Community Health Assessment 2018 04/19/2018 Stutsman County Agenda - - PDF document

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 1

• d

Agenda

• 11:00 - 11:10

Welcome Introductions

• 11:15-12:00

Review Stutsman County data and community survey results

• 12:00 -

Lunch Break

• 12:30 - 1:30

Results Discussion and Comments

• 1:30 – 1:55

Prioritization Process

• 1:55 – 2:00

Closing Remarks

Community Health Needs Assessment

PURPOSE

• Under the Patient Protection and Affordable Care Act

(PPACA), tax-exempt 501 (c)(3) hospitals are now required to conduct a Community Health Needs Assessment (CHNA) every three years with input from public health experts and community members, ultimately adopting an implementation strategy.

• Local health departments are preparing for a national

accreditation process that requires them to conduct strategic planning, including a CHNA conducted every five years, and a corresponding Community Health Improvement Plan (CHIP). Central Valley Health became the first accredited health department in North Dakota in 2015.

VISION

To be the healthiest community in which to live, learn, work and play.

TASK

Community Health Improvement Plan

WHO WE ARE

Group of Health and Safety organizations in Stutsman County partnering to improve the health of the community.

THE REASON

Provide effective, quality health and safety services in an environment that enables community members to reach their full potential through assessment, leadership and partnerships.

• Subcommittees help address various issues

Community Health Partnership

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 2

• Homelessness
• Human trafficking
• Access to mental health services
• Access to medical care
• Opioids

Emerging Issues

• Alpha Opportunities
• American Heart Association
• American Red Cross – Buffalo Valley
• Ave Maria Village/Heritage Centre
• Central Valley Health District
• Child Care Aware
• City of Jamestown
• Community Action Program Headstart
• Economic Development Corporation –

Logan County

• Essentia Health
• Eventide
• Guardian Angels, Inc.
• Health Tracks
• James Valley Career & Tech Center
• Jamestown Ambulance
• Jamestown Area Chamber Social &

Regional Issues

• Jamestown City Council
• Jamestown Public Schools
• Jamestown Regional Medical Center
• Main Street Downtown Jamestown

Association

• North Dakota Department of Health
• North Dakota State Hospital
• NDSU Extension
• RSVP+ South Central
• Safe Shelter
• Salvation Army
• Sanford Health
• South Central Human Service Center
• Southeast Education Cooperative
• Stutsman County Emergency

Management

• Stutsman County Housing
• Stutsman County Sheriff Department
• Stutsman County Social Services
• University of Jamestown

Community Health Partnership Importance of CHP Population Health

• Where we live matters
• Framework used to guide

work with community partners

• Behavior & Social Factors
• Journal of American Medical

Association, 2004

• Can Contribute:
• Death
• Illness
• Disability
• Can Cause:
• Half of deaths each year.

Stutsman County WINS

• BCBS recess grant and Everybody Walk mini grants - Walking trail in downtown

Jamestown

• NYNY wellness challenge - Reached 300 people
• TRAC - Completed in 2017
• NDSU extension service - programs on healthy eating.
• Jamestown Public Schools - Summer breakfast program – School Wellness policy

changes

• Businesses offer worksite wellness activities.
• Safe routes to school grant received
• Arts park downtown

Stutsman County WINS

• Sanford added Family Practice providers
• Essentia added Family Practice providers
• Urgent care clinic added to the community
• JRMC hires specialty physicians: orthopedic surgeon ,ENT, Urology, OB/GYN
• No Excuses Campaign promotes breast health
• CVHD and JRMC provided sport physicals for student athletics
• CVHD partnered with Essentia on a Diabetes Prevention Program

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 3

Stutsman County WINS

• North Dakota Unemployment Rate 2.8
• State has low unemployment rate
• Rental Vacancy Rate
• Up to 4.8%
• Healthy market is 5-7%
• City Health and Safety Committee
• formed to address housing and unfit housing.
• Blessing Bags and Diaper Drive assist vulnerable populations in the

community.

