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Community Health Needs Assessment September, 2013

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Community Health Needs Assessment September, 2013 Community Health Needs Assessment September, 2013 xvii METHODIST CHARLTON MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSEMENT Background of Methodist Health System The primary mission of all the members of the Methodist Health System is to improve and save lives through quality compassionate care and in a manner that reflects “a commitment to Christian concepts of life and learning.” Specifically, this mission is pursued by operating four general acute‐ care hospitals and other health care services, education and support programs needed by the communities in North Central Texas including Methodist Dallas Medical Center, a 515‐licensed‐bed teaching referral hospital in the southwestern quadrant of the City of Dallas, providing primary, secondary, and tertiary care; and Methodist Charlton Medical Center a 285‐bed community hospital, providing primary and secondary care in the southern portions of Dallas and nearby suburban cities, approximately 12 miles southwest of Methodist Dallas; Methodist Mansfield Medical Center is located in Mansfield, Texas residing in the far southwest corner of Tarrant County and Methodist Richardson Medical Center, a 209‐bed facility located in Richardson, Texas in the north Dallas section of the Metroplex. Vision for the Future To be the trusted provider of integrated quality health care in North Texas. Core Values Methodist Health System core values reflect our historic commitment to Christian concepts of life and learning: Servant Heart – compassionately putting others first Hospitality – offering a welcoming and caring environment Innovation – courageous creativity and commitment to quality Noble – unwavering honesty and integrity Enthusiasm – celebration of individual and team accomplishment Skillful – dedicated to learning and excellence Methodist Charlton Medical Center is a general acute care and teaching hospital that serves the communities of southwest Dallas. It houses one of only three Family Practice residency programs in the Dallas/Fort Worth area, with dual accreditation to train both allopathic and osteopathic physicians. The campus recently added a new 72‐bed patient tower. The tower is part of an extensive $116 million expansion project and investment in the community that included a new physician office building, a 411‐space parking garage, as well as renovations to several existing departments. Methodist Charlton is the largest medical facility serving the thriving Best Southwest xvii communities of DeSoto, Cedar Hill, Duncanville, Lancaster, and beyond in Southern Dallas County. New facility and campus master plans for both the Methodist Charlton and Methodist Dallas sites were finalized in 2009. In August 2011, Methodist Health System announced that our board of directors approved a facility expansion plan exceeding $135 million that will directly benefit southwest Dallas County through renovations of Methodist Dallas Medical Center and Methodist Charlton Medical Center. Southern Dallas is vital to the future growth of the City of Dallas and Dallas will greatly benefit from this essential expansion project and the services that Methodist provides. Identification of Populations and Communities Served by Methodist Charlton Medical Center As seen on the map below, the Methodist Charlton service area is located in the southern section of Dallas County. xvii According to Claritas census data the demographics for the service area are cited above. While there certainly are pockets of Methodist Charlton’s service area that are stronger than others, overall in comparison to the DFW Metroplex, Methodist Charlton’s service area is weaker in that it: has a lower average household income than the Metroplex; has a higher unemployment rate has a lower insured rate has a higher below poverty percentage; and has a higher concentration of children, but lower concentration of working age adults xvii Background on Methodist Health System’s Service Areas Large parts of Methodist’s service area have: (i) high percentages of households in poverty, (ii) low median household income, (iii) high percentages of adults with less than high school education, (iv) high percentages of blue collar workers, and (v) low percentages of managerial and professional workers. Consequently, Methodist provides large amounts of uncompensated care. During the past year, the conditions in Methodist’s service area have not changed, and Methodist continues to play a vital role in the community, particularly in caring for indigents. Many neighborhoods within Methodist Charlton’s service area have very high poverty, high unemployment, a high rate of births to teenagers, high premature births, high infant mortality, lower than average high school graduation rates, and high percentages of children. This is true for the areas closest to Methodist Charlton as well; however the far southern portions of the Methodist service area tend to be more economically stable with stronger socioeconomic indicators. These areas include Midlothian, Cedar Hill, Mansfield, etc. Yet, these same areas have also been hit hard by the current economic recession experiencing high home foreclosure rates and other economic downfalls. The majority of Methodist Charlton Medical Center’s primary service area is located within Dallas County, primarily southern Dallas County and therefore for the purposes of meeting the IRS’ community health needs assessment reporting requirements, Methodist Charlton Medical Center will refer in large part to the completed “Horizons: The Dallas County Community Health Needs Assessment” to outline the current health needs of its primary service area. The following excerpts are taken from the “Horizons: The Dallas County Community Health Needs Assessment” and are subject to the following citation: Reproduction of this report in whole or in part should include the following recommended citation: Edwards, J., Pickens, S., Schultz, L., Erickson, N., Dykstra, D. (2012). Horizons: The Dallas County Community Health Needs Assessment. Dallas, TX: Dallas County Health and Human Services and Parkland Health and Hospital System. xvii Dallas County Community Health Needs Assessment DCHHS led this Community Health Needs Assessment (CHNA) in collaboration with the Parkland Community Health Institute. The supporting Public Health Improvement (PHI) Workgroup consisted of healthcare executives from the leading hospital systems in Dallas County; leadership of civic organizations, schools and health departments; and representatives of local universities (Appendix A). This needs assessment effort will ensure that our entire local public health system continues to effectively and efficiently serve the 2.4 million residents of our county. Figure 1.1 Dallas County: 2011 Commissioner Precincts Source: Dallas County Commissioners Court (2012). Who is my Commissioner? http://www.dallascounty.org/department/comcrt/whois.php 1 Dallas County Community Health Needs Assessment Healthy People 2020, the national plan to improve the nation’s health, outlines a detailed ten year agenda that encompasses the entire continuum of prevention and care. The overarching Healthy People 2020 goals are to: Attain high‐quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages (Healthy People 2020, 2012). The goals of the Dallas County Community Health Needs Assessment support these Healthy People 2020 goals. The specific objectives are to: Identify existing and emerging population health needs throughout Dallas County. Outline current Dallas County assets and issues considering the uninsured/underinsured, low income and minority populations. Define Dallas County’s health and social service system strengths, challenges, and areas for improvement. In conjunction with the PHI Workgroup, develop a community health improvement plan to align resources and services to meet the diverse needs of Dallas County residents. 2 Dallas County Community Health Needs Assessment METHODOLOGY A triangulation of secondary quantitative data, focus group data, and interview data inform the Dallas County CHNA. The CHNA reflects a community‐based approach that considers both quantitative and qualitative data. Oversight of the CHNA was provided by the Dallas County Health and Human Services Public Health Infrastructure Division and the PHI Workgroup. The PHI workgroup provided a diverse perspective on health issues, assets and priorities. Two community focus groups early in the data collection process and key informant interviews as key health issues began to emerge provided context for and understanding of the secondary quantitative data. This allowed the PHI Workgroup to identify and prioritize the top health issues that face Dallas County residents. The CHNA methodology is informed by the CDC National Public Health Performance Standards Program, Public Health Accreditation Board standards, and IRS Form 990 (Schedule H) guidance. CHNA instruments, analysis, and recommendations also consider local application of the 2011‐2016 Texas State Health Plan: A Roadmap to a Healthy Texas. This plan identifies the following characteristics affecting the healthcare system in Texas: demographic review of the general population, demographic review of the health professions workforce, access to healthcare, technology
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