incident cases of invasive prostate cancer per 100,000 population, 2013

Data Source: Illinois Department of Public Health, Illinois Cancer Registry; US Census Bureau. Five-year estimates.

29 Figure 33. Colorectal Cancer Incidence: Age-adjusted rate of diagnosed incident cases of invasive colorectal cancer per 100,000 population, 2013

Data Source: Illinois Department of Public Health, Illinois Cancer Registry; US Census Bureau. Five-year estimates.

30 Figures 34 and 35. Cancer Mortality: Age-adjusted rate of people who died due to cancer per 100,000 population, 2015

Washington Park 309.6 West Pullman 249 South Deering 249 Greater Grand Crossing 243.3 Englewood 239.7 West Englewood 237.9 Woodlawn 236 Auburn Gresham 232.9 Pullman 232.6 Roseland 228.4 Burnside 226.6 South Chicago 226.4 Riverdale 226.2 South Shore 213.1 Chatham 210.3 Washington Heights 208.1 Calumet Heights 191.3 Chicago 190.4 Avalon Park 178.9 East Side 177.4 Hyde Park 147.6

Cancer mortality rates in the Jackson Park Hospital’s service area range from 147.6 per 100,000 population (Hyde Park) to 309.6 per 100,000 population (Washington Park). Most of these community areas have cancer mortality rates higher than the Chicago average of 190.4 per 100,000 population.

31 Figure 36. HIV Incidence: Rate of people newly diagnosed with HIV per 100,000, 2015

Data Source: Chicago enhanced HIV/AIDS Reporting System

Figure 37. HIV Prevalence: Rate of people living with HIV per 100,000 population, 2014

Data Source: Chicago enhanced HIV/AIDS Reporting System

32 Figure 38. Physical Inactivity: Percentage of adults who reported that they did not participate in any physical activities or exercises in the past month, 2016

Avalon Park 43.1 Burnside 41.1 South Deering 35.3 Woodlawn 32.4 Roseland 32 Auburn Gresham 31.3 Washington Heights 30.3 Greater Grand Crossing 29.7 Hyde Park 28.8 South Chicago 26.8 West Pullman 26.6 Chicago 26.5 Chatham 24.4 West Englewood 23.2 Englewood 22.8 Washington Park 21.6 South Shore 21 East Side 19.6 Pullman 17.5 Calumet Heights 16.8

Data Source: Chicago Department of Public Health, Healthy Chicago Survey (2014-2016). Three-year estimates for community areas, one-year estimate for Chicago.

Between 16.1% and 43.1% or adults in Jackson Park Hospital’s service area reported that they had not participated in any physical activities in the past month. Survey data may be less reliable in community areas with smaller populations (Burnside, Pullman, Washington Park, Avalon Park, and Riverdale).

33 Figure 39. Obesity in Adults and Children: Percentage of adults and children with a BMI that qualifies as obese, 2016 (adult), 2013 (child) Child Obesity Adult Obesity 21.2% Woodlawn 52.2% 22.2% West Pullman 51.5% 24.3% Roseland 48.4% 23.2% West Englewood 45.5% 26.5% Avalon Park 44.4% 22.3% South Chicago 43.9% 28.8% East Side 43.3% 25.1% Chatham 42.9% 21.2% Greater Grand Crossing 42.7% 23.3% Auburn Gresham 41.6% 21.9% Englewood 40.9% 21.9% Washington Park 39.3% 24.0% South Shore 34.9% 29.7% South Deering 31.9% 21.9% Pullman 30.9% 23.6% Calumet Heights 30.6%

Chicago 29.7% 25.8% Washington Heights 26.6% 22.4% Riverdale 23.7% 18.1% Hyde Park 8.3% Burnside 27.1%

Adult data: CDPH Healthy Chicago Survey (2014-2016). Three-year estimates for community areas, one- year estimate for Chicago; Adult obesity defined as percentage of adults (18 years and older) who reported a height and weight that yield a body mass index of 30 or greater; adult obesity data unavailable for Burnside because of the small number of residents. Survey data may be less reliable in community areas with smaller populations (Pullman, Washington Park, Avalon Park, and Riverdale). Child data: Chicago Public Schools IMPACT SIM, Two-year estimate; Child obesity defined as percentage of CPS students with valid data elements on the Illinois Child Health Examination form whose BMI is equal to or greater than the 95th percentile on the CDC BMI-for-age growth charts; data unavailable for city of Chicago.

Obesity rates for adults and children in Jackson Park Hospital’s service area range from 8.3% to 52.2%, with adult obesity rates being consistently higher than those for children (except Hyde Park).

