2013 prc community health needs assessment a data-driven approach to identifying community health...
TRANSCRIPT
2013 PRC Community Health Needs AssessmentA Data-Driven Approach to Identifying Community Health
Needs
Community Health Findings
Cass County, Indiana
Prepared for
By Professional Research Consultants, Inc.
2013 PRC Community Health Needs AssessmentCass County, Indiana
PRC Community Health Needs Assessment
Customized Local PRC Community Health Survey
Customized Local PRC Community Health Survey
Key InformantFocus Groups
Key InformantFocus Groups
Secondary Data
Secondary Data
Surveys among 400 adults in Cass County, Indiana
• Random distribution
• 144 survey items; 25-30 minute interview
• ±4.9% max error overall
Four Key Informant Focus Groups, comprised of 16 community stakeholders:o Public health,
physicians & other health providers
o Social services & other community leaders
BENCHMARKING
PRC National Health Survey
State BRFSS data
Healthy People 2020 targets
National vital statistics data
2013 PRC Community Health Needs AssessmentCass County, Indiana
Men Women 18 to 39 40 to 64 65+ White Hispanic Other <200% FPL0%
20%
40%
60%
80%
100%
49.1% 50.9%
35.0%
44.7%
20.3%
87.1%
9.8%
3.1%
37.8%
49.3% 50.7%
35.0%
44.9%
20.1%
87.2%
8.9%3.9%
38.0%
Actual Population
Population & Sample Characteristics(Cass County, 2013)
Sources: ● Census 2010, Summary File 3 (SF 3). U.S. Census Bureau.
● 2013 PRC Community Health Survey, Professional Research Consultants, Inc.
2013 PRC Community Health Needs AssessmentCass County, Indiana
COMMUNITY HEALTH
This Presentation• Represents just a fraction of the data
collected through this assessment.
• Focuses on areas of need; however, there were many positive findings for the region as well.
• Will allow for Q&A at the end.
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
“Excellent/Very Good” = 46.3%
“Fair/Poor” = 12.5%
Self-Reported Health Status(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 5]Notes: ● Asked of all respondents.
Excellent 14.6%
Very Good 31.7%
Good 41.2%
Fair 10.4%Poor 2.1%
“Would you say that, in general, your health is excellent, very good, good, fair or poor?”
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County Indiana United States0%
20%
40%
60%
80%
100%
12.5%18.9% 16.8%
Cass County better than statewide and national findings.
Experience “Fair” or “Poor” Overall Health
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 5]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2011 Indiana data.
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Experience “Fair” or “Poor” Overall Health(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 5]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County0%
20%
40%
60%
80%
100%
12.6% 12.3%
2.2%
15.3%21.5% 19.4%
8.5%12.5%
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Healthcare Insurance Coverage(Among Adults 18-64; Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 198]Notes: ● Reflects respondents age 18 to 64.
Insured, Employer-Based 57.1%
Insured, Self-Purchase 4.7%
Insured, Unknown Type 1.1%
Medicaid 15.0%
Medicare 5.1%
VA/Military 1.6%
Medicaid & Medicare 0.6%
Other Gov't Coverage 1.3%
No Insurance13.6%
Private = 62.9%Gov’t = 23.6%
Uninsured=13.6%
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County Indiana United States0%
20%
40%
60%
80%
100%
13.6%
23.6%
14.9%
Lack of Healthcare Insurance Coverage(Among Adults 18-64)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 198]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2011 Indiana data.
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-1]Notes: ● Asked of all respondents under the age of 65.
Healthy People 2020 Target = 0.0% (Universal Coverage)
2013 PRC Community Health Needs AssessmentCass County, Indiana
Men Women 18 to 39 40 to 64 LowIncome
Mid/HighIncome
Cass County0%
20%
40%
60%
80%
100%
14.4% 12.8%18.3%
9.9%
23.9%
7.3%13.6%
Lack of Healthcare Insurance Coverage(Among Adults 18-64; Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 198]
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-1]Notes: ● Asked of all respondents under the age of 65.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
Healthy People 2020 Target = 0.0% (Universal Coverage)
2013 PRC Community Health Needs AssessmentCass County, Indiana
Getting aDr Appointment
Cost(Prescriptions)
Cost(Doctor Visit)
Findinga Doctor
InconvenientOffice Hours
Lack ofTransportation
0%
20%
40%
60%
80%
100%
10.8% 9.7% 8.4% 8.0% 7.5%3.4%
16.5% 15.0% 14.0%10.7%
14.3%7.7%
Cass County United States
Barriers to Access Have Prevented Medical Care in the Past Year
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 7-12]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents.
Access to care is generally better in Cass County than found nationally.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Experienced Difficulties or Delays of Some Kindin Receiving Needed Healthcare in the Past Year
(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 202]Notes: ● Asked of all respondents.
