Assessing Local Health Needs

1. Assessing LocalHealth Needs Brian Shockney, HFA, FACHE Vicki Byrd, BA

3. Memorial Hospital Founded in 1925 Located in Cass County, Indiana County Not-For-Profit 7 member Board of Trustees 83 Acute Care Inpatient Beds $120 Million Gross Revenue Memorial Hospital Foundation Third Largest Employer in Cass County

4. Objectives • To demonstrate how to reproduce LMH process for conducting local needs assessment. • To identify the benefits of conducting local needs assessment. • To share ideas about how to use the local needs assessment data. • Learn at least one new concept or idea.

5. Community Needs Assessment • Identified as need during 2008 Strategic Planning • Opportunity Statement: An opportunity exists to ensure the link of healthcare services to the true needs of the community beginning with a comprehensive community needs assessment and ending with a data and information report that will be utilized to ensure the fulfillment of the mission of LMH.

6. Community Needs Assessment • Purpose – • To identify the health status and correlating needs of Cass County in order to: • Align hospital programs and services with needs • Ensure we are fulfilling our mission • Identify opportunities for new service lines • Identify health and social programs necessary to fill gaps • Provide data and information for grant opportunities • Participate in state initiatives and data exchanges • Develop and strengthen community partnerships

7. Purdue University MPH will be assisting LMH Utilize MAPP: Mobilizing for Action Through Planning and Partnerships process. Begin process 3/3/2008 Form Working EL Group Form Advisory Group Focus Groups Surveys Data Collection Working EL Group Work closely with consultant from Purdue Guide project Make decisions Create storylines Advisory Group Limited scope Community based Create buy-in for use of data after the report is published Partnership building Community Health Assessment

8. Community Health Assessment • Collaborative Effort • Logansport Memorial Hospital • Purdue University • School of Liberal Arts • School of Nursing • Community Agencies Examples • United Way • Red Cross • Health Department • Foundation • Business

9. Community Needs Assessment Process • Community Advisory Group • Survey • Focus Groups • Key Informant Interviews • Secondary Data

10. Community Needs Assessment Survey • Purdue assisted with design • Utilized modified BRFSS Questionnaire • The Behavioral Risk Factor Surveillance System (BRFSS) is the world’s largest, on-going telephone health survey system, tracking health conditions and risk behaviors in the United States yearly since 1984. • Mailed to 5000 random Cass County homes • Inserted into local paper • Distributed through agencies • Approximately 10% survey return rate

11. Community Needs Assessment Focus Groups • Five were conducted • 2 – general public • 2 – senior health fair • 1 – low income population • 1 – local industry

12. Community Needs Assessment Focus Group Questions • Asked 5 basic questions • What is the best thing about living in Cass County? • What do people do to stay healthy? • What do you think are the serious health problems in Cass County? Causes? • What are some ways to solve these issues? • Are there any groups in our community not receiving health care? • Other comments.

13. Secondary Data Summary: Strengths • Lower poverty rate • Less crime • Prevalence of HIV/STD’s lower than state • Centrally located, easy access to major cities

14. Secondary Data Summary: Concerns • Declining population • Changing demographics • Lower per capita income • Predominantly manufacturing • High percentage of reduced fee/free lunch students • Lower level of educational attainment • Higher rate of uninsured • Lower rate of prenatal care in the first trimester • Higher rates of: • Alzheimer’s Disease • Diabetes • Leukemia • Malignancies/Urinary tract • MVA’s • Influenza and Pneumonia • Asthma burden

15. Community Survey Results • Demographics • Predominantly white • Female • Over the age of 65 • Married • High educational level • Surveys returned • Approximately 400 random • 400 non-random

16. Focus Groups • Five conducted • Two with the general public • Senior Health Fair • Area Five Head Start • Local Personnel Association

17. Responses to Questions Best thing about living in Cass County? What do people do to stay healthy? Small town feel Know and help one another • Exercise • YMCA • Work • Churches • Trail system • Nutrition • Eat healthy

18. Responses to Questions Serious health problems Causes Diabetes Obesity Smoking Sinus and allergies • Nutrition • Improper, cost, lack of time/knowledge • Access to medical care • Cost, lack of quality physicians, lack of specialists • Lack of exercise • Cost, weather, lack of time, knowledge, and motivation • Risky lifestyle behaviors

19. Responses to Questions Ways to Solve? • Cost and access to health care • Decrease cost of services and insurance • Education on healthy lifestyles • Varied venues, times, languages • Exercise • Lower cost • Worksite fitness facilities • Smoking • Bans • Cessation classes

20. Responses to Questions Any group not receiving health care? Other comments Elderly Those not offered at work Low income Hispanics • Physicians • Need more • Better informed • Better bedside manner • Costs • Lower costs • ER cost high • LMH pay up front policy Knowledge: tell people what LMH has to offer

21. Community Needs Assessment Results

22. CHNA Results

23. CHNA Results

24. CHNA Results

25. CHNA Results

26. CHNA Results

27. CHNA Results

28. Community Health Needs Assessment Next Steps • LMH share data with organization • Reconvene community task force • Identify community issues