2016 Community Health Needs Assessment Data Assessment
Key Elements of CHNA Process
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. 2016 and projected 2021 demographics were included. 2016 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.
Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities
Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities
Patient Origin Map 90% of SRH inpatients originate from shaded areas.
Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities
2016 Population: Self Regional 7 County Service Area Source: Nielsen Claritas
2016-2021 Population Growth: Self Regional 7 County Service Area Source: Nielsen Claritas
Greenwood County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Laurens County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Abbeville County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
McCormick County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Edgefield County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Saluda County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Newberry County Outmigration: 2009-2013 Source: US Census Bureau Census Flow Mapper
Population Growth by Age and Gender: 2014-2019 Self Regional 7 County Service Area Age Groups 2016 Male Population 2019 Male Population 2014-2019 Male Population Growth 2014 Female Population 2019 Female Population 2014-2019 Female Population Growth 0-20 33928 33799-0.38% 32317 32328 0.03% 21-44 37158 37888 1.96% 35959 35958 0.00% 45-64 33751 32421-3.94% 35370 34080-3.65% 65+ 20610 23655 14.77% 26240 29620 12.88% Total 125447 127763 1.85% 129102 131986 2.23% Source: Nielsen Claritas
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
Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities
County Health Rankings- 2016 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) http://www.countyhealthrankings.org/
County Health Rankings- 2016 Health Factors http://www.countyhealthrankings.org/
County Health Rankings- 2016 Health Factors http://www.countyhealthrankings.org/
County Health Rankings- 2016 Health Factors http://www.countyhealthrankings.org/
County Health Rankings- 2016 Health Factors http://www.countyhealthrankings.org/
County Health Rankings- 2016 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) http://www.countyhealthrankings.org/ 2016 Health Outcomes-South Carolina Length & Quality of Life
County Health Rankings- 2016 Health Outcomes http://www.countyhealthrankings.org/
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
County Health Rankings-Health Factors; SRH Service Area Comparison, 2013 vs. 2016 County 2013 2016 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
County Health Rankings-Health Outcomes; SRH Service Area Comparison, 2013 vs. 2016 2013 2016 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
Table of Contents Defining Your Community Population and Demographics A Healthy Community Health Indicators Emerging Priorities
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 www.healthypeople.gov, Office of Disease Prevention and Health Promotion; A Federal Government Web site managed by the U.S. Department of Health and Human Services
Access to Health Services
Access to Health Services SRH 7 County Service Area Need: Internal Medicine OB/GYN Pathology Psychiatry Source: SRH Strategic Planning and Physician Services, 5.26.2015
Inpatient Projections Access to Health Services *SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick, Newberry an d Saluda Counties
Outpatient Projections Access to Health Services Service Line 2014 Volume 2019 Volume 5YR Growth Cardiology 78,382 85,672 9.0% Cosmetic Procedures 5,369 6,137 14.0% Dermatology 41,657 47,040 13.0% Endocrinology 543 682 26.0% ENT 23,687 25,863 9.0% Evaluation and Management 787,369 827,371 5.0% Gastroenterology 21,190 24,008 13.0% General Surgery 6,066 6,606 9.0% Gynecology 9,136 9,323 2.0% Lab 297,741 326,557 10.0% Miscellaneous Services 144,094 163,714 14.0% Nephrology 6,406 7,126 11.0% Neurology 10,881 12,763 17.0% Neurosurgery 646 750 16.0% Obstetrics 3,364 3,630 8.0% Oncology 1,688 1,771 5.0% Ophthalmology 65,259 77,664 19.0% Orthopedics 29,712 33,855 14.0% Pain Management 7,632 8,698 14.0% Physical Therapy/Rehabilitation 176,002 194,652 11.0% Podiatry 12,404 14,460 17.0% Psychiatry 93,040 93,104 0.0% Pulmonology 19,175 22,569 18.0% Radiology 242,519 254,696 5.0% Spine 968 1,178 22.0% Thoracic Surgery 192 235 22.0% Trauma 8,247 8,994 9.0% Urology 11,447 13,457 18.0% Vascular 9,988 11,466 15.0% *SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick, Newberry an d Saluda Counties
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 30 151 Complications of pregnancy; childbirth; and the puerperium 311 2,336 Congenital anomalies 16 27 Diseases of the blood and blood-forming organs 317 310 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 418 154 Residual and unclassified conditions 71 899 Symptoms; signs; and ill-defined conditions and factors influencing health status 437 12,199 Source: Advisory Board 5.20.2016
