COMMUNITY HEALTH NEEDS ASSESSMENT 2016-2018 DECEMBER 7, 2016 ACKNOWLEDGEMENTS The following partners led the Monmouth Medical Center Southern Campus Community Health Needs Assessment: BARNABAS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE The Barnabas Health CHNA Steering Committee oversees the 2016 CHNA process to update the 2013 CHNAs and create new Implementation Plans. The key tasks of the Steering Committee include: Review 2013 facility implementation plan updates and results Review 2015 community and public health surveys Review of suggested priorities for facility implementation planning Oversight and guidance of CHNA implementation plan development Review and sign-off of 2016 CHNA and implementation plans Members of the Barnabas Health CHNA Steering Committee include: Jen Velez, SVP, Community and Behavioral Health, Committee Chair Michellene Davis, EVP, Corporate Affairs Robert Braun, Oncology leadership Connie Greene, Behavioral Health/Preventive Care Joseph Jaeger, DrPH, Chief Academic Officer Barbara Mintz, VP, Health and Wellness Michael Knecht, Corporate Vice President, Strategic Messaging and Marketing Ernani Sadural, M.D., Director of Global Health for Barnabas Health Shari Beirne, Barnabas Health Behavioral Health Center, Designate Teri Kubiel, Ph.D., CMC Designate Frank Mazzarella, MD, CMMC Designate Brenda Hall, JCMC, Designate Anna Burian, MMC, Designate Judy Colorado, MMCSC, Designate Darrell Terry, NBIMC, President and CEO Ceu Cirne Neves, SBMC, Designate Charlene Harding, Planning Tamara Cunningham, Vice President, Planning STEERING COMMITTEE CONSULTANT ADVISORS Steering Committee Technical Advisors: Anthony Palmerio (BH, Internal Audit) Withum, Smith & Brown (Scott Mariani) New Solutions Inc. (Nancy Erickson1) 1 The CHNA’s development consultants, New Solutions, Inc., have planned and conducted numerous community needs assessments and implementation plans with multiple organizations including individual hospitals, health systems, other health care and community organizations such as consortia comprised of a wide range of participant organizations. The NSI team, of which two are Ph.D. prepared, includes: planning consultants, market researchers, epidemiologists, computer programmers and data analysts. NSI has extensive regional and local community knowledge of health issues, community services and provider resources for the community reviewed by this assessment. This expertise, as well as the methodological and technical skills of the entire staff, was brought to bear in conducting this Needs Assessment and Health Improvement Plan. Community Health Needs Assessment i RWJ Barnabas Health: Monmouth Medical Center Southern Campus MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS The Monmouth Medical Center Southern Campus’ Needs Assessment and Implementation Plan were approved by the Executive Leadership: Frank Vozos, MD, President and Chief Executive Officer Joanna Zimmerman, Regional Chief Financial Officer Rick Kiernan, Regional Vice President and Chief Human Resources Officer Todd Philips MD, Vice President and Chief Medical Officer Judy Colorado, RN, BSN, MA, NE-BC, Vice President and Chief Nursing Officer Denice Gaffney, Vice President, Foundation Jonathan Tango, Vice President, Operations Patrician Keating, RN, Regional Vice President, Risk/Quality Ray Duarte, Regional Director, IT&S The assessment and plans were developed with the contributions of many Monmouth Medical Center Southern Campus staff. Their work was overseen by the CHNA oversight committee comprised of the following individuals: Judy Colorado, RN, BSN, MA, NE-BC, Vice President and Chief Nursing Officer Jonathan Tango, Vice President, Operations Todd Philips MD, Vice President and Chief Medical Officer Denice Gaffney, Vice President, Foundation Portia Fuentes, APN, Regional Director, Cancer Services Joan Wills, RN, Regional AVP, Geriatrics Megan Mihelic, Manager, Marketing & Public Relations Marie Paskewich, Director of Patient Care Geraldine Smith, Administrative Director, Perioperative Services Shirley Hwang, APN, VP, Business Development & Clinical Integration Charlene Harding, Planning Liaison Questions regarding the Community Needs Assessments should be directed to RWJ Barnabas Health System Development/Planning at [email protected]. Community Health Needs Assessment ii RWJ Barnabas Health: Monmouth Medical Center Southern Campus TABLE OF CONTENTS Executive Summary ....................................................................................................................... ES-1 1. Introduction .................................................................................................................................. 1 2. Methodology/Service Area ............................................................................................................ 3 3. Community Health Needs Survey ................................................................................................... 7 4. Ocean County/Service Area Health Profile ................................................................................... 29 A. Ocean County Overview .......................................................................................................... 29 B. Health Factors ......................................................................................................................... 31 1. Socioeconomic Status ................................................................................................ 31 2. Access to Care ............................................................................................................ 39 3. Health Behaviors ........................................................................................................ 52 4. Physical Environment ................................................................................................. 68 5. Behavioral Health ....................................................................................................... 73 C. Health Outcomes ..................................................................................................................... 76 1. Premature Deaths ...................................................................................................... 76 2. Leading Causes of Death ............................................................................................ 77 3. Behavioral Health-Related Deaths ............................................................................. 85 4. Infant Mortality .......................................................................................................... 87 5. Low and Very Low Birth Weight Infants ..................................................................... 88 6. Health and Behavioral Health Status ......................................................................... 89 7. Morbidity .................................................................................................................... 91 5. Assets and Gaps Analysis ........................................................................................................... 104 Appendix ....................................................................................................................................... 121 A. Community Health Needs Assessment: 2013 Implementation Plan ........................................... 122 B. Secondary Data Sources .............................................................................................................. 125 C. Monmouth Medical Center Southern Campus Service Area: Disease Prevalence Trends: Based On Acute Care Discharges ............................................................................................................ 127 D. Cancer Incidence and Mortality Rate Report by Cancer Site: Ocean County 2009-2013 ............ 133 E. Public Health Officers/Agencies, Identified Priorities .................................................................. 165 F. Resource Inventory ...................................................................................................................... 169 Community Health Needs Assessment iii RWJ Barnabas Health: Monmouth Medical Center Southern Campus EXECUTIVE SUMMARY BACKGROUND MMCSC Service Area The Monmouth Medical Center Southern Campus (MMCSC) Community Health Needs Assessment (CHNA) was designed to ensure that the Medical Center continues to effectively and efficiently serve the health needs of its service area. The CHNA was developed in accordance with all federal rules and statues, specifically, PL 111-148 (the Affordable Care Act) which added Section 501(r) to the Internal Revenue Code. The MMCSC Needs Assessment was undertaken in this context and developed for the purpose of enhancing health and quality of life throughout the community. This assessment builds upon the assessment completed in 2013. The 2013 Implementation Plan results are reviewed in Appendix A. The CHNA uses detailed secondary public health data at state, county, and community levels, a community health survey, a survey of Monmouth County public health officers, and other community stakeholders. MMCSC is a member of RWJ Barnabas Health, which convenes a multi- disciplinary, multi-facility Steering Committee that provides additional support and leadership. Also, insight and expertise from the Monmouth Medical Center Southern Campus CHNA Oversight Committee helps identify health assets, gaps, disparities, trends, and