The North Shore- LIJ Health System Community Service Plan 2013-2016 Office of Community and Public Health
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The North Shore- LIJ Health System Community Service Plan 2013-2016 Office of Community and Public Health 1. The North Shore-LIJ Mission Statement: The North Shore-Long Island Jewish Health System (referred to as NSLIJ or “the System”) strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of health care professionals; searching for new advances in medicine through the conduct of bio-medical research; promoting health education; and caring for the entire community regardless of the ability to pay. 2. Definition and brief description of community served. The Community Service Plan service areas for the North Shore-LIJ Health System were determined by using the counties in which the health system facilities are located for local health planning. With a service area of more than seven million people, North Shore–LIJ Health System encompasses hospitals in the following counties: Nassau County (Franklin Hospital, Glen Cove Hospital, North Shore University Hospital, Plainview Hospital, and Syosset Hospital); New York County (Lenox Hill Hospital); Queens County (Forest Hills Hospital, Long Island Jewish Hospital, Steven and Alexandra Cohen Children's Medical Center of New York, and Zucker Hillside Hospital); Richmond County (Staten Island University Hospital); and Suffolk County (Huntington Hospital, Southside Hospital, and South Oaks Hospital). The sections below describe the community it serves based on the 5 counties that encompass the health system’s service area. Nassau County Demographics Nassau County has a population of 1,339,532 people with an age distribution of 23% 0-17 years, 33% 18- 4 years, 29% 45-69 years, and 15% 65+ years. The county’s racial distribution is 65% white, 15% Hispanic, 10% black, 8% Asian and 2% other. The average household income is $124,742 with a mean household income of $95,823 and a per capita income of $42,307. The estimated poverty rate is 5.2% and 14% of the population is defined as low income. Forty-one percent of the population 25 years and older has attained a Bachelor’s Degree or higher, while 11% has less than a high school diploma. The home ownership rate is 82%. Certain communities within the county have income, education, and home ownership rates significantly below the county average and also experience higher rates of health disparities and racial diversity. These select communities are Freeport, Glen Cove, Elmont, Hempstead, Inwood, Long Beach, Roosevelt, Uniondale, and Westbury. New York County Demographics New York County has a population of 1,577,412 people, with an age distribution of 15% 0-17 years, 48% 18-44 years, 24% 45-64 years, and 13% 65+ years. The county’s racial distribution is 48% white, 25% Hispanic, 13% Black, 11% Asian, and 3% other. The average household income is $127,411, with a median household income of $67,204 and a per capita income of $61,290. The estimated poverty rate is 17.6%. Fifty-seven percent of the population 25 years and older has attained a Bachelor’s Degree or higher, while 14.9% has less than a high school diploma. The home ownership rate is 22.7%. Certain communities within the county have income and education rates significantly below the county average, and also experience higher rates of health disparities and racial diversity. These select communities are South Battery Park, East Harlem, Hell Gate, Audobon, Lincolnton, Colonial Park, Peter Stuyvesant, and Hamilton Grange. Queens County Demographics Queens County has a population of 2,235,260 people, with an age distribution of 20% 0-17 years, 41% 18-44 years, 26% 45-64 years, and 13% 65+ years. The county’s racial distribution is 27% white, 28% 2 Hispanic, 18% Black, 23% Asian, and 4% other. The average household income is $72,324, with a median household income of $56,406 and a per capita income of $26,234. The estimated poverty rate is 13.7%. Twenty-nine percent of the population 25 years and older has attained a Bachelor’s Degree or higher, while 19.9% has less than a high school diploma. The home ownership rate is 44.9%. Certain communities within the county have income and education rates significantly below the county average, and also experience higher rates of health disparities and racial diversity. These select communities are Fort Totten, Far Rockaway, Rockaway Beach, Jamaica, Arverne, South Ozone Park, Rochdale Village, and St. Albans. Richmond County Demographics Richmond County has a population of 468,727 people, with an age distribution of 23% 0-17 years, 36% 18-44 years, 28% 45-64 years, and 13% 65+ years. The county’s racial distribution is 64% white, 17% Hispanic, 10% Black, 7% Asian, and 2% other. The average household income is $88,221, with a median household income of $72,752 and a per capita income of $31,267. The estimated poverty rate is 13.7%. Twenty-nine percent of the population 25 years and older has attained a Bachelor’s Degree or higher, while 12.6% has less than a high school diploma. The home ownership rate is 69.8%. Certain