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Jeanes Hospital 2019 Community Health Needs Assessment Community Assessment Health Needs JEANES HOSPITAL 2019 COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY ASSESSMENT HEALTH NEEDS COMMUNITY HEALTH NEEDS 2019 ASSESSMENT JEANES HOSPITAL 7600 Central Avenue Philadelphia, PA 19111 PAGE 2 COMMUNITY HEALTH NEEDS HEALTH NEEDS ASSESSMENT TABLE OF CONTENTS 01 INTRODUCTION 02 EXECUTIVE SUMMARY Introduction to the Community Health 05 Executive Summary 07 Needs Assessment 03 COMMUNITY DEFINITION 04 METHODOLOGY Community Definition 10 Data Collection 12 Hospital Utilization Data 14 Focus Group 14 Key Informant Survey 14 Data Limitations 15 Feedback From 2016 Jeanes Hospital 15 CHNA 05 DEMOGRAPHICS 06 RESOURCES HEALTH NEEDS Demographics 16 Community & Hospital Resources 18 07 2016 IMPLEMENTATION 08 HOSPITAL UTILIZATION Summary of Progress on 2016 19 Hospital Utilization Rates 21 Implementation Strategy 09 GENERAL FINDINGS 10 PRIORITIZATION Chronic Disease 24 Prioritization 54 Access to Quality Health Services 28 Review & Approval 56 Barriers to Healthcare 33 Substance Use Disorder/Tobacco Use 34 Mental Health 38 Healthy Environment 41 A-H APPENDIX Physical Activity and Nutrition 46 Healthy Women, Mothers, Babies and 48 A: Refrences and Resources 58 Children B: Executive Summary of Secondary Data 68 Infectious Disease 52 C: Jeanes Hospital Focus Group Guide 78 D: Jeanes Hospital Key Informant Survey 86 E: Hospital Resource Listing 97 F: Community Resource Listing 116 G: Hospital Utilization Data - Ambulatory 150 H: Prioritization Exercise Results 156 PAGE 3 COMMUNITY ASSESSMENT HEALTH NEEDS A MESSAGE FROM OUR PRESIDENT Thank you for your continued support of Jeanes Hospital and your interest in our 2019 Community Health Needs Assessment. As a community hospital with a more-than-90-year history, Jeanes Hospital has evolved dramatically from its beginnings as a hospital established by its Quaker founder for “those with cancerous, nervous, and disabling ailments” to a provider today of high-acuity medical and surgical services. Our close alignment with an academic medical center, Temple University Hospital, helps to further strengthen our mission and growth by bringing additional resources and expertise to the excellence in care that we have long provided to our patients. This report offers important insights into health-related issues facing the communities we serve, illuminates the potential for program enhancements and service offerings that we can implement, and reveals opportunities to create partnerships across our service area. The issues are great, but we recognize that strategy and support are critical to making progress. By joining with our partners and our community, we can align resources and make thoughtful decisions that will help improve the health of those who depend on us for their care. Excellence in patient care can only happen with a willingness to listen to those who receive this care and the ability to grow along with their needs. We appreciate the opportunity to make a positive difference in the lives of our patients and their families as we share this report with you. Sincerely, Marc P. Hurowitz, DO, MBA, FAAFP President and CEO Jeanes Hospital PAGE 4 COMMUNITY HEALTH NEEDS HEALTH NEEDS ASSESSMENT INTRODUCTION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT Jeanes Hospital is proud to present its 2019 Community Health Needs Assessment (CHNA). This report summarizes a comprehensive review and analysis of public health, socioeconomic, and other demographic data from our immediate service area, Philadelphia and Southeastern Pennsylvania. All data was reviewed and analyzed to determine the top health issues facing our immediate and surrounding communities. This CHNA will assist our Hospital, as well as local and community organizations and social agencies, to identify community health priorities, develop interventions and determine how to effectively commit resources to improve the health of the neighborhoods we serve. We offer special thanks to the many community-based organizations and over 350 citizens and stakeholders that participated in this assessment. We appreciate their time and valuable input throughout the CHNA process. We also thank our patients, their families and communities without which this assessment would not have been possible. Thank You! PARTICIPATING ORGANIZATIONS STEERING COMMITTEE MEMBERS Aldersgate Youth Services Bureau Armbruster, Rebecca A Anne T. Jeanes Foundation Board Barron, Kathleen Berachah Church – Food Pantry Carson, Steven R Burholme Emergency Medical Services Donnelly, Lisa CORA Services, Inc. Gonzalez, Evelyn Jaisohn Home Health Care Helstrom, James Jeanes Hospital Community Advisory Board Kunka, Andrew F Medical Mission Sisters Levins, Katherine Memorial Presbyterian Church Mazer, Sherry Philadelphia Protestant