Community Health Needs Assessment 2012 - Saint Joseph Hospital

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Community Health Needs Assessment 2013 Health Status of the Community This section of the assessment reviews the health status of Madison County residents. As in the previous section, comparisons are provided with the state of Kentucky and the United States. This in-dept assessment of the mortality and morbidity data, health outcomes, health factors and mental health indicators of Madison County residents that make up the community will enable Saint Joseph Berea to identify priority health issues related to the health status of its residents. Good health can be defined as a state of physical, mental, and social well-being, rather than the absence of disease or infirmity. According to Healthy People 2010, the national health objectives released by the U.S. Department of Health and Human Services, individual health is closely linked to community health. Community health, which includes both the physical and social environment in which individuals live, work and play, is profoundly affected by the collective behaviors, attitudes and beliefs of everyone who lives in the community. Health people are among a community’s most essential resources. Numerous factors have a significant impact on an individual’s health status: lifestyle and behavior, human biology, environmental and socioeconomic conditions, as well as access to adequate and appropriate health care and medical services. Studies by the American Society of Internal Medicine conclude that up to 70 percent of an individual’s health status is directly attributable to personal lifestyle decisions and attitudes. People who do not smoke, who drink in moderation (if at all), use automobile seat belts (car seats for infants and small children)j, maintain a nutritious low-fat, high-fiber diet, reduce excess stress in daily living and exercise regularly have a significantly greater potential of avoiding debilitating diseases, infirmities and premature death. The interrelationship among lifestyle/behavior, personal health attitude and poor health status is gaining recognition and acceptance by both the general public and health care providers. Some examples of lifestyle/behavior and related health care problems include the following: Lifestyle/Behavior Primary Disease Factor Smoking Lung cancer Emphysema Cardiovascular disease Chronic bronchitis Alcohol/Drug Abuse Cirrhosis of liver Malnutrition Motor vehicle crashes Mental illness Unintentional injuries Suicide Poor Nutrition Driving at Excessive Speeds Lack of Exercise Overstressed Obesity Digestive disease Depression Trauma Motor vehicle crashes Cardiovascular disease Depression Mental illness Alcohol/Drug abuse Cardiovascular disease Page 15
Community Health Needs Assessment 2013 Health problems should be examined in terms of morbidity as well as mortality. Morbidity is defined as the incidence of illness or injury and mortality is defined as the incidence of death. However, the law does not require reporting the incidence of a particular disease, except when the public health is potentially endangered. Due to limited morbidity data, this health assessment relies heavily on death and death rate statistics for leading causes in death. Such information provides useful indicators of health status trends and permits an assessment of the impact of changes in health services on a resident population during an established period of time. Community attention and health care resources may then be directed to those areas of greatest impact and concern. Leading Causes of Death Exhibit 10 Saint Joseph Berea CHNA Leading Causes of Death in Madison County, Kentucky and the US, 2007 Rate per 100,000 Total Population Leading Causes of death Madison Co. Kentucky US 250 200 Cancer 208.7 211.1 178.4 150 Heart Disease 211.8 218.2 190.9 100 Stroke 58.3 47.2 42.2 Chronic Lower Respiratory Disease 56.8 58.6 40.8 Unintentional Injuries 37.6 51.8 40 50 0 Cancer Heart Disease Stroke Chronic Low er Respiratory Disease Unintentional Injuries Source: 2011 MCCHIP Madison Co. Kentucky US According to the 2011 Kentucky Health Facts, the leading causes of cancer in Madison County were lung, colorectal, breast and prostrate. Madison County ranks higher than the national benchmark for all except unintentional injuries and lower than Kentucky benchmark for all except deaths due to strokes. Kentucky, as a whole, ranks higher than the US benchmark in leading causes of death. Page 16
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Page 41 and 42: Appendix A: Saint Joseph Berea CHNA
Page 43 and 44: October 2012 November 2012 November
Page 45 and 46: Appendix C: Saint Joseph Berea Surv
Page 47 and 48: Vision Our Vision is to live up to
Page 49 and 50: 3. 4. Comment: If you have a family
Page 51 and 52: 9. What additional health services
Page 53 and 54: 15. Do you use the services of St.
Page 55 and 56: Demographics • 21. What is Your G
Page 57 and 58: Focus Groups • Purpose: Meet with
Page 59 and 60: What’s great about our community?
Page 61 and 62: What can our community do to improv
Page 63 and 64: Activity 3: 10:30 - 11:00 Related t
Page 65 and 66: • Local chapter of NAMI 3. COLLAB
Page 67 and 68: 3. COLLABORATION OF CARE/ TRANSITIO
Page 69 and 70:
1. Continue developing outpatient m
Page 71 and 72:
Appendix G: Resources Annie E Casey
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