2016 UCLA Medical Center, Santa Monica Community Health Needs Assessment Table of Contents Executive Summary ....................................................................................................................4 Introduction ...............................................................................................................................14 Background and Purpose...................................................................................................14 Service Area ......................................................................................................................14 Project Oversight ...............................................................................................................16 Consultant .........................................................................................................................16 Methods ....................................................................................................................................17 Secondary Data Collection.................................................................................................17 Primary Data Collection .....................................................................................................17 Information Gaps ...............................................................................................................19 Public Comment ................................................................................................................19 Identification of Significant Health Needs ..................................................................................20 Review of Primary and Secondary Data .............................................................................20 Significant Health Needs ....................................................................................................20 Resources to Address Significant Needs ...........................................................................20 Priority Health Needs ................................................................................................................21 Impact Evaluation ..............................................................................................................22 Community Demographics ........................................................................................................23 Population ..........................................................................................................................23 Race/Ethnicity ....................................................................................................................25 Language ...........................................................................................................................25 Social and Economic Factors ....................................................................................................28 Social and Economic Factors Ranking ...............................................................................28 Poverty ..............................................................................................................................28 Households ........................................................................................................................29 Households by Type ..........................................................................................................30 Free or Reduced Price Meals ............................................................................................31 Public Program Participation ..............................................................................................31 Unemployment ...................................................................................................................32 Educational Attainment ......................................................................................................32 Community Input – Social and Economic Factors ..............................................................33 Homelessness ...................................................................................................................34 Community Input – Housing and Homelessness ................................................................35 Crime and Violence............................................................................................................36 Community Input – Community Safety ...............................................................................37 UCLA Medical Center, Santa Monica Page 1 Health Care Access ..................................................................................................................38 Health Insurance Coverage ...............................................................................................38 Sources of Care .................................................................................................................40 Barriers to Care .................................................................................................................41 Access to Primary Care Community Health Centers ..........................................................41 Delayed Care .....................................................................................................................42 Community Input – Access to Care ....................................................................................42 Dental Care .......................................................................................................................44 Community Input – Dental Care .........................................................................................44 Birth Characteristics ..................................................................................................................46 Births .................................................................................................................................46 Teen Birth Rate ..................................................................................................................46 Prenatal Care.....................................................................................................................47 Low Birth Weight ................................................................................................................48 Infant Mortality ...................................................................................................................49 Breastfeeding.....................................................................................................................49 Mortality/Leading Causes of Death ...........................................................................................50 Leading Causes of Premature Death .................................................................................50 Death Rate ........................................................................................................................50 Leading Causes of Death...................................................................................................50 Heart Disease Mortality ......................................................................................................52 Cancer Mortality .................................................................................................................53 Stroke Mortality ..................................................................................................................54 Lung Disease Mortality ......................................................................................................55 Alzheimer's Disease Mortality ............................................................................................56 Pneumonia and Influenza Mortality ....................................................................................57 Chronic Disease ........................................................................................................................58 Health Status .....................................................................................................................58 Disability ............................................................................................................................58 Asthma ..............................................................................................................................58 Diabetes ............................................................................................................................59 Heart Disease ....................................................................................................................59 High Blood Pressure ..........................................................................................................59 Cancer ...............................................................................................................................60 HIV/AIDS ...........................................................................................................................60 Sexually Transmitted Diseases ..........................................................................................61 Teen Sexual History...........................................................................................................61 Hospitalization and ER Rates by Diagnosis .......................................................................61 Community Input