2018 PRC Community Health Assessment Scott County & Muscatine County, Iowa Rock Island County, Illinois Prepared for: Community Health Care, Inc. ● Genesis Health System ● Muscatine County Board of Health ● Quad City Health Initiative ● Rock Island County Health Department ● Scott County Health Department ● UnityPoint Health – Trinity By Professional Research Consultants, Inc.
PRC Community Health Assessment This assessment consists of both primary and Secondary & Other Data PRC Community Health Survey secondary data. A follow-up to • Secondary Data • Survey of 1,112 area residents over the similar assessments in phone (landline/cell phone) and internet; • Deaths, births 2002, 2007, 2012 & these include 99 race/ethnicity oversample • Disease incidence interviews. 2015 • Census-Based Data • 458 in Rock Island County • Crime Data • 446 in Scott County • Local Data Most items benchmark to state • Provider Data • 207 in Muscatine County and/or national data. • Qualitative Input • 66 among African American respondents • 80 among Hispanic respondents • 141 survey items; 20-25 minute interview • Maximum error of ± 2.9% Total Area = • Scott County • Muscatine County • Rock Island County Quad Cities Area (QCA) = • Scott County • Rock Island County • This is the combined area for which survey trending is available.
PRC Community Health Assessment Population & Survey Sample Characteristics (Total Area, 2018) 100% Actual Population Final Survey Sample 82.2% 82.0% 80% 60% 51.4% 51.3% 48.7% 48.6% 43.3% 43.3% 36.5% 36.4% 40% 31.0% 31.0% 20.2% 20.2% 20% 10.1% 9.9% 7.9% 7.9% 0% Men Women 18 to 39 40 to 64 65+ White Hispanic Other <200% FPL
PRC Community Health Assessment Today’s Activities Presentation • Represents just a fraction of the data collected through this assessment. • Primarily focuses on areas of need ("Areas of Opportunity"); however, there were many positive findings for the area as well. • Will allow for Q&A at the end.
Positive Findings Areas of Opportunity ► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use Health Disparities Q & A
Positive Findings Areas of Opportunity ► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use Health Disparities Q & A
Selected Improvements Selected Indicators Better Over Time Than Found Nationally We have seen improvements in Quad Cities Area • Death rates : heart disease, • Death rates : motor vehicle over the years… stroke, Alzheimer’s disease crashes, firearm-related deaths, homicide, • Health insurance coverage unintentional drug-related • Routine medical care deaths • Colorectal cancer screening • HIV prevalence • Flu/pneumonia vaccination in • Infant mortality older adults • Health Insurance coverage • Dental insurance coverage • Mammography • Infant deaths • Dental visits and dental • Teen births insurance • Cigarette smoking • Leisure-time physical activity • Smoking inside homes • Education levels • Perceived access to social • Food security services
Positive Findings Areas of Opportunity ► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use Health Disparities Q & A
PRC Community Health Assessment Lack of Healthcare Insurance Coverage (Among Adults Age 18-64) Healthy People 2020 Target = 0.0% (Universal Coverage) 50% Quad Cities Area 40% 14.6% among 30% those living below poverty 20% 13.7% 10.6% 12.9% 10.7% 10.4% 7.7% 7.8% 7.0% 6.8% 10% 7.0% 6.5% 6.3% 3.5% 0% Scott Muscatine Rock Quad Cities Total IA IL US 2002 2007 2012 2015 2018 County County Island Area Area County Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 169] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2016 Iowa and Illinois data. ● 2017 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-1] Notes: ● Asked of all respondents under the age of 65. ● Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.
PRC Community Health Assessment Barriers to Access Have Prevented Medical Care in the Past Year 50% Total Area US 40% 30% Notably lower 22.5% in Rock Island County 20% 17.5% 15.8% 15.4% 15.3% 14.9% 14.5% 13.4% 12.5% 12.6% 8.2% 8.3% 10% 2.3% 1.2% 0% Getting a Inconvenient Cost Cost Finding Lack of Language/ Dr Appointment Office Hours (Doctor Visit) (Prescriptions) a Doctor Transportation Culture Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 7-13] ● 2017 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents. ● Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.
PRC Community Health Assessment Trend in Barriers to Access (Quad Cities Area) 50% 2002 2012 2015 2018 40% 30% 22.5% 20% 15.7% 15.6% 14.4% 12.6% 16.5% 16.0% 13.6% 13.3% 8.2% 12.6% 10% 12.4% 11.7% 11.9% 11.7% 10.6% 10.3% 10.2% 10.1% 8.9% 7.3% 5.5% 5.5% 4.8% 0% Getting a Cost Inconvenient Cost Finding Lack of Dr Appointment (Doctor Visit) Office Hours (Prescriptions) a Doctor Transportation Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 7-11, 13] Notes: ● Asked of all respondents. ● Quad Cities Area reflects a combination of Scott and Rock Island counties.
PRC Community Health Assessment Adults: Have a Specific Source of Children: Have a Particular Place for Child’s Medical Care Ongoing Medical Care (Quad Cities Area) (Among Parents of Children Age 0-17; Quad Cities Area) 96.7% 81.5% 93.8% 77.3% 75.2% 83.5% 2012 2015 2018 2012 2015 2018 Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 170] Although it has improved, there remains a ● 2017 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-5.1] relatively low physician-to-population ratio in the area (particularly Rock Island and Muscatine counties).
PRC Community Health Assessment Ease of Obtaining Local Healthcare Ease of Obtaining Child Health Services Is “Fair/Poor” Services Is “Fair/Poor” (Total Area Adults Who Have Needed Healthcare (Total Area Adults Who Have Needed to Access Services, 2018) Child Health Services, 2018) 17.6% 14.6% 12.9% 11.0% 10.6% 10.1% 9.5% 9.2% 6.6% 2002 2007 2012 2015 2018 2002 2012 2015 2018 Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 311] Notes: ● Asked of those respondents who have needed healthcare services. ● Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island. Particularly high among low-income households.
Positive Findings Areas of Opportunity ► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use Health Disparities Q & A
Leading Causes of Death (2016) Stroke 4.3% Accidents Stroke 4.2% Accidents Alzheimer's Alzheimer's 4.3% 4.2% 3.7% 3.6% Lung Disease Lung Disease 6.5% 6.4% Cancer Cancer Various Other Various Other 36.5% 36.3% 22.2% 21.7% Heart Disease Heart Disease 23.1% 23.0% Quad Cities Area Total Area Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted March 2018. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Age-adjusted mortality rates are similar ● Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island. to statewide and national rates.
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