DOCSLIB.ORG

State of Hawaii Community Health Needs Assessment

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
State of Hawaii Community Health Needs Assessment State of Hawaii Community Health Needs Assessment February 28, 2013 Table of Contents Executive Summary .............................................................................................................................. 4 Introduction .................................................................................................................................................. 4 Approach ....................................................................................................................................................... 4 Data Sources and Methods ........................................................................................................................... 4 Areas of Need ................................................................................................................................................ 5 Selected Priority Areas ................................................................................................................................. 6 Note to the Reader ....................................................................................................................................... 6 1 Introduction ..................................................................................................................................... 1 1.1 Summary of CHNA Report Objectives and context ............................................................................. 1 1.1.1 Healthcare Association of Hawaii ................................................................................................. 1 1.1.2 Member Hospitals ........................................................................................................................ 1 1.1.3 Advisory Committee ..................................................................................................................... 2 1.1.4 Consultants ................................................................................................................................... 3 1.2 Hospital Community Benefit Team and Goals [optional ‐ completed by hospital] ............................. 3 1.2.1 Definition of Community + Map [completed by hospital] ............................................................ 2 2 Methods ............................................................................................................................................. 3 2.1 Core Indicator Summary ...................................................................................................................... 3 2.1.1 Data Sources ................................................................................................................................. 3 2.1.2 Comparisons: Analytic Approach .................................................................................................. 3 2.1.3 Indicator and Topic Area Scoring .................................................................................................. 4 2.1.4 Shortage Area Maps ..................................................................................................................... 4 2.2 Hospitalization Rates ........................................................................................................................... 5 2.3 Key Informant Interviews .................................................................................................................... 5 2.4 Community Survey .............................................................................................................................. 6 3 Community Health Needs Assessment Findings ................................................................. 8 3.1 Demographics ...................................................................................................................................... 8 3.1.1 Population..................................................................................................................................... 8 3.1.2 Economy ..................................................................................................................................... 10 3.1.3 Education .................................................................................................................................... 11 3.2 Overview of Needs Assessment ........................................................................................................ 11 3.2.1 Access to Health Services ............................................................................................................ 15 3.2.2 Cancer ......................................................................................................................................... 17 3.2.3 Diabetes ...................................................................................................................................... 19 3.2.4 Disabilities ................................................................................................................................... 22 3.2.5 Economy ..................................................................................................................................... 23 3.2.6 Education .................................................................................................................................... 24 3.2.7 Environment ............................................................................................................................... 25 3.2.8 Exercise, Nutrition & Weight ...................................................................................................... 25 3.2.9 Family Planning .......................................................................................................................... 27 3.2.10 Heart Disease & Stroke ............................................................................................................. 28 3.2.11 Immunizations & Infectious Diseases ....................................................................................... 30 3.2.12 Injury Prevention & Safety ........................................................................................................ 32 3.2.13 Maternal, Fetal & Infant Health ............................................................................................... 34 3.2.14 Mental Health & Mental Disorders .......................................................................................... 36 1 3.2.15 Older Adults & Aging ................................................................................................................ 38 3.2.16 Oral Health ............................................................................................................................... 39 3.2.17 Respiratory Diseases ................................................................................................................. 40 3.2.18 Social Environment ................................................................................................................... 42 3.2.19 Substance Abuse & Lifestyle ..................................................................................................... 44 3.2.20 Transportation .......................................................................................................................... 46 4 Community Health Needs Summary ...................................................................................... 47 4.1 Findings/Conclusions ......................................................................................................................... 47 4.1.1 Disparities Highlights .................................................................................................................. 49 4.1.2 Identified Data Gaps ................................................................................................................... 50 4.2 Limitations and Other Considerations ............................................................................................... 50 5 Selected Priority Areas .............................................................................................................. 52 Appendix A: HCI Provided Data ...................................................................................................... 53 About HCI Provided Data ............................................................................................................................ 53 Framework for Indicator/Data and Topic Selection ................................................................................... 53 Core Indicator Data Summary: Analytic Approach and Scoring Methodology ........................................... 53 Core Indicator Data ..................................................................................................................................... 57 Appendix B: Hospitalization Data ................................................................................................. 76 Hospitalization Rates .................................................................................................................................. 76 Appendix C: Key Informant Interview Guide and Participants ........................................... 84 Completed Interviews ................................................................................................................................. 84 Attempted Interviews ................................................................................................................................
