Community Health Needs Assessment Data Assessment

Transcription

1 2016 Community Health Needs Assessment Data Assessment

2 Key Elements of CHNA Process

3 Sources and Process Sources Used in Data Assessment Process Community Commons: public website that provides data, tools and stories to improve communities and inspire change. Ninety percent of the secondary data was found on the community commons site. The site provides data and mapping capability to develop community health needs assessments. Nielsen Claritas: Nielsen Claritas demographics were used to create maps and tables of total population and breakdowns of certain other population segments. This information was pulled for all seven counties in the Self Regional Healthcare service area and projected 2021 demographics were included County Health Rankings: This source is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. It gives a general snapshot of how healthy each county is in relation to others in the same state. It measures and ranks both health outcomes and health factors that lead to those outcomes. Each indicator is weighed, standardized, and ranked in order to come up with an overall ranking of health for each county in South Carolina. The Advisory Board Company- The Inpatient and Outpatient Estimators were used at a county level to estimate percent growth in utilization by disease state over the next five years.

4 Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities

5 Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities

6 Patient Origin Map 90% of SRH inpatients originate from shaded areas.

7 Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities

8 2016 Population: Self Regional 7 County Service Area Source: Nielsen Claritas

9 Population Growth: Self Regional 7 County Service Area Source: Nielsen Claritas

10 Greenwood County Outmigration: Source: US Census Bureau Census Flow Mapper

11 Laurens County Outmigration: Source: US Census Bureau Census Flow Mapper

12 Abbeville County Outmigration: Source: US Census Bureau Census Flow Mapper

13 McCormick County Outmigration: Source: US Census Bureau Census Flow Mapper

14 Edgefield County Outmigration: Source: US Census Bureau Census Flow Mapper

15 Saluda County Outmigration: Source: US Census Bureau Census Flow Mapper

16 Newberry County Outmigration: Source: US Census Bureau Census Flow Mapper

17 Population Growth by Age and Gender: Self Regional 7 County Service Area Age Groups 2016 Male Population 2019 Male Population Male Population Growth 2014 Female Population 2019 Female Population Female Population Growth % % % % % % % % Total % % Source: Nielsen Claritas

18 2014 Race/Ethnicity Table Race Abbeville Edgefield Greenwood Laurens McCormick Newberry Saluda White 69.70% 60.90% 65.10% 71.80% 49.60% 65.50% 69.70% African American 28.30% 36.90% 32.10% 26.00% 48.60% 31.30% 26.20% American Indian 0.30% 0.30% 0.50% 0.40% 0.20% 0.80% 1.50% Asian 0.40% 0.40% 1.00% 0.40% 0.50% 0.70% 0.30% Native Hawaiian/ Pacific Islander 0.00% 0.10% 0.10% 0.10% 0.10% 0.30% 1.00% Two or More Races 1.20% 1.30% 1.20% 1.30% 1.10% 1.30% 1.30% Hispanic/ Latino 1.20% 5.70% 5.80% 4.40% 1.20% 7.50% 14.90% * US Census Bureau Source: US Census Bureau

19 Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities

20 County Health Rankings Health Factors County Health Factors Rank 1 Beaufort (BE) 2 Greenville (GR) 3 Charleston (CH) 4 York (YO) 5 Lexington (LX) 6 Dorchester (DO) 7 Richland (RI) 8 Pickens (PI) 9 Anderson (AN) 10 Berkeley (BK) 11 Newberry (NB) 12 Oconee (OC) 13 Kershaw (KE) 14 Aiken (AI) 15 Georgetown (GE) 16 Spartanburg (SP) 17 Edgefield (ED) 18 Lancaster (LA) 19 Calhoun (CA) 20 Florence (FL) 21 McCormick (MC) 22 Horry (HO) 23 Greenwood (GW) County Health Factors Rank 24 Sumter (SU) 25 Saluda (SA) 26 Abbeville (AB) 27 Laurens (LU) 28 Union (UN) 29 Darlington (DA) 30 Cherokee (CE) 31 Fairfield (FA) 32 Clarendon (CD) 33 Hampton (HA) 34 Chesterfield (CT) 35 Bamberg (BA) 36 Chester (CS) 37 Orangeburg (OR) 38 Williamsburg (WI) 39 Jasper (JA) 40 Barnwell (BR) 41 Colleton (CL) 42 Lee (LE) 43 Dillon (DI) 44 Marion (MA) 45 Allendale (AL) 2016 Health Factors-South Carolina Health Behaviors Clinical Care Socio-Economic Factors Physical Environment 46 Marlboro (MR)

