2019 Community Health Needs Assessment: Data Assessment … · 2019 Health Outcomes-South Carolina County Health Rankings-2019 Health Outcomes Health Outcomes: Length and Quality

2019 Community Health Needs Assessment:Data Assessment

Key Elements of CHNA Process

Sources� Americas Health Rankings: For nearly three decades, America’s Health Rankings has provided an analysis

of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings.

� Centers for Disease Control and Prevention. National Center for Health Statistics: This source provided stats of the states and is where data was retrieved for South Carolina. This source provides birth data, leading causes of death, mortality data, and other South Carolina data. The data provided by this source shows state, national and state rank.

� Community Commons: Community Commons is a public website that provides data, tools and stories to improve communities and inspire change. Ninety percent of the secondary data was found on the Community Commons site. The site provides data and mapping capability to develop community health needs assessments.

� Live Healthy South Carolina: Live Healthy South Carolina is a statewide collaborative to improve the health of all South Carolinians. Everyone deserves an opportunity at a healthy life, and you too, can help make a difference. The Alliance for a Healthier South Carolina led the development of Live Healthy South Carolina, and two member organizations provided key support, the South Carolina Department of Health and Environmental Control (DHEC) and the South Carolina Office of Rural Health (SCORH).

Sources, cont.

� Sg2: Sg2 was used for demographics, physician demand, inpatient and outpatient and emergency room estimates. This information was pulled for all seven counties in the Self Regional Healthcare service area. 2019 and projected 2024 demographics were included. The Inpatient and Outpatient Estimators were used at a county level to estimate utilization by disease state over the next five years.

� South Carolina Department of Health and Environmental Control (SCDHEC): As the state agency responsible for protecting public health and the environment, SCDHEC requires timely, efficient and effective access to information about the state’s health, land, water, air and coastal resources. The GIS program mission is to provide core geospatial technology infrastructure, tools and services to support SCDHEC program operation, policy evaluation, and decision-making. The Community Health Profiles are available for each county in South Carolina.

� 2019 County Health Rankings: This source is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. It gives a general snapshot of how healthy each county is in relation to others in the same state. It measures and ranks both health outcomes and health factors that lead to those outcomes. Each indicator is weighed, standardized and ranked in order to come up with an overall ranking of health for each county in South Carolina.

Sources, cont.

� South Carolina Law Enforcement Division (SLED): The primary mission of the State Law Enforcement Division is to provide quality manpower and technical assistance to law enforcement agencies and to conduct investigations on behalf of the state as directed by the Governor and Attorney General.

� The Commonwealth Fund: The primary mission is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society’s most vulnerable, including low-income people, the uninsured, and people of color.

Table of ContentsDefining Your Community

Population and Demographics

A Healthy Community

Health Indicators

Emerging Priorities

Defining Your Community


A Healthy Community

Health Indicators

Emerging Priorities

Self Regional Healthcare Patient Origin

90% of SRH inpatients

originate from shaded zip

codes

Skilled Nursing Facility (SNF) Beds Per County

County 2017 Population 65+

SNF Beds Per 1,000 65+ Population

Greenwood 12,734 332 26.07Laurens 11,966 475 39.69

Edgefield 4,831 120 24.83Abbeville 5,241 94 17.93

McCormick 3,169 120 37.87Saluda 3,927 176 44.82

Newberry 7,390 264 35.727 County Total 49,258 1,581 32.09South Carolina 867,287 20,752 23.92United States 50,812,182 1,700,000* 33.45

*SC SNF Beds verified per SCDHEC.gov

*Populations per US Census Bureau

*http://quickfacts.census.gov/qfd/states/45000.html

*http://www.cdc.gov/nchs/fastats/nursing-home-care.htm 2014 licensed beds



A Healthy Community

Health Indicators

Emerging Priorities

2019-2024 Population Growth: Self Regional Service Area

Source: Sg2

Population Growth by Age and Gender: 2019-2024

Source: Sg2

2019-2024 Race/Ethnicity and Language

Source: Sg2

2019 - 2024 Household Income

Source: Sg2



A Healthy Community

Health Indicators

Emerging Priorities

County Health Rankings- 2019 Health Factors

2019 Health Factors-South Carolina

Health Factors: Health Behaviors

Clinical Care Socio-economic FactorsPhysical Environment

Source: http://www.countyhealthrankings.org/

Rank County

1 Beaufort (BE)2 Greenville (GR)3 Charleston (CH)4 Lexington (LX)5 Dorchester (DO)6 York (YO)7 Spartanburg (SP)8 Richland (RI)9 Pickens (PI)