Load more

Recommended publications
  • Honolulu County Community Health Needs Assessment and Implementation Plan Report
    Honolulu County Community Health Needs Assessment and Implementation Plan Report February 28, 2013 Updated March 2017 Table of Contents Executive Summary .............................................................................................................................. 5 Introduction .................................................................................................................................................. 5 Approach ....................................................................................................................................................... 5 Data Sources and Methods ........................................................................................................................... 5 Areas of Need ................................................................................................................................................ 6 Selected Priority Areas .................................................................................................................................. 7 Note to the Reader ....................................................................................................................................... 9 1 Introduction .................................................................................................................................. 10 1.1 Summary of CHNA Report Objectives and context ........................................................................ 10 1.1.1 Healthcare Association of Hawaii ..........................................................................................
    [Show full text]
  • The Hawaiian Island Environment
    The Hawaiian Island Environment Item Type text; Article Authors Shlisky, Ayn Citation Shlisky, A. (2000). The Hawaiian Island environment. Rangelands, 22(5), 17-20. DOI 10.2458/azu_rangelands_v22i5_shlisky Publisher Society for Range Management Journal Rangelands Rights Copyright © Society for Range Management. Download date 30/09/2021 01:33:31 Item License http://rightsstatements.org/vocab/InC/1.0/ Version Final published version Link to Item http://hdl.handle.net/10150/639245 October 2000 17 The Hawaiian Island Environment Ayn Shlisky aradise: the universal vision we Each island is the result of accumula- most of their moisture. The driest areas have of Hawai‘i. Hawai‘i’s habi- tions of successive volcanic eruptions at are the upper slopes of high mountains, Ptats are diverse, unique, and love- the Hawaiian hot spot. The older volca- where a trade wind inversion tends to ly—a land of flowing red-hot lava, and noes have been transported from the suppress vertical lifting of air, or in lee- at the same time, delicate pastel orchids. Hawaiian hot spot to the northwest by ward positions at the coast or inland. Yet the Hawai‘i of today is much plate movement. Through time, they Winter cold fronts moving in from the changed from that discovered by the erode and subside to become a mere northwest may infrequently travel far Polynesians, or more than 1,000 years pinnacle of rock, then an atoll of accu- enough south to drop snow on the upper later, by Captain Cook. Over time, mulated coral, and finally a submerged slopes of Haleakala (Maui), Mauna Loa Hawai‘i has been discovered and re-dis- guyot (flat, reef-capped volcano) and Mauna Kea (Hawai‘i).
