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2019 Capital Region, Community Health Needs Assessment (CHNA)

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2019 Capital Region, Community Health Needs Assessment (CHNA) HEALTHY CAPITAL DISTRICT INITATIVE 1 Acknowledgments The principal authors of this report were: Kevin Jobin-Davis, M.S., Ph.D. Michael Medvesky, M.P.H. John Lake, M.S. Olivia Beltrani, M.P.H. Dr. Jobin-Davis, the Executive Director of the Healthy Capital District Initiative (HCDI), managed and edited the presentation of findings for this Community Health Needs Assessment and the prior editions in 2009, 2013, and 2016. He facilitated the prioritization process and provided focus for the development of the Community Health Improvement Plans. Mr. Medvesky, the Director, Health Data Analytics (HCDI), provided invaluable insights and technical expertise in public health indicators to be included, as well as detailed review of the data analysis, findings, and narrative contained in the Community Health Needs Assessment. Mr. Lake and Ms. Beltrani, Research Analysts (HCDI), made significant contributions to the text and in generating the tables and charts. Mr. Lake prepared the Appendices contained in the Report. The HCDI Public Health Planners, Ms. Emily Lipton, Ms. Rebecca Starzyk, Ms. Jordyn Watts, as well as the PHIP Program Manager, Mr. Dylan Hall, were instrumental in coordinating the regional Prioritization Work Groups, as well as supporting the regional Community Health Improvement Plan (CHIP) Development Work Groups. Ms. Lillie Ruby, Communications Coordinator, HCDI, was invaluable in the formatting of the document and its accompanying appendices. This document benefited from the review and input of the members of the Prevention Agenda Workgroup of the Healthy Capital District Initiative. These individuals are subject matter experts from area county public health departments and each of the Capital Region hospitals. Their review of the narrative and the data resulted in helpful edits. They were joined by representatives from county agencies, community based organizations, businesses, consumers, schools, academics, and other partners, for a total of over 90 different organizations participating in the four Capital Region Public Health Prioritization, and CHIP Work Groups, who considered a data summary of the findings and to develop regional priorities. The member organizations of HCDI also provided valuable financial support for the development of this Report and the community health survey. We are grateful for the contributions of each and every one of these knowledgeable contributors. Financial Support: This project would not have been possible without the generous support of the New York State Department of Health (NYSDOH) through the Population Health Improvement Program (PHIP). This report, however, solely reflects the analysis of the authors and is not a production of the NYSDOH. HEALTHY CAPITAL DISTRICT INITATIVE 1 I Health Profile of New York’s Capital Region, 2019 In 1997, the counties of Albany, Rensselaer, and Schenectady implemented a joint project to engage health providers and community members in a regional health assessment and prioritization process. This was the first major collaborative venture undertaken by the three local governments, health care providers, insurers, other MEMBER ORGANIZATIONS community organizations and residents to assess health status, identify health priorities, and develop plans to improve the health status of the Capital District. The projects that resulted from these plans have directly resulted in improved health and access to needed health services for residents in the Capital District. Albany County Department of Health The 2019 Community Health Needs Assessment (CHNA) is now the sixth analysis of Albany Medical Center the health needs in the region to be conducted in support of community health Burdett Care Center improvement planning. In addition to the original three Capital District counties of Catholic Charities of the Albany, Schenectady and Rensselaer, the 2019 CHNA includes the counties of Roman Catholic Diocese Saratoga, Columbia and Greene. The 2019 CHNA examines hospitalization and Capital District Physicians’ emergency department data, prevention quality indicators, demographic data and Health Plan health behaviors. The structure of this report is based upon the 2019-2024 Prevention Ellis Medicine Agenda of New York State. Utilizing the Prevention Agenda framework for examining Rensselaer County public health data, aligns our analysis with that of the New York State Department of Department of Health Health, creating opportunities to compare the Capital Region to other Upstate counties Schenectady County and New York State goals. Public Health Services St. Peter’s Health This analysis is not completely comprehensive of every health condition or public Partners health issue. In addition, individuals working on a particular health issue, or Albany Memorial experiencing it first hand, will undoubtedly have other local data and valuable Hospital knowledge to contribute beyond the data reported. The analysis completed was chosen Samaritan Hospital based upon the availability of reliable, comparable data and the delineated priority St. Peter’s Hospital health areas of the New York State Department of Health. The results describe the Sunnyview prevalence and concentration of the major health issues in the region. Rehabilitation Hospital Whitney Young Health This document would not be possible without the labor, input and support of our sponsors and members of the community. It is the result of over 8 months of meetings with member organizations and community input through our survey of over 1,200 residents of the Capital Region. Their collaboration was invaluable. As a result of these efforts, the following priority areas for Capital Region counties were identified to focus our collective efforts in the coming years on preventing or reducing the burden of obesity and diabetes; smoking and asthma; mental health and substance abuse. This Community Health Needs Assessment was completed and approved in June 2019. 2 HEALTHY CAPITAL DISTRICT INITATIVE Table of Contents I. Introduction and Data Summary ...................................................................................................... 7 Community Being Assessed.................................................................................................................... 7 Data Sources and Indicator Selection ................................................................................................... 7 Structure of this Report: Health Indicators ......................................................................................... 9 Rates and Comparisions ....................................................................................................................... 10 Data Summary ...................................................................................................................................... 10 Race/Ethnicity ....................................................................................................................................... 13 Counties ................................................................................................................................................. 14 County Health Rankings-2019 ............................................................................................................. 29 II. Community Public Health Priorities .................................................................................................. 30 Collaboration and Community Engagement ...................................................................................... 30 Selection of Priorities ............................................................................................................................ 30 III. Sociodemographic Information ......................................................................................................... 39 IV. General Health Status ........................................................................................................................ 45 Health Care: Usage and Access ........................................................................................................... 49 Health Care Usage ............................................................................................................................ 49 Access to Primary and Preventive Care ......................................................................................... 51 Adult Dental Visits ................................................................................................................................ 53 V. Chronic Disease ................................................................................................................................. 55 Obesity, Physical Activity and Nutrition ............................................................................................ 55 Adult Obesity ..................................................................................................................................... 55 Childhood Obesity ............................................................................................................................ 57 Physical Activity .................................................................................................................................... 59 Sugary Beverages .............................................................................................................................. 60 Tobacco Use ..........................................................................................................................................
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