The Hospital of Fox Chase Cancer Center Community Health Needs Assessment THE HOSPITAL OF FOX CHASE CANCER CEN TER 2016 COMMUNITY HEALTH NEEDS ASSESSMENT The Hospital of Fox Chase Cancer Center Community Health Needs Assessment Table of Contents I.INTRODUCTION TO THE ASSESSMENT ........................................................... 1 Purpose ..................................................................................................................................... 1 Community Definition .............................................................................................................. 2 Previous Needs Assessment .................................................................................................... 4 Community Benefit Implementation Plan ............................................................................. 5 Public Health Management Corporation Qualifications ..................................................... 7 II. PROCESS AND METHODS .......................................................................... 9 Data Acquisition and Analysis ................................................................................................ 9 PHMC Southeastern Pennsylvania Household Health Survey .............................................. 11 U.S. Census ................................................................................................................................... 12 Vital Statistics ............................................................................................................................... 13 2015 County Health Rankings and Roadmaps ...................................................................... 13 Community Meetings and Interviews ...................................................................................... 13 Information Gaps ........................................................................................................................ 15 III.COMMUNITY DEMOGRAPHICS ................................................................ 16 Population .............................................................................................................................. 16 Age ......................................................................................................................................... 16 Race/Ethnicity ........................................................................................................................ 17 Language Spoken at Home ................................................................................................. 18 Education ............................................................................................................................... 18 Employment ........................................................................................................................... 19 Poverty .................................................................................................................................... 20 Median Household Income .................................................................................................. 21 Home Ownership ................................................................................................................... 21 IV.HEALTH OF THE COMMUNITY .................................................................. 22 Birth Outcomes ...................................................................................................................... 22 Fertility Rates ........................................................................................................................ 22 Low Birth Weight .................................................................................................................. 24 Premature Births ................................................................................................................... 25 Prenatal Care ...................................................................................................................... 26 Mortality .................................................................................................................................. 27 Infant Mortality .................................................................................................................... 27 Mortality ................................................................................................................................ 28 Morbidity................................................................................................................................. 30 The Hospital of Fox Chase Cancer Center Community Health Needs Assessment HIV and AIDS ........................................................................................................................ 30 Communicable Disease .................................................................................................... 31 Cancer Incidence .............................................................................................................. 32 Health Status .......................................................................................................................... 33 Self-Reported Health Status ............................................................................................... 34 Specific Health Conditions .................................................................................................... 37 Hypertension ........................................................................................................................ 37 Diabetes ............................................................................................................................... 38 Asthma ................................................................................................................................. 39 Overweight and Obesity ................................................................................................... 40 Mental and behavioral Health ......................................................................................... 41 V.ACCESS AND BARRIERS TO HEALTH CARE ......................................................................... 43 Economic Barriers ................................................................................................................ 44 Health Insurance Status ...................................................................................................... 45 Primary Care ........................................................................................................................ 47 Preventive Care .................................................................................................................. 48 Dental Visit ........................................................................................................................... 48 Blood Pressure ...................................................................................................................... 49 Colonoscopy ....................................................................................................................... 49 Pap Smear Test .................................................................................................................... 49 PSA or Rectal Exams for Prostate Cancer ....................................................................... 50 Mammogram ...................................................................................................................... 50 VI.HEALTH BEHAVIORS ............................................................................................................. 50 Nutrition .................................................................................. Error! Bookmark not defined. Exercise ................................................................................................................................. 52 Tobacco Use ........................................................................................................................ 52 VII.SPECIAL POPULATIONS .......................................................................... 53 Lower Income Populations ................................................................................................... 53 Homeless Populations ............................................................................................................ 54 Older Adults ........................................................................................................................... 55 Immigrants .............................................................................................................................. 55 VIII. EXISTING RESOURCES.......................................................................... 56 Existing Health Care Resources ............................................................................................ 56 IX. SOCIAL DETERMINANTS OF HEALTH AND UNMET NEEDS .......................... 57 Health Status ............................................................................................................................... 58 Chronic Illness .............................................................................................................................. 58 Health Behaviors ......................................................................................................................... 58 Access to Care ..........................................................................................................................