Community Health Needs Assessment Watertown Regional Medical Center Dodge-Jefferson Healthier Community Partnership Dodge and Jefferson Counties,

Paper copies of this document may be obtained at: Watertown Regional Medical Center 125 Hospital Drive, Watertown WI 53098 or by phone 920.245.5737 or via the hospital website WatertownRegional.com Table of Contents Perspective / Overview 3 2019 Community Health Assessment 5 Community 7 Input and Collaboration 8 Information Gaps 8 Participation by those Representing the Broad Interests of the Community 9 Input of the Medically Underserved, Low-Income, and Minority Populations 11 Input of those with Expertise in Public Health 11 Community Engagement and Transparency 11 Community Selected for Assessment 11 Key Findings 12 Community Health Assessment Results 13 Process and Methods 13 Demographics of the Community 14 Demographics of the Community 2018–2023 15 2018 Population by Census Tract and Change (2018-2023) 18 Description of the Communities Served 19 Tapestry Segmentation 20 Community Input 21 Focus Groups and Interview Results 22 Dodge and Jefferson County Community Surveys 26 Survey Process 27 Survey Demographics 28 Dodge and Jefferson County Community Surveys 28 Top Three Concerns for Children 29 Survey Demographics 37 Hospital Employee & Community Physicians Survey 38 Survey Process 39 Prevalent Chronic Diseases 39 Top Health Needs that Impact Health 39 Community Needs 40 Health Status Data, Rankings & Comparisons 41 Health Status Data 42 Comparison of Health Status 42 Health Outcomes (Length of Life and Quality of Life) 43 Health Factors or Determinants 45 Adverse Childhood Experiences (ACEs) 48 Clinical Care 50 Social and Economic Factors 52 Physical Environment 54 Four Broad Themes that Emerged in the Process 55 Results of the CHNA: 56 Prioritization of Health Needs 57 Most Significant Community Health Needs 57 Community Health Summit Brainstorming 61 Significant Health Need 1: Substance Use Disorders 62 Significant Health Need 2: Mental Health 62 Significant Health Need 3: Obesity and Nutrition 63 Significant Health Need 4: Family Issues 63 Significant Health Need 5: Physical Activity 64 Significant Health Need 6: Socioeconomics 64 Significant Health Need 7: Transportation 65 Significant Health Need 8: Access to affordable healthcare- mental health, dentists, medical 65 Impact of 2016 CHNA & Implementation Plan 66 Impact 67 Other Initiatives 67 Policy Changes 70 Appendices 73 Appendix A: 2019 Community Asset Inventory for Dodge County, WI 75 Appendix B: 2019 Community Asset Inventory for Jefferson County, WI 98

Watertown Regional Medical Center | Community Health Needs Assessment | 2 Perspective / Overview Action Cycle Source: the Robert Wood Johnson Foundation’s County Health Rankings website: countyhealthrankings.org/roadmaps/action-center

Creating a culture of health in the community The Action Cycle shows how to create healthy communities. The rankings later in the document assist in understanding what makes a healthy community.

The Community Health Assessment (CHA) uses systematic, comprehensive data collection and analysis to define priorities for health improvement, creates a collaborative community environment to engage stakeholders, and an open and transparent process to listen and truly understand the health needs of Dodge and Jefferson Counties, Wisconsin.

This CHA was conducted by the Dodge-Jefferson Healthier Community Partnership which is comprised of: Beaver Dam Community Hospital, the Dodge County Human Services and Health Department, Fort HealthCare, Greater Watertown Community Health Foundation, Jefferson County Health Department, Watertown Department of Public Health, and Watertown Regional Medical Center, referred to as “the Partnership.”

Watertown Regional Medical Center | Community Health Needs Assessment | 4 2019 Community Health Assessment This document is a hospital facility-specific Community Health Assessment (CHA) for Watertown Regional Medical