Dignity Health Glendale Memorial Hospital and Health Center 2019 COMMUNITY HEALTH NEEDS ASSESSMENT October 2019 1 Dignity Health Glendale Memorial Hospital and Health Center 2019 Community Health Needs Assessment Table of Contents Dignity Health Glendale Memorial Hospital and Health Center .................................................. 1 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ......................................................................... 1 Table of Contents ........................................................................................................................... 1 I. Acknowledgments and Authors ......................................................................................... 5 Acknowledgments ........................................................................................................................... 6 Consultants ............................................................................................................................................. 6 II. Executive Summary ........................................................................................................... 7 2019 Prioritized Significant Health Needs: .............................................................................................. 9 III. BACKGROUND & METHODOLOGY .................................................................................... 10 Purpose and Key Partners ................................................................................................................... 11 Glendale Hospital Collaborative .................................................................................................... 11 Dignity Health Glendale Memorial Hospital and Health Center (GMHHC) ................................... 11 Adventist Health Glendale (AHG) .................................................................................................. 12 Needs Assessment Methodology and Process ................................................................................... 13 STEP 1: Primary Data Collection and Analysis (Part 1): Community Stakeholder Input ................ 13 STEP 2: Secondary Data Collection ................................................................................................ 15 STEP 3: Primary Data Collection and Analysis (Part 2): Community Input and Survey ................. 15 Data Limitations and Gaps ............................................................................................................. 16 Prioritization Process and Prioritized Health Needs ...................................................................... 16 IV. COMMUNITY PROFILE ...................................................................................................... 18 Service Area Definition ......................................................................................................................... 19 Demographic Characteristics ........................................................................................................ 20 Population ...................................................................................................................................... 20 Gender ........................................................................................................................................... 21 Age ................................................................................................................................................. 22 Race and Ethnicity .......................................................................................................................... 23 Language ........................................................................................................................................ 24 Education ....................................................................................................................................... 26 Marital Status ................................................................................................................................. 27 Nativity ................................................................................................................................................. 28 Births .............................................................................................................................................. 28 Birth Weight ................................................................................................................................... 29 Breastfeeding ................................................................................................................................. 29 Disability ............................................................................................................................................... 29 Prevalence ...................................................................................................................................... 30 Special Health Care Needs in Children ........................................................................................... 30 1 Dignity Health Glendale Memorial Hospital and Health Center 2019 Community Health Needs Assessment Mortality ............................................................................................................................................... 32 Deaths ............................................................................................................................................ 32 Cause of Death ............................................................................................................................... 32 VI. KEY FINDINGS: HEALTH NEEDS ............................................................................................... 33 SIGNIFICANT HEALTH NEED 1: POVERTY & HOMELESSNESS ...................................................... 34 Poverty .......................................................................................................................................... 34 Poverty Thresholds ........................................................................................................................ 34 Participation in Public Programs .................................................................................................... 36 Household Income ......................................................................................................................... 36 Employment Status ........................................................................................................................ 39 Homelessness and Housing .......................................................................................................... 41 Prevalence ...................................................................................................................................... 42 Associated Drivers .......................................................................................................................... 43 Housing .......................................................................................................................................... 43 SIGNIFICANT HEALTH NEED 2: MENTAL HEALTH & SUBSTANCE ABUSE .................................... 46 Mental Health ............................................................................................................................... 46 Prevalence of Mental Health Conditions ....................................................................................... 46 Depression ..................................................................................................................................... 48 Suicide ............................................................................................................................................ 49 Substance Abuse .................................................................................................................................. 50 Alcohol Use .................................................................................................................................... 50 Prescription and Illicit Substance Use ............................................................................................ 51 Treatment and/or Hospitalizations ................................................................................................ 52 SIGNIFICANT HEALTH NEED 3: ACCESS TO MEDICAL CARE ......................................................... 56 Access to Medical Care ......................................................................................................................... 56 Health Insurance Coverage ............................................................................................................ 56 Source of Care ................................................................................................................................ 58 Subpopulation Disparities in Access .............................................................................................. 59 Type of Care ................................................................................................................................... 61 Barriers to Care .............................................................................................................................. 61 Emergency Department Access ....................................................................................................