34 Figure 40 and 41. Heart Disease Mortality: Age-adjusted rate of people who died due to heart disease per 100,000 population, 2015 Washington Park 361 Riverdale 324.9 Englewood 317.8 West Pullman 289.2 South Shore 270.7 Roseland 264.9 Auburn Gresham 262.4 Pullman 260.8 West Englewood 258.3 Greater Grand Crossing 257.8 Woodlawn 246.4 Chatham 234.4 South Chicago 234.2 Washington Heights 229.8 South Deering 219.5 Avalon Park 216.3 Burnside 211.9 Chicago 207.4 Calumet Heights 187.8 East Side 187 Hyde Park 143.6

Data Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files; US Census Bureau. Five-year estimates for community areas, one-year estimate for Chicago.

The communities served by Jackson Park Hospital have rates of heart disease deaths ranging from 143.6 per 100,000 population (Hyde Park) and 361 per 100,000 population (Washington Park), with most of the communities having a higher rate than the Chicago average of 207.4 per 100,000 population.

35 Figure 42. Cerebrovascular Mortality: Age-adjusted rate of people who died due to stroke per 100,000 population, 2015 West Englewood 72.1 Auburn Gresham 62.7 Greater Grand Crossing 61.4 Englewood 60 West Pullman 58.2 South Shore 58.2 Washington Heights 56.8 Riverdale 55.3 Roseland 51.5 Washington Park 50.2 Chatham 48.2 South Deering 44.9 Pullman 43.6 Avalon Park 42 Calumet Heights 41.9 Chicago 41.4 South Chicago 41.2 Woodlawn 38.9 East Side 35.7 Hyde Park 22.4 Burnside 21.5

Data Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files; US Census Bureau. Five-year estimates for community areas, one-year estimate for Chicago.

The communities served by Jackson Park Hospital have rates of heart disease deaths ranging from 21.5 per 100,000 population (Burnside) and 72.1 per 100,000 population (West Englewood), with most of the communities having a higher rate than the Chicago average of 41.4 per 100,000 population.

36 Figure 43. Current Smokers: Estimated percentage of adults who report that they've smoked at least 100 cigarettes in their life and that they currently smoke, 2016 Riverdale 47.2 Pullman 46.2 Washington Park 42.6 Roseland 35.9 South Chicago 35.5 Avalon Park 34.6 Englewood 33.1 West Englewood 31.5 East Side 27.7 Auburn Gresham 27.2 Chatham 26 Greater Grand Crossing 25.8 Woodlawn 20.6 South Deering 19.6 Washington Heights 19.1 South Shore 18.9 Chicago 18.4 Hyde Park 16.6 West Pullman 14.3 Calumet Heights 13.7

Data Source: Chicago Department of Public Health, Healthy Chicago Survey. US Census Bureau. Three- year estimates for community areas, one-year estimate for Chicago.

Figure 44. Smoking in Pregnancy: Percent of births where mother smoked any cigarettes, 2014 Englewood 12.5 Riverdale 11.2 West Englewood 10.6 Washington Park 9.2 Greater Grand Crossing 9.2 Pullman 8.6 West Pullman 8.6 South Shore 8.4 Auburn Gresham 8.2 Woodlawn 8.1 Chatham 8 Roseland 7.4 South Chicago 7 Avalon Park 6.4 South Deering 5.8 Calumet Heights 5.8 Washington Heights 5.3 Burnside 4.9 Chicago 2.7 East Side 1.8 Hyde Park 1.1

Rates of adult smoking in these community areas range from 13.7% in Calumet Heights to 47.2% in Riverdale, with most of the community areas having higher rate of smoking than the Chicago average of 18.4%. The rates of smoking during pregnancy range from 1.1% and 12.5% of pregnancies in Jackson Park Hospital’s service area, with most community areas having a higher rate of smoking during pregnancy than the Chicago average of 2.7%. Survey data may be less reliable in community areas with smaller populations (Burnside, Pullman, Washington Park, Avalon Park, and Riverdale).

37 Figure 45. Age-adjusted rate of people who died due to diseases related to tobacco use or exposure per 100,000, 2015

Washington Park 452.8 Riverdale 367.8 West Pullman 355 West Englewood 325.9 Englewood 319.6 Woodlawn 313.4 South Shore 311.4 South Chicago 309.2 Roseland 302.9 Greater Grand Crossing 300.8 Pullman 297 Auburn Gresham 291.9 Burnside 284.2 Washington Heights 275.4 Chatham 274 South Deering 266.2 East Side 259.9 Chicago 258.6 Calumet Heights 246.8 Avalon Park 240 Hyde Park 172.1

Data Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files; US Census Bureau. Five-year estimates for community areas, one-year estimate for Chicago.

