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Vidant Medical Center Community Health Needs Assessment

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Vidant Medical Center Community Health Needs Assessment Vidant Medical Center Community Health Needs Assessment 2015 1 Table of Contents Acknowledgements ……………………………………………………………………………………………………………………………. 5 Executive Summary ……………………………………………………………………………………………………………………………. 7 Community Health Needs Assessment Background and Purpose …………………………….……………………… 10 Team Composition …………………………………………………………………………………………………………………….……… 10 Data Collection Process ………………………………………………………………………………………………………………….…. 10 Health Priorities Selection …………………………………………………………………………………………………………………. 11 County Overview ………………………………………………………………………………………………………………………………. 13 Demographics Population Estimates ………………………………………………………………………………………………………………………… 13 Age Distribution ………………………………………………………………………………………………………………………………… 14 Race and Ethnicity……………………………………………………………………………………………………………………………… 14 Education …………………………………………………………………………………………………………………………………………. 15 Economic Factors Income and Poverty ……………………………………………………………………………………………………………………… 15 Employment……………………………………………………………………………………………………………………………………… 17 Homeownership……………………………………………………………………………………………………………………………….. 17 Agriculture………………………………………………………………………………………………………………………………………... 17 Transportation…………………………………………………………………………………………………………………………………… 17 Crime and Intentional Injuries………………………………………………………………………………………………………….. 18 Leading Causes of Death……………………………………………………………………………………………………………………. 19 Leading Causes of Death by Rank………………………………………………………………………………………………………. 22 Heart Disease…………………………………………………………………………………………………………………………………….. 22 Cancer ………………………………………………………………………………………………………………………………………………. 23 Cerebrovascular Disease …………………………………………………………………………………………………………………… 25 Chronic Lower Respiratory Disease …………………………………………………………………………………………………… 26 Unintentional Injuries ………………………………………………………………………………………………………………………. 27 Alzheie’s Disease …………………………………………………………………………………………………………………………. 28 2 Diabetes ……………………………………………………………………………………………………………………………………………. 29 Kidney Disease ………………………………………………………………………………………………………………………………….. 30 Motor Vehicle Injuries ………………………………………………………………………………………………………………………. 31 Pneumonia and Influenza …………………………………………………………………………………………………………………. 32 Septicemia ………………………………………………………………………………………………………………………………………… 33 Chronic Liver Disease and Cirrhosis …………………………………………………………………………………………………… 34 Suicide ………………………………………………………………………………………………………………………………………………. 35 Homicide …………………………………………………………………………………………………………………………………………… 36 Other Causes of Death Infant Mortality …………………………………………………………………………………………………………………………………. 37 Child Deaths ………………………………………………………………………………………………………………………………………. 39 Other Child Health Status Data Child Lead Poisoning …………………………………………………………………………………………………………………………. 40 Childhood Overweight/Obesity …………………………………………………………………………………………………………. 40 Adolescent Pregnancy ………………………………………………………………………………………………………………………. 40 Other Health Status Data Adult Obesity and Physical Activity …………………………………………………………………………………………………….. 41 Smoking ……………………………………………………………………………………………………………………………………………… 41 Communicable Diseases HIV ……………………………………………………………………………………………………………………………………………………… 42 AIDS ……………………………………………………………………………………………………………………………………………………. 43 Chlamydia …………………………………………………………………………………………………………………………………………… 44 Gonorrhea ………………………………………………………………………………………………………………………………………….. 45 Syphilis ……………………………………………………………………………………………………………………………………………….. 46 Tuberculosis (TB) ………………………………………………………………………………………………………………………………… 47 Vaccine Preventable Diseases …………………………………………………………………………………………………………….. 47 Foodborne Diseases ……………………………………………………………………………………………………………………………. 48 Emergency Preparedness …………………………………………………………………………………………………………………… 49 3 Environmental Health Air Quality …………………………………………………………………………………………………………………………………………… 51 Air Quality and Asthma ……………………………………………………………………………………………………………………….. 51 Water Quality ……………………………………………………………………………………………………………………………………… 52 Access to Care / Hospital Utilization …………………………………………………………………………………………………. 52 Health Care Resources ……………………………………………………………………………………………………………………….. 53 Community Concerns / Primary Data Review ……………………………………………………………………………………. 62 Process of Selecting and Identifying Final Health Priorities………………………………………………………………… 63 Next Steps ……………………………………………………………………………………………………………………………………… 64 Appendices Appendix A CHNA Committee Membership …………………………………………………………………………………………………………… 68 Additional Individuals Who Contributed to the CHNA ………………………………………………………………………… 71 Appendix B 2015 Community Listening Sessions ……………………………………………………………………………………………………. 74 Community Listening Sessions Codebook …………………………………………………………………………………………… 80 Additional Listening Sessions Data ………………………………………………………………………………………………………. 