10 Berkeley (BK)11 Oconee (OC)12 Anderson (AN)13 Aiken (AI)14 Georgetown (GE)15 McCormick (MC)

16 Abbeville (AB)

17 Kershaw (KE)18 Lancaster (LA)19 Calhoun (CA)20 Greenwood (GW)

21 Newberry (NB)22 Edgefield (ED)

23 Horry (HO)

Rank County

24 Florence (FL)25 Saluda (SA)26 Sumter (SU)27 Laurens (LU)

28 Cherokee (CE)29 Union (UN)30 Hampton (HA)31 Darlington (DA)32 Chesterfield (CT)33 Jasper (JA)34 Fairfield (FA)35 Barnwell (BR)36 Clarendon (CD)37 Chester (CS)38 Bamberg (BA)39 Colleton (CL)40 Williamsburg (WI)41 Orangeburg (OR)42 Dillon (DI)43 Lee (LE)44 Marlboro (MR)45 Marion (MA)46 Allendale (AL)










2019 Health Outcomes-South Carolina

County Health Rankings- 2019 Health Outcomes

Health Outcomes: Length and Quality of Life

Rank County1 Beaufort (BE)2 York (YO)3 Charleston (CH)4 Edgefield (ED)5 Greenville (GR)6 Lexington (LX)7 Berkeley (BK)8 Dorchester (DO)9 Pickens (PI)

10 Saluda (SA)11 Oconee (OC)12 Richland (RI)13 Aiken (AI)14 Lancaster (LA)15 Anderson (AN)16 Horry (HO)17 Kershaw (KE)18 Spartanburg (SP)19 Newberry (NB)20 Abbeville (AB)21 Sumter (SU)22 Georgetown (GE)23 Calhoun (CA)

Rank County24 Greenwood (GW)25 Clarendon (CD)26 Jasper (JA)27 Laurens (LU)28 Barnwell (BR)29 Cherokee (CE)30 McCormick (MC)31 Union (UN)32 Florence (FL)33 Chesterfield (CT)34 Chester (CS)35 Hampton (HA)36 Bamberg (BA)37 Orangeburg (OR)38 Darlington (DA)39 Fairfield (FA)40 Allendale (AL)41 Colleton (CL)42 Williamsburg (WI)43 Marion (MA)44 Marlboro (MR)45 Dillon (DI)46 Lee (LE)


County Health Rankings- 2019 Health Outcomes

County Health Rankings- Health Factors and Outcomes; SRH Service Area Comparison, 2019

Rank County4 Edgefield (ED)

10 Saluda (SA)19 Newberry (NB)20 Abbeville (AB)24 Greenwood (GW)27 Laurens (LU)30 McCormick (MC)

Rank County

15 McCormick (MC)16 Abbeville (AB)20 Greenwood (GW)21 Newberry (NB)22 Edgefield (ED)25 Saluda (SA)27 Laurens (LU)



Clinical Care Socio-economic Factors

Physical Environment

Health Outcomes:Length and Quality of Life

County Health Rankings-Health Factors; SRH Service Area Comparison, 2016 vs. 2019

Rank County

11 Newberry (NB)

17 Edgefield (ED)

21 McCormick (MC)

23 Greenwood (GW)

25 Saluda (SA)

26 Abbeville (AB)

27 Laurens (LU)

Rank County

15 McCormick (MC)

16 Abbeville (AB)

20 Greenwood (GW)

21 Newberry (NB)

22 Edgefield (ED)

25 Saluda (SA)

27 Laurens (LU)

2016 2019


Clinical Care Socio-economic Factors

Physical Environment

County Health Rankings-Health Outcomes; SRH Service Area Comparison, 2016 vs. 2019