Skilled Nursing Facility (SNF) Beds Per County County 2016 Population 2016 Population 65+ SNF Beds Per 1,000 65+ Population Greenwood 69,361 11,979 354 29.55 Laurens 66,722 11,744 420 35.76 Edgefield 26,629 4,422 120 27.13 Abbeville 24,872 4,934 94 19.05 McCormick 9,735 2,907 120 41.27 Saluda 20,045 3,773 176 46.65 Newberry 37,969 7,091 264 37.23 7 County Total 255,333 42,850 1,548 36.12 South Carolina 4,727,273 695,451 20,019 27.78 United States 314,107,084 43,177,961 1,700,000 38.83 *SNF Beds verified per SCDHEC.gov *Populations per Neilsen Claritas, US Census Bureau *http://quickfacts.census.gov/qfd/states/45000.html *http://www.cdc.gov/nchs/fastats/nursing-home-care.htm
Uninsured Population by County, 2010-2014 Access to Health Services Source: www.communitycommons.org
Access to Primary Care by County, (Rate per 100,000 Pop.), 2013 Access to Health Services Source: www.communitycommons.org
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 63.9 66.9
Clinical Preventative Services
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: www.cms.gov http://www.cdc.gov/nchs/fastats/nursing-home-care.htm http://nfbl.sc.gov/ http://www.scdhec.gov/health/fhpf/healthfacilityregulationslicensing/healthcarefacilitylicensing/licensedschealthcarefacilitieslists/
Diabetes Prevalence-Adult by County, 2012 Clinical Preventative Services Source: www.communitycommons.org
Diabetes Management-Hemoglobin A1C Test, 2012 Clinical Preventative Services Source: www.communitycommons.org
Cancer Screenings-Mammogram, Female Medicare Enrollees, 2012 Clinical Preventative Services Source: www.communitycommons.org
Cancer Screenings-Pap Test, Females, Ages 18+, 2006-2012 Clinical Preventative Services Source: www.communitycommons.org
Cancer Screenings-Sigmoidoscopy or Colonoscopy, Ages 50+, 2006-2012 Clinical Preventative Services Source: www.communitycommons.org
Age-Adjusted Cancer Incidence-Breast, Female, (Cases per 100,000 Pop. per year), 2008-2012 Clinical Preventative Services Source: www.communitycommons.org
Age-Adjusted Cancer Incidence-Cervical, Female, (Cases per 100,000 Pop. per year), 2008-2012 Clinical Preventative Services Source: www.communitycommons.org
Age-Adjusted Cancer Incidence- Colo-Rectal, (Cases per 100,000 Pop. Per year), 2008-2012 Clinical Preventative Services Source: www.communitycommons.org
Age-Adjusted Cancer Incidence-Lung, (Cases per 100,000 Pop. Per year), 2008-2012 Clinical Preventative Services Source: www.communitycommons.org
Age Adjusted Cancer Incidence-Prostate, Males, (Cases per 100,000 Pop. per year), 2008-2012 Clinical Preventative Services Source: www.communitycommons.org
High Blood Pressure-Adult, Ages 18+, 2006-2012 Clinical Preventative Services Source: www.communitycommons.org
Mortality-Cancer, (Per 100,000 Population), 2009-2013 Clinical Preventative Services Source: www.communitycommons.org
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 12.12 11.24 Diabetes Management Hemoglobin A1C Test Cancer Screenings Mammogram 87.9 85.8 66.4 67.1 Cancer Screenings Pap Test 78.2 79.7 Cancer Screenings Sigmoidoscopy/Colonoscopy 58.4 62.9 Cancer Incidence Female Breast 125.45 125.3 Cancer Incidence Cervical NA 8 Cancer Incidence Colorectal 45.59 40.7 Cancer Incidence Lung 69.08 69.7 Cancer Incidence Prostate 110.6 138.1 High Blood Pressure Adults 34.92 31.6 Cancer Mortality 183.1 180.1
Environmental Quality
Air Quality Particulate Matter Environmental Quality Fine Particulate Matter (PM2.5) 2011 County Average Daily Density Abbeville 12.95 Edgefield 12.77 Greenwood 12.84 Laurens 12.82 McCormick 12.87 Newberry 12.67 Saluda 12.71 South Carolina 12.56 http://wonder.cdc.gov/nasa-pm.html
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Environmental Quality Measure Report Area South Carolina Score Air Quality Particulate Matter 12.80 12.56
Injury and Violence
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. 2009-13. Source geography: County
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. 2011-13. Source geography: County
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. 2011-13. Source geography: County
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. 2009-13. Source geography: County
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. 2010-12. Source geography: County
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 20.5 17.4 1.3 2.6 Mortality Premature Death 9,136 8,272 Mortality Unintentional Injury 47.91 48 Violent Crime 733.2 587.1
Maternal, Infant Child Health
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. 2006-10. Source geography: County
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. 2006-12. Source geography: County
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. 2008-09. Source geography: County
