Ochsner Medical Center Community Health Needs Assessment October 2015 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Table of Contents Introduction… Page: 1 Community Definition… Page: 3 Consultant Qualifications… Page: 5 Project Mission & Objectives … Page: 6 Methodology… Page: 7 Key Community Health Priorities… Page: 10 Community Health Needs Identification… Page: 38 Secondary Data… Page: 49 Key Stakeholder Interviews… Page: 89 Survey… Page: 100 Conclusions … Page: 110 Appendix A: Community Resource Inventory … Page: 112 Appendix B: Community Secondary Data Profile … Page: 131 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Introduction Ochsner Medical Center, (Jefferson Highway), a 503‐bed acute care hospital located near Uptown New Orleans, is the main campus provider with off‐site hospitals, Ochsner Baptist, a Campus of Ochsner Medical Center serving Eastbank communities and Ochsner Medical Center ‐ Westbank Campus serving Westbank communities. Ochsner Medical Center, in response to its community commitment, contracted with Tripp Umbach to facilitate a comprehensive Community Health Needs Assessment (CHNA) between March 2015 and October 2015. The CHNA identifies the needs of residents served by Ochsner Medical Center. As a partnering hospital of a regional collaborative effort to assess community health needs, Ochsner Medical Center collaborated with 15 hospitals and other community‐based organizations in the region during the CHNA process. The following is a list of organizations that participated in the CHNA process in some way: . Louisiana Office of Public Health . The McFarland Institute . Humana Louisiana . Greater New Orleans Foundation . Director – Medical Student Clerkship . Susan G. Komen, New Orleans . Louisiana Public Health Institute . Jefferson Parish Commissioner . Acadian Ambulance . Ochsner Health System . Delgado Community College . Cancer Association of Greater New Orleans . Pickering and Cotogno (CAGNO) . Nouveau Marc Residential Retirement Living . Fifth District Savings and Loan . Kenner Council on Aging and Parks and Recreation. Print All . City of Kenner . West Jefferson Civic Coalition . Children's Special Health Services . Boys and Girls Club Westbank . Methodist Health Foundation . St. Tammany EDF . City of New Orleans . City of Slidell . Catholic Charities . COAST – Slidell Senior Center . LSU Health Science Center, Allied Health . First Baptist Church . Tulane University School of Medicine . St. Tammany Outreach for the Prevention of . Jefferson Parish Suicide (STOPS) . NO/AIDS Task Force . Youth Service Bureau – Slidell Client Services & . Institute of Women and Ethnic Studies CASA . PACE Greater New Orleans . St. Tammany Parish Fire District 4 . New Wine Fellowship . NAMI . Jefferson Business Council . S.A.L.T . Arc of St. Charles . STPH Community Wellness Center . Healthy Start New Orleans . The Good Samaritan Ministry . Chief – HIV Division of Infectious Disease . Covington Police Department . Prevention Research Center at Tulane University . SMH Foundation Board 1 This report fulfills the requirements of the Internal Revenue Code 501(r)(3); a statute established within the Patient Protection and Affordable Care Act (ACA) requiring that non‐ profit hospitals conduct CHNAs every three years. The CHNA process undertaken by Ochsner Medical Center, with project management and consultation by Tripp Umbach, included extensive input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of public health issues, data related to vulnerable populations and representatives of vulnerable populations served by the hospital. Tripp Umbach worked closely with leadership from Ochsner Medical Center and a project oversight committee to accomplish the assessment. 2 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Community Definition While community can be defined in many ways, for the purposes of this report, the Ochsner Medical Center (OMC) community includes the Ochsner Medical Center, Ochsner Medical Center – Westbank Campus, and Ochsner Baptist, a Campus of Ochsner Medical Center facilities and their community, zip‐code definitions. Therefore, the Ochsner Medical Center community is defined as 96 zip codes – including 22 parishes/counties that hold a large majority (80%) of the inpatient discharges for the three hospitals (See Table 1 and Figure 1). Table 1. Ochsner Medical Center Study Area Definition – Zip Codes City Zip Code Parish/County City Zip Code Parish/County Prairieville 70769 Ascension Parish Boutte 70039 St. Charles Parish East Baton Rouge Baton Rouge 70806 Destrehan 70047 St. Charles Parish Parish East Baton Rouge Baton Rouge 70810 Hahnville 70057 St. Charles Parish Parish