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A report to the Wake County Human Services Public Health Cluster 4-27-2015 Division of Administration Presenter: Brian Gunter Data Analysis/Slide Preparation: Carmen Frazier Public Health Accreditation Benchmark Activity 27.2 Essential


  1. A report to the Wake County Human Services Public Health Cluster 4-27-2015 Division of Administration Presenter: Brian Gunter Data Analysis/Slide Preparation: Carmen Frazier Public Health Accreditation Benchmark Activity 27.2

  2.  Essential Service 9 ◦ Evaluate effectiveness, accessibility, and quality of personal and population-based health services  Benchmark 27 ◦ The local health department shall evaluate all services it provides for effectiveness in achieving desired outcomes

  3.  Consumer Respondents ◦ Those who stated having used any Public Health or Environmental Health Services  Community Respondents ◦ Those who stated not using Public Health or Environmental Health Services

  4.  8 Survey Sites  Survey Time Frame ◦ Sunnybrook Clinics ◦ 4/8/2015 – 4/21/2015 ◦ Swinburne Building ◦ Millbrook Center ◦ Crosby Garfield Center ◦ Eastern Regional Center ◦ Eastern Regional Library ◦ Cameron Village Library ◦ Pullen Park

  5.  212 Respondents ◦ 173 (81 81.6 .6%) ) Consumer Respondents ◦ 36 (16 16.9%) .9%) Community Respondents ◦ 3 (1.4 .4%) Other 1% 1% 17% 17% Consumer Respondents Community Respondents 82% 82% Other

  6. Consumer umer Respo pond ndents nts by S Site 42.2% N = 173 12.7% 12.1% 9.2% 6.9% 6.4% 5.8% 3.5% 1.2% Site te

  7. Wake County ty Public ic Healt lth h and Enviro ronme ment ntal al Service vices Used by C Consume mers WIC —Women, Infant, Children’s Nutrition 92 (53.2%) Immunization and Vaccination 61 (35.3%) Prenatal 59 (34.1%) Child Health 46 (26.6%) Wake County Pharmacy 39 (22.5%) Wake County Dental 38 (22.0%) ces Family Planning 34 (19.7%) ty Service Vital Records 30 (17.3%) Primary Care — Adult 19 (11.0%) Sexually Transmitted Diseases 16 (9.2%) Wake County School Based Health 14 (8.1%) N = 173 Health Promotion and Education 13 (7.5%) Primary Care — Child 10 (5.8%) HIV Clinic 9 (5.2%) Restaurant Inspection 8 (4.6%) Disaster Preparedness 3 (1.7%) Teen Clinic (Monday’s at 2:00 pm) 3 (1.7%) HIV Case Management 3 (1.7%) Migrant Health 2 1.2%) Well Water Testing 1 (0.6%) Care Coordination for Children (CC4C) 1 (0.6%) Septic Services 0 0 20 40 60 80 100 Number mber of Time mes s Serv rvices ices Report orted ed

  8. Service vice Usage ge Rates Per Year r by PH/EH H Consume mers About once every 2-3 22.4% years About once a year 24.2% 2-5 times a year 28.6% 6-11 times a year 11.8% N = 173 12 or more times a year 13.0%

  9. Satisfaction isfaction of Consumer sumers Who Use se Servic rvices s About Once ce Every ry 2-3 Years 52.8% N = 36 30.6% 11.1% 2.8% 2.8%

  10. Satisfacti isfaction on of Consumer umers Who Use Servi rvices ces About Once ce A Ye Year 43.6% 43.6% N = 39 12.8% 0.0% 0.0%

  11. Satisfacti isfaction on of Consumer umers Who Use Servi rvices ces 2-5 Times A Year 47.8% N = 46 45.7% 6.5% 0.0% 0.0%

  12. Satisfacti isfaction on of Consumer umers Who Use Servi rvices ces 6-11 1 Times A Ye Year 47.4% N = 19 36.8% 15.8% 0.0% 0.0%

  13. Satisfacti isfaction on of Consumer umers Who Use Servi rvices ces 12 of More Times A Ye Year 61.9% N = 21 33.3% 4.8% 0.0% 0.0%

  14. Availab lability lity of Public ic Healt lth h Service vices to Consumer sumer Respondents spondents 84.2% N = 146 ency equenc se Frequ onse spon Resp 11.6% 4.1% Provides services Does not provide services I do not use when I need them when I need them Public Health Services Serv rvice ice Avail ilabil ilit ity

