2016 Stephens County Hospital Table of Contents Community Health Needs Assessment 2016 Stephens County Hospital Community Health Needs Assessment Stephens and Franklin Counties Researched and written by: Draffin & Tucker, LLP Five Concourse Parkway Suite 1250 Atlanta, Georgia 30325 1 2016 Stephens County Hospital Table of Contents Community Health Needs Assessment CONTENTS EXECUTIVE SUMMARY ................................................................................................................................................4 THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ........................................................................................7 Description of Major Data Sources ........................................................................................................................9 Definitions ........................................................................................................................................................... 11 Information Gaps and Process Challenges .......................................................................................................... 11 2013 Implementation Strategy ........................................................................................................................... 12 ABOUT STEPHENS COUNTY AND FRANKLIN COUNTY ............................................................................................. 13 Georgia Public Health Districts ........................................................................................................................ 14 Demographics ...................................................................................................................................................... 15 Population Profile ............................................................................................................................................ 15 Race and Ethnicity Profile ................................................................................................................................ 17 MORBIDITY AND MORTALITY .................................................................................................................................. 20 Hospitalization and Emergency Room Visits ....................................................................................................... 20 Leading Causes of Death ..................................................................................................................................... 22 Premature Death ................................................................................................................................................. 24 Cancer .................................................................................................................................................................. 25 Lung Cancer ..................................................................................................................................................... 27 Colon and Rectum Cancer ............................................................................................................................... 29 Breast Cancer ................................................................................................................................................... 31 Prostate Cancer ............................................................................................................................................... 33 Heart Disease and Stroke .................................................................................................................................... 35 Chronic Lower Respiratory Disease ..................................................................................................................... 40 Accidents ............................................................................................................................................................. 44 Diabetes ............................................................................................................................................................... 46 Obesity ................................................................................................................................................................. 48 Childhood Obesity ........................................................................................................................................... 49 MATERNAL, INFANT, AND CHILD HEALTH ............................................................................................................... 54 Birth Rates ........................................................................................................................................................... 55 Infant Mortality ................................................................................................................................................... 56 Fetal and Infant Conditions ................................................................................................................................. 56 Teen Birth Rate .................................................................................................................................................... 58 Birth Weight ........................................................................................................................................................ 61 Immunizations ..................................................................................................................................................... 62 ALCOHOL, TOBACCO, AND DRUG USE..................................................................................................................... 63 2 2016 Stephens County Hospital Table of Contents Community Health Needs Assessment Adolescent Behavior ............................................................................................................................................ 63 Alcohol, Tobacco, and Substance Abuse ......................................................................................................... 64 Illicit Drug Usage .............................................................................................................................................. 66 Comparison: Franklin County, Stephens County, and Georgia ....................................................................... 67 Adult Alcohol Abuse ............................................................................................................................................ 68 SEXUALLY TRANSMITTED DISEASES ........................................................................................................................ 70 Chlamydia ............................................................................................................................................................ 71 Gonorrhea ........................................................................................................................................................... 72 Syphilis ................................................................................................................................................................. 73 Human Immunodeficiency Virus (HIV) ................................................................................................................ 74 ACCESS TO CARE ...................................................................................................................................................... 77 Gaining Entry into the Healthcare System .......................................................................................................... 77 Income and Poverty ......................................................................................................................................... 77 Educational Attainment ................................................................................................................................... 80 Insured Status .................................................................................................................................................. 81 Georgia Health Assistance and Healthcare Programs ..................................................................................... 83 Accessing a Healthcare Location Where Needed Services Are Provided ............................................................ 84 Healthcare Continuum .................................................................................................................................... 84 Free or Sliding Fee Scale Clinics ....................................................................................................................... 85 Health Professional Shortage Areas (HPSAs)................................................................................................... 85 Mental Health .................................................................................................................................................. 85 Nursing Homes/Skilled Nursing Facilities ........................................................................................................ 86 Transportation ................................................................................................................................................. 86 Finding a Healthcare Provider Whom the Patient Can Trust .............................................................................