2016 2019

Health Outcomes: Length and Quality of Life

County Health Outcomes Rank

8 Edgefield (ED)

17 Greenwood (GW)

19 Saluda (SA)

23 Newberry (NB)

24 Abbeville (AB)

26 Laurens (LU)

31 McCormick (MC)

County Health Outcomes Rank

4 Edgefield (ED)

10 Saluda (SA)

19 Newberry (NB)

20 Abbeville (AB)

24 Greenwood (GW)

27 Laurens (LU)

30 McCormick (MC)



A Healthy Community

Health Indicators

Emerging Priorities

Leading Health Indicators: Healthy People 2020

Access to Health Services

Clinical Preventative

Services

Environmental Quality

Injury and Violence

Maternal, Infant Child Health Mental Health

Nutritional, Physical Activity

and ObesityOral Health

Reproduction and Sexual

Health

Social Determinants

Substance Abuse Tobacco

www.healthypeople.gov, Office of Disease Prevention and Health Promotion; A Federal Government Web site managed by the U.S. Department of Health and Human Services


Access to Health ServicesGreenwood County Outmigration: 2012-2016

Access to Health ServicesEdgefield County Outmigration: 2012-2016

Access to Health ServicesLaurens County Outmigration: 2012-2016

Access to Health ServicesNewberry County Outmigration: 2012-2016

Access to Health ServicesAbbeville County Outmigration: 2012-2016

Access to Health ServicesMcCormick County Outmigration: 2012-2016

Access to Health ServicesSaluda County Outmigration: 2012-2016

Source: SRH Strategic Planning and Physician Services, 2018

Access to Health ServicesPhysician Demand

Significant deficit:

Internal MedicineDermatology

EndocrinologyVascular Surgery

Nephrology

Inpatient Market Forecast

*SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick , Newberry an d Saluda CountiesSource: Sg2


Outpatient Market Forecast



ER Market Forecast



ER Visit Type County 2018 Volumes 2023 Volumes Volumes % ChangeVisits - Emergent Abbeville County, SC 2,615 2,619 0.10%Visits - Emergent Edgefield County, SC 3,879 3,949 1.80%Visits - Emergent Greenwood County, SC 10,949 11,233 2.60%Visits - Emergent Laurens County, SC 9,193 9,385 2.10%Visits - Emergent McCormick County, SC 1,321 1,288 -2.50%Visits - Emergent Saluda County, SC 1,423 1,451 1.90%

29,380 29,924 1.80%Visits - Urgent Abbeville County, SC 3,764 3,472 -7.70%Visits - Urgent Edgefield County, SC 5,628 5,265 -6.50%Visits - Urgent Greenwood County, SC 14,192 13,358 -5.90%Visits - Urgent Laurens County, SC 12,211 11,415 -6.50%Visits - Urgent McCormick County, SC 1,840 1,667 -9.40%Visits - Urgent Saluda County, SC 2,077 1,970 -5.10%

39,712 37,146 -6.50%69,092 67,070 -2.90%

Visits - Emergent Total

Visits - Urgent TotalGrand Total

Uninsured Population by County, 2013-2017 Access to Health ServicesAccess to

Health ServicesAccess to

Health Services

Source: www.communitycommons.org

Access to Primary Care by County, (Rate per 100,000 Pop.), 2014



Health Professional Shortage Areas, 2019




Access to Healthcare and Affordability,2016

Access and Affordability Ranking

Top Quartile

Second Quartile

Third Quartile

Bottom Quartile

Source: Commonwealthfund.org

ScorecardMeasure Service Area South Carolina 2016

Score2019 Score

Uninsured Population 12.57% 12.06%

Access to Primary Care 69.7 76.3

Adults Without a Usual Source of Care

N/A 22

Adults Who Went WithoutCare Because of Cost

N/A 16

Individuals with High Out-of-Pocket Medical Spending

N/A 17

Employee Insurance Costs as a share of Median Income

N/A 7

Adults Without a Dental Visit in the Past Year

N/A 18


Better than SC

Within +/- 5% of SC

Worse than SC

Unknown

Clinical Preventative Services

FQHC/RHC Locations

Sources: www.cms.govhttp://nfbl.sc.gov/http://www.scdhec.gov/Health/FHPF/HealthFacilityRegulationsLicensing/HealthcareFacilityLicensing/LicensedSCHealthcareFacilitiesLists/SCDHEC


