Community Health Needs Assessment PARKVIEW HOSPITAL 2013
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OCTOBER 2013 Community Health Needs assessment PARKVIEW HOSPITAL 2013 Acknowledgements Parkview Hospital would like to express our gratitude to all individuals and organizations involved in the Community Health Needs Assessment process that provided their time, insight and expertise. Their tireless efforts have helped us provide this assessment and the future direction of health in our community. IPFW CENTER FOR SOCIAL RESEARCH PARKVIEW HOSPITAL STAFF Christopher Bradley, Ph.D. Jill McAllister Director, Center for Social Research Community Benefit Manager Donna Dea Holland, Ph.D. Paige Baines Associate Professor of Sociology Community Health Project Management Specialist Director, Center for Social Research Patti Brahe IPFW CENTER FOR SOCIAL RESEARCH TEAM Senior Vice President, Women’s & Children’s Services Charles Clark Leslie Mackey, B.A. Senior Vice President, Behavioral Health Center Research Associate Principal Author of the Report Tai Felger Community Outreach Coordinator Nicholas Raub Statistical Analysis Associate Connie Kerrigan, R.N., B.S.N. Manager, Community Nursing and Women’s Center Jeff Gruettert Center Research Associate Amy Lazoff, M.P.A. Director of Institutional Giving, Parkview Foundations Kathleen Ellis-Creigh Center Research Associate Glenn Schnelker, B.A. PURDUE UNIVERSITY HEALTHCARE Center Research Associate ADVISORS Christina Sorenson Monica Arrowsmith, J.D., M.S.N., R.N. Center Research Associate Director of Strategy & Development Wayne Fischer, M.P.H. FORT WAYNE – ALLEN COUNTY HEALTH Population Health Specialist DEPARTMENT Deborah McMahan, M.D. Health Commissioner Mindy Waldron, R.E.H.S., C.F.S.P. Department Administrator 1 PARKVIEW HOSPITAL 2013 CHNA ADVISORY COMMITTEE INCLUDES REPRESENTATIVES FROM: Parkview-affiliated Hospitals Parkview Patient Services Parkview Hospital Foundations Parkview Hospital Board Members PARKVIEW HOSPITAL COMMUNITY HEALTH Parkview Community Engagement IMPROVEMENT COMMITTEE (Committee of Parkview Hospital’s Board of Directors) Parkview Community Health Improvement Sue Ehinger, Ph.D., President Parkview Strategic Planning Parkview Hospital Fort Wayne-Allen County Health Department Sherri Miller, Partner Vision Management Consulting COMMUNITY PARTNERS Larry Rowland, Executive Director Parkview Foundations St. Joe Community Foundation Tom Beaver, President Catherine Kasper Place Indiana Stamp Company Slataper Street Farm Chris Rupp, CPA Purdue Extension – Allen County Wendy Stein, President Stein Advertising, Inc. Local farmers markets Danette Fitzgerald, Vice President Boys and Girls Club of Fort Wayne Marketing & Community Relations, Parkview Health Matthew 25 Health and Dental Clinic Connie Kerrigan, R.N., B.S.N. Neighborhood Health Clinics, Inc. Manager, Community Nursing and Women’s Center, Parkview Hospital EXPLORE speakers and attendees Amy Lazoff, M.P.A. Fort Wayne Housing Authority, McCormick Place Director of Institutional Giving, Parkview Foundations Midwest Alliance for Health Education Jill McAllister, Manager Community Benefit, Parkview Hospital Redemption House 2 PARKVIEW HOSPITAL 2013 Contents Introduction 5 Purpose 6 Collaborative approach 6 How to use this report 7 Executive Summary 9 Service area 9 Key findings 9 Our Community 11 Demographics 12 Methodology 13 How the study was conducted 13 Study objectives 14 Input from persons who represent the broad interests of the community 14 Data Collection & Analysis 15 Primary data sources 15 Secondary data sources 18 Identification of Health Needs 19 Obesity 21 Tobacco use 23 Chlamydia infections 25 Teen births 26 Infant mortality 27 Prenatal care 28 Excessive alcohol use 29 Mental health 30 Access to care 31 Prioritization of Health Needs 32 Implementation Strategies 35 Health Priority 1: Obesity 35 Health Priority 2: Prenatal care 40 Health Priority 3: Mental health 43 Resources for needs not directly addressed 45 Supplemental Materials Northeast Indiana Community Needs Survey Findings from Public Health Partner Survey 3 INTRODUCTION PARKVIEW HOSPITAL 2013 Introduction Parkview Hospital’s commitment to the community started 135 years ago and today, is as strong as ever. All Parkview hospitals share one central mission: Provide high quality care to all who entrust their care to us and work to improve the health of our community. Throughout our history, we have worked to identify the health needs in our community, developed plans and worked with other area agencies on how to resolve them. As our community’s only not-for-profit healthcare provider, Parkview reinvests its resources into services and programs that directly impact the health and well-being of people of all ages. In this way, Parkview invests in you. This mission is further guided