The rate of deaths from tobacco-related diseases in Jackson Park Hospital’s service area ranges from 172.1 per 100,000 population (Hyde Park) to 452.8 per 100,000 population (Washington Park), with most of the community areas having rates of tobacco-related deaths higher than the Chicago average of 258.6 per 100,000 population.

38 D. Access to Care

Figures 46 and 47. Uninsured: Percentage of people with no health insurance coverage among the total civilian non-institutionalized population, 2015

West Englewood 22.1 Englewood 19.1 Greater Grand Crossing 18.5 South Deering 18.3 East Side 17.4 Auburn Gresham 17.3 South Shore 17.3 Pullman 16.9 Chatham 16.9 Avalon Park 16.1 South Chicago 16 West Pullman 15.6 Roseland 14.4 Riverdale 13.5 Burnside 13.3 Washington Heights 13.2 Woodlawn 13 Washington Park 13 Calumet Heights 10.9 Chicago 10.5 Hyde Park 9.3

Data Source: US Census Bureau: American Community Survey 2015. Five-year estimates for community areas, one-year estimate for Chicago.

In these community areas, between 9.3% (Hyde Park) and 22.1% (West Englewood)of people have no health insurance. All but one community area have more people living without health insurance than the Chicago average of 10.5%.

39 Figure 48. Primary Care Provider: Percentage of adults who report that they have at least one person they think of as their personal doctor or health care provider, 2016 Burnside 94.9% West Pullman 86.4% Washington Park 85.5% Avalon Park 83.0% Riverdale 81.4% Chatham 80.2% Calumet Heights 79.6% Englewood 78.9% Roseland 78.7% Pullman 76.5% West Englewood 76.2% South Chicago 74.8% Chicago 72.6% South Shore 72.0% Woodlawn 70.9% Auburn Gresham 70.6% East Side 69.4% South Deering 67.2% Washington Heights 66.3% Hyde Park 65.5% Greater Grand Crossing 60.3%

Data Source: Chicago Department of Public Health, Healthy Chicago Survey. Three-year estimates for community areas, one-year estimate for Chicago.

In the communities served by Jackson Park Hospital, between 60.3% and 94.9% of adults report having a primary care provider. Survey data may be less reliable in community areas with smaller populations (Burnside, Pullman, Washington Park, Avalon Park, and Riverdale).

40 Figure 49. Avoidable emergency department (ED) visits, that are non-urgent or primary care treatable, age-adjusted rates per 10,000 population, 2014 (excluding discharges to Veterans Administration hospitals)

60621 1087.2 60636 977.6 60649 921.4 60637 887.3 60619 863 60620 823.6 60617 739.6 60628 725 Chicago 546

Data Source: Discharge Data, Division of Patient Safety and Quality, Illinois Department of Public Health; US Census Bureau.

The zip codes served by Jackson Park Hospital all have higher rates of avoidable ED visits than the Chicago average of 546 per 10,000 population, with 60621 having the highest rate of avoidable ED visits at 1087.2 per 10,000 population.

41 Figure 50 and 51. Prenatal Care: Percentage of births where the mother received adequate prenatal care by the Adequacy of Prenatal Care Utilization Index (APNCU), 2014

Hyde Park 80.2% Chicago 73.6% Pullman 69.5% East Side 69.2% Washington Heights 66.3% Avalon Park 62.8% Calumet Heights 62.7% South Deering 62.2% Woodlawn 62.2% Chatham 61.5% Auburn Gresham 60.0% South Shore 59.1% Roseland 57.3% Burnside 56.6% South Chicago 56.3% West Pullman 55.3% Greater Grand Crossing 55.0% Washington Park 54.1% Englewood 52.5% West Englewood 52.1% Riverdale 52.0%

Data Source: Illinois Department of Public Health, Vital Statistics. Three-year estimates for community areas, one-year estimate for Chicago.

In the community areas served by Jackson Park Hospital, between 52% (Riverdale) and 80.2% (Hyde Park) of mothers receive early and adequate prenatal care, with all but one community area having a lower rate of early and adequate prenatal care than the Chicago average of 73.6%.

