BIG BEND COMMUNITY HEALTH ASSESSMENTS AND PRIORITIES BAY, CALHOUN, FRANKLIN, GADSDEN, GULF, HOLMES, JACKSON, JEFFERSON, LEON, LIBERTY, MADISON, TAYLOR, WAKULLA, WASHINGTON COUNTIES Apalachicola Bluffs & Ravines Preserve Liberty County SEPTEMBER 2020 BIG BEND HEALTH COUNCIL 403 E 11TH STREET PANAMA CITY, FL 32401 (850) 872-4128 HTTP://HEALTHCOUNCILS.NET/ Prepared by Big Bend Health Council 403 E 11th Street Panama City, FL 32401 (850) 872-4128 http://healthcouncils.net/ September 10, 2020 We hope that this summary of the Community Health Assessments conducted by Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, Washington Counties will be helpful in developing Community Health Improvement Plans throughout Big Bend Florida Questions? Errors or Omissions? Please Contact Barbara Feeney [email protected] 561-891-6395 Page 2 of 97 TABLE OF CONTENTS I. INTRODUCTION/ 5 II. OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT & PLANNING PROCESS/ 6 III. METHODOLOGY/ 11 IV. COMMUNITY HEALTH ASSESSMENT PARTNERS/ 12 V. PRIORITY HEALTH ISSUES IN FLORIDA AND THE BIG BEND/ 29 VI. ADDITIONAL DATA RESOURCES/ 44 DEMOGRAPHIC & SOCIOECONOMIC FACTORS/ 43 Total Population/ 44 Population by Age Range/ 46 Population by Gender/ 48 Population by Race/ 49 Population by Hispanic Ethnicity/ 50 Socioeconomic Indicators/ 51 HEALTH STATUS & HEALTH CARE FACTORS/ 52 Health-Related Quality of Life/ 52 Maternal and Infant Well-Being/ 53 Body Weight, Overweight, and Obesity/ 55 Leading Causes of Death/ 56 Appropriate and Timely Access to Quality Healthcare/ 59 Unnecessary Hospitalizations/ 59 Health Professional Shortage Areas/ 61 Healthcare Access and Coverage of Adults/ 68 Non-Elderly Uninsured/ 70 COMMUNITY AND ENVIRONMENTAL FACTORS & PERSONAL CHOICES AND BEHAVIORS / 72 Influenza Vaccination/ 73 Pneumonia Vaccination/ 75 Prevention of Unintentional Injuries/ 77 Pre-Diabetes and Diabetes/ 78 Fruit and Vegetable Consumption/ 79 Physical Activity/ 80 Tobacco Use and Exposure/ 82 Alcohol and Other Drug Abuse/ 85 (continued) Page 3 of 97 (continued) Data from the Florida Department of Health Opioid Dashboard/ 86 Overdose Deaths/ 87 Suspected Non-Fatal Overdoses/ 88 Annual Drug Arrests /Page 88 Case Definitions/ Page 89 Violent Crimes/ 91 Reported Domestic Violence Offenses/ 90 Aggravated Assault/ 90 Forcible Sex Offenses/ 91 Homicide and Murder/ 93 Suicide/ 94 VII. SUMMARY/ 95 Carrabelle, Franklin County Page 4 of 97 I. INTRODUCTION The Florida Department of Health (FDOH) requires local health Community Health departments to complete periodic community health assessments Assessments (CHAs) are (CHAs) in their respective counties. In order to do so, each county sometimes referred to as “Community Health Needs health department elicits support and input from a broad range of Assessments” or “CHNAs”. public and private community sectors including government, business, For consistency, this report health, education, social services. This report is a summary of the will generally use the terms “Community Health findings of the most recent community health assessments for Bay, Assessment” or “CHA”. Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington counties (“Big Bend”). Between 2016 and 2019 numerous CHAs were conducted by the fourteen local health departments in Florida’s Big Bend. Download original reports at http://www.floridahealth.gov/provider-and-partner- resources/community-partnerships/floridamapp/state-and-community-reports/index.html While the FDOH commissioned their individual county health departments to conduct assessments to guide state and local health planning, a broad range of public and private organizations also participated in the assessment process. See section “II. Overview of the Assessment and Planning Process - Why complete a Community Health Assessment and Improvement Plan?” for more information regarding the purposes for which a CHA is useful, and section “IV. Community Health Assessment Partners” for an extensive list of CHA participants. While each county and therefore each community health assessment is unique, they all shared common purposes and methods. The shared purpose was to identify the healthcare needs and priorities of the residents of each area. Shared methods included variations of a process referred to as “Mobilizing for Action through Planning and Partnerships” (MAPP). A more detailed description of MAPP is included in section “III. Methodology”. Additional information about community health planning and links to on- line resources are available in the next section of this report. Page 5 of 97 II. OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT & PLANNING PROCESS What Is a Community Health Assessment? The three following descriptions of Community Health Assessments express the purpose, scope, methodology inherent in virtually all Community Health Assessments. 