by Parkview’s core values: Trust, Quality, Flexibility, Teamwork and Stewardship. The impact Parkview has on our community can be felt in many ways. Because we are not-for-profit, more than 80 cents of each dollar Parkview earns is reinvested back into our community through our employees, our relationships with local companies, our investment in health education at area universities and through our investment in community health improvement programs. Each year, Parkview's Community Health Improvement programs reach tens of thousands of people. Our programs include our nationally award-winning Community Nursing program, which reached over 30,000 children last year; Francine's Friends Mobile Mammography which last year served more than 4,250 women; and last year more than 1,100 free cribs were distributed along with safe sleep education to new parents and grandparents through our Safe Slumber program. Funds to operate these programs are provided through the combination of operational dollars and generous donors from across our region. In 2012, Parkview Hospital provided over $52 million in free or discounted care and invested over $2 million dollars supporting health needs in Allen County. This included: • Over $500,000 to aid area health partners provide greater access to care for our area’s underserved, disabled, low-income, minority and vulnerable populations • $879,000 invested in community nursing programs • $59,000 in nutrition education • $100,000 for Parkview’s LiVe program • $80,000 for trauma prevention • $40,000 for Parkview’s Medication Assistance Program • $5,000 for colon cancer screening test kits • $150,000 to support Francine’s Friends Mobile Mammography program 5 PARKVIEW HOSPITAL 2013 PURPOSE As a part of our mission, Parkview has periodically conducted Community Health Needs Assessments (CHNA) in an effort to address community health needs. A Community Health Needs Assessment identifies and assesses the most current community health needs in the areas served by Parkview and is conducted in accordance with the regulations required by section 501(r) of the Internal Revenue Code of 1986, as amended, which was enacted as part of the Patient Protection and Affordable Care Act of 2010. The objective of the CHNA is to address the health needs identified by developing ways in a manner that is consistent with our mission, capabilities and resources. Through our implementation strategy planning process, we have been able to identify the most important health issues in our area, particularly for vulnerable, underserved, and underrepresented populations, to ensure that programs and services closely match the priorities and needs of those we serve and to strategically address those needs to improve the health of our communities. Our CHNA process has taken place over the past year and our team has compiled information from multiple data sources. Secondary data sources included demographic data, assessments provided by other organizations and governmental agencies, as well as primary data from surveys provided to those who represent broad community interests, professionals with public health expertise, input from various hospital leaders, board members and surveys completed by community members across our region. COLLABORATIVE APPROACH Parkview partnered with the Fort Wayne-Allen County Department of Health and contracted with Indiana University – Purdue University Fort Wayne Center for Social Research to conduct the community health needs survey to gather primary data. Purdue Healthcare Advisors of Purdue University conducted a survey of public health representatives, other healthcare professionals, social service agencies and other community group representatives regarding community health needs. Purdue Healthcare Advisors then analyzed primary and secondary data, facilitated the prioritization of identified health issues and formulation of goals and objectives. Parkview Hospital, under IRS guidance, is required to develop a data-driven community health implementation strategy and we have the full support of the Fort Wayne-Allen County Department of Health. Participants in the development of the CHNA contributed in the following ways: • Identifying the priority area of focus • Highlighting current internal and external programs and initiatives that address areas of need • Identifying opportunities for improvement • Collaborating on the opportunities identified and enhancing the areas of need in our community • Developing an implementation strategy to address the identified community health needs 6 PARKVIEW HOSPITAL 2013 HOW TO USE THIS REPORT This Community Health Needs Assessment (CHNA) report and supporting materials are specific to Parkview Hospital of Fort Wayne, Indiana. Health issues and needs are highlighted to provide information and garner support from