42 Figures 52 and 53. Infant Mortality: Rate of infant deaths per 1,000 live births, 2014 Avalon Park 24.5 Washington Heights 16.9 Chatham 16.5 Riverdale 15.5 West Englewood 14.5 Greater Grand Crossing 14 Auburn Gresham 13.9 Woodlawn 13.2 Englewood 13 Roseland 12.4 Burnside 12.3 Pullman 11.6 South Shore 11.6 Calumet Heights 11.4 Washington Park 11.3 West Pullman 11.1 Hyde Park 10 South Chicago 8.4 South Deering 8.2 Chicago 7.1 East Side 6.8

Data Source: Illinois Department of Public Health, Vital Statistics. Five-year estimates for community areas, one-year estimate for Chicago.

There are high rates of infant mortality in the Jackson Park Hospital service area. All but one community area has a higher rate of infant mortality than the Chicago average of 7.1 deaths per 1,000 live births. Avalon Park has the highest infant mortality rate with 24.5 deaths per 1,000 live births.

43 Figure 54 and 55. Teen Birth Rate: Births to females aged 15-19 years per 1,000 population, 2011-2015

West Englewood 69.5 Greater Grand Crossing 60.2 Englewood 60.1 Burnside 57.1 Washington Park 51.8 Riverdale 50 South Chicago 47.3 Roseland 45.6 West Pullman 45.4 South Shore 44.6 South Deering 43.6 Auburn Gresham 42.9 Chatham 42.7 Washington Heights 39.6 Woodlawn 38.6 East Side 37.8 Pullman 37.1 Calumet Heights 35.8 Avalon Park 33 Chicago 27.5 Hyde Park 3.4

Data Source: Illinois Department of Public Health, Vital Statistics; US Census Bureau. Five-year estimates.

44 Figures 56 and 57. Low Birthweight: Percentage of births with a birthweight less than 2500 grams, 2010-2014

Burnside 23.9% West Englewood 15.7% Englewood 15.4% Auburn Gresham 15.2% Woodlawn 15.0% Chatham 14.8% Washington Heights 14.5% Greater Grand Crossing 14.3% West Pullman 13.7% Riverdale 13.6% Calumet Heights 13.6% Washington Park 13.6% Avalon Park 13.6% Roseland 13.4% South Shore 12.8% Pullman 12.5% South Deering 12.0% South Chicago 11.9% Chicago 9.3% Hyde Park 8.6% East Side 7.0%

Data Source: Illinois Department of Public Health, Vital Statistics. Five-year estimates for community areas, one-year estimate for Chicago.

Almost all of the community areas served by Jackson Park Hospital have a higher percentage of babies born with a low birthweight than the Chicago average of 9.3%, with Burnside having the highest rate at 23.9%.

45 III. Health Status in the Community – Community and Stakeholder Input

A. Community Focus Groups

Overview of Two Community Focus Groups conducted in March 2018

The Illinois Public Health Institute (IPHI) conducted two community focus groups on behalf of Jackson Park Hospital in March 2018, and Jackson Park Hospital staff were present to hear the input. The purpose of these focus groups was to gather input from community stakeholders and learn more about the assets and needs present in these communities. Each focus group was 60-90 minutes, facilitated by IPHI staff. Each focus group was hosted by community-based organizations and consisted of 10-25 community members, with time for participants to share their experiences, as well as ideas for how to improve their community. (Appendix B lists the focus group questions.) Participants were also provided an opportunity to submit written comments, and four community members submitted written comments which have been incorporated into this summary report. (See Appendix A for full written comments.)

The first focus group was conducted at a senior center in the Chatham community and included participation from approximately 25 older adults from multiple communities on the Southside of Chicago, representing Jackson Park Hospital’s service area. Participants in this focus group identified many strengths and needs in their community. The participants reported that their community has a strong sense of family and social connection. Block clubs, churches, and community meetings allow community members to connect with each other and learn about the services available in their community. They also reported that there are many accessible health centers, including physical and occupational therapy, as well as job training programs. Among things in the community that need improvement, participants cited healthcare access (including vision, hearing, and dental care), transportation, mental health services, job availability, parenting education, nutrition education, and more transparent information about the services available in the community. Focus group participants identified some populations within their community that have unique needs that need to be taken into consideration, including homeless, people with mental health conditions, children and youth, families, and seniors.

The second focus group consisted of a diverse group of approximately 18 community members in Calumet Heights, including several clergy. This group was clearly passionate about their community and shared many insightful comments about the state of their community. The participants reported that their community has a vibrant history and many of the pioneers are still living within the community. They have strong schools and LSCs (local school councils). The group described their community as creative, spiritual, and effective at communicating. Among the things in the community that need improvement, participants noted lack of healthy food options, lack of support for parents and young mothers, poor communication, scarcity of jobs, community safety issues, and lack of education around community services and self-improvement. They also stressed the need for integrated and holistic services. Focus group participants

46 identified several populations within their community that have unique needs that need to be taken into consideration, including seniors, youth, teen parents, people dealing with mental illness, addiction, or homelessness, teachers, clergy, men, members of the LGBTQ community, immigrants, and people with different cultural backgrounds.

