Community Health Needs Assessment 2012 - Saint Joseph Hospital

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Community Health Needs Assessment 2013 How the Assessment was Conducted Saint Joseph Berea collaborated with the Madison County Health Department, the Kentucky Hospital Association and local community groups to conduct the Community Health Needs Assessment (CHNA). An advisory committee consisting of representatives from the Madison County Health Department, Berea College, Senior Citizens, HeadStart, Union Church, St. Clare’s Catholic Church, Madison County Schools, Berea Police Department, White House Clinic and hospital leadership and staff began meeting in January 2012 to decide how the assessment would be conducted and what it would consist of. See Appendix B for CHNA Timeline. Once the primary service area was determined a survey was sent to random households inviting individuals to complete and return to Saint Joseph Berea. The survey covered a broad range of topics from access to health care to perception about the most pressing health care needs and recommendations. The survey was also available online. It was available in English and Spanish. The survey was conducted from September 1 – November 9, 2012. There were a total of 949 respondents. No one responded in Spanish. 74% were from Madison County: 43% of which were from Berea and 29% from Richmond, 8% from Jackson County, 6% from Rockcastle County and 6% from Garrard County. The majority of the respondents were female (67%). The most responses were from the 65+ (31%) age group; second, 40-54 (26%); third was 55-64 (25%) and the under 26 groups were 18%. The majority of respondents were Caucasian (96%). Only 3% were African American; 1% was Native American; less than 1% was Hispanic; 1% was of other ethnicities. The information on race closely corresponds to that of Madison County (2011 MCCHIP). See Appendix C for Survey Tool. Six focus groups were conducted with different community groups to seek their input on the health care needs of the community. Senior Citizen Advisory Group Berea Head Start Center with parents and administrator Shannon Johnson Elementary Teachers St Joseph Berea employees/volunteers First Responders group with EMS, Fire and Police departments Farristown Baptist Church event with community members There was a total of 61 participants plus facilitators. The focus groups were held from October 3 through November 16.The groups represented a broad spectrum of the community including African American, business, first responders, religious community, education, lower income, various age groups, caregivers and those with medical needs. Six interviews were conducted with physicians, community leaders, business and community members. We thought this would be a more personal approach. The responses were similar to the focus groups but with a little more detail. See Appendix D for survey, focus group and interview questions and results. In addition, secondary data from local, state and federal sources was compiled from demographic and socioeconomic sources from information on disease prevalence, health indicators, health equity and mortality. Identified needs were prioritized through that process and presented to hospital administration for review. Page 5
Community Health Needs Assessment 2013 Community Served by the Hospital Identification and Description of Geographical Community Berea, population 13,561 (2010), is located in Madison County, Kentucky. Berea is only 40 miles south of Lexington, KY and 15 miles from Richmond, KY. Incorporated in 1890, Berea was named in 1854 by Rev. John Fee for the town mentioned in Acts 17:10 where the inhabitants ―received the word with all eagerness‖ and at that time opposed slavery (in a slave state); a commitment which has evolved today into broad support for human equality. The town is known for Berea College, with its commitment to interracial co-education and service to the Appalachian Region. Berea is the ―Folk Arts and Crafts Capital of Kentucky- Where Art’s Alive.‖ Berea hosts the headquarters of the Kentucky Guild of Artists and Craftsmen-50 years old in 2011, the Kentucky Artisan Center, along with a colony of studio artists; its employment base includes over 3,500 jobs in manufacturing. Berea has a pedestrian-friendly culture supported by miles of bike trails, sidewalks and regularly held 5K-walks and 10K-runs. Madison County’s population density is just over 187 people per square mile. A little more than half of the residents can be found in Richmond (31,364 residents), which is the county seat, and in Berea (13,561) with approximately 38,000 living in many of Madison County’s unincorporated communities including Waco, paint Lick, Boonesboro, Bighill, Bybee, Kirksville, Round Hill, Union City and Valley View or in the more rural farming areas. Interstate 75 bisects Madison County from North to South, running through Richmond and Berea. Berea is located 33 miles south of Lexington (second largest city in Kentucky), 114 miles south of Louisville (largest city in Kentucky), 119 miles south of Cincinnati, Ohio and 134 miles north of Knoxville, Tennessee. Interstate 75 brings travelers to the community of Berea because of its cultural contributions. The interstate also brings travelers to Saint Joseph Berea who fall ill or are in accidents while passing through the area. (http://bereaky.gov/for-visitors/community-profile)/ Defined Community or Service Area A community is defined as the geographic area from which a significant number of the patients utilizing hospital services reside. While the community health needs assessment considers other types of health care providers, hospitals are the single largest provider of acute care services. For this reason, the utilization of hospital services provides the clearest definition of the community. Saint Joseph Berea primary service area was identified based on the patient origin of inpatient discharges by zip code from July 1, 2011 to June 30, 2012 (See Exhibit 1). Saint Joseph Berea defines its community for this community health needs assessment based on where the majority of its inpatients reside. It is followed by a map showing Saint Joseph Berea’s geographic location and the footprint of Saint Joseph Berea primary service area identified in Exhibit 1 which includes Madison, Jackson, Rockcastle and Garrard Counties. A demographic snapshot for these zip codes is provided in Exhibit 2 and displays the hospital’s defined primary service area, identifies the zip codes that comprise this community, and illustrates its geographic relationship to surrounding counties. When specific information is not available by zip code, this community health needs assessment relies on county-level data. Page 6
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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
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What’s great about our community?
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What can our community do to improv
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Activity 3: 10:30 - 11:00 Related t
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• Local chapter of NAMI 3. COLLAB
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3. COLLABORATION OF CARE/ TRANSITIO
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1. Continue developing outpatient m
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Appendix G: Resources Annie E Casey
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Community Health Needs Assessment 2012 - Saint Joseph Hospital

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