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Picture of Our Health Hamilton County, Tennessee 2015 Community Health Profile

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Picture of Our Health Hamilton County, Tennessee 2015 Community Health Profile 2015 PICTURE OF OUR HEALTH HAMILTON COUNTY, TENNESSEE 2015 COMMUNITY HEALTH PROFILE Chattanooga-Hamilton County Health Department And Regional Health Council November 2015 Chattanooga-Hamilton County Health Department Health Department Mission: To do all we can to assure a healthy community Health Department Vision: Healthy people in healthy communities Health Department Values: Compassion Integrity Diversity Excellence Respect Core Functions of the Health Department: Prevention Outreach Education Protection Promotion Assessment and Planning Policy Development Monitoring/Surveillance Assurance Regulatory Compliance This report was prepared by: Chattanooga-Hamilton County Health Department Community Health Services, Office of Assessment and Planning 921 East 3rd Street Chattanooga, TN 37403 (423) 209-8093 http://health.hamiltontn.org For more information about the data in this report: Contact the Office of Assessment and Planning, Chattanooga-Hamilton County Health Department at (423) 209-8093. Suggested citation for this report: Chattanooga-Hamilton County Health Department, Office of Assessment and Planning. Picture of Our Health, Hamilton County, Tennessee; November 2015. Chattanooga-Hamilton County Regional Health Council Regional Health Council Mission: To serve as the lead community-based organization designated by the Tennessee Department of Health to be responsible for community health assessment, regional health planning, and the provision of input regarding funding decisions for health and health-related initiatives which result in the improvement of community health. Its members are appointed by the County Mayor and the Hamilton County Board of Commissioners. Its membership reflects representation from a variety of areas including medicine, social services, government, education, local business, non-profit organizations, community advocates, health insurance, mental health, and others. Regional Health Council Vision: Every person will have the opportunity to experience optimal health as a result of renewing our commitment to redesign our community, one person, one neighborhood, one institution, and one system at a time through the cooperation of all people. Regional Health Council Values: Spiritual Well-Being Emotional and Physical Well-Being Strong Families and Neighborhoods Educational Opportunities and Achievements Economic Prosperity Safe and Healthy Environment with Cultural Diversity and Inclusiveness Supportive Institutions Regional Health Council Members: Chris Anderson Cy Huffman, MD Sean Richards, PhD Ronald Blankenbaker, MD Charline Kilpatrick Manuel Rico Charles Blevins Earl Medley Donna Roddy Rae Young Bond Stephen Meyer, MSc, PE Howard Roddy Phyllis Casavant, Ed. D. Thomas Miller, MD Richard Tornquist Eva Dillard Deborah Poteet-Johnson, MD Ex-Officio Members Becky Barnes, Chattanooga-Hamilton County Health Department Valerie Boaz, MD, Chattanooga-Hamilton County Health Department Jim Coppinger, Mayor, Hamilton County, Tennessee Acknowledgements The Picture of Health for Hamilton County was published in November 2015 by the Chattanooga- Hamilton County Health Department, in partnership with the Regional Health Council. This report was published under the leadership of Chris Anderson, Chair of the Regional Health Council. The primary author of this report is Ione Farrar, program manager in Assessment and Planning at the Chattanooga-Hamilton County Health Department. This report was reviewed by the following Regional Health Council Health Futures Committee members: Dr. Deborah Poteet-Johnson, Chair Chris Anderson Dr. Ronald Blankenbaker Rae Bond Charline Kilpatrick Stephen Meyer Dr. Thomas Miller Sean Richards Donna Roddy Howard Roddy This report was reviewed and edited by the following Health Department staff: Becky Barnes, Administrator Dr. Valerie A. Boaz, Health Officer Tammy Burke, Clinical Services Director Bonnie Deakins, Environmental Health Director Diana Kreider, Case Management Services Director Nettie Gerstle, Administrative Services Director William Ulmer, Community Health Services Director The Chattanooga-Hamilton County Health Department would also like to acknowledge partners for their help with acquiring data and providing data assistance: Tennessee Department of Health, Division of Policy, Planning and Assessment Hamilton County Health Data Profile Page 1 d November 4, 2015 Dear Colleague, I am pleased to present the Picture of Health for Hamilton County 2015. This report documents selected health status indicators to monitor progress toward achieving Healthy People 2020 goals. These objectives challenge us to take steps to increase the span and quality of life, reduce health disparities, and ensure access to preventive health services for all residents. This report was last published in 2010. The report documents our progress in the areas of chronic disease, reducing motor vehicle accident mortality and infant mortality, reducing teen child-bearing, and improving infant health. It also documents ongoing public health challenges, including access to mental and behavioral health services, promoting healthy aging, reducing obesity, preventing and managing chronic diseases, and reducing health disparities. Hamilton County is fortunate to have a strong and active Regional Health Council that shares our commitment to prioritize health needs, recommend policy changes, and develop partnerships to foster collaborations to address our community’s needs. I believe this report is an important tool to evaluate the health of Hamilton County residents and to guide our efforts in health promotion and preventive services. Also, I want to thank all of our partners, especially our Regional Health Council, for their hard work and contributions to the work of prevention. Through their support we continue to make progress in ensuring the health of our community. Sincerely, Becky Barnes Administrator Hamilton County Health Data Profile Page 2 Contents Acknowledgements ...................................................................................................................................... 1 Introduction .................................................................................................................................................. 6 Core Principles of Public Health ................................................................................................................ 6 Key Data Findings ......................................................................................................................................... 8 Demographics and Social Determinants of Health ................................................................................... 14 Race and Ethnicity ................................................................................................................................... 15 An Aging Population ................................................................................................................................ 16 Educational Attainment .......................................................................................................................... 17 Poverty .................................................................................................................................................... 17 General Health Status and Quality of Life ................................................................................................. 20 Defining Quality of Life ........................................................................................................................... 20 Overall Well Being ............................................................................................................................... 20 Supportive Environment ..................................................................................................................... 20 Access to Health Care and Coverage ......................................................................................................... 22 Health Insurance Status .......................................................................................................................... 22 Medicare and TennCare .......................................................................................................................... 23 Enrollment Trends ............................................................................................................................... 23 Health Care Providers ............................................................................................................................. 24 Hospitals in Hamilton County ................................................................................................................. 25 Health Care Utilization Adults ................................................................................................................. 25 Infant and Maternal Health ....................................................................................................................... 27 Births and Birth Rates ............................................................................................................................. 27 Births by Race/Ethnicity .......................................................................................................................... 27 Teen Births .............................................................................................................................................. 28 Delayed or No
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