Key Community Health and Wellness Topics – Focus Groups Most Discussed Topics by Community Members at Focus Groups

A. Health Education and Access to Healthcare and to Wellness  Overall medical services for prevention, education, and early detection  Poor dental health can lead to other issues  Eye care/vision /hearing checks for children and seniors- “Lots of people experiencing cataracts”  Bring the services directly to the community- via fairs with schools, churches or other community organizations- mobile healthcare buses  More home healthcare and mobile services like tele-doctors  Need free healthcare management classes  More senior wellness checks provided- “Some seniors are forgetting to take their medications”  Transportation and care busses needed to get to and from appointment  Holistic care organizations that provide wrap around health services  More one-on-one services for women’s health  Organizations that specialize in allowing safe spaces to talk/vent and providing information on dealing with specific issues like food security and homelessness (similar to Alcohol Anonymous)

B. Mental Health and Substance Use Disorders  More locations for people to receive services, both for mental health and for substance abuse  Learn how to handle depression  Participants also identified that homelessness related to mental health conditions was a concern in the community, and that homeless are some of the most vulnerable in the communities on the southside

C. Communication and Information Sharing  Information needed from Jackson Park Hospital and other local health systems on services and events.  Some people in the community report that Jackson Park Hospital does not have a very strong reputation in the community, and there are opportunities to build more communications and partnership with the community. Focus group participants appreciated the opportunity to provide input through these focus groups.

D. Transportation  Better and more affordable transportation options for accessing healthcare and other community services

47 E. Diet and Nutrition  Local stores need to offer healthy food choices  Information classes on healthy and affordable diet and nutrition

F. Education and Youth Development  Teachers need extra support in classrooms and dealing with the many issues children bring into the class  Extracurricular and youth development programs are needed  People need to learn the history of the community and its founders to get a sense of where they came from and the work done to build the community  Intergenerational activities to ensure everyone feels included in the community  Programs that provide exposure to different positive experiences  Classes for parents and families on building strong family units and raising mentally and physically strong children  Affordable places for families to enjoy healthy activities together

G. Jobs and Workforce Development  Pipelines for healthcare careers from the local community that start in the schools and continue through college  More job training or information on where free training is available, especially technology training and other high demand career jobs  Jobs and opportunities for youth was also raised as a need

H. Community Safety  Children need safe places to play and have physical activities  Community building sources are needed to create an environment of unity  Community members need to learn how to communicate better- “get to know your neighbor”  More “neighborhood policing” where the officers and community get to know each other

I. Environment  Neighborhood cleanup plans  Less abandoned buildings  Community builds pride in their own area  “Bring back block clubs”

Key Community Strengths – Focus Groups

Focus group participants identified several strengths and resources in the community including: - Vibrant history - Strong communication - Strong sense of spirituality and faith-based leadership on community issues - Ability to network through the community - Local School Councils, faith-based organizations, and other community groups

48 Key Community Issues in Need of Improvement – Focus Groups

Focus group participants identified the following issues in need of improvement related to community health and wellness: - Mental Health - Substance Use - Transportation - Jobs and Workforce development - Community education (nutrition, parenting, health, availability of social services) - Community safety issues - Healthy food options - More funding to local community organizations and services - Specialized services for young mothers and single mothers - Better economic development and job opportunities - More exercise facilities- the local YMCA closed so community members now have to travel to get to one - More connection to the spiritual community to learn about accountability, love, and respect

B. Key Informant Interviews

Physician, Inpatient and Outpatient Psychiatry, Jackson Park Hospital

 Jackson Park Hospital is well-positioned to conduct community-based research to better understand and serve the health needs of African American communities and to inform better treatment, services, and community health interventions to benefit African American communities.  Fetal Alcohol Exposure is a major public health issue impacting communities across the south side of Chicago o 4 out of every 10 patients he sees in the outpatient psych clinic have had fetal alcohol exposure o A large proportion of African American youth in juvenile detention and/or special education have symptoms of fetal alcohol syndrome o Unlike most mainstream studies that look at alcoholism as the cause of fetal alcohol exposure, the main cause among his patients on the south side is exposure during the 1st and 2nd trimesters prior to the mother’s knowledge of the pregnancy o He has found that this fetal alcohol exposure is linked with intellectual disabilities, autism, speech and language disorders, suicide  Jackson Park Hospital is serving an extremely underserved population and provides a key community resource as a safety net hospital and a place for community based research  Violence prevention is another key public health need

