2016 Respondents 1110 people responded to the HC survey compared - - PowerPoint PPT Presentation

Hillsdale Hospital Community Health Needs Assessment Survey

2016

Respondents

• 1110 people responded to the HC survey

compared to 983 in 2013.

• Not all respondents answered every question.
• 95 said they were not Hillsdale residents. The

remaining respondents represent about 2.2% of the county population based on 2014 Census estimates.

• Thanks to all who planned and promoted this

survey and those who entered data. Their help was invaluable.

Profile of the 1110 Respondents to the 2016 Survey

Respondents by Sex Compared to Hillsdale 2014 Population Estimates

31% 69% 49.90% 50.10% 0% 10% 20% 30% 40% 50% 60% 70% 80% Male Female Survey Population Estimate 2014

Residents of Hillsdale County

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Yes No Unknown 80.4% 8.6% 11.0%

Age Breakdown of Respondents

50 100 150 200 250 18-20 21-30 31-40 41-50 51-60 61-64 65-75 75+ 27 135 139 135 184 122 234 124

Respondents by Age Compared to 2014 County Census Estimates

0.0% 67.5% 32.5% 22.3% 60.0% 17.7% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% Under 18 18-64 65+ Respondents Census

Respondents by Race & Ethnic Origin Compared to the 2014 County Census

98.4% 98.3% 97.1% 95.2% 93.0% 94.0% 95.0% 96.0% 97.0% 98.0% 99.0% White Non-Hispanic Respondents Census 2014

Respondent Employment Status 2016 & 2013

16 292 88 65 110 50 17 89 367 50 100 150 200 250 300 350 400 2016 2013

Another Look at Employment 2016

292 88 65 110 50 17 89 367 16 Employed Full Employed Part Self Employed Homemaker Unemployed Seeking Unemployed Disabled Retired Students

Jobless Rate Hillsdale County Compared to Michigan

8.6% 10.3% 16.9% 14.4% 11.0% 9.3% 9.1% 7.0% 5.3% 7.1% 8.3% 13.4% 12.7% 10.3% 9.1% 8.9% 7.3% 5.4% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0% 2007 2008 2009 2010 2011 2012 2013 2014 2015 Hillsdale Michigan

Respondents Marital Status, 2016

114 125 75 22 671 49 54 100 200 300 400 500 600 700 800

Respondents Living Situations 2016 & 2013

785 192 80 1 660 216 78 7 100 200 300 400 500 600 700 800 900 Own Home Renting Stays with Others Homeless 2016 2013

Percent of Respondents Living in Own Home Compared to Hillsdale County & Michigan 2014 Census Data

74.20% 77.80% 71.50% 68% 70% 72% 74% 76% 78% 80% Respondents Hillsdale Michigan

Why are 80 Respondents Living with Others?

• May be students: 16 were in school.
• May be living with significant other: 49 were

in this category

• May be some an elderly person living with

family members or a caregiver living with the person for whom they care.

• Other possible reasons: living with parents or?

Respondents with Children at Home

• Yes: 363 or 34.8%
• No: 681 or 65.2%

Number of Children at Home 2016 & 2013

138 124 62 28 11 138 137 59 23 12 20 40 60 80 100 120 140 160 One Two Three Four More than 4 2016 2013

Respondents Highest Education Level 2016 & 2013

78 374 52 251 81 132 80 62 99 313 35 224 76 120 84 32 50 100 150 200 250 300 350 400 2016 2013

Education Level, Another Look, 2016

< HS 7% HS 36% Trade School 5% Some College/Trade 24% Associate Degree 8% College + 20%

Respondents’ Education, 2016

• Only 7.5% of respondents to the survey had

less than a high school diploma.

• But 12.7% of the county residents age 25 or

less did not have a high school diploma, 2010- 2014, per the U.S. census data estimates for 2014.

Graduation Rates of Hillsdale Residents Compared to Michigan, 2013-14

• 81.8% Hillsdale
• 78.6% Michigan

Some Conclusions

• 69% of our survey respondents were female

compared to 50.1% in the general population.

