Conducting a Community Needs Assessment Handouts

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PROVO, UTAH FOCUSING ON THE TAIL, NOT THE DOG Provo-Orem metropolitan area 555,551 Photo: Jeremiah Owyang EXTRAPOLATING DATA It may be difficult to find data specific to the proposed service area or target population. Key demographic information about the service area or target population may permit an extrapolation of data from a more aggregate level, such as the State or county. Use the experience of one population (the “standard” population) to project the data for the target population. CORE BARRIERS: POPULATION TO ONE FTE PRIMARY PHYSICIAN Community Fact Sheets – http://datawarehouse.hrsa.gov/HGDWReports/Commu nity_Fact_Sheet.aspx • County-level profile Health Resources County Comparison Tool: http://arf.hrsa.gov/arfwebtool/Counties_search.asp • Peer counties, multiple county comparison Health Center Data: http://www.hrsa.gov/datastatistics/health-center-data/index.html • National and state data covering 2006-2009 Shortage Areas: HPSA by State & County: http://hpsafind.hrsa.gov/ • State and county data, updated 10/2010 EXAMPLE: POPULATION TO ONE FTE PRIMARY PHYSICIAN EXAMPLE: POPULATION TO ONE FTE PRIMARY PHYSICIAN Determine Service Area Zip Code Analysis Geographical Barriers Weather 2
EXAMPLE: POPULATION TO ONE FTE PRIMARY PHYSICIAN CORE BARRIERS: % OF POPULATION AT OR BELOW 200% OF POVERTY Community Fact Sheets – http://datawarehouse.hrsa.gov/HGDWReports/Com munity_Fact_Sheet.aspx • County-level profile State & County QuickFacts: http://quickfacts.census.gov/qfd/index.html • For cities and towns with more than 25,000 CORE BARRIERS: PERCENT OF POPULATION UNINSURED By state • Current Population Survey (State and age): http://www.census.gov/hhes/www/cpstables/032010/health/h05 _000.htm • Kaiser Foundation State Health Facts: http://www.statehealthfacts.org/profile.jsp (Health coverage and the uninsured) By county • Community Health Status Indicators (CHSI) http://www.communityhealth.hhs.gov/HomePage.aspx • Community Fact Sheets – http://datawarehouse.hrsa.gov/HGDWReports/Community_Fa ct_Sheet.aspx CORE BARRIERS: DISTANCE OR TRAVEL TIME Community Fact Sheets – http://datawarehouse.hrsa.gov/HGDWReports/Community_Fact_Shee t.aspx • County-level data on Medicare patients, PCP What Congestion Means to Your Town, 2007 Urban Area Totals http://mobility.tamu.edu/ums/congestion_data/tables/national/table_2. pdf Agricultural Workers Distance to Work and Transportation Table 5.15 http://www.doleta.gov/agworker/report9/chapter5.cfm#basis_for_pay Transportation and Worst Case Needs (pg. 18) http://www.huduser.org/Publications/pdf/worstcase_HsgNeeds07.pdf What other data might be used in this narrative CORE HEALTH INDICATORS: DIABETES Resources • Short term complication Hospital Admission Rate http://www.cdc.gov/diabetes/statistics/complications_national.htm • Long term Complications Hospital Admission Rate http://www.cdc.gov/diabetes/statistics/complications_national.htm • Uncontrolled Diabetes Hospital Admission Rate Healthy People 2010 http://www.healthypeople.gov/data/2010prog/focus01/ (program review) • Rate of Lower-extremity Amputation Among Patients with Diabetes http://www.cdc.gov/diabetes/statistics/lealevel/fig9.htm (United States 2005) MT http://www.dphhs.mt.gov/PHSD/MTHDDS/index.shtml • Age adjusted Diabetes Prevalence http://apps.nccd.cdc.gov/DDT_STRS2/NationalDiabetesPrevalenceEstim ates.aspx (county level estimates 2004-2007) http://www.cdc.gov/diabetes/statistics/prev/national/figageadult.htm (national 1980-2008) CORE HEALTH INDICATORS: DIABETES Additional Resources Chronic Disease Indicator http://apps.nccd.cdc.gov/cdi/Default.aspx • Adult prevalence (national, state, select counties) • Mortality rate • Age-adjusted prevalence http://apps.nccd.cdc.gov/DDT_STRS2/NationalDiabetesPrevalence Estimates.aspx (national, state, county) Diabetes Indicators and Data Sources Internet Tool (DIDIT) http://apps.nccd.cdc.gov/DDTSTRS/DIDIT.aspx • Must submit form for access to program Kaiser Family Foundation State Health Facts: http://www.statehealthfacts.org/profile.jsp (health status) National Health Statistics Reports, Number 5, July 30, 2008 (Table 2) http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf • Diabetes mellitus (national - number of discharges from shortstay hospitals by first-listed diagnosis and age: United States, 2006 ) 3
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Page 5 and 6: EXAMPLE: % OF CHILDREN TESTED LEAD
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