May 2019 Community Health Needs Assessment St. Mary Medical Center Table of Contents EXECUTIVE SUMMARY ................................................................................................................................................... 4 Introduction & Purpose ............................................................................................................................................ 4 Community Definition ............................................................................................................................................... 4 The Long Beach Collaborative ................................................................................................................................... 4 Assessment Summary ............................................................................................................................................... 5 Summary of Findings ................................................................................................................................................ 5 INTRODUCTION ............................................................................................................................................................. 6 St. Mary Medical Center ........................................................................................................................................... 6 Vision .................................................................................................................................................................... 7 Mission ................................................................................................................................................................. 7 St. Mary Medical Center: Service Area ................................................................................................................. 7 CHNA Report Adoption, Availability and Comments ............................................................................................ 8 Consultants ............................................................................................................................................................... 8 EVALUATION OF PROGRESS SINCE PRIOR CHNA ........................................................................................................... 9 Priority Health Needs and Impact from Prior CHNA ................................................................................................. 9 METHODOLOGY ........................................................................................................................................................... 11 Overview ................................................................................................................................................................. 11 Secondary Data Sources & Analysis ........................................................................................................................ 11 Secondary Data Scoring ..................................................................................................................................... 11 Disparities Analysis ............................................................................................................................................. 11 Primary Data Methods & Analysis .......................................................................................................................... 12 Focus Groups ...................................................................................................................................................... 12 Key Informant Interviews ................................................................................................................................... 15 Data Considerations ................................................................................................................................................ 16 Race/Ethnic Groupings ....................................................................................................................................... 16 Zip Codes and Zip Code Tabulation Areas .......................................................................................................... 16 Prioritization ........................................................................................................................................................... 17 Prioritization Process .......................................................................................................................................... 17 Data Synthesis .................................................................................................................................................... 20 Potential Resources ............................................................................................................................................ 20 DEMOGRAPHICS .......................................................................................................................................................... 21 Population ............................................................................................................................................................... 21 Age ..................................................................................................................................................................... 21 Race/Ethnicity .................................................................................................................................................... 22 Language ............................................................................................................................................................ 23 Disability Status .................................................................................................................................................. 24 Social & Economic Determinants of Health ............................................................................................................ 24 Life Expectancy ................................................................................................................................................... 24 Income & Poverty ............................................................................................................................................... 24 Housing .............................................................................................................................................................. 25 Employment ....................................................................................................................................................... 28 Education ........................................................................................................................................................... 28 SocioNeeds Index ............................................................................................................................................... 29 SECONDARY DATA FINDINGS ....................................................................................................................................... 31 FINDINGS OF SIGNIFICANT HEALTH NEEDS ................................................................................................................. 34 2 St. Mary Medical Center – CHNA Housing & Homelessness ........................................................................................................................................ 34 Mental Health & Mental Disorders ......................................................................................................................... 42 Economic Insecurity ................................................................................................................................................ 47 Public Safety ............................................................................................................................................................ 52 Access to Health Services ........................................................................................................................................ 58 Chronic Diseases ..................................................................................................................................................... 62 Exercise, Nutrition & Weight .................................................................................................................................. 66 Food Insecurity ....................................................................................................................................................... 69 FINDINGS OF IDENTIFIED HEALTH NEEDS .................................................................................................................... 73 Environment ........................................................................................................................................................... 73 Substance Abuse ..................................................................................................................................................... 77 Pregnancy & Birth Outcomes .................................................................................................................................. 80 Preventive Practices ...............................................................................................................................................