Services

Federally Qualified Health Centers:

• Calhoun Falls Family Practice• Carolina Health Centers, Inc.• Family Healthcare – North Saluda• Hometown Pediatrics (Clinton)• Laurens County Community Care

Medical Home Referral Center• Lakelands Family Practice Center• McCormick Elementary School Health

Clinic• McCormick Family Practice• Pediatrics of Newberry• Piedmont Physicians for Women• The Bethany Center• The Children’s Center• The Pendergrass Family Health Center• Uptown Family Practice• Village Family Practice

Rural Health Centers:

• Abbeville Internal Medicine• Due West Family Medicine• Edgefield Medical Clinic, PA• Family Healthcare – Edgefield• Family Healthcare – Newberry• Family Healthcare – South Saluda• Family Medicine Associates• GHS Advanced Family Medicine – Clinton• GHS Laurens Family Medicine – Gray Court• GHS Laurens Family Medicine – Main• Piedmont Pediatrics

30-Day Hospital Readmissions

Source: Dartmouth College Institute for Health Policy & Clinical Practice


Services

No Data

Preventable Hospital Events, 2015 Clinical Preventative

Services


Recent Primary Care Visit, 2015 Clinical Preventative

Services


No data No data No data

No data

No data

No data

No data

No data

No data

No data

No data No data

No data

No data

No data

Diabetes Prevalence-Adult by County, 2015 Clinical Preventative

Services


Diabetes Management-Hemoglobin A1C Test, 2015 Clinical Preventative

Services


Heart Disease Prevalence-Adult by County,2011-2012


Services


Cancer Screenings-Mammogram, Female Medicare Enrollees, 2015


Services


Cancer Screenings-Pap Test Percentage, Females Ages 18-64, Within Last Three Years(2016)


Services

Location Pap Smear RateSouth Carolina 69.7%United States 75.4%

Source: Kaiser Family Foundation State Health Facts

Cancer Screenings-Sigmoidoscopy or Colonoscopy, Ages 50+, 2006-2012


Services


Age-Adjusted Cancer Incidence-Breast, Female, (Cases per 100,000 Pop. per year), 2011-2015


Services


Cancer Incidence Rate-Cervical, Female, (Cases per 100,000 Pop.), 2015


Services

Location Cervical Cancer RateSouth Carolina 8.1United States 7.6

Source: Kaiser Family Foundation State Health Facts

Age-Adjusted Cancer Incidence- Colo-Rectal, (Cases per 100,000 Pop. Per year), 2011-2015


Services


Age-Adjusted Cancer Incidence-Lung, (Cases per 100,000 Pop. Per year), 2011-2015


Services


Age –Adjusted Cancer Incidence-Prostate, Males, (Cases per 100,000 Pop. per year), 2011-2015


Services


Hypertension, 2015-2017 Clinical Preventative

Services

Source: SCDHEC & CDC

Mortality-Cancer, (Per 100,000 Population), 2012-2016


Services


Mortality-Lung Disease, (Per 100,000 Population), 2012-2016


Services


Mortality- Coronary Heart Disease by County, Age-Adjusted Rate (Per 100,000 Pop.), 2012-2016

