2019 Community Health Needs Assessment for Chicago youth, adolescents and families luriechildrens.org/chna Table of Contents Table of Contents .............................................................................................................................. 1 Executive Summary ........................................................................................................................... 3 Introduction ...................................................................................................................................... 4 LURIE CHILDREN’S OVERVIEW ................................................................................................................................4 Mission, Vision, and History ................................................................................................................................................ 4 Facilities and Locations ....................................................................................................................................................... 5 Specialties and Services ....................................................................................................................................................... 6 COLLABORATIVE CHNA OVERVIEW ........................................................................................................................8 Alliance for Health Equity .................................................................................................................................................... 8 2018-2019 Collaborative CHNA Methodology .................................................................................................................... 9 Lurie Children’s Role .......................................................................................................................................................... 11 LURIE CHILDREN’S CHNA COMMUNITY ............................................................................................................... 11 Service Area Community ................................................................................................................................................... 11 Methodology and Data Sources ........................................................................................................................................ 11 Population Description and Child Opportunity Index ........................................................................................................ 14 Life Expectancy and Years of Potential Life Lost ............................................................................................................... 17 Maternal Health and Infant Mortality .............................................................................................................................. 18 Neighborhood-specific Service Area.................................................................................................................................. 21 COMMUNITY INPUT ............................................................................................................................................ 22 Community Input Survey – Collaborative CHNA ............................................................................................................... 22 Community Input Survey – Youth Voice & Lurie Children’s Employees ............................................................................. 25 Collaborative CHNA Focus Groups .................................................................................................................................... 31 Lurie Children’s Interviews ................................................................................................................................................ 31 Lurie Children’s Focus Groups ........................................................................................................................................... 31 Voices of Child Health in Chicago ...................................................................................................................................... 33 2019 CHNA Results and Data ........................................................................................................... 35 PRIORITY HEALTH ISSUES .................................................................................................................................... 35 Alliance for Health Equity Model ...................................................................................................................................... 35 Lurie Children’s 2019 CHNA Priorities ............................................................................................................................... 36 OVERVIEW OF HEALTH INEQUITIES ..................................................................................................................... 36 THE ROLE OF RACISM .......................................................................................................................................... 37 Segregation, Racial Inequities, and Health in the Chicago Metro Area ............................................................................ 38 Achieving Racial Equity ..................................................................................................................................................... 38 The Relationship between Inequities, Trauma, and Toxic Stress ...................................................................................... 38 SOCIAL DETERMINANTS OF HEALTH ................................................................................................................... 40 Poverty .............................................................................................................................................................................. 41 Education and Employment .............................................................................................................................................. 42 Housing and Homelessness ............................................................................................................................................... 46 Food Access and Insecurity ............................................................................................................................................... 48 |Page 1 ACCESS TO CARE .................................................................................................................................................. 49 Healthcare Coverage ......................................................................................................................................................... 50 Proximity to Healthcare Services....................................................................................................................................... 51 Healthcare Quality ............................................................................................................................................................ 52 School-Based Health Services ............................................................................................................................................ 53 CHRONIC HEALTH CONDITIONS........................................................................................................................... 54 Asthma .............................................................................................................................................................................. 56 Complex Chronic Conditions .............................................................................................................................................. 58 Obesity .............................................................................................................................................................................. 59 MENTAL AND BEHAVIORAL HEALTH ................................................................................................................... 60 Trauma and Childhood Adversity ...................................................................................................................................... 60 Fragmentation of Services and Integration of Care .......................................................................................................... 61 Social and Structural Determinants of Health................................................................................................................... 62 Stigma and Discrimination ................................................................................................................................................ 62 Workforce Shortages and Gaps in Training ...................................................................................................................... 62 Priority Populations ........................................................................................................................................................... 62 Utilization of Emergency Care ........................................................................................................................................... 63 UNINTENTIONAL INJURY AND VIOLENCE ............................................................................................................ 67 Unintentional Injury .........................................................................................................................................................