2016 Community Health Needs Assessment Kaiser Foundation Hospital-South Bay License # 930000079 Approved by KFH Board of Directors September 21, 2016 To provide feedback about this Community Health Needs Assessment, email [email protected] Authors Harder+Company Community Research is a comprehensive social research and planning firm with offices in San Francisco, Davis, San Diego, and Los Angeles, California. Harder+Company’s mission is to help our clients achieve social impact through quality research, strategy, and organizational development services. Since 1986, we have assisted foundations, government agencies, and nonprofits throughout California and the country in using good information to make good decisions for their future. Our success rests on providing services that contribute to positive social impact in the lives of vulnerable people and communities. The following staff contributed to this report: Victoria Perera, Research Associate Courtney Huff, Research Associate Veronica Awan, Research Assistant Shayla Spilker, Research Assistant Loraine Park, Director Harder+Company would like to thank the following entities for their review and feedback to the report: Tara O’Brien, Public Affairs Director, Kaiser Foundation Hospital-South Bay Janae Oliver, Community Benefit Manager, Kaiser Foundation Hospital-South Bay Mehrnaz Davoudi, Community Benefit, Kaiser Permanente, Southern California Jacqueline Rangel, Community Benefit, Kaiser Permanente, Southern California Albertina Lopez, Community Benefit, Kaiser Permanente, Southern California Chris Schweidler, Research Action Design Caroline Rivas, Research Action Design Acknowledgements Conducting useful, relevant and actionable research depends upon the contributions of many stakeholders. This Community Health Needs Assessment (CHNA) would not have been possible without the concerned residents and community leaders who generously provided their time, opinions and resources towards this needs assessment. In particular, we would like to thank those who participated in the focus groups, key stakeholder interviews and prioritization session. Harder+Company and Kaiser Foundation Hospital-South Bay would also like to thank the following community organizations and partners: Angie Benton, City of Long Beach Department of Health and Human Services Cheryl Barrit, City of Long Beach Department of Health and Human Services Pamela Shaw, City of Long Beach Department of Health and Human Services Dr. Elisa Nicholas, The Children’s Clinic “Serving Children and Their Families” Penelope Leon, The Children’s Clinic “Serving Children and Their Families” Kit G. Katz, Dignity Health St. Mary Medical Center Melissa Biel, Community Benefit Consultant, Long Beach MemorialCare System 1 Table of Contents Authors .................................................................................................................................................. 1 Acknowledgements ................................................................................................................................ 1 Table of Contents .................................................................................................................................. 2 I. Executive Summary ............................................................................................................................ 4 A. Community Health Needs Assessment (CHNA Background) ..................................................... 4 B. Summary of Prioritized Needs .................................................................................................... 4 C. Summary of Needs Assessment Methodology and Process ....................................................... 5 D. Implementation Strategy Evaluation of Impact............................................................................ 7 II. Introduction/Background .................................................................................................................... 7 A. About Kaiser Permanente (KP) .................................................................................................. 7 B. About Kaiser Permanente Community Benefit............................................................................ 7 C. Purpose of the CHNA Report ..................................................................................................... 8 i. To Advance Community Health ............................................................................................... 8 ii. To Implement ACA Regulations .............................................................................................. 8 D. Kaiser Permanente Approach to CHNA...................................................................................... 8 III. Community Served ........................................................................................................................... 9 A. Kaiser Permanente’s Definition of Community Served ............................................................... 9 B. Map and Description of Community Served ............................................................................... 9 i. Map ......................................................................................................................................... 9 ii. Geographic description of community served (towns, county, and/or zip codes) ................... 10 iii. Demographic profile of community served ............................................................................. 10 IV. Who was Involved in the Assessment............................................................................................. 18 A. Identity of Hospitals that collaborated on the assessment ........................................................ 18 B. Other partner organizations that collaborated on the assessment ............................................ 19 C. Identity and qualification of consultants used to conduct the assessment ................................. 19 V. Process and Methods Used to Conduct the CHNA .......................................................................... 19 A. Secondary Data ....................................................................................................................... 19 i. Sources and dates of secondary data used in the assessment ............................................. 19 ii. Methodology for collection, interpretation and analysis of secondary data ............................. 19 B. Community Input ...................................................................................................................... 21 i. Description of the community input process .......................................................................... 21 ii. Methodology for interpretation and analysis of primary data .................................................. 21 C. Written Comments ................................................................................................................... 22 2 D. Data limitations and information gaps ....................................................................................... 23 VI. Identification and Prioritization of Community Health Needs: Process and Key Findings ................ 23 A. Identifying Community Health Needs ....................................................................................... 23 i. Definition of Health Need ....................................................................................................... 23 ii. Criteria and analytical methods used to identify the community health needs ........................ 23 B. Process and criteria used for prioritization of the health needs ................................................. 24 C. Prioritized description of all the community health needs identified through the CHNA ............. 26 i. Community Health Landscape and Trends ............................................................................ 26 D. Community assets, capacities and resources potentially available to respond to the identified health needs .................................................................................................................................... 31 VII. KFH-South Bay 2013 Implementation Strategy Evaluation of Impact............................................. 33 A. Purpose of 2013 Implementation Strategy evaluation of impact ............................................... 33 B. 2013 Implementation Strategy Evaluation of Impact Overview ................................................. 33 C. 2013 Implementation Strategy Evaluation of Impact by Health Need ....................................... 35 VIII. Appendix ...................................................................................................................................... 52 Appendix A: Secondary Data Sources and Dates ............................................................................ 52 Quantitative Secondary Data Sources .......................................................................................... 52 Other Secondary Data Sources .................................................................................................... 54 Additional Secondary Literature .................................................................................................... 54 Appendix B: Community Input Tracking Form .................................................................................. 58 Appendix C: Health Need Profiles ...................................................................................................