84 Appendix C 2015 Online Community Health Opinion Survey Summary …………………………………………………………………. 89 Appendix D PPH Commitment to Action and Implementation ……………………………………………………………………………… 154 PPH Health Priorities Voting Outcome Posters ………………………………………………………………………………….. 155 Appendix E Pitt County 2013 Municipalities Population Chart ……………………………………………………………………………… 157 Unemployment Rates Graph …………………………………………………………………………………………………………….. 158 Unintentional Injuries Charts ……………………………………………………………………………………………………………. 159 Child Deaths Charts ………………………………………………………………………………………………………………………….. 160 Environmental Protection Agency Air Quality Index Codes ………………………………………………………………. 161 Pitt County Map of Parks and Schools (Recreational Opportunities) ……………………………………………….. 162 4 Acknowledgements This document serves as the 2015 Pitt County Community Health Needs Assessment (CHNA) for Vidant Medical Center. Our CHNA partners include the Pitt County Health Department, Pitt Partners for Health, and East Carolina University. Sincere appreciation is extended to the PPH membership for their guidance and contributions to the 2015 CHNA. The Partnership is chaired by Colleen Coda, a community member and retired VMC Cancer Services nurse. The vice chair is Alice Keene, retired Director, Pitt County Community Schools and Recreation and current Special Projects Coordinator, Pitt County Planning Department / Community Schools and Recreation. Action Team leaders include Robin Tant (Physical Activity and Nutrition), Jennifer Smith (Injury Prevention), and Sandra Hickman (Chronic Disease). PPH membership is comprised of individuals from a variety of organizations and communities within Pitt County representing government, health care, the faith community, civic organizations and members of the general public. PPH serves a critical role in assuring that the community has input into the collection and review of health status data, as well as the selection of health priorities for the County. The priorities recommended by PPH were shared with the Pitt County Board of Health, the VMC Board of Trustees and the VMC Foundation. Each of these groups selected priority health areas for their respective organizations as outlined in this document. PPH, VMC Community Health Programs, Pitt County Health Department and other partners express gratitude to the Pitt County Board of Health, VMC Board of Trustees and the VMC Foundation for receiving presentations regarding key finding of this assessment and for their recommendations and careful selection of priority health areas for Pitt County that will be addressed from 2015-2018. A special thank you is also extended to a number of Pitt County individuals and groups who shared their knowledge, expertise, and creative ideas for improving health within the Pitt County community: Dr. John Morrow, Pitt County Public Health Director, Mr. Brian Floyd, President of VMC and Dr. Paul Cunningham, Dean of the Brody School of Medicine (BSOM) hosted a Key Leaders’ listening session to solicit input on health issues and strategies to create a healthier community. Dr. Doyle Cummings from the Research Division of Family Medicine at the BSOM served as moderator of the Key Leaders’ listening session. Forty – one (41) key leaders participated representing County Recreation, area churches, County Management, Vidant Health, United Way, AMEXCAN - Hispanic/Latino community, ECU – (SOM, Dental, Health and Human Performance, Public Health, College of Nursing), Eastern AHEC, Department of Social Services, City of Greenville, Family Violence, Pitt County Health Department, Greenville Community Shelter, Town of Ayden, Pitt County EMS, Pitt Community College, Access East, Council on Aging, Town of Bethel, Pitt County Planning and Pitt Partners for Health. Jo Morgan, retired Health Education Director with Pitt County Health Department kindly shared her expertise from over 30 years of conducting health assessments for the Pitt County community. PPH is grateful for her leadership and for her recommendations regarding the collection and analysis of data. Mrs. Morgan conducted listening sessions among nineteen (19) Pitt County groups/organizations that serve the people of Pitt County and that are familiar with the health status of the community. She also compiled and analyzed this data. Acknowledgement and appreciation are also extended to the 281 representatives of the following groups who participated in community listening sessions and provided feedback concerning health issues they have identified among community members whom they serve as part of their profession or affiliation with these groups: Gold Path, Martin Pitt Partnership for 5 Children, Homeless Shelter, Senior Fitness Group, Human Resource Managers, Community Care Plan, Safe Communities Coalition, Vidant Case Managers, Pitt County Schools Social Workers, Vidant Medical Center
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