Click here to load reader

2014 Community Health Center of Branch County - bhsj.org · PDF file2014 Community Health Center of Branch County Community Health Needs Assessment . ... Community Forum

  • View
    219

  • Download
    5

Embed Size (px)

Text of 2014 Community Health Center of Branch County - bhsj.org · PDF file2014 Community Health...

  • 2014 Community Health Center of Branch County Community Health

    Needs Assessment

  • P a g e |2

    Table of Contents

    Summary 3

    Data Collection Methods ...5

    Secondary Data Collection 7

    Demographics 8

    Social and Economic Factors 9

    Health Conditions 12

    Primary Data Collection ..17

    Survey Results .18

    Community Forum ..23

    Key Informant Interviews ...24

    Implementation Plan ...26

    Appendix A .29

    Appendix B .34

  • P a g e |3

    Summary The Community Health Center of Branch County (CHCBC) conducted the Community Health Needs Assessment (CHNA) to further its commitment to the community and better determine the needs of whom they serve. For the purposes of this CHNA, the definition of community is all the residents of Branch County, Michigan. This CHNA began in January 2014 and was completed and approved by CHCBCs Board of Trustees on April 28, 2014. CHCBC staff in collaboration with the Branch, Hillsdale, and St. Joseph Community Health Agency conducted the CHNA.

    Data on health needs were derived using four methods:

    Data gathered and analyzed from secondary sources such as the US Census, County Health Rankings, Michigan Department of Community Health, and the Branch-Hillsdale-St. Joseph Community Monitor.

    A internet and paper-based survey, made available at 11 locations, generating 290 responses

    A community forum on April 2, 2014 where members were selected based on their extensive knowledge and expertise on public health issues or experience with subpopulations impacted by most healthcare issues

    Key informant interviews with representatives of the community with unique knowledge of health issues affecting the community

    These data were analyzed to identify the top health needs of residents of Branch County:

    Addiction (smoking, drugs, alcohol) Unwed and teen mothers Suicide prevention Parenting skills & family planning services Obesity Senior citizen adult day care Childhood mental health programs Health literacy & prevention education

    CHCBC leaders and board members using consensus criteria including availability of evidence-based interventions and measures of impact, magnitude of the need, and fit within CHCBCs strategy and capabilities prioritized these top health needs.

  • P a g e |4

    As a result of this analysis, the CHCBC identified areas of needed improvement and access of health education and programs focusing on the needs of addiction, parenting/pregnancy, mental health, and senior citizens as its focus for community health needs. This decision reflects a coming together of the health needs expressed by residents of Branch County and opportunities presented by the Affordable Care Act.

    Adequate programming and access to these services is dependent not only on the supply of providers, but also on such factors as affordability, physical accessibility, acceptability of services, availability of hours, and coordination of care. To address these concerns, the CHCBC will serve as a community health catalyst and engage community partners in taking action to improve these programs and their access.

  • P a g e |5

    The Community Health Assessment Data Collection and Survey

    The Community Health Center of Branch County collaborated with the Branch-Hillsdale-St. Joseph County Health Agency to create a comprehensive community-based health needs assessment.

    Part of the health assessment plan was to distribute an assessment survey to the general population, gather secondary supportive data, and engage county community leaders in an open discussion on how best to meet the needs revealed by the process.

    Secondary Data Collection

    Secondary data is gathered from outside reliable sources. The data is generally reported in the form of such things as:

    Actual or estimated numbers in a population. A percentage of a sample population Rates, or the number of people in a sample population compared to a similar population

    Primary Data Collection

    Primary data is data collected directly from first-hand experience or opinions. The primary data for this assessment consisted of:

    County Resident Survey Community Forum Key Informant Interviews

  • P a g e |6

    Section 1

    Secondary Data Analysis

    Demographics Social and Economic Factors Health Conditions

  • P a g e |7

    Secondary Data Collection

    Secondary data for this assessment was collected from a variety of county, state and federal sources to create a more complete profile of the population and health needs. This report strived to use the most recent, complete, yearly data available.

    The Branch-Hillsdale-St. Joseph Community Health Agency was instrumental in providing reliable secondary data. A recently published document, The Monitor, 2013, containing 100 health indicators for the county was a vital resource.

    Secondary data was analyzed to determine needs and trends in Branch County. The data was presented to the community forum to help prioritize the needs of the community.