Nutritional, Physical Health

and Obesity


Mortality-Stroke, (Per 100,000 Population), 2012-2016


Services


Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard

Measure Service Area South Carolina 2016 Score

2019 Score

30-Day Hospital Readmissions 12.99 14.5

Preventable Hospital Events 39.9 45.6

Diabetes Prevalence-Adult 12.33 11.17

Diabetes-Hemoglobin A1C Test 88.9 87.3

Heart Disease Prevalence-Adult

4.8 4.6

Cancer Screenings-Mammogram

67.2 67.8

Cancer Screenings-Pap Test 78.2 79.7

Cancer Screenings-Sigmoidoscopy or Colonoscopy

58.4 62.9

Cancer Incidence-Breast,Female

115.9 128.3

Cancer Incidence-Cervical N/A 8.1

Clinical Preventive Services


Measure Service Area SouthCarolina

2016 Score

2019 Score

Cancer Incidence-Colorectal 43.4 38.6Cancer Incidence-Lung 67.6 66.9Cancer Incidence-Prostate 93.3 119.4Hypertension 46.1 38Mortality-Cancer 181.2 171.5Mortality-Lung Disease 53.3 48.64Mortality-Coronary Heart Disease 94.9 94.16Mortality-Stroke 47.4 45.93

Clinical Preventive Services


Air Quality – Particulate Matter Environmental Quality


Air Quality – Respiratory Hazard Index



Climate & Health- High Heat Index Days Environmental Quality


Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Score2019Score

Air Quality-Particulate Matter

9.75 9.33

Respiratory Hazard Index 1.4 1.63

High Heat Index Days 8.2 7.8


Injury and Violence

Mortality - Motor Vehicle Crash, 2012-2016 Injury and Violence


Suppressed

Suppressed

Mortality – Homicide, 2012-2016 Injury and Violence


No data Suppressed Suppressed

Suppressed


Suppressed

Suppressed

Mortality – Premature Death, 2014-2016


Injury and Violence

Mortality – Unintentional Injury, 2012-2016 Injury and Violence


Violent Crime, 2012-2014 Injury and Violence


Source: SLED

Injury and Violence

Source: SLED

Injury and Violence

Better than SCWithin +/- 5% of SCWorse than SCUnknown

ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreMortality-Motor Vehicle Crash

22.7 18.45

Mortality-Homicide 9 8.23

Mortality-Premature Death

9,368 8,383

Mortality-Unintentional Injury

50.1 51.28

Violent Crime 536.6 520.4

Injury and Violence

Maternal, Infant Child Health

Infant Mortality by County (Rate per 1,000 Live Births), 2015-2017

Maternal, Infant Child Health


Low Birth Weight Maternal, Infant Child Health


Lack of Prenatal Care Maternal, Infant Child Health


Breastfeeding Initiation Maternal, Infant Child Health

Source: SCDHEC


ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreInfant Mortality 6.6 6.8Low Birth Weight 10.5 9.6Lack of Prenatal Care NA 31.2Breastfeeding Initiation 64 76.5

Maternal Infant Child Health

Mental Health

Access to Mental Health ProvidersMental Health


Mortality - Suicide Mental Health



Suppressed

Suppressed

Depression (Medicare Population)Mental Health


Poor Mental Health DaysMental Health


SRH Service Area Total Poor Mental Health DaysSRH Service Area 4.4Abbeville County 4.6Edgefield County 4.0Greenwood County 4.7Laurens County 4.8McCormick County 4.2Newberry County 4.3Saluda County 4.4South Carolina 4.4United States 3.1



