Baptist Hospitals of Southeast Texas Community Health Needs Assessment and Implementation Plan May 2019 Table of Contents Section 1: Community Health Needs Assessment ................................................................................................................................................... 2 Executive Summary ......................................................................................................................................................................................................... 3 Process and Methodology ............................................................................................................................................................................................... 8 Hospital Biography ........................................................................................................................................................................................................ 14 Study Area ..................................................................................................................................................................................................................... 19 Demographic Overview ................................................................................................................................................................................................. 21 Health Data Overview ................................................................................................................................................................................................... 30 Phone Interview Findings .............................................................................................................................................................................................. 72 Kaiser Family Foundation/Episcopal Health Foundation Harvey Anniversary Survey .................................................................................................. 87 Input Regarding the Hospital’s Previous CHNA ............................................................................................................................................................ 95 Previous Prioritized Health Needs ................................................................................................................................................................................ 97 Evaluation of Hospital’s Impact ..................................................................................................................................................................................... 99 2019 CHNA Preliminary Health Needs ........................................................................................................................................................................ 132 Prioritization ................................................................................................................................................................................................................ 134 Priorities That Will Not Be Addressed ......................................................................................................................................................................... 139 Resources in the Community ...................................................................................................................................................................................... 141 Information Gaps ........................................................................................................................................................................................................ 166 About Community Hospital Corporation .................................................................................................................................................................... 168 Appendix ..................................................................................................................................................................................................................... 170 Summary of Data Sources ................................................................................................................................................................................... 171 Data Findings ....................................................................................................................................................................................................... 174 MUA/P and HPSA Information ............................................................................................................................................................................ 176 Interviewee Biographies ..................................................................................................................................................................................... 194 Section 2: Implementation Plan ...........................................................................................................................................................................196 Section 3: Feedback, Comments and Paper Copies ..............................................................................................................................................213 Input Regarding the Hospital’s Current CHNA ............................................................................................................................................................ 214 Baptist Hospitals of Southeast Texas Community Health Needs Assessment and Implementation Plan May 2019 Community Hospital Corporation Page 1 Section 1: Community Health Needs Assessment Baptist Hospitals of Southeast Texas Community Health Needs Assessment and Implementation Plan May 2019 Community Hospital Corporation Page 2 EXECUTIVE SUMMARY Baptist Hospitals of Southeast Texas Community Health Needs Assessment and Implementation Plan May 2019 Community Hospital Corporation Page 3 Executive Summary A comprehensive, six‐step community health needs assessment (“CHNA”) was conducted for Baptist Hospitals of Southeast Texas (BHSET) by Community Hospital Corporation (CHC). This CHNA utilizes relevant health data and stakeholder input to identify the significant community health needs in Jefferson and Orange Counties in Texas. The CHNA Team, consisting of leadership from BHSET, met with staff from CHC on October 16, 2018 to review the research findings and prioritize the community health needs. Seven significant community health needs were identified by assessing the prevalence of the issues identified from the health data findings combined with the frequency and severity of mentions in community input. The CHNA Team participated in a roundtable discussion to rank the community health needs based on three characteristics: size and prevalence of the issue, effectiveness of interventions and the hospital’s capacity to address the need. The seven most significant needs, as ranked during the October 16th prioritization meeting, are listed below: 1.) Prevention, Education and Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles 2.) Access to Affordable Care and Reducing Health Disparities Among Specific Populations 3.) Access to Mental and Behavioral Health Care Services and Providers 4.) Need for Increased Emphasis on Sex Education and Communicable Disease Prevention 5.) Access to Specialty Care Services and Providers 6.) Access to Affordable Dental Care Services and Providers 7.) Need for Improved Availability of Safe, Affordable Housing Once this prioritization process was complete, the hospital leadership discussed the results and decided to address five of the prioritized needs in various capacities through hospital specific implementation plans. This implementation plan addresses the top five of the seven needs. “Access to Affordable Dental Care Services and Providers” and "Need for Improved Availability of Safe, Affordable Housing" are not addressed largely due to the fact that they are not core business functions of the hospital and the limited capacity of the hospital to address such needs. BHSET leadership has developed the following implementation plan to identify specific activities and services which directly address the top five priorities. The objectives were identified by studying the prioritized health needs, within the context of the hospital’s overall strategic plan and the availability of finite resources. The plan includes a rationale for each priority, followed by objectives, specific implementation activities, responsible leaders, progress, and key results (as appropriate). The BHSET Board reviewed and adopted the 2019 Community Health Needs Assessment and Implementation Plan on April 22, 2019. Baptist Hospitals of Southeast Texas Community Health Needs Assessment and Implementation Plan May 2019 Community Hospital Corporation Page 4 Priority #1: Prevention, Education and Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles Data suggests that higher rates of specific mortality causes and unhealthy behaviors warrants a need for increased preventive education and services to improve the health of the community. Heart disease and cancer are the two leading causes of death in Jefferson and Orange Counties. Jefferson and Orange Counties have higher mortality rates than