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2016 Oroville Hospital CHNA Report

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2016 Oroville Hospital CHNA Report 2016 Oroville Hospital Community Health Needs Assessment Final Report Prepared by: Submission Date: Center for Health Communities November 2016 California State University, Chico Table of Contents Section Page Number Executive Summary 1 I. Introduction and Description of Oroville Hospital 2 o Description of the Community Health Needs Assessment 2 o Partnership with Together We Can! Healthy Living in Butte County and Butte County Hospitals 2 o About Oroville Hospital 2 o Description of Primary Medical Service Area 3 o Description of Secondary Medical Service Area 5 II. Methodology of the Community Health Needs Assessment 6 o Primary Data 6 o Secondary Data 7 III. 2014 CHA Survey Results and Secondary Data Findings 8 o Demographics 8 o Identified Primary Health Concerns of the Community 11 Substance Abuse 11 • Mental and Emotional Health 12 Homelessness and Poverty 15 Overweight/Obesity 18 . Access to Healthy Food 20 . Food Insecurity 21 Pulmonary Issues 22 . Asthma 22 . Smoking 25 Access to Health Care 26 Diabetes 28 IV. Focused Conversation Findings 32 o Focused Conversation - Seniors 32 o Follow-Up Focused Conversations • Health Care Providers 33 • Community Members 34 V. Hospital Action Plans 35 VI. Proposed Community-Wide Plan 41 Appendix 43 o Appendix A: Community Health Survey Results 44 o Appendix B: 2014 Community Health Assessment Survey from Together We Can! Healthy Living in Butte County. 46 o Appendix C: Focused Conversation Guidelines from Together We Can! Healthy Living in Butte County. 59 o Appendix D: Focused Conversation Reporting Forms 64 i Executive Summary Oroville Hospital Community Health Needs Assessment Oroville Hospital is a private, non-profit corporation located in Northern California’s County of Butte. Oroville Hospital provides personalized health care to Oroville and the surrounding foothill and valley communities. This Community Health Needs Assessment serves the Oroville Hospital primary medical service area which includes: Oroville (95965/95966), Bangor (95914), Berry Creek (95916), Biggs (95917), Gridley (95948) and Palermo (95968). As part of the 2010 Patient Protection and Affordable Care Act, Oroville Hospital has developed an ongoing, community-based assessment that will become part of a strategic plan on a long-term, continuing basis. This 2016 Community Health Needs Assessment (CHNA) includes the community’s perspective regarding health care needs and available services for residents living in the seven zip codes listed above. A Snapshot of the Oroville Hospital Medical Service Areas • The Oroville Hospital primary medical service area includes seven zip codes in Butte County. • The population of Oroville Hospital’s primary medical service area (2010, Census) is 68,423. • The total population of the secondary medical service area (2010, Census) is 332,743. • The total population served by Oroville Hospital (2010, Census) is 401,166. Demographic Characteristics from the 2014 Community Health Assessment Survey • A total of 704 Community Health Assessment surveys from residents of the Oroville Hospital primary service area were included in the data analysis. • Nearly 40% of the survey respondents had an annual household income of less than $34,999. • Approximately 35% of the survey respondents were between the ages of 40-54. • Approximately 69% of the survey respondents were White and 12% were of Latin/Hispanic descent. • Top health concerns identified: substance abuse, mental and emotional health, homelessness and poverty, obesity/overweight (access to healthy food, food insecurity), pulmonary issues (smoking, asthma), access to health care and diabetes. 1 I. Introduction and Description of Oroville Hospital Description of the Community Health Needs Assessment The purpose of the Community Health Needs Assessment was to 1) assess and prioritize the current health needs of the Oroville Hospital community 2) identify available resources to meet the priorities established in the Community Health Needs Assessment 3) draft implementation strategies to address health priorities and 4) build capacity and community infrastructure to assist with health issues within the context of Oroville Hospitals’ existing programs, resources, priorities and partnerships. This report has been compiled in response to the 2010 Patient Protection and Affordable Care Act that requires each tax-exempt hospital to conduct a Community Health Needs Assessment (CHNA) every three years. Partnership with Together We Can! Healthy Living in Butte County and Butte County Hospitals Since the 2013 CHNA, Oroville Hospital has started a new partnership with Together We Can! Healthy Living in Butte County and three other Butte County Hospitals, Enloe