2019 - 2021 EW Sparrow Hospital Community Health Needs Assessment
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2019 - 2021 EW Sparrow Hospital Community Health Needs Assessment Prepared by the Michigan Public Health Institute Acknowledgements Every three years the Community Health Needs Assessment focuses an essential light on issues of disparity for the underinsured, impoverished, and disadvantaged of the mid-Michigan region. This important work would not be possible without the collective efforts of the Healthy! Capital Counties collaborative. We are grateful to our partners at Ingham County Health Department, Barry-Eaton District Health Department, and Mid-Michigan District Health Department for engaging stakeholders throughout Clinton, Ingham, and Eaton Counties in the Community Health Improvement Process. Healthy! Capital Counties played an integral role in convening key representatives from a diverse group of organizations to prioritize the identified health needs of residents in the service area, across the entire socioeconomic spectrum. This report would not have been possible without their knowledge, experience, and ability to meaningfully connect with the people who live and work in this region. Their work is the basis for Sparrow Health System’s Community Health Needs Assessment report, which seeks to address the disparities within our local population regarding how healthy we are, what health conditions we suffer from, and the root causes of those health problems. This allows Sparrow Health System to create and implement strategies that advance our mission to provide quality, compassionate care to everyone, every time. We would also like to offer our sincere thanks to the many individuals who participated in the focus groups and key informant interviews conducted by the Michigan Public Health Institute. These individuals shared experiences from their personal and professional lives that allowed Sparrow Health System to delve even deeper into high priority health issues. Each participant provided insightful strategies and suggestions for improving access to and quality of care. Their input highlighted some of the local challenges to achieving optimal health for everyone within the mid-Michigan region. We are appreciative that these individuals so willingly took part in this important endeavor. Sincerely, Alan Vierling Senior Vice President Sparrow Hospital 2019 Sparrow Health System Community Health Needs Assessment Report 1 This page left blank intentionally. 2 2019 Sparrow Health System Community Health Needs Assessment Report Table of Contents Acknowledgements ..................................................................................................................................................... 1 Introduction .................................................................................................................................................................. 4 About Sparrow Health System .................................................................................................................................... 5 Sparrow Hospital ..................................................................................................................................................... 5 Sparrow Specialty Hospital ...................................................................................................................................... 5 Sparrow Carson Hospital ......................................................................................................................................... 6 Sparrow Clinton Hospital ......................................................................................................................................... 6 Sparrow Ionia Hospital ............................................................................................................................................. 6 Partnership with Healthy! Capital Counties ................................................................................................................. 7 Healthy! Capital Counties Vision ............................................................................................................................. 7 Purpose ................................................................................................................................................................... 7 Healthy! Capital Counties Process .......................................................................................................................... 7 Community Engagement ......................................................................................................................................... 8 Healthy! Capital Counties Jurisdiction ..................................................................................................................... 8 Model ....................................................................................................................................................................... 9 How does health happen? ....................................................................................................................................... 9 Data Collection .......................................................................................................................................................... 11 Primary Data Sources ............................................................................................................................................ 11 Secondary Data Sources ....................................................................................................................................... 12 Quantitative Data ....................................................................................................................................................... 13 Summary of the Healthy! Capital Counties Indicators ............................................................................................ 13 Qualitative Data ......................................................................................................................................................... 50 “In Our Own Words…”: Results from the Healthy! Capital Counties Focus Groups .............................................. 50 Sparrow Health System Focus Groups and Key Informant Interviews .................................................................. 76 Community Input ..................................................................................................................................................... 103 Community Survey .............................................................................................................................................. 103 Provider Survey ................................................................................................................................................... 110 Health Needs Prioritization: Setting a Shared Course ............................................................................................. 114 Prioritization Methodology ................................................................................................................................... 114 Identifying the Criteria .......................................................................................................................................... 114 Selecting Weights for the Criteria ........................................................................................................................ 114 Identifying the Issues to be Evaluated ................................................................................................................. 114 Engaging Stakeholders in Selecting Priorities ..................................................................................................... 115 Results of the Prioritization Process .................................................................................................................... 115 Next Steps ............................................................................................................................................................... 116 Appendix A: Community Asset Inventory ................................................................................................................ 117 Ingham County Resources .................................................................................................................................. 117 Eaton County Resources ..................................................................................................................................... 121 Clinton County Resources ................................................................................................................................... 125 Shiawassee County Resources ........................................................................................................................... 128 Montcalm County Resources ............................................................................................................................... 133 Gratiot County Resources ................................................................................................................................... 137 Ionia County Resources ...................................................................................................................................... 140 Appendix B: Focus Group Discussion Guides ........................................................................................................