49 Emergency Department Medical Director, Jackson Park Hospital  Mental health concerns are far and away the most critical, without exception o Conservatively, 95% of medical patients in ED have co-morbid mental health issues o At least 60-70% of mental health intakes have co-morbid substance/alcohol use o High need for comprehensive outpatient services for behavioral health . Half day programs on mental health and substance/alcohol use . Outpatient opiate treatment– suboxone plus therapy  Chronic illness is a major concern in communities surrounding Jackson Park Hospital o Zip codes in and around 60649 have the highest concentration of cardiovascular, cerebrovascular, and diabetes in the whole city  Opportunity: enhance infrastructure of the Emergency Department  Opportunity: develop programs/preventive services for those with co-morbid physical and mental health conditions to reduce ED visits for non-emergent issues  Opportunity: Leverage the strategic geographic location of Jackson Park Hospital to meet community needs and enhance the service lines at Jackson Park Hospital o Ongoing need/demand for more tertiary care centers on the south side, and only expected to increase with U of C trauma center o Significant economic development planned for the area – new golf course in South Shore, etc. – make this a strategic moment for growing/expanding services o Big opportunity to open outpatient mental health and substance use programs and facilities, particularly people with dual-diagnosis

V.P. of Resource Development, Jackson Park Hospital  Promoting Wellness through Access to Care and Health Education is a key priority  Access includes transportation, and access/affordability of medications  Fear and lack of understanding are also barriers to good health  Health education and Wellness programs (for all age groups) o Understanding and managing chronic disease and advanced disease disorders o Prevention and shifting mentality of only going to doctor when sick o We see people at end stages of disease at the ED & it could have been avoided o Need to do more on alcohol and drugs; other key areas are asthma, obesity, and cancer o Health literacy of patients and community members is also a concern  Outreach o For Jackson Park Hospital to impact access and health education, outreach is key, we go to our community members, shows we’re legitimately concerned, shows care for the community as a whole o Attract new patients and get the word out about what we do; many people in the community think JPH is only for psych or is closed. We need to get the word out about what we do. o See p. 61 for information about Jackson Park Hospital’s current community partnerships and outreach o Key partners are local businesses, banks, senior centers, large churches, elected officials, and special events o Opportunity to expand out to YMCA, YWCA, schools, and to leverage the work of the senior healthcare program and the OB unit and prenatal care work

50 IV. Health Status in the Community – Maps of Community Resources

Figure 58. Community Health Centers in Jackson Park Hospital’s service area

Figure 59. Federally Qualified Health Centers (FQHCs) in Jackson Park Hospital’s service area

Figure 60. Mental Health Providers in Jackson Park Hospital’s service area

Figure 61. Substance Abuse Treatment Facilities in Jackson Park Hospital’s service area

52 Figure 62. Licensed Childcare & Head Start Facilities in Jackson Park Hospital’s service area

53 Figure 63. Public Schools in Jackson Park Hospital’s service area

54 Figure 64. Private Schools in Jackson Park Hospital’s service area

Figure 65. Higher Education Facilities in Jackson Park Hospitals’ service area

55 Figure 66. Public Libraries in Jackson Park Hospital’s service area

Figure 67. Playgrounds and courts in Jackson Park Hospital’s service area

56 Figure 68. Mass Transit Stations in Jackson Park Hospital’s service area

Figure 69. Farmers Markets in Jackson Park Hospital’s service area

57 Figure 70. Major Supermarkets in Jackson Park Hospital’s service area

Figure 71. SNAP-authorized Retailers in Jackson Park Hospital’s service area

58 Figure 72. Places of Worship in Jackson Park Hospital’s service area

59 V. Summary of Jackson Park Hospital’s Community Health Implementation Activities – 2015-2018

A. Senior Healthcare Program

Jackson Park Hospital has developed a senior program to further address the needs of our community. The Jackson Park Hospital Golden L.I.G.H.T. (Living In Good Health Today) Senior Healthcare Program delivers comprehensive medical and social services designed to maintain and improve independent living. Golden L.I.G.H.T. provides seniors over the age of 55 with important services such as referrals to social services, primary care, internal medicine, cardiology, urology, endocrinology, rheumatology, physical therapy, ophthalmology, podiatry and gynecology.