Home McBee, Dwight W Rockledge Police Department Rasi, Luciano P SPIN (Special People in Northeast) Rastogi, Abhinav Temple University Health System Reed, Tony S Wesley Enhanced Living Whyte, Veronica D Zambon, Allison PAGE 5 COMMUNITY ASSESSMENT HEALTH NEEDS ABOUT JEANES HOSPITAL Located in Northeast Philadelphia, Jeanes Hospital opened in 1928 through a provision in the will of Anna T. Jeanes, a local Quaker philanthropist. The endowment she created provided funds to build a hospital for “those with cancerous, nervous, and disabling ailments” that would operate according to the Quaker philosophy of treating each patient compassionately, as a whole person. In the years since its founding, Jeanes Hospital has evolved to become a thriving community hospital that provides a range of adult medical and surgical services. In 1996, the hospital joined Temple University Health System, further advancing its growth. Our Vision Meeting the physical, emotional, cultural, and spiritual needs of our community with a caring, safe, and supportive environment; • Understanding and advocating for the needs of our community and meeting those needs with timely, cost effective, responsive services; • Providing a healthy, creative, and rewarding work environment that attracts, retains, and develops the best staff, physicians, and volunteers; and • Demonstrating leadership among community hospitals through continuous improvement, innovation, and investment of our people, technology, and facilities. Our Services Jeanes Hospital provides an extensive range of medical, surgical, and emergency services for residents of Northeast Philadelphia and Eastern Montgomery County. The hospital combines the comfort and convenience associated with most community hospitals together with the resources of a downtown academic medical center. Key clinical services include: • High-acuity surgical services – neurosurgery, vascular surgery, joint replacement surgery, spine surgery, weight-loss surgery, minimally invasive general surgery, head and neck surgery, gynecologic surgery, and urologic surgery; • Medical services – emergency medicine, intensive care, primary stroke center, primary care, orthopedics, gastroenterology, nephrology, endocrinology, Temple Heart and Vascular Institute, Temple Head and Neck Institute, and Temple Neurosciences Center; • Procedures and tests – cardiac catheterization, electrophysiology, stress echocardiogram, diagnostic imaging, MRI scan, CT scan, interventional radiology, digital mammography, endoscopy, and pain management. Jeanes Hospital aligns its population health efforts closely with its affiliated empleT Center for Population Health, LLC (TCPH). Established in 2014, the TCPH promotes and supports the population health efforts of our communities. Efforts are aligned with the goals of the U.S. Department of Health and Human Services’ three-part aim of achieving better care for patients, better health for our communities, and lower costs through healthcare system improvement. To maintain and enhance the quality of life for individuals in the communities we MISSION STATEMENT serve. The hospital emphasizes the Quaker belief that in each person there resides a spirit that creates a common bond among us all. COMMUNITY HEALTH NEEDS HEALTH NEEDS ASSESSMENT EXECUTIVE SUMMARY A Community Health Needs Assessment (CHNA) helps gauge the health status of a community and guides development and implementation of strategies to improve a community’s health. The CHNA process also promotes collaboration among local agencies and provides data to evaluate outcomes and the impact of population health efforts. The 2019 Jeanes Hospital CHNA process was facilitated by Strategy Solutions, Inc., a planning and research firm with a mission to create healthy communities. The CHNA process followed best practices outlined by the Association for Community Health Improvement and met all Internal Revenue Service (IRS) requirements for nonprofit hospitals. The process was conducted to identify the primary health issues, current health status, and health needs of residents living in the Hospital’s service area. The results enable our Hospital and greater community to establish priorities, develop interventions, and direct resources to improve the health of our surrounding community. This CHNA includes the components that are outlined in Figure 1 below. Figure 1: CHNA Components Introduction to the Executive Community Service Area Community Methodology Population Health Summary Definition Needs Demographics Assessment Access to Community Summary of Quality Health and Hospital Progress on Hospital Chronic Disease Services and Resources Previous Needs Utilization Rates Barriers to Assessment Healthcare Healthy Physical Activity Women, Substance Use Healthy and Mental Health Mothers, Babies Disorder Environment and
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