  15. Additional onal Public ic Healt lth h Service vice Times Sugg ggeste ted by Consumer by umer Respond ondent nts N = 33 39.4% 33.3% ency equenc se Frequ onse 21.2% spon Resp 6.1% On Saturdays Earlier in the morning More Evenings On Sundays Times es

  16. Availab lability lity of Enviro ronmental nmental Service vices to Consumer umer Respo pondents dents N = 83 53.4% 43.2% ency equenc se Frequ onse spon Resp 3.4% Provides services Does not provide services I do not use when I need them when I need them Public Health Services Serv rvice ice Avail ilabil ilit ity y

  17. Ad Addition onal al Enviro ronm nmental ental Service vice Times Sugg ggeste sted by Consumer umer Respond ondent nt N = 20 35.0% 30.0% ency 25.0% equency ce Frequ once spon Resp 10.0% Earlier in the mornings More evenings On Saturdays On Sundays Times es

  18. Commun munit ity Respond ondents ts by Surve veyed yed Site 30.6% N = 36 22.2% 13.9% 13.9% 5.6% 5.6% 5.6% 2.8% 0.0% Site te

  19. Commun munit ity Responde ondents ts Reas asons ons for Not Using ng Service vice 54.5% N = 36 ency equenc 33.3% se Frequ onse spon Resp 15.2% 3.0% 3.0% Have Not Needed Not Eligible Not Available Unaware of No Response When Needed Services Reaso sons

  20. Avalibility ibility of Public ic Healt lth h Service vices to Commun munit ity Respond ondent nts 76.7% N = 30 cy uency ce Fequen once spon Resp 13.3% 10.0% Provides services Does not provide I do not use when I need them services when I need them Public Health Services Serv rvice ice Avail ilabil ilty ty

  21. Avalibility ibility of Enviro ronmental nmental Service vices to Commun munit ity Respond ondent nts 85.7% N = 28 cy uency ce Fequen once spon Resp 14.3% 0.0% Provides services when I need Does not provide services I do not use Public Health them when I need them Services Serv rvice ice Avail ilabil ilty ty

  22. Consumers umers Commun munit ity 31% 31% YES 47% 47% NO 53% 53% 69% 69% N = 30 N = 142

  23. Commun munit ity Consumers umers N N N N N N N N N N N N N N N N N N YES 37% 37% NO 50% 50% 50% 50% 63% 63% N = 144 N = 30

  24. Consumer umer Commun munit ity 20% YES 47% NO 53% 80% N = 77 N = 30

  25. Con Consu sumer Re r Resp spondents ts Other Public Health or Environmental Services Suggestions? KEY Transportation Medical help with no insurance Blue = Comment Type Headers Would like dental clinic for adults Electronic filing of death certificates Yellow = PH/EH Service related Debris pick-up Salmon = Service compliment Dating/Sex education for young people or adults Mold testing Grey = Behavioral Health related You need better help with housing transition Assistance for people that lost their job after many years and need temporary services asap. not 3 months down the road Help find jobs for special needs Parks cheaper daycares more free actives swimming pools more children get- together (mommy and me closes) Comments? - Open-Ended Response Our legislations refused federal Funding which decrease benefits for Medicaid recipients - not good-- Just rather have something a lot closer to where I live. I wish you would open a dental clinic for adults It is always a pleasure to come to Clinic E. The wonderful staff always make Joseph and myself feel so welcomed. From the front desk personnel to the nurses and everyone else I am pleased to say how wonderful they are Ms. Ross and nurse Jayne Moore are exceptional employees! Medicaid needs to hire more case workers!! Need more worker with Medicaid Private insurance Air Quality samples in Southeast Raleigh Keep up the good work Thanks for all yall done I'm always took good care of, and that's why I come here rather then Raleigh they progress more services for us and they provides when we need thanks Thanks to God and especially Human Services, they are always nice, and very attentive and help me a lot. A thousand thanks for your time and dedication. I am very happy with sanitation! It was very difficult to schedule doctor and WIC appointment on the phone. It would be helpful to have a human operator, or a more direct phone system (automated) to be able to talk to a worker. prenatal Medicaid took almost 6 months to receive Get behind the medical marijuana program

  26. Benchmark Activity 27.2 requires: Meeting minutes/records describing how satisfaction data 1. was used in planning or decision making Documentation of changes made-- 2. ◦ “ If there are no obvious changes based on feedback, there still must be some type of minutes or record that indicate the data was reviewed, discussed, and the group determined that there was no need to make changes at this time.” Future Steps  Any recommended changes as a result of data?  Analysis/Recommendations for follow up?  All should be recorded in minutes/record of meeting.  Questions?

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