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Macon County Community Health Needs Assessment. Report of Findings 2012. Assessment conducted by:. Macon County Health Council Special Community Health Needs Assessment Committee
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Macon County Community Health Needs Assessment Report of Findings 2012
Assessment conducted by: • Macon County Health Council • Special Community Health Needs Assessment Committee • Representatives from the State of Tennessee Department of Health, Macon County General Hospital, Coordinated School Health, private healthcare providers and various community agencies were consulted during the needs assessment process. • Macon County General Hospital
2010 U.S. Census Data • Population 22,248 • Median Age 38.7 • 96% White • 8,561 Households • 34% households with person under 18 • 26.7% households with person over 65
Access to Care • Health Professional Shortage Area • Medically Underserved Population • HRSA Data Warehouse statistics • 3, 205 Uninsured individuals (age under 65) • 2,808 Elderly (age 65+) Medicare beneficiaries • 998 Disabled Medicare beneficiaries • 7, 264 Medicaid beneficiaries • 22.9 Primary Care Physicians per 100,000 pop • 18.3 Dentist per 100,000 pop • 5,796 Enrolled in Tenncare 03/15/12
MCGH Leading Diagnoses • Inpatient • COPD • Pneumonia • Pancreatitis • Observation • Chest Pain • Dehydration • Syncope • Emergency Department • UTI • Viral Infection • Otitis Media
Vulnerable Populations According to the Community Health Status Indicators, Macon County Tennessee 2009 report: • 5,961Have no high school diploma • 866 Are unemployed • 1,212 Are Severely Work Disabled • 1,632 Have Major Depression • 1,567 Are Recent Drug Users (past month) 48.1% Kids free or reduced lunch (Kids Count Data Center, 2009)
Process and Methods • Collection of Primary Data • Community Survey • Spring 2012 • 566 surveys completed • Paper & Electronic • Stakeholder Interviews • Review of Secondary Data • Current state of national statistics • New Priorities Established
In 2010, the pregnancy rate for females ages 10-19 was 37.8 per 1,000 females • This is the third highest pregnancy rate in this category in the State
2010 Tennessee State Health Plan Survey • This survey was completed by 2,431 respondents from all over the state • The health conditions thought to be the most important to Tennesseans were • Obesity and overweight • Heart attack, stroke, high blood pressure and cardiovascular disease • Diabetes • Alcoholism and drug abuse • Cancer
Personal Interviews: identified needs • Limited OB/GYN services • Patients inactive in personal health management • No on-site/local psychiatrist • Widespread Poverty • Limited specialty healthcare services available in the county • Drug Abuse • Physically inactivity • Financial/economic education • Emergency preparedness education • Parental involvement in children’s health needs • No school system dietician • Peer pressure among students • After hours health care access • Number of primary healthcare providers • Underutilization of mammography in the elderly population
Conclusion: New Priority Health Needs for Macon County • Cancer • Heart Disease • Diabetes • Drug and Alcohol Abuse • Teenage Pregnancy
Contributors • Stacey Brawner-Macon County General Hospital, Director of Community Outreach • Brenda Harper-Valley Ridge Mental Health Center, Director • Thomas Kidd-Macon County General Hospital, CFO • Lynn Knight-UT Extension-Macon County, Family and Consumer Sciences Extension Agent • Chaundel Presley-Primary Health Care Group, Inc, Family Nurse Practitioner • Frances Reece-Macon County Health Department, Director • Melissa Ross-Macon and Smith County Health Departments, Health Educator • Melissa Shrum-Coordinated School Health, Assistant • Jackie Sircy-Coordinated School Health, Director • Dennis A. Wolford-Macon County General Hospital, CEO