2016 Community Health Needs Assessment and Implementation Plan on June 27, 2016
Total Page：16
File Type：pdf, Size：1020Kb
Baptist Beaumont Hospital Community Health Needs Assessment and Implementation Plan June 2016 Table of Contents Section 1: Community Health Needs Assessment ...............................................................................................................................................2 Executive Summary .................................................................................................................................................................................................... 3 Process and Methodology ....................................................................................................................................................................................... 13 Baptist Beaumont Hospital Biography ..................................................................................................................................................................... 17 Study Area ................................................................................................................................................................................................................ 22 Demographic Overview............................................................................................................................................................................................ 24 Health Data Overview .............................................................................................................................................................................................. 34 Phone Interview Findings ......................................................................................................................................................................................... 88 2013 CHNA Prioritized Health Needs ....................................................................................................................................................................... 99 Input Regarding the Hospital’s Previous CHNA ..................................................................................................................................................... 101 Evaluation of Hospital’s Impact ............................................................................................................................................................................. 103 2016 Preliminary Health Needs ............................................................................................................................................................................. 115 Prioritization .......................................................................................................................................................................................................... 117 Resources in the Community ................................................................................................................................................................................. 122 Information Gaps ................................................................................................................................................................................................... 129 About Community Hospital Corporation ............................................................................................................................................................... 131 Appendix ................................................................................................................................................................................................................ 133 Summary of Data Sources ............................................................................................................................................................................. 134 Demographic Data Findings .......................................................................................................................................................................... 138 Health Data Findings ..................................................................................................................................................................................... 148 Interviewee Biographies ............................................................................................................................................................................... 201 Priority Ballot ................................................................................................................................................................................................ 204 Section 2: Implementation Plan ..................................................................................................................................................................... 207 Section 3: Feedback, Comments and Paper Copies ......................................................................................................................................... 235 Baptist Beaumont Hospital Community Health Needs Assessment and Implementation Plan June 2016 Community Hospital Corporation Page 1 Section 1: Community Health Needs Assessment Baptist Beaumont Hospital Community Health Needs Assessment and Implementation Plan June 2016 Community Hospital Corporation Page 2 EXECUTIVE SUMMARY Baptist Beaumont Hospital Community Health Needs Assessment and Implementation Plan June 2016 Community Hospital Corporation Page 3 Executive Summary A comprehensive, six‐step community health needs assessment (“CHNA”) was conducted for Baptist Beaumont Hospital (BBH) by Community Hospital Corporation (CHC). This CHNA utilizes relevant health data and stakeholder input to identify the significant community health needs in Jefferson and Orange Counties in Texas. The CHNA Team, consisting of leadership from BBH, met with staff from CHC on May 16, 2016 to review the research findings and prioritize the community health needs. Five significant community health needs were identified by assessing the prevalence of the issues identified from the health data findings combined with the frequency and severity of mentions in community input. The CHNA Team participated in a prioritization process using a structured matrix to rank the community health needs based on three characteristics: size and prevalence of the issue, effectiveness of interventions and the hospital’s capacity to address the need. Once this prioritization process was complete, the hospital leadership discussed the results and decided to address all of the five prioritized needs in various capacities through hospital specific implementation plans. The five most significant needs, as ranked during the May 16th prioritization meeting, are listed below: 1. Access to Mental and Behavioral Health Care 2. Prevention, Education and Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles 3. Access to Affordable Care and Reducing Health Disparities Among Specific Populations 4. Need for Increased Emphasis on Collaborative Continuum of Care 5. Access to Specialty Care Services BBH’s implementation plan addresses all of the five identified needs, and BBH leadership developed an implementation plan to identify specific activities and services which directly address all five priorities. The objectives were identified by studying the prioritized health needs, within the context of the hospital’s overall strategic plan and the availability of finite resources. The plan includes a rationale for each priority, followed by objectives, specific implementation activities, responsible leaders, annual updates and progress, and key results (as appropriate). Please see the “Implementation Plan” section of this report for further details. The BBH Board reviewed and adopted the 2016 Community Health Needs Assessment and Implementation Plan on June 27, 2016. Baptist Beaumont Hospital Community Health Needs Assessment and Implementation Plan June 2016 Community Hospital Corporation Page 4 Priority #1: Access to Mental and Behavioral Health Care ‐In 2016, the rate of mental health care providers per 100,000 population in the report area (79.2 per 100,000) was lower than the state (102.3 per 100,000) rate and significantly lower than the national rate (202.8 per 100,000). When broken out by county, both Jefferson County (97.5 per 100,000) and Orange County (23.9 per 100,000) had a lower rate of mental health care providers than the state and the nation. ‐Four of the interviewees noted access to mental and behavioral health services as one of the biggest needs in the community. ‐Similar to primary and specialty care, interviewees noted that resources are inadequate for those without a pay source and high deductibles and medication costs were mentioned as a deterrent to seeking appropriate care. One interviewee specifically stated: "Many call about being off medications for months, but can't get any more or can't afford them and can't get back in to see someone for another two months." ‐Interviewees also discussed a lack of awareness regarding available resources and a stigma around accessing services. One interviewee raised concern around the lack of awareness of existing resources, stating: "There is not enough knowledge as to what are the available resources for folks who present substance abuse problems...I don't think the medical community really knows what to do with those folks." ‐One interviewee mentioned