21 County Health Rankings Health Factors

22 County Health Rankings Health Factors

23 County Health Rankings Health Factors

24 County Health Rankings Health Factors

25 County Health Rankings Health Outcomes County Health Outcomes Rank 1 Beaufort (BE) 2 Dorchester (DO) 3 York (YO) 4 Charleston (CH) 5 Greenville (GR) 6 Berkeley (BK) 7 Lexington (LX) 8 Edgefield (ED) 9 Richland (RI) 10 Calhoun (CA) 11 Anderson (AN) 12 Pickens (PI) 13 Oconee (OC) 14 Kershaw (KE) 15 Spartanburg (SP) 16 Aiken (AI) 17 Greenwood (GW) 18 Horry (HO) 19 Saluda (SA) 20 Sumter (SU) 21 Lancaster (LA) 22 Georgetown (GE) 23 Newberry (NB) County Health Outcomes Rank 24 Abbeville (AB) 25 Clarendon (CD) 26 Laurens (LU) 27 Jasper (JA) 28 Florence (FL) 29 Hampton (HA) 30 Cherokee (CE) 31 McCormick (MC) 32 Bamberg (BA) 33 Chesterfield (CT) 34 Chester (CS) 35 Fairfield (FA) 36 Union (UN) 37 Orangeburg (OR) 38 Colleton (CL) 39 Allendale (AL) 40 Lee (LE) 41 Barnwell (BR) 42 Darlington (DA) 43 Dillon (DI) 44 Williamsburg (WI) 45 Marion (MA) 46 Marlboro (MR) Health Outcomes-South Carolina Length & Quality of Life

26 County Health Rankings Health Outcomes

27 County Health Rankings- Health Factors and Outcomes; SRH Service Area Comparison, 2016 County Health Factors Rank 11 Newberry (NB) 17 Edgefield (ED) 21 McCormick (MC) 23 Greenwood (GW) 25 Saluda (SA) 26 Abbeville (AB) 27 Laurens (LU) County Health Outcomes Rank 8 Edgefield (ED) 17 Greenwood (GW) 19 Saluda (SA) 23 Newberry (NB) 24 Abbeville (AB) 26 Laurens (LU) 31 McCormick (MC) Health Factors: Health Behaviors Clinical Care Socio-economic Factors Physical Environment Health Outcomes: Length and Quality of Life

28 County Health Rankings-Health Factors; SRH Service Area Comparison, 2013 vs County Health Factors Rank 10 Edgefield (ED) 18 Newberry (NB) County Health Factors Rank 11 Newberry (NB) 17 Edgefield (ED) 20 Greenwood (GW) 22 Abbeville (AB) 25 Saluda (SA) 26 McCormick (MC) 28 Laurens (LU) 21 McCormick (MC) 23 Greenwood (GW) 25 Saluda (SA) 26 Abbeville (AB) 27 Laurens (LU) Health Factors: Health Behaviors Clinical Care Socio-economic Factors Physical Environment

29 County Health Rankings-Health Outcomes; SRH Service Area Comparison, 2013 vs County Health Outcomes Rank 3 Edgefield (ED) 13 Saluda (SA) 16 Abbeville (AB) 20 Greenwood (GW) 23 Newberry (NB) 26 McCormick (MC) 35 Laurens (LU) County Health Outcomes Rank 8 Edgefield (ED) 17 Greenwood (GW) 19 Saluda (SA) 23 Newberry (NB) 24 Abbeville (AB) 26 Laurens (LU) 31 McCormick (MC) Health Outcomes: Length and Quality of Life

