Molokai General Hospital Community Health Needs Assessment March 29, 2013 Table of Contents Executive Summary .............................................................................................................................. 4 Introduction .................................................................................................................................................. 4 Approach ....................................................................................................................................................... 4 Data Sources and Methods ........................................................................................................................... 4 Areas of Need ................................................................................................................................................ 5 Selected Priority Areas .................................................................................................................................. 6 Note to the Reader ....................................................................................................................................... 6 1 Introduction .................................................................................................................................... 7 1.1 Summary of CHNA Report Objectives and context .......................................................................... 7 1.1.1 Healthcare Association of Hawaii ................................................................................................. 7 1.1.2 Molokai General Hospital ............................................................................................................. 7 1.1.3 Advisory Committee ..................................................................................................................... 7 1.1.4 Consultants ................................................................................................................................... 8 1.2 Definition of Community + Map ....................................................................................................... 9 2 Methods .......................................................................................................................................... 10 2.1 Core Indicator Summary ................................................................................................................. 10 2.1.1 Data Sources ............................................................................................................................... 10 2.1.2 Comparisons: Analytic Approach ................................................................................................ 10 2.1.3 dIndicator an Topic Area Scoring ................................................................................................ 11 2.1.4 Shortage Areas ........................................................................................................................... 11 2.2 Hospitalization Rates ...................................................................................................................... 12 2.3 Key Informant Interviews ................................................................................................................ 12 2.4 Community Survey .......................................................................................................................... 14 3 Community Health Needs Assessment Findings .............................................................. 15 3.1 Demographics ................................................................................................................................. 15 3.1.1 Population................................................................................................................................... 15 3.1.2 Economy ..................................................................................................................................... 19 3.1.3 Education .................................................................................................................................... 20 3.2 Overview of Needs Assessment ...................................................................................................... 20 3.2.1 Access to Health Services ............................................................................................................ 24 3.2.2 Cancer ......................................................................................................................................... 25 3.2.3 Diabetes ...................................................................................................................................... 26 3.2.4 Disabilities ................................................................................................................................... 28 3.2.5 Economy ..................................................................................................................................... 28 3.2.6 Education .................................................................................................................................... 30 3.2.7 Environment ............................................................................................................................... 31 3.2.8 Exercise, Nutrition & Weight ...................................................................................................... 31 3.2.9 Family Planning .......................................................................................................................... 33 3.2.10 Heart Disease & Stroke ............................................................................................................... 33 3.2.11 Immunizations & Infectious Diseases ......................................................................................... 34 3.2.12 Injury Prevention & Safety .......................................................................................................... 35 3.2.13 Maternal, Fetal & Infant Health ................................................................................................. 36 3.2.14 Mental Health & Mental Disorders ............................................................................................ 37 3.2.15 Older Adults & Aging .................................................................................................................. 39 1 3.2.16 Oral Health ................................................................................................................................. 40 3.2.17 Respiratory Diseases ................................................................................................................... 42 3.2.18 Social Environment ..................................................................................................................... 42 3.2.19 Substance Abuse & Lifestyle ....................................................................................................... 44 3.2.20 Transportation ............................................................................................................................ 45 4 Community Health Needs Summary ..................................................................................... 47 4.1 Findings/Conclusions ...................................................................................................................... 47 4.1.1 Disparities Highlights .................................................................................................................. 49 4.1.2 Identified Data Gaps ................................................................................................................... 50 4.2 Limitations and Other Considerations ............................................................................................ 50 5 Selected Priority Area ................................................................................................................ 52 Appendix A: Core Indicator Data ................................................................................................... 54 About HCI Provided Data ............................................................................................................................ 54 Framework for Indicator/Data and Topic Selection ................................................................................... 54 Core Indicator Data Summary: Analytic Approach and Scoring Methodology ........................................... 55 Core Indicator Data ..................................................................................................................................... 58 Appendix B: Hospitalization Data ................................................................................................. 66 Hospitalization Rates .................................................................................................................................. 66 Appendix C: Key Informant Interview Participants ................................................................ 69 Completed Interviews ................................................................................................................................. 69 Attempted Interviews ................................................................................................................................. 69 Appendix D: Identified Community Resources ........................................................................