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Community Health Needs Assessment 2020-2022 CHRISTUS Spohn

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Community Health Needs Assessment 2020-2022 CHRISTUS Spohn CHRISTUS Spohn Health System Community Health Needs Assessment 2020-2022 ii TABLE OF CONTENTS Table of Contents ......................................................................................................... iii List of Tables, Figures, and Data Sources ................................................................. iv Executive Summary ..................................................................................................... vi Introduction ................................................................................................................... 1 Methodology .................................................................................................................. 2 Review of Literature and Quantitative Data ..................................................................... 2 Key Informant Interviews ................................................................................................. 3 Purpose ........................................................................................................................ 3 Sample and Recruitment .............................................................................................. 3 Recordings ................................................................................................................... 3 Focus Group ................................................................................................................... 3 Purpose and Questions to Address .............................................................................. 3 Administering Focus Group and Collecting Data .......................................................... 4 ANALYSIS ....................................................................................................................... 4 Quantitative Analysis .................................................................................................... 4 Qualitative Analysis ...................................................................................................... 4 Needs Prioritization ......................................................................................................... 5 Phase 1: Initial Prioritization ......................................................................................... 5 Phase 2: Workshop for Validation and Prioritization..................................................... 6 Summary of Activity Since the 2016 CHNA ................................................................ 7 Significant Needs with Hospital Implementation Responsibility ....................................... 7 Key Findings .................................................................................................................. 8 POPULATION DEMOGRAPHICS ................................................................................... 8 SOCIAL AND ECONOMIC ENVIRONMENT ................................................................ 11 ACCESS TO HEALTH CARE ....................................................................................... 14 HEALTH OUTCOMES .................................................................................................. 16 Physical Health........................................................................................................... 18 Mental and Behavioral Health .................................................................................... 20 MATERNAL AND CHILD HEALTH ............................................................................... 20 HEALTH BEHAVIORS .................................................................................................. 21 HOSPITAL DATA .......................................................................................................... 22 MOVING FORWARD .................................................................................................... 25 Appendix A: County Level Data ................................................................................. 26 Appendix B: Key Informant Interview Protocol ........................................................ 28 Appendix c: Community Resources .......................................................................... 34 iii LIST OF TABLES, FIGURES, AND DATA SOURCES Table Title Page Data Source 1 Report Area Population, 8 US Census Bureau, American Community by County Survey, 2013-2017 2 Report Area Population 10 US Census Bureau, American Community by Race and Ethnic Survey, 2012-2016 Breakdown 3 Population to Healthcare 14 Area Health Resource File/American Medical Providers Ratio Association, 2015 Accessed via County Health Ranking 4 Diabetes Prevalence and 16 Diabetes: Centers for Disease Control and Poor Physical Health in Prevention, Diabetes Interactive Atlas, 2014; Report Area Physical Health: Behavioral Risk Factor Surveillance System, 2016 Accessed via County Health Ranking 5 Maternal and Child Health 20 Infant Mortality: Centers for Disease Control and Indicators Prevention WONDER, 2010-2016 Teen Birth, Low Birth Weight: National Center for Health Statistics - Natality files, 2010-2016 Accessed via County Health Ranking 6 Health Behavior 21 Behavioral Risk Factor Surveillance System, Indicators 2014 & 2016; Accessed via County Health Ranking 7 Inpatient Admissions and 23 CHRISTUS Spohn Health System, FY2017- Emergency Department FY2018 Visits by Facility 8 Top Five ZIP Codes for 24 CHRISTUS Spohn Health System, FY2017- Emergency Department FY2018 Visits 9 Services Provided During 24 CHRISTUS Spohn Health System, FY2017- Inpatient Admissions and FY2018 Emergency Department Visits 10 Payment Source for 25 CHRISTUS Spohn Health System, FY2017- Inpatient Admissions and FY2018 Emergency Department Visits Figure Title Page Data Source 1 Report Area Population 8 US Census Bureau, American Community Density (Persons per Square Survey, 2013-2017 Mile) 2 Report Area Population by 9 US Census Bureau, American Community Age Groups Survey, 2013-2017 3 Report Area Population by 9 US Census Bureau, American Community Race and Ethnicity Survey, 2012-2016 4 Poverty Distribution by 11 US Census Bureau, American Community Language Survey, 2012-2016 iv Figure Title Page Data Source 5 Socioeconomic 11 Unemployment: US Department of Labor, Characteristics of Report Bureau of Labor Statistics, 2018 – November Area Educational Attainment: US Census Bureau, American Community Survey, 2012-2016 Food Insecurity: Feeding America, 2016 Poverty: US Census Bureau, American Community Survey, 2012-2016 6 Violent Crime Rate per 12 Federal Bureau of Investigation, FBI Uniform 100,000 Residents Crime Reports. Additional analysis by the National Archive of Criminal Justice Data, 2012-2014 Accessed via Community Commons 7 Uninsured Rate in Report 14 US Census Bureau, American Community Area, Overall and by Age Survey, 2012-2016 Group 8 Preventable Hospital 15 Dartmouth College Institute for Health Policy & Admissions (per 1,000 Clinical Practice, Dartmouth Atlas of Health Medicare Enrollees) Care, 2014 Accessed via Community Commons 9 Age-adjusted Cancer 17 State Cancer Profiles, 2011-2015 Incidence per 100,000 Accessed via Community Commons Population, by Type 10 Age-adjusted Mortality Rate 17 Centers for Disease Control and Prevention for Selective Diseases per WONDER, 2012-2016 100,000 Population Accessed via Community Commons 11 Age-adjusted Mortality Rate 18 Centers for Disease Control and Prevention per 100,000 Population, by WONDER, 2012-2016 External Cause Accessed via Community Commons 12 Age-adjusted Suicide 19 Centers for Disease Control and Prevention Mortality Rate per 100,000 WONDER, 2012-2016 Population, Overall and by Accessed via Community Commons Gender 13 Prevalence of Depression 19 Centers for Medicare and Medicaid Services, among Medicare 2015 Accessed via Community Commons Beneficiaries 14 Total Inpatient Admissions 22 CHRISTUS Spohn Health System, FY2017- and Emergency Department FY2018. Visits by Facility v EXECUTIVE SUMMARY CHRISTUS Spohn Health System is a non-profit, Catholic integrated health care delivery system that includes five acute care hospitals in four counties in the coastal bend region. CHRISTUS Spohn Health System’s dedicated staff provides specialty care tailored to the individual needs of every patient, aiming to deliver high-quality services with excellent clinical outcomes. CHRISTUS Spohn Health System works closely with the local community to ensure regional health needs are identified and incorporated into system-wide planning and strategy. To this end, CHRISTUS Spohn Health System commissioned Texas Health Institute to conduct and produce its 2020-2022 Community Health Needs Assessment (CHNA), as required by law to be performed once every three years as a condition of 501(c)(3) tax-exempt status. In this community health needs assessment, THI staff and CHRISTUS Spohn Health System community stakeholders analyzed over 40 different indicators of health needs based on demographics and socioeconomic trends; measures of physical, behavioral, social, and emotional health; and risk factors and behaviors that promote health or produce sickness. The latter provided insight into social determinants of health operating in the report area, such as transportation, and food insecurity. Report findings combine secondary analysis from publicly available data sources, hospital utilization data and input from those with close knowledge of the local public health and health care systems to present a comprehensive overview of unmet health needs in the region. The
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