Community Health Needs Assessment 2016 Table of Contents Introduction ................................................................................................................................ 5 Background and Purpose .................................................................................................... 5 Service Area ....................................................................................................................... 5 Project Oversight ................................................................................................................ 7 Author ................................................................................................................................. 7 Methods ..................................................................................................................................... 8 Secondary Data Collection .................................................................................................. 8 Primary Data Collection ...................................................................................................... 8 Information Gaps ................................................................................................................ 9 Public Comment.................................................................................................................10 Identification of Significant Health Needs ..................................................................................11 Review of Primary and Secondary Data .............................................................................11 Significant Health Needs ....................................................................................................11 Resources to Address Significant Needs ...........................................................................11 Priority Health Needs ................................................................................................................12 Impact Evaluation ..............................................................................................................13 Community Demographics ........................................................................................................14 Population ..........................................................................................................................14 Race/Ethnicity ....................................................................................................................15 Language ...........................................................................................................................16 Social and Economic Factors ....................................................................................................17 Social and Economic Factors Ranking ...............................................................................17 Poverty ..............................................................................................................................17 Households ........................................................................................................................18 Households by Type ..........................................................................................................19 Free or Reduced Price Meals.............................................................................................19 Public Program Participation ..............................................................................................20 Unemployment ...................................................................................................................20 Educational Attainment ......................................................................................................21 Homelessness ...................................................................................................................21 Crime and Violence ............................................................................................................22 1 Henry Mayo Hospital – Community Health Needs Assessment Community Input – Social and Economic Factors ..............................................................23 Health Care Access ..................................................................................................................25 Health Insurance Coverage ...............................................................................................25 Sources of Care .................................................................................................................26 Barriers to Care..................................................................................................................28 Access to Primary Care Community Health Centers ..........................................................28 Delayed Care .....................................................................................................................29 Community Input – Access to Care ....................................................................................29 Dental Care ........................................................................................................................31 Community Input – Dental Care .........................................................................................31 Birth Characteristics ..................................................................................................................33 Births .................................................................................................................................33 Teen Birth Rate ..................................................................................................................33 Prenatal Care .....................................................................................................................33 Low Birth Weight ................................................................................................................34 Infant Mortality ...................................................................................................................35 Breastfeeding .....................................................................................................................35 Mortality/Leading Causes of Death ...........................................................................................36 Leading Causes of Premature Death .................................................................................36 Leading Causes of Death ...................................................................................................36 Cancer Mortality .................................................................................................................37 Heart Disease Mortality ......................................................................................................38 Stroke Mortality ..................................................................................................................39 Respiratory (Lung) Disease Mortality .................................................................................40 Diabetes ............................................................................................................................42 Chronic Disease ........................................................................................................................44 Health Status .....................................................................................................................44 Disability ............................................................................................................................44 Asthma ..............................................................................................................................44 Community Input – Asthma ................................................................................................45 Diabetes ............................................................................................................................45 Community Input – Diabetes ..............................................................................................46 2 Henry Mayo Hospital – Community Health Needs Assessment Heart Disease ....................................................................................................................47 High Blood Pressure ..........................................................................................................47 Community Input – Heart Disease .....................................................................................48 Cancer ...............................................................................................................................48 Community Input – Cancer ................................................................................................49 HIV/AIDS ...........................................................................................................................49 Sexually Transmitted Diseases ..........................................................................................50 Teen Sexual History ...........................................................................................................50 Hospitalization and ER Rates .............................................................................................50 Health Behaviors .......................................................................................................................52