Community Health Assessment 2018 04/19/2018 Stutsman County Agenda - PDF document

Community Health Assessment 2018 04/19/2018 Stutsman County Agenda • d • 11:00 - 11:10 Welcome Introductions • 11:15-12:00 Review Stutsman County data and community survey results • 12:00 - Lunch Break • 12:30 - 1:30 Results Discussion and Comments • 1:30 – 1:55 Prioritization Process • 1:55 – 2:00 Closing Remarks Community Health Needs Assessment PURPOSE Under the Patient Protection and Affordable Care Act • (PPACA), tax-exempt 501 (c)(3) hospitals are now required to conduct a Community Health Needs Assessment (CHNA) every three years with input from public health experts and community members, ultimately adopting an implementation strategy. • Local health departments are preparing for a national accreditation process that requires them to conduct strategic planning, including a CHNA conducted every five years, and a corresponding Community Health Improvement Plan (CHIP). Central Valley Health became the first accredited health department in North Dakota in 2015. Community Health Partnership WHO WE ARE Group of Health and Safety organizations in Stutsman County partnering to improve the health of the community. THE REASON Provide effective, quality health and safety services in an VISION environment that enables community members to reach their full potential through assessment, leadership and To be the healthiest community in which to live, learn, work and play. partnerships. • Subcommittees help address various issues TASK Community Health Improvement Plan Community Health Partnership 1

Community Health Assessment 2018 04/19/2018 Stutsman County Emerging Issues Community Health Partnership • Main Street Downtown Jamestown • Alpha Opportunities Association • American Heart Association • Homelessness • American Red Cross – Buffalo Valley • North Dakota Department of Health • Ave Maria Village/Heritage Centre • Human trafficking • North Dakota State Hospital • Central Valley Health District • NDSU Extension • Access to mental health services • Child Care Aware • RSVP+ South Central • Access to medical care • City of Jamestown • Safe Shelter • Community Action Program Headstart • Opioids • Economic Development Corporation – • Salvation Army Logan County • Sanford Health • Essentia Health • South Central Human Service Center • Eventide • Guardian Angels, Inc. • Southeast Education Cooperative • Health Tracks • Stutsman County Emergency • James Valley Career & Tech Center Management • Jamestown Ambulance • Stutsman County Housing • Jamestown Area Chamber Social & • Stutsman County Sheriff Department Regional Issues • Jamestown City Council • Stutsman County Social Services • Jamestown Public Schools • University of Jamestown • Jamestown Regional Medical Center Importance of CHP Population Health • Where we live matters Framework used to guide • work with community partners • Behavior & Social Factors • Journal of American Medical Association, 2004 Can Contribute: • • Death Illness • • Disability • Can Cause: Half of deaths each year. • Stutsman County WINS Stutsman County WINS • BCBS recess grant and Everybody Walk mini grants - Walking trail in downtown Jamestown • Sanford added Family Practice providers NYNY wellness challenge - Reached 300 people • • Essentia added Family Practice providers • TRAC - Completed in 2017 • Urgent care clinic added to the community NDSU extension service - programs on healthy eating. • • Jamestown Public Schools - Summer breakfast program – School Wellness policy • JRMC hires specialty physicians: orthopedic surgeon ,ENT, Urology, OB/GYN changes • No Excuses Campaign promotes breast health Businesses offer worksite wellness activities. • • Safe routes to school grant received • CVHD and JRMC provided sport physicals for student athletics Arts park downtown • • CVHD partnered with Essentia on a Diabetes Prevention Program Community Health Partnership 2