East Baton Rouge Baton Rouge 70816 Luling 70070 St. Charles Parish Parish Metairie 70001 Jefferson Parish Norco 70079 St. Charles Parish Metairie 70002 Jefferson Parish Saint Rose 70087 St. Charles Parish Metairie 70003 Jefferson Parish Lutcher 70071 St. James Parish Metairie 70005 Jefferson Parish Vacherie 70090 St. James Parish St. John the Baptist Metairie 70006 Jefferson Parish Edgard 70049 Parish St. John the Baptist Gretna 70053 Jefferson Parish LA Place 70068 Parish St. John the Baptist Gretna 70056 Jefferson Parish Reserve 70084 Parish Harvey 70058 Jefferson Parish Morgan City 70380 St. Mary Parish Kenner 70062 Jefferson Parish Patterson 70392 St. Mary Parish Kenner 70065 Jefferson Parish Franklin 70538 St. Mary Parish Marrero 70072 Jefferson Parish Abita Springs 70420 St. Tammany Parish Westwego 70094 Jefferson Parish Covington 70433 St. Tammany Parish New Orleans 70121 Jefferson Parish Covington 70435 St. Tammany Parish New Orleans 70123 Jefferson Parish Folsom 70437 St. Tammany Parish Youngsville 70592 Lafayette Parish Lacombe 70445 St. Tammany Parish Thibodaux 70301 Lafourche Parish Madisonville 70447 St. Tammany Parish Cut Off 70345 Lafourche Parish Mandeville 70448 St. Tammany Parish Galliano 70354 Lafourche Parish Pearl River 70452 St. Tammany Parish Larose 70373 Lafourche Parish Slidell 70458 St. Tammany Parish Lockport 70374 Lafourche Parish Slidell 70460 St. Tammany Parish Raceland 70394 Lafourche Parish Slidell 70461 St. Tammany Parish Denham Springs 70726 Livingston Parish Mandeville 70471 St. Tammany Parish New Orleans 70113 Orleans Parish Hammond 70401 Tangipahoa Parish New Orleans 70114 Orleans Parish Hammond 70403 Tangipahoa Parish New Orleans 70115 Orleans Parish Amite 70422 Tangipahoa Parish 3 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Table 1. Ochsner Medical Center Study Area Definition – Zip Codes City Zip Code Parish/County City Zip Code Parish/County New Orleans 70116 Orleans Parish Ponchatoula 70454 Tangipahoa Parish New Orleans 70117 Orleans Parish Gray 70359 Terrebonne Parish New Orleans 70118 Orleans Parish Houma 70360 Terrebonne Parish New Orleans 70119 Orleans Parish Houma 70363 Terrebonne Parish New Orleans 70122 Orleans Parish Houma 70364 Terrebonne Parish New Orleans 70124 Orleans Parish Bogalusa 70427 Washington Parish New Orleans 70125 Orleans Parish Franklinton 70438 Washington Parish New Orleans 70126 Orleans Parish New Orleans 70127 Orleans Parish New Orleans 70128 Orleans Parish Mississippi New Orleans 70129 Orleans Parish Diamondhead 39525 Hancock County New Orleans 70130 Orleans Parish Gulfport 39503 Harrison County New Orleans 70131 Orleans Parish Biloxi 39532 Harrison County Belle Chasse 70037 Plaquemines Parish Long Beach 39560 Harrison County Arabi 70032 St. Bernard Parish Pass Christian 39571 Harrison County Chalmette 70043 St. Bernard Parish Gautier 39553 Jackson County Meraux 70075 St. Bernard Parish Ocean Springs 39564 Jackson County Saint Bernard 70085 St. Bernard Parish Hattiesburg 39402 Lamar County Violet 70092 St. Bernard Parish Carriere 39426 Pearl River County Des Allemands 70030 St. Charles Parish Picayune 39466 Pearl River County Figure 1. Map of Ochsner Medical Center Study Area 4 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Consultant Qualifications Ochsner Medical Center contracted with Tripp Umbach, a private healthcare consulting firm headquartered in Pittsburgh, Pennsylvania to complete the CHNA. Tripp Umbach is a recognized national leader in completing CHNAs, having conducted more than 300 CHNAs over the past 25 years; more than 75 of which were completed within the last three years. Today, more than one in five Americans lives in a community where Tripp Umbach has completed a CHNA. Paul Umbach, founder and president of Tripp Umbach, is among the most experienced community health planners in the United States, having directed projects in every state and internationally. Tripp Umbach has written two national guide books1 on the topic of community health and has presented at more than 50 state and national community health conferences. The additional Tripp Umbach CHNA team brought more than 30 years of combined experience to the project. 1 A Guide for Assessing and Improving Health Status Apple Book: http://www.haponline.org/downloads/HAP_A_Guide_for_Assessing_and_Improving_Health_Status_Apple_Book_ 1993.pdf and A Guide for Implementing Community Health Improvement Programs: http://www.haponline.org/downloads/HAP_A_Guide_for_Implementing_Community_Health_Improvement_Progr ams_Apple_2_Book_1997.pdf 5 Community Health Needs Assessment Ochsner Medical Center Tripp Umbach Project Mission & Objectives The mission of the Ochsner Medical Center