Medical Center (Chico), Feather River Hospital (Paradise) and Orchard Hospital (Gridley) to better identify, strategize and implement action plans. Together We Can! Healthy Living is a county-wide Community Health Assessment that started in May 2014. This effort brought together about 100 different organizations across the county. The group as a whole is currently working on activities to improve the health of Butte County that were developed in the Community Health Improvement Plan. These new partnerships offer future capability to address a broader scope of the community’s needs rather than just Oroville Hospital’s clinical abilities. About Oroville Hospital Oroville Hospital, located in Oroville, California, is a private, 501(c)(3) non-profit corporation. The hospital serves individuals of the Oroville area, Butte County and the North Valley. Oroville Hospital provides clinic and laboratory services throughout the North State including Orland, Yuba City and Redding. Oroville Hospital’s mission is to provide personalized health care to residents of Oroville and the surrounding foothill and valley communities. This is accomplished by offering a medical home with a wide range of integrated services, from prevention and treatment to wellness. 2 Oroville Hospital is a 133-bed acute care facility that specializes in a broad range of inpatient and outpatient services, including multiple physician practices. Other services include: Aesthetic Medicine Gastroenterology Podiatry Ambulatory Care Home Health Primary Care Services Anesthesia Services Hospitalist Services Pulmonary Function Testing Anticoagulation Services Intensive Care Unit Radiology Services Breast Cancer Services Laboratory Services Rehabilitation Services Cancer Care Program Medical Concierge Respiratory Care Cardiac Rehabilitation Medical-Surgical Units Robotic Surgery Cardiology Neurodiagnostics Sleep Disorder Testing Cardiovascular Testing Neurology Stroke Program Childbirth Services Nutritional Therapy Surgical Services Chiropractic Services Ophthalmology Telemedicine Dermatology Orthopedic Surgery Urology Emergency Care Services Pain Management Valley Medical Imaging Endoscopy Palliative Care Program Vascular Surgery Ear, Nose, Throat Services Pediatric Services Women's Imaging Table 1. Oroville Hospital’s Patient Care Statistics from Fiscal Year 2015 Oroville Hospital’s Patient Care Statistics (FY2015) Discharges 11,873 Lab Procedures-Inpatient 1,236,026 Inpatient Days 41,493 Lab Procedures-Outpatient 987,680 Deliveries 462 Total Surgery Cases-Outpatients 1,688 ER Visits 33,574 Total Surgery Cases-Inpatients 3,291 Total Outpatient Clinic 227,118 Visits 3 Description of Primary Medical Service Area Figure 1. Zip Code Boundaries of the Primary Medical Service Area1 This Community Health Needs Assessment serves the Oroville Hospital primary medical service area which includes: Oroville (95965/95966), Bangor (95914), Berry Creek (95916), Biggs (95917), Gridley (95948) and Palermo (95968). The total population in the primary medical service area is 68,423. POPULATION DISTRIBUTION OF PRIMARY MEDICAL SERVICE AREA 60,000 51,027 50,000 40,000 30,000 20,000 10,810 10,000 3,155 578 1,441 1,412 0 Oroville Bangor Berry Creek Biggs Gridley Palermo Figure 2. Population Distribution of Primary Medical Service Area2 1 Map compiled by John Coryat USNaviguide. Available from: http://www.usnaviguide.com/ 2 2010 US Census Bureau Demographic Profile Data. Available from: https://factfinder.census.gov 4 Description of Secondary Medical Service Area Figure 3. Zip Code Boundaries of the Secondary Medical Service Area3 Oroville Hospital’s secondary medical service area includes: Browns Valley (95918), Brownsville (95919), Challenge (95925), Chico (95926, 95927, 95928, 95929, 95973, 95976),Dobbins (95935), Durham (95938), Feather Falls (95940), Forbestown (95941),Live Oak (95953), Magalia (95954), Marysville (95901), Olivehurst (95961),Oregon House (95962),Orland (95963),Paradise (95969), Rackerby (95972), Richvale (95974), Weed (96094), Willows (95988) and Yuba City (95991, 95993). The total population of the secondary medical service area is 332,743. 3 Map compiled by John Coryat USNaviguide. Available from: http://www.usnaviguide.com/ 5 Figure 4 displays the population distribution of the secondary medical service area. No data was available for the Feather Falls and Rackerby areas, thus there is no value presented in the figure. POPULATION DISTRIBUTION OF SECONDARY MEDICAL SERVICE AREA 120,000 106,193 100,000 80,000 76,660 60,000 40,000 31,314 27,549 26,510 20,000 15,493 12,251 10,718 8,857 6,630 3,787 2,339 1,567 1,378 631 563 295 8 0 Figure 4. Population Distribution of Secondary Medical Service Area4 II. Methodology of the Community Health Needs Assessment A. Primary Data Primary data was collected from the following sources
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