SE Indiana CHNA 2019 Report
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Dearborn 2019 Report The Collaborative Report serves : 35 Hospitals Counties 25 28 Local Health Departments 3 States Hospitals The Christ Hospital Health Network Mercy Health | Springfield Region Cincinnati Children's Hospital Medical Center Mercy Health - Urbana Hospital Clinton Memorial Hospital Springfield Regional Medical Center Highpoint Health Premier Health Kettering Health Network Atrium Medical Center Fort Hamilton Hospital Miami Valley Hospital Grandview Medical Center Miami Valley Hospital North Greene Memorial Hospital Miami Valley Hospital South Kettering Behavioral Medicine Center Upper Valley Medical Center Kettering Medical Center TriHealth Soin Medical Center Bethesda Butler Hospital Southview Medical Center Bethesda North Hospital Sycamore Medical Center Good Samaritan Hospital Lindner Center of HOPE TriHealth Evendale Hospital McCullough Hyde Memorial Hospital UC Health Mercy Health | Cincinnati Region Daniel Drake Center for Post -Acute Care Mercy Health - Anderson Hospital University of Cincinnati Medical Center Mercy Health - Clermont Hospital West Chester Hospital Mercy Health - Fairfield Hospital Wayne HealthCare Mercy Health - West Hospital Wilson Health The Jewish Hospital – Mercy Health 1 Table of Contents Executive Summary ............................................................................................................................. 11 Substance abuse ...................................................................................................................... 12 Mental health ............................................................................................................................ 13 Access to care/services ............................................................................................................. 13 Chronic disease ........................................................................................................................ 14 Healthy behaviors ..................................................................................................................... 14 Social Determinants of Health ................................................................................................... 16 Emerging Issues ....................................................................................................................... 16 Chapter 1. Collaborative Partners ........................................................................................................ 18 Roles and Responsibilities ............................................................................................................ 20 Hospitals ................................................................................................................................... 20 Public Health Departments ........................................................................................................ 21 CHNA Team .............................................................................................................................. 21 The Health Collaborative ........................................................................................................... 21 GDAHA ..................................................................................................................................... 22 Consultants ............................................................................................................................... 23 Chapter 2. Communities Served .......................................................................................................... 27 Description.................................................................................................................................... 27 Definition ...................................................................................................................................... 28 Chapter 3. Process and Methods ......................................................................................................... 30 Principles ...................................................................................................................................... 30 Involvement of Local Health Departments..................................................................................... 31 Overview of Methods .................................................................................................................... 32 Vulnerable Populations ................................................................................................................. 33 Race & Ethnicity Information ..................................................................................................... 36 Healthcare Equity and Disparity ................................................................................................ 38 Primary Data ................................................................................................................................. 40 Community Meetings................................................................................................................. 40 Surveys ..................................................................................................................................... 44 Analysis of Primary Data ........................................................................................................... 46 Prioritization of Primary Data ..................................................................................................... 48 Secondary Data ............................................................................................................................ 48 2 Data Collection .......................................................................................................................... 48 Data Sources ............................................................................................................................ 49 Analysis of Secondary Data ...................................................................................................... 51 Prioritization of Secondary Data ................................................................................................ 51 Primary and Secondary Priorities .................................................................................................. 51 Data Challenges and Gaps ........................................................................................................... 52 Chapter 4. Regional Summary ............................................................................................................. 55 Overview of Significant Needs ...................................................................................................... 55 Primary Data ................................................................................................................................. 55 Unmet Needs ............................................................................................................................ 55 Barriers ..................................................................................................................................... 56 Issues Handled Well ................................................................................................................. 61 Ways to Improve Health ............................................................................................................ 61 Priorities from Community Meetings .......................................................................................... 63 Priorities from Consumer Surveys ............................................................................................. 65 Priorities from Agency Surveys ................................................................................................. 66 Priorities of Health Departments ................................................................................................ 67 Secondary data ............................................................................................................................ 68 Health Disparities ...................................................................................................................... 68 Shared Health Concerns ........................................................................................................... 69 Causes of Death ....................................................................................................................... 86 State Health Priorities................................................................................................................ 88 Hospital Utilization ..................................................................................................................... 91 Regional Priorities ......................................................................................................................... 96 Chapter 5. Regional Assessment of Child Health Needs ..................................................................... 99 Ohio Trends .................................................................................................................................. 99 Regional Data ............................................................................................................................. 101 Hospital Utilization by Diagnosis ............................................................................................. 101 Greater