To address the obstacles our seniors may face when seeking medical and social services, the Golden L.I.G.H.T. program includes benefits such as:

 Free transportation to all clinic appointments  All services received under one roof in a caring family environment  Multidisciplinary team dedicated to the senior’s care  Discounts on prescriptions  Free delivery of prescriptions  Dedicated Specialty Unit for all seniors who require admission to the hospital

B. Community Partnerships and Outreach

In our outreach efforts of defining our community’s healthcare needs, our collected data steered us to the following outreach services and programs.

By partnering with the various businesses, social agencies and groups, churches, community leaders, etc., Jackson Park Hospital is helping to build a strong system to support healthcare in our communities.

Our priorities for outreach and community partnerships were set by:  Increase of disease within our service area  Prevalence of health needs

OUTSIDE PARTNERSHIPS

Jewel/Osco – Monthly - Blood Pressure/Diabetes Screening (Rotation of three (3) sites) 75th & Stony Island 87th & State 1655 East 95th Street

Bank of America – Monthly – Blood Pressure/Diabetes Screening (Rotation of two (2) sites) 7131 Stony Island 1651 East 95th Street

60 Citibank (8650 Stony Island) – Monthly – Blood Pressure/Diabetes Screening

City of Chicago – Blood Pressure/Diabetes Screening Dept. of Family & Support Services – Senior Center, 8300 So. Cottage Grove

SPECIAL EVENTS/HEALTH FAIRS

8th -Eighth Ward- City of Chicago – Summer Annual Health Fair Blood Pressure/Diabetes Screening

3rd –Third Legislative District of IL. – Annual Health Fair Blood Pressure/Diabetes Screening

WVON Talk Radio – 30 minute Health Talks (May ’17) with Jackson Park Hospital featured Physicians – Topics Womens’ Health, Maternal, Infant & Child Care

Zeta Phi Beta Sorority – Special Project with Sorority discussing teen pregnancy With young “moms to be” about parenting skills, newborn care, etc., speakers are JPH nurses. Meet 2-3 times annually.

Black Women’s Expo – Annual Outreach on general health education and services at Jackson Park Hospital. Note, over 33,000 women of color in attendance.

Coppin AME Church – Provided speaker on the importance of mammograms and breast health – fall 2017

Apostolic Church of God – Provided speaker on the Importance of Mammograms and Breast Health – fall ‘17

Chatham Park South Co-Op Apartments (over 55 yrs. of age residence) - Provided Physician to speak on knee & hip replacement - Provided Physician to speak on cataract surgery

Jackson Park Hospital is so proud to join with our partners, other health care providers, local businesses and agencies in helping to meet the demands of healthcare in our community.

C. Outpatient Services

Jackson Park Hospital feels it is our responsibility to provide outpatient services to our patients to ensure we have a healthier, stronger and more informed community.

Our Onsite Services are as follows:  Smoking Cessation  Diabetic Education  Hypertension  Asthma  Weight Loss and Management

61 These 1-2 hour sessions meet every Tuesday under the direction of the Director, Family Medicine - Medical Residency Training Program

Prenatal Care Program – Conducted by the Nurse Practitioner - discusses the importance of:  Prenatal Care  Nutrition  Alcohol & Drug Usage  Exercise  Smoking while Pregnant

Breast feeding and infant care is conducted under the direction of the OB Dept.

D. In Development - Substance Abuse Rehabilitation Program

Jackson Park Hospital currently has a Medical Stabilization program. A natural next step is the creation of a program to manage patients addicted to opiates or other substances who are looking for opportunities to stabilize and normalize their lives.

A growing number of patients addicted to opiates are fifty years of age or greater. Heroin, along with various prescription medications, are classified as opiates.

Data from 2016 reveals that greater than 2.1 million people have an opioid use disorder. o 170,000 people used heroin for the first time in 2016 o 948,000 people were using heroin o 15,469 deaths were attributed to heroin o 116 people were dying every day from opioid related drug overdoses, and o The impact on the economy was greater than 504 billion.

In 2015, admissions to programs for substance abuse in Chicago accounted for 6,335 admissions or 32 % of all hospital admissions for substance use disorders, with alcohol abuse being the second highest with 5,106 hospital admissions or 26.1%. To that end, Jackson Park Hospital is exploring expanding our current Medication Stabilization program and Outpatient Suboxone program to include counseling.

Our program will focus on inpatient rehabilitation aimed at patients sixty-five (65) years of age or older who a have a lifetime history of heroin or other substance abuse - patients who are at a point in their lives where they just want to feel normal.

