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Community Service Plan 2014 - 2016

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Community Service Plan 2014 - 2016 Kaleida Health Community Health Needs Assessment Community Service Plan 2014 - 2016 Building a healthier future Table of Contents We are Kaleida Health .......................................................................... 1 Population Demographics Erie County .................................................................................. 2 Niagara County ............................................................................ 4 Populations Served ............................................................................... 5 Collaboration – Health of the Community ........................................... 9 Health Indicators Erie County Health Survey ........................................................... 11 Niagara County Health Survey ..................................................... 11 United Way of Buffalo & Erie County .......................................... 12 Kaleida Health ............................................................................. 12 New York State ............................................................................ 13 Kaleida Health’s Prevention Agenda Priorities Erie County – Breastfeeding ........................................................ 13 Erie County and Niagara County – Cardiovascular Disease ......... 16 Niagara County – Falls Prevention ............................................... 20 Other Community Needs ...................................................................... 23 Monitoring Plan .................................................................................... 24 Dissemination to the Public .................................................................. 24 Approval ................................................................................................ 24 Community Health Needs Assessment Community Service Plan Community Health Needs Assessment Community Service Plan 2014 - 2016 We are Kaleida Health Kaleida Health is the largest healthcare provider in Western New York with four hospitals - Buffalo General Medical Center/Gates Vascular Institute, DeGraff Memorial Hospital, Millard Fillmore Suburban Hospital, Women & Children’s Hospital of Buffalo - two long-term care facilities, 80 outpatient clinics including school-based health centers and home health care through the Visiting Nursing Association of Western New York. Kaleida Health’s mission is to advance the health of our community with a vision to be a regional healthcare system providing excellent quality services, and a commitment to education and research. Recording more than one million patient visits each year, Kaleida Health has a strong commitment to provide health care to all residents of the community through its close to 10,000 employees, including 3,000 nursing personnel and 1,700 affiliated physicians. The commitment to education is solidified as Kaleida Health serves as a major teaching affiliate of the State University of New York at Buffalo School of Medicine and Biomedical Science. In addition, through affiliations with approximately 63 educational institutions, Kaleida Health provides a clinical experience for healthcare professionals-in-training in the fields of pharmacy, registered nursing, licensed practical nursing, certified nursing assistants, physician assistants, and social work and rehabilitation services. Buffalo General Medical Center/Gates Vascular Institute Founded as Buffalo General Hospital in 1858, Kaleida Health’s Buffalo General Medical Center at 100 High Street and the adjoining Gates Vascular Institute at 875 Ellicott Street combined are a 548-bed acute care medical center located on the Buffalo Niagara Medical Campus. Buffalo General offers a wide spectrum of clinical inpatient and outpatient care with specialized programs in advanced cardiac, stroke, and vascular services at the Gates Vascular Institute including being designated as the region’s Primary Stroke Center by the New York State Department of Health. A helipad also provides immediate access to life-saving intervention and the region’s largest emergency department that is divided in four separate pods for critical, subacute, vascular, and urgent care to serve over 64,000 patients per year. DeGraff Memorial Hospital Kaleida Health’s DeGraff Memorial Hospital, 445 Tremont Street, North Tonawanda, is a 70-bed community acute care facility that offers inpatient and outpatient surgical services, and cardiac, medical, subacute and outpatient rehabilitation services. The hospital is home to the Geriatric Center of Western New York and is the Western New York site for the Alzheimer’s Disease Community Health Needs Assessment Community Service Plan 1 Assistance Center. The Geriatric Center specializes in