● Represents the percentage of respondents experiencing one or more barriers to accessing healthcare in the past 12 months.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
US0%
20%
40%
60%
80%
100%
26.7%29.8%
25.9%
38.3%
8.8%
40.9%
20.2%
28.3%37.3%
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have a Specific Source of Ongoing Medical Care
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 199]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services. Healthy People 2020. December 2010.
http://www.healthypeople.gov [Objective AHS-5.1]Notes: ● Asked of all respondents.
Cass County United States0%
20%
40%
60%
80%
100%
68.7%76.3%
[All Ages] Healthy People 2020 Target = 9...
Particularly low (62.0%) among low-income
residents.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Key Informant
Focus Group
Access to Health Services
Ranked as the #2 top concern among focus group participants.
They emphasized:
• Barriers to Access Poverty
Transportation
Limited hours of operation
Interpretive services
• Limited Number of Physicians Available
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cancer: Age-Adjusted Mortality(2008-2010 Annual Average Deaths per 100,000
Population)
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted April 2013.● US Department of Health and
Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective C-1]Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.
Cass County Indiana United States0
100
200
300
400
193.9 191.1174.2
Healthy People 2020 Target = 160.... Lung Cancer Mortality
Cass County
74.4
Indiana 59.9
US 48.5
HP2020 45.5
Cancer is #2 leading cause of death in Cass County (23.4% of 2008-2010 deaths)
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have Had a Pap Smear in the Past Three Years
(Among Women 21-65)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 152-154]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2010 Indiana data.
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective C-15]Notes: ● [Pap Smear] Reflects female respondents age 21-65.
● *Note that the Indiana percentage represents all women 18 and older.
● [Lower Endoscopy] Asked of all respondents 50+.
● Lower endoscopy includes either sigmoidoscopy or colonoscopy.
Cass County Indiana* United States0%
20%
40%
60%
80%
100%
71.7%
80.2%84.7%
Healthy People 2...
Have Ever Had a Lower Endoscopy Exam
(Among Adults 50+)
Cass County Indiana United States0%
20%
40%
60%
80%
100%
59.6%62.8%
72.0%
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Prevalence of Diabetes(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 44]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
● Excludes gestation diabetes (occurring only during pregnancy).
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
Indiana US0%
20%
40%
60%
80%
100%
15.3% 13.6%
1.8%
18.6%
27.3%
18.6%
11.0%14.4%
10.2% 10.1%
2013 PRC Community Health Needs AssessmentCass County, Indiana
Diabetes: Age-Adjusted Mortality(2008-2010 Annual Average Deaths per 100,000 Population)
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted April 2013.● US Department of Health and
Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective D-3]Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.
● The Healthy People 2020 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.
Cass County Indiana United States0
20
40
60
80
100
120
140
24.4 23.9 21.3
Healthy People 2020 Target = 19.6 or Lowe...
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Heart Disease: Age-Adjusted Mortality(2008-2010 Annual Average Deaths per 100,000 Population)
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted April 2013.● US Department of Health and
Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-2]Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.
● The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart.
Cass County Indiana United States0
100
200
300
400
500
600
195.0 196.7 184.6
Healthy People 2020 Target = 152.7 or Lower (A...
#1 leading cause of death in Cass County (24.1% of 2008-2010 deaths)
2013 PRC Community Health Needs AssessmentCass County, Indiana
Prevalence of High Blood Pressure(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 147]
● US Department of Health and Human Services. Healthy People 2020. December 2010.
http://www.healthypeople.gov [Objective HDS-5.1]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty
level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes
households with incomes at 200% or more of the federal poverty level.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
Indiana US0%
20%
40%
60%
80%
100%
45.8%41.5%
18.0%
52.4%
68.5%
49.4%
41.3% 43.6%
32.8% 34.3%
Healthy People 2020 Target = 26.9% or Lower
In all, a high 90.0% of adults exhibit one or more
cardiovascular risk factors (overweight, smoking, high blood
pressure/cholesterol, lack of exercise)
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Motor Vehicle Crashes: Age-Adjusted Mortality(Annual Average Deaths per 100,000 Population)
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted April 2013.● Indiana State Department of
Health● US Department of Health and
Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective IVP-13.1]Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
Cass County (2001-2010) IN (2008-2010) US (2008-2010)0
10
20
30
40
50
15.5
12.1 11.9
Healthy People 2020 Target = 12.4...
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County Indiana United States0%
20%
40%
60%
80%
100%
79.2%
93.9%
85.3%
Healthy People 2020 Target = 92.4% or...
“Always” Wear a Seat BeltWhen Driving or Riding in a Vehicle
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 53]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department
of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2011 Indiana data.
● US Department of Health and Human Services. Healthy People 2020. December 2010.
http://www.healthypeople.gov [Objective IPV-15]Notes: ● Asked of all respondents.
