Table of Contents Executive Summary ................................................................................................................................ 9 Chapter 1. Collaborative Partners ......................................................................................................... 12 Roles and Responsibilities ............................................................................................................. 13 Hospitals .................................................................................................................................... 13 Partners ..................................................................................................................................... 13 Chapter 2. Communities Served ........................................................................................................... 17 Description..................................................................................................................................... 17 Definition ....................................................................................................................................... 17 Chapter 3. Process and Methods .......................................................................................................... 21 Principles ....................................................................................................................................... 21 Healthcare Equity and Disparity ................................................................................................. 22 Collaborative Design ...................................................................................................................... 24 Methods ......................................................................................................................................... 24 Secondary Data ............................................................................................................................. 25 Data Collection and Entry ........................................................................................................... 25 Data Sources ............................................................................................................................. 25 Data Challenges ......................................................................................................................... 27 Analysis of Secondary Data ....................................................................................................... 28 Primary Data .................................................................................................................................. 29 Community Invitations ................................................................................................................ 29 Community Meetings.................................................................................................................. 30 Surveys ...................................................................................................................................... 31 Analysis of Primary Data ............................................................................................................ 32 Chapter 4. Latino Health ....................................................................................................................... 34 Chapter 5. Regional Assessment of Child Health Needs ...................................................................... 38 Methodology .................................................................................................................................. 38 Secondary Data ......................................................................................................................... 38 Community Surveys ................................................................................................................... 39 Key Informant Interviews ............................................................................................................ 39 Child Health Needs in the Greater Cincinnati Region ..................................................................... 40 Asthma ....................................................................................................................................... 40 Child Mental Health and Child Trauma ....................................................................................... 41 2 Early Literacy/School Readiness ................................................................................................ 41 Infant Mortality............................................................................................................................ 42 Obesity ....................................................................................................................................... 42 Child Safety and Unintentional Injury .......................................................................................... 42 Other Identified Child Health Needs ........................................................................................... 43 Community Strengths and Resources ............................................................................................ 44 Chapter 6. Regional Summary .............................................................................................................. 46 Overview of Significant Health Needs ............................................................................................ 46 Unmet Needs ............................................................................................................................. 47 Barriers ...................................................................................................................................... 48 Primary Data .................................................................................................................................. 51 Community Meetings.................................................................................................................. 51 Consumer Surveys ..................................................................................................................... 54 Agency Surveys ......................................................................................................................... 57 Health Departments ................................................................................................................... 61 Secondary Data ............................................................................................................................. 64 Metropolitan Statistical Area Data .............................................................................................. 64 County Health Rankings and Supplemental Data ....................................................................... 65 GIS Mapping .............................................................................................................................. 66 Causes of Death ........................................................................................................................ 76 State Health Priorities................................................................................................................. 78 Regional Priorities .......................................................................................................................... 78 Chapter 7. Community Profiles ............................................................................................................. 81 Adams/Brown/Highland/Pike/Scioto Counties in Ohio .................................................................... 82 Consensus on Priorities ............................................................................................................. 82 Top Causes of Death ................................................................................................................. 82 Priorities from Community Meeting on June 30, 2015 ................................................................ 83 Survey Responses ..................................................................................................................... 83 Responses from Health Departments ......................................................................................... 84 Dearborn/Ohio/Switzerland Counties in Indiana ............................................................................. 95 Consensus on Priorities ............................................................................................................. 95 Top Causes of Death ................................................................................................................. 95 Priorities from Community Meeting on July 1, 2015 .................................................................... 95 Survey Priorities ......................................................................................................................... 96 Responses from Health Departments ......................................................................................... 97 3 Northern Kentucky Counties: Boone/Campbell/Kenton ................................................................ 104 Consensus on Priorities ........................................................................................................... 104 Top Causes of Death ..............................................................................................................