2013 Ty Cobb Regional Medical Center Community Health Needs Assessment 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment Community Participants Researched and written by: Cynthia R. DuPree, CPA Heather A. Haley, MHA Draffin & Tucker, LLP Five Concourse Parkway Suite 1250 Atlanta, Georgia 30325 Facilitated by: Rhonda Barcus, MS, LPC Fernandina Beach, FL 32034 1 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment CONTENTS EXECUTIVE SUMMARY ................................................................................................................................................4 THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ........................................................................................7 Description of Major Data Sources ........................................................................................................................9 Information Gaps and Process Challenges .......................................................................................................... 11 ABOUT FRANKLIN COUNTY AND HART COUNTY ................................................................................................ 12 Georgia Public Health Districts ........................................................................................................................ 13 Demographics .................................................................................................................................................... 14 Population Profile ......................................................................................................................................... 14 Race and Ethnicity Profile ................................................................................................................................ 16 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 .................................................................................................................................... 36 Chronic Lower Respiratory Disease ..................................................................................................................... 41 Accidents ............................................................................................................................................................. 45 Youth Unintentional Injuries ............................................................................................................................... 47 Diabetes ............................................................................................................................................................... 52 Obesity ................................................................................................................................................................. 54 Childhood Obesity ........................................................................................................................................... 55 MATERNAL, INFANT, AND CHILD HEALTH ............................................................................................................... 62 Birth Rates ........................................................................................................................................................... 63 Infant Mortality ................................................................................................................................................. 64 Fetal and Infant Conditions ................................................................................................................................. 65 Teen Birth Rate .................................................................................................................................................... 66 Birth Weight ........................................................................................................................................................ 69 Immunizations ..................................................................................................................................................... 70 ALCOHOL, TOBACCO, AND DRUG USE..................................................................................................................... 71 Adolescent Behavior ............................................................................................................................................ 71 2 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment Alcohol, Tobacco, and Substance Abuse ......................................................................................................... 72 Illicit Drug Usage .............................................................................................................................................. 74 Comparison: Franklin County, Hart County, Georgia and the U.S. ................................................................. 75 Adult Alcohol Abuse ............................................................................................................................................ 76 SEXUALLY TRANSMITTED DISEASES ........................................................................................................................ 79 Chlamydia ............................................................................................................................................................ 80 Gonorrhea ........................................................................................................................................................... 81 Syphilis ................................................................................................................................................................. 82 Human Immunodeficiency Virus (HIV) ................................................................................................................ 83 ACCESS TO CARE ...................................................................................................................................................... 85 Gaining Entry into the Healthcare System .......................................................................................................... 85 Income and Poverty ......................................................................................................................................... 85 Educational Attainment ................................................................................................................................... 88 Insured Status .................................................................................................................................................. 89 Georgia Health Assistance and Healthcare Programs ..................................................................................... 91 Accessing a Healthcare Location Where Needed Services are Provided ............................................................ 92 Healthcare Continuum .................................................................................................................................... 92 Free or Sliding Fee Scale Clinics ....................................................................................................................... 93 Physician Workforce ........................................................................................................................................ 94 Health Professional Shortage Areas (HPSAs)................................................................................................... 94 Mental Health .................................................................................................................................................. 95 Nursing Homes/Skilled Nursing Facilities ........................................................................................................ 95 Transportation ................................................................................................................................................. 95 Finding a Healthcare