Community Health Assessment 2018 04/19/2018 Stutsman County Stutsman County WINS • North Dakota Unemployment Rate 2.8 • State has low unemployment rate • Rental Vacancy Rate • Up to 4.8% • Healthy market is 5-7% • City Health and Safety Committee • formed to address housing and unfit housing. • Blessing Bags and Diaper Drive assist vulnerable populations in the community. Social Determinants of Health Fo Focus us on n Com ommuni nity - MAIN MAIN Street ND ND Every community has unique opportunities and challenges. The Main Street Initiative gives local leaders a direct access point to a variety of resources, helping capitalize on strengths and make sound planning decisions. These efforts will help create vibrant cities poised to attract and retain a 21st century workforce, helping North Dakota compete and succeed in a global economy. “ The Main Street Initiative will assist engaged communities to become even stronger, increasing the quality of life for all North Dakotans.” - Governor Doug Burgum The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities ~ World Health Organization 2015 Community Health Improvement Plan Stutsman County’s Health 4 PRIORITY AREAS workforce Where are we today? ability to attract and retain doctors not enough healthcare staff in general affordable housing obesity and physical activity access to care availability to doctors, nurses and specialists cost and adequacy of health insurance Community Health Partnership 3

Community Health Assessment 2018 04/19/2018 Stutsman County Workforce Obesity – Stutsman County Physical Inactivity – Stutsman County Access to Care – Stutsman County County Profile Data Leading Causes of Death Stutsman County Community Health Partnership 4

Community Health Assessment 2018 04/19/2018 Stutsman County 18 36 19 5 29 28 Community Health Needs Assessment Community Health Needs Assessment: Demographics COMMUNITY SURVEY RESULTS 720 responses! 92% said they were from Stutsman County • Community Health Needs Assessment: Demographics Community Health Needs Assessment: Demographics AGE 2018 CHNA STUTSMAN Less than 18 years 21.1% 20% 18 to 24 years 15.4% 11% 25 to 34 years 18.8% 12.7% 35 to 44 years 12.9% 10.7% SEX 2018 CHNA STUTSMAN 45 to 54 years 20.8% 13% 55 to 64 years 6.7% 15% Male 24.5% 51.2% Female 74.8% 48.8% 65 to 74 years 3.6% 8.7% 75 years and older 0.8% 8.9% Transgender 0.7% - TOTAL 612 responses 21,108 people no resp. 153 Community Health Partnership 5

Community Health Assessment 2018 04/19/2018 Stutsman County Community Health Needs Assessment: Demographics Community Health Needs Assessment: Demographics INCOME 2018 CHNA STUTSMAN Less than $15,000 7.6% 12.3% $15,000 to $24,999 3.4% 8.3% $25,000 to $49,999 10.5% 25.8% $50,000 to $74,999 18.8% 20.2% $75,000 to $99,999 18.7% 14.0% $100,000 to $149,999 18.7% 13.3% $150,000 and over 8.9% 6.1% WORK FOR HEALTHCARE 2018 CHNA STUTSMAN (16+) Yes 20.6% 14% No 79.4% 86% Community Health Needs Assessment Community Health Needs Assessment Q6: CONCERN STUTSMAN COUNTY NORTH DAKOTA Considering the COMMUNITY Jobs with livable wages Median household income: Median household income: $53,685 $59,114 HEALTH Attracting and retaining young families in your community, Affordable housing Homes built after 1980: Homes built after 1980: 26.7% 42.7% concerns are: 1. Jobs with livable wages 2. Attracting and retaining young families Homes in Stutsman County are also 3. Affordable housing older. More than 50% of Stutsman County homes were built before 1969. In all of N.D., only 38% of homes were built before 1969. Community Health Needs Assessment Community Health Needs Assessment Q7: Considering the CONCERN STUTSMAN COUNTY NORTH DAKOTA AVAILABILITY OF Availability of specialists Availability to get HEALTH SERVICES appointments Availability of primary care 1,320:1 1,330:1 in your community, providers concerns are: 1. Availability of specialists 2. Ability to get appointments 3. Availability of primary care providers Stutsman County scored #5 out of 49 (doctor, nurse practitioner, counties in part because of its strong physician assistant) ratio of PCPs to population. Win! Community Health Partnership 6