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COMMUNITY HEALTH ASSESSMENT

COMMUNITY HEALTH ASSESSMENT. Tracy Hill, Anna Marshall, Patricia Neis Miriam Slaugh , Allison Veeder March 4, 2010. Douglas County, Kansas. Statistical Data: Lawrence/ Douglas County Kansas. Douglas County Kansas is comprised of 4 towns: Lawrence, Baldwin, Eudora, Lecompton.

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COMMUNITY HEALTH ASSESSMENT

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  1. COMMUNITY HEALTHASSESSMENT Tracy Hill, Anna Marshall, Patricia Neis Miriam Slaugh, Allison Veeder March 4, 2010

  2. Douglas County, Kansas

  3. Statistical Data: Lawrence/Douglas County Kansas • Douglas County Kansas is comprised of 4 towns: Lawrence, Baldwin, Eudora, Lecompton. • Douglas County is one of the fastest growing counties in the state of Kansas. *5th largest; 4th healthiest • Lawrence population: 81,604 in 2007

  4. Statistical Data • Top 6 Employers in Douglas County: • The University of Kansas (9,872) • Lawrence Public Schools (1,831) • Vangent (1,500) • City of Lawrence (1,431) • Lawrence Memorial Hospital (1,251) • Hallmark Cards (814)

  5. Primary/Tertiary care • Existing healthcare services • Physicians/APRN care available: • family practice, internal medicine, pediatrics, obstetrics/gynecological, urology, allergy & asthma, dermatology, rheumatology, ophthalmology, neurology, general surgery, plastic surgery, otolaryngology (EENT), psychiatry, oncology, gastroenterology, endocrinology, nephrology, infectious disease, cardiology, and occupational medicine • Dental care: Douglas county dental clinic, 64 Dentists • Eye care: 31 Optometrist/Opthamologists

  6. Primary/Tertiary care • Douglas County Health Department • 3 Safety net clinics: • Healthcare Access • Heartland/Leo Center • Douglas County Dental Clinic • Lawrence Memorial Hospital • Community owned; not for profit. • Bert Nash Mental Health • outpatient day clinics, counseling (limited medication management) • Home Healthcare Services: 8 agencies

  7. Primary/Tertiary care • Hospice: • 3 agencies • Lawrence Douglas County Fire and Medical: • 6 stations with Paramedic, EMT’s, and Fire specialist. (they provide public education on fire safety, bike safety/helmets, basic first aid). • Tertiary care: • Lawrence is located within 30-45 minutes from Topeka and Kansas City which provides further Tertiary care for services not available at Lawrence Memorial Hospital (Cardiac, Midwifery, Neurology, Trauma, High-Risk OB/Peds)

  8. Sociodemographics

  9. What are the sociodemographics of the population being served? DG County Kansas U.S. 84.5% 27.4% 10.6% 22% 26% 16,692 20.6% 26.1% 41.9/1,000 18.5% 51% High School graduation 86% 4-yr College Degree 43% Unemployment 4% Children in Poverty 13% Single-Parent Households 7% Homicide Rate (per 100,000) 3 Adult Smoking 18% Adult Obesity 25% Teen Birth Rate 14 Uninsured Adults 19% Primary Care Provider Rate 110 Access to Healthy Foods 86% 78% 26% 4% 15% 8% 5 19% 28% 43 12% 115 35%

  10. Douglas County Demographic Estimates Source: U.S. Census Bureau, 2006-2008 American Community Survey at http://factfinder.census.gov

  11. Douglas County Population Characteristics: Source: U.S. Census Bureau, 2006-2008 American Community Survey at http://factfinder.census.gov Race/Ethnicity White 87.5% Black 4.1% American Indian 2.1% Asian/Pacific Islander 3.8% Hispanic origin 3.6%

  12. Douglas County Vulnerable Population Source: http://communityhealth.hhs.gov/

  13. Douglas County Adult Preventative Services Use Source: http://communityhealth.hhs.gov/

  14. What are Douglas County’s primary health issues? Adult Smoking (smoking ban) Adult Obesity Breast Cancer - women Poverty Uninsured Binge Drinking (college town) STD’s (chlamydia) Ozone

  15. Macrosystem Factors Insurance coverage: • 11,344 individuals in Douglas County are uninsured (~10% of the population) • 102,144 individuals in Douglas County are insured (~ 90% of the population)

  16. Macrosystem Factors Insurance coverage: • Types of payors for Insured Individuals AND Percentages of payors for population: • Private/Non-government Insurance Employment-based 72.8% Direct purchase 11.7% • Government-sponsored Insurance Medicare 8.4% Medicaid/SCHIP 7.5% Military health care 2.2% Indian/other gov’t health services 2.5%