    [Show full text]
  • Albatross Or Mōlī (Phoebastria Immutabilis) Black-Footed Albatross Or Ka’Upu (Phoebastria Nigripes) Short-Tailed Albatross (Phoebastria Albatrus)
    Hawaiian Bird Conservation Action Plan Focal Species: Laysan Albatross or Mōlī (Phoebastria immutabilis) Black-footed Albatross or Ka’upu (Phoebastria nigripes) Short-tailed Albatross (Phoebastria albatrus) Synopsis: These three North Pacific albatrosses are demographically similar, share vast oceanic ranges, and face similar threats. Laysan and Black-footed Albatrosses nest primarily in the Northwestern Hawaiian Islands, while the Short-tailed Albatross nests mainly on islands near Japan but forages extensively in U.S. waters. The Short-tailed Albatross was once thought to be extinct but its population has been growing steadily since it was rediscovered in 1951 and now numbers over 3,000 birds. The Laysan is the most numerous albatross species in the world with a population over 1.5 million, but its trend has been hard to determine because of fluctuations in number of breeding pairs. The Black-footed Albatross is one-tenth as numerous as the Laysan and its trend also has been difficult to determine. Fisheries bycatch caused unsustainable mortality of adults in all three species but has been greatly reduced in the past 10-20 years. Climate change and sea level rise are perhaps the greatest long-term threat to Laysan and Black-footed Albatrosses because their largest colonies are on low-lying atolls. Protecting and creating colonies on higher islands and managing non-native predators and human conflicts may become keys to their survival. Laysan, Black-footed, and Short-tailed Albatrosses (left to right), Midway. Photos Eric VanderWerf Status
    [Show full text]
  • M U It I Resou Rce Forest Statistics for Molokai, Hawaii
    United States Department of Agriculture Mu It iresou rce Forest Forest Service Pacific Northwest Research Station Statistics for Resource Bulletin PNW-136 June 1986 Molokai, Hawaii Michael G. Buck, Patrick G. Costales, and Katharine McDuffie This file was created by scanning the printed publication. Text errors identified by the software have been corrected; however, some errors may remain. Authors MICHAEL G. BUCK and PATRICK G. COSIALLS are resource evaluation foresters with the Hawaii Division of Forestry and Wild- life in Honolulu, Hawaii. KATHARINE MCDUFFlt is a computer programmer/analyst at the Pacific Northwest Research Sta- tion, Forestry Sciences Laboratory, P.O. Box 3890, Portland, Oregon 97208. Abstract Summary Buck, Michael G.; Costales, Patrick G.; lhe island of Molokai, Hawaii, totals McDuf f ie, Katharine. Mu1 t i resource 163,211 acres, of which an estimated forest statistics for Molokai, Hawaii. 57,598 acres are forested --23,494 acres Resour. Bull. PNW-136. Portland, OR: classified as timberland and 34,104 acres U.S. Department of Agriculture, Forest as other forest land. Previous inven- Service, Pacific Northwest Research tories show an additional estimated Station; 1986. 18 p. growing-stock volume of 4.2 million cubic feet on forest plantations, and an esti- This report summarizes a 1983 multire- mated total volume of 5.5 million cubic source forest inventory of the island of feet of a fuel-producing species growing Molokai, Hawaii. lables of forest area, on other forest land. Erosion occurs on timber volume, vegetation type, owner- only 7 percent of the island, the major- ship, land class, and wildlife are ity (85 percent) outside the forest re- presented.
    [Show full text]
  • VOL.14 Issue 1 January 15, 2014
    VOL.14 ISSUE 1 January 15, 2014 IN THIS ISSUE ANNUAL LEGISLAtiVE BUDGET INFORMAtiONAL BRIEFINGS ► Message From Kalani pg 1 Each year, the Senate Committee on Ways and Means and the House Finance Com- ► WAM Info Briefing pg 1 mittee conduct a series of joint informational briefings over a couple of weeks, on the State’s fiscal projections and the budget requests for the various State departments. ► 2013 CIP Update pg 2 This session, the committees held the revenue forecast briefing with the Council of ► Food Summit & Caucus pg 3 Revenues earlier than usual, December instead of January, to expedite the compilation ► Realtors Capitol Visit pg 3 the Hawai‘i State budget. ► Plane Crash Investigation pg 4 On December 18, 2013, committee members were briefed on the administration’s fiscal year (FY) 2015 Executive Supplemental Budget and Multi-Year General Fund Financial Plan by Kalbert Young, Director of the Budget and Finance Department. His testimony MESSAGE FROM KALANI stated that the State’s financial footing has substantially improved during the last three fiscal years and generated a healthy and unprecedented preliminary general fund end- ing balance of $844 million for FY 2013. There were five strategic financial plan goals The start of the 27th Legislative Session when shaping their budget decisions: build the State’s financial structure and fiscal brings great expectations for the people health; rebuild reserves; build and manage positive ending balances; fund programs for of Hawai’i. An ever higher standard of sustainability; and address long term liabilities. co-operation and unity is unique to the Aloha State.