Score2019 Score

Access to Mental Health Providers

116 156.5

Mortality-Suicide 15 14.67Depression-MedicarePopulation

17.7 15.3

Poor Mental Health Days 4.4 4.4

Mental Health

Nutritional, Physical Activity and Obesity

Obesity by County, Obese (BMI >= 30), Adults Age 20+, 2015


and Obesity


Low Food Access by County, 2015 Nutritional, Physical Health

and Obesity


Fruit/Vegetable Expenditures, Ages 18+, 2014 Nutritional, Physical Health

and Obesity


Physical Inactivity by County, Ages 20+, 2015 Nutritional, Physical Health

and Obesity


Recreation and Fitness Facility Access by County, (Rate per 100,000 Pop.), 2016


and Obesity


Food Desert Census Tracts, 2015Nutritional,

Physical Health and Obesity


SNAP-Authorized Food Stores, 2017



and Obesity



Measure Service Area

SouthCarolina

2016 Score 2019 Score

Obesity-Adult 37.1 32.4

Low Food Access 16.26 28.43

Fruit/VegetableExpenditures

11.64 11.66

Physical Inactivity 27.9 23.9

Recreation & Fitness Facility Access

3.12 9.62

SNAP-Authorized Food Stores

12.26 11.72


and Obesity

Oral Health

Access to Dentists by County, (Rate per 100,000 Pop.), 2015 Oral Health


Poor Dental Health by County, Ages 18+, 2006-2010

Oral Health



ScorecardMeasure Service

AreaSouthCarolina

2016 Score 2019 Score

Access to Dentists 32.5 52.1Poor Dental Health-Adult 21.5 19.9

Oral Health

Reproduction and Sexual Health

STI-Chlamydia Incidence by County, (Rate per 100,000 Pop.), 2016



STI-Gonorrhea Incidence by County, (Rate per 100,000 Pop.), 2016



STI-HIV Prevalence by County, (Rate per 100,000 Pop.), 2015



Teen Births by County, Females, Ages 15-19, (Rate per 1,000 Pop.), 2015-2017



Better than SCWithin +/- 5% of SCWorse than SC

Unknown

ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreSTI-Chlamydia 591.4 575.5

STI –Gonorrhea

176 187.8

STI – HIV 336.22 394.6

Teen Births 26.9 23.9


Social Determinants

Median Household Income, 2013-2017 Social Determinants

$40,580.00


SRH Service Area

Poverty-Population Below 100% FPL, 2013-2017 Social

Determinants


High School Graduation Rate, 2015-2016 Maternal, Infant Child Health


Population with No High School Diploma, Ages 25+, 2013-2017 Social

Determinants


Unemployment Rate by County, 2019 Social Determinants


Children Eligible for Free/Reduced Price Lunch, 2016-2017

Social Determinants


Households With No Motor Vehicle, 2013-2017

Social Determinants


Income-Inequality (GINI Index), 2013-2017 Social Determinants


No data

Population Receiving SNAP Benefits, 2015

Social Determinants


Substandard Housing, 2013-2017 Social Determinants


Broadband Access, 2016 Social Determinants


Unemployment by Self Regional Service Area County 2015-2016

Source: US Bureau of Labor Statistics

Social Determinants

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown

ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreAverage Family

Income

$54,714 $66,759

Poverty-

Population

Below 100%

FPL

21.19 16.64

High School

Graduation

Rate

83.1 85

Population

with No HS

Diploma

19.14 13.46

Unemployment

Rate

3.3 3.3

Social

Determinants


Measure Service Area South Carolina 2016 Score 2019 ScoreChildrenEligible for Free/Reduced Price Lunch

85.69 66.84

Householdswith No Motor Vehicle

7.52 6.53

Income-Inequality

0.46 0.47

Population Receiving SNAP Benefits

18.8 16

Substandard Housing

27.87 28.83

Broadband Access

74.34 88.4

Social Determinants

Substance Abuse

Excessive Alcohol Consumption by County, Ages 18+, 2006-2012

Substance Abuse


Mortality-Drug Poisoning, 2012-2016


No data

Suppressed

Suppressed Suppressed


No data Suppressed

Suppressed

Suppressed

Substance Abuse

Substance AbuseMortality-Drug Overdose, 2017

CountyTotal Drug Overdose Number Rate

Prescription Drugs Number Rate

Opioids Number Rate

Psychostimulants w/ Abuse Number Rate

Fentanyl Number Rate

Heroin Number Rate

Methadone Number Rate

Cocaine Number Rate

Abbeville 8 34.7 7 30.6 6 26.4 3 14.7 ~ ~ ~ ~ 2 8.8 1 4.1

Edgefield 2 8.2 1 4.7 1 4.7 1 3.5 ~ ~ 1 4.7 1 4.7 ~ ~

Greenwood 16 24.4 14 21.4 14 22.5 2 3.5 9 14.5 1 2.0 1 1.0 3 4.5

Laurens 12 16.0 10 13.6 7 8.9 2 3.1 3 4.1 ~ ~ ~ ~ ~ ~

McCormick ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

Newberry 2 5.8 1 2.7 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 3.1

Saluda 2 6.0 1 3.0 1 3.0 ~ ~ 1 3.0 ~ ~ ~ ~ 1 3.0

South Carolina 1,001 20.4 782 15.9 748 15.5 194 4.1 362 7.6 144 3.1 45 0.9 235 4.8

Rate: Age-adjusted rate per 100,000 population. Rates calculated with 20 or fewer deaths are unreliable and should be used cautiously.

