2018 Community Health Needs Assessment Hospital Defined Community

Community Health Needs Assessment 2018 Final Report

for the defined communities of Monongahela Valley Hospital and Washington Health System

As of 6-30-19 Prepared by:

LRF Consulting, LLC Burgettstown, PA 15021

LRF Consulting, LLC 0 2018 Community Health Needs Assessment Hospital Defined Community

Table of Contents Qualifications ...... 4 Introduction ...... 4 Collaborators and Community Definition ...... 7 Logic Model and Methodology ...... 9 Community Health Needs Assessment Process...... 9 Secondary Data and Public Health Input ...... 12 Primary Data and Community Input ...... 14 Data Sources, Limitations and Data Gaps ...... 16 Results ...... 18 Summary Scores ...... 18 How to Read Results Pages ...... 20 Results—Health Outcomes—Mortality ...... 21 Years of Potential Life Lost (YPLL) ...... 21 Lung Cancer ...... 22 Colorectal Cancer ...... 23 Breast Cancer ...... 24 Coronary Heart Disease ...... 25 Diabetes ...... 26 Motor Vehicle Accident ...... 27 COPD ...... 28 Suicide ...... 29 Stroke ...... 30 Accidental Drug Poisoning ...... 31 Results—Health Outcomes—Morbidity ...... 32 Diabetes Prevalence ...... 32 Low Birth Weight ...... 33 Poor or Fair Health ...... 34 Physical Unhealthy Days ...... 35 Mental Unhealthy Days ...... 36 Adult Smoking ...... 37 Adult Smokeless Tobacco Use ...... 38

1 LRF Consulting, LLC

2018 Community Health Needs Assessment Hospital Defined Community

High School Student Smoking ...... 39 High School Student Smokeless Tobacco Use ...... 40 Pregnant Women Smoking ...... 41 Tobacco Quit Attempts ...... 42 Binge Drinking ...... 43 At Risk for Heavy Drinking ...... 44 Adult Inactivity ...... 45 Adult Obesity ...... 46 Adult Healthy Weight ...... 47 Fruit Intake ...... 48 Vegetable Intake ...... 49 Adults Meeting Recommended Physical Activity Levels ...... 50 Youth Obesity...... 51 Motor Vehicle Accidents ...... 52 Chlamydia ...... 53 Teen Pregnancy Rate ...... 54 Teen Birth Rate ...... 55 Results—Health Factors—Clinical Care ...... 56 Adults with Health Insurance ...... 56 Usual Primary Care Provider ...... 57 Primary Care Physician Ratio ...... 58 Dental Visits ...... 59 Mammography ...... 60 Hemoglobin A1c Test ...... 61 Colorectal Cancer Screening ...... 62 Influenza Vaccine ...... 63 Pneumonia Vaccine ...... 64 Preventable Hospital Stays--Overall ...... 65 Preventable Hospital Stays—Ages 65 Years and Older ...... 66 Preventable Hospital Stays—COPD and Asthma in Older Adults ...... 67 Preventable Hospital Stays—Heart Failure ...... 68 Preventable Hospital Stays--Diabetes ...... 69

LRF Consulting, LLC 2 2018 Community Health Needs Assessment Hospital Defined Community

Late Stage Diagnosis Breast Cancer ...... 70 Invasive Diagnosis Colorectal Cancer...... 71 Results—Health Factors—Social/Economic ...... 72 High School Graduation ...... 72 Some College ...... 73 Unemployment ...... 74 Children in Poverty ...... 75 Single Parent Household ...... 76 Social Associations ...... 77 Violent Crime ...... 78 Results—Health Factors—Physical Environment ...... 79 Secondhand Smoke Exposure ...... 79 Limited Access to Healthy Foods ...... 80 Fast Food Restaurants ...... 81 Access to Recreational Facilities ...... 82 Air Quality Index Days ...... 83 Data Analysis ...... 84 Identification of Significant Health Needs and Their Root Causes ...... 84 Discussion of Identified Significant Health Needs ...... 88 Identified significant Health Factor Needs Affecting Multiple Health Outcomes ...... 88 Suicide death rate ...... 90 Diabetes-related death rate ...... 91 Colorectal cancer death rate ...... 92 Accidental drug death rate ...... 93 Trends to Watch ...... 94 Gathering Input on 2015 CHNA ...... 95 Prioritization of Identified Health Needs ...... 101 Evaluation of Action Impact on 2015 CHNA Prioritized Health Needs ...... 102 Monongahela Valley Hospital Evaluation ...... 102 Washington Health System Evaluation ...... 107 Endnotes ...... 108 Appe