Fo Focus us on n Com

• mmuni

nity - MAIN MAIN Street ND ND

Every community has unique opportunities and challenges. The Main Street Initiative gives local leaders a direct access point to a variety of resources, helping capitalize on strengths and make sound planning decisions. These efforts will help create vibrant cities poised to attract and retain a 21st century workforce, helping North Dakota compete and succeed in a global economy.

“The Main Street Initiative will assist engaged communities to become

even stronger, increasing the quality of life for all North Dakotans.” - Governor Doug Burgum

Social Determinants of Health

The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities ~World Health Organization

Stutsman County’s Health

Where are we today?

4 PRIORITY AREAS workforce

ability to attract and retain doctors not enough healthcare staff in general

affordable housing

• besity and physical activity

access to care

availability to doctors, nurses and specialists cost and adequacy of health insurance

2015 Community Health Improvement Plan

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 4

Workforce Obesity – Stutsman County Physical Inactivity – Stutsman County Access to Care – Stutsman County County Profile Data Leading Causes of Death Stutsman County

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 5

18 36 19 5 29 28

Community Health Needs Assessment

COMMUNITY SURVEY RESULTS

Community Health Needs Assessment: Demographics 720 responses!

• 92% said they were from Stutsman County

Community Health Needs Assessment: Demographics

AGE 2018 CHNA STUTSMAN Less than 18 years 21.1% 20% 18 to 24 years 15.4% 11% 25 to 34 years 18.8% 12.7% 35 to 44 years 12.9% 10.7% 45 to 54 years 20.8% 13% 55 to 64 years 6.7% 15% 65 to 74 years 3.6% 8.7% 75 years and older 0.8% 8.9% TOTAL 612 responses 21,108 people no resp. 153

Community Health Needs Assessment: Demographics

SEX 2018 CHNA STUTSMAN Male 24.5% 51.2% Female 74.8% 48.8% Transgender 0.7%

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 6

Community Health Needs Assessment: Demographics

WORK FOR HEALTHCARE 2018 CHNA STUTSMAN (16+) Yes 20.6% 14% No 79.4% 86%

Community Health Needs Assessment: Demographics

INCOME 2018 CHNA STUTSMAN Less than $15,000 7.6% 12.3% $15,000 to $24,999 3.4% 8.3% $25,000 to $49,999 10.5% 25.8% $50,000 to $74,999 18.8% 20.2% $75,000 to $99,999 18.7% 14.0% $100,000 to $149,999 18.7% 13.3% $150,000 and over 8.9% 6.1%

Community Health Needs Assessment

Q6:

Considering the

COMMUNITY HEALTH

in your community, concerns are:

• 1. Jobs with livable wages
• 2. Attracting and retaining young

families

• 3. Affordable housing

Community Health Needs Assessment

CONCERN STUTSMAN COUNTY NORTH DAKOTA Jobs with livable wages Median household income: $53,685 Median household income: $59,114 Attracting and retaining young families Affordable housing Homes built after 1980: 26.7% Homes built after 1980: 42.7% Homes in Stutsman County are also

• lder. More than 50% of Stutsman

County homes were built before

• 1969. In all of N.D., only 38% of homes

were built before 1969.

Community Health Needs Assessment

Q7:

Considering the

AVAILABILITY OF HEALTH SERVICES

in your community, concerns are:

• 1. Availability of specialists
• 2. Ability to get appointments
• 3. Availability of primary care providers

(doctor, nurse practitioner, physician assistant)

Community Health Needs Assessment

CONCERN STUTSMAN COUNTY NORTH DAKOTA Availability of specialists Availability to get appointments Availability of primary care providers 1,320:1 1,330:1 Stutsman County scored #5 out of 49 counties in part because of its strong ratio of PCPs to population. Win!