the care of patients over the age of 70, with an emphasis on those dealing with complex medical issues and/or memory loss. The emergency department provides care for approximately 15,000 patients annually, and also has geriatric specific amenities. Millard Fillmore Suburban Hospital Millard Fillmore Suburban Hospital at 1540 Maple Road, Williamsville, is a full service, 261-bed acute care, community hospital with inpatient and outpatient services that include ambulatory surgery, cardiology, GI, imaging, interventional radiology, obstetrics and gynecology, palliative care, pulmonary and respiratory therapies, women’s services, and specialty surgical services including minimally invasive robotic surgery. More than 40,000 patients are served annually in the emergency department where specialized pediatric emergency services are also available. Women & Children’s Hospital of Buffalo Kaleida Health’s Women & Children’s Hospital of Buffalo, located at 219 Bryant Street, Buffalo, is a regional center for comprehensive and state-of-the art pediatric, neonatal, perinatal, and obstetrical services. Ranked among the top 20 pediatric hospitals in the nation by U.S. News and World Report for various specialties, the 200-bed facility can accommodate 160 children, including medical/surgical, ICU and neonatal patients, and 40 adult maternity patients. Women & Children’s Hospital of Buffalo is designated by New York State as the Regional Perinatal Center, New York State Regional Level III Neonatal Intensive Care Unit, and New York State Level I Regional Pediatric Trauma Center to care for critically ill infants and high-risk expectant mothers. Nearly 123,000 patients are treated annually in the emergency department or one of the hospital’s other 45 specialty clinics. A physician-led steering committee is fulfilling the vision to construct the new John R. Oishei Children’s Hospital on the Buffalo Niagara Medical Campus. Opening in 2016, the 12-floor, free- standing, state-of-the-art facility will continue to be the only hospital in Western New York to provide infants, children and adolescents immediate access to a full panel of pediatric medical subspecialists. Population Demographics Three Kaleida Health hospitals are located in Erie County and one, DeGraff Memorial Hospital, is located in Niagara County less than one mile from the Erie County border. Erie County As illustrated in the following chart, according to MedStat Market Expert 2013 data, less than one million people reside in Erie County. The population continues to decline and has done so even since the 2010 census where there were 925,717 residents in comparison to the 922,988 who live in the county today. Similar to New York State, there are more females than males. However, there are fewer children under age 18 and more residents over age 55 in comparison to New York and the United States. Erie County residents also have a lower household income than the New York State average, which is evident in a higher percentage of residents earning Community Health Needs Assessment Community Service Plan 2 less than $25,000 per year and fewer earning over $100,000.1 In addition, 67 census tracks are identified as medically underserved areas/populations.2 City of Erie United 2013 Amherst New York Buffalo County States Population total 277,681 137,415 922,988 19,560,723 314,861,807 % Male 47.9 47.5 48.2 48.4 49.2 % Female 52.1 52.5 51.8 51.6 50.8 Age % Under 18 23.0 19.0 20.2 21.5 23.7 % Over 55 26.3 33.8 32.8 29.5 26.3 Average household income $44,979 $86,524 $63,175 $81,625 $69,637 % Less than $25,000 42.3 19.0 27.2 23.9 25.4 % Over $100,000 8.4 29.0 16.9 25.0 19.5 Education % No high school degree 17.6 5.2 10.7 15.2 14.6 % Bachelor's or higher 22.1 51.5 29.6 32.4 28.1 Race % White - non-Hispanic 47.1 82.1 77.2 57.4 62.3 % Black - non-Hispanic 35.6 5.3 13.0 14.3 12.3 % Hispanic 10.7 2.4 4.8 18.3 17.3 % Asian/Pacific Islander 3.5 8.2 2.8 7.8 5.1 % All others 3.1 1.9 2.2 2.3 2.9 As reported for 2013 in MedStat Market Expert The largest municipality in Erie County is the City of Buffalo with 277,681 residents. The average household income in the City of Buffalo, $44,979, is significantly less than the state average. Over 42 percent of households earn less than $25,000 per year including 26.8 percent earning less than $15,000 and only 8.4 percent earning over $100,000. A direct correlation can be drawn to income from the fact that over 17 percent of residents over age 25 do not have a high school degree. The population in the City of Buffalo also has a higher percentage of black non- Hispanics and Hispanics as compared to the rest of the county, 35.6 percent to 13 percent respectively.3 Amherst, an eastern suburb of the City of Buffalo where Millard Fillmore Suburban Hospital is located, has an average household income above the state average
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