2018 Community Health Needs Assessment Hospital Defined Community Community Health Needs Assessment 2018 Final Report for the defined communities of Monongahela Valley Hospital and Washington Health System As of 6-30-19 Prepared by: LRF Consulting, LLC Burgettstown, PA 15021 LRF Consulting, LLC 0 2018 Community Health Needs Assessment Hospital Defined Community Table of Contents Qualifications ...................................................................................................................................... 4 Introduction ............................................................................................................................................ 4 Collaborators and Community Definition ........................................................................................... 7 Logic Model and Methodology ........................................................................................................... 9 Community Health Needs Assessment Process...................................................................................... 9 Secondary Data and Public Health Input .................................................................................. 12 Primary Data and Community Input ......................................................................................... 14 Data Sources, Limitations and Data Gaps ......................................................................................... 16 Results ................................................................................................................................................... 18 Summary Scores ............................................................................................................................... 18 How to Read Results Pages ............................................................................................................... 20 Results—Health Outcomes—Mortality ........................................................................................... 21 Years of Potential Life Lost (YPLL) ..................................................................................................... 21 Lung Cancer ...................................................................................................................................... 22 Colorectal Cancer .............................................................................................................................. 23 Breast Cancer .................................................................................................................................... 24 Coronary Heart Disease .................................................................................................................... 25 Diabetes ............................................................................................................................................ 26 Motor Vehicle Accident .................................................................................................................... 27 COPD ................................................................................................................................................. 28 Suicide ............................................................................................................................................... 29 Stroke ................................................................................................................................................ 30 Accidental Drug Poisoning ................................................................................................................ 31 Results—Health Outcomes—Morbidity .......................................................................................... 32 Diabetes Prevalence ......................................................................................................................... 32 Low Birth Weight .............................................................................................................................. 33 Poor or Fair Health ............................................................................................................................ 34 Physical Unhealthy Days ................................................................................................................... 35 Mental Unhealthy Days .................................................................................................................... 36 Adult Smoking ................................................................................................................................... 37 Adult Smokeless Tobacco Use .......................................................................................................... 38 1 LRF Consulting, LLC 2018 Community Health Needs Assessment Hospital Defined Community High School Student Smoking ........................................................................................................... 39 High School Student Smokeless Tobacco Use .................................................................................. 40 Pregnant Women Smoking ............................................................................................................... 41 Tobacco Quit Attempts ..................................................................................................................... 42 Binge Drinking ................................................................................................................................... 43 At Risk for Heavy Drinking ................................................................................................................ 44 Adult Inactivity .................................................................................................................................. 45 Adult Obesity .................................................................................................................................... 46 Adult Healthy Weight ....................................................................................................................... 47 Fruit Intake ........................................................................................................................................ 48 Vegetable Intake ............................................................................................................................... 49 Adults Meeting Recommended Physical Activity Levels .................................................................. 50 Youth Obesity.................................................................................................................................... 51 Motor Vehicle Accidents ................................................................................................................... 52 Chlamydia ......................................................................................................................................... 53 Teen Pregnancy Rate ........................................................................................................................ 54 Teen Birth Rate ................................................................................................................................. 55 Results—Health Factors—Clinical Care ............................................................................................... 56 Adults with Health Insurance ............................................................................................................ 56 Usual Primary Care Provider ............................................................................................................. 57 Primary Care Physician Ratio ............................................................................................................ 58 Dental Visits ...................................................................................................................................... 59 Mammography ................................................................................................................................. 60 Hemoglobin A1c Test ........................................................................................................................ 61 Colorectal Cancer Screening ............................................................................................................. 62 Influenza Vaccine .............................................................................................................................. 63 Pneumonia Vaccine .......................................................................................................................... 64 Preventable Hospital Stays--Overall ................................................................................................. 65 Preventable Hospital Stays—Ages 65 Years and Older .................................................................... 66 Preventable Hospital Stays—COPD and Asthma in Older Adults ..................................................... 67 Preventable Hospital Stays—Heart Failure ....................................................................................... 68 Preventable Hospital Stays--Diabetes ............................................................................................... 69 LRF Consulting, LLC 2 2018 Community Health Needs Assessment Hospital Defined Community Late Stage Diagnosis Breast Cancer .................................................................................................