Our proposed program will wean patients off of heroin and place them on suboxone maintenance. The inpatient program will be a comprehensive treatment program combined with inpatient counseling aimed at life style change and relapse prevention.

Patients will then be referred to our outpatient patient groups designed to help them maintain a substance free life style.

If the patient relapses, they can be re-admitted into our inpatient setting.

The goal is to have a program with all of the components a patient would require for moving towards a substance free existence.

62 Appendix A. Written Comments from Focus Group Participants

Jackson Park Hospital, Community Health Needs Assessment 2018 Written Comments from 4 Community Members at Focus Groups March 21, 2018 and March 23, 2018

Four individuals submitted written comments via the form provided at in-person focus groups. Two individuals from zip code 60619, one individual from zip code 60653, and one individual from zip code 60649. The comments have been transcribed word-for- word below.

1. What are the most important health and wellness needs in your community?

60619a- Better nutritional foods offered in local stores- within two blocks in the direction of 83rd St.

60653- Accessibility to hospitals, medical centers, social services, poverty stricken individuals

60649- Education!!! To educate our community on how to manage their health needs. To reach out to the community and provide classes at the schools, churches and organizations to help them live healthy lives.

2. What people in the community have unique needs that need to be taken into account?

60619a- Young people with infants and strollers, older folk with walkers and wheelchairs, city should provide “care buses” or other transportation methods for people who take up more than regulated space on public transportation, shopping carts also on weekends

60619b- Parent organizations on how to raise mentally strong and physically strong children

60653- seniors, youths

60649- People with substance abuses. Whether it be alcohol or drugs this group needs greater help. Also the younger generation so they can be educated on health management and pass it on to their children.

3. Other comments or feedback:

60619b- Agency that oversees all community chains of helping the aged, to make sure that whatever they do is true and not just for paper for funding purposes.

60653- Thanks

60649- Please consider going to the schools and offering free classes on living healthy lives. Classes on substance abuse, diet and exercise, stress management, diabetes, etc.

63 Appendix B. Focus Group Questions

Welcome and Intro  Share welcome and purpose Thank you for volunteering your time this evening. I am XX with the Illinois Public Health Institute. We are helping Jackson Park Hospital to conduct a community health needs assessment. Our discussion will be focused on, community health issues, barriers to health in your community, the things that help people in your community to be healthy and what we can do to be an even healthier community in the future. I’ll be leading our discussion today and I am joined by Genny Turner who will be taking some notes.

 Explain process. So, just to clarify the expectations in a focus group. There are no wrong answers. We are going to talk about your experiences, observations and perceptions. You won’t hurt our feelings or make us feel good with whatever opinions you might share. We are interested in hearing your point of view even if it is different from what others have expressed. So, please feel free to speak open and honestly.

We’re going to make every effort to keep the discussion focused and within our time frame. If too much time is being spent on one question or topic, we may move the conversation along so we can cover all of the questions. So, please don’t take it personally!

As I mentioned, Genny will be the note taker for the focus group today. She will be involved in writing an overall summary report from all the focus groups that are being conducted as part of this process. We will only be using first names today and there will not be any names attached to the comments on the final report. All the information will be synthesized into the final report so no idea or comment will be attributed to any individual.

Any questions?

Participant Introductions: On that note, let’s get started.

Discussion Questions: 1. Let’s start off by hearing how you all define a “healthy community”? (5 mins) Probes:  What does a community need to have present to be a healthy community?  What things are NOT present or are limited in a healthy community?

2. What are the best things about your community? (5 mins) Probes:  What are some of the unique strengths about your community?  What things are present in your community that makes it a healthy place to live or helps you be healthy or improves your quality of life?

3. Now, let’s talk about some of the things about your community that aren’t so great or need to be improved. (5 mins)

64 Probes:  What things are present in your community that make it hard to be or stay healthy or have the best life you can have?

4. So, looking over this list of things that need to be improve to be a healthier community, what are the biggest issues facing your community? (5 mins) Probes:  If you had to choose one thing to make your community better for everyone, what would it be?

5. What people in the community have unique needs that need to be taken into account? (i.e. youth, older adults, immigrants, homeless, etc.) (5 mins)

6. What ideas do you have for how these issues could be addressed? What might work to improve the specific issues? (10 mins)

Probes: 7. Round-robin: Top health community health issue.  As we start wrapping up today, we would really like to hear a closing thought from each of you. What is the most important community health issue?

Thank you very much for your time today and all the information you shared will help us inform the needs assessment. If you would like to see a final copy of the report, we will be providing it to the organization hosting this focus group meeting.