1. A community health assessment (sometimes called a CHA), also known as community health assessment, refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. All community health assessments reflect a commitment to achieve all or most of the following standards: • Multisector collaborations that support shared ownership of all phases of community health improvement, including assessment, planning, investment, implementation, and evaluation • Proactive, broad, and diverse community engagement to improve results • A definition of community that encompasses both a significant enough area to allow for population-wide interventions and measurable results, and includes a targeted focus to address disparities among subpopulations • Maximum transparency to improve community engagement and accountability • Use of evidence-based interventions and encouragement of innovative practices with thorough evaluation • Evaluation to inform a continuous improvement process • Use of the highest quality data pooled from, and shared among, diverse public and private sources Source: Principles to Consider for the Implementation of a Community Health Needs Assessment Process Cdc-pdf[PDF – 457KB]External (June 2013), Sara Rosenbaum, JD, The George Washington University School of Public Health and Health Services, Department of Health Policy. 2. The Public Health Accreditation board defines community health assessment as a systematic examination of the health status indicators for a given population that is used to identify key problems and assets in a community. The ultimate goal of a community health assessment is to develop strategies to address the community’s health needs and identified issues. A variety of tools and processes may be used to Page 6 of 97 conduct a community health assessment; the essential ingredients are community engagement and collaborative participation. Source: Turnock B. Public Health: What It Is and How It Works. Jones and Bartlett, 2009, as adapted in Public Health Accreditation Board Acronyms and Glossary of Terms Version 1.0 Cdc- pdf[PDF – 536KB]External, July 2011. 3. The Catholic Health Association defines a community health needs assessment as a systematic process involving the community to identify and analyze community health needs and assets in order to prioritize these needs, and to plan and act upon unmet community health needs.” Source: (Catholic Health Association, Guide to Assessing and Addressing Community Health Needs Cdc-pdf[PDF-1.5MB]External, June 2013.) What is a Community Health Improvement Plan? A community health improvement plan (or CHIP) is a long-term, systematic effort to address public health problems based on the results of community health assessment activities and the community health improvement process. A plan is typically updated every three to five years. The Public Health Accreditation Board defines a community health improvement plan as a long- term, systematic effort to address public health problems on the basis of the results of community health assessment activities and the community health improvement process. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources. A community health improvement plan is critical for developing policies and defining actions to target efforts that promote health. It should define the vision for the health of the community through a collaborative process and should address the gamut of strengths, weaknesses, challenges, and opportunities that exist in the community to improve the health status of that community. One of the first steps in developing a CHIP is conducting a Community Health Assessment. Source: CDC (Public Health Professionals Gateway, Community Health https://www.cdc.gov/publichealthgateway/cha/index.html ) Page 7 of 97 Why complete a Community Health Assessment and Improvement Plan? A community health assessment gives organizations comprehensive information about the community’s current health status, needs, and issues. This information can help develop a community health improvement plan by justifying how and where resources should be allocated to best meet community needs. Benefits include the following: • Improved organizational and community coordination and collaboration • Increased knowledge about public health and the interconnectedness of activities • Strengthened partnerships within state and local public