• 32% of our survey respondents were age 65 or
• ver, compared to 17.7% in the general

population.

• Our respondents were better educated than

the general population.

Behavior Characteristics

• f Survey Respondents

How Respondents Define Their Weight, 2016 & 2013

34 383 518 78 30 370 469 72 100 200 300 400 500 600 Underweight Average Overweight Obese 2016 2013

Another Way to Look at Weight, Respondents 2016

3.4% 37.8% 51.1% 7.7% Underweight Average Overweight Obese

Weight Reported by Branch-Hillsdale-

• St. Joseph Residents,

Michigan BRFS, 2012-14

Healthy Weight 24% Overweight 39% Obese 37%

Respondents Concern about their Weight, 2016

When asked if a respondent was concerned about their weight:

• 51.2% said they were.
• 48.8% said they were not.

Respondents who Smoke, 2016

• Smoke:

205 or 19.8%

• Don’t Smoke

831 or 80.2% 24.5% of Branch-Hillsdale-St. Joseph County adult residents said they smoked on the Michigan Behavioral Risk Factor Surveys, 2012- 14, compared to 22% in Michigan. 27.2% were former smokers.

Yes 20% No 80%

Smoking Trends, Respondents 2016 & 2013 Compared to MI BRFS 2012-14

20% 21% 25% 22% 0% 5% 10% 15% 20% 25% 30% 2016 2013 BHSJ MI

Mothers who Smoke, Michigan Birth Data, 2012-13 and 2008-10 Averages

31.7% 19.6% 30.5% 20.6% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% Hillsdale Michigan 2011-13 2008-10

Respondents Who Drink Alcohol 2016 & 2013

312 48 11 251 48 13 50 100 150 200 250 300 350 Drink More than 1/day More than 3/day 2016 2013

Respondents Who Reported Binge Drinking (5 or more drinks) in the Past Month on the MI BRFS, 2012-2014 Average

• 15.7% Branch-Hillsdale-St. Joseph County

Residents

• 19.0% Michigan

Respondents’ Use of Specific Drugs 2016 & 2013

44 4 6 19 2 2 5 10 15 20 25 30 35 40 45 50 Marijuana Cocaine Any Illegal 2016 2013

Respondents’ Concerns about Drug Abuse Issues, 2016

424 506 438 351 295 345 216 191 201 100 200 300 400 500 600 Misuse prescriptions Substance Abuse Young Substance Abuse Adults Very Moderately Not at All

Medical Care Issues

Respondents with Health Insurance 2016 & 2013

835 138 1070 32 200 400 600 800 1000 1200

Yes No

2016 2013

Medical Insurance by Type, 2016

36% 3.30% 6.26% 20.60% 0.40% 34.10% Employer Private

• Gov. subsidized

Medicaid BHSJ Medicare

Source of Insurance, Respondents CHNA Surveys, 2016 and 2013

35.5% 3.3% 6.3% 20.6% 0.4% 34.0% 40.8% 3.7% 0.0% 21.4% 1.4% 32.7% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 2016 2013

Affordable Care Act and Medicaid Expansion in Michigan

• Medicaid expansion was approved December

30, 2103 in Michigan and was implemented beginning April, 2014.

• This was expected to cause an increase in

number of Medicaid users in Hillsdale County.

• But the percentage of respondents on the 2016

survey with Medicaid was 20.6% and is comparable to the 21.4% in 2013.

• The consequence of the Affordable Care Act on

the CHNA respondents seems to be a decrease in employer coverage and movement to private pay with a government subsidy.

Respondents on Medicare with Supplemental Plans 2016 & 2013

19% 81% 18% 82% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Medicare Only Medicare Supplements 2016 2013

Respondents with Prescription or Dental Insurance, 2016 & 2013

88.80% 57.30% 89.70% 58.20% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00% Prescription Dental 2016 2013

Respondents Reporting No Health Insurance, Ages 18-64, Behavior Risk Factor Survey, 2012-14

MI: 15.6% Branch-Hillsdale-St. Joseph: 18.1% Our survey: 3.2%

Respondents with no Health Insurance, 2016

32 people said they had no health insurance.

