Community Health Needs Assessment 2019 TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................ 2 EXECUTIVE SUMMARY ............................................................................................................ 6 Introduction ................................................................................................................................. 6 Patient Care.............................................................................................................................. 7 Research ................................................................................................................................... 7 Education ................................................................................................................................. 8 Community Definition ................................................................................................................ 8 Significant Community Health Needs......................................................................................... 9 Significant Community Health Needs: Discussion .................................................................. 10 Access to Affordable Health Care ......................................................................................... 10 Addiction and Mental Health ................................................................................................ 10 Chronic Disease Prevention and Management ...................................................................... 11 Infant Mortality...................................................................................................................... 12 Medical Research and Health Professions Education ........................................................... 12 Socioeconomic Concerns ...................................................................................................... 12 DATA AND ANALYSIS ............................................................................................................. 14 Definition of Community Assessed .......................................................................................... 14 Secondary Data Summary ......................................................................................................... 20 Demographics ........................................................................................................................ 20 Economic Indicators .............................................................................................................. 21 Community Need IndexTM ..................................................................................................... 22 Other Local Health Status and Access Indicators ................................................................. 22 Ambulatory Care Sensitive Conditions ................................................................................. 27 Food Deserts .......................................................................................................................... 28 Medically Underserved Areas and Populations ..................................................................... 28 Health Professional Shortage Areas ...................................................................................... 28 Relevant Findings of Other CHNAs ...................................................................................... 29 Significant Indicators ............................................................................................................. 30 Primary Data Summary ............................................................................................................. 31 OTHER FACILITIES AND RESOURCES IN THE COMMUNITY ......................................... 33 Federally Qualified Health Centers ....................................................................................... 33 Hospitals ................................................................................................................................ 34 2 Other Community Resources................................................................................................. 34 APPENDIX A – OBJECTIVES AND METHODOLOGY.......................................................... 35 Regulatory Requirements .......................................................................................................... 35 Methodology ............................................................................................................................. 35 Collaborating Organizations .................................................................................................. 36 Data Sources .......................................................................................................................... 37 Information Gaps ................................................................................................................... 37 Consultant Qualifications ...................................................................................................... 38 APPENDIX B – LOCAL NEIGHBORHOODS COMMUNITY SECONDARY DATA ASSESSMENT ............................................................................................................................. 39 Demographics............................................................................................................................ 39 Economic indicators .................................................................................................................. 45 People in Poverty ................................................................................................................... 45 Unemployment ...................................................................................................................... 48 Insurance Status ..................................................................................................................... 49 Crime Rates ........................................................................................................................... 50 Housing Affordability............................................................................................................ 51 Dignity Health Community Need Index ................................................................................ 54 Other Local Health Status and Access Indicators ..................................................................... 58 County Health Rankings ........................................................................................................ 59 Community Health Status Indicators ..................................................................................... 64 Ohio Department of Health ................................................................................................... 66 Drug Poisoning Mortality ...................................................................................................... 73 Behavioral Risk Factor Surveillance System ........................................................................ 74 Ambulatory Care Sensitive Conditions ..................................................................................... 76 Food Deserts .............................................................................................................................. 80 Medically Underserved Areas and Populations ........................................................................ 81 Health Professional Shortage Areas .......................................................................................... 83 APPENDIX C – 7-COUNTY COMMUNITY SECONDARY DATA ASSESSMENT ............. 86 Demographics............................................................................................................................ 86 Economic indicators .................................................................................................................. 92 People in Poverty ................................................................................................................... 92 Unemployment ...................................................................................................................... 95 Insurance Status ..................................................................................................................... 96 Crime Rates ........................................................................................................................... 97 3 Housing Affordability............................................................................................................ 98 Dignity Health Community Need Index ................................................................................ 99 Other Local Health Status and Access Indicators ................................................................... 102 County Health Rankings ...................................................................................................... 103 Community Health Status Indicators ................................................................................... 108 Ohio Department of Health ................................................................................................. 110 Drug Poisoning Mortality .................................................................................................... 116 Behavioral Risk Factor Surveillance System