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Honolulu County Community Health Needs Assessment and Implementation Plan Report

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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 ........................................................................................... 10 1.1.2 Member Hospitals ................................................................................................................... 10 1.1.3 Advisory Committee ................................................................................................................ 10 1.1.4 Consultants ............................................................................................................................. 11 1.2 Hospital Community Benefit Team and Goals ................................................................................ 12 1.2.1 Definition of Community + Map .............................................................................................. 18 2 Methods .......................................................................................................................................... 20 2.1 Core Indicator Summary ................................................................................................................. 20 2.1.1 Data Sources ........................................................................................................................... 20 2.1.2 Comparisons: Analytic Approach ............................................................................................ 20 2.1.3 Indicator and Topic Area Scoring ............................................................................................ 21 2.1.4 Shortage Area Maps ............................................................................................................... 21 2.1.5 Hospitalization Rates .............................................................................................................. 22 2.2 Key Informant Interviews ................................................................................................................ 22 2.3 Community Survey .......................................................................................................................... 24 3 Community Health Needs Assessment Findings .............................................................. 25 3.1 Demographics ................................................................................................................................. 25 3.1.1 Population ............................................................................................................................... 25 3.1.2 Economy .................................................................................................................................. 27 3.1.3 Education ................................................................................................................................ 27 3.2 Overview of Needs Assessment ...................................................................................................... 28 3.2.1 Access to Health Services ........................................................................................................ 32 3.2.2 Cancer ..................................................................................................................................... 33 3.2.3 Diabetes .................................................................................................................................. 34 3.2.4 Disabilities ............................................................................................................................... 36 3.2.5 Economy .................................................................................................................................. 38 3.2.6 Education ................................................................................................................................ 39 3.2.7 Environment ............................................................................................................................ 40 3.2.8 Exercise, Nutrition & Weight ................................................................................................... 40 3.2.9 Family Planning ....................................................................................................................... 42 3.2.10 Heart Disease & Stroke ........................................................................................................... 43 3.2.11 Immunizations & Infectious Diseases ...................................................................................... 45 3.2.12 Injury Prevention & Safety ...................................................................................................... 47 3.2.13 Maternal, Fetal & Infant Health .............................................................................................. 48 3.2.14 Mental Health & Mental Disorders ......................................................................................... 50 2 3.2.15 Older Adults & Aging ............................................................................................................... 52 3.2.16 Oral Health .............................................................................................................................. 54 3.2.17 Respiratory Diseases ............................................................................................................... 55 3.2.18 Social Environment .................................................................................................................. 57 3.2.19 Substance Abuse & Lifestyle .................................................................................................... 58 3.2.20 Transportation ........................................................................................................................ 60 4 Community Health Needs Summary ..................................................................................... 61 4.1 Findings/Conclusions ...................................................................................................................... 61 4.1.1 Disparities Highlights .............................................................................................................. 63 4.1.2 Identified Data Gaps ............................................................................................................... 64 4.1.3 Limitations and Other Considerations ..................................................................................... 65 5 Selected Priority Areas .............................................................................................................. 67 6 Feedback, Questions or Comments? ..................................................................................... 70 Appendix A: HCI Provided Data ...................................................................................................... 71 About HCI Provided Data ............................................................................................................................ 71 Framework for Indicator/Data and Topic Selection ................................................................................... 71 Core Indicator Data Summary: Analytic Approach and Scoring Methodology ........................................... 71 Core Indicator Data ..................................................................................................................................... 75 Appendix B: Hospitalization Data ................................................................................................. 86 Hospital Service Areas ................................................................................................................................. 86 Hospitalization Rates .................................................................................................................................. 86 Appendix C: Key Informant Interview Participants ................................................................ 95 Completed Interviews ................................................................................................................................
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