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2016 Community Health Needs Assessment

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2016 Community Health Needs Assessment 2016 Community Health Needs Assessment Kaiser Foundation Hospital – Oakland and Kaiser Foundation Hospital – Richmond License #140000052 Approved by KFH Board of Directors September 21, 2016 To provide feedback about this Community Health Needs Assessment, email [email protected] i KAISER PERMANENTE NORTHERN CALIFORNIA REGION COMMUNITY BENEFIT CHNA REPORT FOR KFH-OAKLAND AND KFH-RICHMOND ACKNOWLEDGEMENTS This report was prepared by Applied Survey Research (ASR) on behalf of the hospitals listed in this report. ASR gratefully acknowledges the contributions of the following individuals: Diana Camacho, John Muir Health Molly Bergstrom, Kaiser Permanente – Diablo Area Jean Nudelman, Kaiser Permanente – East Bay Area Debra Lambert, Kaiser Permanente – Greater Southern Alameda Area Michael Cobb, St. Rose Hospital Sue Fairbanks, San Ramon Regional Medical Center Karen Reid, San Ramon Regional Medical Center Tim Traver, San Ramon Regional Medical Center Denise Bouillerce, Stanford Health Care – ValleyCare Shelby Salonga, Stanford Health Care – ValleyCare Adam Davis, UCSF Benioff Children’s Hospital Oakland Lucy Hernandez, Washington Hospital Healthcare System Ruth Traylor, Washington Hospital Healthcare System ASR is also pleased to acknowledge the contributions of the following individuals: Dale Ainsworth, California State University, Sacramento Marianne Balin, Kaiser Permanente – Diablo Area Debi Ford, San Ramon Regional Medical Center Susan Miranda, Kaiser Permanente – Greater Southern Alameda Area Dana Williamson, Kaiser Permanente – Northern California Region Applied Survey Research is a social research firm dedicated to helping people build better communities. BAY AREA OFFICE 1871 The Alameda, Suite 180 San Jose, CA 95126 Phone: (408) 247-8319| Fax: (408) 260-7749 ii TABLE OF CONTENTS I. Executive Summary ......................................................................................................................................................... 5 Community Health Needs Assessment (CHNA) Background ...................................................................................... 5 Summary of Prioritized Needs .................................................................................................................................... 5 Summary of Needs Assessment Methodology and Process ....................................................................................... 9 II. Introduction/Background ............................................................................................................................................... 9 About Kaiser Permanente (KP) ................................................................................................................................... 9 About Kaiser Permanente Community Benefit ........................................................................................................... 9 Purpose of the Community Health Needs Assessment (CHNA) Report ................................................................... 10 Impact of the Affordable Care Act (ACA) .................................................................................................................. 10 Kaiser Permanente’s Approach to Community Health Needs Assessment .............................................................. 12 III. Community Served .................................................................................................................................................... 12 Kaiser Permanente’s Definition of Community Served ............................................................................................ 12 Map and Description of Community Served ............................................................................................................. 12 i. Map of KFH-Oakland and KFH-Richmond Service Areas ....................................................................................... 13 ii. Geographic description of the community served (towns, counties, and/or zip codes) ...................................... 14 iii. Demographic profile of community served ...................................................................................................... 15 IV. Who Was Involved In The Assessment ..................................................................................................................... 16 Identity of hospitals that collaborated on the assessment ...................................................................................... 16 Other partner organizations that collaborated on the assessment ......................................................................... 16 Identity and qualifications of consultants used to conduct the assessment ............................................................ 16 V. Process and Methods Used to Conduct the CHNA ....................................................................................................... 17 Secondary data ......................................................................................................................................................... 18 i. Sources and dates of secondary data used in the assessment ............................................................................. 18 ii. Methodology for collection, interpretation and analysis of secondary data ....................................................... 18 Community input ...................................................................................................................................................... 18 i. Description of the community input process ....................................................................................................... 18 ii. Methodology for collection and interpretation .................................................................................................... 21 Written comments .................................................................................................................................................... 21 Data limitations and information gaps ..................................................................................................................... 21 VI. Identification and Prioritization of Community’s Health Needs ............................................................................... 22 Identifying community health needs ........................................................................................................................ 22 i. Definition of “health need” ................................................................................................................................... 22 ii. Criteria and analytical methods used to identify the community health needs .................................................. 22 Process and criteria used for prioritization of the health needs .............................................................................. 23 Prioritized description of all the community health needs identified through the CHNA ....................................... 24 Community resources potentially available to respond to the identified health needs .......................................... 27 VII. KFH-Oakland and KFH – Richmond 2013 implementation strategy Evaluation of Impact ....................................... 27 iii Purpose of 2013 Implementation Strategy evaluation of impact ............................................................................ 27 2013 Implementation Strategy Evaluation Of Impact Overview .............................................................................. 28 2013 Implementation Strategy Evaluation of Impact by Health Need ..................................................................... 30 VIII. Conclusion ................................................................................................................................................................. 34 IX. Appendices ................................................................................................................................................................ 57 Appendix A: Secondary Data Sources and Dates .............................................................................................................. 58 Appendix B: List of Indicators on Which Data Were Gathered ......................................................................................... 60 Appendix C: Persons Representing the Broad Interests of the Community ..................................................................... 69 Appendix D: Glossary ........................................................................................................................................................ 73 Appendix E: 2016 Health Needs Prioritization Scores: Breakdown by Criteria ................................................................ 74 Appendix F: CHNA Qualitative Data Collection Protocols ................................................................................................. 75 Appendix G: Community Assets and Resources ............................................................................................................... 85 Appendix H: Health Needs Profiles ................................................................................................................................. 104 iv I. EXECUTIVE SUMMARY Community Health Needs Assessment (CHNA) Background The Patient Protection and Affordable Care Act (ACA), enacted on
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