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TUH-CHNA-2016.Pdf Temple University Hospital Community Health Needs Assessment Public Health Management Corporation, Community Health Data Base Temple University Hospital Community Health Needs Assessment TABLE OF CONTENTS I.INTRODUCTION TO ASSESSMENT ............................................................................................ 1 ABOUT TEMPLE UNIVERSITY HOSPITAL .............................................................. 1 PURPOSE .......................................................................................................... 3 COMMUNITY DEFINITION ................................................................................. 4 PREVIOUS NEEDS ASSESSMENT ......................................................................... 5 IMPACT OF THE 2013 NEEDS ASSESSMENT ........................................................ 7 II. PROCESS AND METHODS ................................................................................................... 11 DATA ACQUISITION AND ANALYSIS ............................................................... 11 PHMC SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY ............ 13 U.S. CENSUS ................................................................................................... 14 VITAL STATISTICS ............................................................................................ 14 2015 County Health Rankings and Roadmaps ............................................. 15 COMMUNITY MEETINGS AND INTERVIEWS ...................................................... 15 INFORMATION GAPS ...................................................................................... 17 III. COMMUNITY DEMOGRAPHICS ......................................................................................... 18 POPULATION SIZE ........................................................................................... 18 AGE ............................................................................................................... 18 RACE/ETHNICITY ............................................................................................ 19 LANGUAGE SPOKEN AT HOME ....................................................................... 20 SOCIOECONOMIC INDICATORS .................................................................... 20 EDUCATION ................................................................................................... 20 EMPLOYMENT ................................................................................................ 21 POVERTY STATUS ............................................................................................ 22 MEDIAN HOUSEHOLD INCOME ...................................................................... 23 HOME OWNERSHIP......................................................................................... 24 IV.HEALTH OF THE COMMUNITY ............................................................................................. 25 FERTILITY RATES .............................................................................................. 25 LOW BIRTH WEIGHT ........................................................................................ 27 PREMATURE BIRTH .......................................................................................... 28 Public Health Management Corporation, Community Health Data Base Temple University Hospital Community Health Needs Assessment PRENATAL CARE ............................................................................................ 29 MORTALITY ..................................................................................................... 30 INFANT MORTALITY ........................................................................................ 30 MORTALITY ..................................................................................................... 31 MORBIDITY ..................................................................................................... 33 HIV AND AIDS ................................................................................................ 33 COMMUNICABLE DISEASE ............................................................................. 34 HEALTH STATUS .............................................................................................. 35 SELF-REPORTED HEALTH STATUS ..................................................................... 35 SPECIFIC HEALTH CONDITIONS ...................................................................... 38 V.ACCESS AND BARRIERS TO HEALTH CARE ......................................................................... 44 ECONOMIC BARRIERS .................................................................................... 44 HEALTH INSURANCE COVERAGE .................................................................... 45 PRIMARY CARE .............................................................................................. 47 PREVENTIVE CARE .......................................................................................... 47 RECOMMENDED SCREENINGS ....................................................................... 49 VI.HEALTH BEHAVIORS ............................................................................................................ 52 NUTRITION ...................................................................................................... 52 EXERCISE ....................................................................................................... 52 TOBACCO USE ............................................................................................... 53 VII.EXISTING RESOURCES........................................................................................................ 54 VIII.SPECIAL POPULATIONS .................................................................................................... 55 LOW INCOME POPULATIONS ......................................................................... 55 OLDER ADULTS ............................................................................................... 56 NORTH PHILADELPHIA NEIGHBORHOOD CONCERNS ..................................... 58 IMMIGRANT POPULATIONS ............................................................................ 59 IX. SOCIAL DETERMINANTS OF HEALTH AND UNMET NEEDS ................................................. 60 APPENDIX A: PHMC’S COMMUNITY AND POPULATION ASSESSMENTS ............................... 63 APPENDIX B: U.S. CENSUS TABLES ............................................................................................. 66 APPENDIX C: VITAL STATISTICS TABLES ..................................................................................... 79 APPENDIX D: HOUSEHOLD HEALTH SURVEY TABLES ............................................................... 89 APPENDIX E: SIGNIFICANCE TESTING ........................................................................................ 96 Public Health Management Corporation, Community Health Data Base Temple University Hospital Community Health Needs Assessment APPENDIX F: RESOURCE LISTS .................................................................................................... 98 APPENDIX G: COUNTY HEALTH RANKINGS ........................................................................... 128 APPENDIX H: TEMPLE UNIVERSITY HOSPITAL GENERAL PROFILE ......................................... 131 Public Health Management Corporation, Community Health Data Base Temple University Hospital Community Health Needs Assessment TEMPLE UNIVERSITY HOSPITAL 2016 COMMUNITY HEALTH NEEDS ASSESSMENT Public Health Management Corporation, Community Health Data Base Temple University Hospital Community Health Needs Assessment I.INTRODUCTION TO ASSESSMENT The purpose of the needs assessment is to identify and prioritize community health needs so that the hospital can develop strategies and implementation plans that benefit the public as well as satisfy the requirements of the Affordable Care Act. ABOUT TEMPLE UNIVERSITY HOSPITAL The Temple University Health System is dedicated to providing access to comprehensive primary and specialty quality patient care through population health, linked to academic excellence in medical education and research. As the chief academic teaching hospital of the Lewis Katz School of Medicine of Temple University, Temple University Hospital (TUH) is a 722-bed non-profit acute care hospital that provides a comprehensive range of medical services to its low-income communities, and a broad spectrum of secondary, tertiary, and quaternary care to patients throughout Southeastern Pennsylvania and beyond. TUH is accredited as an Adult Level 1 Trauma Center by the Pennsylvania Trauma Systems Foundation. In addition to its main campus in North Philadelphia, TUH includes its Episcopal and Northeastern campuses, both of which are in economically distressed areas within three miles of the TUH main and medical school campus. As our chief clinical teaching site, TUH is staffed by over 400 physicians of Temple University Physicians (TUP), our faculty-based practice plan, as well as physician scientists from our affiliated Fox Chase Cancer Center and our community-based Temple Physicians, Inc. (TPI). Temple physicians represent 17 academic departments including subspecialties in emergency medicine, oncology, gastroenterology, obstetrics, gynecology, orthopedics, neurosurgery, neurology, general and specialty surgery and psychiatry. Temple physicians also staff important clinics that address major public health
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