30 Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities

31 Leading Health Indicators: Healthy People 2020 Access to Health Services Clinical Preventative Services Environmental Quality Injury and Violence Maternal, Infant Child Health Mental Health Nutritional, Physical Activity and Obesity Oral Health Reproduction and Sexual Health Social Determinants Substance Abuse Tobacco Office of Disease Prevention and Health Promotion; A Federal Government Web site managed by the U.S. Department of Health and Human Services

32 Access to Health Services

33 Access to Health Services SRH 7 County Service Area Need: Internal Medicine OB/GYN Pathology Psychiatry Source: SRH Strategic Planning and Physician Services,

34 Inpatient Projections Access to Health Services *SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick, Newberry an d Saluda Counties

35 Outpatient Projections Access to Health Services Service Line 2014 Volume 2019 Volume 5YR Growth Cardiology 78,382 85, % Cosmetic Procedures 5,369 6, % Dermatology 41,657 47, % Endocrinology % ENT 23,687 25, % Evaluation and Management 787, , % Gastroenterology 21,190 24, % General Surgery 6,066 6, % Gynecology 9,136 9, % Lab 297, , % Miscellaneous Services 144, , % Nephrology 6,406 7, % Neurology 10,881 12, % Neurosurgery % Obstetrics 3,364 3, % Oncology 1,688 1, % Ophthalmology 65,259 77, % Orthopedics 29,712 33, % Pain Management 7,632 8, % Physical Therapy/Rehabilitation 176, , % Podiatry 12,404 14, % Psychiatry 93,040 93, % Pulmonology 19,175 22, % Radiology 242, , % Spine 968 1, % Thoracic Surgery % Trauma 8,247 8, % Urology 11,447 13, % Vascular 9,988 11, % *SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick, Newberry an d Saluda Counties

36 ER Market Estimates: Self Regional 7 County Service Area Access to Health Services Level 1 Admitted Volume Not Admitted Volume Certain conditions originating in the perinatal period Complications of pregnancy; childbirth; and the puerperium 311 2,336 Congenital anomalies Diseases of the blood and blood-forming organs Diseases of the circulatory system 3,767 6,721 Diseases of the digestive system 2,467 6,561 Diseases of the genitourinary system 1,109 6,099 Diseases of the musculoskeletal system and connective tissue 348 6,971 Diseases of the nervous system and sense organs 592 9,169 Diseases of the respiratory system 2,373 12,846 Diseases of the skin and subcutaneous tissue 474 3,477 Endocrine; nutritional; and metabolic diseases and immunity disorders 807 1,452 Infectious and parasitic diseases 1,064 2,012 Injury and poisoning 1,888 22,657 Mental Illness 1,018 3,549 Neoplasms Residual and unclassified conditions Symptoms; signs; and ill-defined conditions and factors influencing health status ,199 Source: Advisory Board

37 Skilled Nursing Facility (SNF) Beds Per County County 2016 Population 2016 Population 65+ SNF Beds Per 1, Population Greenwood 69,361 11, Laurens 66,722 11, Edgefield 26,629 4, Abbeville 24,872 4, McCormick 9,735 2, Saluda 20,045 3, Newberry 37,969 7, County Total 255,333 42,850 1, South Carolina 4,727, ,451 20, United States 314,107,084 43,177,961 1,700, *SNF Beds verified per SCDHEC.gov *Populations per Neilsen Claritas, US Census Bureau * *

38 Uninsured Population by County, Access to Health Services Source:

39 Access to Primary Care by County, (Rate per 100,000 Pop.), 2013 Access to Health Services Source:

40 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Access to Health Services Measure Report Area South Carolina Score Uninsured Population by County 16.02% 15.93% Access to Primary Care