  • P a g e |8

    Demographics

    Population

    Source:AmericanCommunitySurvey2012

    Total population for Branch County is 43,868 92% of population is white Branch County is 5th in Michigan out of 83 other counties in residents under

    age 5 Branch County is 10th in Michigan in residents under age 18 16% of residents are 65 or older compared to 15% state wide 51.8% of the population is male

    13.50% 13.02%11.34% 11.89%

    13.53%15.13%

    11.26%10.32%

    09yrs 1019yrs 2029yrs 3039yrs 4049yrs 5059yrs 6069yrs 70+

    PopulationbyAgeGroupsBranchCounty

    PopulationbyAgeGroups

  • P a g e |9

    Social and Economic Factors

    Educational Attainment

    Source:AmericanCommunitySurvey2012Population25yearsandolder

    Source:CenterforEducationPerformanceInformation(CEPI)

    41.9%

    31.4%

    13.8%

    8.2%

    4.8%

    EducationalAttainment

    HighSchool

    SomeCollege

    NoDiploma

    Bachelors

    Graduate

    83.0%

    79.4%

    85.0%

    79.0%

    76.6%76.2%

    75.2%76.0%

    74.3%

    76.2%

    2008 2009 2010 2011 2012

    Branch

    Michigan

  • P a g e |10

    Household Income

    Source:AmericanCommunitySurvey2012,FederalRegister

    $43,429 was the 2013 Branch County median household income $46,763 was the 2013 Michigan median household income 8.5% was the unemployment rate in December 2013

    6.9% 7.6%

    15.4%13.3%

    16.7%19.0%

    10.6%7.3%

    1.3% 2.0%

    LessThan$10,000

    $10,000to

    $14,999

    $15,000to

    $24,999

    $25,000to

    $34,999

    $35,000to

    $49,000

    $50,000to

    $74,999

    $75,000to

    $99,999

    $100,000to

    $149,000

    $150,000to

    $199,999

    MoreThan

    $200,000

    HouseholdIncomeDistribution

    HouseholdIncomeDistribution

  • P a g e |11

    Poverty in Branch County

    Source:AmericanCommunitySurvey2012,2014CountyHealthRankings

    According to 2014 Poverty Guidelines, the poverty threshold for a single person is < $11,670 and for a family of four, its < $23,850.

    MDE reports in Fall, 2012, 58.4% of children in Branch County were eligible for free lunch

    14% of Branch County residents could not see a doctor due to cost 19% of Branch County adults are uninsured 6% of Branch County children are uninsured National rate of uninsured is 15.9%

    18.6%

    27.4%54.0%

    PopulationinPoverty

  • P a g e |12

    Health Conditions

    Birth Statistics

    Source:MichiganResidentBirthFiles,VitalRecordsandHealthStatisticsSection,MichiganDepartmentofCommunityHealth,2011

    AccordingtotheSmallAreaIncomeandPovertyEstimates(Census),in2012,27%ofBranchCountychildrenliveatorbelowthepovertythreshold.

    9.9%

    41.4%

    24.1% 28.0%

    57.0%

    8.5%

    42.7%

    19.5%14.4%

    45.3%

    TeenBirths UnwedMothers

    Smoking NoHSDiploma WICDuringPregnancy

    BranchMichigan

  • P a g e |13

    Causes of Death

    Source:MichiganDeathFiles,2011:MichiganDeathFiles,2011

    23.0%

    23.6%

    9.7%

    5.9%

    3.4%

    5.0%

    5.2%

    1.6%

    22.6%

    26.3%

    22.7%

    5.8%

    5.0%

    4.3%

    3.2%

    3.1%

    1.9%

    27.7%

    HeartDisease

    Cancers

    ChronicLowerResp.

    Stroke

    Accidents

    Alzheimer's

    DiabetesMellitus

    Pneumonia/Influenza

    AllOtherCauses

    Branch

    Michigan

  • P a g e |14

    Hospitalizations

    Heart disease is the leading cause of hospitalization for Branch County Residents.

    Leading Causes of Hospitalizations by County of Residence for Branch County and Michigan, Rates per 10,000population, 2006-2010

    PrincipalDiagnosis BranchAve.

    AnnualNo.

    BranchRate MIRate

    AllHospitalizations 6,162 1334.8 1,317.9HeartDisease 801 173.4 145.7Newborns&Neonates(

  • P a g e |15

    Chronic Conditions

    BRFS,MDCH,200810

    County Health Rankings

    Branch County has one primary care physician for every 1,883 residents compared to one physician for every 1,268 residents in Michigan

    Branch County ranks 40

    out of 82 counties in health outcomes Adult obesity is 35% Physical inactivity is 28% - State of Michigan is improving but Branch County

    is getting worse

    5.6%

    9.8%

    2.7%

    15.5%

    4.6%

    9.5%

    2.8%

    15.6%

    HeartAttack Diabetes Stroke Asthma

    BHSJMichigan

  • P a g e |16

    Section 2

    Primary Research

    Cou