Source: SC DHEC, Vital Statistics

Substance AbuseNaloxone (Narcan) Administration by

EMS, 2016

Source: SC DHEC


Measure Service Area South Carolina 2016 Score 2019 Score

Excessive Alcohol Consumption

14.5 14.9

Mortality-Drug Poisoning

14.8 14.75

Mortality –Drug Overdose

15.8 20.4

Naloxone(Narcan) Administration by EMS

46.8 139.7

Substance Abuse

Tobacco

Tobacco Usage-Current Smokers by County, Ages 18+, 2015-2017 Tobacco



ScorecardMeasure Service

AreaSouthCarolina

2016 Score

2019Score

Tobacco Usage – Current Smokers

19.8 20.4

Tobacco

Top Positive Indicators: Better than SC Average

• Breast & Prostate Cancer Incidence• Preventable Hospital Events

Clinical Preventative Services

• Food AccessNutritional, Physical Activity and Obesity

• STI – HIV• STI - Gonorrhea

Reproductive and Sexual Health

Top Negative Indicators:

Worse than SC Average

• Hypertension

• Cancer Mortality


Services

• Premature DeathInjury and Violence

• High low birth weight rate

• Breast Feeding Initiation

Maternal, Infant Child

Health

• Access to mental health providersMental Health

• Access to Fitness CentersNutritional, Physical

Activity and Obesity

• Poor Dental Health

• Access to DentistsOral Health

• STI - ChlamydiaReproductive and Sexual

Health

• Population with No HS Diploma

• Children Eligible for Free Lunch

• Avg. Family Income

• Broadband Access

Social Determinants

Community Input: CHNA Survey

697162

136136

1017473

Total = 1,379Surveys

Perceived and reported • Access to healthcare services• Cost of Healthcare• Obesity• Mental Health• Diabetes• Cancer incidence/screenings• High blood pressure• Dental health utilization• Level of poverty• Alcohol & Substance Abuse• Violent Crime Rate

Perceived, but not reported • Lack of public transportation• Primary care availability• Wait times to access physician• Unable to Pay Co-Pays & Deductibles• Lack of Access to Specialists• Health education

Reported, but not perceived • STI incidence• Teen births; high infant mortality/low birth weight• High motor vehicle death• Poor dental health

Prioritization GridAb

ility

to Im

pact

: Coo

rdin

atio

n an

d Le

ader

ship

Low

Med

ium

H

igh

Low Medium High

Significance of the Community Need

Access to Care

Violent Crime

Alcohol / Drug Use

Cost of Healthcare

Infant Mortality Rate

Low Birth Weight

Poor Dental Health

Mental Health

Obesity

Cancer and Screenings

High Blood PressureDiabetes

H S Diploma

Poverty Level

Broadband AccessChlamydia

Tobacco

Teen Births

Breast Feeding

Level of Poverty Free School Lunch

2013CHNA Priorities

2016 CHNA Priorities

2019CHNA Priorities

Cancer Incidence and Deaths Cancer and Screenings Cancer and Screenings

Obesity, Nutrition and Physical Activity Obesity Obesity

Access to Care Access to Care Access to Care

Diabetes Diabetes Diabetes

Prevention and ScreeningsHigh Blood Pressure High Blood Pressure

Mental Health Cost of Healthcare

2019 SRH CHNA Priorities are

aligned with the current

South Carolina State Health

Improvement Plan.

Documents

2019 Community Health Needs Assessment: Data Assessment … · 2019 Health Outcomes-South Carolina County Health Rankings-2019 Health Outcomes Health Outcomes: Length and Quality