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Maternal, Infant Child Health Measure Report Area South Carolina Score Infant Mortality 9.8 7.9 Low Birth Weight 10.83% 9.9% High School Graduation Rate 73.6 66
Mental Health
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. 2016. Source geography: County
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. 2009-13. Source geography: County
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Measure Access to Mental Health Providers Report Area South Carolina 105.7 152.6 Mortality Suicide 14.8 13.6 Score Mental Health
Nutritional, Physical Activity and Obesity
Obesity by County, Obese (BMI >= 30), Adults Age 20+, 2012 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Overweight by County, Overweight (BMI 25.0-29.9), Adults Age 18+, 2011-2012 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Low Income and Low Food Access by County, 2010 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Fruit/Vegetable Consumption, Ages 18+,2005-2009 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Physical Inactivity by County, Ages 20+, 2012 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Recreation and Fitness Facility Access by County, (Rate per 100,000 Pop.), 2013 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Mortality-Heart Disease by County, Age-Adjusted Rate (Per 100,000 Pop.), 2009-2013 Nutritional, Physical Health and Obesity Source: www.communitycommons.org
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Nutritional, Physical Health and Obesity Measure Report Area Obesity - Adults 35.0 31.5 South Carolina Score Overweight -Adults 38.5 34.7 Low Income & Low Food Access 6.95 9.19 Fruit/Vegetable Consumption 84.0 80.9 Physical Inactivity 27.5 24.6 Recreation & Fitness Facility Access 3.5 8.8 Mortality Heart Disease 185.72 184.6
Oral Health
Poor Dental Health by County, Ages 18+, 2006-2010 Oral Health Source: www.communitycommons.org
Access to Dentists by County, (Rate per 100,000 Pop.), 2013 Oral Health Source: www.communitycommons.org
Dental Care Utilization by County, Ages 18+ Without Dental Exam in Past 12 Months, 2006-2010 Oral Health Source: www.communitycommons.org
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Oral Health Measure Report Area Poor Dental Health - Adults 21.5 19.9 Access to Dentists 30.6 49.9 Dental Care Utilization Adults 32.8 34.2 South Carolina Score
Reproduction and Sexual Health
STI-Chlamydia Incidence by County, (Rate per 100,000 Pop.), 2014 Reproduction and Sexual Health Source: www.communitycommons.org
STI-Gonorrhea Incidence by County, (Rate per 100,000 Pop.), 2014 Reproduction and Sexual Health Source: www.communitycommons.org
STI-HIV Incidence by County, (Rate per 100,000 Pop.), 2013 Reproduction and Sexual Health Source: www.communitycommons.org
Teen Births by County, Females, Ages 15-19, (Rate per 1,000 Pop.), 2006-2012 Reproduction and Sexual Health Source: www.communitycommons.org
Scorecard Better than SC Within +/- 5% of SC Worse than SC Unknown Reproduction and Sexual Health Measure Report Area South Carolina Score STI - Chlamydia 562.85 585.5 STI Gonorrhea 165.91 172.8 STI HIV 333.58 389.26 Teen Births 52.57 45.9
Social Determinants
Median Family Income, 2010-2014 Social Determinants Source: www.communitycommons.org
Poverty-Population Below 200% FPL, 2010-2014 Social Determinants Source: www.communitycommons.org
Population with No High School Diploma, Ages 25+, 2010-2014 Social Determinants Source: www.communitycommons.org
Unemployment Rate by County, 2016 Social Determinants Source: www.communitycommons.org
Poverty-Children Below 200% FPL, Ages 0-17, 2010-2014 Social Determinants Source: www.communitycommons.org
Public School Students Eligible Free/Reduced Price Lunch, 2013-2014 Social Determinants Source: www.communitycommons.org
Unemployment by Self Regional Service Area County 2015-2016 Social Determinants Sources: US Bureau of Labor Statistics
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 45.42 39.96 21.2 14.97 Unemployment Rate 5.3 5.2 Poverty-Children Below 200% FPL Children Eligible for Free/ Reduced Price Lunch 60.38 51.35 65.95 57.44 Score
Substance Abuse
Excessive Alcohol Consumption by County, Ages 18+, 2006-2012 Substance Abuse Source: www.communitycommons.org
Liquor Store Access by County, (Rate per 100,000 Pop.), 2013 Substance Abuse Source: www.communitycommons.org
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 14.5 14.9 5.9 8.8
Tobacco
Tobacco Usage-Current Smokers by County, Ages 18+, 2006-2012 Tobacco Source: www.communitycommons.org
Scorecard Tobacco Better than SC Within +/- 5% of SC Worse than SC Unknown Measure Report Area Tobacco Usage Current Smokers 23.1 20.6 South Carolina Score
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
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
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
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
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