communities within the county have income and education rates significantly below the county average, and also experience higher rates of health disparities and racial diversity. These select communities are Mariner’s Harbor, Stapleton, St. George, and Port Richmond. Suffolk County Demographics Suffolk County has a population of 1,486,873 people with an age distribution of 24% 0-17 years, 34% 18- 4 years, 28% 45-69 years, and 14% 65+ years. The county’s racial distribution is 72% white, 16% Hispanic, 7% Black, 3% Asian and 2% other. The average household income is $107,305 with a mean household income of $87,187 and a per capita income of $36,588. The estimated poverty rate is 5.7%. Thirty-two percent of the population 25 years and older has attained a Bachelor’s Degree or higher while 10% has less than a high school diploma. The home ownership rate is 80%. Certain communities within the county have income, education, and home ownership rates significantly below the county average and also experience higher rates of health disparities and racial diversity. These select communities are Amityville, Wyandanch, Smithtown, Islandia, Ronkonkoma, Port Jefferson Station, Selden, Coram, Medford, Bellport, Brookhaven, Patchogue, Ridge, Mastic, Mastic Beach, Riverhead, Laurel and Greenport. 3. Public Participation (a,b,c) The North Shore-LIJ Health System employed a multi-sector approach to engage a diverse group of participants to provide input in the Community Health Needs Assessment. The health system collaborated with community based organizations with a focus on those representing communities with health disparities, local health departments, businesses, insurance companies, local health coalitions, health care providers, academia, government agencies including transportation, housing and mental health and individual community members. The sections below describe the unique public participation strategies and input for each of the counties within the NSLIJ service area. Nassau County The CHA/CHIP committee determined that in addition to census, hospitalization and vital statistics data, the assessment should include the “voice of the community” (e.g. the community’s perception of need) (see attachment I for CHNA meeting participants and dates). The group agreed that quantitative and qualitative data should be collected from community organizations and the population-at- large. Two subcommittees - Community-Based Organizations and Community-Wide Survey - were formed with representation from the five not-for-profit hospitals, academic partners and the Nassau County Department of Health. 3 I. Key Informant Interviews with Community-Based Organizations The Community-Based Organizations (CBO) subcommittee was charged with conducting key informant interviews with Nassau County’s health and human services providers. The subcommittee met on January 25, 2013 to develop a list of key community organizations, a pre-interview questionnaire and a CBO interview guide. A list of community organizations was compiled based upon recommendations from both the CBO subcommittee and the larger CHA/CHIP committee. Emphasis was placed on groups that addressed one or more of the following populations: minorities/medically underserved, seniors, women’s/children’s services, special populations and individuals with disease-specific conditions. Next, the subcommittee developed a pre-interview questionnaire. The pre-interview questionnaire would be used to provide background information (e.g. type of services provided, demographics of persons served) prior to the in-person CBO interviews. The qualitative CBO interview guide included questions with added prompts regarding New York State’s Five Prevention Agenda Priorities; significant health problems in the CBO’s communities; barriers to care; quality of care; current health services; and recommendations for improving services. Finally, a specific interviewer was assigned to each CBO. The interviewers were comprised of representatives from the hospitals, the academic partners and the county health department. Interviewers were responsible for all contact with their assigned CBO. This included initial phone contact (i.e. obtain name of organizational representative and agreement to participate), e-mail contact to complete the pre- interview questions and an in-person interview at the CBO. Interviewers were also required to participate in a training session to ensure consistency across the interviewing process. This training was provided on February 6, 2012, by an Assistant Professor of Preventive Medicine in the Divisions of Evaluative Services and Community Health at Stony Brook University. As a result of the training, modifications were made to the interview guide. A copy of the final CBO interview guide is included in Attachment II. The group agreed that all interviews should be audio recorded and transcribed. Transcription duties were shared among the hospitals and health department. Staff from the Nassau County Department of Health interviewed three potential consultants to conduct the qualitative analysis of the key informant interviews.