41 Clinical Preventative Services

42 FQHC/RHC Locations Clinical Preventative Services Rural Health Centers: Laurens Family Practice Laurens Family Practice Gray Court Family Healthcare Newberry Due West Family Medicine Family Medicine Associates Calhoun Falls Family Practice Abbeville Internal Medicine Edgefield Medical Clinic Peach Tree Medical Center W Hugh Morgan, MD Fam. Peach Tree Medical (Saluda) Saluda Family Medicine, PA Riley Family Practice Associates Peach Tree Medical (Edgefield) Uptown Family Practice Saluda Family Practice Village Family Practice Carolina Health Centers, Inc. The Bethany Center Lakelands Family Practice Ware-Shoals Family Practice McCormick Family Practice Calhoun Falls Family Practice Ridge Spring Family Practice Laurens County Community Center Federally Qualified Health Centers: Sources:

43 Diabetes Prevalence-Adult by County, 2012 Clinical Preventative Services Source:

44 Diabetes Management-Hemoglobin A1C Test, 2012 Clinical Preventative Services Source:

45 Cancer Screenings-Mammogram, Female Medicare Enrollees, 2012 Clinical Preventative Services Source:

46 Cancer Screenings-Pap Test, Females, Ages 18+, Clinical Preventative Services Source:

47 Cancer Screenings-Sigmoidoscopy or Colonoscopy, Ages 50+, Clinical Preventative Services Source:

48 Age-Adjusted Cancer Incidence-Breast, Female, (Cases per 100,000 Pop. per year), Clinical Preventative Services Source:

49 Age-Adjusted Cancer Incidence-Cervical, Female, (Cases per 100,000 Pop. per year), Clinical Preventative Services Source:

50 Age-Adjusted Cancer Incidence- Colo-Rectal, (Cases per 100,000 Pop. Per year), Clinical Preventative Services Source:

51 Age-Adjusted Cancer Incidence-Lung, (Cases per 100,000 Pop. Per year), Clinical Preventative Services Source:

52 Age Adjusted Cancer Incidence-Prostate, Males, (Cases per 100,000 Pop. per year), Clinical Preventative Services Source:

53 High Blood Pressure-Adult, Ages 18+, Clinical Preventative Services Source:

54 Mortality-Cancer, (Per 100,000 Population), Clinical Preventative Services Source:

55 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Clinical Preventative Services Measure Report Area South Carolina Score Diabetes Prevalence in Adults Diabetes Management Hemoglobin A1C Test Cancer Screenings Mammogram Cancer Screenings Pap Test Cancer Screenings Sigmoidoscopy/Colonoscopy Cancer Incidence Female Breast Cancer Incidence Cervical NA 8 Cancer Incidence Colorectal Cancer Incidence Lung Cancer Incidence Prostate High Blood Pressure Adults Cancer Mortality

56 Environmental Quality

57 Air Quality Particulate Matter Environmental Quality Fine Particulate Matter (PM2.5) 2011 County Average Daily Density Abbeville Edgefield Greenwood Laurens McCormick Newberry Saluda South Carolina

58 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Environmental Quality Measure Report Area South Carolina Score Air Quality Particulate Matter

59 Injury and Violence

60 Mortality - Motor Vehicle Accident Injury and Violence Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER Source geography: County

61 Mortality Pedestrian Accident Injury and Violence Note: This indicator is compared with the state average. Data Source: US Department of Transportation, National Highway Traffic Safety Administration, Fatality Analysis Reporting System Source geography: County

62 Mortality Premature Death Injury and Violence Note: This indicator is compared with the state average. Data Source: University of Wisconsin Population Health Institute, County Health Rankings. Centers for Disease Control and Prevention,National Vital Statistics System. Accessed via CDC WONDER Source geography: County

63 Mortality Unintentional Injury Injury and Violence Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER Source geography: County

