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2019 Community Health Needs Assessment

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2019 Community Health Needs Assessment 2019 Community Health Needs Assessment June 2019 EL CAMINO HOSPITAL • 2019 CHNA Acknowledgments El Camino Hospital would like to recognize the following organizations and individuals for their contributions to this report: SANTA CLARA COUNTY COMMUNITY BENEFIT HOSPITAL COALITION • El Camino Hospital Barbara Avery, Director of Community Benefit Sharan Johal, Senior Community Benefit Specialist • Hospital Council of Northern and Central California Jo Coffaro, Regional Vice President Jeanette Murphy, Regional Coordinator, Monterey Bay, San Mateo and Santa Clara Sections • Kaiser Permanente Stephan Wahl, Community Health Manager, Kaiser Foundation Hospitals, San Jose and Santa Clara • Lucile Packard Children’s Hospital Stanford Joey Vaughan, Manager of Community Partnerships • O’Connor Hospital, part of Verity Health System Diana Ohlhaver, Director of Marketing and Communications • Palo Alto Medical Foundation/Sutter Health Janet Lederer, Vice President, Education and Community Benefit • St. Louise Regional Hospital, part of Verity Health System Dawn Bussey, Executive Director of Communications and Community Affairs • Santa Clara County Public Health Department Dr. Anandi Sujeer, Health Care Program Manager, Epidemiology • Stanford Health Care Colleen Haesloop Johnson, Director of Community Partnerships EL CAMINO HOSPITAL CEO AND BOARD OF DIRECTORS • Dan Woods, CEO • Julie Kliger, MPA, BSN, RN • Lanhee J. Chen, Board Chair, JD, • Julia E. Miller, Secretary/Treasurer PhD • Bob Rebitzer • Jeffrey M. Davis, MD, MPH • George O. Ting, MD • Peter C. Fung, MD, MS, FACP, • Don C. Watters FAAN, FAHA • John L. Zoglin, Vice Chair • Gary Kalbach 2 EL CAMINO HOSPITAL • 2019 CHNA The 2019 Community Health Needs Assessment report was prepared by the research firm Actionable Insights, LLC: • Melanie Espino, Cofounder and Principal • Jennifer van Stelle, PhD, Cofounder and Principal Helping organizations discover and act on data-driven insights. 1346 The Alameda, Suite 7-507 San Jose, CA 95126 www.ActionableLLC.com 408-384-4955 | 408-384-4956 3 EL CAMINO HOSPITAL • 2019 CHNA Table of Contents El Camino Hospital ..................................................................................... 1 Acknowledgments ....................................................................................... 2 Table of Contents ........................................................................................ 4 1. Executive Summary ................................................................................. 6 Background ....................................................................................................................... 6 Process and Methods ........................................................................................................ 6 Health Needs .................................................................................................................... 8 Key Takeaways ................................................................................................................ 15 Next Steps ........................................................................................................................ 17 2. Background ........................................................................................... 18 CHNA Purpose and ACA Requirements ........................................................................ 18 Brief Summary of 2016 CHNA ....................................................................................... 19 Written Public Comments on 2016 CHNA .................................................................... 20 3. About El Camino Hospital ..................................................................... 21 Mission ............................................................................................................................ 21 History in Brief ............................................................................................................... 21 Specialty Care and Innovations ...................................................................................... 22 Community Benefit Program ......................................................................................... 24 Demographic Profile of Community Served .................................................................. 25 Santa Clara County .................................................................................................... 26 Languages spoken and language proficiency ............................................................ 28 Income and Education ............................................................................................... 29 Area Deprivation Index .................................................................................................. 30 4. Assessment Team .................................................................................. 33 Hospitals and Other Partner Organizations .................................................................. 33 Identity and Qualifications of Consultants .................................................................... 33 5. Process and Methods ............................................................................. 34 Secondary Data Collection ............................................................................................. 34 4 EL CAMINO HOSPITAL • 2019 CHNA Information Gaps and Limitations ................................................................................. 35 Primary Qualitative Data (Community Input) ............................................................... 36 Key Informant Interviews .......................................................................................... 37 Focus Groups ............................................................................................................. 38 Process of Identifying Community Health Needs .......................................................... 39 Process of Prioritizing Health Needs ............................................................................. 40 6. Prioritized 2019 Community Health Needs ............................................ 42 Housing and Homelessness ....................................................................................... 42 Access and Delivery ................................................................................................... 42 Behavioral Health ...................................................................................................... 43 Economic Security ..................................................................................................... 45 Diabetes/Obesity ....................................................................................................... 46 Cognitive Decline ....................................................................................................... 48 Oral/Dental Health .................................................................................................... 48 7. Evaluation of 2017–2019 Implemented Strategies Based on the 2016 CHNA ........................................................................................................ 49 8. Conclusion ............................................................................................ 50 9. List of Attachments ............................................................................... 51 5 EL CAMINO HOSPITAL • 2019 CHNA 1. Executive Summary BACKGROUND The Santa Clara County Community Benefit Hospital Coalition (“the Coalition”) is a group of organizations that includes seven nonprofit hospitals, the Hospital Council of Northern and Central California (a nonprofit hospital and health system trade association), the Santa Clara County Public Health Department and the Palo Alto Medical Foundation (a nonprofit multi-specialty group). The Coalition formed in 1995 for the purpose of identifying and addressing critical health needs of the community. Since then, the Coalition’s members have worked together to conduct an extensive triennial Community Health Needs Assessment (CHNA) in compliance with current federal requirements. The 2019 CHNA builds upon those earlier assessments. The Internal Revenue Service (IRS) requires the CHNA report to describe how the assessment was conducted (including the community served, who was involved and the process and methods used) and which significant health needs were identified and selected as a result. Gathering input from the community and experts in public health, clinical care, and others is central to the IRS mandate. With this assessment, the Coalition uses data to identify health trends and continues to address critical health needs. Individually and collectively, Coalition members will develop strategies to tackle these needs and to improve the health and well-being of community members. As with prior CHNAs, this assessment also highlights Santa Clara County’s assets and resources. (See Attachment 4: Community Assets and Resources.) Available to the public, the 2019 CHNA report serves as a tool for guiding policy and program planning efforts. For Coalition member hospitals, it also supports developing Community Benefit Plans pursuant to California State Senate Bill 697 and meeting IRS requirements for Community Health Needs Assessment and Implementation Strategies pursuant to the Affordable Care Act of 2010. PROCESS AND METHODS The Coalition began the 2019 CHNA process in the fall of 2017. The collective goal for the assessment was to gather community
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