    [Show full text]
  • E Traordinary Together
    ER T A O R D INA R Y T O G E THER 2013 REPOrt TO THE COMMUNITY Philanthropyx Every day, we work with people who want to make a difference 2 0 E(x)ponential Results: Beyond Simple Math in the community. Some seek to help individuals; some aspire to achieve community-wide goals; still others want to affect global 03 Leading and Following by E(x)ample change. Our job is to multiply the effect of their good intentions. 05 E(x)periencing the Gift that Comes from Giving In math, an exponential equation graph looks like a hockey stick. 07 E x panding Ownership ( ) In philanthropy, it means that the results can extend far beyond the 09 Leadership E(x)emplified gift itself. Think of starting with the formula 1 + 1 = 2, and watching 11 E(x)ceptional Youth two become four, and four become eight; that’s what happens when philanthropy works best. When those who give can see the difference their giving is making in someone else’s life, they can feel the change in their own. Hawai‘i Community Foundationx 13 Vision & Mission Statements In this year’s report, we are pleased to share with you some recent stories about the magnifying power of philanthropy that can happen in real life. When a gift supports a scholarship student who is first in his family to go to college, 14 Belief Statement it moves beyond that person to change the trajectory for his younger siblings. When a family involves the youngest 15 Your Personal Resource for Giving of its members in choosing where donations will go, a future generation learns the value of philanthropy.
    [Show full text]
  • Turning a Blind Eye to Death of Loretta Fuddy
    Seeing With One’s Own Eyes... ries” the Hawaii DOH has received to produce the Evidence Hawaii Medical Examiner Turned document. Judith Corley, Obama’s lawyer, says Blind Eye To Death Of Loretta Fuddy she flew to Hawaii to pick them up. Obama then posted the purported birth certificate to the White Linda Jordan | BirtherReport.com House website on April 27, 2011. It has since been proven to be an abject forgery.(6) It was not The principal aim of an autopsy is to determine a scan of a photo copy of an original document. It the cause of death when the cause of death is was a forged PDF file that never existed in paper equivocal or unknown.(1) It is a “strictly the facts form until someone pushed print. ma’am” kind of procedure. Loretta Fuddy died after a plane crash on A Medical Examiner(2) or Coroner simply December 11, 2013. Just a month and a half prior reports what they have “seen with their own she had been named in two affidavits filed in U.S. eyes”(3) concerning the condition of the body and District Court, Western District of Washington. organs after an autopsy. A review of the The originator of the affidavits(7) had asked that a deceased’s medical history is also included in their Grand Jury be convened to investigate Obama’s assessment. When all is said and done they offer a forged birth certificate and Fuddy’s role in its professional opinion as to the manner of death production, if any.
    [Show full text]
  • Laysan and Black-Footed Albatross Nesting Pairs at All Known Breeding Sites (Data from USFWS Unpublished Data Except As Noted Below)
    A Conservation Action Plan for Black-footed Albatross (Phoebastria nigripes) and Laysan Albatross (P. immutabilis) Photograph by Marc D. Romano, USFWS Version 1.0 Contributors This Conservation Action Plan was compiled by Maura B. Naughton, Marc D. Romano and Tara S. Zimmerman, but it could not have been accomplished without the guidance, support, and input of the workshop participants and additional contributors that assisted with the development and review of this plan. Contributors included Joe Arceneaux, Greg Balogh, Jeremy Bisson, Louise Blight, John Burger, John Cusick, Kim Dietrich, Ann Edwards, Lyle Enriquez, Myra Finkelstein, Shannon Fitzgerald, Elizabeth Flint, Holly Freifeld, Eric Gilman, Tom Goode, Aaron Hebshi, Burr Heneman, Bill Henry, Michelle Hester, Jenny Hoskins, David