Oneida County Department of Health CHA/CSP – 2019 - 2021 Acknowledgements Oneida County Health Department, Rome Memorial Hospital, and Mohawk Valley Health System would like to acknowledge and thank our partnering key community stakeholders for their input and guidance in the development of the 2019 - 2021 Community Health Assessment, Community Service Plan, and Community Health Improvement Plan. ACR Health Mohawk Valley Psychiatric Center American Heart Association MVP Healthcare Boilermaker Road Race Nascentia Health BRiDGES Oneida County Department of Mental Health Center for Family Life and Recovery Oneida County Health Department Central New York Health Home Network (CNYHHN) Oneida County Office for the Aging & Continuing Care The Community Foundation of Herkimer and & Oneida Counties Planned Parenthood Community Foundation Resource Center for Independent Living Cornell Cooperative Extension Mosiac Health (Regional Primary Care Network) Excellus Rome Memorial Hospital HealtheConnections The Neighborhood Center Herkimer-Oneida Counties Comprehensive Planning Program The Parkway Center Hospice & Palliative Care Inc. The Salvation Army ICAN (Kids Oneida) United Way of the Valley and Greater Utica Area Mid York Library System Upstate Cerebral Palsy Mohawk Valley Health System (MVHS) Women, Infants and Children (WIC) Program Mohawk Valley Housing & Homeless Coalition Mohawk Valley Perinatal Network The Center Mohawk Valley Community Action Agency Oneida County Department of Health CHA/CSP – 2019 - 2021 Table of Contents Executive Overview ............................................................................................................ 1 Steering Committee ............................................................................................................ 1 Community Health Assessment ........................................................................................ 2 Key Findings on the Health Status in Oneida County ..................................................... 3 Evaluating Impact ............................................................................................................... 4 Community Health Assessment – Community Service Plan - Overview ........................ 5 Community Health Assessment – Community Service Area and Demographics ......... 6 Description of the Community Being Assessed ......................................................................................................... 6 Communities Served ................................................................................................................................................. 6 Demographics of the Population Served and Correlated Health Risks .......................... 7 Overview .................................................................................................................................................................... 7 Demographic Characteristics ..................................................................................................................................... 9 Socio-economic ....................................................................................................................................................... 11 Identification of the Main Health Challenges Facing the Community and Contributing Causes of Health Challenges ........................................................................................... 21 Background ............................................................................................................................................................. 21 2019-2021 CHA/CSP/CHIP Process ....................................................................................................................... 21 Identification of health Needs in Oneida County ...................................................................................................... 22 Environmental Changes Setting the Stage for Improving Health Care Delivery – mobilizing assets and resources to address identified health issues ........................................................................................................................... 22 Oneida County Health Status in Comparison with New York State Health Status .................................................. 24 An Analysis of Behavioral and Environmental Risk Factors ........................................ 33 Improve Health Status and Reduce Health Disparities – Oneida County, New York State (2012-2016) ................. 33 Prevent Chronic Disease – Oneida County, New York State (2012-2016) .............................................................. 35 Promote a Healthy and Safe Environment – (environmental risk factors) ............................................................... 38 Oneida County New York State (2013-2017) ........................................................................................................ 38 Promote Healthy Women, Infants, and Children – Oneida County, New York State (2014-2016) .......................... 40 Prevent HIV, Sexually Transmitted Diseases, Vaccine Preventable Diseases, and Healthcare- Associated Infections – Oneida County, New York State (2014-2016) ...................................................................................... 42 Substance Use/Injury/Mental Health Indicators – Oneida County, New York State (2012-2016) ............................ 44 Cancer Indicators – Oneida County, New York State (2013-2016) ......................................................................... 46 Oneida County Department of Health CHA/CSP – 2019 - 2021 County Health Rankings .......................................................................................................................................... 48 Policy Environments ........................................................................................................ 49 Local Media (social media) Resources .................................................................................................................... 52 Community-Based Organizations ............................................................................................................................ 52 Stakeholder & Community Engagement Process to Conduct Assessment ................ 53 Methods for Selection of Priority Areas ................................................................................................................... 57 Participation of the Strategic Leadership team ........................................................................................................ 58 Finalizing the Needs Themes ........................................................................................... 59 Community Health Priorities Over Time ......................................................................... 60 Appendices ....................................................................................................................... 61 Oneida County Department of Health CHA/CSP – 2019 - 2021 Executive Overview Oneida County Health Department (OCHD), Rome Memorial Hospital (RMH) and Mohawk Valley Health System (MVHS) collaborated with key community stakeholders to develop a three-year Community Health Assessment, Community Service Plan, and Community Health Improvement Plan (CHA/CSP/CHIP). The development of the CHA, CSP and CHIP for the period of 2019-2021 involved a systematic approach of data retrieval and analysis, community engagement with a unified mission to identify and rank health priorities that aim to improve health outcomes and reduce disparities among Oneida County residents. The 2019-2024 New York State Prevention Agenda provides a blueprint to improve the health and wellbeing, as well as to promote health equity across populations who experience disparities and guide the development of the plan. The five priority areas are as follows: 1 • Prevent Chronic Diseases, • Promote a Healthy and Safe Environment, • Promote Healthy Women, Infants, and Children, • Promote Well-Being and Prevent Mental Health and Substance Use Disorders, and • Prevent Communicable Diseases. Thorough evaluation included synthesis and analysis of the 2016-2018 CHA/CSP/CHIP, recognizing achievements as well as areas of continued opportunity. The selection of the health priorities was derived from a collaborative committee of stakeholders. Steering Committee The CHA process and the identification of priorities and interventions in the Improvement Plan was guided by the Oneida County Health Coalition (OCHC) and Steering Committee, which is a partnership of community agencies, organizations and groups that convene to identify and assess public health problems and encourage action to address issues. 2 Strategic community partners were also solicited to participate in a community Stakeholder Conference3. The goal of obtaining community stakeholder input was to gain global insight from community partners on perceptions of health issues within the community, considering social determinants of health and providing insight on specific aspects of prioritizing health needs to facilitate a thorough and thoughtful assessment and planning process for development of the CHA, CSP and CHIP. 1 Source: https://www.health.ny.gov/prevention/prevention_agenda/2019-2024/ 2 Source: http://www.healthecny.org/index.php?module=Tiles&controller=index&action=display&alias=OCHC 3 Source: Appendix A – Oneida County Community Health Assessment Stakeholder Conference presentation 1 Oneida