Particularly low in men, adults 18-39
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have a Firearm Kept in or Around the Home
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 57,159]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents.
● In this case, firearms include pistols, shotguns, rifles, and other types of guns; this does not
include starter pistols, BB guns, or guns that cannot fire.
Cass County United States0%
20%
40%
60%
80%
100%
44.9%37.9%
Households With Children: 48.6%
(vs. 34.4% nation-wide)
11.3% of firearm owners keep at least one weapon unlocked
and loaded
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Lack of Prenatal Care in the First Trimester(Percentage of Live Births, 2008)
Sources: ● Indiana Youth Institute (www.iyi.org) County Snapshots
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-10.1]Note: ● Numbers are a percentage of all live births within each population.
Cass County Indiana0%
20%
40%
60%
80%
100%
37.8%33.4%
Healthy People 2020 Target = 22.1% o...
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
0%
20%
40%
60%
80%
100%
6.6% 9.0%4.9%
10.3%6.1%
15.6%
1.2%7.8%
Experience “Fair” or “Poor” Mental Health
(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 117]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty
level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes
households with incomes at 200% or more of the federal poverty level.
Self-Reported Mental Health Status
Excellent/Very Good =66.2%
Good =25.9%
Fair/Poor = 7.8%(better than US)
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have Been Diagnosed With Major Depression
(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 33]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level
(FPL) for their household size. “Low Income” includes households with incomes up to 200% of
the federal poverty level; “Mid/High Income” includes households with incomes at 200% or
more of the federal poverty level.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
0%
20%
40%
60%
80%
100%
6.5%11.8%
4.2%
13.1%8.6%
17.3%
4.4%9.2%
Have Experienced Symptoms of Chronic
Depression(Cass County, 2013)
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
0%
20%
40%
60%
80%
100%
18.0%
27.5%24.3%
20.2%25.4%
37.7%
15.6%22.8%
The percentage of adults having ever sought help for
mental health issues (18.7%) is relatively low compared to
US findings (24.4%).
Depression indicators are overall similar to US findings, however…
2013 PRC Community Health Needs AssessmentCass County, Indiana
Mental Health
Ranked as the #4 top concern among focus group participants.
They emphasized:
• Limited Resources Available (Providers & Services)
• Cost/Insurance Issues
• Stigma
Key Informant
Focus Group
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County United States0%
20%
40%
60%
80%
100%
37.4%
48.8%
Consume Five or More Servings of Fruits/Vegetables
Per Day
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 174]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents.
● For this issue, respondents were asked to recall their food intake on the previous day.
Cass County adults are less likely than Americans overall to have received information
or advice about nutrition from a health professional in
the past year.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County Indiana United States0%
20%
40%
60%
80%
100%
42.8%
29.2% 28.7%
Healthy People 2020 Target = 32.6% or Lower
No Leisure-Time Physical Activity in the Past Month
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 109]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2011 Indiana data.
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective PA-1]Notes: ● Asked of all respondents.
Cass County adults are less likely than Americans overall to
have received information or advice about physical activity
from a health professional in the past year.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Moderate & Vigorous Physical Activity(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 179-180]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents.
● Moderate Physical Activity: Takes part in exercise that produces only light sweating or a slight to moderate increase in breathing or heart rate at least 5 times per week
for at least 30 minutes per time.
● Vigorous Physical Activity: Takes part in activities that cause heavy sweating or large increases in breathing or heart rate at least 3 times per week for at least 20 minutes per time.
Yes25.8%
No74.2%
Vigorous Physical Activity
Yes18.8%
No81.2%
Moderate Physical Activity
US=23.9% US=34.8%
2013 PRC Community Health Needs AssessmentCass County, Indiana
Meets Physical Activity Recommendations(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 177]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
● In this case the term “meets physical activity recommendations” refers to participation in moderate physical activity (exercise that produces only light sweating
or a slight to moderate increase in breathing or heart rate ) at least 5 times a week for 30 minutes at a time, and/or vigorous physical activity (activities that
cause heavy sweating or large increases in breathing or heart rate) at least 3 times a week for 20 minutes at a time.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
US0%
20%
40%
60%
80%
100%
35.7%32.9% 35.4% 32.9% 33.3%
27.2%
39.9%34.3%
42.7%
2013 PRC Community Health Needs AssessmentCass County, Indiana
Nutrition, Physical Activity & Weight
Ranked as the #1 top concern among focus group participants.
They emphasized:
• Poor Nutrition
• Lack of Education About Healthy Living
• Sedentary Lifestyles
• Low Youth Participation in Athletics
Key Informant
Focus Group
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have Visited a Dentist orDental Clinic Within the Past Year
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 21]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective OH-7]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2011 Indiana data.Notes: ● Asked of all respondents.