Hyrenbach, Bill Kendall, Irene Kinan-Kelly, John Klavitter, Kathy Kuletz, Rebecca Lewison, James Ludwig, Ed Melvin, Ken Morgan, Mark Ono, Jayme Patrick, Kim Rivera, Scott Shaffer, Paul Sievert, David Smith, Jo Smith, Rob Suryan, Yonat Swimmer, Cynthia Vanderlip, Lewis VanFossen, Christine Volinski, Bill Wilson, Lee Ann Woodward, Lindsay Young, Stephanie Zador, Brenda Zaun, Michele Zwartjes. This version also benefited from the review and comments of Shelia Conant, John Croxall, Jaap Eijzenga, Falk Huettman, Mark Seamans, Ben Sullivan, and Jennifer Wheeler. Michelle Kappes and Scott Shaffer graciously provided access to unpublished data. Recommended Citation Naughton, M. B, M. D. Romano, T. S. Zimmerman. 2007. A Conservation Action Plan for Black-footed
    [Show full text]
  • Narrative 05.01 Great Circle Distances Between
    Table Number Table Name (Click on the table number to go to corresponding table) Narrative 05.01 Great Circle Distances Between Specified Places 05.02 Latitudes and Longitudes of Selected Places 05.03 Time Differences Between Honolulu and Selected Cities 05.04 Widths and Depths of Channels 05.05 General Coastline and Tidal Shoreline of Counties and Islands 05.06 Land and Water Area within the Fishery Conservation Zone 05.07 Land Area of Counties: 2000 05.08 Land Area of Islands: 2000 05.09 Major and Minor Islands in the Hawaiian Archipelago 05.10 Area and Depth of Selected Craters 05.11 Elevations of Major Summits 05.12 Major Named Waterfalls, by Islands 05.13 Major Streams, by Islands 05.14 Lakes and Lake-Like Waters, by Islands 05.15 Length and Width of Selected Beaches 05.16 Miscellaneous Geographic Statistics, by Island 05.17 Volcanic Eruptions: Mauna Loa 1950 to 1984, Kilauea 1969 to 2005 05.18 Major Earthquakes: 1838 to 2004 05.19 Earthquakes with Intensities on Oahu of V or Greater: 1859 to 2004 05.20 Tsunamis with Run-up of 2 Meters (6.6 feet) or More: 1819 to 2005 05.21 Major Dams 05.22 Fresh Water Use, by Type, by Counties: 2000 05.23 Water Services and Consumption, for County Waterworks: 2003 to 2005 05.24 Water Withdrawals by Source and Major Use, for the United States and Hawaii: 2000 05.25 Top 25 Water Users on Oahu: May 2004 to April 2005 05.26 Hazardous Waste Sites, Threats and Contaminants on Oahu 05.27 Toxic Chemical Releases in 2003, Hazardous Waste Sites in 2004, and Hazardous Waste Generated, Shipped, and Received
    [Show full text]
  • HAWAII HAWAII WORLD HAWAII a Month-By-Month Review Remains of St
    HAWAII HAWAII WORLD HAWAII A month-by-month review Remains of St. Marianne Highlights of this past Celebrated earlier this of the Catholic news in returning to Hawaii year: one of the most year, Red Mass’ focus is Hawaii in 2013 from Syracuse eventful in living memory affordable housing Page 3 Page 6 Page 8 Page 10 HawaiiVOLUME 77, NUMBER 1 CatholicFRIDAY, JANUARY 3, 2014 Herald$1 Pope Francis’ Christmas message: ‘My hope is that everyone will feel God’s closeness’ Page 16 Pope Francis waves as he delivers his Christmas blessing “urbi et orbi” (to the city and the world) from the central balcony of St. Peter’s Ba- silica at the Vatican Dec. 25. (CNS photo/L’Osservatore Romano via Reuters) 2 HAWAII HAWAII CATHOLIC HERALD • JANUARY 3, 2014 Health director remembered for her faith, public service Hawaii By Patrick Downes Hawaii Catholic Herald Catholic The separation of church and Herald state was nowhere to be seen at Newspaper of the Diocese of Honolulu the Dec. 21 wake and funeral Founded in 1936 Mass of Loretta Fuddy, the direc- Published every other Friday PUBLISHER tor of the state Department of Bishop Larry Silva Health who died in a plane crash (808) 585-3356 off Kalaupapa Dec. 11. [email protected] The services, four days before EDITOR Christmas, in the Co-Cathedral of Patrick Downes (808) 585-3317 St. Theresa where Fuddy was an [email protected] active member, brought together REPORTER/PHOTOGRAPHER hundreds of colleagues, friends, Photo courtesy of Oswald Bumanglag Darlene J.M. Dela Cruz associates, coworkers and fellow Gov.