64 Violent Crime Injury and Violence Note: This indicator is compared with the state average. Data Source: Federal Bureau of Investigation, FBI Uniform Crime Reports. Additional analysis by the National Archive of Criminal Justice Data. Accessed via the Inter-university Consortium for Political and Social Research Source geography: County

65 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Injury and Violence Measure Report Area South Carolina Score Mortality Motor Vehicle Accident Mortality Pedestrian Accident Mortality Premature Death 9,136 8,272 Mortality Unintentional Injury Violent Crime

66 Maternal, Infant Child Health

67 Infant Mortality Maternal, Infant Child Health Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. Centers for Disease Control and Prevention, Wide-Ranging Online Data for Epidemiologic Research Source geography: County

68 Low Birth Weight Maternal, Infant Child Health Note: This indicator is compared with the state average. Data Source: US Department of Health & Human Services, Health Indicators Warehouse. Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER Source geography: County

69 High School Graduation Rate Maternal, Infant Child Health Note: This indicator is compared with the state average. Data Source: National Center for Education Statistics, NCES - Common Core of Data Source geography: County

70 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Maternal, Infant Child Health Measure Report Area South Carolina Score Infant Mortality Low Birth Weight 10.83% 9.9% High School Graduation Rate

71 Mental Health

72 Access to Mental Health Providers Mental Health Note: This indicator is compared with the state average. Data Source: University of Wisconsin Population Health Institute, County Health Rankings Source geography: County

73 Mortality - Suicide Mental Health Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER Source geography: County

74 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Measure Access to Mental Health Providers Report Area South Carolina Mortality Suicide Score Mental Health

75 Nutritional, Physical Activity and Obesity

76 Obesity by County, Obese (BMI >= 30), Adults Age 20+, 2012 Nutritional, Physical Health and Obesity Source:

77 Overweight by County, Overweight (BMI ), Adults Age 18+, Nutritional, Physical Health and Obesity Source:

78 Low Income and Low Food Access by County, 2010 Nutritional, Physical Health and Obesity Source:

79 Fruit/Vegetable Consumption, Ages 18+, Nutritional, Physical Health and Obesity Source:

80 Physical Inactivity by County, Ages 20+, 2012 Nutritional, Physical Health and Obesity Source:

81 Recreation and Fitness Facility Access by County, (Rate per 100,000 Pop.), 2013 Nutritional, Physical Health and Obesity Source:

82 Mortality-Heart Disease by County, Age-Adjusted Rate (Per 100,000 Pop.), Nutritional, Physical Health and Obesity Source:

83 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Nutritional, Physical Health and Obesity Measure Report Area Obesity - Adults South Carolina Score Overweight -Adults Low Income & Low Food Access Fruit/Vegetable Consumption Physical Inactivity Recreation & Fitness Facility Access Mortality Heart Disease

84 Oral Health

85 Poor Dental Health by County, Ages 18+, Oral Health Source:

86 Access to Dentists by County, (Rate per 100,000 Pop.), 2013 Oral Health Source:

87 Dental Care Utilization by County, Ages 18+ Without Dental Exam in Past 12 Months, Oral Health Source:

88 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Oral Health Measure Report Area Poor Dental Health - Adults Access to Dentists Dental Care Utilization Adults South Carolina Score

89 Reproduction and Sexual Health

90 STI-Chlamydia Incidence by County, (Rate per 100,000 Pop.), 2014 Reproduction and Sexual Health Source:

91 STI-Gonorrhea Incidence by County, (Rate per 100,000 Pop.), 2014 Reproduction and Sexual Health Source:

92 STI-HIV Incidence by County, (Rate per 100,000 Pop.), 2013 Reproduction and Sexual Health Source:

93 Teen Births by County, Females, Ages 15-19, (Rate per 1,000 Pop.), Reproduction and Sexual Health Source:

94 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Reproduction and Sexual Health Measure Report Area South Carolina Score STI - Chlamydia STI Gonorrhea STI HIV Teen Births

