2020 COMMUNITY HEALTH NEEDS Health elevated. ASSESSMENT This study provides information about the approach and findings from the Ivinson Community Health Needs Assessment (CHNA). It includes a comprehensive review of health data and community input on issues relevant to community health in the Albany County and surrounding areas that Ivinson Memorial Hospital Serves. 2020 Community Health Needs Assessment Table of Contents Executive Summary ................................................................................................................................................................... 1 Background – History of Ivinson Memorial Hospital (Our Mission, Our Vision, and History) ............................................... 2 Executive Summary of the Assessment Methodology ......................................................................................................... 2 Executive Summary of the Results ....................................................................................................................................... 2 Research Approach ................................................................................................................................................................... 3 Community Health Needs Assessment Participants ............................................................................................................ 3 Research Techniques ........................................................................................................................................................... 3 Geographical Description of the Community Served ............................................................................................................... 4 Secondary Research Data ......................................................................................................................................................... 5 Demographics of the Service Area ...................................................................................................................................... 6 Age Groups .......................................................................................................................................................................... 7 Income ................................................................................................................................................................................. 8 Poverty by Geography ......................................................................................................................................................... 9 Poverty Prevalence and Education / Employment Status .................................................................................................. 10 Poverty Prevalence by Age Group (Higher-risk Populations)............................................................................................. 10 Educational Attainment ..................................................................................................................................................... 12 Race, Ethnicity, and Gender ............................................................................................................................................... 13 Disease Incidence and Prevalence ..................................................................................................................................... 14 Health Status Profile and Disease Burden ...................................................................................................................... 14 Most Common Causes of Death .................................................................................................................................... 15 Chronic Disease Incidence ............................................................................................................................................. 16 Cancer ............................................................................................................................................................................ 17 Social and Physical Environment Factors ........................................................................................................................... 18 Environmental Quality and Health ................................................................................................................................. 18 Violent Crimes ................................................................................................................................................................ 19 Risk and Protective Lifestyle Behaviors ................................................................................................................................... 20 Access to Care ................................................................................................................................................................... 20 Capacity ......................................................................................................................................................................... 21 Cost Barriers and Insured Rates ..................................................................................................................................... 22 Teen Birth Rates ................................................................................................................................................................. 24 Substance Use among Albany County 12th Graders, 2017 ............................................................................................ 26 Mental Health and Suicide ............................................................................................................................................. 27 Community Survey .................................................................................................................................................................. 29 Methodology ..................................................................................................................................................................... 29 Survey Results – Prioritized Needs ..................................................................................................................................... 29 Survey Results – Prioritized Needs – Sources of Information ............................................................................................. 31 Perceptions About Ivinson Memorial Hospital Services and Resources............................................................................. 32 Additional Survey-related Insight ....................................................................................................................................... 33 Comments about Higher-priority Needs ....................................................................................................................... 33 Qualitative Insight Offered for the Hospital ................................................................................................................... 34 Qualitative Research Summary ............................................................................................................................................... 37 Focus Group Discussions Profile ........................................................................................................................................ 37 Key Stakeholder Interviews Profile ..................................................................................................................................... 37 Qualitative Research Findings and Comments .................................................................................................................. 38 Behavioral Health Services ............................................................................................................................................. 39 Care Coordination ......................................................................................................................................................... 39 Expansion of, or Better Access to, Services in West Laramie ........................................................................................ 39 Awareness of Available Services .................................................................................................................................... 40 Affordable Housing ........................................................................................................................................................ 40 Specialized Medical Care ............................................................................................................................................... 41 Care Integration Between Ivinson and Community Providers ....................................................................................... 41 Summary ................................................................................................................................................................................. 42 Appendices ............................................................................................................................................................................. 43 Appendix A: Community Survey 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