2019 Community Health Needs Assessment St. John Sapulpa | Creek County, Okla. Table of Contents Table of Contents................................................................................................................................................................ 2 Acknowledgments .............................................................................................................................................................. 4 Introduction ........................................................................................................................................................................ 5 Our Health System .............................................................................................................................................................. 7 St. John Sapulpa .............................................................................................................................................................. 9 Community Served ........................................................................................................................................................... 10 CHNA Process: Methodology ............................................................................................................................................ 12 Our Approach ................................................................................................................................................................ 12 Geographic Areas of Greatest Need ............................................................................................................................. 17 Priority Populations ...................................................................................................................................................... 17 Community Engagement and Collaboration ................................................................................................................. 17 Limitations and Information Gaps ................................................................................................................................ 18 Secondary Data: Community Overview ............................................................................................................................ 19 Methodology and Sources ............................................................................................................................................ 19 Demographics ............................................................................................................................................................... 20 Health Outcomes .......................................................................................................................................................... 27 Health Factors ............................................................................................................................................................... 66 Social and Economic Factors ......................................................................................................................................... 68 Clinical Care ................................................................................................................................................................... 90 Health Behaviors and Risk Factors .............................................................................................................................. 110 Physical Environment (Built Environment) ................................................................................................................. 122 Secondary Data Analysis and Scoring ............................................................................................................................. 133 Methodology and Sources .......................................................................................................................................... 133 Final Data Summary Scores ........................................................................................................................................ 135 Geographic Areas of Greatest Need ............................................................................................................................... 136 Methodology and Sources .......................................................................................................................................... 136 SocioNeeds Index ........................................................................................................................................................ 137 Primary Data: Community Input ..................................................................................................................................... 140 Community Health Forum .......................................................................................................................................... 141 Community Focus Groups ........................................................................................................................................... 147 Online Survey .............................................................................................................................................................. 149 Prioritization of Community Health Needs ..................................................................................................................... 165 Preceding CHNA Efforts and Evaluation of Impact ......................................................................................................... 172 Community Feedback ..................................................................................................................................................... 174 2019 Community Health Needs Assessment | 2 Conclusion ...................................................................................................................................................................... 175 Appendix 1: Executive Summary .................................................................................................................................... 176 Community Served...................................................................................................................................................... 176 Demographics ............................................................................................................................................................. 176 Methods for Identifying Community Health Needs .................................................................................................... 177 How Are We Doing? .................................................................................................................................................... 178 Summary of Findings .................................................................................................................................................. 179 Prioritized Areas .......................................................................................................................................................... 180 Conclusion ................................................................................................................................................................... 180 Appendix 2: Secondary Data Analysis and Scoring Sources ........................................................................................... 182 Appendix 3: Creek County Secondary Data Scores......................................................................................................... 183 Appendix 4: Focus Group Discussion Guide ................................................................................................................... 199 Appendix 5: Prioritization Toolkit ................................................................................................................................... 201 Appendix 6: FY 2017-2019 Impact Report ...................................................................................................................... 202 Appendix 7: Board Resolutions ....................................................................................................................................... 212 2019 Community Health Needs Assessment | 3 Acknowledgments We would like to acknowledge the contributions of those who supported, advised and/or participated in St. John Sapulpa’s community health needs assessment of Creek County, Okla. We greatly appreciate their important contributions. Report authors and consultants Overall report – Annie Smith, LMSW, MPH, director of community engagement, Ascension St. John; Kimberly Will, community engagement coordinator, Ascension St. John; and Sara Gadd, human trafficking program manager, Ascension St. John Secondary Data: Community Overview – Tulsa Health Department Secondary Data Analysis and Scoring – Conduent Healthy Communities Corp. Community Health Forum – Tavis Phan, MPH, DrPH candidate (public health practicuum student at time of internship) Community Focus Groups and Online Survey – Kimberly Cassie, PhD, MSSW, MA, assistant professor for The University of Oklahoma Anne and Henry Zarrow School of Social Work Community health forum participants Caring Community Friends: Vickie Beyer, board of directors treasurer City of Sapulpa: Steve Hardt, economic development director Creek County Emergency