95 Social Determinants

96 Median Family Income, Social Determinants Source:

97 Poverty-Population Below 200% FPL, Social Determinants Source:

98 Population with No High School Diploma, Ages 25+, Social Determinants Source:

99 Unemployment Rate by County, 2016 Social Determinants Source:

100 Poverty-Children Below 200% FPL, Ages 0-17, Social Determinants Source:

101 Public School Students Eligible Free/Reduced Price Lunch, Social Determinants Source:

102 Unemployment by Self Regional Service Area County Social Determinants Sources: US Bureau of Labor Statistics

103 Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Social Determinants Measure Report Area South Carolina Average Family Income $59,836 $71,602 Poverty-Population Below 200% FPL Population with No HS Diploma Unemployment Rate Poverty-Children Below 200% FPL Children Eligible for Free/ Reduced Price Lunch Score

104 Substance Abuse

105 Excessive Alcohol Consumption by County, Ages 18+, Substance Abuse Source:

106 Liquor Store Access by County, (Rate per 100,000 Pop.), 2013 Substance Abuse Source:

107 Scorecard Substance Abuse Better than SC Within +/- 5% of SC Worse than SC Unknown Measure Report Area South Carolina Score Excessive Alcohol Consumption Liquor Store Access

108 Tobacco

109 Tobacco Usage-Current Smokers by County, Ages 18+, Tobacco Source:

110 Scorecard Tobacco Better than SC Within +/- 5% of SC Worse than SC Unknown Measure Report Area Tobacco Usage Current Smokers South Carolina Score

111 Access to Health Services Uninsured Population Top Positive Indicators Clinical Preventative Services Environmental Quality Injury and Violence Prostate and Lung Cancer Incidence, Diabetes Mgmt-A1C Test Low particulate matter days Low pedestrian accident mortality rate Low unintentional injury death rate Maternal, Infant Child Health High school graduation rate is high Mental Health Nutritional, Physical Activity and Obesity Food Access Oral Health Reproductive and Sexual Health STI HIV STI - Gonorrhea Social Determinants Unemployment Rate Substance Abuse/Tobacco Liquor Store Access Alcohol Consumption

112 Access to Health Services Access to Primary Care Top Negative Indicators Clinical Preventative Services Environmental Quality Injury and Violence Colorectal Cancer Incidence High Blood Pressure, Diabetes Cancer Screenings-Colonoscopy Violent Crime, Premature Death, Motor Vehicle Deaths Maternal, Infant Child Health High infant mortality rate High low birth weight rate Mental Health Nutritional, Physical Activity and Obesity Access to mental health providers High mortality by suicide rate Physical Inactivity, Obesity Access to Fitness Centers Oral Health Poor Dental Health, Access to Dentists Dental Care Utilization Reproductive and Sexual Health Teen Births STI - Chlamydia Social Determinants Substance Abuse/Tobacco Population with No HS Diploma Poverty-Children Below 200% FPL Tobacco Usage Alcohol Consumption

113 Community Input 694 Respondents from all seven counties in the SRH service area. County of Residence Greenwood 266 Laurens 97 Abbeville 83 Edgefield 72 Saluda 67 *19 skipped question Newberry 50 McCormick 40 # of Respondents

114 Perceived and reported Access to healthcare services/ cost of healthcare Obesity Mental Health Diabetes Cancer incidence/screenings High blood pressure Dental health utilization Level of poverty Perceived, but not reported Reported, but not perceived Lack of public transportation Primary care availability Wait times to access physician Health education Violent crime rate STI incidence Teen births; high infant mortality/low birth weight High motor vehicle death Poor dental health Tobacco usage/alcohol consumption

115 Prioritization Grid Ability to Impact: Coordination and Leadership Low Medium High Chlamydia Dental care utilization Teen births High Low Low birth weight Tobacco Infant mortality rate Poor dental health HS diploma Medium Significance of the Community Need Access Cancer and screenings Mental health High blood pressure Obesity Diabetes Premature death Physical inactivity Alcohol/drug use Poverty level children Violent crime