  17. Macrosystem Factors • Political Forces: • Douglas County is in Congressional District 2 • In 2008 general election, Congressional District 2 (and Douglas County) voted Democrat in House, Senate, and Presidential races. • 34,398 votes - Obama/Biden • 17,929 votes - McCain/Palin

  18. Macrosystem Factors: Social Forces either Contribute to OR Detract from The health of individuals and communities

  19. Macrosystem FactorsSocial Forces • Socioeconomic factors • Food • Education • Environmental Conditions • Income • Education • Occupation • Transportation • Sanitation • Housing • Access to Services • Resources linked to health discrimination, social support, environmental hazards -Source: MLC

  20. Macrosystem Factors Vulnerable Populations Income Education Occupation Transportation Sanitation Housing

  21. Macrosystem Factors Access to Care Services in Douglas County Dg Co Dental Clinic, Visiting Nurses, Rehab and Hospice care Senior Services, Inc. Dg Co Health Dept United Way AIDS Project LINK Health Care Access DCCCA, Inc. GaDuGi Safe Center Headquarters Counseling Center Community Living Opportunities • Primary care physicians per 100,000 population – 74.8 • Dentists per 100,000 population – 42.8

  22. Safety-Net Clinics and LMH • In 2009, 7.6% of patients served by Lawrence Memorial Hospital had no insurance. • In 2008, the 4 safety net clinics served Total: 5,077 3,554 uninsured (70%) 1,338 Medicaid/Healthwave (26.4%) 3,766 (74.2% earned less than federal poverty level) 1,257 (24.8% earned between 101-200% of poverty level)

  23. Gap analysis • What health problems are not being sufficiently addressed? • What services are lacking • Primary health care • Mental health services • Dental

  24. Solution/Strategies • Provide your solutions and suggested strategies to accomplish these goals

  25. References Britt, K. (2010, January 21). Douglas county dental clinic changes income guidelines. Lawrence Journal World, retrieved on February 27, 2010 from http://www2.ljworld.com/news/2010/jan/21/douglas-county-dental-clinic-changes-income-guidel/. Britt, K. (2010, February 13). A day at Lawrence’s health care access clinic reveals need for affordable medical care. Lawrence Journal World, retrieved on February 27, 2010 from http://www2.ljworld.com/news/2010/feb/13/day-lawrences-health-care-access-reveals- need-affo/. Community care. (2009, Septmber 28). Lawrence Journal World, retrieved on February 27, 2010 from http://www.2.ljworld.com/news/2009/sep/28/community-care/?print. DeNavas-Walt, C., Proctor, B.D., & Smith, J.C. (2009). Income, poverty, and insurance coverage in the U.S.: 2008. Retrieved from US Census Bureau: http://www.census.gov/hhes/www/hlthins/hlthin08/hlthtables08.html Duncan, R.P., Porter, C.K., & Garvan, C.W. (2001). The Kansas health insurance study. Finding and filling the gaps: Developing a strategic plan to cover all Kansans. Retrieved from: http://www.ksinsurance.org/about/archive/hrsa/KHIS_2001.pdf Haskell Indian Health Center: Service area profile (2005). Retrieved from Division of Facilities Planning & Construction, Indian Health Service: http://www.dfpc.ihs.gov. Kansas Department of Health and Environment. (2010). Kansas Department of Health and Environment: Annual Report 2009 (Annual Report). Retrieved from Kansas Department of Health and Environment: http://www.kdheks.gov/

  26. References Kansas Insurance Department. (2001). Finding and Filling the Gaps: Developing a Strategic Plan to Cover all Kansans: The Kansas Health Insurance Study. Retrieved from Kansas Insurance Commissioner website: http://www.ksinsurance.org/about/archive/hrsa/KHIS_2001.pdf Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (Eds.). (2007). Policy & Politics in Nursing and Health Care (5th ed.). St. Louis, MO: Saunders Elsevier. Robert Wood Johnson Foundation. (2010). Snapshot 2010: Douglas County Health Rankings. Retrieved from http://www.countyhealthrankings.org/kansas/douglas U.S. Census Bureau. (2006-2008). http://factfinder.census.gov U.S. Department of Health & Human Services website. (2007). http://www.cms.hhs.gov/MedicareEnrpts/ U.S. Department of Health & Human Services. (2008). http://communityhealth.hhs.gov U.S. Department of Health & Human Services: Indian Health Services website. (n.d.). http://www.dfpc.ihs.gov/

  27. Conclusion

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