• Analysis of these individuals revealed:

– Five actually had Medicare – One was on Medicaid – Two had a private or employer plan

• Based on the above facts, only 24 people had

with no evidence of insurance and were more likely to be female (19) than male (5) .

Uninsured Respondent Profile, 2016

1 8 4 3 3 1 1 1 1 1 1 2 3 4 5 6 7 8 9 18-20 21-30 31-40 41-50 51-60 61-65 Female Male

Respondents with Physicians, 2016

1008 81 200 400 600 800 1000 1200 Yes No

Respondents with Physicians, 2016

• Yes: 1008 or 92.6%
• No: 81 or 7.4%

21.2% of Branch-Hillsdale-St. Joseph residents reported on the Michigan BRFS they had no personal physician, 2012-2014 average, compared to 16.3% of all Michigan residents

Yes 93% No 7%

Respondents with Physicians, 2016 & 2013

93% 76% 13% 1% 85% 67% 16% 2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Have Physician In Hillsdale Outside Hillsdale Unknown 2016 2013

Location of Respondents’ Physicians

847 100 42 45 100 200 300 400 500 600 700 800 900 1000 In Hillsdale Outside Hillsdale Hillsdale Resident Non-Resident

Frequency Respondents Visit Their Regular Doctors Each Year, 2016

226 341 294 97 33 50 100 150 200 250 300 350 400 Once Twice Four Times Monthly More than Montly

Respondent Difficulty Finding or Getting to a Doctor

91% (940) 81% (825) 93% (955) 9% (91) 19% (199) 7% (67) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Trouble Finding Doctor Long Wait for Appointment Transportation Problems No Yes

Respondents with Trouble Getting Treatment, 2016 & 2013

8.8% 19.4% 6.6% 7.6% 18.8% 6.6% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% Finding Doctor Long Wait Transportation 2016 2013

Respondents with Chronic Conditions, 2016 and 2013

169 108 40 370 285 145 110 36 315 220 50 100 150 200 250 300 350 400 Diabetes Heart Disease Cancer High Blood Pressure High Cholesterol 2016 2013

Respondents with Other Chronic Conditions, 2016, (Not Asked 2013)

392 156 95 44 162 8 146 70 50 100 150 200 250 300 350 400 450

Where Respondents Go for Medical Treatment, 2016

334 100 3 6 11 546 8 22 100 200 300 400 500 600 Hospital ER Urgent Care Health Dept. St. Peter's Clinic Outside Area Own Physician VA Facility Other

Where Respondents Go for Medical Treatment, 2016 & 2013

32% 10% 53% 28% 6% 57% 0% 10% 20% 30% 40% 50% 60% 70% Hospital ER Urgent Care Own Physician 2016 2013

Respondent Concerns about Healthcare Issues, 2016

309 428 315 387 346 450 312 224 233 50 100 150 200 250 300 350 400 450 500 Quality Care Affordability Teen Pregnancy Very Moderately Not at All

Respondents Concerned about Health Issues, 2013

278 407 271 323 264 325 310 243 309 50 100 150 200 250 300 350 400 450 Quality of Health Care Affordability Teen Pregnancy Very Moderately Not at All

Medical Services Used by Respondents in Past Year, 2016

100 200 300 400 500 600 700 800 Total Use Hillsdale Other County

Other Medical Services Respondents Used in Past Year, 2016

100 200 300 400 500 600 700 Total Use Hillsdale Other County

Some Medical Services Respondents Used in the Past Year, 2016

547 206 194 112 312 319 108 475 788 796 565 399 376 235 100 200 300 400 500 600 700 800 900 Yes No

Female Respondents Medical Services Used Past Year, 2016

740 112 312 319 100 200 300 400 500 600 700 800 Total Females Pregnant Mammogram Pap Smear