Cass County Indiana United States0%
20%
40%
60%
80%
100%
60.4%
68.8% 66.9%
Healthy People 2020 Target = 49.0% or...
2013 PRC Community Health Needs AssessmentCass County, Indiana
Have Visited a Dentist orDental Clinic Within the Past Year
(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 21]
● US Department of Health and Human Services. Healthy People 2020. December 2010.
http://www.healthypeople.gov [Objective OH-7]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty
level (FPL) for their household size. “Low Income” includes households with incomes up to
200% of the federal poverty level; “Mid/High Income” includes households with incomes at
200% or more of the federal poverty level.
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Dental Insurance
No DentalInsurance
CassCounty
0%
20%
40%
60%
80%
100%
58.6%62.2% 60.4% 61.3% 59.1%
40.7%
70.6% 71.6%
44.4%
60.4%
Healthy People 2020 Target = 49.0% or...
For kids, recent dental visits
also appear low, but not to a statistically significant
degree.
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Chronic Lower Respiratory Disease:
Age-Adjusted Mortality(2008-2010 Annual Average Deaths per 100,000
Population)
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention,
Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted April 2013.Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification
of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.
● CLRD is chronic lower respiratory disease.
Cass County Indiana United States0
20
40
60
80
100
54.9 56.3
43.2
Pneumonia/Influenza: Age-Adjusted Mortality
(2008-2010 Annual Average Deaths per 100,000 Population)
Cass County Indiana United States0
20
40
60
80
100
30.3
17.9 16.4
Recall that the lung cancer death rate is also high.
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
2013 PRC Community Health Needs AssessmentCass County, Indiana
Men Women 18 to 39 40 to 64 65+ LowIncome
Mid/HighIncome
Cass County
Indiana US0%
20%
40%
60%
80%
100%
15.0% 15.1%9.8%
22.8%
5.9%
19.0%11.7%
15.1%
25.6%
16.6%
Healthy People 2020 Target = 12% or Lower
Current Smokers(Cass County, 2013)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 190-191]
● US Department of Health and Human Services. Healthy People 2020. December 2010.
http://www.healthypeople.gov [Objective TU-1.1]Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level
(FPL) for their household size. “Low Income” includes households with incomes up to 200% of
the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more
of the federal poverty level.
● Includes regular and occasion smokers (everyday and some days).
Note that 25.4% of 2008 births in Cass
County were to women who smoked during pregnancy.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Cass County United States0%
20%
40%
60%
80%
100%
40.1%
56.2%
Healthy People 2020 Target = 80% or Higher
Have Stopped Smoking for One Day or LongerIn the Past Year in an Attempt to Quit Smoking
(Among Everyday Smokers)
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 62]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective TU-4.1]Notes: ● Asked of respondents who smoke cigarettes every day.
2013 PRC Community Health Needs AssessmentCass County, Indiana
Use of Smokeless Tobacco
Sources: ● 2013 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 65]
● 2011 PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective TU-1.2]Notes: ● Asked of all respondents.
● Smokeless tobacco includes chewing tobacco or snuff.
Cass County United States0%
20%
40%
60%
80%
100%
6.8%2.8%
Healthy People 2020 Target = 0.3%...
2013 PRC Community Health Needs AssessmentCass County, Indiana
Tobacco
Ranked as the #3 top concern among focus group participants.
They emphasized:
• High Smoking Prevalence
• Lack of Cessation Programs
Key Informant
Focus Group
2013 PRC Community Health Needs AssessmentCass County, Indiana
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Next Steps
CHNA Phase
Implementation Strategy PhaseAssess• Conduct
Community Health Needs Assessment (CHNA) Prioritize
• Review Data and Prioritize Health Needs
• Update CHNA Report With Prioritization Method/Results
Disseminate• Formally
Adopt CHNA Report
• Share CHNA Report/Data With the Community[e.g., HealthForecast.net™]
Strategize• Develop an
Implementation Strategy for CHNA-Identified Issues
Adopt• Create &
Formally Adopt an Implementation Strategy Document
Submit• Attach
Implementation Strategy to Form 990 Schedule H
Implement• Implement
Planned Strategies for FY2013-FY2015
• Report Progress to IRS AnnuallyRepeat
• CHNA/Implementation Strategy Must Be Completed Every 3 Years
2013 PRC Community Health Needs AssessmentCass County, Indiana
Public dissemination solution — HealthForecast.net™
User = casscountyPassword = chna
http://CassCounty.HealthForecast.net
2013 PRC Community Health Needs AssessmentCass County, Indiana
Q&A
Areas of Opportunity• Access to Health Services• Cancer• Diabetes• Heart Disease & Stroke• Injury & Violence• Maternal, Infant & Child Health• Mental Health & Mental Disorders• Nutrition, Physical Activity & Weight• Oral Health• Respiratory Disease• Tobacco Use