Mercy Philadelphia Hospital
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2016 Community Health Needs Assessment Mercy Philadelphia Hospital 501 South 54th Street Philadelphia, PA 19143 May 2016 A MESSAGE FROM THE PRESIDENT & CHIEF EXECUTIVE OFFICER Mercy Health System is a healthcare ministry dedicated to serving as a transforming and healing presence in our communities. As a member of Trinity Health, Mercy is rooted in a strong sense of history, while continually working to provide safe, high-quality care to the populations in our communities. We want to provide better health and better care to all of our patients, with a special concern for the poor and disadvantaged. Mercy Health System is continually looking to address the needs of the communities we serve in the Philadelphia region. In this, the 2016 Community Health Needs Assessment, each of our hospitals, as well as representatives from many health and human service provider organizations, collaborated to create this assessment of the issues affecting our communities. Together, we hoped to gain an understanding of how our Mercy Health System hospitals could help to address these issues and develop a strategy to improve the overall health of our local populations. On behalf of the Mercy Board of Directors and Executive Leadership, I am pleased to present the 2016 Community Health Needs Assessment for Mercy Philadelphia Hospital. As we work to care for populations of patients within our communities, Mercy Health System strives to provide people-centered care with an emphasis on clinical excellence. The outcomes shared in this assessment will help Mercy in its continued efforts to make a lasting impact in the lives of the patients, families and communities we serve. Sincerely, Susan Croushore President & Chief Executive Officer Mercy Health System Mercy Philadelphia Hospital Community Health Needs Assessment Table of Contents I. EXECUTVIE SUMMARY ............................................................................................................................... 1 II. ASSESSMENT ............................................................................................................................................. 4 PURPOSE ....................................................................................................................................................... 4 COMMUNITY DEFINITION ............................................................................................................................. 5 MERCY PHILADLEPHIA HOSPITAL (MPH) PREVIOUS NEEDS ASSESSMENT IMPACT STATEMENT ................. 7 SUMMARY OF COACH INITIATIVE ................................................................................................................. 9 PUBLICE HEALTH MANAGEMENT CORPORATION QUALIFICATIONS .......................................................... 10 III. PROCESS AND METHODS ....................................................................................................................... 12 DATA ACQUISITION AND ANALYSIS ............................................................................................................ 12 PHMC Southeastern Pennsylvania Household Health Survey ............................................................ 14 U.S. Census .......................................................................................................................................... 15 Vital Statistics ...................................................................................................................................... 15 2015 County Health Rankings & Roadmap ......................................................................................... 16 Community Meetings and Interviews ................................................................................................. 16 Information Gaps ................................................................................................................................ 17 IV. SOCIAL DETERMINANTS OF HEALTH ...................................................................................................... 18 V.COMMUNITY DEMOGRAPHICS ................................................................................................................ 19 AGE ...................................................................................................................................................... 19 Race/Ethnicity ..................................................................................................................................... 20 Language Spoken At Home ................................................................................................................. 21 SOCIOECONOMIC INDICATORS ................................................................................................................... 22 Education ............................................................................................................................................ 22 Employment ........................................................................................................................................ 23 Poverty ................................................................................................................................................ 24 Median Household Income ................................................................................................................. 25 Home Ownership ................................................................................................................................ 26 Homelessness...................................................................................................................................... 27 VI.HEALTH OF THE COMMUNITY ................................................................................................................ 29 COUNTY HEALTH RANKINGS AND ROADMAPS ........................................................................................... 29 BIRTH OUTCOMES ....................................................................................................................................... 30 Fertility Rates ...................................................................................................................................... 30 Low Birth Weight ................................................................................................................................ 32 Mercy Philadelphia Hospital Community Health Needs Assessment Premature Births ................................................................................................................................. 33 Prenatal Care ....................................................................................................................................... 34 MORTALITY ................................................................................................................................................. 35 Infant Mortality ................................................................................................................................... 35 Mortality ............................................................................................................................................. 36 MORBIDITY .................................................................................................................................................. 38 HIV and AIDS ....................................................................................................................................... 38 Communicable Disease ....................................................................................................................... 39 Health Status ....................................................................................................................................... 40 SPECIFIC HEALTH CONDITIONS ................................................................................................................... 43 Hypertension ....................................................................................................................................... 43 Diabetes .............................................................................................................................................. 44 Asthma ................................................................................................................................................ 45 Overweight and Obesity ..................................................................................................................... 46 MENTAL AND BEHAVIORAL HEALTH ........................................................................................................... 47 VII. ACCESS TO CARE ................................................................................................................................... 49 Economic Barriers ............................................................................................................................... 49 Health Insurance Status ...................................................................................................................... 50 Primary Care........................................................................................................................................ 52 PREVENTIVE CARE ....................................................................................................................................... 53 Dental Visit .........................................................................................................................................