Male Respondents Medical Services Used Past Year, 2016

332 108 50 100 150 200 250 300 350 Total Males Prostate Screening

Mental Health Issues Respondents Reported in Past Year, 2016 & 2013

26% 4% 4% 3% 31% 4% 4% 3% 0% 5% 10% 15% 20% 25% 30% 35% Depressed Suicidal Afraid of being hurt Afraid would hurt

• thers

2016 2013

Respondents Who Were Hospitalized in Past Year, 2016

• Yes: 244 or 23.9%
• No: 736 or 76.1%

Yes 24% No 76%

Respondents Who Were Hospitalized by Number of Occasions, 2016

162 58 24 20 40 60 80 100 120 140 160 180 One Time Two Times More than 2 Times

Respondents Hospitalized by Facility, 2016

140 111 20 40 60 80 100 120 140 160 At HC Not at HC

Where Respondents Went for Treatment other than Hillsdale

Borgess, 20 Coldwater, 14 Alligence, 16 U of M, 11 Toledo, 6 Other, 35

Respondents Who Chose between Food/Utilities or Prescriptions Due to Cost, 2016 & 2013

55 888 68 800 100 200 300 400 500 600 700 800 900 1000 Yes No 2016 2013

Respondents who Reported Cost Prevented Them from Seeking Medical Services in the Past Year, MI BRFS 2012-2014 Average

• 17.4% of Branch-Hillsdale-St. Joseph

Residents

• 15.0% of Michigan Residents

Social and Environmental Issues

Respondents Who Were Caregivers

122 921 Yes No

Caregivers Living Situations

50% of the caregivers live with the person for whom they are providing care.

How Caregivers Rate Healthcare Services and Support They Receive

Insufficient, 5 Adequate, 28 Good, 52 Excellent, 25 Not Sure, 4 Insufficient Adequate Good Excellent Not Sure

Respondents and Issues

Respondents were asked about select social and environmental issues. They considered each issue and marked whether they were:

• Very Concerned
• Moderately Concerned
• Not at all Concerned

Respondents Very Concerned with Various Issues, 2016

506 438 424 419 418 385 352 309 315 226 220 193 178 171 160 140 100 200 300 400 500 600

Respondents Very Concerned with Various Issues, 2013

407 404 382 352 311 295 278 271 246 234 206 138 117 113 96 89 50 100 150 200 250 300 350 400 450

Top Five Concerns: 2016 & 2013

2016 2013 Substance Abuse Youth Affordable Health Care Substance Abuse Adults Employment Opportunities Abuse Prescriptions Substance Abuse Youth Employment Opportunities People in Poverty Affordable Health Care Substance Abuse Adults

Respondents Not Concerned with Various Issues, 2016

480 432 428 418 393 379 312 281 233 224 216 206 201 201 191 159 100 200 300 400 500 600

Respondents Not Concerned with Various Issues, 2013

557 525 491 449 437 344 327 310 309 294 292 290 263 259 243 242 100 200 300 400 500 600

Top Least Concerns: 2016 & 2013

2016 2013 Air Pollution Public Safety/Terrorism Radon Air Pollution Water Pollution Water Pollution Public Safety/Terrorism Radon Public Safety Disasters Public Safety Disasters

Respondents Concerned about Environmental Issues, 2016

178 140 171 399 378 391 428 480 432 100 200 300 400 500 600 Water Pollution Air Pollution Radon Very Moderately Not at All

Respondents Concerned about Safety Issues, 2016

160 193 226 220 444 385 489 94 393 418 281 379 100 200 300 400 500 600 Safety Natural Disasters Safety Terrorism Crime Domestic Violence Very Moderately Not at all

Respondents Concerned about Economic Issues, 2016

395 352 419 451 441 376 159 206 201 50 100 150 200 250 300 350 400 450 500 People in Poverty Affordable Housing Employment Opportunities Very Moderately Not at all

Where do we go from here?

What do you consider the main health related issues facing Hillsdale County residents? How can they be addressed by the hospital? How else can they be addressed? How can your agency help meet these needs?