FY2019 CHNA Presented by: Lissa Bryan-Smith VP, Geisinger Bloomsburg Hospital and Woodbine ASC
FY2019 Community Health Needs Assessment Partners
FY2019 CHNA Goals Update health and demographic data; identify trends Collect and analyze healthcare delivery statistics Solicit broad input from local and community partners Engage partners in addressing health needs Evaluate 2016-19 plans and develop regional measures Pinpoint key zip codes on which to focus efforts Realign priorities with strategic initiatives Use CHNA to inform PHM strategies
Regional Reporting Approach 1. Central 2. Northeast 3. South Central 4. Western
FY2019 CHNA Methodology Quantitative Analysis > Demographics, socio‐economic measures, health statistics > Comparisons to regions, state, national benchmarking > Correlate with hospital utilization data Qualitative Analysis > Online Key Informant Survey: individual input from community leaders > Partner Forums: asset mapping, gaps analysis, partner potential > Focus Groups: In‐depth discussions with healthcare consumers Priority Setting and Strategic Planning > Bridge regional health needs with unique service area findings > Identify opportunities for system‐wide planning and regional collaboration > Design measureable goals, objectives and strategies
Regional Demographic Trends > Overall: • Increasing population diversity • Higher median age • Lower rates of poverty & unemployment • Higher educational attainment • Socioeconomic disparity among minority populations > Central Region: • Smallest population counties • Stable or declining population • Higher White population • Higher poverty rates in Clinton, Columbia & Lycoming
Regional Health Care Barriers > Overall: • Ability to afford care • Availability of providers • Transportation • Uninsured/under-insured • Health literacy • Cultural competencies > Central Region: • Higher uninsured rates • Lower primary care provider rates • Lower access to specialty providers • Lack of transportation for rural populations • Limited FQHCs
Regional Health Behaviors/Outcomes Trends > Overall: • Health Habits (obesity, physical activity) • Environment (healthy food access/exercise facilities) • Chronic disease prevalence • Community infrastructure/safety > Central Region • Higher obesity rates among adults/students • Fewer exercise facilities • Increasing prevalence of diabetes • Higher rates of heart disease death in select counties
Regional Behavioral Health Trends > Overall: • Drug/Alcohol use • Depression • Death rates due to suicide/mental disorders • Deaths to drugs/opioids • Availability of providers • Comorbidities > Central Region: • Higher rates of suicide/mental disorders/DUI death in select counties • Increasing depression among youth • Lower mental health provider rates • Increasing drug-related death rate
C OMMUNITY H EALTH N EEDS I DENTIFIED FROM THE FY2019 CHNA S OCIAL D ETERMINANTS POVERTY , EDUCATION , HOUSING , HEALTH DISPARITIES Chronic Mental Access to Care Healthy Lifestyles Substance Abuse Disease Management Health Care Ability to Healthy Food Access Obesity Suicide Rates Drug/Alcohol Use Afford Care Availability of Recreation & Parks Mental and Behavioral DUI‐Related Primary/Specialty Care Health Habits Access Disorders Death Death Providers Depression Safe Neighborhoods Transportation Heart Disease Death Drug‐Induced Death Rate Among Youth Uninsured & Community Availability of Mental Cancer‐Related Death Drug Overdose Deaths Infrastructure Underinsured Health Providers Diabetes Prevalence and Substance Use Among Health Literacy Culture Stigma Death Youth Availability of Substance Cultural Competencies High Blood Pressure Education Comorbidities Abuse Providers
Regional Implementation Planning “ One Geisinger Plan for Community Health Improvement ” > System-wide goals to address identified priority areas: • Access to Care: Ensure residents have access to quality, comprehensive health care close to home. • Behavioral Health: Model best practices to address community behavioral health care needs and promote collaboration among organizations to meet the health and social needs of residents. • Chronic Disease Prevention and Management: Reduce risk factors and premature death attributed to chronic diseases. > System-wide priorities and hospital Implementation Plans were approved by the Geisinger Board of Directors in June 2018.
Access to Care Regional Objectives Access to Care : Ensure residents have access to quality, comprehensive health care close to home. > Increase the number of residents who have a regular primary care provider > Increase access to primary and specialty care physicians practicing within MUAs or HPSAs > Foster integration of behavioral and primary health care within Geisinger Community Medicine > Reduce barriers to receiving care for residents without transportation > Identify opportunities to develop or augment Federally Qualified Health Centers in underserved communities > Promote awareness of available options for assistance to pay for health care needs > Increase cultural competency among all Geisinger health care providers and staff > Foster pursuit of health careers and ongoing training of health professionals > Promote partnerships with social service agencies to address socio-economic needs of residents
Behavioral Health Regional Objectives Behavioral Health : Model best practices to address community behavioral health care needs and promote collaboration among organizations to meet the health and social needs of residents. > Advance local and state dialogue to address behavioral health needs > Foster integration of behavioral and primary health care > Develop and implement point of service screening questions to identify potential behavioral health issues > Provide education to increase residents’ awareness of Behavioral Health issues and reduce stigma associated with behavioral health conditions > Increase access to behavioral health services
Chronic Disease Prevention and Management Regional Objectives Chronic Disease Prevention and Management : Reduce risk factors and premature death attributed to chronic diseases. > Encourage community initiatives that support access to and availability of healthy lifestyle choices > Initiate early stage interventions for individuals at high risk for chronic disease > Address health literacy to improve residents’ self-efficacy in disease management > Develop integrative care models to improve outcomes for patients with chronic disease
Demographic and Socioeconomic Data Summary
2017 Population 2017 Population York County 449,636 Luzerne County 320,999 Dauphin County 276,447 Cumberland County 253,836 Lackawanna County 215,921 Centre County 164,029 Schuylkill County 146,871 Lycoming County 116,794 Northumberland County 94,060 Columbia County 67,293 Social Wayne County 52,769 Determinants Mifflin County 47,650 Perry County 46,674 of Health Union County 45,358 Snyder County 41,142 Clinton County 40,309 Juniata County 24,936 Montour County 19,011 Sullivan County 6,303
Population Growth 2017-2022 % Growth by 2022 Cumberland County 5.5% Centre County 3.4% Montour County 2.7% York County 2.4% Snyder County 2.2% Dauphin County 2.2% Clinton County 2.1% Perry County 1.2% Union County 1.1% Juniata County 1.0% Mifflin County 1.0% Lackawanna County 0.6% Lycoming County 0.0% Luzerne County ‐0.5% Columbia County ‐0.8% Wayne County ‐0.8% Northumberland County ‐1.1% Schuylkill County ‐1.3% Sullivan County ‐1.7%
Next Steps
The CHNA 3-Year Cycle
Step 9: Evaluate Progress 1. Where we are now (baseline measures-CHNA research) 2. Where we are going (goals and objectives) 3. How to get there (Implementation Plan) 4. How we will know we have arrived (evaluation/outcome measures)
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