2019 COMMUNITY HEALTH NEEDS ASSESSMENT 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CONTENTS Introduction and Overview ....................................................................................................................... 4 Letter from the CEO ............................................................................................................................... 4 About Blue Mountain Hospital District................................................................................................ 5 Mission, Vision, and Values ................................................................................................................... 5 Approval................................................................................................................................................... 5 Availability to the Public ........................................................................................................................ 5 Acknowledgements and Steering Committee .................................................................................... 6 Steering Committee ........................................................................................................................... 6 Consultants ......................................................................................................................................... 6 Overview of Process ............................................................................................................................... 7 Data Collection Methodology ............................................................................................................... 8 Secondary Data ................................................................................................................................... 8 Key Stakeholder Survey ..................................................................................................................... 8 County Survey ..................................................................................................................................... 8 Regulatory Requirements ..................................................................................................................... 9 Gap Analysis ............................................................................................................................................ 9 Evaluation of 2016 CHNA Implementation Strategy ........................................................................... 10 Implementation Teams ....................................................................................................................... 10 2016 CHNA Priority 1 OF 4: Substance Abuse .................................................................................. 11 2016 CHNA Priority 2 OF 4: Trust in the Medical System ............................................................... 14 2016 CHNA Priority 3 OF 4: Access to Care ....................................................................................... 16 2016 CHNA Priority 4 OF 4: Preventative Health ............................................................................. 20 Demographic and Health Profile of Community Served .................................................................... 22 Geographic Assessment Area Defined .............................................................................................. 22 Demographic Snapshot ....................................................................................................................... 23 Health Status and Social Determinants of Health ........................................................................... 25 County Health Rankings & Roadmaps .............................................................................................. 26 Oregon’s State Health Improvement Plans (SHIP) and Priorities .................................................. 31 Oregon’s 2015-2019 SHIP Priority Areas ....................................................................................... 31 Oregon’s 2020-2024 SHIP Priority Areas ....................................................................................... 32 Grant County Health Department Input ........................................................................................... 33 Community Needs Index ..................................................................................................................... 35 County Input ............................................................................................................................................. 37 County Survey ....................................................................................................................................... 37 Key Stakeholder Survey ....................................................................................................................... 37 Prioritization of Health Needs ................................................................................................................ 38 County Survey Input Regarding Priorities ......................................................................................... 38 Key Stakeholder Survey Input Regarding Priorities ......................................................................... 40 Overview of Key Health Outcomes and Factors .............................................................................. 44 Blue Mountain Hospital District’s 2019 CHNA P A G E 2 170 Ford Road, John Day, Oregon 97845 | 541-575-1311 2019 COMMUNITY HEALTH NEEDS ASSESSMENT Prioritization Meeting .......................................................................................................................... 47 Prioritization Criteria ............................................................................................................................ 48 Prioritized Health Needs ......................................................................................................................... 48 Next Steps ................................................................................................................................................. 49 Appendix 1: Health Outcomes and Health Factors ............................................................................. 50 Health Outcome: Length of Life ......................................................................................................... 51 Life Expectancy and Healthy Life Expectancy ............................................................................... 51 Leading Causes of death ................................................................................................................. 52 Health Outcome: Quality of Life ......................................................................................................... 56 Health Factors: Health Behaviors ....................................................................................................... 58 Tobacco .............................................................................................................................................. 58 Diet & Exercise .................................................................................................................................. 59 Alcohol & Drug Use .......................................................................................................................... 61 Sexual Activity ................................................................................................................................... 63 Suicide ................................................................................................................................................ 64 Diabetes ............................................................................................................................................. 64 Health Factors: Clinical Care ............................................................................................................... 66 Access to Care ................................................................................................................................... 66 Infant Mortality and Access to Care ............................................................................................... 67 Quality of Care .................................................................................................................................. 69 Preventative Care ............................................................................................................................. 70 Health Factors: Social and Economic Factors ................................................................................... 71 Education ........................................................................................................................................... 71 English Proficiency (Linguistically Isolated Households) ............................................................. 72 Employment ...................................................................................................................................... 73 Income ............................................................................................................................................... 73 Safety And Violence .......................................................................................................................... 75 Family & Social Support