    [Show full text]
  • Kumulipo: Northwestern Hawaiian Island Names a Native Hawaiian Cosmogonic Chant
    1779 Lili‘uokalani’s party that Captain Cook’s men spend time with landed on Nihoa or Bird Photo courtesy of a chief’s canoe headed out to Ka‘ula: Island. David Gulko. 1200 A.D. ca. 1885 The Office of “One canoe belonging to some Pele, the Hawaiian Fire-Goddess, and Atoui [Kaua‘i] Chief staid (old her family arrive in Nihoa. Hawaiian 1786 English) with us till Sunset, and then Rolett went towards the Island Outoura Captain La Perouse, the first Affairs (OHA) [Ka‘ula] which was 4 miles distant to Photo altered European to sail past He nalu haki käkala, he nalu courtesy of the SE. Their business, they told us, Mokumanamana, names it in The sea was rough and choppy, but the was created by Bishop was to catch red birds, and the next waves honor of the French Minister of Museum day they intended going to E ‘imi ana i ka ‘äina e hiki aku ai. Necker Island the state Archives. Finance, Jacques Necker. Tomogoopappa [Mokupäpapa] for Bore us surely on to our destined shore— Emory 8 Turtle.” ‘O Nihoa ka ‘äina a mäkou i Photo altered courtesy of Bishop Museum Archives. Constitutional Burney M., March 1779; 631 pae mua aku ai: The rock Nihoa, the first land we Photo courtesy of Convention of The feathers of the Red-tail touched; Bishop Museum. 1789 Lele a‘e nei mäkou, kau i uka Pearl and Hermes 1978 as a pub- Tropicbird are coveted by Native Atoll. Captain Douglas is the first European to o Nihoa. Hawaiians for making sacred Bowl Hill from the northwest, lic trust, man- view Nihoa.
    [Show full text]
  • The Natural History of French Frigate Shoals, Northwestern Hawaiian Islands
    ATOLL RESEARCH BULLETIN NO. 150 THE NATURAL HISTORY OF FRENCH FRIGATE SHOALS, NORTHWESTERN HAWAIIAN ISLANDS by A. Binion Amerson, Jr. Issued by THE SMITHSONIAN INSTITUTION with the assistance of The Bureau of Sport Fisheries and Wildlife US. Department of the Interior Washington D.C., U.S.A. December 20, 1971 days at French Frigate Shoals on 10 different survey trips. The initial results of BSFW and POBSP investigations, as well as previously published material, are discussed herein; special emphasis is focused on the vertebrate terrestrial fauna and the vascular flora. DESCRIPTION French Frigate Shoals, lying between the latitudes of 2j027'18" and Y3°52'50" North and the longitudes 166"Oj114" and 166°2~'~4"West (USCGS Chart 4172), is given an official location of 2j045'N x 166°10'W by the U.S. Department of the Interior (Office of Geography, 1956: 6). In 1786 La Perouse (1799) named this new atoll --Basee dee Fregates Francaisee, or Shoal of the French Frigates, because it nearly proved to be the termination of his voyage. Several variations of the name have been used over the years--French Frigate Shoal, French Frigates Shoal, and French Frigate Shoals. On 1 October 1924 the U.S. Geographic Board of Names selected French Frigate Shoal as the official name. In July 1954, however, the Board changed its collective mind and adopted French Frigate Shoals. The atoll consists of a crescent-shaped reef on a 20-fathom-deep oval platform,1 whose long axis is 19 nautical miles in a northwest to southeast direction (Fig. 2).
    [Show full text]