USC Verdugo Hills Hospital 2013 Community Health Needs Assessment Table of Contents Table of Contents Table of Contents ............................................................................................................................. i I. Authors and Acknowledgements .............................................................................................. 6 Authors ................................................................................................................................................... 6 Acknowledgements ................................................................................................................................ 6 II. Summary of Key Findings (Executive Summary)....................................................................... 7 III. Introduction and Background ................................................................................................... 9 USC Verdugo Hills Hospital ..................................................................................................................... 9 Glendale Hospital Collaborative ............................................................................................................. 9 Glendale Adventist Medical Center (GAMC) ................................................................................. 10 Glendale Memorial Hospital and Health Center (GMHHC) ........................................................... 10 USC Verdugo Hills Hospital ............................................................................................................ 11 CHNA Consultants ................................................................................................................................ 11 Purpose of the Community Health Needs Assessment Report ............................................................ 12 IV. Methodology and Process ...................................................................................................... 13 Glendale Hospitals Collaborative CHNA Framework and Process ....................................................... 13 Secondary Data .............................................................................................................................. 13 Primary Data—Community Input .................................................................................................. 15 Ranking of Health Needs and Drivers ............................................................................................ 15 Data Limitations and Gaps ................................................................................................................... 16 Asset Mapping ............................................................................................................................... 16 V. Prioritization of Health Needs and Drivers of Health ............................................................. 20 Identifying Community Health Needs .................................................................................................. 20 Process and Criteria Used for Prioritization of Health Needs .............................................................. 20 Community Prioritization Forum .......................................................................................................... 20 Administration of the Questionnaire (Survey) ..................................................................................... 21 Post Forum ........................................................................................................................................... 21 Analysis of Survey Scores ............................................................................................................... 21 Prioritized Community Health Needs and Drivers ......................................................................... 22 VI. Community Health Profile ...................................................................................................... 23 Service Area Definition ......................................................................................................................... 23 Demographic Overview ........................................................................................................................ 25 Estimated Current Year Population ............................................................................................... 25 Projected Five-Year Population ..................................................................................................... 25 Race/Ethnicity ................................................................................................................................ 26 Foreign-Born Residents and U.S Citizen Status.............................................................................. 27 Language Spoken in the Home ...................................................................................................... 28 Age Distribution ............................................................................................................................. 28 Marital Status ................................................................................................................................. 30 Center for Nonprofit Management Page i USC Verdugo Hills Hospital 2013 Community Health Needs Assessment Table of Contents Education Levels ............................................................................................................................ 31 Household Description................................................................................................................... 31 Household Income ......................................................................................................................... 33 Households By Income Group ....................................................................................................... 34 Employment Status ........................................................................................................................ 34 Federal Poverty Level ..................................................................................................................... 35 Students Receiving Free or Reduced-Price Meals ......................................................................... 36 Medi-Cal Beneficiaries ................................................................................................................... 36 Healthy Families Beneficiaries ....................................................................................................... 37 Medicare Beneficiaries .................................................................................................................. 38 Federally Qualified Health Centers ................................................................................................ 39 Access to Healthcare ............................................................................................................................ 39 Uninsured Population .................................................................................................................... 40 Uninsured Children ........................................................................................................................ 40 Uninsured Adults ........................................................................................................................... 41 Uninsured by Age ........................................................................................................................... 41 Difficulty Accessing Care ................................................................................................................ 41 Dentist to Population Ratio............................................................................................................ 43 Natality ................................................................................................................................................. 43 Births .............................................................................................................................................. 43 Births by Mother’s Age .................................................................................................................. 44 Births by Mother’s Ethnicity .......................................................................................................... 44 Birth Weight ................................................................................................................................... 45 Breastfeeding ................................................................................................................................. 45 Mortality ............................................................................................................................................... 46 Deaths ............................................................................................................................................ 46 Deaths by Age Group ..................................................................................................................... 47 Cause of Death ............................................................................................................................... 48 VII. Key Findings—Health Outcomes and Drivers ......................................................................... 50 Alcohol and Substance Abuse .............................................................................................................