St. John Medical Center 2016 COMMUNITY HEALTH NEEDS ASSESSMENT TABLE OF CONTENTS EXECUTIVE SUMMARY.........................................................................................................................7 INTRODUCTION ................................................................................................................................16 OUR HEALTH SYSTEM ........................................................................................................................19 ST. JOHN MEDICAL CENTER............................................................................................................22 COMMUNITY SERVED........................................................................................................................23 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: METHODOLOGY.................................................26 OUR APPROACH ............................................................................................................................27 IDENTIFYING GEOGRAPHIC AREAS OF GREATEST NEED ....................................................................32 PRIORITY POPULATIONS ................................................................................................................34 COMMUNITY ENGAGEMENT AND COLLABORATION ........................................................................34 SECONDARY DATA: COMMUNITY OVERVIEW ......................................................................................34 SECONDARY DATA METHODOLGY AND SOURCES ............................................................................36 DEMOGRAPHICS ...........................................................................................................................38 HEALTH OUTCOMES ......................................................................................................................48 Health Status.............................................................................................................................48 HEALTH FACTORS ..........................................................................................................................94 Social and Economic Factors.......................................................................................................95 Geographic Areas of Highest Need ............................................................................................ 127 Clinical Care ............................................................................................................................ 128 Health Behaviors and Risk Factors ............................................................................................. 158 Physical Environment ............................................................................................................... 176 PRIMARY DATA: COMMUNITY INPUT................................................................................................ 184 2015-2016 TULSA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT .............................................. 186 TULSA COUNTY COMMUNITY HEALTH NEEDS ASSESSSMENT: SURVEY ................................................ 187 SURVEY METHODOLOGY.............................................................................................................. 187 SURVEY RESULTS ......................................................................................................................... 188 DEMOGRAPHICS ......................................................................................................................... 189 HEALTHY PEOPLE ........................................................................................................................ 194 2 2016 Community Health Needs Assessment, St. John Medical Center General Health Status .............................................................................................................. 194 Access to Health Services ......................................................................................................... 203 HEALTHY COMMUNITIES ............................................................................................................. 248 Acceptability and Perceptions of a Healthy Community .............................................................. 248 TULSA COMMUNITY HEALTH NEEEDS ASSESSMENT: FOCUS GROUPS ................................................. 270 FOCUS GROUP METHODOLOGY ................................................................................................... 270 FOCUS GROUP RESULTS............................................................................................................... 271 TULSA COUNTY HOSPITAL COMMUNITY INPUT MEETINGS................................................................. 273 CHNA ADVISORY GROUP AND HEALTH SYSTEM LEADERSHIP INPUT .................................................... 278 PRIORITIZATION OF SIGNIFICANT COMMUNITY HEALTH NEEDS.......................................................... 279 PRIORITZATION PROCESS ............................................................................................................. 280 PRIORITY HEALTH NEEDS ............................................................................................................. 280 RESOURCES AND ASSETS ................................................................................................................. 280 PRECEDING CHNA EFFORTS AND EVALUATION OF IMPACT ................................................................ 280 PRIORITY HEALTH NEEDS IN PRECEDING CHNA.............................................................................. 281 EVALUATION OF IMPACT ............................................................................................................. 281 COMMUNITY FEEDBACK .................................................................................................................. 297 CONCLUSION .................................................................................................................................. 297 APPENDIX A: INDEX FIGURES AND TABLES ........................................................................................ 298 APPENDIX B: SURVEY INSTRUMENT .................................................................................................. 305 APPENDIX C: FOCUS GROUP DISCUSSION GUIDE ............................................................................... 337 APPENDIX D: COMMUNITY INPUT MEETING PARTICIPANTS ............................................................... 339 APPENDIX E: COMMUNITY INPUT MEETING AGENDA ........................................................................ 342 APPENDIX F: COMMUNITY RESOURCES ............................................................................................ 343 3 2016 Community Health Needs Assessment, St. John Medical Center ACKNOWLEDGEMENTS We would like to acknowledge the contributions of those who supported, advised, and participated in St. John Medical Center’s Community Health Needs Assessment of Tulsa, County, Oklahoma. We greatly appreciate their contributions. Written and Prepared By: Annie Smith, LMSW, MPH- Special Projects Manager, Community Health, St. John Health System *Information sourced from the 2015 Tulsa County Health Profile and Tulsa County Community Health Needs Assessment was prepared by and provided courtesy of the Tulsa City-County Health Department. Acknowledgements: St. John Medical Center Community Input Meeting Participants: Annie Berrett, MA- Project Director, Educare Family Health Project/Tulsa Healthcare Coverage Project, School of Community Medicine, University of Oklahoma-Tulsa Gail Bieber, LCSW- Director of Community Programs, LIFE Senior Services Mike Brose, MSW-Chief Executive Officer, Mental Health Association Oklahoma Jan Clayton- Student Affairs, Tulsa Community College Erin Collier- Office Manager/Heart Walk Associate II, American Cancer Society, Inc. Caroline Coussens, APRN-CNS- Clinic Coordinator, Tulsa Dream Center Health Services Jayme Cox - President/CEO, the Oklahoma Center for Community and Justice Bruce Dart, PhD- Executive Director, Tulsa Health Department Laura Dempsey, LMFT, PhD- VP of Community Advancement, Morton Comprehensive Health Services Ben Dodwell- Administrator, Good Samaritan Health Services Jan Figart, DHA, RN- Associate Director, Community Service Council John Forrest, MD- Medical Director, Surgical Services and Oncology Services, St. John Medical Center Maggie Fox- Executive Assistant, Mental Health Association Oklahoma Fr. Jack Gleason- Church of St. Mary Nancy Grayson, PhD- Senior Regional Director, Health Equity, American Heart Association/American Stroke Association Shari Holdman- Executive Director, American Heart Association/American Stroke Association Jodi Hudson- Health Systems Manager, American Cancer Society, Inc. Sara Malone, MS, RD/LD- Dietician, Family Health and Nutrition Clinic, Center for Health Sciences, Oklahoma State University-Tulsa Donna Mathews, Esq. - Associate Director, Domestic Violence Intervention Services, Inc. Kim Morris- Program Manager, Tulsa County Medical Society Foundation Leslie Petty, APRN- Clinic Director, Tulsa Day Center for the Homeless Denise Senger, MPH, MSN, RN- Clinical Program Director, Oklahoma Project Woman/Free Clinic Coalition James Thompson- Quality Improvement Coordinator, Community Health Connection Kim Will- Marketing Specialist, Community Relations, St. John Medical Center St. John Health System