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 7

Community Health Needs Assessment

Q8:

Considering the

SAFETY/ ENVIROMENTAL HEALTH

in your community, concerns are:

• 1. Public transportation
• 2. Traffic safety
• 3. Crime & safety

Community Health Needs Assessment

CONCERN STUTSMAN COUNTY NORTH DAKOTA Public transportation Traffic safety Crime & safety 71 injury deaths 68 injury deaths Data varies by source. In some studies, overall crime rate in Stutsman County is higher than ND. In

• thers, ND is higher than Stutsman.

Rape rate alarmingly high.

Community Health Needs Assessment

Q9:

Considering the

DELIVERY OF HEALTH SERVICES

in your community, concerns are:

• 1. Cost of health insurance
• 2. Ability to recruit and retain primary

care providers

• 3. Cost of healthcare services

Community Health Needs Assessment

CONERN STUTSMAN COUNTY NORTH DAKOTA Cost of health insurance Ability to recruit and retain primary care providers Cost of healthcare services 5% of respondents reported needing to see a doctor during the past 12 months but could not due to cost 7.8% of respondents reported needing to see a doctor during the past 12 months but could not due to cost Healthcare costs in Stutsman County were $7,804; compared to $8,341 in all of ND.

Community Health Needs Assessment

Q10:

Considering the

PHYSICAL HEALTH

in your community, concerns are:

• 1. Obesity/overweight
• 2. Cancer
• 3. Poor nutrition, poor eating habits

Community Health Needs Assessment

CONCERN STUTSMAN COUNTY NORTH DAKOTA Obesity/overweight 34% of adults are >30 BMI 32% Cancer Poor nutrition, poor eating habits In Stutsman County, cancer is the leading cause of death for residents ages 35-44.

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 8

Community Health Needs Assessment

Q11:

Considering the

MENTAL HEALTH & SUBSTANCE ABUSE

in your community, concerns are:

• 1. Youth alcohol use and abuse
• 2. Youth drug use and abuse
• 3. Youth mental health
• 4. Adult drug use and abuse

Community Health Needs Assessment

CONCERN STUTSMAN/LOGAN COUNTY NORTH DAKOTA Youth alcohol use and abuse 18.5% of students reported having drank 5 or more drinks

• f alcohol on 1 or more days

in the past 30 days. 16.4% of students reported having drank 5 or more drinks

• f alcohol on 1 or more days

in the past 30 days Youth drug use and abuse Youth mental health Adult drug use and abuse 4.8% of respondents reported driving when they had too much to drink one or more times during the past 30 days 3.4% of respondents reported driving when they had too much to drink one or more times during the past 30 days

Community Health Needs Assessment

Q12:

Considering the

SENIOR POPULATION

in your community, concerns are:

• 1. Availability of resources to help the

elderly stay in their home

• 2. Ability to meet the needs of the
• lder population
• 3. Availability of resources for family

and friends caring for elders

Community Health Needs Assessment

CONCERN STUTSMAN COUNTY NORTH DAKOTA Availability of resources to help the elderly stay in their home Ability to meet the needs of the older population Availability of resources for family and friends caring for elders Premature death is higher in Stutsman County than ND.

Community Health Needs Assessment

AREAS TO EXPLORE 1. Housing 2. Obesity/overweight 3. Cancer 4. Rape AREAS TO COMMUNICATE 1. Cost of health insurance 2. Cost of healthcare services 3. Availability of primary care providers

Consider the following:

• Vision – healthiest place to live,

learn,work and play

• Data
• Survey Results
• Professional & Personal Experience

Pick top three and place 1 dot for each where applicable – USE post-it notes for possible actions Prioritization:

Community Health Assessment 2018 Stutsman County 04/19/2018 Community Health Partnership 9

Community Health Needs Assessment Resources: County Health Rankings Stutsman County Community Health Profile Data

• CHP Email

slkaiser@nd.gov

• Website

http://chpstutsman.wixsite.com/chpstutsman

• Facebook

https://www.facebook.com/chpjamestown/

Connect With CHP

Comments/Questions……

THANK YOU FOR YOUR PARTICIPATION & ENGAGEMENT!